Total Joint Replacement

Knee Replacement

Severe arthritic changes in the knee may lead to loss of range of motion, strength and functional capacity which is the primary criteria for total knee replacement. The degenerative cascade for the arthritic knee begins with damage to one of the menisci, usually the medial meniscus.  Ultimately, the cascade concludes with the total knee replacement (TKR).  The advanced degenerative changes may cause joint deformities such as genu valgus (knock knees) and/or genu varus (bowed legs).

Hip Replacement

Degenerative changes may occur in the hip due to wear and tear from stair climbing, running, normal walking and lifting. The degenerative changes are result of insult and injury to the hyaline cartilage covering the joint surfaces. Arthritic changes in the hip and/or fracture of the femur head may lead to total hip replacement. Osteoporosis is the single most important contributing factor to hip fracture

  1. How can Medical Exercise help me my new joint?

    Physical therapy and Medical Exercise form the foundation of treatment for total joint client. We work with your physical therapist to build a complementary treatment plan to help you heal, recover, and return to life as quickly as possible. In conjunction with or after discharge from physical therapy a supervised Medical Exercise program allows the client to maintain/improve the level of function and independence achieved during physical therapy. Here is how we work together:

    Knee- Medical Exercise Training

    The primary goals of the total knee post rehab program are to maintain or increase range of motion and improve overall leg strength achieved during PT and continue to:

    1. Improve the surgical leg’s ability to control the client’s bodyweight.

    2. Maximize the development of functional strength, joint stability, and postural balance

    3. Increase and maintain Range of Motion (ROM) in your affected joints

    4. Increase cardiovascular levels so you will have more energy throughout the day

    5. Improve capacity for activities of daily living.

    6. Establish an at home program that can be used before any activity to ensure proper function of the surgical leg. Increase and maintain functional strength, endurance, joint stability, and the ability to perform your activities of daily living.

    Hip- Medical Exercise Training

    The primary goals of the total hip post rehab program are to maintain and increase gains achieved during PT and continue to:

    1. Improve Overall Leg Strength, core strength, and balance on your new joint

    2. Improve Gluteal Strength

    3. Improve Functional Capacity

    4. Full Weight Bearing Without Assistive Device

    5. Independent Home Exercise Program to ensure proper function of surgical leg prior to activity of any variety.

    6. Exercise while avoiding a combination of hip flexion beyond 90 degrees, hip adduction across the mid-line of the body and hip internal rotation which may result nn hip dislocation from inappropriate exercise programming and lack of experience of the fitness trainer

    Condition Management

    As Medical Exercise Practitioners, we are trained to avoid any activities that will aggravate your condition. As we design your Joint Replacement Medical Exercise program, we take the necessary precautions to:

    1. Avoid high impact activities

    2. Avoid stretching or moving in to the extremes of ROM that will cause pain

    3. Not exercise or make effective exercise modification to painful or swollen joints

    4. Measure painful response two hours after exercise and the next day