With over 13 years of experience as an Interventional Cardiologist in the UK, Dr. Nimit Shah talks about the various risks and benefits of angioplasty, the different kinds of angioplasty procedures, and the different kinds of drug stents available in the country for the same.
With over 13 years of experience as an Interventional Cardiologist in the UK, Dr. Nimit Shah takes the time to explain the various causes of heart attacks in the country and the different treatments available for the same.
Hernia’s are a common ailment with over 10% of the world, men, women and children, developing one at some point in their life. It occurs when an organ pushes through the muscle or tissue opening holding it in place. A hernia is referred to the sac that consists of the lining of the peritoneum/abdominal cavity after it enters through the hole in the stronger muscle region of the abdominal wall surrounding the muscle or fascia. A hernia may be visible as a bulge in the abdomen, upper thigh, belly button and groin areas, depending on the location of its occurrence. Groin hernias are the most common, making up to 9/10 of hernia cases.
Types of hernia: 1. Inguinal Hernia: Occurring mostly in men due to the improper closure of the inguinal canal after postpartum testicle descent. This is a groin hernia.
2. Incisional hernia: When the organ pushes through the surgical incision after surgery, mostly abdominal. It can occur many years later through the scar of the initial surgery too.
3. Femoral Hernia: Another groin hernia, but one which is more common in women. Usually observed as a bulge on the upper thigh, exactly below the groin.
4. Umbilical Hernia: Almost exclusively seen in children and babies under 6 months old. This bulge around the navel is usually seen due to the improper closing of the muscles around the navel.
5. Hiatal Hernia: This is an abdominal hernia that occurs in the stomach’s upper region. This is observed when a part of the stomach’s upper part enters the hiatus, an opening in the diaphragm.
What can cause a hernia? A hernia is usually the result of a combination of weak muscles and straining due to lifting heavy objects. It is more likely to affect those born with weak abdominal muscles.
How do I know if I have a hernia? In a majority of cases, hernia patients do not exhibit many symptoms. What they might complain of though , is discomfort or pain which is exacerbated during standing, straining or while lifting heavy materials. Another common symptom is a sore and growing bump in the abdominal area. Major symptoms like nausea, vomiting, not being able to expel gas or have bowel movements occur when the hernia is strangulated, i.e., when it gets stuck due to increasing size and restricted blood supply. This is a medical emergency and should be operated on immediately.
Is surgery the only option? Not in all cases. Hernia treatment depends on the size of the hernia and the severity of the symptoms. In mild cases, lifestyle changes and medication may be enough to manage the situation. This is mostly true for hiatal hernias where dietary changes like avoiding heavy meals, lying down or bending over after meals can alleviate the symptoms. Keeping one’s body weight in check can also help. Hiatal hernia patients can also benefit from medications like antacids, H-2 receptor blockers, and proton pump inhibitors that reduce stomach acid.
If the hernia patient requires surgery, there are two options available depending on their case history. ● Open hernia repair or herniorrhaphy: The patient is provided either spinal, general or a combination of both anesthesias. An incision is then made in the groin and the hernia is moved back into the abdomen and the wall is reinforced with stitches. The weak muscles are reinforced through hernioplasty wherein they are provided additional support through the use of a synthetic mesh or screen. ● Laparoscopic surgery: A minimally invasive option that takes place under general anesthesia. Three incisions are made in the abdomen, one of them being through the umbilicus. The laparoscope, which is a thin tube with a camera at its end is then inserted through the umbilical port or opening. The camera then sends a magnified image from inside the body to a monitor, which gives the surgeon a close-up view of the hernia and allows them to repair the hernia with the help of a mesh. Patients undergoing laparoscopy experience a much shorter recovery period overall.
The type of surgery one undergoes totally depends on the surgeon, the type of hernia, its size and the patient’s history.
Is the recovery very painful? As with any surgery, there is a certain level of discomfort that is to be expected. However, this can be managed with pain medication. Resumption of normal activities depends on the patient’s progress and doctor’s evaluation, though vigorous activity and heavy lifting are restricted for several weeks. This holds true for both adults as well as children.
Living with hernia is no joke and left untreated, can cause fatal complications. If you or your loved ones are exhibiting symptoms of hernia, then going to a doctor for a full evaluation of the condition is a must. Early treatment is the best way to ensure a positive outcome.
