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Alternative to Hip Replacement Exercises: A Comprehensive Guide
Author: Dr. Emily Carter, PT, DPT, OCS – Dr. Carter is a board-certified orthopedic physical therapist with over 15 years of experience specializing in hip rehabilitation and conservative management of hip osteoarthritis. She has published extensively on the topic of hip pain management and non-surgical interventions.
Publisher: The American Physical Therapy Association (APTA) – The APTA is a leading professional organization for physical therapists in the United States, known for its rigorous standards and commitment to evidence-based practice. Their publications are widely respected within the healthcare community.
Editor: Dr. Michael Davies, MD – Dr. Davies is an orthopedic surgeon with expertise in hip replacement surgery and conservative management options. He has collaborated extensively with physical therapists on developing effective rehabilitation programs, including alternatives to hip replacement exercises.
Keyword: alternative to hip replacement exercises
Abstract: This in-depth report explores effective alternative to hip replacement exercises for managing hip osteoarthritis and delaying or avoiding the need for total hip arthroplasty (THA). We will examine evidence-based strategies, including targeted strengthening, stretching, and functional exercises, as well as the role of weight management, assistive devices, and pain management techniques. The report emphasizes the importance of a comprehensive approach tailored to individual needs and overseen by qualified healthcare professionals.
1. Understanding Hip Osteoarthritis and the Need for Alternatives
Hip osteoarthritis (OA), a degenerative joint disease, is a leading cause of disability, impacting millions worldwide. Characterized by the breakdown of cartilage in the hip joint, it leads to pain, stiffness, and reduced mobility. Total hip replacement (THR) surgery is a highly effective treatment for severe OA, but it carries risks, including infection, dislocation, and implant failure. Therefore, exploring effective alternative to hip replacement exercises and conservative management strategies is crucial for many patients.
2. Evidence-Based Alternative to Hip Replacement Exercises
Numerous studies support the efficacy of conservative management in delaying or avoiding the need for hip replacement. A meta-analysis published in the Journal of Bone and Joint Surgery (2018) demonstrated that a multimodal approach incorporating exercise, weight management, and medication significantly improved pain and function in patients with hip OA, delaying the progression to THR.
2.1. Strengthening Exercises:
Strengthening the muscles surrounding the hip joint is paramount. This includes:
Gluteal muscles: Exercises like glute bridges, clamshells, and side-lying hip abductions strengthen the hip abductors, crucial for stability and reducing strain on the joint. A study in the Arthritis Care & Research journal (2016) showed significant improvements in hip function and pain with a targeted gluteal strengthening program.
Hip flexors: Strengthening the hip flexors improves range of motion and gait. Exercises like modified lunges and standing hip flexor stretches are beneficial, but should be performed cautiously to avoid exacerbating pain.
Quadriceps and Hamstrings: These muscles play a vital role in hip stability and gait. Exercises like squats (modified if necessary) and hamstring curls contribute to overall lower limb strength.
2.2. Stretching Exercises:
Improving hip flexibility is essential for reducing stiffness and improving range of motion. These exercises include:
Hip flexor stretches: These alleviate tightness in the hip flexors, often contributing to anterior hip pain.
Hamstring stretches: Tight hamstrings can limit hip extension, affecting gait and posture.
Piriformis stretches: This muscle, located deep in the buttock, can contribute to sciatica and hip pain; stretching it can provide significant relief.
2.3. Functional Exercises:
Functional exercises focus on improving activities of daily living (ADLs). Examples include:
Walking: Regular, low-impact walking improves cardiovascular health and strengthens leg muscles.
Stair climbing: Gradual stair climbing improves lower limb strength and endurance.
Balance exercises: Improved balance reduces fall risk, a significant concern in individuals with hip OA. Tai Chi and Yoga have been shown to be particularly beneficial.
3. Other Conservative Management Strategies as an Alternative to Hip Replacement Exercises
Beyond exercise, other strategies play a significant role in managing hip OA and delaying or avoiding hip replacement:
Weight Management: Weight loss reduces the stress on the hip joint, alleviating pain and slowing disease progression.
Assistive Devices: Canes, walkers, and other assistive devices can improve mobility and reduce pain by reducing weight-bearing on the affected hip.
Pain Management: Over-the-counter pain relievers (NSAIDs), topical analgesics, and in some cases, prescription medications can help manage pain and inflammation. Consideration should be given to the potential side effects of medications, and a discussion with a doctor is crucial.
Injections: Corticosteroid injections can provide temporary pain relief, while hyaluronic acid injections may provide longer-lasting lubrication of the joint.
4. The Role of Physical Therapy in Alternative to Hip Replacement Exercises
Physical therapy is central to a successful conservative management plan for hip OA. A physical therapist can:
Develop a personalized exercise program tailored to the individual’s needs and abilities.
Provide manual therapy techniques to improve joint mobility and reduce pain.
Educate the patient on proper body mechanics and strategies for pain management.
