Rehabilitation center after hip replacement. Joint endoprosthetics. Help in establishments

The most radical method of treating arthrosis knee joint or hip joint– endoprosthetics, that is, replacement of a destroyed, deformed joint with a prosthesis. This operation allows you to avoid disability, even if osteoarthritis has reached stage 3. But the surgeon’s hard work and the patient’s significant financial costs may not give the expected result if rehabilitation after knee or hip replacement is not properly carried out. Postoperative rehabilitation is carried out in several stages, including final stage A course in a sanatorium is recommended for the treatment of arthrosis.

Advantages of rehabilitation in a sanatorium

Patients with diseases of the musculoskeletal system are recommended to annually visit sanatoriums and resorts of the appropriate profile for the treatment of arthrosis of the knee, hip and other joints. Postoperative rehabilitation is also carried out here. The patient is usually discharged from the hospital 2–3 weeks after the operation, and starting from the 15th day he can go to a sanatorium for further rehabilitation. You can go there later, but everyone who has undergone endoprosthetics is strongly recommended to undergo a course of sanatorium-resort treatment during the first months after the operation. There are other options for postoperative rehabilitation:

rehabilitation department at a clinic, clinic;
specialized rehabilitation center.

The first option can be free if rehabilitation is carried out in the same clinic where the endoprosthetics was performed, or in a public clinic at the place of residence. But often clinics have general-purpose rehabilitation departments, and they may not have some specific equipment and exercise equipment necessary for joint restoration. From this point of view, specialized centers are preferable. Their staff is staffed by all specialists whose services the patient may need after joint replacement, available wide choose procedures, comfortable conditions have been created for patients who find it difficult to move independently.

Rehabilitation after knee or hip replacement in a sanatorium has its advantages:

treatment is combined with rest;
sanatoriums are usually located in places with excellent ecology;
mud therapy and balneotherapy services are provided;
sanatoriums are equipped with the most modern equipment for physiotherapy, programmable simulators;
are carried out different types massage, exercise therapy classes with an instructor, alternative medicine techniques are available;
the patient is provided with dietary nutrition.

But sanatoriums, as a rule, do not specialize in rehabilitation after endoprosthetics; these are general-purpose institutions. They are aimed at people who can move independently, so first you need to learn how to use crutches properly and restore basic self-care skills. That's why best option: after discharge from the hospital, take a course in a specialized center, and only then go to a sanatorium.

Where can I go for rehabilitation?

Many patients go to Israel for surgical treatment of arthrosis of the knee and coxarthrosis of the hip joint, while others prefer clinics in Germany. Foreign medical institutions also provide rehabilitation after replacement of the hip, knee and a number of other large peripheral joints. But only a few can pay for high-tech surgical treatment of gonarthrosis, coxarthrosis, and subsequent rehabilitation. In Russia there are also clinics, rehabilitation centers, and sanatoriums for the treatment of arthrosis. Prices here are much more affordable, and the material and technical base and level of service in many institutions meet international standards.

Moscow and Moscow region

The most famous medical institution in the capital where arthrosis of the knee joint and other joint diseases are treated is the Main Moscow City Arthrosis Center, or MGAC. Along with a clinic and a diagnostic department, there is a specialized rheumatology hospital. Treatment of arthrosis in Moscow is also carried out by the arthrological hospital NPO SKAL. There are many clinics with rehabilitation departments, rehabilitation centers and sanatoriums in the capital and Moscow region; detailed information about each institution, material resources, scope of services provided, and prices can be found if you go to their official websites.

If the operation was performed at the Moscow City Center for Bone and Joint Replacement, rehabilitation after knee or hip replacement will require less time and effort. After all, computer navigation technologies are used here, which make the operation less traumatic and minimize the risk of errors, and modern endoprostheses are installed that take root well.

