Total hip replacement is one of the worlds most common orthopedic surgeries. Osteoarthritis is the most common reason for getting one. The logic being, if the cartilage is worn away in your hip, the whole joint can be replaced with a new prosthesis.
It all sounds quite simple and straightforward but it needs to be recognised it is a major surgery and consequently has many typical risks. The replacement usually doesn’t last forever and has an average life of 15 years or so. As a result, surgeons typically don’t pursue the surgery until it is really necessary.
The general rule of thumb is you are looking for significant symptoms. Is the pain so severe, your general life is getting limited? Are there advanced findings on X-ray? And/or is there significant stiffness developing, limiting normal use of your hip? All these factors indicate need for surgery, as the longer your function is limited, the more you lose out in terms of general
strength, fitness, weight, and health.
So what is usually involved then? There are typically two main approaches to a hip replacement
- an anterior (front) and a posterior (back) approach where they perform the incision. Most of the time, this is determined by the technique the surgeons are most comfortable with, but they do dictate the rehabilitation afterwards. This is mainly in the area of precautions, to ensure your hip heals correctly. For example, with a posterior approach you are limited to how much you can bend your hip forward for the first 6 weeks – this means you need to avoid all low chairs! It is critical you understand what is and isn’t appropriate before you go home from hospital.
But what happens next? Generally, you will be up and moving the first day with a frame. Total hip replacement isn’t exactly fun, but it does tend to be less painful than it’s cousin, the total knee replacement. You will likely progress to crutches and eventually to no aid over the coming 6 weeks or so. Most people need about 12 months for a complete recovery but will be fairly mobile within 2-3 months. Ultimately, this final outcome is largely dependent on how much work and exercise gets put into recovery and rehabilitation. Hip strengthening is a slow process and requires many weeks of physio to achieve optimal outcomes. To achieve this, most peoplecontinue to attend physio for at least a month or two after they leave hospital. This ensures no
bad habits develop and proper strength and function is restored.
Total hip replacement is quite the journey. If it is something you are considering, feel free to ask us for our advice. Doing a period of pre-habiltiation before surgery is also a strong option for those who are unsure or have significant deficits going into surgery, as it has been associated with improved outcomes.
Having worked as a physio for many years, Simone has had a wide variety of experience in both public and private physiotherapy settings, working the last 7 years in private practice. Simone has developed a special interest in treating foot and ankle injuries, running injuries, jaw pain (TMJ) and posture- related back and neck pain.
Simone has vast experience working with elite sporting teams and athletes including Premier League football, rugby, track and field, Australian baseball, and swimming.
Simone is passionate about helping people move well and stay active. She has a plenty of experience in running video analysis, and hands on manual therapy as well as dry needling / acupuncture, and helping develop and retrain ideal movement.
When not in the clinic, you will find her out running, at the beach or spending time with family and friends.
He believes in taking a holistic approach to injury management and uses hands-on therapy, advice and exercise as medicine, including Physio Pilates.
Darren has extensive experience in treating all types of musculoskeletal problems and sports injury rehabilitation and performance improvement. He is also trained in dry needling (Western acupuncture).
On the weekend you will find Darren out playing on the soccer field, spending time with his beautiful wife and three active kids, at church, or trying to catch that perfect wave.
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Jackie trained as a physiotherapist in Birmingham, UK qualifying in 1987. She worked in London before immigrating to Australia in 1995. After working for another private practice for 7 years Jackie decided to start Berowra Physiotherapy in 2003. This was also the year she took the exam to become a credentialed McKenzie therapist.
Jackie has also completed level 2 sports course and regularly attends post graduate seminars and courses. Jackie takes a very functional approach to treatment seeing it as a partnership between therapist and patient and keeping exercises simple and manageable.
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Jennie has managed the Physiotherapy Department for Nepean and Hornsby Hospitals for 12 years, has been a member and chairperson for the OH&S; Committees of Nepean and Hornsby Hospitals and has been a member of the APA council. She is delighted to be working at Berowra Physiotherapy on Monday, Wednesday and Thursday afternoons.
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Matthew prides himself on delivering up to date physiotherapy practice. He has postgraduate training in manual therapies and dry needling and pairs these skills with a focus on exercise therapies. Matthew believes exercise is often the key ingredient that will guide you towards recovery, and will work with you to find a program that can allow you to excel.
Matthew’s special interests include back pain and lower limb injuries, but welcomes everything and anything!
Betty’s passion to become a physiotherapist began in her early teens when she visited the physio tent at netball for advice after having injured herself skateboarding. Now her passion has evolved into helping people find ways to move better and stay active.
Having graduated from the University of Sydney with a Bachelor of Exercise and Sport Science and Masters of Physiotherapy, Betty has developed a great understanding of how the body moves and how to use exercise to help others improve their health and wellbeing. Betty’s passion for exercise and sports injury rehabilitation is reflected in her experiences working as a physiotherapist with National Premier League football teams, as well as AFL and rugby teams. Betty enjoys working with people of all ages and abilities to find the right treatments to help them achieve their healthiest selves.
In her spare time, Betty likes going to the gym and lives and breathes all things netball. She also enjoys a challenge, so she has recently started playing football. During the holidays, you may find Betty going camping or hitting the beach with friends and family.
Rob became interested in anatomy, exercise, and the human body when he began going to the gym in high school. He began researching and managing his own injuries with exercise and from that point, physiotherapy stood out as a career for him.
Rob developed his skills and gained experience in private practice, musculoskeletal, sports physiotherapy and post-surgical rehabilitation at the Australian Catholic University where he completed his Bachelor of Physiotherapy. Rob believes in managing patients with a combination of hands-on techniques and exercise. He aims to involve the patient in the decision-making process to optimise results such as reducing pain and increasing function in work, sport, or day-to-day living.
Outside of physiotherapy, Rob enjoys living an active life including cycling and regularly going to the gym and outdoors with friends and family.