Orthopedics & Joint Replacement
Dr. Robert Harrington, board certified by the American Board of Orthopedic Surgery and a member of the American Association of Hip and Knee Surgeons, welcomes you to Wentworth-Douglass Hospital. He provides a brief introduction to the work done by our team of surgeons, nurses, physical and occupational therapists who will create a custom treatment plan to help you reach your goals. He will share his holistic philosophy of not just replacing a joint, but improving patients’ long-term health.
Joint pain has been preventing you from living your life to the fullest, but you’ve been avoiding the inevitable. Maybe it’s because the pain has been manageable in the past or surgery sounded too daunting. No matter what you may have thought in the past, you are finally there: You want to take the first step toward recovery. It’s time to get your go back.
Why do you want your go back? What is your joint pain keeping you from doing? These are important questions to answer to prepare your mind and body for your upcoming treatment. Your recovery process takes both physical and mental stamina so preparing both is crucial. Our team will help put you in the right mindset to begin recovery and focus on getting back to doing the things you love.
Sandy, a former patient of Dr. Harrington’s, explains how she made the decision to finally have surgery. Even after living with pain for years and having to make substantial lifestyle changes, her mind and body were not on the same page when it came to treatment. This only delayed the inevitable and physically she needed to hit rock bottom. Once that happened, Sandy was ready to commit to Dr. Harrington’s treatment process.
You and your surgeon meet to review your diagnosis and treatment options. We are affiliated with board-certified surgeons at two practices: Wentworth-Douglass Center for Orthopedics & Joint Replacement and Seacoast Orthopedics & Sports Medicine. These surgeons offer expertise in the latest technologies and treatment options to help you get your go back.
You’ve decided surgery is your best option for solving your joint pain. Now our team at the Surgical Optimization Center steps in to uncover any of your potential risk factors. A complete health assessment will be performed which may include a review of your current status, of medical problems, medications, and your functional and nutritional status to determine if you need further interventions. These interventions could include a new treatment, seeing another doctor or clinician for additional therapies, or recommending lifestyle changes to be made prior to surgery to best ensure your success.
Once your pre-op plan is developed, it’s time to consider your recovery process after surgery. Members of our team will go over what to expect after surgery so you and your family are completely prepared and confident. Your post-surgery physical and occupational therapy needs will be determined by your care team. The actual surgery time can be brief, but the recovery and rehab process demands your full effort. Your journey towards recovery is a team effort and we will be with you every step of the way by partnering with you.
You have gone through the Surgical Optimization Center, so now it’s time to get to work. Prehab will get you in the physical and mental shape needed for a successful surgery. Our team is here to help you build confidence and gain strength. Prehab introduces you to both the movements and commitments to ensure success.
To better prepare yourself for hip, knee or shoulder replacement, our physical therapists will guide you through flexibility exercises, strength training, and endurance exercises. Studies show that if you take the time to improve your strength and flexibility prior to surgery, you will have a better outcome after your surgery. You may work with therapists to develop an appropriate home exercise program, participate in individual sessions, or you may participate in group exercise. In a group setting, you gain comfort being with others going through the same journey which can help you build confidence and camaraderie. Our physical therapists guide you to choose the right environment for Prehab that will be the best fit for you.
At Wentworth-Douglass, we know that you are a unique individual with specific needs so we have physical therapists with different specializations to meet all of your goals. If you require special attention for issues such as inflammation, edema (swelling), or help with your balance, our specialized physical therapists are here to answer any questions and prep you for surgery.
Kendra Langus is our Director of Clinical Operations for Musculoskeletal Services here at Wentworth-Douglass. As a Doctor of Physical Therapy, she works with her team to ensure you receive the highest quality of Rehab care to prepare you for successful surgical outcomes, in a comfortable and caring environment.
Meet Donna, our Joint Replacement Program Manager. She will help you “navigate” through your journey with our Pre-Op Class. You are encouraged to bring along a friend or family member as a “coach” for this class, which occurs one week before your surgery. Within this class you will learn what to expect throughout your joint replacement experience and how to create an atmosphere of wellness for yourself. Donna emphasizes that “Together Everyone Achieves More” so your care team includes a nurse, physical therapist, occupational therapist, nutritionist, respiratory therapist, integrative wellness therapist, and case manager.
