How to Use Cold and Heat Therapy After a Joint replacement

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There is a saying among some orthopedic surgeons to their patients that the surgery was the easy part it's the rehabilitation that is the hard part. Never have truer words been said. After either a knee, hip, or shoulder has been substituted keeping the pain and swelling to manageable levels is no doubt an art.

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In corporeal therapy there are several hard and fast rules we tend to succeed when making ready patients for rehabilitation. The use of heat and cold therapies are normally brought up somewhere in the comprehensive discussion. Ordinarily its recommended that a outpatient will use heat on the surrounding tissue before rehearsal and ice or other type of cold therapy after the exercises. Now there are manifold ideas behind this law with most leading being, heat will relax the muscles nearby the joint manufacture them more pliable and easier to stretch and cold will help sell out the swelling after the rehabilitation and also sell out pain.

Heat and cold therapies have been nearby since the beginning of man and still promoted today. When I treat a outpatient which is in the home setting for instance, the joint that was substituted will not be quite as acute as it was in the hospital Therefore, one or both of these therapies may be discontinued by the outpatient but that is something I do not recommend. Before I get to the home I will recommend to the outpatient that a heating pad is placed nearby the surrounding joint not directly on it and also the proper toweling is to be used to preclude burning the soft tissue nearby the incision. This is normally applied 20-30 minutes before therapy is started. If its a knee change for instance the outpatient is asked to also elevate the affected limb while getting the heat although this is not thoroughly necessary.

The idea is by using the heat I can start by developing additional range of appeal in the knee or hip while the muscles are relaxed and well manipulated. This can also of policy be done by family members or yourself once properly trained to do so.

After the rehabilitation or your rehearsal session is completed, this is the time to immediately apply a cold pack to the the affected area for 20-30 minutes to help sell out the swelling and pain that was initiated after having the joint exercised. Also if its a knee change its advised to elevate the limb higher then your heart to help with the allowance of swelling. Again as with heat, do not place the cold pack directly on the skin, the pain while a joint change is hard adequate to handle at times without having to deal with frostbite as well. Unlike heat you can place the cold pack over toweling directly on the knee or hip. The cold therapy will not promote additional bleeding and swelling like heat will if placed directly over the joint.

Every individual has distinct tolerances to pain and swelling. You will meet people for instance that never used heat while their therapy and, will from time to time meet some patients who did not use cold therapy as well. I find that you can skip these modalities after a hip change if you choose, however, it is advised not to skip the cold therapy after a knee change as they seem to be more temperamental then the hip. Pain and swelling is more leading in the knee then in the hip.

Using heat and ice have their place in rehabilitation and can make your rehab feel tolerable.
Always check with your doctor or therapist if you have any questions about times or application of the above as there are many ways to use heat and ice with corporeal therapy and still be effective.

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