Transcript Yoga and Joint Replacements

Steffany Moonaz, PhD, RYT-500




Damage to surrounding tissues
Consider lifespan of surgical technique
Don’t take surgery too lightly
Consider all management strategies
◦ Weight loss
◦ Strengthen surrounding tissues
◦ Pain management





Is QOL compromised?
Is posture compromised?
Relationship between fitness and recovery
“Bone-on-bone”
Pain is a subjective, individual experience





Set timeline with doc
Work around/with pain
Consider fitness for best recovery
Encourage education about options
Ask doc about recovery process



Get written permission to speak with doc
Get written report of movement limitations
Focus on other aspects of yoga practice
◦
◦
◦
◦


Breathing
Mindful movement
Relaxation
Meditation
Hope and Planning
Support network




Get clear about type of procedure
Know the movement limitations of each
They are an expert on how the joint works
Less about pain than ROM, function

Non-constrained
◦ Most common
◦ Relies on ligaments, muscles
◦ Work on stability

Semi-constrained
◦ More stable
◦ Some/all ligaments removed

Constrained or hinged
◦
◦
◦
◦

Severely damaged knees
Elderly
Revision procedures
Doesn’t last as long
Unicondylar
◦ Only one half replaced
◦ Some surgeons still opt for full replacement





Quadriceps setting (contraction)
Terminal knee extension (rolled towel under
knees)
Heels slides (toward glutes, slight stretch)
Straight leg raising (opposite bent)
Pillow squeezes (adductors)

Cemented
◦ Age 60+
◦ Gold standard
◦ Substance between bone and artificial component

Non-cemented
◦ Bone grows into metal
◦ Young, active candidates (loosen components)
◦ Scar tissue acts as cement

Hybrid fixation
◦ No cement on socket, cement on femur

Surface Replacement
◦ Neck of femur is preserved

For 6-8 weeks:
◦ Avoid bending the hip beyond 90 degrees.
(Consider sitting surfaces. Raise hips.)
◦ Avoid bending over from the hip.
◦ Avoid crossing the surgical leg over the nonsurgical leg.
◦ Keep the legs three to six inches apart.
◦ Avoid turning the operated leg inward (pigeontoed)

Standard
◦ One or both components replaced
◦ May be smoothed or capped with metal, plastic
◦ Cemented or uncemented

Reverse
◦
◦
◦
◦
Newer procedure
Not all surgeons will perform it
Ball becomes socket and vice-versa
Allows more ROM (above shoulder height)





No use of muscles for 6 weeks (pulleys, sling,
support during sleep)
3 months of gradual muscle use, stretching,
rehab
More intense muscle use after 3 months
2 years of antibiotics before medical
procedures, dental work
Intended for ADLs, not repetitive motion




Why do you need to know about these
procedures?
What is your role in each stage (before,
recovery, long term)?
Can/should you communicate with medical
providers? How?
What is the edge of your scope of work?