Monday, October 2, 2023

Permanent Restrictions After Hip Replacement Surgery

Rehabilitation After Hip Surgery At Bella Vista Health Center

Advantages of Anterior Hip Replacement Surgery

At Bella Vista, were dedicated to helping residents recover and rehabilitate from illness, injury, or surgery in the safe, nurturing environment of our 5-Star skilled nursing facility. Well work closely with your doctor and other members of your healthcare team to create a customized care plan designed to help you regain strength and learn to adapt to any permanent restrictions or lifetime precautions.

At Bella Vista, were committed to your recovery, and well help keep you comfortable every step of the way. Give us a call today at if you have any questions.

Hip Replacement: Relief Or Restrictions

Hip replacement is a surgical procedure in which a surgeon removes the damaged and painful sections of the hip joint and replaces it with an artificial one that is usually made from metal, ceramic, and High density plastic components. This procedure is undertaken to reduce pain and improve ones joint movement and function. The artificial joint is known as a prosthesis.

Hip replacement is usually done when other, less invasive methods have failed to provide relief to the patient. Also known as Hip Arthroplasty, hip replacement is also considered if the hip pain interferes with ones daily activities. Damage caused due to Arthritis is one of the most common reasons for Hip Replacement Surgery. Some conditions that may require hip replacement surgery to treat it are:

Osteoarthritis: Also known as wear-and-tear arthritis, this condition damages the protective cartilage that cushions the ends of your bones which helps the joints move smoothly.

Rheumatoid Arthritis: This is an autoimmune disease in which there is inflammation in the joints, which in turn leads to bone erosion and joint deformity.

Osteonecrosis: Osteonecrosis occurs when there is no adequate blood supply to the ball portion of the hip joint, which might occur due to dislocation of the hip bone or hip fracture.

Does an artificial hip work better after a hip replacement?

What type of permanent restrictions will one have after a hip replacement surgery?

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How Much Range Of Motion Do I Need

Total joint replacements today allow much better range of motion at the hip than needed for most activities of daily living. Most patients do not need range of motion more than 90 degrees after hip replacement surgery. A 90-degree motion at the knee and 90-degree motion at the hip are enough for patients to carry on their activities of daily living including walking up and down stairs, including sitting on chairs and sitting on a toilet seat. Patients need about 20 degrees internal and external range of motion for activities of daily living. Todays implants allow much better range of motion.

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Question : Is Constipation After Surgery Normal

Yes! Constipation is normal after any procedure and is often caused by anesthesia or certain medications. Plus, youre likely moving around less than you were before surgery. All these things can cause you to get a little backed up.

What can you do to get some relief? Make sure youre drinking plenty of fluids lots of water and eating foods with fiber, like vegetables and beans. Feel free to use a stool softener, too. Any over-the-counter product will do.

Also, remember that theres no set rule for how many bowel movements you should be having. If you had one every day before surgery, then thats your normal. However, some people have only three to four each week, and thats completely normal for them.

If your constipation doesnt ease up after at-home treatment, call your doctor.

Do You Advise A High Toilet Seat For The Patients After Anterior Hip Replacement Surgery

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Yes, I have found that the patients feel much more comfortable using a high toilet seat even after anterior hip replacement surgery even though the posterior hip dislocation precautions do not have to be followed. Additionally a handle for getting up is extremely useful for patients who have had hip replacement surgery irrespective of the approach. The muscles around the hip after hip replacement surgery are weak and a toilet seat helps.

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What Are Permanent Restrictions After Hip Replacement

Permanent restrictions after hip replacement may include no bending at the hip past 90 degrees, no crossing of the legs at the knees, and no twisting or turning at the waist. These restrictions are put in place to protect the new hip joint and ensure a successful recovery.

According to Harvard Medical School, more than 330,000 Americans have hip replacement each year. Hip replacement is a dangerous surgery, in addition to blood clots, infections, and joint dislocations. Although some precautions must be taken, the risk of permanently disabling hip replacement is low. Hip replacement surgery can make many everyday tasks more difficult, including bending over and reaching for things. It usually takes about eight weeks for your doctor to clear you to drive. Most patients are given the go-ahead to resume their daily activities, such as working, after three months. After surgery, you should schedule regular doctor appointments in four to six weeks. Hip implants are at an increased risk of dislocation, so avoid activities that cause your hip to flex aggressively. Air travel should also be avoided immediately following surgery in order to avoid any complications.

How Do I Get A Medication Refill After Hip Replacement Surgery

If patients are at home, they usually are able to call their orthopedic surgeon to get a medication refill. Today we are able to pull up what the patient has been prescribed in the past. We can easily pull up what medication the patient got from the pharmacy, which pharmacy the patient got it from, what was the dose, how many pills were given and which provider gave the medication. I run this history and then depending up on the physical examination and days after the surgery, the patient is given a medication refill.

