SURGERY
I have now worked as a Physician Assistant at Ortho Rhode Island (formerly part of South County Orthopedics) since 2002. I have worked in all areas of orthopedic medicine, but the majority of my work has been with patients undergoing Total Knee or Total Hip replacement. I am often asked, “How can I prepare for my surgery?” In my experience the answer is multifactorial. I have seen thousands of patients recover from total joint replacement. Commonalities certainly exist among those who progress quickly and those who progress slowly. I do admit that occasionally I am surprised by a patient who I anticipate will have an easy recovery that has a difficult time and conversely the patient I foresee having a difficult time exceeding my expectations. Below I will comment on some factors I believe put patients in a position to succeed post operatively.
• Fitness - I’m sure it is not surprising that the stronger you are prior to a surgery and the better range of motion you have prior to a surgery can predict a better outcome. The problem is when we favor a joint / body part for an extended period of time we develop atrophy of the supporting musculature. It is difficult to keep these muscles strong as many exercises will aggravate the underlying condition. A pre-operative physical therapy / exercise program (Prehab) will find exercises that can improve your strength and not aggravate the underlying condition.
• Attitude - I am sure we have all seen the bumper sticker or sign that states “it’s your ATTITUDE, stupid!” It may be a bit “on the nose” and crude, but true in so many situations. Positivity helps everyone, from the surgical team to your physical therapists will all enjoy their part in your recovery. You may make some friends and have some fun along the way.
• Expectations / Education – I find these two go hand in hand. The provider needs to communicate the anticipated recovery well. The patient should participate in individual research to educate themselves on the procedure and rehabilitation. The better the patient understands the procedure and recovery process, the easier that process is.
• Awareness of self – I believe this encompasses all three of the components listed above. If you (as a patient) can self-evaluate, do some “homework” and work on your pre-operative fitness and positive expectations, you will predictably recover well from an elective surgery.
