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 surgical operation was the easy part it's the rehabilitation that is the hard part. Never have truer words been said. After whether a knee, hip, or shoulder has been substituted holding the pain and swelling to manageable levels is no doubt an art.

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In bodily therapy there are any hard and fast rules we tend to follow when preparation patients for rehabilitation. The use of heat and cold therapies are commonly brought up somewhere in the ample discussion. Commonly its recommended that a outpatient will use heat on the surrounding tissue before practice and ice or other type of cold therapy after the exercises. Now there are multiple ideas behind this ideas with most leading being, heat will relax the muscles colse to the joint development them more pliable and easier to stretch and cold will help sacrifice the swelling after the rehabilitation and also sacrifice pain.

Heat and cold therapies have been colse to since the starting 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 propose to the outpatient that a heating pad is located colse to the surrounding joint not directly on it and also the proper toweling is to be used to prevent burning the soft tissue colse to the incision. This is commonly 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 completely necessary.

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

After the rehabilitation or your practice session is completed, this is the time to immediately apply a cold pack to the the affected area for 20-30 minutes to help sacrifice 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 reduction of swelling. Again as with heat, do not place the cold pack directly on the skin, the pain while a joint change is hard enough 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 supplementary bleeding and swelling like heat will if located directly over the joint.

Every personel has distinct tolerances to pain and swelling. You will meet citizen 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 sense tolerable.
Always check with your doctor or therapist if you have any questions concerning times or application of the above as there are many ways to use heat and ice with bodily therapy and still be effective.

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