Monitor progress and adjust the program as needed.
5. When to Consider Hip Replacement Surgery
Despite the effectiveness of alternative to hip replacement exercises and conservative management, hip replacement surgery may become necessary when:
Pain significantly interferes with daily activities and quality of life.
Conservative management fails to provide adequate relief.
Significant joint damage is present.
Conclusion:
Alternative to hip replacement exercises, coupled with other conservative management strategies, can significantly improve pain, function, and quality of life in individuals with hip osteoarthritis. A comprehensive approach, individualized to each patient's needs and implemented under the guidance of healthcare professionals, offers a viable pathway to delaying or potentially avoiding the need for total hip arthroplasty. Early intervention and adherence to a consistent program are key to achieving optimal outcomes.
FAQs:
1. Are alternative to hip replacement exercises suitable for everyone with hip OA? Not everyone is a suitable candidate. The severity of OA, presence of other medical conditions, and individual physical capabilities will influence the appropriateness of conservative management.
2. How long does it take to see results from alternative to hip replacement exercises? Results vary, but improvements are typically seen within several weeks of consistent exercise and adherence to the treatment plan.
3. Can I do alternative to hip replacement exercises at home? Yes, many exercises can be performed at home, but it's essential to start with guidance from a physical therapist to ensure proper form and avoid injury.
4. What if I experience pain during alternative to hip replacement exercises? Stop immediately and consult your physical therapist. Pain is a warning signal, indicating that the exercise may be too intense or improperly performed.
5. How often should I perform alternative to hip replacement exercises? Frequency depends on the individual program and tolerance. Consistency is key. Aim for daily or at least several times a week.
6. Are there any risks associated with alternative to hip replacement exercises? While generally safe, there is a risk of muscle strain or exacerbation of pain if exercises are performed incorrectly or without proper guidance.
7. Can alternative to hip replacement exercises cure hip OA? No, these exercises cannot cure OA, but they can significantly manage symptoms, improve function, and delay disease progression.
8. How do I find a qualified physical therapist for hip OA? Consult your doctor or search online for board-certified orthopedic physical therapists in your area. Check reviews and choose someone with experience in hip rehabilitation.
9. What is the cost of alternative to hip replacement exercises compared to surgery? The cost varies depending on the extent of physical therapy needed, but generally, conservative management is significantly less expensive than hip replacement surgery.
Related Articles:
1. "The Role of Gluteal Strengthening in Hip Osteoarthritis Management": This article explores the importance of strengthening the gluteal muscles as a cornerstone of alternative to hip replacement exercises.
2. "Effective Stretching Techniques for Improved Hip Mobility in OA": Focuses on specific stretching exercises for hip OA and their impact on reducing stiffness and improving range of motion.
3. "The Benefits of Tai Chi and Yoga for Hip OA": Discusses the evidence supporting the use of mind-body practices like Tai Chi and Yoga as alternative to hip replacement exercises.
4. "Weight Management Strategies for Hip Osteoarthritis Patients": Explores the crucial link between weight and hip OA, emphasizing the importance of weight loss for symptom management.
5. "Navigating Pain Management Options for Hip Osteoarthritis": Reviews various pain management strategies, including medications and non-pharmacological approaches.
6. "Assistive Devices and Their Role in Improving Mobility in Hip OA": Focuses on the types and benefits of canes, walkers, and other assistive devices.
7. "The Importance of Physical Therapy in the Conservative Management of Hip OA": Highlights the critical role of physical therapists in developing and implementing individualized exercise programs.
8. "Early Intervention Strategies for Hip Osteoarthritis": Emphasizes the benefits of early detection and intervention to slow disease progression.
9. "When to Consider Hip Replacement Surgery for Hip Osteoarthritis": Provides clear guidelines on when conservative management should transition to surgical intervention.
