Barry obtained his Bachelor of Exercise Science and Masters’ of Physical Therapy from the University of Southern California and Doctorate in Physical Therapy from Western University. As a licensed physical therapist and certified athletic trainer, he has been practicing sports medicine and physical therapy for the past 22 years. Barry is a big believer and preaches to his patients to get as strong as possible prior to joint replacement surgery to achieve the best outcome post surgery. He also talks about the mental aspect of surgery and how those that have realistic expectations and are prepared to put in the hard work after surgery have the best outcomes. He warns patients to not get wrap up on some of the negative posting on the Internet about joint replacements because “You don't hear about the great positives. And total joint replacement surgery is all about the great positives.”
BARRY: Uh, my name is Barry Isaac Schaffer. I did my undergraduate degree at University of Southern California. I returned there and did my Masters in physical therapy there.
BARRY: My career's been primarily orthopedic in nature. Everything from geriatrics to sports.
BARRY: I think there's two important points when you talk about getting prepared for this surgery. I think the first would be the physical preparation. Going into surgery having as much motion as you have in your hip or your knee. Having as much strength as you can get in your hop or your knee. I think the other major important factor is being mentally prepared. Really understanding what you're getting yourself into. Some people go into this with an expectation of "Oh, I'll have a total knee. It'll be fine. I'll be walking in three or four days." And they don't understand that sometimes these things take eight, 12, 16 weeks till you're back to where you think you should be, and they haven't bought into a four month process. Or a three month process, for that matter. So, those people already have a fear going into surgery because all they see on the internet is the negative. You don't hear about the great positives. Total joint surgery is all about the great positives.
BARRY: You're going to have to endure a bit of pain post-operatively to get there. Now getting in shape beforehand is going to be a great thing. Some people deal better with pain, some people don't deal well with pain. And those that deal well with pain will push and be more motivated typically than the individuals who sort of have a quote-unquote low pain tolerance. But once you get over that initial three month, eight week, whatever timeframe hump of pain, they-you know-you-they always come back to the phrase "I can't believe I waited so long to do this."
BARRY: There's people who just have so much fear about doing it, that they do wait too long. And the problem with sometimes waiting too long is if the knee loses too much motion, or if the hip loses too much motion and the loss of motion stays around for months, years, sometimes decades bec...
BARRY: You've lost strength and you've lost motion in those muscles and tissues how now accommodated to their new home. They're not as long, they're not as stretchable, they're not as pliable, and they're not as strength. That can sometimes impact the outcome. We used to think we want to wait as long we as can to do this because we don't know how long these hips are going to last. But now, we're seeing people in their fifties with them lasting till end of life.
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