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What You Need To Know About Sex After Hip Replacement

This article is part of the Ultimate Guide to Hip Pain Relief.

Many questions go through your mind when youre thinking about scheduling joint replacement surgery, but you might not feel comfortable talking about some topics with your doctor.

If youve been wondering what sort of restrictions you might have to think about when you return to intimacy after hip replacement, this blog post is for you.

IBJI recently chatted with Jeffrey Goldstein, MD, a board-certified orthopedic surgeon and expert on adult hip and knee reconstruction about everything from how soon you can return to sexual activity . His responsesbelowhave been edited and condensed for space.

Hip Replacement Precautions: 6 To 12 Weeks Post

Care for your hip after hip replacement surgery

You will need help once you return home, at least for the first month or two. Many patients can return to everyday activities after 12 weeks, although this will depend on the individual for some, it can take six months or more to return to a normal life after hip replacement surgery. Following the instructions of your doctor can help keep your progress on track.

Make sure to follow your physical therapist’s guidelines on exercise and movement in addition to helping you regain strength and mobility in your leg, regular gentle activity can help prevent blood clots. Your physical therapist should provide a list of precautions and let you know what not to do after hip replacement surgery, at least for the first several weeks:

  • Don’t lift your knee higher than your hip
  • Don’t bend forward more than 90°
    • Avoid low chairs or sofas
    • Avoid soft seats that cause you to bend forward
    • Avoid low toilet seats
  • Don’t cross your leg or rotate it outward
  • Don’t twist or pivot your hip
  • As you can see, hip replacement restrictions can make many everyday tasks, like bending over and reaching for things, more challenging. You may also find it difficult and painful to put weight on your leg at first, and you will likely need crutches or a walker to move around. It’s also common to tire quickly, so make sure you have someone who can help you with everyday tasks like cooking and cleaning. Lastly, do not drive until your doctor clears you, usually after about eight weeks.

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    What Is Anterior Hip Replacement

    In anterior hip replacement we go from the front, absolutely no muscles are cut at all. We go between the muscles and do the hip replacement. After getting anterior hip replacement, a major risk factor is the wound issues, which can happen especially in the proximal part of the wound.

    I do not do hip replacements on patients who have skin fold, which can interfere with the wound healing in the upper part of the wound, and on clinical examination Im able to mind that. The procedure itself takes a little longer than the classic posterior approach. In patients who have significant cardiac problems or significant medical problems in which expeditious surgery is very important, I do not use the anterior approach, because it takes more time to do.

    Question : How Should I Wipe After Hip Replacement Surgery

    Going to the bathroom doesnt have to cause any worry after hip replacement surgery. There are just a few steps to take so that you dont experience unnecessary pain or discomfort:

    • Lean on your non-operated hip for support
    • Support yourself even more with your arm/elbow on the same side
    • Use your free hand to reach behind you to wipe
    • Avoid twisting your upper body too much
    • The foot on the side of your hip replacement shouldnt turn inward

    Make sure your toilet seat is high enough so you dont have too much trouble sitting or standing up. If your toilet sits too low, a raised toilet seat can help.

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    How Long After Spinal Fusion Does It Stop Hurting

    After lumbar spinal fusion, the most severe pain typically abates after four weeks. Following this benchmark, you may still experience pain, but it should gradually diminish with time.

    Patients may continue to feel some degree of pain three to six months after spinal fusion. Physical therapy and healthy lifestyle habits can help you manage this pain as you recover from the procedure.

    Positions To Avoid After Hip Replacement

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    There are certain positions to avoid after hip replacement surgery. These positions put unnecessary stress on the new hip joint and can cause serious damage. Avoid crossing your legs, turning your feet in or out, or bending your hip more than a 90-degree angle. Also, avoid sitting in low chairs, using a low toilet, or kneeling down for extended periods of time.

    A major procedure that necessitates extensive recovery time is hip replacement surgery. Patients are advised to return to sexual activity in three weeks and to resume full activity in eight weeks. The expert believes that sexual activity should be more comfortable after total hip replacement because your hip will be more flexible and less painful. Rehab patients should avoid crouching on top of their partners, as suggested by physical therapist Rachel Gelman. To be safe, lying on your back on a bed with your knees bent, and your feet resting on pillows is the best position for post-surgery sex. When the hips are flexed past 90 degrees, avoid these positions. During the first six weeks after hip replacement, it is possible that the hip will be discomfited or that the surgical incision will be disrupted.

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    Who Should Consider Direct Anterior Approach Total Hip Replacement

    Joint replacement should be considered when:

  • Arthritis is affecting a patients quality of life
  • Arthritis is affecting a patients ability to function normally
  • Arthritis is moderate to severe on xrays
  • Patients are healthy enough to safely undergo an elective procedure
  • The benefits of the surgery outweighs the risks of the surgery
  • For most patients who have hip arthritis, pain is also a significant limitation. Pain is a fairly subjective measure however, and some patients who have a high pain tolerance may be able to live with pain for many years. For most patient, quality of life is the most important factor in making a decision towards surgery.