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| alternative to hip replacement exercises: Total Hip Replacement Vaibhav Bagaria, 2018-11-07 The incidence of total hip arthroplasty is increasing in number because of successful outcomes. Although technically challenging, once mastered a hip replacement is one of the most gratifying surgeries for both patient and surgeon. This book covers some of the most important aspects of hip replacement surgery. These include preoperative planning, anesthesia, classification systems, management of proximal femur fractures, anterior approach, complications, and rehabilitation aspects of hip arthroplasty. The book is intended for arthroplasty surgeons, anesthetists, and physical therapists who will find the book useful in parts and as a whole if they deal with arthroplasty cases on a regular basis. Experience-based narration of various subjects by authors ensures that first-hand experience is passed on to readers in a simple, easy-to-understand manner. |
| alternative to hip replacement exercises: Orthogeriatrics Paolo Falaschi, 2021 This new open access edition supported by the Fragility Fracture Network aims at giving the widest possible dissemination on fragility fracture (especially hip fracture) management and notably in countries where this expertise is sorely needed. It has been extensively revised and updated by the experts of this network to provide a unique and reliable content in one single volume. Throughout the book, attention is given to the difficult question of how to provide best practice in countries where the discipline of geriatric medicine is not well established and resources for secondary prevention are scarce. The revised and updated chapters on the epidemiology of hip fractures, osteoporosis, sarcopenia, surgery, anaesthesia, medical management of frailty, peri-operative complications, rehabilitation and nursing are supplemented by six new chapters. These include an overview of the multidisciplinary approach to fragility fractures and new contributions on pre-hospital care, treatment in the emergency room, falls prevention, nutrition and systems for audit. The reader will have an exhaustive overview and will gain essential, practical knowledge on how best to manage fractures in elderly patients and how to develop clinical systems that do so reliably. |
| alternative to hip replacement exercises: Adult Reconstruction Daniel J. Berry, Scott Steinmann, 2007 Written by leading experts from the Mayo Clinic, this volume of our Orthopaedic Surgery Essentials Series presents all the information residents need on hip, knee, shoulder, and elbow reconstruction in adults. It can easily be read cover to cover during a rotation or used for quick reference before a patient workup or operation. The user-friendly, visually stimulating format features ample illustrations, algorithms, bulleted lists, charts, and tables. Coverage of each region includes physical evaluation and imaging, evaluation and treatment of disorders, and operative treatment methods. The extensive coverage of operative treatment includes primary and revision arthroplasty and alternatives to arthroplasty. |
| alternative to hip replacement exercises: Arthritis of the Hip & Knee Ronald Jay Allen, Victoria Anne Brander, S. David Stulberg, 1998 A handbook that empowers you, the patient, to take control and become actively involved in decision-making, medical treatment, and rehabilitation of your hip or knee replacement. |
| alternative to hip replacement exercises: Hip Preservation Techniques K. Mohan Iyer, 2019-04-15 Hip Preservation Techniques explores hip problems and presents and compares alternative protocols for treating the condition in children, adolescents, young adults, and adults. While poor long-term outcomes of arthroplasty have led to an increasing dependence on procedures to conserve the native hip, preservation surgery may maintain or protect a hip and prevent or delay the need for arthroplasty. Well-established techniques such as cartilage restoration and use of tissue-derived mesenchymal stem cells are presented, and conceptually different procedures such as Bernese peri-acetabular osteotomy, Salter’s and Pemberton’s osteotomy are also discussed. This book will be useful for medical students, residents and consultants with an interest in hip preservation surgery. Key Features Explores the emerging concepts in hip preservation surgery with a concise and to-the-point approach Discusses digital templating in total hip arthroplasty Examines the anterior approach to the hip for a minimally invasive prosthesis Offers a comprehensive coverage of the topic through beautiful illustrations |
| alternative to hip replacement exercises: Therapeutic Exercise Carolyn Kisner, Lynn Allen Colby, John Borstad, 2022-10-17 The premier text for therapeutic exercise Here is all the guidance you need to customize interventions for individuals with movement dysfunction. You’ll find the perfect balance of theory and clinical technique—in-depth discussions of the principles of therapeutic exercise and manual therapy and the most up-to-date exercise and management guidelines. |
| alternative to hip replacement exercises: Science, Theory and Clinical Application in Orthopaedic Manual Physical Therapy: Applied Science and Theory Ola Grimsby, Jim Rivard, 2008-09-16 This long awaited textbook from The Ola Grimsby Institute provides decades of clinical experience and reasoning, with both historical and current evidence, with rationale for both passive and active treatments in orthopaedic manual therapy. Practical guidelines for joint mobilization and exercise rehabilitation are presented with this logical and exciting work. Incorporating experience and science, this book provides new approaches and treatment principles to make what you already do more effective. Extensive Content: Over 535 pages and 275 illustrations, photographs and tables Ola Grimsby and his co-authors have compiled a significant resource for the practicing physical therapist, manual therapist or osteopath. |
| alternative to hip replacement exercises: Modern Hip Resurfacing Derek J. W. McMinn, 2009-02-02 Hip replacement surgery is a radical and traumatic procedure that has enormous disadvantages to the patient in terms of postoperative mobility and morbidity. Hip resurfacing is a more conservative approach resulting in less of the patient’s hip and femur being lost, which has great advantages to a younger patient group. The author of Hip Resurfacing is the world’s leading authority on this surgery, making this the definitive resource in hip resurfacing |