The word aortic stenosis may seem alien, but the condition is one of the most common valvular heart diseases in the world. Usually seen in the elderly, with symptoms surfacing mostly after the age of sixty, Aortic stenosis may also be a congenital condition. Our heart contains four valves, the mitral, tricuspid, pulmonary and the aortic. The former two control the flow of blood from one chamber to another while the pulmonary and aortic direct the blood away from the heart. The pulmonary artery directs the blood to the lungs and the aortic artery directs the blood to the rest of the body. In this condition, an aortic valve begins to show signs of stenosis or narrowing, thus reducing its operating capacity. This results in a reduced supply of oxygenated blood to the body which leads to symptoms like breathlessness, chest pain, fainting and palpitations. If the symptoms are mild or not present, the cardiologist may decide to simply monitor and follow up. However, if the stenosis has shown significant progress and has started to exhibit major symptoms, then the best option is to undergo Transcatheter Aortic Valve Replacement (TAVR).
TAVR is a minimally invasive surgery, as in, the chest bones are not opened up as in a bypass. It is instead a lot like a stent placement procedure. Small incisions are made in one’s groin to access the femoral artery and a hollow tube is placed in it. The new valve is placed on a tube with a balloon tip on one end and crimped to fit the hollow tube. The hollow tube is then inserted into the femoral artery and pushed through until it reaches the diseased valve. At this point, the balloon is inflated which in turn expands the new valve and helps it take its place. The new valve pushes the leaflets of the original valve to secure its place. Once the new valve is up and running, the balloon is deflated and removed.
Transcatheter Aortic Valve Replacement is relatively new. As a result, it is advised only for high and immediate risk patients by regulatory authorities and has shown promise in treating patients at low risk too. As shown by extensive research, heart valve replacement is a safe and suitable option for elderly patients, with recent studies demonstrating a 94%   survival rate in 5 years. The survival rate for any individual patient also depends on other factors like their overall and cardiac health, co-morbid medical conditions and age. While early TAVR procedures demonstrated success rates of merely 70-80%, advanced cardiac care, surgical technologies and tools have increased the rates to as high as 92%. The overall procedure is also deemed to be nominally risky with a 2% chance of complications and fatalities across all age groups. This holds true even for elderly patients above 80.
The recovery process for Transcatheter Aortic Valve Replacement can take quite a few weeks. Most cardiologists recommend a course of blood thinners to prevent clots and antibiotics to prevent infection for their patient’s optimum recovery. Patients can expect to resume their normal activities gradually once they are totally recovered but will still have to undergo regular check-ups from their cardiologist. These check-ups are vital as they are meant to ensure that the patient’s heart and new valve are working properly.
When it comes to one’s heart, any risk is too big to take. For those whose lives have been restricted by aortic stenosis, Transcatheter Aortic Valve Replacement therapy provides an opportunity to lead a normal life with normal activities again. With experienced surgeons, advanced tools and techniques, this minimally invasive surgery is sure to change the lives of those who are suffering from the advanced stages of the disease.
Increasingly recommended for those with minimum blockages and low complications, angioplasties are now the standard of care for those with coronary artery disease. As the cardiologist may have already explained to you, this minimally invasive surgery has the surgeon thread a stent bearing balloon catheter through a blood vessel in your groin or arm till it reaches the blocked artery. The balloon is then inflated to push the plaque to the sides of the artery and the stent is put in place. The balloon is then deflated and removed and a bandage or groin sheath is put in place to prevent the patient from bleeding out. The other alternative is open-heart surgery or Coronary Artery Bypass Grafting where arteries from one’s arms or legs are grafted on to the existing coronary arteries. As this surgery is more invasive and requires a longer rehabilitation time, it is advocated only for cases where there are multiple or severe blockages or other complications are present.
Recovery after your procedure
The road to recovery after your angioplasty or bypass surgery can be long and at times frustrating. However, with a little precaution and care, one can improve their recovery process and sometimes even speed it up. Remember, self-care is critical after your procedure.
- Pain management: Dealing with the mental and physical after-effects of angioplasty or bypass can be aggravated by poor pain management. Therefore, staying on top your pain management schedule is vital for your recovery. Remember to regularly take your pain medication if so advised by your cardiac surgeon at the appointed times. Alleviating your pain can also help speed up the healing process.
