Ace Physiotherapy and Sports in Singapore
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+65 81535374 -
ACE PHYSIO SPORTS
East gate Building, 46 East Coast Road
#08-03 Singapore 428766 -
Opening Hours
Mon to Fri: 08:00am - 8:00pm -
Opening Hours
Sat: 08:00am - 4:00pm
Sunday (By prior appointment)
Elbow Replacement
A total elbow replacement, also known as total elbow arthroplasty, is a surgical procedure in which the injured or damaged bones of the elbow joint are replaced with an artificial joint. This procedure is most commonly performed for degenerative conditions such as osteoarthritis or rheumatoid arthritis, and it may also be indicated for severe injuries, including fractures of the elbow joint. Physiotherapy plays a crucial role in rehabilitation and recovery following total elbow replacement, helping to restore strength, range of motion, and functional use of the elbow.
The elbow joint is formed by the humerus (upper arm bone), the ulna (the larger forearm bone opposite the thumb), and the radius (the smaller forearm bone on the same side as the thumb). The ends of these bones are covered with articular cartilage, which allows the bones to glide smoothly and efficiently over each other during movement. However, the cartilage can become damaged or injured due to conditions such as elbow osteoarthritis, trauma, or other degenerative diseases of the elbow joint. Damage to the cartilage often results in the joint becoming painful, stiff, and difficult to move.
Total elbow replacement is effective in relieving symptoms such as pain, stiffness, and reduced function in the elbow joint caused by damage to the articular cartilage.
Artificial Elbow
The artificial elbow (prosthesis) used in total elbow replacement acts like a hinge and consists of two main components.
The humeral component replaces the lower end of the humerus (upper arm bone) and has a long stem that is anchored into the hollow center of the humerus.
The ulnar component replaces the top end of the ulna and has a shorter metal stem that is anchored into the hollow center of the ulna.
The ends of the prosthesis form a metal-and-plastic hinge, closely replicating the natural elbow joint. The two components glide smoothly against each other, allowing movement that mimics the original function of the elbow.
Elbow Replacement Surgery
Most elbow replacement surgeries are performed under general anaesthesia. Once anaesthetised, the surgeon makes an incision at the back of the elbow. Approaching the joint from the back helps avoid damage to the numerous nerves and blood vessels located on the inside of the elbow.
After making the incision, the surgeon carefully moves the tendons and ligaments aside to expose the elbow joint. The damaged joint surfaces of the ulna, humerus, and in some cases the radius, are then removed.
A hollow channel is created in both bones to accommodate the metal stems of the artificial components. The prosthetic parts of the ulna and humerus are inserted into these channels and secured in place. This can be done using either:
Specialised surgical cement, or
An uncemented prosthesis with a fine mesh surface, into which the bone grows over time to anchor the prosthesis naturally.
Once the artificial components are fixed and the hinged ends assembled, the surgeon checks for proper fit and range of motion. Finally, the incision is closed using stitches or sutures.
Total Elbow Replacement: Indications and Longevity A total elbow replacement is essential for treating severe pain, stiffness, and reduced function caused by osteoarthritis, trauma, or other degenerative diseases of the elbow joint. The lifespan of an elbow prosthesis varies between patients and depends on several factors, including: Physical condition and activity level of the patient Accuracy of implant placement during surgery
Physiotherapy After Total Elbow Replacement Physiotherapy is essential for successful rehabilitation and recovery following total elbow replacement surgery. A structured physiotherapy programme will help: Ensure the success of the surgery Prevent post-operative complications Restore full or near-full function of the elbow joint
Physiotherapy before elbow replacement
Physiotherapy before total elbow replacement is highly recommended to give you a head start on your recovery. The main goals of preoperative physiotherapy with Ace Physio Sports are to: Assess your current pain levels, functional ability, and elbow movement and strength Prepare your elbow for surgery and minimise the likelihood of post-operative problems Introduce you to exercises that will be used during your recovery Strengthen the muscles around your elbow to optimise post-surgery function This head start helps ensure a faster and more successful recovery, and supports the return of full, painless function in your elbow after total elbow replacement.
After elbow replacement surgery
After total elbow replacement surgery, you can expect pain, discomfort, and significant swelling around the elbow joint. Immediately after surgery, your elbow will be covered with a thick bandage and a splint. Depending on the type of implant used, your elbow may be positioned straight or slightly bent for the first 36 hours. In some cases, drains may be placed to reduce swelling and will typically be removed within the first day. Pain management modalities will be provided to help control discomfort. To minimise swelling and throbbing, you will be advised to keep your elbow elevated above chest level for several days, using a stack of pillows while sitting or sleeping. Physiotherapy will begin immediately after surgery to maintain range of motion and reduce stiffness in the elbow joint. After the initial 36 hours and upon discharge, you will be provided with a sling for essential support and protection during everyday activities. Driving is not permitted until you regain full, painless range of movement in your arm.
