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Total Hip Replacement: Getting Up and Going


If you are about to have your hip replaced, you will need to begin a rehabilitation program very soon after the procedure is completed. The type of rehabilitation will vary with the surgical technique used to attach the metal prosthesis to the femur. This artificial ball and stem can be affixed either with bony cement called methylmethacrylate or a “cementless” prosthesis with microscopic pores into which bone from the femur grows.

Here are some important points to remember as your hip replacement surgery approaches:

• To get you used to your new hip, your rehabilitation program will begin in the hospital the day after the surgery.
• Your initial physical therapy usually includes transferring out of bed and sitting on a chair.
• The next step involves taking a few steps in your room.
• Closer to discharge, you will start walking with either a walker or crutches.
• Consult your physician and physical therapist before engaging in any weight-bearing exercise or activity because the ability to deal with such exercise depends on the type of implant used.
• Some exercises can be patient the benefit of a pain-free workout.
• At home, it is important that you stay active, but do not overdo it. A little common sense can be a tremendous asset.
• The length of rehabilitation varies from patient to patient. Some patients complete rehabilitation quickly, while patients with more complicated surgeries may need to continue some form of rehabilitation for the rest of their lives.
Be aware every patient’s surgery is different and outcomes often vary.  Speak with your physical therapist and surgeon about how you are doing and progressing instead of comparing it to friends or relatives who had a similar surgery.

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Tom Willemann

Tom Willemann

Tom Willemann is a premier physical therapist based out of Bergen County, New Jersey. He holds an MS in physical therapy from the University of Miami, is credentialed in the world-renowned McKenzie Method of Mechanical Diagnosis and Therapy (MDT), and holds an OCS (Orthopedic Clinical Specialist) certification. As of 2018, there are approximately 14,000 ABPTS certified specialists in the nation and less than 400 of them are located in the state of New Jersey. Tom is the owner and director of Apex Orthopedic Rehabilitation in Paramus. He opened the clinic, which specializes in spine and sports injury prevention, in 2004 after many years of experience in the field. Tom’s caring interest in others and his strong belief in continuity of care, combined with his clinic’s ability to find solutions for the most difficult orthopedic problems, have earned Apex Orthopedic Rehabilitation its excellent reputation with patients and medical professionals in northeastern New Jersey and beyond. A true “family man,” Tom takes pride in his clinic’s warm and welcoming environment.
Tom Willemann

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