joint replacement

Joint Replacements and Exercise

/ Mark A Nutting / Leave a comment

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.

Have an Injury? Should You Be Exercising?

/ Mark A Nutting / Leave a comment

I’ve known a lot of people through the years that have physical challenges. Maybe you need or have had a joint replacement, or you have a “bad back”, or arthritis, or…. the list goes on. Too often people let these conditions keep them from doing things that they would like to be doing. Too often they think that they should be avoiding using the effected area and, in fact, many doctors will say the same thing, “Don’t do ________.” It’s actually something that constantly frustrates personal trainers. The doctor says , “Don’t squat.” Untitled design (28)Well, squatting includes standing up from a chair (or the toilet). Are you supposed to avoid that? There are a million ways to do any exercise. Modifications in effort and range of motion can be made to fit your individual needs. Doing something is almost always better than doing nothing. When you do nothing the muscles surrounding the joint or area get weaker and less flexible. This means that you will be able to do less. You also burn fewer calories and, unless you adapt the amount of calories that you are eating, you will end up gaining weight. It’s potentially a spiral of disability.

Now, don’t get me wrong. There are times that you need to just rest and heal, but it’s not as often as you may think. It’s also not usually a total body thing, even if you had a shoulder replacement (I have), you can leave your shoulder alone to heal while working the rest of your body out (I did).

If you’re dealing with a chronic condition that is not going to just go away, or if it’s an injury that you can work around, you should be finding ways to strengthen, gain mobility, and become more fit. Don’t just give in to inactivity. Go to a physical therapist, and, when cleared by them, see a certified personal trainer with experience working with individuals in your situation and get started on a health and fitness program as soon as you can.