Friday, June 22, 2012

How to Use Cold and Heat Therapy After a Joint replacement

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There is a saying among some orthopedic surgeons to their patients that the surgery was the easy part it's the recovery that is the hard part. Never have truer words been said. After whether a knee, hip, or shoulder has been replaced holding the pain and swelling to manageable levels is no doubt an art.

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In physical therapy there are some hard and fast rules we tend to succeed when preparing patients for rehabilitation. The use of heat and cold therapies are regularly brought up somewhere in the comprehensive discussion. Generally its recommended that a sick person will use heat on the surrounding tissue before practice and ice or other type of cold therapy after the exercises. Now there are multiple ideas behind this principles with most important being, heat will relax the muscles nearby the joint making them more pliable and easier to stretch and cold will help reduce the swelling after the treatment and also reduce pain.

Heat and cold therapies have been nearby since the beginning of man and still promoted today. When I treat a sick person which is in the home setting for instance, the joint that was replaced will not be quite as acute as it was in the hospital Therefore, one or both of these therapies may be discontinued by the sick person but that is something I do not recommend. Before I get to the home I will suggest to the sick person that a heating pad is located nearby the surrounding joint not directly on it and also the allowable toweling is to be used to prevent burning the soft tissue nearby the incision. This is regularly applied 20-30 minutes before therapy is started. If its a knee exchange for instance the sick person is asked to also elevate the affected limb while getting the heat although this is not fully necessary.

The idea is by using the heat I can start by developing further range of petition in the knee or hip while the muscles are relaxed and precisely manipulated. This can also of policy be done by family members or yourself once properly trained to do so.

After the treatment or your practice session is completed, this is the time to immediately apply a cold pack to the the affected area for 20-30 minutes to help reduce the swelling and pain that was initiated after having the joint exercised. Also if its a knee exchange its advised to elevate the limb higher then your heart to help with the discount of swelling. Again as with heat, do not place the cold pack directly on the skin, the pain while a joint exchange is hard enough to deal with at times without having to deal with frostbite as well. Unlike heat you can place the cold pack over toweling directly on the knee or hip. The cold therapy will not promote further bleeding and swelling like heat will if located directly over the joint.

Every personel has different tolerances to pain and swelling. You will meet habitancy for instance that never used heat while their therapy and, will from time to time meet some patients who did not use cold therapy as well. I find that you can skip these modalities after a hip exchange if you choose, however, it is advised not to skip the cold therapy after a knee exchange as they seem to be more temperamental then the hip. Pain and swelling is more important in the knee then in the hip.

Using heat and ice have their place in recovery and can make your rehab feel tolerable.
Always check with your doctor or therapist if you have any questions about times or application of the above as there are many ways to use heat and ice with physical therapy and still be effective.

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