New Research Supports Pre-Surgical Therapy For Joint Replacements
Physical therapy is standard care after a total hip or knee replacement, but is there an advantage to working with a physical therapist before your joint replacement? New research weighs in; finding that therapy before surgery can significantly reduce the need for and cost of postoperative care.
There are about 50 million adults with physician-diagnosed arthritis, and these patients have a direct influence on the predicted growth of hip and knee replacements. As arthritis progresses, it can take a toll on joint mobility until joint replacement surgery is necessary to preserve or restore quality of life. Between 2005 and 2030, the number of total hip replacements is expected to grow by 174 percent (572,000 patients) and the number of total knee replacements by 673 percent (3.48 million patients).
Even though the length of hospital stays following these surgeries has decreased by more than half, the cost to administer post-surgical care in skilled nursing facilities and home health agencies is climbing.
However, a new study published in the October 2014 issue of the Journal of Bone & Joint Surgery suggests a way for patients to save on post-surgical costs and improve their joint replacement recovery. Study researchers followed the care usage patterns of more than 4,500 total knee and total hip replacement patients. When patients received one or two sessions of physical therapy, or “prehabilitation,” before their joint replacement (at an average cost of $100), their need for standard post-surgical physical therapy and other postoperative care decreased by almost 30 percent, saving each patient an average of $1,215 in postoperative care costs.
The study results suggest that when patients elect to have physical therapy in advance of their joint replacement—to prepare themselves for surgery, they may benefit from decreased need for post-operative rehabilitative care, and a savings in the total healthcare cost of their joint replacement.
When to seek treatment for your arthritis
Arthritis doesn’t have to spell the end of an active life. If you are experiencing worrisome symptoms or persistent pain, the renowned arthritis specialists at Summit Orthopedics can help. We work with you to confirm a diagnosis and develop an appropriate conservative treatment plan. If nonsurgical treatments fail to support your lifestyle goals, fellowship-trained orthopedic surgeons will consult with you and discuss appropriate surgical options. Summit is home to innovative joint replacement options. Our Vadnais Heights Surgery Center is one of only two surgery centers nationally to receive The Joint Commission’s Advanced Certification for Total Hip and Total Knee Replacement.
Summit has convenient locations across the Minneapolis-St. Paul metro area, serving Minnesota and western Wisconsin. We have state-of-the-art centers for comprehensive orthopedic care in Eagan, MN, Plymouth, MN, Vadnais Heights, MN, and Woodbury, MN, as well as additional community clinics throughout the metro and southern Minnesota.
More resources for you
Summit hand and upper extremity surgeon J.P. Delaney, M.D., explains the painful condition called “frozen shoulder” and shares what sufferers can do about it.
Summit hand and upper extremity surgeon — and enthusiastic fly fisherman — J.P. Delaney, M.D., tells you what you need to know about fishing if you’re concerned about hand, wrist, or shoulder injury.
Summit physical therapist and golf lover Josh Feeney, DPT, OCS, CGFI, gives advice on how to strengthen your grip for a great golf season.