And yet, postoperative rehabilitation cannot be avoided. It can be accessed at:

network of rehabilitation centers “Blagopuchie”;
sanatoriums for the treatment of arthrosis and other diseases, which belongs to the MEDSI treatment and rehabilitation cluster (Otradnoe);
Central Clinical Hospital for Rehabilitation "Goluboe" (Solnechnogorsk district);
treatment and rehabilitation center of the Ministry of Health (Moscow);
private rehabilitation center “Three Sisters” (Shchelkovsky district).

Northwestern Federal District

Many clinics provide treatment for arthrosis in St. Petersburg, and also deal with postoperative rehabilitation. Among them:

RC "Baltiyskiy";
RC "Savita" (sanatorium "Northern Riviera" in Zelenogorsk");
VRCTiO;
RC "MedExpress+";
the rehabilitation treatment clinic “Dunes” and the sanatorium of the same name in Sestroretsk;
Health Center of the company BaltReaTech.

In the Northwestern Federal District, Karelia sanatoriums for arthrosis and spine treatment are very popular. There are many healing springs in Karelia mineral waters and mud, the main deposits of shungite are concentrated here, a rock that is actively used in alternative medicine. In the Kondopoga district there is a balneological and mud resort “Martialnye Vody”. In this sanatorium, sapropel sulfide-silt mud is used to treat arthrosis, and a whole range of treatment and rehabilitation measures are also carried out. The sanatorium "White Keys" (Petrozavodsk) uses healing mud Gabozera, shungite therapy, phytomineral wraps, various types of massage and physiotherapy are performed. The sanatoriums “Kivach”, “Russian North”, “Palaces” are also popular.

Other cities

Treatment of arthrosis in Nizhny Novgorod can be done at the medical centers "Chance", "Persona", the clinic "Sadko", Privolzhsky district medical center. Rehabilitation of patients with diseases of the musculoskeletal system, including after replacement of the hip and knee joints, is carried out in the private center "Ekzarta" on Kazanskoye Highway, and the rehabilitation center "City Clinic" on Kulibina. And sanatorium treatment and a complex of rehabilitation measures are available in the sanatoriums of the resort village Green City, sanatoriums "Solnechny" (Pavlovsky district), "Gorodetsky" (Axentis village, Gorodetsky district).

In Kirov, treatment of gonarthrosis or coxarthrosis, rehabilitation therapy is carried out in the multidisciplinary clinic “Alfa-Center Health”. To undergo rehabilitation, you can contact the Vyatka Kinesitherapy Center. Widely known in Kirov and the region health Center Professor Neumyvakin, located in the village of Borovitsa, Slobodsky district. Here, treatment with hydrogen peroxide and soda is carried out according to the author’s methods, exercise therapy and Nordic walking. The services of a reflexologist, massage therapist, and various physiotherapeutic procedures are available. You can undergo rehabilitation after hip or knee replacement in the Molot, Vyatskie Uvaly, and Kolos sanatoriums.

Hip replacement in Novosibirsk is carried out in city and regional clinical hospitals and the NIITO clinic. You can undergo rehabilitation at the Axis medical center, and in the region there are sanatoriums for the treatment of arthrosis - Zolotoy Bereg, Lazurny, Sibiryak, and the Lake Karachi sanatorium-resort. Rehabilitation and kinesitherapy centers using the method of Dr. Bubnovsky operate in dozens of cities, including St. Petersburg, Rostov-on-Don, Samara, Novosibirsk. In Ryazan, the Medical Rehabilitation Center provides treatment and rehabilitation of patients with diseases of the musculoskeletal system.

In almost any major city in the Russian Federation, both treatment of coxarthrosis and other types of arthrosis, including through endoprosthetics, and rehabilitation are available. For complete recovery and general health, you should go to a sanatorium or resort. When choosing a health facility, you need to familiarize yourself with the treatment and rehabilitation program, ask about prices, reviews of other patients.

And the hip joint requires further actions– completing a high-quality rehabilitation course. Rehabilitation after endoprosthetics is vital important stage treatment, the absence of which can nullify all efforts made to save the joint. This is a long and meticulous process.

