PreHab Before Your Hip or Knee Replacement 

With PeerWell's PreHab program, recovery begins before joint replacement surgery

Whether you see your surgery scar a badge of honour, a marker of your new life, or something to be self-conscious about, this new addition may take some getting used to. For some, the adjustment to a “scarred life” is easy while others mourn the loss of their unmarked body. We hope that all joint replacement recipients can come to appreciate their scars and all that they represent. Read on as we discuss scar size, breakdown the different scars for hip and knee replacements, look at the scar healing process, and share tips on healing faster.

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Told to lose weight before surgery? Here's why you should and here's what you can do today to shed the extra pounds that are putting you at risk.

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A major reason for putting off a hip or knee replacement replacement can be summed up in one word: fear. Fear of the unknown. Fear of pain. Fear of recovery. Fear of being vulnerable. For some, this fear can be crippling, causing additional stress and anxiety in the months, weeks, and days leading up to the procedure. What joint replacement candidates often don’t realize is that this untempered fear or anxiety can actually negatively affect the outcome of surgery. In saying this, your mind is your biggest ally going into surgery. Your body and mind are very powerful machines--resilient and built for healing. Read on as we discuss the idea of “mindfulness” and share how you can pull the plug on negative thought patterns to set yourself up for success. What is mindfulness? It’s the practice of bringing one's attention to the internal and external experiences occurring in the present moment. The full version of this article is available PeerWell--a PreHab app that helps you prepare for and recover faster from joint replacement surgery.

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The joint replacment bundle (also known as CCJR or CJR) affects 800+ hopsitals this year, and counting. What does this mean for these CJR mandated hospitals? Get back to basics with this introductory post on the fundamentals of bundled payments.  

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If you’re living with diabetes, you know better than anyone that your rulebook for general health is different than most. To add another layer to your health management puzzle, chances are you’ve found this post because you’re a diabetic preparing for a hip replacement or knee replacement or are trying to decide when the right time for a joint replacement is. With this, know that joint replacement surgery is one of the most successful procedures in all of modern medicine and that you have the power to further reduce your risk factors. What you do in the weeks leading up to your hip replacement or knee replacement will have a huge impact on your surgery results and recovery time. This is especially true for those with pre-existing conditions like diabetes. Taking action before surgery in a results-driven program is called “PreHab”.Read on as we talk about how diabetes can affect joint replacement surgery, examine surgical complications for those with diabetes, and offer some prehab diet suggestions to optimize your health before due day. The full version of this article is available PeerWell--a PreHab app that helps you prepare for and recover faster from joint replacement surgery.

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We recently spoke with Paula Richley Geigle, Physical Therapist (PT), PHD, who is a research therapist out of the University of Maryland Rehabilitation and Orthopaedics Rehabilitation Research Center. Dr. Geigle is one of the nation’s leaders in aquatic physical therapy (sometimes called water therapy or pool therapy) and is co-editor of Aquatic Exercise: Rehabilitation and Training. With the increasing popularity of water therapy used to PreHab joint replacement patients, we wanted to uncover the benefits of aquatic therapy, find out who should be making a splash in the pool, and ultimately, put together a water therapy 101 resource for those with injuries or those preparing for joint surgery. This article was originally published on PeerWell--a PreHap app that helps you prepare for and recover faster from joint replacement surgery. 

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Let’s face it, the unknown of an upcoming knee replacement is scary. What is involved in a total knee replacement? What are my options? What decisions do I need to make beforehand? We think knowledge is power, so read on and get better informed about your upcoming knee replacement surgery. Arriving at the point of requiring knee replacement surgery is becoming more common than ever before. Every year, greater numbers of Americans—young and old—are undergoing knee replacement surgery. In fact, the CDC reported a record high of 719,000 total knee replacements last year alone. This figure does not include partial knee replacements which are estimated to account for an additional 5-10% more surgeries. These figures also don’t represent the enormous short and long-term success of the knee surgery. According to numerous studies, the patient satisfaction rate for a total knee replacement is among the highest of any orthopaedic procedure, sitting between the 80-90+% mark. Additionally, 10 years after surgery, 90-95% of implants are still fully functional. The full version of this article is available PeerWell--a PreHab app that helps you prepare for and recover faster from joint replacement surgery.

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Food is pleasure. Food is fun. Food is fuel. What we eat on a day to day basis often becomes so intertwined with our habits, lifestyle and likes or dislikes that it becomes difficult to think of food as fuel. However, in the process of healing the body—whether it be from injury, arthritis or surgery—it’s important to think of food as more than just something you eat. Like medicine, food has very real healing properties that can make recovery faster, easier, and even safer. With an elective surgery like a hip replacement or knee replacement, you have an amazing opportunity to use PreHab to get your health in check before putting your body through additional stress. A diet that boosts your immune system, promotes healing, is rich in antioxidants and has anti-inflammatory properties will not just prepare you for surgery, but shows that recovery begins before surgery. The full version of this article is available PeerWell--a PreHab app that helps you prepare for and recover faster from joint replacement surgery.

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Discussing sex in any amount of detail with a medical professional can be uncomfortable. So much so, it can take mature adults right back to that “sinking in chair” feeling from junior high sex-ed class. Take the topic of sex and add it to the fact that you’ll be undergoing surgery, are in pain, and have likely endured limited mobility for some time, and the topic becomes even more overwhelming. For these reasons, we’ve decided to put together this no-holds-barred post on all things post-op sex. With the guidance of orthopaedic surgeons, Dr. Nima Mehran and Dr. Trevor North, we’ll walk you through some FAQ, break down safe positions for men and women after their replacements, and encourage some Q and A (doctor advised) in our comments section. Let’s dive in, shall we? But before we do, it’s worth sharing that majority of patients report that their sex lives improved dramatically after having a hip or knee replacement. In fact, according to a controlled study put out by a group of New York physicians measuring patient sex lives after joint replacement surgery: 42% of post-op patients reported an improvement in libido 36% of patients reported increased intercourse duration 41% of patients reported increased intercourse frequency 55% had improved sexual self-image 84% had improvement in general well-being 90% patients had improved overall sexual function (with a higher rate of improvement for total hip replacement patients). The full version of this article is available PeerWell--a PreHab app that helps you prepare for and recover faster from joint replacement surgery.

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