PreHab Before Your Hip or Knee Replacement 

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

When it comes to planning your joint replacement surgery, there are a lot of moving parts and decisions to be made. For many, one of the major decisions is choosing the right surgeon to perform their hip or knee replacement. Although many end up going with the orthopaedic surgeon recommended by their primary physician, more and more patients are playing an active role in finding the man or woman who’ll implant their new joint. As we’ve said before, we truly believe that knowledge is power. Doing some digging on a prospective surgeon is performing due diligence that we recommend all patients carry out.

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Whether you consider 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 discuss talk scar size, breakdown the different scars for hip and knee replacements, look at the scar healing process, and share tips on healing faster. Incision Size When it comes to the topic of surgery scars, nothing is discussed more than “size”.

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"I can't get no satisfaction, I can't get no satisfaction, 'Cause I try and I try and I try and I try" -Rolling Stones As an administrator, decision-maker or front-line worker, you don’t need to be told that the technology that powers your hospital is dated, bulky, and inflexible. With the rapidly changing landscape of modern day healthcare, hospital leaders are forced to find ways to adapt to changes in reimbursement models, mass industry consolidation, and shifting patient volumes and expectations. However, leveraging existing hospital technology and vendor solutions to actively respond to the obstacles that crop up as a result of these changes can feel impossible.

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Patients only retain 5% of the material covered in video or slideshow lectures If you think about the way your pre-op class is run, chances are it looks something like this: bring in a group of patients, provide light refreshments and hit “play” on a DVD or talk through dense slides written by clinicians. In other words, in all likelihood your class is run in a way that fails to engage patients and teach them the game-changing information they need for a successful surgery. By doing a few simple things, your joint replacement or specialty program can reap the full rewards of a patient pre-op class.

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Throughout your knee replacement recovery, you’ll likely be monitoring, obsessing over, and measuring one thing: range of motion. Chances are your doctor and physical therapist will give you range of motion milestones to hit and chances are it won’t be easy to get there. Gaining back knee flexion (bending), extension (straightening), adduction (movement towards middle of the body), abduction (movement away from middle of the body), rotations (inward and outward) must be worked towards. It not something that happens overnight. When thinking about range of motion (ROM), that irritating saying, “no pain, no gain” comes to mind. To hit your range of motion goals after knee replacement surgery, you’re going to have to work through some pain and dedicate yourself to improvement.

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Recently, we spoke with Mani, a hypnotherapist and author. Mani has written an award-winning memoir as well as a book entitled “Journey from Anxiety to Freedom”. Mani describes this book as a “self-revelation” and “how-to-guide” for overcoming anxiety. Anyone who has faced the unknown of surgery knows that the journey leading up to “due day” is emotionally taxing at best and debilitating at worst. We thought it’d be fascinating to hear from Mani, an anxiety expert and practicing therapist, on how she overcame her own pre-surgery stress and to learn what advice she’d share with others preparing for a hip or knee replacement.

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Needing a hip or knee replacement may be scary but having one done can offer a much fuller life. However, if a joint replacement could be avoided all together, it's safe to say that most people wouldn’t be lining up for one. The real question is: Can one really avoid an impending joint replacement? Can you stop a hip or knee replacement that's barreling down the tracks from arriving at the station? We did some research and spoke to our medical advisors for answers. The conclusion: postponing the need for a joint replacement is possible. However, in terms of a magic cure that can undo the osteoarthritis or bone degradation plaguing your joints—there simply isn't one (sorry).

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"It's been a long, a long time comin, but I know-oh-oo-oh, change gon' come, oh-ooh—oh yes it will" - Sam Cooke We can all agree, healthcare is changing. The shift away from fee-for-service reimbursements towards value-based care is fundamentally altering the ways in which care providers and hospitals operate. Hospitals are having to rethink processes and systems that had become old hat and rewrite how things are done. Two main factors are leading this shift: 1. Changes in Reimbursement At the core, the ripple effect of the regulations imposed by CMS, like MACRA, APMs, and ACA, echo throughout hospital systems nationwide.

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Finding the best hospital in the Los Angeles area for your hip replacement or knee replacement surgery isn’t easy. There are a lot of great hospitals in the LA area and a lot of well, not-so-great hospitals. Whether you're located in The Valley, Hollywood, Downtown, the Westside or in the Beach Cities, having peace of mind in choosing the best hospital can bring you greater confidence in the procedure ahead, and ultimately, can affect how seamless your recovery goes. We believe that working with the best surgeon and finding the best hospital for your joint replacement surgery, is a key part of the preparation and PreHab process.

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