Joint Replacements and Exercise

As we age, most of us will suffer from some form of osteoarthritis. Osteoarthritis is when the cartilage (that protects the ends of your bones) wears down and the bones of the joint grind against each other causing inflammation and pain. One common method of dealing with it is to replace the worn joint with an artificial one. Knees, hips, and shoulders are among the most commonly replaced joints.

If you are going to have replacement surgery, you want to do your part on getting the best outcome possible and to do that means strengthening the muscles surrounding the joint before going into surgery and rebuilding the strength and mobility of them after the surgery.

This is personal for me as I had my right shoulder replaced about 9 years ago and am having my right hip replaced on June 29th, 2021. My hip x-ray report stated “Severe degenerative changes with complete loss of the joint space with bone on bone apposition. There is osteophyte formation and subchondral sclerosis.” Now, you have to know that I am still teaching (and participating in) high-intensity weight training classes, have very good strength and mobility… just a lot of pain. The fact that my hip is strong and mobile will make the recovery from surgery much easier and quicker. (I’ll let you know how it goes.)

I’m not going to recommend any particular exercises that you should be doing because your program needs to be created based on your individual needs, what strength and mobility you currently have. I will share the standard guidelines with you, though.

Prior to having a joint replaced and while dealing with osteoarthritis the recommendations are, “While you may worry that exercising with osteoarthritis (OA) could harm your joints and cause more pain, research shows that people can and should exercise when they have osteoarthritis. In fact, exercise is considered the most effective, non-drug treatment for reducing pain and improving movement in patients with osteoarthritis.” (Arthritis Foundation) So, don’t wait to start, but be sure to get professional guidance.

Post-replacement recommendations not only include physical therapy, but also know that, “a critical part of the recovery process begins after the last physical therapy appointment ends. “You are already engaged in an exercise program,” says physical therapist Michele Hribar, PT. “Now you need to continue it for the rest of your life.” (Cleveland Clinic)

Joint replacement can greatly enhance the quality of your life. Do everything you can to assure the best outcome and make strength and mobility exercises part of your life.

Will Working Out Fix My Back? (Shoulder? Hip?) 

I know a lot of personal trainers that will claim that they can fix your problem(s). Can they? Well, it depends on the personal trainer, your individual issue(s), and what is meant by “fixing” it.

pain

Let me start this discussion with a confession. Most people wouldn’t know this, but, I’m in physical pain, every day, and have been for years. It’s not overwhelming, but it is annoying. I have spinal stenosis that creates a radiating nerve pain down my right leg. I have a torn meniscus in my left knee. I have arthritis in both of my thumbs which make gripping things painful. I had a complete shoulder replacement about five years ago (Although, this is no longer a source of pain. My shoulder feels great these days.). And then there are the day to day aches and pains that we all deal with as we get older. Yet, in spite of all this, I teach group fitness, lift weights, and do pretty much anything I want. My, “issues” do not limit my activity. This is because I work out regularly and consistently challenge myself. Am I “fixed”? No, but I am soooo much better than I would be if I wasn’t working out.

That’s my story, but could it fix other issues? Well, it’s not going to get rid of arthritis (but, it can increase your ability to do what you want and it can diminish the sense of pain.) It’s not going to reattach torn ligaments (but, it can strengthen the muscles surrounding the area and may allow you to continue activity without surgery [always check with your doctor]). That said, if you are having back pain because of weak core muscles and poor posture, yes, the right workout with a qualified personal trainer can correct this condition. If you are having pain that is determined to stem from improper gait or movement patterns, yes, these can be corrected and alleviate the pain.

So, yes, working out can “fix” some problems and can make the best of others. The key is to check with your doctor and with his/her approval, find the right personal trainer to work with and you can be on the road to a better quality of life.