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The Power of Prehab

Woman stretching her quadricep

Orthopedic surgery can be a life-changing event, offering relief from pain and improved function. However, the journey to recovery doesn’t start in the operating room—it begins with prehabilitation, commonly known as prehab. As a seasoned physical therapist, I have witnessed firsthand the transformative impact that prehab can have on surgical outcomes and the rehabilitation timeline.

Picture this scenario: two individuals, both scheduled for knee surgery. One has poor range of motion and weakened quadriceps muscles, while the other has diligently worked on improving these aspects for the past 1-2 months through prehab. The difference in their post-operative experiences is striking.

Prehab allows patients to optimize their physical condition before surgery. Strengthening specific muscle groups, improving joint mobility, and enhancing overall function contribute to a smoother recovery process. A prehabilitated patient enters surgery with a body better equipped to handle the stresses of the procedure and the subsequent rehabilitation.

Beyond the physical benefits, prehabilitation offers invaluable mental preparation. Patients who engage in prehab form a relationship with their physical therapist before surgery, establishing a crucial therapeutic alliance. Familiarity with exercises and expectations post-surgery reduces anxiety, making the transition from prehab to rehab more seamless.

Prehab serves as an opportunity for open communication between patients and their physical therapists. Having a pre-existing relationship allows patients to ask questions, discuss concerns, and gain a comprehensive understanding of the rehabilitation journey ahead. This not only fosters confidence but also ensures that patients actively participate in their recovery.

Consider the contrast in recovery timelines between individuals who engaged in prehab and those who did not. A prehabilitated patient is likely to experience:

Faster Progress: The groundwork laid during prehab accelerates progress post-surgery. Patients with improved range of motion and strength are better positioned to tackle the challenges of rehabilitation.

Reduced Complications: Prehab helps minimize post-operative complications. By addressing existing limitations, such as muscle imbalances or joint stiffness, patients are less prone to setbacks during recovery.

Enhanced Quality of Life: Engaging in prehab not only contributes to a swifter recovery but also enhances the overall quality of life post-surgery. Patients experience less pain, regain functionality sooner, and are better equipped to resume their daily activities.

Surprisingly, not all orthopedic surgeons recommend prehab, and some may be unaware of its benefits. As a physical therapist, I encourage patients to advocate for themselves. Raise the topic of prehabilitation with your surgeon, emphasizing its positive impact on outcomes and emphasizing the importance of being mentally and physically prepared for surgery.

Prehabilitation is not just a buzzword; it’s a game-changer in the realm of orthopedic surgery. As a physical therapist, I’ve seen the remarkable difference it can make in a patient’s journey—from physical preparedness to mental resilience. Don’t leave your surgical outcome to chance; take an active role in your prehabilitation, and pave the way for a successful recovery.

Dr. Daniel Komforti, Physical Therapist, at New Horizons Physical Therapy
AUTHOR
Dr. Daniel Komforti
PT, DPT, CIDN, SFMA-C
On a mission to help active adults change their narrative and stay active for a lifetime with more confidence.
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