Physiotherapy after elbow replacement
A comprehensive physiotherapy programme with Ace Physio Sports is crucial after total elbow replacement to maximise the success of the surgery and restore full function in your elbow joint. Without full and painless elbow function, hand function will be impaired, making everyday tasks more difficult. This is why postoperative physiotherapy is imperative to regain optimal function in your affected upper limb. The main goals of physiotherapy with Ace Physio Sports are to: Control pain and swelling Improve strength in your arm Increase range of motion Maximise function in your elbow as early as possible after surgery Recovery may take up to three months, depending on your adherence to the physiotherapy programme and your overall condition.
1-4 weeks
Initial Stage Physiotherapy After Total Elbow Replacement In the early stages following your elbow replacement, physiotherapy will focus on controlling pain, swelling, and muscle spasms resulting from the surgery. The goals of your physiotherapy with Ace Physio Sports will also include: Increasing range of movement in your elbow as early as possible to reduce stiffness Gentle strengthening exercises for the muscles around your elbow, hand, and shoulder to improve overall function of your affected limb Your physiotherapy programme will include:
- Pain and swelling management – modalities to reduce discomfort and inflammation
- Range of motion exercises – gentle movements to prevent stiffness in the elbow
- Muscle strengthening – light exercises for the elbow, hand, and shoulder
- Functional activities – simple tasks to maintain everyday use of the affected arm
- Education and posture guidance – advice on safe positioning and movements to protect the joint
5-8 weeks
One Month Post-Elbow Replacement Physiotherapy After the first month of your rehabilitation with Ace Physio Sports, physiotherapy will focus on the continuation and progression of activities from previous weeks. By this stage, the use of your sling should be fully discontinued. The main goals of your physiotherapy programme at this stage are to: Increase strength in the muscles around your elbow, hand, and shoulder Improve range of movement in your affected arm Enhance flexibility to support normal joint function Maximise overall function of your affected upper limb Your physiotherapy will include:
- Strengthening exercises – progressively increase resistance for elbow, hand, and shoulder muscles
- Range of motion exercises – active movements to further improve elbow mobility
- Flexibility training – gentle stretching to maintain and enhance joint flexibility
- Functional activities – tasks simulating daily activities to restore normal arm function
- Endurance and conditioning – light cardiovascular exercises to improve overall fitness and support arm recovery
9-12 weeks
By the third month of rehabilitation, following successful physiotherapy with Ace Physio Sports, you should notice marked improvements in the function of your elbow and arm. Pain should be minimal or absent, although mild swelling may still be present. The goals of physiotherapy at this stage are to: Regain full function and strength in your elbow and arm Continue exercises for the wrist, hand, and shoulder of your affected arm to provide extra support and maximise overall function Improve cardiovascular fitness and muscle endurance to further enhance the performance of your new elbow joint Your physiotherapy will include:
- Advanced strengthening exercises – for elbow, wrist, hand, and shoulder muscles
- Range of motion and flexibility exercises – to maintain full mobility and prevent stiffness
- Functional training – activities simulating daily tasks, hobbies, or work-related movements
- Cardiovascular conditioning – light to moderate exercises to improve overall fitness and endurance
- Endurance and muscle control exercises – to maximise strength, stability, and functional performance of the affected arm
After three months of successful rehabilitation with Ace Physio Sports, you should have full and painless function in your elbow joint. Significant improvements in strength, range of movement, cardiovascular fitness, and muscle endurance should be evident. The ongoing goals of your physiotherapy programme are to: Maximise the long-term success of your elbow replacement surgery Prevent future complications or problems with your new elbow joint Maintain and further enhance strength, flexibility, and functional use of your affected upper limb
Full recovery following total elbow replacement may take up to three months. The success and speed of recovery largely depend on your commitment and adherence to the comprehensive physiotherapy programme provided by Ace Physio Sports, as well as the initial condition of your elbow prior to surgery.
Summary
Total elbow replacement is a surgical procedure that replaces the damaged surfaces of the elbow joint to relieve pain and disability caused by severe degenerative conditions, such as osteoarthritis. This surgery is essential to significantly reduce symptoms and restore function within the elbow joint. Following total elbow replacement, a comprehensive physiotherapy programme with Ace Physio Sports is crucial to: Ensure the success of the surgery Prevent the likelihood of future problems Prolong the life of the elbow replacement A personal physiotherapy programme with Ace Physio Sports helps you achieve full or near-full, symptom-free function in the elbow joint. Commitment to this programme allows for a faster return to everyday activities, work, hobbies, and sports. Physiotherapy is a key factor in ensuring a full and rapid recovery after total elbow replacement. Call Ace Physio Sports now on +65 8153 5374 for more information or to book an appointment.
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