Recovery – Hip Replacement Surgery

Normal Hip Joint & ArthriticA hip replacement is often required in severe cases of joint damage, usually as a result of arthritis or a traumatic fall that fractures the hip.  If due to arthritis this will cause significant pain and poor quality of life.

If a fall has resulted in hip fracture, a hip replacement is necessary due to an inability to weight bear and mobilise.  In the treatment of arthritis a hip replacement will be recommended when symptoms have not responded well to other treatments.

There are many types of hip replacements: cemented, uncemented, ceramic, plastic and metal. Your surgeon will explain the different types and will select the right hip replacement for you. Most hip replacements will last 10-15 years.  A total hip replacement is the removal of the damaged bone of the ball and socket joint of the hip.  A metal stem is inserted into the middle of the upper thigh bone (femur) and a metal or ceramic ball is then attached. The socket is shaped to allow the new socket to be fitted which is made from high density plastic or ceramic. This matches the ball of the stem allowing for smooth movement.

What can I expect from my new hip?

Hip replacement surgery provides excellent pain relief and significantly improves the joint’s range of movement.  Quality of life is improved vastly and some people are able to once again participate in sports they enjoy such as tennis, swimming and golf.

Common Concerns

Wound & Scar

Your wound will be on the side of your hip and may feel tender after surgery – a slight ooze may also occur but is normal.  You should be prescribed pain relief and your physiotherapist will normally aim to help you mobilise the day after surgery.  Once your scar has healed it can help to massage in a small amount of E45 cream to prevent thickening and adhesions.

Pain and Stiffness

Whilst your muscles are healing you may experience discomfort in your hip from muscle spasm or trauma of the surgery. Ensure you take your prescribed painkillers as pain slows down wound healing and recovery.  Continue your exercises to improve hip flexibility and strength. Taking a period of rest during the day will allow the muscles and ligaments to recuperate, ready for the next activity.

Swelling: Ice Applications

Ice can be used to reduce swelling, bruising and pain – an unopened bag of frozen peas also works well! Wrap the ice or pea bag in a damp tea towel and place on swollen area for 20 minutes – NEVER apply ice directly to the skin.

Check every 5 minutes – the skin should be pink.  If the skin turns white, remove the bag until a pink flush is regained.

Ice can be repeated, but with a 45-minute gap between each application.

Icecubes for inflamationSleeping

Sleeping can be difficult to begin with on your back but a pillow can be used to prevent affected leg from rolling.  When your wound has settled you may be able to lay on your operated side with a pillow between your knees. At 6 weeks from surgery you should be able to lay on your non-operated side.

Dislocation

See Caring for Your New Hip Guide which should be followed for at least 6 weeks.

Driving – Your surgeon will normally permit you to drive again after 6 weeks – always obtain their consent however, before doing so.  You may normally return to work after 6 weeks also – but again check with your consultant first.

Sexual activity

Most people resume sexual activity 6-8 weeks after surgery providing you follow hip precautions to avoid risks of dislocation.  A comfortable position for women is to lay on the unoperated side. The operated leg should be supported on a pillow with the knee slightly bent. Men may be more comfortable to lie on their backs with their partner kneeling astride them.

Article by Rhonda Herring for Lynden Hill Clinic Patient Information Series

Caring For Your New Hip

Initial Advice

Your consultant and physiotherapist will advise you on what you should and shouldn’t do when looking after your new hip. These precautions help preven the new joint from dislocating and ensure proper healing.  Here are a few of the most common:

