October 29, 2012

Total Hip Arthoplasty


Physical therapy is instrumental in recovering from a total hip arthoplasty.  If the proper exercise program has been implemented hip joint pain should diminish significantly.   If a patient continues to experience severe pain in the joint 6-8 weeks following his or her surgery, I recommend that they inform the surgeon.  Drugwatch.com has written a guest blog post regarding total hip arthroplasties.


 

September 26, 2011

Pre-op preparation

After a patient schedules a surgery date, the surgeon may provide the patient with a list of items to purchase pre-operatively.  Some insurance companies may cover a few of the items below.  I compiled of list of suggestions that my surgeon made, as well as items that I discovered I needed along the way.

** You can click on each picture to see a full description of each item**


August 24, 2011

Iliopsoas syndrome

I recently attended the American Physical Therapy Association's Annual Conference.  I had the opportunity to attend a lecture given by Nancy Bloom, PT, DPT, MSOT.  Her  lecture was entitled, "Iliopsoas Syndrome in Young Adults and Individuals After Total Hip Arthroplasty or Resurfacing:  Diagnosis and Conservative Treatment."

Her lecture provided invaluable information regarding iliopsoas syndrome and indications for treatment.   Dr. Bloom presented the material systematically, which can allow a practitioner to make treatment decisions based on the patient's movement impairments and muscle length. 


April 11, 2011

Aquatic Therapy

As an aquatic therapist and former patient, I am a proponent of aquatic therapy.  I believe that aquatic therapy can be an excellent adjunct or replacement to land based therapy pre-operatively. For example, I was unable to exercise pain-free on land prior to my surgeries.  I was able to swim and participate in an aquatic program without pain.  As a result, I was able to achieve a satisfactory level of physical fitness before proceeding with the surgeries.

I heavily relied on aquatic therapy post-operatively.  When my incisions were fully healed, I initiated exercises in the deep end of the pool in order to adhere to my non-weight bearing status.  When I was instructed to begin partial weight bearing, I  utilized the shallow end of the pool and an underwater treadmill.  I truly believe that my rehabilitation progress was significantly enhanced with the combination of aquatic and land-based therapy.

Benefits of Aquatic Therapy*
Aquatic therapy utilizes the properties of water to assist with healing and exercise performance.  These properties of water and corresponding benefits for hip rehabilitation are as follows:
  • Buoyancy:(1) decreases weight bearing, joint compressive forces, and stress on connective tissue; (2) supports weak muscles and enhances range of motion
  • Hydrostatic pressure: (1) improves proprioception (2) enhances flexibility and ROM (3) decreases pain
  • Viscosity: (1) provides resistances that promotes muscle strengthening and balance
  • Temperature:  (1) relaxation of muscles (2)  vasodilates blood vessels, which increases blood flow to the injured area

March 8, 2011

Rehabilitation for arthroscopic treatment of labral tears

Below is a link to an article regarding the rehabilitation for arthroscopic treatment of labral tears.   Please note that these protocols are strictly for labral debridement and repair (no correction for femoroacetabular impingement).

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2953303/pdf/najspt-02-241.pdf