Wednesday, July 25, 2012

Post-operative Physiotherapy



Post-operative Physiotherapy
There are many reasons for us to require orthopaedic surgery.  Joint replacement surgery, surgery following injury and surgery to help improve body biomechanics.  Following any surgery effective recovery and rehabilitation is essential to ensure return to optimum function.  Optimum function is individual and more than achieving improved joint movement.  Physiotherapy can facilitate you through the journey prior to surgery, if this is an option, to achieving your specific goals.  
SETTING YOUR GOALS
Every individual has different goals following surgery whether it is return to sport, return to work or simply being able to manage day-to-day tasks.  It’s important your goals are set with your physiotherapist to create a rehabilitation programme tailored to your needs and adjust it as you progress.  The process may take a little while but the effects should be long-lasting.
If possible, having a physiotherapy assessment prior to surgery can be helpful with goal setting, especially if you continue to see the same therapist following your operation.  Knowing your expectations and ability before the surgery can help your physiotherapist provide you with a plan tailored just for you.
PRIOR TO SURGERY
Not everyone has the opportunity to attend for rehabilitation pre-operatively however if you do have the chance it is worthwhile.  You can be educated by your physiotherapist what to expect during and after the surgery experience.  
Waking up from your operation sometimes with tubes, drips and dressings can be a daunting experience.  It can also often be the case that you are expected to mobilise with the physiotherapists on the day or the day following surgery.  Knowing what to expect can help with those first few steps to recovery.
In our experience having a specific exercise programme prior to the surgery can prepare your muscles and joints for the journey ahead.  These exercises will often be similar to the programme you will receive after surgery.  
MOBILISING AFTER SURGERY
Following lower limb surgery achieving an efficient and effective walking pattern is part of returning to optimum function.  A poor walking pattern can result pains to other joints or reduced function on your surgical joint.  If you are given crutches or walking sticks after your operation it is important you use them appropriately as instructed by your physiotherapist.  Generally patients are keen to “ditch the sticks” as soon as possible, unfortunately this can often be the wrong thing to do.  Walking aids when used properly are there to assist your walking pattern by reducing the load and improving your balance.  Don’t see them as a hindrance more of a help!
SUMMARY
With your physiotherapist set your individual goals and follow your rehabilitation to the end.  It can be a hard long road but with the right guidance you can get there.  Where possible preparation and education is the key so if you know you are having surgery physiotherapy before hand will be of great benefit to you.  
Framework Clinics can provide all of these services for you.  We have physiotherapists with a wide range of experiences and access to the majority of rehabilitation protocols.  See our website for more information www.frameworkclinics.co.uk 

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