- Get enough sleep: The old adage that sleep is the best medicine holds for those who have undergone bypass or angioplasty. It may be difficult to fall asleep in the first few days or weeks after your procedure, but there are some things that you can try to get the optimum amount of shut-eye. Things, like staying on top of your pain medications and avoiding caffeine in the evenings, can go a long way in helping you relax.
- Seek help: Experiencing a cardiac event can be a traumatic event for even the strongest people. It is quite normal to find yourself feeling vulnerable, anxious or depressed. If your feelings don’t go away or start affecting your day to day life, then it is best to consult a psychologist.
- Go to rehab: Going to a properly designed and comprehensive rehab programme can do wonders for your recovery process. So sign up for one if available.
- Remember that your journey is unique: Undergoing a major surgery or procedure is a life-changing event. It is best to be patient and focus on your journey and milestones instead of focusing on someone else’s. Depending on your situation it may take you six months or even a year to fully recover from your procedure. Be patient.
- Exercise and modify your lifestyle: Surgery won’t cut down your risks of getting another blockage or experiencing another cardiac event. Exercise and modified dietary and lifestyle habits are the only things that can reduce your chances.
- Avoid smoking and limit your alcohol intake.
A point to note at this point is that an angioplasty is not a complete cure. Blockages may still occur if the proper precautions like following your doctor’s dietary and exercise recommendations are not followed. A diet rich in fruits, vegetables, whole grains, nuts, etc and low in salt, sugar and oil is the one to follow. Medications like blood-thinners, statins that lower lipids and hypertension drugs should be consumed as per advice and not discontinued at whim. Smoking should be cut out of your life and include a daily exercise regimen of minimum 30 minutes instead. This will help manage your weight and other co-morbid conditions like hypertension, diabetes and high cholesterol too. A happy heart is a healthy one so keep stress at bay by taking up new hobbies and activities; these will elevate your mood and help your recovery process too. Last, but not least, don’t forget your regular check-ups with your cardiologist.
Undergoing a cardiac procedure is a huge event in one’s life. Taking the right precautions and care is a vital step towards one’s recovery and healthier life.
We have all heard the story. A relative or an acquaintance experiences chest pain and immediately rushes to the hospital only to find out that it was severe gas. A more morbid one has the relative ignore the chest pain as gas till it intensifies and upon being rushed to the hospital is found to have suffered a severe heart attack. All these stories underscore the symptomatic similarity between heartburn and heart attack but the truth is that while both are chest pains; they do differ in how they manifest and in symptoms. In fact, 50% of heartburns are mistaken for heart attacks in Emergency Rooms.
So what does one do when faced with debilitating chest pain? The first thing to do is calm down and figure out one’s symptoms.
Classic symptoms of heartburn are:
- A burning sensation in the breastbone or lower part of the chest or in the upper part of the stomach
- Radiating pain towards your throat instead of shoulders and arms
- Feeling of regurgitation or food coming back into your mouth or a bitter taste.
- Worsening pain when lying in a prone position
- Occurring after a heavy meal
Heart attacks, on the other hand, exhibit the following symptoms:
- Chest pain that feels like pressure, squeezing, tightness or heaviness
- The pain comes in waves and continues only for a few minutes at a time
- Felt in the central or central left of the chest and radiates to the arms, neck, jaw or back
- Accompanied by cold sweat, shortness of breath, nausea, vomiting, fatigue and dizziness.
It is advisable to rush to the doctor if these symptoms occur for more than 15 minutes. Unfortunately, not all heart attacks are accompanied by symptoms or if present are mild. Sometimes heart pain is not always a heart attack but simple heart pain or angina. In any case, any pain that is accompanied by the above symptoms warrants an immediate visit to the hospital.
The first hour after a heart attack is crucial for long term
recovery and better outcomes.
Think you have had a heart attack? There are some things that you should do at home before rushing to the hospital or while waiting for the ambulance. They are:
- Immediately consume aspirin, unless allergic to the same. This will thin your blood and prevent further clotting.
- If prescribed, then take a dose of nitroglycerin
- Ask someone knowledgeable with CPR to begin the same and start chest compressions
- Use an Automatic External Defibrillator (AED) if one is
available on hand.
While these methods may better your chances of survival and long term recovery in case of a heart attack, they will not prevent one. The best ways to prevent a heart attack are:
- Avoiding smoking, both firsthand and secondhand
- Keeping your BP and cholesterol levels under control. This can be accomplished with dietary and lifestyle changes. Consult your doctor if you require medications for the same and remember to take them regularly.
