Joint Replacement Surgery: What to Expect

Joint pain can significantly impact daily life, making even simple activities a challenge. Joint replacement surgery has become a trusted solution for those seeking relief from severe discomfort and limited mobility. At Spine, Neck, & Back Specialists, Dr. Jay Reidler and our team serve patients in Bloomfield, Englewood, Kearny, Union City, and Teaneck, NJ, offering expertise in joint replacement. We’re now accepting Cigna PPO, among other insurance plans—feel free to reach out to learn more.

What Is Joint Replacement Surgery?

Joint replacement surgery involves removing a damaged joint and replacing it with an artificial implant, known as a prosthesis. This procedure is commonly performed on weight-bearing joints such as the hip and knee but can also be done on the shoulder, ankle, and elbow. The goal is to relieve pain, restore function, and improve the overall quality of life.

Implants are typically made of metal, plastic, or ceramic and are designed to mimic the movement of a healthy joint. Depending on the specific case, the surgery may involve a partial or total replacement of the joint.

When Is Joint Replacement Necessary?

Joint replacement is generally recommended when non-surgical treatments, like physical therapy, medications, or lifestyle changes, no longer provide relief. Conditions that may lead to the need for surgery include:

  • Osteoarthritis: The breakdown of cartilage that cushions the joints.
  • Rheumatoid Arthritis: An autoimmune condition causing joint inflammation.
  • Joint Injuries: Trauma leading to long-term damage.
  • Avascular Necrosis: Loss of blood supply to the bone, causing it to weaken.

Patients often choose joint replacement when pain becomes unmanageable, mobility is limited, or the joint’s function is significantly impaired.

Types of Joint Replacement Surgery

Depending on the joint affected and the extent of the damage, different types of joint replacement surgeries may be recommended:

1. Total Knee Replacement

Total knee replacement is a common procedure that replaces the entire knee joint with an artificial implant. The surgery aims to alleviate pain and improve knee function, allowing patients to walk, climb stairs, and participate in activities without discomfort.

The procedure involves resurfacing the ends of the femur and tibia bones and replacing them with metal and plastic components. Recovery includes physical therapy to regain strength and flexibility.

2. Partial Knee Replacement

Unlike total knee replacement, a partial knee replacement only addresses the damaged portion of the knee. This option is often suitable for patients with arthritis limited to one part of the knee. Recovery is typically quicker, and the procedure is less invasive.

3. Total Hip Replacement

Total hip replacement involves replacing the hip joint with a prosthesis composed of a metal stem, ceramic or metal ball, and a plastic or ceramic socket. This surgery is ideal for patients with severe hip pain due to arthritis or a hip fracture.

Hip replacement surgery restores mobility and allows for a pain-free range of motion, which can greatly improve the patient’s quality of life.

4. Shoulder Replacement

Shoulder replacement is recommended for patients with severe arthritis or significant damage to the shoulder joint. The procedure replaces the damaged joint with a metal ball and a plastic socket. In some cases, only the ball part of the joint is replaced, known as a partial shoulder replacement.

Patients typically experience improved range of motion and pain relief after surgery.

Preparing for Joint Replacement Surgery

Preparation is a crucial part of a successful joint replacement. Here are key steps to take before the procedure:

  1. Medical Evaluation: A thorough medical evaluation will help ensure you’re in good health before undergoing surgery. Dr. Reidler will review your medical history, perform a physical examination, and possibly recommend preoperative tests like X-rays or blood work.
  2. Home Preparation: Prepare your home to accommodate your post-surgery needs. This may involve rearranging furniture, installing handrails, and ensuring items are within easy reach to limit bending or stretching.
  3. Preoperative Exercises: Strengthening the muscles around the affected joint can aid in recovery. Dr. Reidler may suggest specific exercises to perform before surgery to build up muscle strength.
  4. Medication Review: Some medications may need to be adjusted or paused before surgery. Make sure to provide a comprehensive list of medications to your healthcare provider for review.

The Day of Surgery: What to Expect

On the day of surgery, you will be admitted to the hospital or surgical center. Here’s a breakdown of what typically happens:

  • Anesthesia: The anesthesiologist will discuss anesthesia options—general (you’ll be asleep) or regional (you’ll be numb from the waist down or at the site of surgery). The choice will depend on the joint being replaced and your health.
  • Surgical Procedure: The duration of the surgery varies but generally lasts between one to three hours. Dr. Reidler will make an incision over the affected joint, remove the damaged tissue, and replace it with the prosthetic components.
  • Recovery Room: After surgery, you’ll be taken to a recovery room for observation. Medical staff will monitor vital signs, pain levels, and mobility. Most patients stay in the hospital for one to three days post-surgery, depending on their progress.

Recovery and Rehabilitation

Recovery is a gradual process, and rehabilitation plays a critical role in achieving the best outcome. Here’s what you can expect in the weeks and months following surgery:

  1. Hospital Stay: While in the hospital, a physical therapist will help you start moving the joint within 24 hours of surgery. Walking aids, like crutches or walkers, may be provided to support mobility.
  2. Pain Management: Post-operative pain is managed with a combination of medications, ice therapy, and other techniques. Proper pain control helps you participate actively in physical therapy.
  3. Physical Therapy: Physical therapy is essential to restoring strength, flexibility, and function to the joint. Expect to continue therapy for several weeks or months, with exercises becoming progressively more challenging.
  4. Follow-Up Appointments: Regular follow-up appointments with Dr. Reidler will monitor your recovery. These visits are an opportunity to address any concerns, adjust medications, and ensure the joint is healing properly.

Life After Joint Replacement Surgery

Many patients experience a significant improvement in their quality of life following joint replacement surgery. Pain that was once constant often disappears, and daily activities become easier. However, it’s important to follow your healthcare provider’s advice to maintain the health of the new joint. Here are a few tips:

  • Stay Active: Regular, low-impact exercises like walking, swimming, or cycling can help maintain joint function.
  • Avoid High-Impact Activities: Activities that put excessive strain on the new joint, like running or contact sports, should be avoided.
  • Healthy Diet: Eating a balanced diet helps maintain a healthy weight, reducing stress on the joint.
  • Listen to Your Body: If you experience discomfort or swelling, rest the joint and consult your healthcare provider if symptoms persist.

Getting Back to Your Life

Joint replacement surgery is a major decision, but it often brings life-changing benefits. Dr. Jay Reidler and our dedicated team at Spine, Neck, & Back Specialists are here to guide you through every step of the process. We’re committed to providing personalized care to our patients in Bloomfield, Englewood, Kearny, Union City, and Teaneck, NJ. With our acceptance of Cigna PPO and other insurance plans, we aim to make the journey as smooth as possible. Contact us today to learn more about our joint replacement services and schedule your consultation.


Sources:

  1. Ritter, M. A., & Meneghini, R. M. (2010). Key Factors in Joint Replacement Surgery Success. Clinical Orthopaedics and Related Research.
  2. Bourne, R. B., & Chesworth, B. M. (2008). The Impact of Joint Replacement Surgery on Quality of Life. Journal of Bone and Joint Surgery.
  3. Brandt, K. D., & Fife, R. S. (2001). Understanding Osteoarthritis and the Role of Joint Replacement. American Journal of Medicine.

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