Shoulder and Other Joints Rehabilitation Program

Many patients with bone and joint or spine problems, end up with one surgical procedure or another. At certain stages in treating particular conditions, the surgery process is often the only way to fix a structural abnormality. The most common orthopedic problems are spine deformity and degeneration, shoulder problems, osteoarthritis due to degenerative change, and bone or tendon abnormality from a sports injury. After fixing the structural problem, well-planned rehabilitation treatment with a specialized team is the best way to achieve an optimal outcome. 

ChivaCare cooperates with other clinics and hospitals. We can arrange a one-stop service for surgery and subsequent rehabilitation. As an example of our process, we collaborate with a leading shoulder surgeon to provide integrated rehabilitation programs. Please let us know in your inquiry if you are also looking for surgery. We arrange integrated surgery and rehabilitation programs but not surgery only.

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What is the postoperative treatment?

After your surgical process for your knee, hips, shoulder or other joints is finished, optimally, the physical therapist should get involved in the process of rehabilitation. Having a personalized rehabilitation plan helps ensure that your body heals properly, including minimizing scar tissue, reestablishing joint motion and function and retraining muscles. There are three stages of postoperative rehabilitation. The first stage starts when the body has limited movement while the body goes through a basic healing process. It may take several days to weeks. The second stage is the most important as the pain subsides, and the healing process begins to fix and form scar tissue that occurs during healing. For this stage, well-planned rehabilitation helps prevent stiffness and enhances the recovery process towards normal function. Patient participation is crucial and helps all processes run as planned.

What does postoperative rehabilitation involve?

The postoperative rehabilitation team that includes a doctor, physical therapist, and occupational therapist can help design a plan involving progressive exercises that begin to strengthen the body. This can start restoring the patient’s range of motion and overall stability. The training involves mobility and muscle treatments, gait analysis, balance training, self-care training, and flexibility exercise. The plan may include massage therapy to improve circulation and prevent blood clots, along with nerve and muscle stimulation to control pain and minimize medication.

What are the risks of not completing postoperative rehabilitation?

Some people think that after an operation to fix a structural abnormality, that is the end of the process, but in reality, postoperative rehabilitation is as important as an operation to fix the cause. Without proper postoperative rehabilitation, scar tissue forms, and can limit subsequent bone and joint movement causing disability. Limited movement can cause further overall health problems with consequential impacts, such as immobility, bedsores, and a lowered immune system from the reduced ability to exercise which in turn further reduces wellness.

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What is the importance of environment and motivation in postoperative recovery?

Keep in mind, that even though surgery lasts only a few hours, appropriate rehabilitation and recovery may take significantly longer. A key aspect of completing a physical therapy plan is motivation. Rehabilitation is a continuous process, and the results occur over time. Knowing how long to expect the recovery to take can be psychological support and result in being physically and psychologically prepared for what’s ahead.

What are the benefits of physical therapy after major surgery?

There are direct benefits of physical therapy after surgery. Those benefits lead to a superior recovery of the impaired body, bone, and joint function. With proper rehabilitation, recovery can occur with reduced medication and help limit muscle stiffness and pain. Good physical therapy can also positively influence overall mental and physical health for the long term.

Who is a good candidate for postsurgery rehabilitation?

It’s a requirement that everyone who has undergone orthopedic surgery enters into a rehabilitation program. Even a seemingly insignificant joint surgery such as hand or finger can benefit their recovery through occupational therapy, just as surgery on large joints such as hip and spine can. The time for rehabilitation is dependent on the type, and severity of the problem and surgery.

What is the right time for rehabilitation to begin after surgery?

It is urgent to begin a rehabilitation program immediately after surgery. After surgery, our bodies begin working on the healing process immediately. In that process, the body begins the formation of fibrous tissue as the body heals the surgical site. Immobilization and exclusively resting is the worst way to proceed if one wants to regain maximum function. Regaining maximum functioning becomes significantly more difficult to accomplish if rehabilitation doesn’t begin in the first one to two weeks. 

Your healthcare team can give you specific advice on the best way for you to recover, depending on the kind of surgery you’ve had. Recovery may require months of rehabilitation, or it may be a relatively simple process that only needs the patient to change their normal routine for a few days. However, even with a simple surgery, patients will need follow-up activity. It might be as simple as learning what to do for common complications such as bleeding or infection of the wound or to do specific exercises at home.

Why are ChivaCare programs best suited for the postoperative rehabilitation program?