Do not bend at the hip more than 90 degrees
    • Don’t reach down to pick something up from the floor – get someone else to pick these up for you or a long-handled grabber aid should be purchased.Don’t lean forward while sitting or as you sit down.
    • Don’t reach past your knees to put on socks, tights etc or wash from your knees down – you will need help from someone else or long handled aids may be purchased to help.
    • Don’t bring your knee up higher than your hip.
    • Don’t sit on low sofas or chairs.
    • Don’t lean too forward when standing up from your chair.
Do not cross your operated leg across middle of your body
  • Don’t cross your legs at the knees when sitting, standing or lying down for at least 6 weeks.
  • Don’t turn your feet excessively inward or outward when you bend down.
  • Don’t reach down to pull up blankets when lying in bed.
  • When getting in/out of bed try to move operated leg out, away from your body to avoid crossing in middle.
Do not twist your operated leg
  • Do not twist operated leg inwards or outwards when sitting, standing or lying down – put pillows either side of leg when in bed to stop it rolling either way.
  • When sat, do not twist your body to reach for something – reach without twisting, ask for help or use a long-handled grabber instead.
  • When stood do not twist your body to reach for something. Instead move your feet so that the item can be reached without twisting.
  • Never swivel on the spot when stood – instead use small steps around the spot.
The Do’s
  • Keep the affected leg facing forward.
  • Keep the affected leg in front as you sit or stand.
  • Use a high kitchen or barstool in the kitchen.
  • You may use ice to reduce pain and swelling, but remember that ice diminishes sensation. Apply ice using an ice pack or wrapped in a damp towel – never apply ice directly onto the skin.
  • Do apply heat before exercising to assist with range of motion. Use a heating pad or hot, damp towel for 15 to 20 minutes.
  • Do cut back on your exercises if your muscles begin to ache, but don’t stop doing them!
Getting In/Out of the Car
  • Ensure passenger seat pushed all the way back.
  • Recline seat a little.
  • With walking aid in front of you, back up to car seat.
  • Sit in the car seat – use cushions/blankets to raise seat height if it is too low.
  • Move your legs gently into the car – a carrier bag can help under your bottom to allow you to slide more easily without twisting force on your hip.
  • If using plastic bag slide it/pull it from under you when ready to travel.
  • When getting out, lift your legs out, lean back, if you need help to clear your feet.
  • Place walking aid in front of you and stand up – placing weight on UNAFFECTED leg.
Climbing Up Stairs
  • Use the handrail or 2 crutches.
  • Lead with your non-operated leg first, then operated leg – finally using crutches or stick.
  • Family member/helper should stay on the step below, on the side of operation site if helping you to climb upstairs.
Coming Down Stairs
  • Use the handrail or 2 crutches.
  • Lead with your crutch or stick followed by your operated leg then your non-operated leg.
  • Family member/help should stay one step below, standing on operated side, when helping you downstairs.

Article by Rhonda Herring for Lynden Hill Clinic Patient Information Series

Knee Replacement (Arthroplasty) 

About Athroplasty

Knee replacement is usually indicated in severe instances of joint damage – often caused by arthritis – resulting in significant levels of pain and a detrimentally impacted quality of life.  The worn or diseased knee is replaced with either a total knee replacement, or if localized, one side of your joint is removed to allow for fitment of a partial knee replacement.  A knee replacement can be expected to last up to 20 years if cared for correctly.

Partial Knee Replacement (PKR or UKR)

The most common type of partial knee replacement is the Oxford Unicompartmental Knee Replacement (UKR).  This diseased/damaged area is removed and replaced with metal alloy and high density plastic components.  Recovery is usually quicker, the surgical incision site is smaller and patients often benefit from improved range of movement and flexion.

Total Knee Replacement (TKR)

A total knee replacement involves removing the damaged joint surface and replacing it with new metal components shaped to fit your femur and tibia.  A strong plastic disc is then placed between the 2 components to form your new joint surface.

Recovery Periods

Length of stay in hospital is usually between 3-5 days, although some patients may be able to leave a little sooner.  Your consultant will advise on exact factors for consideration, for instance if you are having a bilateral knee replacement your stay may be a little longer.  Your physiotherapist will generally aim at helping you mobilise 12-24 hours after your surgery and will provide you with a specific exercise programme to strengthen your knee and improve flexion.  Sometimes your physiotherapist may decide to put you on a passive motion machine which helps restore movement in your leg and knee.  Your physiotherapist may recommend using mobility aids such as a frame or crutches for walking as these provide support and assistance with weight-bearing.

Pain & Swelling

A knee replacement is major surgery and carries some risk of complications such as pain, stiffness, swelling and deep vein thrombosis (DVT).  Your consultant will prescribe adequate pain relieving medications which are vital in promoting wound healing and recovery time.  Ice may also be applied using a piece of equipment known as a Cryo Cuff and these are scientifically endorsed for significantly improving pain, reducing swelling and improving functional knee scores (Annals of Medicine Surgery, 2015).  Elevating your leg will also help reduce swelling.

Article by Rhonda Herring for Lynden Hill Clinic Patient Information Series

Indian Head Massage

Indian Head Massage
Indian Head Massage Berkshire

Indian head massage is a relaxing holistic treatment that uses acupressure massage on the head, face, neck and shoulders. It aims to rebalance your body’s energies.