The timing of its completion is largely determined by:

The age of the patient;
The complexity of the operation;
Individual characteristics person.

Where to go for rehabilitation

Rehabilitation treatment after surgery is carried out by doctors from the specialized orthopedic rehabilitation center of the Russian Academy of Sciences.

The most important tasks:

Restoring walking and self-care skills;
Ability to sit down and stand up, climb stairs;
Strengthening therapy and restoration of range of motion.

Patients are offered:

Water and gymnastic exercises;
Dietary special food;
Certain sports activities (exercise bike).

Place your feet correctly, excluding turns;
Do not bend your legs at an acute angle;
When resting while lying down, place a pillow between your legs.

An individual rehabilitation program, carefully compiled by the treating orthopedist and rehabilitation specialist, will help speed up recovery after endoprosthetics.

To the patient:

Prescribe pain and anti-inflammatory medications at each stage;
Describe the sequence of actions and physical procedures;
Special massage;
A set of therapeutic and rehabilitation exercises.

Stages of rehabilitation

There are three stages of rehabilitation measures after prosthetics.

1. Early. Lasts for the first 5 days. It should also be highlighted First stage– preoperative, when the patient is taught basic movements - how to roll over while lying down, stand up and sit down correctly, walk up the steps. After surgery, he will use these skills with the new joint.

2. Average. Lasts 10 days. At this time, skills are improved, the patient walks longer distances, and the number of steps mastered increases. Visiting the shower and toilet is done independently. Shown:

Lymphatic drainage massage;
Fixation application;
Electromyorelaxation of muscles to relieve tension.

3. The final period begins at week 8 and lasts 10 days. At this time, the joint is active. The patient is individually selected procedures that are appropriate specific situation. It may be necessary to stimulate the muscle corset or, conversely, relax it. In any case, the following are shown:

Electrophysiotherapy;
Taping;
Massage;
Physiotherapy.

At this stage it happens full recovery joint functions. Further adaptation can be successfully carried out at home, independently. At the end of the course of treatment, an examination is recommended.

Rehabilitation treatment

All actions are carried out under the supervision of orthopedic traumatologists, and the latest techniques and technologies are used. Rehabilitation at the RAS Medical Center in Moscow is the right choice.

The operation, even performed on the highest level, without high-quality postoperative treatment will not bring any effect. Comprehensive rehabilitation after hip replacement - exercise therapy, physiotherapy, prevention of complications - allows you to get the full potential from this type of treatment. Without rehabilitation, you risk maintaining pain, lameness, and limited range of motion.

Introductory briefing

After hip replacement, rehabilitation lasts an average of 3 months. It consists of stages, for each of them its own system of treatment and rehabilitation measures has been developed, based on physical exercises and auxiliary procedures. A step-by-step therapeutic effect on the prosthetic segment allows you to prevent complications, quickly eliminate swelling and painful signs, thoroughly develop the limb, restoring the functionality of the leg.

A good and calm stitch approximately on the 3rd day after the operation.

We hope that you have thought about such a device in advance.

Physical activity is planned and optimized in accordance with the timing and individual criteria by a rehabilitation physician. At home, you will need to take contraindicated types of activity seriously, train strictly according to the instructions, without forcing loads, always come to the clinic for scheduled examinations, and in case of any pathological manifestations (pain, swelling, hematoma, etc.) immediately contact your doctor.

General principles of rehabilitation

The goals of rehabilitation are the following:

complete liquidation inflammatory process and pain that results from surgical procedures;
normalization of the state of the muscular-ligamentous complex, which brings the articular bones (pelvic and femoral) into coordinated movement;
strong fusion of the prosthesis components with the bones, which occurs gradually during the natural reparative processes of bone tissue renewal;
preventing the development of negative consequences.

Drug treatment

After surgery, you must strictly take all prescribed medications; this is vital. And if someone thinks that it is harmful to the body, then problems are not far off.