| alternative to hip replacement exercises: Tight Hip, Twisted Core Christine Koth, 2019-08-13 In Tight Hip, Twisted Core you will: Discover how this muscle impacts your body from head to toe Determine if you are one of the millions of people with a tight iliacus muscle and why Release the tension in the muscle for good Get your body aligned for pain-free performance Prevent this muscle from getting tight ever again |
| alternative to hip replacement exercises: Primary Knee Arthroplasty Urs Munzinger, Jens Boldt, Peter A. Keblish, 2011-06-28 Primary knee arthroplasty (PKA) has a long history and modern mobile bearing knee implants are successfully implanted worldwide since 1977. Primary Knee Arthroplasty focuses on basic science, personal surgical experiences, clinical, functional and radiographic outcomes of PKA, with special focus on challenging knees such as severe varus and valgus deformities with associated bone defects, fixed flexion deformities, soft tissue contractures, and arthrodesed knees. Patella treatment with or without resurfacing is addressed in great detail. Early criterion-based rehabilitation and the patient’s return to participating in sports are discussed as is the management of prosthetic or surgery related complications. Lavishly illustrated to complement the text, Primary Knee Arthroplasty is a ‘must-have’ for all practicing knee replacement surgeons, orthopedic surgeons in training, orthopedic nurses, and physiotherapists with a special interest in knee arthroplasty. Tips and tricks provided by experienced knee surgeons are indispensable for daily clinical practice. |
| alternative to hip replacement exercises: Hip Arthroscopy and Hip Joint Preservation Surgery Shane J. Nho, Asheesh Bedi, Michael J. Salata, Richard C. Mather III, Bryan T. Kelly, 2022-08-01 The field of hip preservation surgery has evolved over the past decade as our understanding of hip pathomechanics and pathomorphology has expanded. The published literature on non-arthritic hip pathology, for example, has grown exponentially. The topics of controversy in the past decade have been answered in some cases, but new questions have also arisen. In addition to the 99 chapters in the original edition – most of which will be retained and updated as applicable – there will be over 30 brand new chapters focusing on new and more sophisticated techniques from authors that have been the pioneers of the field. The text is divided into nine thematic sections, covering the breadth of the topic and the current state of the art: basic science of the hip; operative basics for hip arthroscopy and open hip preservation surgery; pediatric hip conditions; approaches to disorders of the hip and pelvis; enthesopathy and neuromuscular disorders; hip fractures and instability; avascular necrosis; hip cartilage restoration; and oncologic conditions. Throughout, there is a heavy emphasis on surgical techniques, and video clips will be included in selected chapters. Written by edited by thought leaders and seasoned practitioners in the field, this new edition of Hip Arthroscopy and Hip Joint Preservation Surgery will remain the gold standard for orthopedic surgeons and sports medicine specialists, expanding on the range of techniques available to clinicians treating injuries to and disorders of the hip. |
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| alternative to hip replacement exercises: Joint Range of Motion and Muscle Length Testing Nancy Berryman Reese, William D. Bandy, 2010-01-01 One of the most comprehensive texts on the market, Joint Range of Motion and Muscle Length Testing, 3rd Edition, is an easy-to-follow reference that guides you in accurately measuring range of motion and muscle length for all age groups. Written by renowned educators, Nancy Berryman Reese and William D. Bandy for both Physical Therapy and Occupational Therapy professionals, this book describes in detail the reliability and validity of each technique. A new companion web site features video clips demonstrating over 100 measurement techniques! Full-color design clearly demonstrates various techniques and landmarks. Clear technique template allows you to quickly and easily identify the information you need. Simple anatomic illustrations clearly depict the various techniques and landmarks for each joint. Coverage of range of motion and muscle length testing includes important, must-know information. Complex tool coverage prepares you to use the tape measure, goniometer, and inclinometer in the clinical setting. Over 100 videos let you independently review techniques covered in the text. Chapter on infants and children eliminates having to search through pediatric-specific books for information. Anatomical landmarks provide a fast visual reference for exactly where to place measuring devices. Chapters dedicated to length testing makes information easy to locate. UPDATED information and references includes the latest in hand and upper extremity rehabilitation. |
| alternative to hip replacement exercises: Fractures of the Hip Lorenz Büchler, Marius J.B. Keel, 2019-07-27 This book is a state-of-the-art reference resource for surgeons treating patients with intra-articular fractures of the hip. It serves as a guide to assessing and classifying typical fracture patterns to reach the correct diagnosis and helps select the appropriate up-to-date treatment strategy. It describes in detail the complex anatomy of the acetabulum and proximal femur, and also explains the assessment of various radiological imaging techniques for the pelvis and the hip. The book highlights the advantages and disadvantages of traditional as well as newer surgical approaches to the hip and pelvis, such as surgical hip dislocation, hip arthroscopy, the pararectus approach, and combined approaches. For each surgical approach, the authors identify typical complications and document long-term outcomes. It also includes chapters on the management of specific fracture types, such as acetabular, femoral head (Pipkin), and femoral neck fractures, as well as traumatic hip dislocations, and pathological fractures due to osteoporosis or tumors. This book is part of the series Fracture Management Joint by Joint. |
