Essential Rehab Techniques for Preventing Muscle Atrophy After Surgery - Orthopedics

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Rehabilitation treatment methods


I have a question: after my discharge, my physical therapist only taught me to do 20 repetitions of ankle dorsiflexion and plantarflexion and 10 repetitions of hip abduction and adduction each day.
If I only do these two exercises, will my thigh muscles atrophy? (Currently, I walk with crutches 150 times a day, divided into morning, noon, and evening.) Do I need to do rehabilitation exercises at home as well?

Xiao Wei, 40~49 year old female. Ask Date: 2022/11/22

Dr. Shi Guozheng reply Orthopedics


The specific approach depends on the location of the surgery or joint involved.
Generally, these movements aim to maintain the activity of the calf and thigh muscles.
If it is after a fracture, the timing of healing will determine how much activity is necessary to prevent muscle atrophy or weakness.

Reply Date: 2022/11/22

More Info


After surgery, especially orthopedic procedures, it is crucial to engage in a comprehensive rehabilitation program to prevent muscle atrophy and promote recovery. Muscle atrophy can occur when muscles are not used adequately, which is a common concern for patients post-surgery. Here are some essential rehabilitation techniques and considerations to prevent muscle atrophy after surgery.


1. Progressive Resistance Training (PRT)
While your current rehabilitation routine includes basic movements like ankle pumps and leg side-to-side motions, it is important to gradually increase the intensity and complexity of your exercises. Progressive resistance training involves gradually increasing the weight or resistance used in exercises. This can help stimulate muscle growth and prevent atrophy. You might consider incorporating resistance bands or light weights as you progress.


2. Range of Motion (ROM) Exercises
In addition to strengthening exercises, it is vital to perform range of motion exercises. These exercises help maintain joint flexibility and prevent stiffness. For the knee, this could include gentle bending and straightening of the leg. Aim for a full range of motion as tolerated, and consult your physical therapist for specific exercises tailored to your condition.


3. Functional Activities
Engaging in functional activities is essential. This includes movements that mimic daily tasks, such as standing up from a seated position, walking, and climbing stairs. These activities not only help maintain muscle strength but also improve coordination and balance. Since you are already using crutches to walk, ensure you are doing so with proper technique to avoid compensatory movements that could lead to further issues.


4. Aerobic Conditioning
Incorporating aerobic exercises can also be beneficial. Activities such as stationary cycling or swimming (if cleared by your physician) can help maintain cardiovascular fitness and promote overall muscle engagement without putting excessive strain on your surgical site.


5. Education and Self-Monitoring
Understanding the importance of rehabilitation and being proactive in your recovery is key. Keep track of your exercises, noting any pain or discomfort. If you experience increased pain during specific movements, consult your physical therapist to adjust your program accordingly.


6. Nutrition and Hydration
Proper nutrition plays a significant role in muscle recovery. Ensure you are consuming adequate protein to support muscle repair and growth. Staying hydrated is equally important, as dehydration can impair recovery and muscle function.


7. Consultation with Healthcare Professionals
Regular follow-ups with your healthcare provider and physical therapist are essential. They can assess your progress and modify your rehabilitation program as needed. If you feel that your current regimen is insufficient, do not hesitate to discuss this with your therapist. They may introduce more varied exercises or increase the frequency of your sessions.


Conclusion
In summary, while your current rehabilitation routine is a good start, it is essential to incorporate a more comprehensive approach to prevent muscle atrophy. This includes progressive resistance training, range of motion exercises, functional activities, and aerobic conditioning. Regular communication with your healthcare team will ensure that your rehabilitation is effective and tailored to your needs. Remember, the goal is to regain strength, flexibility, and functionality to return to your daily activities without limitations.

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