Includes taking or injecting specific medicinal compounds, namely:

antibacterial medications from the spectrum of antibiotics (against the development of infection);
anticoagulant protective drugs (against venous thrombus formation);
non-steroidal anti-inflammatory drugs (against pain and inflammation);
gastroprotectors and drugs that improve the functioning of the urinary tract;
protein and calcium supplements to accelerate the regeneration of bone and muscle structures.

Comprehensive physiotherapy

Physiotherapy is an excellent addition to motor recovery.

These are procedures of electromyostimulation, electrophoresis, UHF, laser treatment, massage, balneotherapy and mud therapy, aimed at:

reduction of pain and swelling;
elimination of spasmodic phenomena in muscles;
stimulation of blood circulation and lymph circulation in the structures of the problematic leg;
increased muscle tone and strengthened ligaments;
activation of metabolic and regenerative processes in the lower limb.

Rehabilitation after hip replacement at home and in the hospital is a rather long and labor-intensive process that requires strength and patience. But if it is organized correctly, working capacity returns by the end of the 10th week. If the postoperative stages are complicated, recovery after hip replacement will most likely take 2 times longer.

There is a direct relationship, patients without excess weight and leading as active a lifestyle as possible before surgery recover faster than others.

Description of rehabilitation stages

Basic recovery after hip replacement takes 10 weeks. Of these, 3 weeks are the early phase, from the third to 10 weeks are the late stage. And all this time it is necessary to fruitfully carry out tasks and exercises for rehabilitation after hip replacement, dictated by the surgeon and rehabilitologist. Together the specialists make up effective scheme physical therapy.

The essence training exercises consists of reusable, regularly repeated and consistently increasing physical activity, which gradually improve motor activity indicators, dynamically improve and restore performance. After the entire specified period of time after surgery on the hip joint, rehabilitation does not completely end. All the achievements that the patient has been pursuing for so long and finally achieved the cherished painless freedom of movement must be consolidated.

Wonderful sanatoriums that provide proper rehabilitation after partial replacement and total hip replacement, located in Leningrad region, Krasnodar region, Karelia. If we talk about foreign European resorts, the clear leaders here are Teplice and Jáchymov, located in the Czech Republic.

Early stage

The person undergoing surgery is immediately transferred from the operating room to intensive care for 24 hours. They do this to control the main functionally significant indicators of the body’s condition: heart rate, breathing, blood pressure etc., which is mandatory after any surgical procedure. They immediately begin antibiotic therapy and the administration of anticoagulants, take tests, and, if necessary, perform a blood transfusion. Breathing exercises are prescribed to prevent congestion in the lungs.

Compression cuffs are used to prevent thrombosis.

From the second day until the end of the 3rd week of the rehabilitation period after hip replacement, clinical care and recovery are carried out in the inpatient unit. The patient will be bothered by pain, which is a normal reaction of the body, therefore, in addition to taking NSAIDs, he will be shown physical therapy and cold dry compresses locally. They will relieve swelling located on the outer soft tissues above the replaced joint. Soreness and swelling, as soon as the suture heals, will stop causing suffering.

The arthrot is used from the second day after surgery for passive development of the joint.

There is no need to endure debilitating pain; it will have a detrimental effect on both your psychological mood and the activities of your main internal organs and systems, such as the heart, stomach, intestines, circulatory and respiratory system. Their dysfunction will prevent the normal launch of self-regulation and regeneration mechanisms. Therefore, do not torment yourself and your body, which is already weakened: if it hurts unbearably, tell the nurse or doctor about it, and they will help you. the help you need. If the painful manifestations are not severe, then, of course, it is better not to overuse pain relief.