- Go for regular health check-ups as the factors that contribute to heart disease, like high BP, cholesterol etc are usually asymptomatic in the early stages.
- Include regular physical activity. Even something as light as 30 minutes of walking, 5 times a week can go a long way in improving and maintaining your cardiac health while also keeping your weight in check.
- Reduce stress and take up hobbies that help you relieve the stress of your work and personal life.
- Consume alcohol only in moderate quantities.
Maintaining a healthy lifestyle is not only important for your cardiac health, but it is also a great way to prevent heartburn as well. Be aware of your body and don’t hesitate to go to the hospital if you are feeling any severe chest pain or accompanying symptoms. After all, it is better to be safe than sorry.
Your heart has four valves that pumps the blood throughout the body. These four valves work relentlessly to ensure blood supply to all the organs in the body. But sometimes as time passes, the usual wear and tear sets in causing the main valve, called the aortic valve in the heart to be blocked.
Once blocked it becomes very difficult for the heart to pump the adequate amount of blood required by the body resulting in breathlessness, chest-pains and finally heart attacks.
To fix this condition, the patient needs to get a valve replacement surgery. Usually, valve replacements are done through open-heart surgery wherein a new tissue or mechanical prosthetic valve is inserted in the place of the diseased valve.
Open heart surgery is an invasive procedure with a very long recovery period. This can be a difficult challenge for patients, especially elderly patients.
But there is an alternate method to open heart surgery which is less invasive and has a shorter recovery period. It’s called a TAVI.
A TAVI or Transcatheter Aortic Valve Replacement (TAVR) technique is a life-saving treatment modality for patients who are unwilling or are high risk patients to undergo an open heart surgery.
This minimally invasive procedure involves placement of a new valve over the patient’s diseased valve via a catheter inserted through the femoral artery (large artery in groin).
This procedure can thus be done through small openings and hence result in quicker recovery post procedure enabling the patients to go back to their normal lives.
To know more about the procedure, visit your cardiologist today.
The after effects of finding out that one has a coronary artery blockage can be extremely stressful for both the patient and their families. Coming to terms with one’s illness while dealing with various tests, paperwork and hospitalization are just some things to deal with in the short term. Add to this the thought of what lies next, and the situation becomes quite stressful. Fortunately, the ultimate decision regarding the course of therapy rests entirely with the cardiologist. Depending upon various factors the patient may only be asked to make lifestyle modifications to put them on the path to recovery. However, patients with major blockages in their arteries must necessarily undergo either a Coronary Artery Bypass Grafting or an angioplasty.
Bypass: Coronary Artery Bypass Grafting or CABG involves cutting the patient’s chest open, putting them on a bypass machine that will act as their temporary heart. The surgeon then grafts new arteries from either the arms or the legs on to the blocked arteries. This is an invasive method which requires a long recovery period, thus advocated for complex cases with multiple blockages and complications.
Angioplasty: This is a minimally invasive option that requires less recovery time than a bypass. In this procedure, the cardiologist threads a thin catheter through a blood vessel in one’s arm or groin and inserts a balloon and stent through it. This balloon is inflated once it reaches the blocked area, pushing the plaque to the sides, widening the artery and putting the stent in place. Stents are a wire mesh implant that is made of either metal or polymer, with the latter material gaining more favour these days. Drug-Eluting Stents or DESs are part of the new generation of stents which are rapidly becoming the standard of care. These stents are coated with drugs that prevent clots and are designed to dissolve after a set number of years, thus allowing the artery to recover on its own.
What factors will a cardiologist consider while deciding on the best course of treatment?
Deciding on the best course of action is completely your cardiologist’s prerogative and should be made after proper consultation only. One thing to keep in mind is that not all blockages require surgical intervention. Some minor blockages may simply require lifestyle changes and medicines. These medicines decrease the risk of further plaque accumulation, stabilize the plaque, prevent its breakage and thus prevent total occlusion of the vessel. However, no two patients are the same and what will work for one may not work for the other; therefore individualized treatments are a must. The presence of co-morbid conditions like diabetes, high blood pressure etc, are also major factors that help your cardiologist make the final decision. As mentioned earlier surgery is the only option for major blocks. No matter the course of treatment, medications are a must.
Will my stent completely reduce my chances of getting a heart attack in the long-term?