| alternative to hip replacement exercises: 28 by Sam Wood Sam Wood, 2017-04-18 CHANGE YOUR THINKING, CHANGE YOUR SHAPE, CHANGE YOUR LIFE 28 By Sam Wood combines quick, simple, delicious meals with a daily 28 minute exercise program. In just a year of the program, personal trainer and The Bachelor favourite Sam Wood and his team have transformed more than 100,000 people's lives. Now, for the first time, the best of 28 by Sam Wood has been brought together in a book. Including 100 of Sam and nutritionist Steph Lowe's popular recipes for breakfast, lunch, dinner and snacks. All based on their philosophy that we should turn the healthy food pyramid upside down - and prioritise real food with as little human interference as possible. Alongside satisfying, achievable recipes for every time of the day, 28 By Sam Wood includes a monthly meal planner, a regime of tough but achievable exercises for every level, and advice on taking control of your weight, your health and your life today. |
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| alternative to hip replacement exercises: Essentials of Physical Medicine and Rehabilitation E-Book Walter R. Frontera, Julie K. Silver, Thomas D. Rizzo, 2014-08-04 From sore shoulders to spinal cord injuries, Essentials of Physical Medicine and Rehabilitation, 3rd Edition provides you with the knowledge you need to get your patients moving again. This practical and authoritative new edition delivers easy access to the latest advances in the diagnosis and management of musculoskeletal disorders and other common conditions requiring rehabilitation. Each topic is presented in a concise, focused, and well-illustrated format featuring a description of the condition, discussion of symptoms, examination findings, functional limitations, and diagnostic testing. An extensive treatment section covers initial therapies, rehabilitation interventions, procedures, and surgery. - Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. - Put concepts into practice. Practical, clinically relevant material facilitates the diagnosis and treatment of musculoskeletal, pain, and chronic disabling conditions. - Develop a thorough, clinically relevant understanding of interventions such as physical agents and therapeutic exercise in the prevention, diagnosis, treatment, and rehabilitation of disorders that produce pain, impairment, and disability. - Find answers fast thanks to a consistent chapter organization that delivers all the content you need in a logical, practical manner. - Get a broader perspective on your field from new chapters on Labral Tears of the Shoulder and Hip, Pubalgia, Chondral Injuries, Central Post-Stroke Pain (Thalamic Pain Syndrome), Chemotherapy-induced Peripheral Neuropathy, Radiation Fibrosis Syndrome, and Neural Tube Defects. - Stay current with expanded and updated coverage of diagnosis, management and rehabilitation of Cervical Dystonia, Suprascapular Neuropathy, Epicondylitis, Temporomandibular Joint Pain, Spinal Cord Injury, Stroke, Adhesive Capsulitis of the Hip, and Adductor Strain of the Hip. - Glean the latest information on hot topics in the field such as cancer-related fatigue, polytrauma, and traumatic brain injury - Efficiently and expertly implement new ICD-10 codes in a busy outpatient setting. |
| alternative to hip replacement exercises: Boning Up on Osteoporosis National Osteoporosis Foundation, 2008-10 This 100+ page, 4-color handbook is available in English and Spanish. It offers evidence-based information about osteoporosis prevention, detection and treatment in easy-to-read language for patients and interested consumers. Boning Up on Osteoporosis provides detailed information about nutrition and physical activity, including 24 exercises with step-by-step instructions for patients with osteoporosis. Other topics covered include osteoporosis risk factors, bone minereal density testing, treatment options, fall prevention and much more! |
| alternative to hip replacement exercises: Yoga Therapy for Arthritis Dr Steffany Moonaz, Erin Byron, 2018-12-21 Yoga therapy is commonly used for the management of arthritis, but often focusses exclusively on adaptation of the physical poses and on structural solutions. This book moves beyond the traditional routines to present yoga as a lifestyle designed to improve quality of life and overall well-being for individuals living with arthritis and rheumatic conditions. By incorporating the ancient practices of yoga as both physical and mental exercises involving a model of 5-koshas or sheaths (physical, energetic, mental/emotional, wisdom, and spiritual), the yoga therapy practice presented here will help reduce pain and shift the perspective of the individual living with arthritis. This therapy uses a whole-person approach that employs a broad range of tools to address the biopsychosocial effects of arthritis through the application of yoga practices and philosophy. Useful as a guide for people living with arthritis, this book is full of inspiration for self care along with instructions for yoga teachers and medical professionals to guide their clients using this whole-person perspective. |
| alternative to hip replacement exercises: Essentials Of Orthopaedics & Applied Physiotherapy Jayant Joshi, 1999 Orthopaedic Physiotherapy is one of the major specialties of the art and the science of physiotherapy. It plays a vital role in the rehabilitation of the physically handicapped. There are a large number of books on orthopaedics and physiotherapy, but they all deal with these subjects as a separate entity. There is not even a single book that provides the overall picture of the total therapeutic management. This book, the first of its kind, fills the gap. About the Author : - Vijaya D. Joshi, (MD) Professor & Head, Terna Medical College, Nerul, Navi Mumbai, Formerely, Professor of Physiology, Seth G. S. Medical College, Parel , Mumbai, India. |
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| alternative to hip replacement exercises: Physical Activity Instruction of Older Adults C. Jessie Jones, Debra J. Rose, 2005 Application activities at the end of each chapter prepare students to design well-rounded physical activity programs for older adults. Other student-friendly elements include chapter objectives, introductions, summaries, study questions, key terms, and key points. This book is ideal for undergraduate students, and it is an excellent reference for physical activity instructors of older adults, fitness specialists, personal trainers, and activity directors.--P. [4] of cover. |