Well, now let’s move on to consider the question: how is human activation carried out:

Walking on crutches is possible from 2-3 days in a light mode, leaning on crutches or a walker. The technique of using means of support and the method of movement when moving in space is usually taught to the patient in the preoperative preparatory period. Walking in the first days is allowed only under the guidance of a methodologist-instructor.
At this time, drainage tubes will be placed in the wound, so even if there is no pain, walking will not be enjoyable.
Sitting is allowed for the 3rd day, but it is important not to allow an excessive bending angle at the hip; the permissible maximum is an angle of 90 degrees and no more. You cannot stay in one “sitting” position for a long time (maximum 15-20 minutes); moreover, you must sit on a surface of normal height, not with low seats.
Works for the first time next rule- the patient either walks or lies horizontally; it is impossible to sit for a long time.
When a person is lying down, a special anatomical cushion must be placed between the limbs, which will protect against unwanted adduction of the limb and its crossing with the healthy leg. For now, you can only turn on your healthy side. You need to sleep and lie exclusively on your back.
Crossing your legs increases the risk of dislocation.
It is recommended to perform flexion-extension of the ankle and rotation of the feet during rehabilitation after surgery on the hip joints, as soon as the anesthesia wears off.
The exercise is safe and can be performed without special restrictions.
It is proposed to work with knee flexion/extension: the leg, sliding the heel along the bed sheet, bend at the knee joint until right angle and return in the same way to a straight horizontal position.
If it is difficult to slide your foot along the surface, remove the sock.
You will also need to perform the following exercise while in bed: smoothly move the problematic limb to the side, while the toe of the foot strictly “looks” at the ceiling. Return to the starting position, relax, rest for 1 minute. Do 5 sets in a row. All exercises after hip replacement should not be done intensively with jerks!
In this exercise thumb The feet should point straight up.
In the immediate postoperative period of rehabilitation after hip replacement, isometric exercises are prescribed to contract the quadriceps, gluteal, and calf muscles. Thanks to simple exercises on the tension of the corresponding segments, their tone increases, elasticity and firmness improve. Perform the workout in bed (lying on your back) according to the principle:

After leaving the hospital after hip replacement, rehabilitation in this scenario is easy to practice at home. However, the proposed range of activities must be supplemented, because then comes the late recovery phase, for which there are specific standards.

Late period

Successfully completed early stage rehabilitation measures culminate in the patient being discharged from the hospital. Now we either have to undergo rehabilitation after hip surgery at home or in a specialized treatment and rehabilitation center. There you will be organized high-quality, professional rehabilitation after surgery; it is unlikely that it will be possible to develop a hip joint at home so comprehensively and competently. Unless, of course, you yourself are an orthopedic traumatologist or exercise therapy instructor.

Balance exercises allow you to use stabilizer muscles that are not involved in normal life activities.

What are the specifics of late rehabilitation after hip replacement, and what new exercises are added?

Walking, starting from the 22nd day, is carried out up to 3-4 times a day for about half an hour, and closer to the third month, the total duration of walking daily should be approximately 4 hours. It is important to practice correct positioning body and gait when moving, get rid of the usual adaptive postures and movements to which a person is accustomed long before the operation.
Walking with full load on the prosthetic limb is possible after 1-1.5 months if a cemented prosthesis model was used. If a cementless method was used, it is not advisable to create a full support until at least 2 months have passed.
The abolition of crutches and walkers, as a rule, occurs at the turn of 1.5-2 months, then the patient switches to a cane. It is not recommended to stop using a cane until the lameness disappears and you have absolute confidence in walking.
Late rehabilitation exercises after hip replacement include more varied and active types of training, but your doctor should recommend them to you. We suggest that you familiarize yourself with what common methods of exercise therapy are usually used in specialized centers.