No option provides a 100% guarantee of preventing heart attacks in the long term. Even stents can experience blockage over time. This occurs when the scar tissue starts to grow around the stent as the artery heals. This phenomenon is most commonly experienced with Bare Metal Stents or BMSs. Drug-Eluting Stents, which are the current standard of care, helps prevent such situations. This is done by coating the outer layer of the stent with a drug that prevents clots. These stents also dissolve after a certain number of years, thus allowing the artery to return to its normal curvature and dilation. No matter the type of stent, one will need to continue taking blood thinners to prevent the recurrence of clots over the course of one’s lifetime.
Experiencing a cardiac event can be terrifying for anyone. However, having a good knowledge of what to expect can reduce the fear and stress to a certain extent. So discuss all your doubts and fears with your cardiologist, no matter how insignificant or trivial they may seem. It may make all the difference to your post-procedure recovery process!
Getting a hip implant is a huge boon for those whose lives have been significantly affected by hip trauma and arthritis. Millions of patients across the world have undergone this surgery and found a new lease on life. However, as with any surgery, apprehensions remain. Will it work for me or my loved ones? Will they or I be able to go back to our normal routines again? What are hip implants made of? While the previous two questions and many more have been or will be covered in our other blogs[AM1] , this blog will focus on the last question, “What are hip implants made of?”
After all, a hip implant is likely to last for the patient for the next 15-20 years, which is a significant part of one’s life. Having a thorough knowledge of the entire process takes the fear of the unknown out of the picture, and helps the patient approach their surgery with an open mind.
So the question you must be asking yourself is that “Is a hip implant really necessary?” The answer to that differs from case to case. A THR[AM3] is only recommended if the patient suffers from chronic hip pain that hinders their daily activities and is unabated by non-invasive therapies like weight reduction, physical therapy, and painkillers. Another factor that is considered is, if pain affects the patient’s ability to sleep.
In simple terms, a Total Hip Replacement procedure will consist of the following steps:
- The damaged ball of the hip joint is taken out and replaced with a metallic stem and is placed into the femur’s hollow center. This stem can be either cemented or press-fit into the bone.
- A ceramic or metal ball is then positioned on the stem’s upper part. This serves as the replacement for the worn-out femoral head.
- The damaged cartilage surface of the socket is replaced and held in place with cement or screws.
- Finally, a metal or plastic spacer is positioned between the new implants to facilitate a smooth and frictionless movement.
To know more, click: (Video link)
The final decision of which implant to use rests on the orthopedic surgeon.
However, the selection will take into account one’s level of activity, weight, age, lifestyle factors and most importantly, the extent of damage and the optimal fit. Each implant is different in its own way and thus, surgeons prefer to rely on 1-2 styles [AM5] and brands depending on their practice and experience.
What makes for a good implant?
Help the patient regain their usual activities and movement
Have expected durability of 15 to 20 years
Should have a good track record of minimum 5-10 years in Total Hip Replacement use
Meets the patient’s unique requirements and needs
Depending on the patient’s need the surgeon may choose a press-fit or cemented implant.
Cemented Implant: The artificial implant is stuck to the natural bone with a quick drying cement.
Press-fit Implants: The preferred standard of care presently, press-fit implants allows the natural bone to grow and hold the implant in place.
What constitutes a hip implant?
While the natural hip joint has only two components, the ball and the socket, a Total Hip Replacement implant has four different parts.
1) Acetabular component (socket)– This is the part that makes up the socket portion of the new hip. The cup-shaped component is fit into the patient’s resurfaced socket. In traditional hip implants, this component is composed of metal but there are a few implants whose acetabular component is made of ceramic or a combination of plastic and metal.
2) Acetabular liner: This high-grade polymer or plastic liner fits into the acetabulum and permits the ball to glide normally in the socket.
3) Ball: This is the other main component of the hip joint and fits directly into the new plastic socket. The ball in a normal hip is the upper end of the femur. In an implant, the ball is attached to femur with the use of a femoral stem. Balls can be manufactured from metal, plastic, ceramic or even a combination of these materials. They come in different sizes and shapes to fit different patients.
4) Femoral stem: This is the part that attaches the ball to the femur. This component is especially important as it supports the entire joint. Usually made of a porous metal, the stem allows natural bone growth and facilitates attachment to this piece and replaces the thighbone.
