Osteoarthritis: Stress on post-surgery rehabilitation: Physiotherapy
plays a key role in restoring the full range of movement of the knee after a
knee joint surgery.
Knee joint or total knee replacement surgeries done on
patients with osteoarthritis are quality of life enhancement procedures. These
are done to relieve this 55-plus age group of pain and improve mobility. But,
is surgery alone enough to bring the spring back in their feet? Not quite.
Post-surgery rehabilitation, primarily Physiotherapy, plays
a key role in restoring the full range of movement of the knee or hip joint. If
the restoration is poor, blame it on the lack of physiotherapy. The bulk of
such cases relate to the total knee replacement surgeries.
Orthopaedic Surgeon Dr.Sameer Ali of Malabar Institute of
Medical Sciences says Physiotherapy is largely ignored and this restricts
movement and denies the full benefit of the surgery.
Invariably, persons opt for surgery after suffering osteoarthritis
for nearly four years. The cartilage that serves as a cushion between the tibia
(shin bone) and the femur (thigh bone) at the knee wears out, leading to these
bones coming into direct contact with each other. This leads to inflammation of
muscles around the joint. The resultant pain prevents patients from walking. In
turn, this leaves the muscles weak.
“Surgery provides only a prosthetic (artificial) knee joint.
It does not help the muscles regain vigour. That can come only through
physiotherapy,” says Dr. Sameer Ali.
If patients do not follow the full protocol of
physiotherapy, the muscles will remain weak. This will leave the artificial
joint bearing the full body weight of the patients when they walk, and it will
wear out soon.
“Only 75 per cent of the knee joint surgery patients come
for regular follow-up that is done at the following frequency: two weeks, six
weeks, three months, six months and one year. Of these cases, only a paltry 25
per cent go through the full protocol of physiotherapy,” the surgeon says.
Generally, the problem lies with the belief among the
patients that household work is a substitute to physiotherapy. They argue that
it is strenuous enough to pass for exercise. But, the fact is that the knee
joint is not specifically exercised to the required level, he says.
Compiled by Physiotherapy Jobs Portal (www.physiotherapyjobs.co.in) for information purpose.
Compiled by Physiotherapy Jobs Portal (www.physiotherapyjobs.co.in) for information purpose.
News Link: The Hindu Newspaper dated Nov 16, 2015: http://www.thehindu.com/todays-paper/tp-national/tp-kerala/osteoarthritis-stress-on-postsurgery-rehabilitation/article7882563.ece
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