Work with a rubber band, with exercises for abduction and flexion of the limb with resistance (do not cross your legs!).
Starting position lying on your back. Alternately bend your legs at the knee joints, lifting your limbs, the direction of movement of the knee is toward you.
Your hands can be placed on your stomach or extended along your body.
Lie on your stomach. Bend your legs simultaneously or alternately, bringing your feet closer to your buttocks. In the same position, lifting the straightened legs up (alternately) is useful. You can also imitate swimming, with only your arms actively working, your chest raised, your limbs straight (if it is not difficult for the patient, he can slightly lift his legs off the floor).
Try to touch your heel to your buttock. It is unlikely that you will succeed, but this should be the goal.
Alternate abduction of straightened limbs in the lateral direction from a lying position on the back and on the stomach. To do this, you need to slightly raise your working leg and move it to the side, then carefully return to the starting point. By analogy, we do gymnastics after hip replacement and in a vertical position.
The toe is directed strictly upward as the exercise progresses.
Lifting straight limbs one by one, while pulling the toe towards you. The task can be performed in both a lying and standing position. If the patient is exercising while standing, then you need to hold on to any support suitable for insurance, for example, the back of a chair.
Hold for a few seconds at the end point.
Raising a bent leg, extending it in weight, followed by bending, and at the end, place a flat limb on the floor. This technique, as you might understand, is done in a horizontal position of the body.
You can give additional load by placing your healthy leg on top of the sore leg.
If you had surgery on the hip joint 1-1.5 months ago, rehabilitation is proceeding well, then you can include the “bicycle” exercise in your daily routine.
A bicycle is the best equipment for physical activity.
In addition to the listed methods of training, partial squats, quiet exercises on an exercise bike, on balancing equipment to develop support strength and balance, as well as various techniques of movement with a ball and weights are included. Additionally, a visit to the pool is prescribed, where therapeutic exercises in water and recreational swimming will be carried out.

Distant phase

It is reasonable if rehabilitation after hip replacement takes place in a sanatorium at a later date. In addition to rehabilitation and physical education methods, which are implemented using various rehabilitation equipment and training equipment V gymnasium or in aquatic environment, health clinics specialize in the use of natural healing springs, unique in chemical and biological composition.

Start visiting the pool, it is very useful.

In sanatoriums, recovery after hip replacement is based on the use of peloid therapy courses (therapeutic mud applications) and balneotherapy in the form of brine (mineral), radon, carbon dioxide, pearl baths, etc. Swimming in the pool. Organic and inorganic substances contained in healing mud and waters penetrate into the body at the time of the treatment session and fruitfully contribute to:

strengthening bones, increasing muscle endurance;
resorption of skin, tendon, muscle scar formations, mobility increases not only at the site of the artificial joint, but also in other osteochondral organs;
improving blood supply and nutrition in problem segments;
eliminating swelling of soft tissue structures;
getting rid of the pain factor, which often continues to disturb to one degree or another, even after a long time has passed from the moment of prosthetics;
coherence of the central nervous system, mental harmony, positive attitude, normalization of sleep and daytime vigor.

Practice walking every day and stay healthy!

Endoprosthetics is a procedure during which all or part of a joint is replaced artificial material. Similar operations became widespread in the West about 50 years ago, and during this time hundreds of thousands of patients were successfully treated by American and European doctors. The most common endoprostheses are the hip and knee joints, since they are the ones that experience the greatest loads during human life.

The endoprosthetics operation itself is a complex and responsible process that requires a highly qualified doctor and high-quality prostheses. However, this is not all: immediately after the operation, the person will not be able to move in the same way as before the illness. Because the joint cannot function normally, patients experience decreased muscle mass and often experience discomfort and pain. Rehabilitation after hip replacement is designed to return motor activity to its previous level and improve the patient’s overall health.

Rehabilitation measures for successful recovery must be carried out continuously and in a strict sequence, which is determined by the doctor. For each person, an individual schedule of exercises is drawn up, which must be performed not only during procedures in the clinic, but also at home. Exercises should begin the very next day after surgery, and their duration is 2–3 weeks. If the joints are seriously affected, the rehabilitation period may be increased, and before the operation itself the patient also performs special exercises.