Techniques such as deep breathing and positive healing thoughts, empowering you to feel calm and confident before surgery will be provided as part of Integrative Wellness program. In addition, you may choose Reiki treatment, which is a gentle, non-intrusive touch therapy providing deep relaxation and evokes a sense of peace and well-being. You may also take advantage of other methods such as aromatherapy or pet therapy.
The big day is here! Thanks to all your preparation and hard work, you are ready to get your go back. During your surgical stay at the hospital we strive to provide a comfortable and healing environment for you to relax and rehabilitate. A caring team of physicians, nurses and rehab specialists will be by your side.
During your hospital stay, you will have customized twice-a-day sessions with your physical therapy and occupational therapy specialists where you will regain strength, mobility and confidence in your new joint. Exercises at Joint Camp include stairs climbing, exercises within parallel bars, and practicing everyday tasks like getting in and out of our therapy car. While relaxing between sessions, you have access to our television channel, C.A.R.E. (Continuous Ambient Relaxation Environment), offering around-the-clock soothing instrumental music accompanied by images of nature.
(After Discharged From Hospital)
With surgery, your hospital stay and inpatient rehab complete, it is time to move on to outpatient rehab. This step takes your commitment and dedication to ensure all the positives from surgery continue. This step allows for you to make choices to best suit your needs. Our team is here to advise you.
One of your choices for outpatient rehab is to continue with the team of therapists at one of Wentworth-Douglass’ three facilities – located in Dover, Durham and Lee. Our Rehabilitation Services team has all of the outpatient services you need and our facilities are filled with modern equipment. Our expert clinical team will utilize a concept gym, a cutting-edge balance center, and a therapeutic pool. On average, the outpatient rehab experience will require your commitment for 2-3 months and will lead to an independent exercise environment.
Our licensed physical therapists have additional specializations to accommodate all of your needs. Some of the specialty services include vestibular rehab to improve balance and reduce dizziness, and lymphedema therapy to reduce swelling. Staff are also trained in unique methods to assist in the rehabilitation process such as classical pilates, the Graston technique which prevents scarring, dry needling used to ease muscle pain, soft tissue mobilization and more. Thanks to specialized techniques like these, all of your needs will be addressed in our outpatient rehab facilities.
Our Dover center offers the added benefit of water therapy services. The aquatic environment is a very healing and comforting experience you may want to consider. We have a therapeutic pool that runs approximately 93 degrees creating a warm and inviting environment. Aquatics is gentle to your joints, aids in circulation, and provides an effective full body workout.
If you need services at home from a physical therapist, occupational therapist, or other specialist to help you with your rehab, Wentworth Home Care, affiliated with Wentworth-Douglass, is an option for you. Staff will arrange for these services depending on your needs. The number of visits made by staff is based on your physician’s orders and medical needs.
Well you did it: you got your go back! Congratulations on all your hard work and commitment to recovery. This is the beginning of a new chapter in your life: now you can go back to doing what you enjoyed. The team at Wentworth-Douglass is happy to have seen you through this process and want you to know anytime you need assistance adjusting to this next phase of your life, we are here to help.
Our physical therapists will help you develop a independent exercise plan to maintain your joint and overall health during outpatient rehab. You can continue this plan at The Works Family Health & Fitness Center, a one-of-a-kind health and fitness center owned by Wentworth-Douglass Hospital, offering hundreds of programs and services. You can choose from a variety of activities such as aquatics, fitness classes, weight-lifting, cardio equipment and more. Our knowledgeable staff also run weight-loss and healthy living services, sports activities, camps and medical wellness programs to complement our outpatient rehab facilities. An additional option is our Works RX program which pairs you with a Medical Wellness Specialist to help you achieve optimal health after your surgery.
Steve, a former patient of Dr. Harrington, describes why he chose Dr. Harrington, how his quality of life has improved since surgery and his individual rehab routine since returning home. Steve maintains his joint health at The Works, a Wentworth-Douglass owned health & wellness facility, where he takes a spin class with Dr. Harrington and describes the Works Rx program.