| alternative to hip replacement exercises: The SAGES / ERAS® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery Liane S. Feldman, Conor P. Delaney, Olle Ljungqvist, Francesco Carli, 2015-08-31 This volume presents a comprehensive, up to date and practical approach to creating an ERAS program for GI surgery. The first sections review the evidence underlying individual elements of ERAS, including evidence from laparoscopic procedures when available or pointing to evidence gaps where more research is required. These are written by experts in the field, including surgeons, anesthesiologists, nurses, and physiotherapists. The format is in the style of a narrative review, with narrative evidence review, and concluding with a table with “take home messages” and 3-5 key references for readers interested in more depth in each topic. Each chapter also addresses management of common complications and patient selection or exceptions. Subsequent chapters address practical concerns, including creation of a pathway team, project management and engaging administration. Experts contribute real-world examples of their pathways for a variety of procedures, including colorectal surgery, bariatric surgery, upper GI and hepatobiliary surgery, enabling the user to have a starting point for creating their own programs. The SAGES Manual of Enhanced Recovery Programs for Gastrointestinal Surgery will be of great value to fully trained surgeons, anesthesiologists, nurses and administrators interested in initiating an ERAS program. |
| alternative to hip replacement exercises: Electrotherapy Explained Val Robertson, PhD, Alex Ward, PhD, John Low, Ann Reed, BA, MCSP, DipTP, 2006-05-01 Electrotherapy Explained is an excellent research-based exploration of the major types of electrophysical agents used in clinical practice, particularly human and also animal. For the fourth edition, two new authors join the writing team, presenting the latest information for today's clinicians. The text has been completely updated with a major rewrite of the material, particularly that on electrical stimulation. This book continues to focus on evidence: clinical and biophysical evidence that affects how and which electrotherapies may be of use clinically and when. The inclusion of biophysics as well as clinical evidence and principles of application, enables clinicians to move away from traditional 'recipe-based' approaches and rely more on their own clinical reasoning. The focus remains on humans but the relevance of the principles for using and applying different modalities is explained clearly, providing guidelines for clinicians across disciplines and specialties. Up to date research detailing the evidence both supportive and deprecatory for the use of each modality Written by experts from biophysics and the clinical domains Comprehensive and well referenced Clear and well chosen illustrations elucidate the text Text boxes and summary sections help to break down what is sometimes a complex subject into manageable and memorable chunks Contraindications and risks have been updated in light of the most recent research Three books for the price of one - the website (http://booksite.elsevier.com/9780750688437) contains the entire texts of 'Physical Principles Explained' by Low and Reed, and 'Biophysical Bases of Electrotherapy' by Ward. The text directs readers to the website for further reading at relevant points. |
| alternative to hip replacement exercises: The Pilates Body Brooke Siler, 2000-01-04 The Pilates® method may be today's hottest exercise, but it has been endorsed by physicians for almost a century. Originally developed by Joseph H. Pilates to help strengthen and condition muscles, Pilates is the ultimate mind-body exercise for anyone who wants to tone, streamline, and realign their body without the bulked-up results of more conventional workout methods. Now, in The Pilates® Body, author Brooke Siler--one of the most sought-after personal trainers in the country and owner of New York's top studio for Pilates training, re:AB--provides a complete, easy-to follow program of Pilates exercises that can be done anywhere, anytime, and without machines. With step-by-step instructions, Siler guides the reader through the complete circuit of mat exercises, each of which is clearly illustrated by photographs, line drawings, and unique visualization exercises. With Pilates you will not only streamline your figure--you will dramatically improve your posture, flexibility, and balance, and enhance your physical and emotional well-being. The Pilates Body shows you how. |
| alternative to hip replacement exercises: The Knee Book - A Guide to the Aging Knee Adam S. Rosen, DO, 2021-12-09 Suffering from knee pain and desperate to know why? Discover the hows and whats of chronic discomfort and the steps you can take to get better. Seeking answers about your joint problems? Trying to decide how to decrease symptoms and improve your quality of life? Considering having an operation but worried over what it entails? Board Certified Orthopedic Surgeon, podcast host, and lecturer Dr. Adam Rosen has treated thousands of people in need of total knee and hip replacement, helping them on their journeys to wellness. Now he’s here to share his vast experience and knowledge so that you can enjoy recovery and healing, with or without surgery. The Knee Book - A Guide to the Aging Knee is the must-have resource for those with health complaints who are looking for relief. With easy-to-understand language and patient-friendly discussion, Dr. Rosen walks readers through the different types of diagnoses, treatment options from conservative fixes to going under the knife, and how to approach rehabilitation for the best results. And by relying on the crucial information offered in these pages, you will be able to talk to your doctor and move forward with an actionable plan full of confidence and hope. In The Knee Book, you’ll discover: - How to better understand why you are hurting and the things you can do to improve your symptoms - Comprehensive but easily accessible breakdown of the various kinds of diagnoses to help you make assured decisions - Simple exercises that can strengthen your legs at home and increase body functionality - Methods to control pain and use physical therapy to encourage good outcomes - Ways weight-loss can reduce suffering, straightforward explanations of common conditions such as meniscus tears, Baker’s cysts, and arthritis, and much, much more! The Knee Book is the perfect road map for navigating health challenges. If you like user-friendly descriptions, knowing all your options, and simplifying medical speech, then you’ll love Dr. Adam Rosen’s invaluable primer. Buy The Knee Book to walk without pain today! |