Rehabilitation in a medical facility

The patient cannot stay in the clinic during the entire rehabilitation period. However, you can’t limit yourself to home exercises alone. The reason is the lack of control on the part of the doctor. Even if the patient does everything that the doctor said, he will subconsciously feel sorry for himself and not complete the task to the end, fearing pain and discomfort after the operation. the result of such actions may be slow growth muscle mass, which in turn can lead to even more serious hip diseases.

That is why rehabilitation after hip replacement is recommended to be carried out in a specialized clinic. There, the patient will be under the constant supervision of doctors who will be able to quickly make adjustments to the recovery process.

Preparation period

In order for the operation and subsequent recovery to be successful, you need to prepare for it. Specific preoperative exercises can be done at home or in the hospital. This course is aimed at improving blood circulation in tissues, strengthening muscles and ligaments, and reducing the level of discomfort. Exercises should be performed while lying on your back and with extreme caution so as not to damage the hip joint. Doctors recommend the following sequence of actions:

Perform 10 movements with your feet up and down
Perform five circular movements with your legs clockwise, and five more counterclockwise. Movements should be performed using the shins, not the knees
Strength exercise: try to “press” your foot into the floor and stay in this state for 5 - 7 seconds. Perform ten repetitions
Slowly bend your knee without lifting your heel off the floor, then return to the starting position. Perform up to ten approaches
Squeeze your buttocks as tightly as possible and stay in this position for 7 to 8 seconds. Perform ten repetitions
Without lifting your feet from the floor, spread them apart different sides, and then mix. Perform ten repetitions
Alternately raise your legs slightly above the floor, and then slowly lower them. Perform ten repetitions for each leg

In addition, to tone the muscles and improve blood circulation, doctors recommend undergoing several sessions of electrical stimulation of the muscles adjacent to the joint.

1 – 4 days of rehabilitation

On the day of surgery, the patient is advised to rest and sleep. He lies in the ward and, if necessary, moves in a wheelchair. On the second day after surgery, the recovery process begins. The first exercises involve using crutches and a walker. The order of exercises, their duration and load are determined by the doctor. At this stage, rehabilitation pursues the following goals:

Ability to get up and lie down independently
Ability to walk with crutches and a walker
Ability to sit on and get up from a chair
Ability to use the toilet and perform simple movements

The first days after surgery are the most dangerous from the point of view of injury, since the person is not yet sufficiently accustomed to the endoprosthesis, and his body does not have required quantity muscle mass. To avoid possible complications, doctors prohibit patients from:

Take a bath;
Squat
Lie on your side on the side of surgery
Hold a bolster under your knee
Cross your legs
Bend your legs at the hip joint more than at a right angle
Putting on shoes without the help of a spoon

In order to speed up the healing of sutures and eliminate areas of pain and inflammation in the first days after surgery, the patient is prescribed magnetic therapy and ultrasound procedures. They are good because, in addition to their beneficial effects on the body, they can be performed directly in the ward without removing the protective bandage.

To restore normal activity of the respiratory system in the first four days after surgery, patients are shown breathing exercises and vibration massage. Well physical exercise at this stage consists of static tension of the muscles of the leg on which the prosthesis is installed. The procedures are performed every day for 3 – 5 approaches. The duration of each of them does not exceed 15 minutes.

4 – 8 days of rehabilitation

On the fifth day after surgery, the patient should move on to more complex exercises. Usually there are no difficulties with this, since when the right approach The initial stage of rehabilitation is going well. The main task for a person at this stage is learning to climb stairs. The main rule is to hold on to the railing and take your time. It is enough to take one step, after which you need to rest.

Learning to climb stairs follows the following rules:

Take a step with your healthy leg
Place the leg from which the operation was performed on the step next to her.
Place a crutch on one step near your feet

Descent training is performed in reverse order:

Place the crutch one step lower
Take a step down with the leg on which the operation was performed
Put your healthy leg on it

Remember that you should ascend from the healthy leg, and descend from the operated leg. Also at this stage you need to be careful about your health. Five days after surgery, severe pain goes away, so patients become overly confident in their abilities. To prevent this from happening, you should strictly follow the recommendations of your doctor.

