Kelowna Manual Therapy Centre Blog

Physiotherapy Before Knee Replacement

Monday, 21 October 2013

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Physiotherapists have long advocated that patients should try to improve their strength and mobility prior to undertaking any orthopedic surgery.

A previous blog showed the evidence for manual therapy and exercise in treating osteoarthritis of the hip and knee. If the physiotherapy is not effective or if the pain continues to increase then a total joint replacement may be necessary. A recent study published in the journal of strength and conditioning showed that individuals who undertook a ‘prehabilitation’ program prior to undergoing a total knee replacement demonstrated improved strength and function i.e. walking and stair climbing.

It is very common due to the pain and swelling that the leg muscles become weak. The good news is that no matter how bad the pain is an exercise program can be prescribed to improve strength and mobility.

The exercise program consisted of walking, as well as strengthening and range of motion exercises for the hip and knee muscles. So if you do have to undergo a total knee replacement you should consider seeing a physiotherapist to learn an appropriate ‘prehabilitation program’.

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About the author

Ross McKinnon

Ross is a 1995 graduate of the University of Manitoba. After graduation Ross continued to study and work in Georgia, USA, at a clinic renowed for treatment of patients, including professional athletes such as PGA golfers. While in Georgia, he went on to specialize in spinal rehabilitation. Ross returned to Canada in 2000 to work at Rutland Physical Therapy and continue his studies. Ross completed his post graduate Diploma in Manual and Manipulative Therapy from the Canadian Physiotherapy Association in 2005. This diploma allows the title Fellow of the Canadian Academy of Manual Physical Therapy (FCAMPT) to be used. In the fall of 2006, Ross joined the Kelowna Manual Therapy Centre as a partner. Since joining the clinic Ross has completed his Gunn Intramuscular stimulation training with Dr. Chann Gunn in Vancouver. Ross has a special interest in treating spinal conditions through manual therapy, IMS and specific therapeutic exercise. Ross is married with two sons. Ross is active cycling, running, hiking, camping and skiing. Ross is a volunteer coach with the Telemark nordic racing program, coaching 10-15 year old athletes.