At ChivaCare we have an interdisciplinary team of medical experts. Rehabilitation necessitates this kind of team. Patients are part of the discussion and decisions in the formation of a recovery plan. The process is more effective if the patient is involved in establishing recovery goals. The interdisciplinary ChivaCare team works together in an integrated, personalized and holistic way which keeps the patient motivated as well. This is why there are those who consider rehabilitation to be an art.

What programs are there for postoperative rehabilitation?

The Chivacare team provides a variety of post-operative rehabilitation programs including those for knee surgery, spine surgery, shoulder surgery, and other joint and tendon surgeries. The Chivacare team also offers sports injury rehab programs as well as other rehabilitation programs that meet the needs of additional body movement problems.

How much does postoperative treatment cost?

Post-operative rehabilitation costs depend on the type of operation/surgery the patient has had, as well as the selected program details. Customers have reported that comprehensive treatments at ChivaCare in Chiang Mai can be a fraction of costs in their home countries. Customers have shared further that the cost of three weeks of care at ChivaCare was less than a few days of treatment in Hong Kong or Switzerland. Apart from lower costs, in Chiang Mai, it’s possible to combine the treatments and rehabilitation with a stay in a restorative environment.

ChivaCare can also organize the surgery with our partner hospitals and clinics as well as arrange other medical treatments such as dental. If you are looking for an integrated one-stop service for surgery and rehabilitation, please indicate in your inquiry.

References

  1. Edson CJ, and Fanelli GC. Postoperative rehabilitation of multiple ligament injury of knee. The Multiple Ligament Injury of Knee 2019: 551-558
  2. Conti M, Garofalo et al. Post-operative rehabilitation after surgical repair of the rotator cuff. Muscleskelet Surg 2009 (93):S55-63
  3. Rehabilitation guideline: Post-operative rehabilitation guideline from UWhealth (https://www.uwhealth.org/sports-medicine/physical-therapy-athletic-training/sports-medicine-rehabilitation-guidelines/20398)
  4. Kercher J. Physical therapy exercise after total knee replacement (WebMD) 2019
  5. Monaco MD Vallero F et al. Rehabilitation after total hip arthroplasty: a systematic review of controlled trials on physical exercise programs EUR J PHYS REHABIL MED 2009;45:303-17
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Postoperative Rehabilitation Experts Answer Your Questions

Postoperative Rehabilitation Program Details

ChivaCare applies integrated medical therapies and evidence-based treatments in a person-centered and holistic way to address the patient’s specific medical condition. We can also assist with improved physical fitness and changes in lifestyle that can have a big impact on the patient’s health.

Step 1 : Pre-Arrival

Prior to arrival we send you a questionnaire and arrange a phone call. We ask for medical records, referrals, insurance requirements, accompanying travelers if any, special requirement, etc.

Transport and accommodation can be arranged by ChivaCare. Activities and medical treatment such as dental care are available.

** The program on day one depends on patient’s medical condition, distance traveled, time of arrival etc. Treatment may begin on Day 2. We also offer basic (economy) and gold program options.

Step 2 : Arrival, Check-in & Assessment 

The program on Day 1 depends on medical condition, distance traveled, and time of arrival. At ChivaCare, the first step is to meet with our team of doctors, therapists and health specialists who adjust and recommend your program.

Step 3 : Programs and Timing

Agree on programs, optional components, and optional activities on-site and off-site. We can help design a plan involving progressive exercises that begin to strengthen the body. This can start restoring the patient’s range of motion and overall stability. The training involves mobility and muscle treatments, gait analysis, balance training, self-care training, and flexibility exercise. The plan may include massage therapy to improve circulation and prevent blood clots, along with nerve and muscle stimulation to control pain and minimize medication.

Step 4 : Treatment Program

Each day, customers spend at least half the day at ChivaCare. They are provided with lunch, drinks and snacks. Additional treatments are possible during the rest of the day. Our doctors and therapists continually review and discuss progress and meet with you. Programs may change from day-to-day updated to your needs and increasing motivation.

Step 5 : Check-Out & After-Service 

On completion of the program, there is a formal check-out with our medical team. We provide a report and recommendation for further treatment and/or exercises at home. On return to your home country, we continue to support your recovery via our tele-rehabilitation service.

Accommodation & Transportation

We work with a range of partners to provide optional accommodation options. They include 5-star resorts, 4-star hotels, boutique hotels, long stay facilities, and nursing homes.

Additional Activities (Optional Component)

Chiang Mai is an excellent area for cultural, educational, and creative activities. We can suggest and arrange a full program before or after arrival.

Rejuvenation and Fitness – (Optional Component)

The combination has a higher focus on mental and physical fitness and involves many exercises. It can be adjusted to current health condition, fitness, age, and preferences.