    Physiotherapy Following Discectomy Surgery


    This information is intended to answer the most commonly asked questions. Any further enquiries can be directed to the Physiotherapy department.On your first day post operatively, it is perfectly safe to:

    ⢠Be up and walking around.⢠Perform daily activities such as dressing and washing.⢠Spend time sitting out in your bedside chair, regularly changing your position is advised.General advice

    It is safe to continue with all regular activities such as cooking, cleaning, shopping and sexual activity.

    You can sleep in whatever position is easiest for you.

    You may continue to have some neck/ arm discomfort or changes in sensation especially for the first 12 weeks, this is normal. Often this type of surgery is performed to ensure symptoms do not get any worse. Your medical team will have discussed this with you pre procedure.

    There is no evidence to say that returning to activity and exercise leads to any adverse effects or the need for re-operation.


    There is no restriction in bending forwards to pick up light objects or putting on your shoes and socks. We think it is sensible to avoid heavy lifting where possible to begin with. You can resume lifting when you feel able to do so. There is no given weight limit that we advise because everyone has their own usual capabilities. You can gradually increase the amount you do until you are back to your typical day to day routine.


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    What Are The Dos And Don’ts After A Hip Replacement

    You have an important role in caring for your new hip:

    • Do use crutches or a walker to assist with walking be safe, falls can be disastrous
    • Do use pillows between your legs or under your knee on the side of your new hip replacement in bed to keep your operated leg out to the side
    • Do continue to wear your TED stockings. A second pair can be provided for you at the time of your discharge so you have a pair to wear while washing the other pair
    • Do continue the exercises that you have been instructed in by the physical therapist
    • Do use assistive devices to put on shoes and socks
    • Do use an elevated toilet seat or bedside commode.You may purchase one from a local medical supply store or possibly borrow one through your local community organizations
    • Do avoid constipation. While you are taking narcotics, you may need to take a stool softener and a laxative

    There are certain movements that place stress on your new hip and should be avoided until you are instructed to do otherwise by your doctor:

    Preparing For Anterior Hip Replacement Surgery

    What restrictions will I have after a hip replacement?

    I found a lot of what I did before my surgery was very helpful during my recovery from anterior hip replacement, said Roger B. Probably the most important thing I did was get in shape. Ive always tried to incorporate physical activity into my daily routine, but I made it a point to visit the gym more often than I normally did in the weeks and months leading up to my surgery. I also increased the length of my walks through the neighborhood as much as I could given the pain I was in.

    I was 72 years old when I had my anterior hip replacement surgery and my kids were grown-ups. My orthopedic surgeon had advised me to arrange for someone to help me since I wouldnt be able to drive or do certain things around the house for several weeks after my procedure. So, I called one of my daughters who agreed to help me out. Knowing my daughter was going to stay with me took a lot of pressure off when it came to taking care of everything else I needed to get done to prepare for my surgery. It also helped that she arrived in town several days before my operation and was able to help with my last minute preparations.

    In addition to making arrangements for your post-operative care and getting in better shape, there are other things you can do to prepare for your anterior hip replacement surgery, including the following:

    These steps will help you prepare for your surgery:

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    How Long Do You Have To Wait To Take A Bath Or A Shower After Hip Replacement Surgery

    I encourage my patients to shower the next day after the surgery with the dressing on. I use a dressing that does not allow the water to seep into the wound. If the dressing is saturated, I change the dressing. The patients can take some dressings from the hospital or they can buy dressings from a surgical supply store.

    I feel that the patients have a much better sense of well being after showering soon after surgery. The patients can get into the water and take a bath after the skin has healed which is about a week or 10 days after the surgery provided there is no drainage from the incision and provided the incision looks good. A visiting nurse, by the rehab physician or the orthopedic surgeon or a physician assistant who is experienced with surgical wounds, can assess the incision.

    If the patient is taking a bath in a tub, it is critically important to follow hip dislocation precautions. Additionally it is important to have a handle to hold for entering and exiting the tub. I also encouraged having an assistant and bell for more help if needed. Before sitting down in tub or pool the patient should be comfortable siting and getting up from a chair as well as from a toilet commode.

    How To Sit On Chairs / Sofas After Having A Total Hip Replacement:

    Consider what kind of chairs you should and shouldnt sit in at home. For example, sitting in plush and low-riding sofas should be avoided due to the risk of dislocating the hip.

    Sit on chairs that encourage a healthy sitting posture and that are slightly elevated. Your feet should be tip-toeing the floor and your hips bent less than 90 degrees.

    These types of chairs help you to become compliant with maintaining your precautions after hip replacement surgery.

    They are also similar to what are called hip chairs. Hip chairs encourage the proper sitting angle while sitting and do not compromise your surgical hip to become dislocated.

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