Common misconceptions about orthopaedic rehabilitation

  Pain, swelling, joint stiffness, tendon adhesions, loss of sensation or hypersensitivity, loss of muscle strength or grip strength and limb disuse are common after general orthopedic surgery. Why does successful orthopedic surgery still cause such results? It is because of the lack of knowledge about rehabilitation and the lack of timely rehabilitation treatment after surgery. In fact, many patients, including some doctors, have some misconceptions about rehabilitation therapy: Misconception 1: Insufficient understanding of the necessity of rehabilitation therapy Many patients only recognize the necessity of surgery and think that rehabilitation therapy can be done or not, resulting in postoperative joint stiffness, tendon adhesions, ligament contractures, and even osteoarthritis.  Misconception 2: Insufficient awareness of the need for comprehensive rehabilitation treatment Some patients recognize the need for rehabilitation treatment, but they think that rehabilitation treatment is just a “baking lamp and electricity”. In fact, rehabilitation therapy in the general sense includes physical therapy, occupational therapy and psychotherapy. For post-operative fracture patients, a combination of different rehabilitation therapies is needed.  Myth 3: Eagerly seeking progress and neglecting the correct method of exercise training The exercise training of patients after surgery, especially the early exercise training, must be carried out under the supervision of a rehabilitation physician or therapist with the assistance of the principle of not affecting the trauma and stability of the surgical site. The rehabilitation physician or exercise therapist will decide the different exercise training time and the intensity and frequency of training according to the different degrees of the patient’s injury and the surgery. Some patients exercise too early or too much on their own, or even use violence to move the affected limb, resulting in non-healing fractures or broken plates, or other injuries.  Misconception 4: Neglecting training outside the office As rehabilitation treatment progresses, training outside the office gradually increases. Most patients can complete their training program in the office under the guidance of a therapist. For training outside the office, such as walking training, patients are less proactive and find the training boring and cannot stick to it.  Myth 5: Unreasonable expectations Post-operative orthopedic patients have different functional recovery depending on the injury, surgery and rehabilitation. Generally speaking, the recovery is poor for complex injuries. Many patients will have some sequelae, some of which can be recovered through later and longer rehabilitation, while others will stay with the patient for life. Patients should have reasonable expectations of their objective situation.  Myth 6: Excessive concern for the affected limb Excessive concern for the affected limb is an inevitable problem for almost every patient, which is detrimental to postoperative pain control and psychological adjustment. Some patients treat the affected limb as the center of their lives, and worry about fracture displacement and tendon rupture at the slightest pain, and worry all day long, and may even experience delusion and even psychiatric symptoms.  Myth 7: Ignore the psychological regulation of their own orthopedic injury, are very sudden, easy to cause serious psychological trauma to patients. Patients are often worried and anxious about not being able to resume normal work, life and their own future, depressed mood, low self-esteem, loss of confidence in life, and even the idea of light-heartedness. Therefore, psychological rehabilitation treatment plays a very important role in functional rehabilitation, and only when the psychological recovery is complete can the functional rehabilitation get the desired effect.