CONSIDERING HIP OR KNEE SURGERY?
HIP AND KNEE PAIN OR INJURY
With acute injuries like knee strains, good old fashioned Rest, Ice, Compression and Elevation – also known as RICE – is your best line of treatment in the first instance. It’s important though to seek early diagnosis too, from a suitably qualified health practitioner like a Physiotherapist. A Physiotherapist will be able to accurately diagnose the type and severity of your injury and give you appropriate advice and treatment. They will also advise you with suitable steps to returning to activity, which if not followed can cause re-injury, prolonging the recovery time.
Chronic or re-occurring injuries in the lower limb can be caused by faulty movement patterns. Our DMA Physiotherapists are also experts at addressing these kinds of issues, with exercises aimed at helping to retrain strength and appropriate muscle firing patterns to correct the problem.
An often overlooked cause of ongoing hip pain (but also knee pain) is the role of stability in the lumbar spine, and the role of the nerves that exit the spine to supply the muscles and joints in the leg. These issues can co-exist with things like arthritis in the joints, but play a big factor in the actual cause of the problem itself. By carefully assessing your whole body, your DMA Physiotherapist will be able to identify the role of co-existing pathologies and implement an appropriate treatment program accordingly.
MORE INFORMATION HERE
The latest research is showing that exercise-based “pre hab” with a Physiotherapist can determine whether a specific exercise program can actually have a better outcome.
IS KNEE OR HIP REPLACEMENT SURGERY THE ANSWER?
Hip and knee pain are common and you may have heard that joint replacement surgery is the answer.
“Wear and tear” is a normal part of ageing, but there are many other causes of joint pain. A joint may ”look bad” on a scan but it cannot confirm where the pain comes from.
Accurate Assessment is Essential
The causes of ongoing pain differ but co-existing pathologies from nerves in the lumbar spine are common. Injuries in the lower limb can cause faulty movement which, treated properly, can resolve the problem and avoid surgery. If there is pain elsewhere in the leg it is critical that the lumbar spine is properly cleared by a physiotherapist.
Joint replacement, despite successes, can also lead to serious complications such as pulmonary embolism, heart attack, vascular injuries, nerve injuries, fractures and dislocations or fatality. (Pulido L et al 2008).
Studies have also shown that persistent pain is common after replacement, affecting up to 50% of patients. (Wylde et al 2010). Longer term studies show similar with 49% still unable to walk unassisted at 12 months.