Pre-Surgery Exercise: Is It Safe Before Hip Replacement?

Preoperative Exercise

Hello, Dr.
Chen: I am scheduled to undergo hip replacement surgery in two weeks.
Some doctors believe that exercising before the surgery is not advisable, while others think swimming is acceptable since water exercises place less strain on the joints.
Could you please advise if moderate exercise is permissible before the surgery? Thank you!

vicky, 50~59 year old female. Ask Date: 2006/11/05

Dr. Chen Xianchang reply Rehabilitation

1.
Swimming or non-weight-bearing exercises can be performed.
2.
After surgery, a consultation with an orthopedic physician and a rehabilitation specialist can be requested three days post-operation to initiate phototherapy (laser treatment) and isometric exercises.
Avoid allowing the affected side to bear weight too soon, and refrain from activities involving internal rotation, adduction, or hip flexion beyond ninety degrees.
When lying in bed, place a pillow between the knees.

Reply Date: 2006/11/05

More Info

Pre-surgery exercise, often referred to as "prehabilitation" or "pre-hab," is an increasingly recognized practice that can significantly benefit patients preparing for hip replacement surgery. The question of whether it is safe to engage in physical activity before undergoing such a procedure is crucial, especially given the varying opinions among healthcare professionals.

Engaging in appropriate pre-surgery exercises can provide several advantages. Firstly, it helps to strengthen the muscles surrounding the hip joint, which can enhance stability and support during the recovery process. Stronger muscles can also contribute to better post-operative outcomes, as they can help to reduce the risk of complications and improve overall mobility after surgery. For instance, exercises that focus on strengthening the quadriceps, hamstrings, and gluteal muscles can be particularly beneficial.

Low-impact activities, such as swimming, are often recommended as they place minimal stress on the joints while still promoting cardiovascular fitness and muscle strength. Water-based exercises can be especially advantageous because the buoyancy of water reduces the load on the joints, allowing patients to move more freely without pain. This can be a great way to maintain physical activity levels while minimizing the risk of exacerbating any existing joint issues.

However, it is essential to approach pre-surgery exercise with caution. Patients should always consult with their healthcare provider or physical therapist before starting any new exercise regimen. They can provide personalized recommendations based on the patient's specific condition, overall health, and the severity of their hip issues. For example, while swimming may be safe, high-impact activities such as running or jumping should generally be avoided as they can place undue stress on the hip joint.

In addition to strengthening exercises, flexibility and range-of-motion activities can also be beneficial. Gentle stretching can help maintain joint mobility and reduce stiffness, which is particularly important for patients who may have been experiencing pain and limited movement prior to surgery. Techniques such as yoga or tai chi can also be helpful, provided they are adapted to the individual's capabilities and limitations.

Moreover, prehabilitation can also serve as an opportunity for patients to learn about post-operative rehabilitation protocols. Understanding what to expect after surgery, including the importance of early mobilization and specific exercises, can empower patients and help them feel more prepared for the recovery process.

In conclusion, engaging in appropriate pre-surgery exercises can be safe and beneficial for patients preparing for hip replacement surgery. Activities like swimming and strength training, under the guidance of healthcare professionals, can enhance muscle strength, improve joint function, and contribute to better surgical outcomes. However, it is crucial for patients to consult with their healthcare providers to develop a tailored exercise plan that considers their unique circumstances and ensures safety. By taking proactive steps through prehabilitation, patients can set themselves up for a smoother recovery and a more successful return to their daily activities post-surgery.

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