Muscle loss from surgeries
hamelle2
Posts: 297 Member
Hi. I had total knee and hip replacements 8 months ago. The doctor says I lost a lot of muscle in my lower body during the recovery causing me to limp and have spasms in my hip muscles when walking. The pain can be limiting when climbing stairs and walking.
I'm released for normal activities.
Everything I read here says squats and lunges for building muscle. Can you give me some suggestions to get started?
Thanks!
I'm released for normal activities.
Everything I read here says squats and lunges for building muscle. Can you give me some suggestions to get started?
Thanks!
0
Replies
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Probably bodyweight squats and lunges.
Perhaps start with those and holding on to something for balance if they are too hard. Or box squats, where you sit down on something and get back up again.
Maybe the nerdfitness beginner bodyweight routine is a great place to start.
Also working with a physical therapist for a few sessions might get you on the right road.0 -
Did you do any physical therapy in your rehab ? post surgery
I would keep doing what the p.t had you doing. Or ask your p.t what you should be doing at home.
If you did not see a pt after surgery, I would request one from your doctor. You definitely don't want to damage the repairs.0 -
Last year I broke my knee… and many other bones… I was completely off my leg for 2 months. The answer is easy. Bicycle outside. If you don't have flexion yet peddle with your heel. You will work your quads and hamstrings. You can rest when you Coast and peddle when you can. Going to the end of driveway was tough. Now a year later I can ride 50 miles0
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Start with a physical therapist. They will be able to help you address the atrophy of the muscles, help you strengthen the connective tissue, deal with the muscle imbalances that will be present and help with the soft tissue damage and scar tissue you have. Your procedures were major surgery and it's vitally important you rehab properly before moving onto a work out program.0
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Thank you for your responses.
I did physical therapy post op for 3 months but it never seemed to be the type of intense exercises to actually build muscle. A lot of stair stepping, stretching and isometric exercises. If he wants me to build muscle I will need to do much more...correct?
I have been doing jogging,squats and lunges in the pool but it probably isn't the same as on dry land...right?
Again thank you and I will try the exercises you have recommended.0 -
I've been meaning to get to this, but did not have the time until now. Having one joint replaced is a big deal--having two replaced means a long recovery--as you know :-( It's not something that can be addressed with 3 months of therapy (that's what happens when you have a profit-centered health care system).
Let's also make sure we are clear on terms---you need to "build strength", not necessarily "build muscle". Muscles that have been weakened via lack of use will "get bigger" by restoring them to full function. I mention this because "building muscle" means something completely different to most people in these forums and that is not what you need.
Start with the basics:
Lying side leg lift
Clam
Donkey kick
Single-leg hip thrust
Side-steps and monster walk with bands
Wall squats with stability ball
With all of these, do them slow and controlled--focus on alignment, form and activating the target muscles.
You can do body weight squats, but I would also focus on bulgarian split squats, single-leg romanian deadlifts, step ups and single leg sit to stands. If you have some thicker resistance bands, you can also rig up a way to do some assisted pistol squats. It's important at first to keep weights low (or just body weight) and work through a full range of motion.
For knees, heel touches from a step, lateral step ups, and step downs are also useful.
And don't forget hip rotators--these aren't the easiest to isolate and work, but it's important to do so.
For core work, try arm/leg dead bug (body weight and weighted), chops, and pallof presses (esp pallof press with a sumo stance).
Examples of most of these can be found on the web and on you tube. Unfortunately, it's not easy to find an advanced training plan online--most information is for immediately post surgery, or they want to sell you something.
Here is one review that provides a longer view of the recovery process. This is following hip arthroscopy, but it is still appropriate. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3535124
Warning: this is a technical article that is written more for therapists and other health professionals, so there is a lot of advanced language. But if you can work through it, it does provide a description of a progressive program so you can see if you have any deficits, and it also gives some advanced exercises. I don't know if it will be helpful or not.
I hope there is some useful information in all of this. Unfortunately, it's not an easy topic to discuss in a forum. Ideally, you would be able to connect with a trainer with experience with this type of rehab and they could provide hands on guidance, but that's not always easy to find. Good luck.0
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