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).