What is Indian head massage?

Indian head massage is an ancient therapeutic treatment that has been practiced in India for thousands of years, and is incredibly relaxing. Part of the Hindu health care practice of Ayurveda, Indian head massage focuses on your head, neck and shoulders. It is a deep massage, which uses a variety of pressure and techniques that tap into your seven “‘chakras” or paths of energy and encourage healing and balance in your whole body.

Indian head massage has become a popular component of combined treatments or rituals, including massage and facials.

What is Indian head massage good for?

This form of massage focuses on the three higher “chakras” – mind, body and spirit and as such hits your energy epicentre.

It doesn’t seem sufficient to say that a good, long Indian head massage (involving proper neck and shoulder and back massage as well) will relax you. It’s more than this. It should actually make you feel detached and serene, and leave you sighing and wordless.

Even if you don’t experience this level of relaxation, this massage treatment offers all kinds of other benefits. It will relieve aches, pains and tension in your neck, back and shoulders, improve the texture of your hair and encourage it to grow. An Indian head massage stimulates the flow of blood, lymph and oxygen in your upper body which will clear your sinuses, relieve stress and help you sleep better. And because it can help cure headaches (even migraine!), eye strain and anxiety, an Indian head massage can even help you to concentrate better at work.

What’s more, the use of fragrant oils can stimulate as well as relax you, clearing your head, and soothing you even further.

All in all, an Indian head massage will leave you feeling happier and more relaxed all round.

Before you go

You should wear loose-fitting clothing, so that you don’t feel restricted or uncomfortable. It’s a good idea not to have too many layers. For an Indian head massage, the masseur is liable to want to massage your neck and shoulders, even your upper back, so a polo neck is a bad idea, as is complicated or tight-fitting underwear.

Indian head massage is kind to hair; it is not kind to hair-dos. Remove any hair bands, clips or slides before you go in, and book that hair appointment for the day after

Bear in mind as well that as you may have oils rubbed into your scalp – you might want to take a cap, “Alice” or other hair band with you to make yourself look respectable on your way home, or back at work.

Precautions

As with any treatment it is important to tell your therapist in advance if you:

  • are, or think you might be, pregnant
  • have any medical conditions or are receiving any treatment or medication
  • have recently had an injury or operation
  • are allergic to anything, particularly skin allergies
  • have any broken skin or sores on your scalp as this may affect the kind of oil and treatment you receive.

Be aware that after your massage your hair will smell very strongly of the essential oils used during the massage. If you’re going out for a meal afterwards, you might want to give your hair a good wash beforehand. Chances are it will still smell good, but less overpowering.

What to expect from an Indian head massage

A complete Indian head massage will probably take between 25 and 45 minutes. Your therapist will probably chat with you beforehand to get an idea of your lifestyle, any particular aches, pains or ailments you have. She may ask you if you are having any medical treatments or taking medicines, as this might affect which oils she uses, and what type of pressure and technique.

In an Indian head massage, you are likely to have oils rubbed into your scalp. You may be asked whether you have dry, greasy, normal hair so that the therapist can use an oil which will most improve your hair’s shine and texture. It’s worth mentioning, too, if you have dandruff, or thinning hair, as some oils are can help improve these conditions.

Be prepared for the fact that some of the massage will be quite firm – it can be quite an odd sensation to have your skull massaged, for example – but stick with it. You will feel really relaxed and serene afterwards. The results are worth it.

 

Afterwards

After an Indian head massage you are likely to feel great: relaxed, serene, ache-free, clear-headed, ready to tackle that important report for work, run the children ragged round the park, or fall asleep immediately, depending on the kind of oils used probably!Watch Full Movie Online Streaming Online and Download

But beware: you will feel great; you won’t look great. With all that oil stiffening on your hair, you’ll probably look like you put conditioner on it three days ago and forgot to rinse it out.

In the long-term, the deep-down effects of your Indian head massage may well leave your hair softer, shinier and in much better condition; in the short-term, wear a hat or a very cunning hair band.

Different types of Indian head massage

A lot of generic head and neck massages are based on techniques that you’ll find in Indian head massage. What you will find is that they may have removed the harder elements and will just stick to the gentler movements. This is fine, but may do you less good.

Indian head massage – in its pure or a derivative form – features as a component of many other treatments, including specific massages or facials, or combined treatments or rituals.

Original post from www.goodspaguide.co.uk/features/indian-head-massage