Total Hip Replacement implants are composed of high-grade plastic polymers, metal, ceramic or a combination of them all. The femoral stem is usually made of titanium, titanium-cobalt alloy, stainless steel, cobalt-chromium alloy or other metallic alloys. The other components, on the other hand, can be composed of either metals, plastic or ceramic material or even a combination of these materials. The reason these metals are chosen is that they have been proven to be both strong yet flexible enough to allow regular movement. These materials also do not cause immune reactions in the patient’s body.
Depending on their composition, implants can be categorized as:
1. Metal on Metal/MOM in which both the ball and socket components are metallic in nature.
2. Polyethylene and Metal on Polyethylene (MOP): When the socket is made of plastic/polyethylene and the ball is metallic, it is termed as MOP.
3. Ceramic on Metal (COM), Ceramic on Polyethylene (COP) and Ceramic on Ceramic (COC): These are rare compositions and not preferred by many surgeons. These are usually used for patients who are allergic to metals.
Which material is better?
When it comes to implants, no material is significantly better than the other. The choice depends on surgeons and their assessment of their patient’s needs. For the longest time metal on metal Total Hip Replacement implants were thought to be the best. All this changed in 2010 with the Depuy metal implant debacle where it was found that the implants came with a high risk of metal poisoning. [AM9] many surgeons prefer titanium implants as they have a long record of proven effectiveness. As of now, metal on plastic and ceramic implants are the standards of care. The former is more preferred for aged patients, while the latter is more suitable for younger, more active patients.
When it comes to choosing the best material, both have their own pros and cons. While ceramic does not get as worn out as metal or plastic, they can develop cracks or break suddenly. However, these problems have been ironed out in the newer generation of implants that show fewer incidences like these. The main issue restricting the use of ceramic implants is that compared to metallic implants, fewer long-term clinical outcomes with ceramic implants are published.
It is normal to be a little apprehensive when faced with the prospect of having something semi-permanent implanted in one’s body. But the truth is that there is little to worry about. Total Hip Replacement is a common surgery with high rates of success. So go out there and get ready to get back on your feet!
Undergoing surgery can be stressful for anyone, especially when you are not sure about how soon you can recover and jump back to your routine. For Total Hip Replacement surgery (THR) patients, the recovery period can be even more stressful due to fatigue and reduced mobility. However, following the doctor’s advice especially during the initial few weeks post-surgery can ensure a faster and seamless recovery.
Need a little help figuring out the dos and don’ts while recovering from a Total Hip Replacement surgery? Here’s a short guide.
Wound care: Proper wound care is crucial to healing. A typical surgery wound may have sutures or staples till about approximately 2 weeks post-surgery. Keeping the wound dry till it is completed healed is one of the biggest things to look out for. Ideally, one should continue to bandage the wound to prevent chafing and irritation from clothing.
Diet: It is normal for Total Hip Replacement patients to experience a loss of appetite; after all, the body has been through major surgery. The medicines too can aid in amplifying this effect. However, this is no excuse to skip a meal. A balanced diet and plenty of fluids are key to a complete recovery.
Physical Activity: The best way to gain the capacity to resume your normal activities is exercise. Exercising in the first few weeks post-surgery is very important in the recovery process. A Total Hip Replacement patient is expected to gain the capacity to go back to their light normal activities within 3-6 weeks after surgery. Don’t be afraid of any discomfort caused during the first few weeks while going about your activities, this is a natural part of healing.
You should slowly start walking around indoors and gradually move outside. Following the physiotherapist’s instructions and regular exercises can go a long way in restoring your mobility and hip strength. After a while, you should be able to go back to our routine.
- For the initial 6 to 8 weeks, one cannot cross one’s legs from the knees
- Don’t elevate the knee higher than the hip
- Take care not to lean in a forward position while sitting or while you are about to sit
- Don’t try to pick anything from the floor in the sitting position
- Don’t excessively turn your feet inward or outwards while bending down
- Don’t bend at the waist more than 90 degrees
- Do keep the legs facing forward
- Keep the operated leg in front while sitting or standing
- Kneel on the knee on the operated side
- Apply ice to decrease pain and swelling only through an ice pack or wrapped in a towel
- No direct application on the skin
- Apply heat before any activity to help with Range of Motion
- Reduce but don’t stop performing your exercises if you experience pain in your muscles
So there you have it. The essential guide to recovering from Total Hip Replacement in an easy and relatively painless manner.