Our team of physical therapists provide
outpatient rehabilitation and a full range
of physical therapy services with aerobic
and strengthening equipment, physical
agents, and balance training.
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Following the surgical procedure of a total joint replacement, you will require therapy services both in the hospital setting and after discharge from the hospital. You will be most comfortable working with therapy if you are dressed. You should bring a pair of shoes with good support that can be loosened to accommodate mild swelling (such as sneakers), and a couple of sets of loose-fitting clothing such as sweat pants or shorts.
Occupational Therapist will work with you to teach you how to perform the functional activities that are a part of your daily life, such as transfers, dressing, bathing and kitchen skills.
Physical Therapist will work with you to obtain good motion, strengthen the muscles around your new joint, and teach you to walk on level surfaces and stairs.
Day of Surgery: Your orthopedic surgeon may order physical therapy to start on the day of surgery. On this day, we will start working on transfers out of bed and getting you up on your feet using a walker. We will walk with you to your tolerance on the orthopedic unit. You will be able to bear as much weight as you are comfortable with on your leg.
Post-op day 1 to 3: You will be seen by both Occupational Therapy and Physical Therapy. Physical Therapy is generally twice each day. Occupational Therapy is once daily.
Walker You will need to use a walker for one to two weeks. After that, you will progress to a straight cane.
Straight Cane You will need to use a straight cane until you get good strength and motion in your surgical joint, usually four to six weeks.
Some patients have difficulty performing skills at home. Though not everyone requires the use of special equipment, the following equipment may help you in your daily activities. (Many items are not reimbursed by insurance; please contact your individual carrier to check for coverage guidelines.)
You will need to exercise your new joint so that it will work at its optimal level. This takes commitment to the exercise program. While you are in the hospital setting, we will start with a set of core exercises.
Initially, the weight of your leg will give you the resistance you need to strengthen your leg. Over your recovery period, these exercises will progress to increase the number of repetitions that you perform, as well as to increase the amount of weight that you can lift.
You will need to be diligent at home and practice your exercises two to three times daily for up to three months. After this time, your strength will be sufficient to resume your pre-surgical activities.
Following discharge, you will need to continue physical therapy services for four to six weeks. This can be accomplished in a home setting, an outpatient clinic or a rehabilitation center.
While you are in the hospital, you will work with your therapists and your physician to determine the best setting for you to continue those services.
Before you go home you should be able to:
Get in and out of bed by yourself
Get on and off the toilet by yourself
Walk down the hall with an assistive device
Manage stairs at home
Perform your exercises on your own
Remove all small rugs, such as scatter rugs.
Use caution in areas where the floor may become wet, such as bathrooms and kitchens.
Use small lights in any darkened area you may walk to during the night.
Reinforce any loose support rails.
Remove any areas of clutter in the spaces you will use so you can move easily around your home.
Be alert to pets at home that may walk or run in your path.
Use caution on icy or wet surfaces outside your home.
Do not drive or operate a motor vehicle, regardless of which leg had surgery, until your orthopedic physician tells you that you can resume.