M3 PT - February 2019



“Why does my surgeon want me to start physical therapy before my knee replacement surgery? Isn’t physical therapy just for recovering after an operation?” It’s true that physical therapy is a vital part of recovering from an injury or operation. But the healing process begins even before you get on the operating table. According to Vonda Wright, associate professor of orthopedic surgery at the University of Pittsburgh Center for Sports Medicine, “Outcomes after surgery are determined 50 percent by the surgeon and 50 percent by the patient’s commitment to recovery before the surgery even takes place.” Here are a few ways rehabilitation before surgery, or prehabilitation, can help your healing and recovery experience. LEARN HOW TO MOVE SAFELY AFTER SURGERY After your operation, while your body recovers, you won’t be able to move quite the same way. It can be incredibly frustrating to rely on crutches or learn how to dress yourself again. Don’t risk injuring yourself again by waiting until after surgery to learn how to move your body. A physical therapist can teach you the best way to maintain your lifestyle and independence while your body heals.

If you tore your ACL skiing over the holidays or you’ve been suffering from years of chronic pain, knee surgery can go far to correct your joint problem. But your body needs to be ready to support your new joints. Proper exercise before surgery can strengthen and stretch your muscles, helping them accept the new joint and reducing the odds of additional injuries in the future. REDUCE RECOVERY TIME Just like how guided exercise helps reduce recovery time, prehabilitation has been found to speed up the recovery process after surgery. Research published in the Journal of Bone and Joint Surgery found prehabilitation can reduce the need of post- operative care by almost 30 percent. This in turn reduces the cost of recovery by around $1,215. Your attitude regarding your recovery will play a huge role in how quickly and how well your body recovers after surgery. If there’s a knee replacement surgery in your future, give the physical therapy experts at M3 Physical Therapy a call. With prehabilitation, you can get into the right mindset and greatly improve your recovery experience.




• 1 8-ounce boneless, skinless salmon fillet • 1 tablespoon fresh lime juice • 1/4 teaspoon lime zest • 1/4 cup cucumber, seeded and finely diced • 1 1/2 teaspoons jalapeno peppers, seeded and minced • 1 1/2 teaspoons shallots, minced • 3/4 teaspoon fresh ginger, peeled and finely grated

• 1 1/2 teaspoons fresh cilantro, minced • 1 1/2 teaspoons fresh chives, minced • 1 1/2 teaspoons grapeseed or vegetable oil • Salt and freshly ground pepper, to taste • Crackers or chips, for serving


1. Place salmon in freezer for 20 minutes to make slicing easier. 2. Meanwhile, prepare other ingredients for mixing. 3. Thinly slice salmon into sheets and cut sheets into strips and strips into cubes. When finished, you should have 1/8-inch cubes. 4. In a mixing bowl, combine salmon with all other ingredients. Season with salt and pepper. 5. Garnish with chips or crackers and serve.

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