Sunday 9 September 2012

Hip & Knee Surgeries–How to Avoid Them

By now the public knows a lot about and utilizes hip and knee surgery to get a new ”lease on life” when the old joints need replacement. In an article authored by Brent Steepe, a training specialist, on September 5, 2012 he discusses ways to totally avoid the drastic operations and their painful ramifications. Sometimes people who have had those surgeries come to him as the results were not what they were supposed to be or that they are are still in pain. The ”trick” is to determine whether the problem is skeletal or muscular. For this one needs a qualified professional. If the problem is muscular then surgery probably won’t help at all. Having surgery in those cases by inserting metal rods and getting fusions can even cause more pain and other problems. Steepe explains that the problem can be the fact that the rod is inflexible and that it will only force other muscular systems to adapt. Many times a knee replacement is followed by a hip replacement because of that phenomenon. Steepe tells about a woman whose knee joints had become ”bone on bone” and wanted knee surgery. Medications and injections were not helping. Knee replacement was prescribed. She wanted very much to walk and climb stairs pain free. Work was commenced to realign and retrain the muscles on her body so that they would work as designed. After a year and a half she has no pain and can even run. In order to embark on this course of correction the trainer needs to understand the lifestyle of the patient and determine what activities caused the problem in the fist place. Also was the original injury given the proper treatment and attention. Most of the time it turns out that the body part was overused or misused. The next step is to determine where muscle rebuilding needs to take place, what movement patterns need to be changed and what muscles need more support. In that way a plan can be made to alter movements of muscles so that joints can be used in a way that they were intended to move. Then those ”new” positions are reinforced and over time the problem is resolved. The severity of the injury will determine the length of time it will take to solve the problem. Minor problems can be corrected in a short period of time while if a major core muscle group was affected it will take longer. Steepe emphasizes that some previous activities may have to be curtailed or stopped altogether so that the problem doesn’t reoccur. Sometimes all that is needed is to use different muscles and movement patterns. When these non surgical methods are not sufficient and radical surgery is nevertheless needed then during the rehabilitation phase of recovery the patient should avail himself of the most efficient physical therapy solution available. The current trend is to use the TUTOR system of physical therapy products. The LEGTUTOR would be the key component for physical rehabilitation following knee or hip surgery. The LEGTUTOR is an ergonomic wearable leg brace with dedicated rehabilitation software. The LEGTUTOR rehabilitation concept is based on performing controlled exercise rehabilitation practice at a patient customized level with real time accurate feedback on the patient’s performance. This means that the LEGTUTOR system allows the physical therapist to prescribe a leg rehabilitation program customized to the patient’s knee and hip movement ability at their stage of rehabilitation. The LEGTUTOR uses biofeedback to keep the patient motivated to do the exercise practice with those that were designed in the form of challenging games. They are suitable for a wide variety of other neurological and orthopedic injuries and diseases as well as post trauma and orthopedic surgery. The LEGTUTOR is also used by physical and occupational therapists in combination with the HANDTUTOR, ARMTUTOR and 3DTUTOR for upper and lower extremity rehabilitation. The TUTOR system is used by many leading rehabilitation centers worldwide and has full FDA and CE certification. It is designed for children and adults and can be used at home supported by telerehabilitation. See WWW.MEDITOUCH.CO.IL for more information.

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