When fully recovered, most patients can expect to return to work — unless your type of work is not advisable for people with artificial joints. Examples of these include construction work, certain types of carpentry, and occupations that involve repeated high climbing or lifting. You should discuss your situation with your doctor.
You may also be advised to avoid certain activities, including some athletics, as they may place excessive stress your new joint. Examples of these activities include:
After Joint Replacement, a Good Rule of Thumb is that Acceptable Physical Activities Should:
The success of your joint replacement will strongly depend on how well you follow your orthopaedic surgeon’s instructions. As time passes, you will potentially experience a dramatic reduction in joint pain and a significant improvement in your ability to participate in daily activities. Remember, however, that joint replacement surgery will not allow you to do more than you could before you developed your joint problems.
It’s important to have realistic expectations. For example, artificial joints have limitations:
It may come as a surprise to you that total joint replacement patients are encouraged to get up and start moving around as soon as possible after surgery.
When you are medically stable, the physical therapist will recommend certain exercises for the affected joint. Physical therapy is a key part of recovery. The more quickly a joint replacement patient gets moving again, it is more likely that he or she will regain independence just as quickly. To ease the discomfort the activity will initially cause, pain medication is recommended prior to therapy. In addition, the physical therapist will discuss plans for rehabilitation following hospital discharge. Depending on your limitations, an occupational therapist may provide instruction on how to use certain devices that assist in performing daily activities, such as putting on socks, reaching for household items, and bathing. A case manager will discuss plans for your return home and will ensure that you have all the necessary help to support a successful recovery. If needed, the case manager can help arrange for you to have a home therapist.
The success of your joint replacement will strongly depend on how well you follow your orthopaedic surgeon’s instructions. As time passes, you will potentially experience a dramatic reduction in joint pain and a significant improvement in your ability to participate in daily activities. Remember, however, that joint replacement surgery will not allow you to do more than you could before you developed your joint problems!
Most people experience reduction in joint pain and improvement in their quality of life following joint replacement surgery. While joint replacement surgery may allow you to resume many daily activities, don’t push your implant to do more than you could before your problem developed.
Give yourself at least six weeks following surgery to heal and recover from muscle stiffness, swelling and other discomfort. Some people continue to experience discomfort for 6-12 weeks following their joint replacement.
During visits to the physical therapist’s office, your therapist may use heat, ice or electrical stimulation to reduce any remaining swelling or pain. You should continue to use your walker or crutches as instructed.
Your physical therapist may use hands-on stretches for improving range of motion. Strength exercises address key muscle groups, including the buttock, hip, thigh and calf muscles. You can work on endurance through stationary biking, lap swimming and using an upper body ergometer (upper cycle). Physical therapists sometimes treat their patients in a pool. Exercising in a swimming pool puts less stress on your joints and the buoyancy lets you move and exercise easier.
When you are safe putting full weight through the leg, several types of balance exercises can help you further stabilize and control the hip or knee. Finally, you will work with a group of exercises to simulate day-to-day activities, such as going up and down steps, squatting, rising up on your toes, bending down and walking on uneven terrain. You may be given specific exercises to simulate your particular work or hobby demands.
By six weeks, you may be able to return to many normal activities such as driving, bicycling and golf. When you see your surgeon for follow-up two to six weeks after surgery, he or she can advise you on both short and long-term goals.
As a rule, all joint replacement recipients should heed the following limitations during the first weeks after surgery:
In general, physical activities should:
Additional tips for living with your new joint:
Most patients have less pain and better mobility after joint replacement surgery. Your physical therapist will work with you to help keep your new joint healthy for as long as possible. This may mean adjusting your activity choices to avoid putting too much strain on your joint. You may need to consider alternate work activities to avoid the heavy demands of lifting, crawling and climbing.
More extreme sports that require running, jumping, quick stopping or starting and cutting are discouraged. More low impact exercises such as cycling, swimming, golfing, bowling and level walking are ideal.
Your doctor has provided this information to answer some of the questions you may have about the importance of preventing infection after your joint replacement. It will also help you better understand what to do if you develop an infection and require medical treatment.
After your joint replacement, your orthopaedic physician will likely give you specific instructions on movement, exercising and wound care. Most people are encouraged to stand, even walk, the day after surgery. Your doctor may provide you with a walker, cane or crutch. Depending on the joint replaced, and your overall health, your doctor may also prescribe a course of physical therapy, so that a trained healthcare provider can guide you through specific therapeutic movements.
Joint replacement surgery has a 90% success rate across the board.1 But, as with any surgery, there are possible complications associated with joint replacement. Among them, infection may occur in the wound, or even around the joint implant itself (prosthesis). Infection can set in while you’re in the hospital or after you go home. Minor infections of the wound are often treated successfully with antibiotics. A deeper infection may cause the implant to loosen, become painful and require additional surgery and, eventually, another joint replacement. The good news is that most infections are preventable.
Before and during your joint replacement surgery, your doctor will take measures to reduce the risk of bacterial infection. You may be given a preventative antibiotic right before, and for a short time after, your surgery. Your doctor will also recommend that you take antibiotics before you have any invasive procedure or test (like a colonoscopy or dental work).2 Because you now have an implant, it may give bacteria a place to hide from your body’s natural immune response, increasing your risk of infection.2 A preventative course of antibiotics will help to reduce that risk.
People who develop infections within the first few months of joint replacement surgery are often treated successfully with intravenous antibiotics and a surgical technique that washes the infected implant. People who develop infections months or years after joint replacement appear to face more challenging treatment. Often these infections require surgical removal of the infected implant, use of a spacer impregnated with antibiotics to stabilize and treat the joint space, and longer-term intravenous antibiotics.2 Careful blood monitoring helps to determine when the infection is thoroughly cleared. A new joint replacement may be considered at that time.
If you have any questions about caring for your wound site or preventing infection in your joint replacement, be sure to talk with your doctor.
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