2 – 3 weeks of rehabilitation

2–3 weeks after surgery, doctors recommend performing more complex exercises aimed at developing the small joints of the legs. In addition, the patient should engage in breathing exercises and undergo gentle massage treatments. At this time, you should especially monitor the position of the rollers, which are placed under the knee on both sides, as motor activity continues to increase.

4 – 8 weeks of rehabilitation

A month after the operation, a period begins during which the patient needs to “wean off” crutches or a cane. At this time, exercises are aimed not only at developing muscle mass, but also at coordinating movements. To restore the functioning of the hip joint, it is recommended to perform the following set of exercises:

Training with an elastic bandage, one end of which must be secured just above the ankle, and the other end must be tied to a stationary object. The elastic bandage creates the necessary resistance, which helps muscle growth. You should perform exercises with it three times a day for 10 approaches.
Starting position - standing with your back to the wall, raise your leg straightened at the knee with an elastic bandage, then lower it
Do the same thing, but this time move your leg not forward, but to the side. The leg should be on the side on which the operation was performed

If the patient does not feel confident in his abilities, he should continue to use crutches or a cane. However, he must walk three times daily for 5-10 minutes so that his body gets used to the endoprosthesis. When a person is finally able to walk without crutches, the duration and frequency of walks can be increased.

Also, in the second month after surgery, you can begin simple exercises on exercise machines, if the doctor allows this based on the results of the examination. The most suitable for these purposes is a simple exercise bike without heavy load. First the pedals should be turned backward, then forward. You can gradually increase the load and duration of training.

The final stage of rehabilitation

To consolidate the results obtained, the patient is recommended to undergo a final wellness course. To pass it, special equipment is required, so it cannot be completed at home. In a specialized clinic, doctors will examine the patient and select the most preferable set of measures for him. Standard procedures include:

Therapeutic massage aimed at eliminating pain, improving blood flow and strengthening muscles and ligaments of the joint
Acupuncture – treatment using medical needles; promotes rapid tissue restoration and eliminates discomfort
Treatment with mud containing beneficial minerals
Hydrotherapy, which includes a whole range of measures related to water. This includes water aerobics, special baths, hydromassage, etc.
Physiotherapeutic procedures: exposure to the area where the prosthesis is installed with laser, ultrasound, weak currents, etc.

Approximately three months after surgery, it is allowed to increase the load, but only if the doctor finds no contraindications. Physical therapy exercises should be performed at home for six months after surgery.

Endoprosthetics is a serious operation. However, today, replacing joints with prostheses has turned from a miracle into commonplace: the popularity of such operations is very high. However, it is very important to understand that the main risks of such operations occur after their completion: absolutely EVERYONE who has undergone endoprosthetics, rehabilitation is needed.

The most difficult thing is to convince a person that the new joint is now his, and it’s time to forget that there is something in his body that was not there a couple of years ago. Absolutely everyone who has undergone such an intervention avoids using the operated leg: leaning on it, moving it. As a result, all the powerful muscles, thanks to which a person had a full range of motion when walking before the operation - the quadriceps, piriformis, gluteals - sag and, over time, atrophy. Trophic disturbances begin, which entails new troubles. At the same time, an unhealthy load on the spinal muscles occurs, which causes the spine to suffer... Problems accumulate like a snowball.

If you or someone close to you has undergone endoprosthetics, you need to remember: you have little time to return to normal life. If you do not use it, the situation will worsen every day: as a rule, a year after the operation, the changes will become irreversible and no one will undertake to restore your ability to fully move.

And so that you do not have any illusions that a year is quite a long time, let us clarify: the ideal time to start rehabilitation after endoprosthetics is the SECOND day after the OPERATION. First, a physical therapy specialist begins to work on small joints and muscles in a passive mode. On the 7th day it is already allowed to partially step on the leg. After 21 days, the main medications are stopped, and full rehabilitation of the patient can begin.