Joint replacement surgeries, particularly for hips and knees, are increasingly common as we age or face issues like arthritis. If you’re preparing for one, you probably have plenty of questions and maybe a bit of uncertainty about what’s to come. Don’t worry—you’re not alone. As a physiotherapist, I work with people just like you every day, guiding them through the process of getting ready for surgery and then helping them get back on their feet afterwards.
This guide is here to help you feel confident and prepared before your surgery and make the most of your recovery.
Why Preparation is Key
Hip and knee replacements are big surgeries, but they’re also incredibly effective at restoring function and reducing pain. However, the key to a smoother, quicker recovery lies in preparation. The stronger and more mobile you are going into surgery, the better your recovery will be.
We call this “prehabilitation” or simply “prehab”—a series of exercises and lifestyle adjustments to ensure your body is in the best shape possible before your operation. Think of it like preparing for a marathon. The stronger and fitter you are beforehand, the easier the race (and the recovery) will be.
Get to Know Your Physiotherapist
It’s a good idea to meet with your physiotherapist before your surgery, not just afterwards. Physiotherapists can give you tailored exercises to strengthen the muscles around your hip or knee, which will help support the new joint post-surgery.
Building a relationship with your physiotherapist before your surgery means they can also guide you through what to expect after your operation. Having this kind of expert advice early on will give you the confidence to follow through on your recovery plan and get back to the activities you love faster.
Strengthen Your Muscles Before Surgery
The stronger the muscles around your joint, the better the outcome post-surgery. In the case of hip and knee replacements, focusing on the quadriceps, hamstrings, glutes, and core muscles is crucial. These muscles support the joint and play a big role in mobility.
Here are some simple prehab exercises that your physiotherapist may recommend:
- Straight Leg Raises: Lying down, keep one leg straight and lift it while tightening your thigh muscles. This helps strengthen your quadriceps without putting strain on your joint.
- Glute Bridges: Lie on your back with knees bent, then lift your hips towards the ceiling. This engages the glutes and core, which will help support your new joint.
- Mini Squats: Standing with feet shoulder-width apart, perform a small squat, keeping the weight through your heels. This is a gentle way to strengthen the muscles around your knee.
These exercises are designed to prepare your body for surgery, making your post-operative recovery easier and more effective.
Plan Your Home Recovery Space
Once your surgery is done, you’ll spend most of your recovery at home. Preparing your space beforehand is essential to ensure you can rest comfortably and safely. You might need to make a few adjustments:
- Clear Pathways: Make sure the areas you’ll be moving through regularly—such as the bedroom, bathroom, and kitchen—are free of trip hazards like rugs or loose cords.
- Supportive Seating: Choose a chair with a higher seat and armrests to make standing up and sitting down easier.
- Bathroom Safety: Consider installing a shower chair or grab rails, as bending and balancing in the early stages of recovery can be difficult.
Practice Using Walking Aids
If you’re going to be using a walking aid such as crutches, a walker, or a cane after surgery, it’s a good idea to get used to them beforehand. Learning how to walk with these aids will make you feel more confident and less reliant on others once you’re recovering at home. Your physiotherapist can show you the correct way to use them so you don’t develop bad habits that could slow your recovery.
Focus on a Healthy Lifestyle
Your overall health plays a significant role in how quickly and effectively you recover from surgery. Here are a few important areas to focus on:
- Healthy Diet: Eating a balanced diet rich in fruits, vegetables, and lean proteins will provide the nutrients your body needs to heal.
- Quit Smoking: If you’re a smoker, now is the time to quit. Smoking reduces blood flow, making it harder for your body to heal post-surgery.
- Stay Active: Even gentle activities like walking or swimming (if comfortable) can keep your body in good shape leading up to surgery.
Prepare Mentally for Surgery
It’s not just your body that needs to prepare—your mind does too. Joint replacement surgery can feel overwhelming, especially if you’ve been living with pain for a long time. Take the time to mentally prepare for the process by asking your surgeon and physiotherapist questions, understanding your timeline for recovery, and talking to people who have had similar surgeries.
Keeping a positive mindset can make a big difference in your recovery process. Knowing what to expect and having a plan in place will reduce stress and anxiety.
What Happens After Surgery?
Immediately following your surgery, you’ll likely start working with your physiotherapist in the hospital. They’ll help you get moving safely, prevent stiffness, and start strengthening the muscles around your new joint.
Once you’re home, your physiotherapist will continue to guide you through a rehabilitation program tailored to your needs. It will focus on regaining mobility, rebuilding strength, and helping you return to your normal activities, whether that’s walking the dog, playing golf, or simply moving pain-free.
Final Thoughts
Preparing for a hip or knee replacement can seem like a big challenge, but with the right preparation and support, you’ll set yourself up for a successful recovery. Take the time to strengthen your muscles, make your home safe, and talk to your physiotherapist to ensure you’re as ready as possible.
Remember, your journey to recovery doesn’t start the day of your surgery—it starts now.
Keeping a positive mindset can make a big difference in your recovery process. Knowing what to expect and having a plan in place will reduce stress and anxiety.