5 Key Steps to Successfully Recover from a Hip or Knee Replacement

5 Key Steps to Successfully Recover from a Hip or Knee Replacement

Undergoing hip or knee replacement surgery is a significant step toward improved mobility and quality of life. According to the recent annual report published by the national joint registry to date there has been over 3 million hip and knee replacements occurring within the UK. However, as technology has advanced so has the path of patient rehabilitation. Following provisional Patient Reported Outcome Measures (PROMs) in England for Hip and Knee Replacements the success of your surgery greatly depends on your recovery process.

Here are five key steps to ensure a successful recovery:

1. Follow Your Post-Operative Plan

Your surgeon and physiotherapist will provide a post-operative plan tailored to your specific needs. This plan typically includes: 

Medication Schedule: Take prescribed pain relievers and anti-inflammatory medications as directed to manage pain and reduce swelling. Staying on top of your medication can significantly enhance your comfort and ability to perform exercises. Do be aware of side effects such as drowsiness and constipation that are associated with medications in the opioid class which include: Morphine, oxycodone, tramadol, co-codamol.

Dietary Guidelines: Maintain a balanced diet to support healing, with a focus on protein, vitamins, and minerals essential for tissue repair. Hydration is equally important to keep your tissues healthy and to support overall recovery. Remember to give yourself a treat once in a while for your hard work!

Exercise Routine: Adhere to a structured exercise regimen that gradually increases in intensity, designed to restore strength, flexibility, and function to your hip or knee. In common circumstances you will be referred to your outpatient physiotherapy department however many suffer from lengthy delays, cancellation and issues with finding parking within your local trust. NHS England doesn’t report current physiotherapy wait times however, freedom of information requests sent by business health specialists Equipsme reveal that patients are waiting an average of 45 days for routine and 18 days for urgent appointments.

Want all your physiotherapy appoints sitting at home?

Our Orthophysio guides offer a comprehensive 12-week post-op exercise program, broken into early, middle, and late phases to suit your recovery timeline posted to your door for you to tick off daily. Basically a physiotherapist with you at home, if you want to check out our guides click here.

Orthophysio guides including partial knee replacement, hip replacement, knee replacement

2. Engage in Physiotherapy

Physiotherapy is crucial for a smooth recovery. Your physiotherapist or orthophysio 48-page programme will guide you through exercises to:

• Improve Mobility: Gentle range-of-motion exercises are given initially to prevent stiffness. Our guides provide step-by-step instructions and images to ensure you're performing these exercises correctly.

• Build Strength: Strengthening exercises for the muscles surrounding your joint. Recent research has shown that strength is the single biggest predictor for mobility speed and mobility distance. Building muscle strength is key to supporting your new joint and enhancing its function.

• Enhance Balance: Activities to improve coordination and prevent falls. Balance exercises are vital for reducing the risk of falls, which can jeopardise your recovery. Our balance is needed for everyday tasks we complete post op so don’t neglect the exercises that aim to improve your balance.

3. Create a Safe Home Environment 

Ensure your home is safe and conducive to your recovery by:

Removing Hazards: Clear pathways to avoid tripping hazards. This includes securing loose rugs, decluttering walkways, and ensuring good lighting throughout your home. Make sure that all electrical cords and other obstacles are tucked away to prevent falls.

Using Assistive Devices: Employ aids such as crutches, walkers, toilet raisers, or grab bars as recommended by your physiotherapy and occupational therapy team. These devices provide the necessary support and stability during your initial recovery phase. Additionally, consider installing handrails on stairs and using non-slip mats in the bathroom. Our Orthophysio guides include a comprehensive checklist for adaptations you might need in your home to enhance safety and comfort.

Reorganising: Arrange frequently used items within easy reach to minimise bending and overstretching. Place items such as medications, water bottles, books, and remote controls on a bedside table or a nearby shelf. Setting up a comfortable recovery area with everything you need within arm's reach can make your recovery smoother and safer. If possible, create a downstairs living space to avoid the need to use stairs frequently.

Preparing Your Bedroom: Ensure your bed is at a suitable height to make getting in and out easier. You might also consider using a leg lifter or bed rail to assist with mobility. Having a night light can help you navigate safely if you need to get up during the night.

Adapting the Bathroom: Install grab bars in the shower and near the toilet to provide extra support. Use a shower chair if standing is difficult, and consider a raised toilet seat to reduce the strain on your hip or knee.

A well-prepared home will help you navigate daily activities safely and comfortably, reducing the risk of accidents and promoting a smoother recovery. 

4. Maintain a Healthy Lifestyle

A healthy lifestyle supports overall recovery. Focus on:

Staying Active: Engage in low-impact activities long-term, such as walking, swimming, or cycling, to keep your body moving without putting undue stress on your new joint. Consistent movement can help prevent stiffness, improve circulation, and promote faster healing. Gradually increase your activity level as you regain strength and mobility. Incorporate regular stretching exercises to enhance flexibility and prevent muscle tightness.

Healthy Eating: Fuel your body with nutritious foods that promote healing. Incorporate a balanced diet rich in lean proteins, whole grains, fruits, and vegetables. Anti-inflammatory foods, such as leafy greens, fatty fish, berries, nuts, and seeds, can help reduce post-surgical inflammation. Proper hydration is also essential; drink plenty of water to support overall health and recovery. Avoid excessive sugar and processed foods, which can contribute to inflammation and slow down the healing process.

Weight Management: Maintaining a healthy weight reduces stress on your new joint and aids in long-term success. Weight management is crucial to avoid putting additional pressure on your joint, which can lead to complications and slower recovery. Monitor your caloric intake and engage in regular physical activity to help manage your weight effectively. If needed, seek guidance from a nutritionist or dietitian to create a personalised weight management plan that suits your needs and lifestyle.

Mental Well-being: Recovery is not just physical; mental health plays a significant role. Practice mindfulness, meditation, or yoga to reduce stress and promote a positive mindset. Ensure you get enough sleep and rest, as they are vital for the body’s healing process. Engage in social activities and seek support from friends, family, or support groups to stay motivated and mentally healthy during your recovery.

By focusing on these key aspects of a healthy lifestyle, you can support your overall recovery and enhance the success of your hip or knee replacement.

5. Monitor Your Progress and Stay in Touch with Your Healthcare Team

Regularly monitor your progress and communicate with your healthcare providers. Keep track of:

Pain Levels: Note any changes or persistent pain. Pain management is crucial for maintaining your quality of life and ensuring you can stay active in your recovery.

Mobility Improvements: Record milestones in your range of motion and strength. Celebrate small victories to stay motivated throughout your recovery journey.

Complications: Watch for signs of infection or other complications and report them immediately. Early detection and intervention can prevent minor issues from becoming major setbacks.

Staying in touch with your surgeon and physiotherapist ensures any issues are promptly addressed and your recovery stays on track.

 

Conclusion

Recovering from a hip or knee replacement is a journey that requires dedication and patience. By following these five key steps—adhering to your post-operative plan, engaging our orthophysio 12 week plan or your own physiotherapy exercises, maintaining a healthy lifestyle, creating a safe home environment, and staying in touch with your healthcare team—you can ensure a successful recovery and enjoy a new lease on life. 

For a comprehensive guide on hip or knee replacement recovery, including detailed exercise plans and tips, download our free taster Orthophysio guide at https://www.orthophysio.co.uk/free-sample-guide Or use the code FREEGUIDE10 for a 10% discount on our premium guide here.! Our full guide include over 35 exercises, mobility tips, and answers frequently asked questions, all designed to support you through every stage of your recovery.