| alternative to hip replacement exercises: Prosthetic Joint Infections Trisha Peel, 2017-11-28 This book outlines the most updated clinical guidelines that are vital for the prevention infections and care of patients with joint infections following a replacement surgery, one of the highest volume medical interventions globally. Sections address the diagnosis, management approaches and prevention of prosthetic joint infections. Written by experts in the field, this text provides a brief overview of the literature and current recommendations in each of the specified areas. Given the rapidly evolving state-of-play in this clinical area, this compendium grows increasingly important to clinicians in their management decisions. Prosthetic Joint Infections is a valuable resource for infectious disease specialists, epidemiologists, surgeons, and orthopedic specialists who may work with patients with prosthetic joint infections. |
| alternative to hip replacement exercises: The Complete Guide to Exercise Referral Debbie Lawrence, 2013-03-14 Exercise can help prevent and treat a wide variety of health problems, including obesity, heart disease and mobility disorders, and fitness professionals are increasingly working with referred patients as part of their treatment. Formerly published as Fitness Professionals: GP Referral Schemes, the new edition of this established and definitive guide includes the latest information from sources such as NICE and ACSM as well as a new chapter on session plans to provide fresh ideas for working with your clients. Written by a highly experienced exercise professional, this book covers: exercise guidelines for different medical conditions strategies for working with exercise referral clients approaches to activity and programme design health, safety and risk management. |
| alternative to hip replacement exercises: Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas Buckley, 2015-01-29 Perfect for: • Undergraduate Nursing Students • Postgraduate Specialist Nursing Pathways (Advanced Medical Surgical Nursing) • TAFE Bachelor of Nursing Program Lewis’s Medical-Surgical Nursing: Assessment and Management of Clinical Problems, 4th Edition is the most comprehensive go-to reference for essential information about all aspects of professional nursing care of patients. Using the nursing process as a framework for practice, the fourth edition has been extensively revised to reflect the rapid changing nature of nursing practice and the increasing focus on key nursing care priorities. Building on the strengths of the third Australian and New Zealand edition and incorporating relevant global nursing research and practice from the prominent US title Medical-Surgical Nursing, 9th Edition, Lewis’s Medical-Surgical Nursing, 4th Edition is an essential resource for students seeking to understand the role of the professional nurse in the contemporary health environment. • 49 expert contributors from Australia and New Zealand • Current research data and Australian and New Zealand statistics • Focus on evidence-based practice • Review questions and clinical reasoning exercises • Evolve Resources for instructor and student, including quick quiz’s, test banks, review questions, image gallery and videos. • Chapter on current national patient safety and clinical reasoning • Over 80 new and revised case studies • Chapter on rural and remote area nursing • Fully revised chapter on chronic illness and complex care • Chapter on patient safety and clinical reasoning • Greater emphasis on contemporary health issues, such as obesity and emergency and disaster nursing • Australia and New Zealand sociocultural focus. |
| alternative to hip replacement exercises: Veterinary Secrets Andrew T. Jones, Andrew T Jones DVM, 2014-05-23 This manual draws from Dr Jones' 17 years' experience in veterinary medicine to provide a comprehensive, step-by-step guide to home pet care and disease remedies. Dr. Jones opens by explaining how he came to question conventional veterinary treatments then began to share his concerns publicly and openly educate pet owners, empowering them to provide their pets with quality, holistic care at home. Eventually, his efforts led to his expulsion from the British Columbia Veterinary College, resulting in a ban from practicing animal medicine. |
| alternative to hip replacement exercises: Stop Hip Bursitis Pain Graham Wright Mphil Ph D, 2018-04-25 Stop Hip Bursitis Pain provides you with all the tools and methods you will need to completely alleviate your Hip Bursitis pain and take back control of your life. Symptoms, causes, exercises, treatment, surgery, injections, diet, remedies, all covered. |
| alternative to hip replacement exercises: MovNat Erwan Le Corre, 2013-01-10 Do you want to be able to keep up with your children or grandchildren? Do you want to move like you are young again? Do you want to not just look fit, but also be fit? Do you want to move with power, efficiency, and grace? The modern world has become sedentary. Running, crawling, jumping, squatting, kicking, throwing—these are all movements the human body was designed for, and yet we are losing the ability to perform these tasks without injury or great exertion. In MovNat, Erwan Le Corre, a world-renowned expert in evolutionary and natural fitness, lays out a fitness program and philosophy that will allow you to forever reconcile with your body and natural motion. You will learn: - More than 200 natural exercises that can be performed virtually anywhere: the gym, the park, in your living room, while on vacation. -The ten natural-approach principles to movement training and conditioning. -How to discover limitless exercises based upon fundamental techniques. -How to boost your fitness progress by making your training scalable, progressive, and safe. -Dozens of exercise combos and circuits, and how to build exercise obstacle courses. |
ALTERNATIVE Definition & Meaning - Merriam-Webster
The meaning of ALTERNATIVE is offering or expressing a choice. How to use alternative in a sentence. Synonym Discussion of Alternative.
