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Exercises for pre-op THR revision

Discussion in 'Hip Replacement Pre-Op Area' started by Newbie tkr, Mar 15, 2019 at 1:05 AM.

  1. Newbie tkr

    Newbie tkr member
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    I'm used to working out 5 days a week-now, since I haven't worked out b/c of my upcoming revision I've just been swimming, doing the recumbent bike and some core/upper body work...
    Any feedback/thoughts/ideas on this would be greatly appreciated,
    Diana
     
  2. Ariel

    Ariel junior member

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    I know I will be shot down for this but IMHO you are doing exactly the right thing by doing all you can to keep muscle intact, go on to the operating table fit and come off it fit for a quick recovery. Keep your BMI in the low 20s as well as every excess kilo will slow your road back to normality. Good luck with it and by exercising hard you are making your own luck.
     
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  3. Bionic

    Bionic post-grad

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    I was given some pre op exercises. They are exactly the same as the post op exercises. I don't know if they made a difference but it made me feel better that I was doing what I could to help the situation.
     
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  4. Eman85

    Eman85 graduate

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    I guess it depends on why you're having a revision.
     
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  5. Pumpkln

    Pumpkln FORUM ADVISOR Forum Advisor

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    Pre op activity for a revision is the same as a primary THR, taking into consideration the condition of your THR.
    Swimming is great as long as it does not cause your hip increased pain or swelling.

    Here are the Hip Recovery Guidelines to help you prepare for your revision, the articles are short and will not take long to read.
    Be sure to pay particular attention to the BIG TIP.

    Hip Recovery: The Guidelines

    1. Don’t worry: Your body will heal all by itself. Relax, let it, don't try and hurry it, don’t worry about any symptoms now, they are almost certainly temporary
    2. Control discomfort:
    rest
    elevate
    ice
    take your pain meds by prescription schedule (not when pain starts!)​
    3. Do what you want to do BUT
    a. If it hurts, don't do it and don't allow anyone - especially a physical therapist - to do it to you
    b. If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again.​
    4. PT or exercise can be useful BUT take note of these
    5. At week 4 and after you should follow this
    6. Access these pages on the website

    Pain management and the pain chart
    Healing: how long does it take?
    Chart representation of THR recovery

    Dislocation risk and 90 degree rule
    Energy drain for THRs
    Pain and swelling control: elevation is the key
    Post op blues is a reality - be prepared for it
    Myth busting: on getting addicted to pain meds
    Sleep deprivation is pretty much inevitable - but what causes it?

    BIG TIP: Hips actually don't need any exercise to get better. They do a pretty good job of it all on their own if given half a chance. Trouble is, people don't give them a chance and end up with all sorts of aches and pains and sore spots. All they need is the best therapy which is walking and even then not to excess.

    We try to keep the forum a positive and safe place for our members to talk about their questions or concerns and to report successes with their joint replacement surgery.
     
  6. Ariel

    Ariel junior member

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    Quite right but.... A hip operation does not only affect your hip, the surrounding muscle is also a consideration and by exercising you are keeping that muscle in the best condition to make a rapid recovery.
     
  7. Mojo333

    Mojo333 FORUM ADVISOR Forum Advisor

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    They are going to stretch those muscles out like you wouldn't believe! I worked until the Friday before my Monday surgery, but was unable to do any "hip exercises" save walking mainly because of pain.
    I mainly worked on upper body conditioning...really helped to be independent with moving myself about early days and being more independent.
     
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  8. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    But it's those muscles that suffer most when the patient does exercise. Things like psoas tendinitis, ilio-tibial band tendinitis, pes anserine tendinitis and Piriformis syndrome and many others besides.
     
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  9. Going4fun

    Going4fun senior

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    If you enjoy the exercise, then enjoy the exercise. I really wouldn't get caught up in thinking that exercise beforehand is going to speed up recovery. The outcome of the surgery is 99 percent dependent on the quality of the surgery and the skill of the surgeon performing the revision.

    I think what Josephine is saying is that when we have arthritis, we often go into imbalance and certain muscles get unduly stressed because the body is so out of balance. And so that stress can carry over to post surgery ... as those muscles are already taxed and doing way more than they would be doing if you didn't have a bad hip.

    But look, we all prep for hip surgery in different ways. I ran a few days before surgery ... and I'm six months out and having some IT band issues ... and I can't but wonder if my running (which did cause some pain) ... was out of balance ... and therefore I stressed key muscles ... and that stress has carried over after surgery ...

    It's frustrating to think the best preparation is just to be easy on your body ... but that's often the case. You can't make up for years of muscular atrophy in a few weeks ... with a bad hip. You're having the surgery so you can be active later.
     

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