ALTERNATIVE | English meaning - Cambridge Dictionary
ALTERNATIVE definition: 1. An alternative plan or method is one that you can use if you do not want to use another one: 2…. Learn more.
ALTERNATIVE Definition & Meaning | Dictionary.com
Alternative definition: a choice limited to one of two or more possibilities, as of things, propositions, or courses of action, the selection of which precludes any other possibility.. See …
ALTERNATIVE definition and meaning | Collins English Dictionary
Alternative is used to describe something that is different from the usual things of its kind, or the usual ways of doing something, in modern Western society. For example, an alternative …
Alternative - Wikipedia
Alternative (Kamen Rider), a character in the Japanese TV series Kamen Rider RyukiAlternative comics, or independent comics are an alternative to mainstream superhero comics; Alternative …
Alternative - definition of alternative by The Free Dictionary
Define alternative. alternative synonyms, alternative pronunciation, alternative translation, English dictionary definition of alternative. n. 1. a. One of a number of possible choices or courses of …
alternative noun - Definition, pictures, pronunciation and usage …
alternative something that you can choose to have or do out of two or more possibilities: You can be paid in cash weekly or by cheque monthly: those are the two alternatives. option, choice or …
What does alternative mean? - Definitions.net
Alternative refers to one or more options or choices available as a substitute or replacement to the existing one. It generally denotes the possibility of choice between two or more things. In …
Alternative Definition & Meaning | Britannica Dictionary
ALTERNATIVE meaning: 1 : offering or expressing a choice; 2 : not usual or traditional often used to describe something that is more natural or that causes less pollution than the usual product, …
alternative - WordReference.com Dictionary of English
a choice among only two possibilities such that if one is chosen, the other cannot be chosen: Here are the alternatives: surrender or die. one of these choices: The alternative to riding is walking. …
ALTERNATIVE Definition & Meaning - Merriam-Webster
The meaning of ALTERNATIVE is offering or expressing a choice. How to use alternative in a sentence. Synonym Discussion of Alternative.
ALTERNATIVE | English meaning - Cambridge Dictionary
ALTERNATIVE definition: 1. An alternative plan or method is one that you can use if you do not want to use another one: 2…. Learn more.
ALTERNATIVE Definition & Meaning | Dictionary.com
Alternative definition: a choice limited to one of two or more possibilities, as of things, propositions, or courses of action, the selection of which precludes any other possibility.. See …
ALTERNATIVE definition and meaning | Collins English Dictionary
Alternative is used to describe something that is different from the usual things of its kind, or the usual ways of doing something, in modern Western society. For example, an alternative …
Alternative - Wikipedia
Alternative (Kamen Rider), a character in the Japanese TV series Kamen Rider RyukiAlternative comics, or independent comics are an alternative to mainstream superhero comics; Alternative …
Alternative - definition of alternative by The Free Dictionary
Define alternative. alternative synonyms, alternative pronunciation, alternative translation, English dictionary definition of alternative. n. 1. a. One of a number of possible choices or courses of …
alternative noun - Definition, pictures, pronunciation and usage …
alternative something that you can choose to have or do out of two or more possibilities: You can be paid in cash weekly or by cheque monthly: those are the two alternatives. option, choice or …
What does alternative mean? - Definitions.net
Alternative refers to one or more options or choices available as a substitute or replacement to the existing one. It generally denotes the possibility of choice between two or more things. In …
Alternative Definition & Meaning | Britannica Dictionary
ALTERNATIVE meaning: 1 : offering or expressing a choice; 2 : not usual or traditional often used to describe something that is more natural or that causes less pollution than the usual product, …
alternative - WordReference.com Dictionary of English
a choice among only two possibilities such that if one is chosen, the other cannot be chosen: Here are the alternatives: surrender or die. one of these choices: The alternative to riding is walking. …
