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Joint Patient Services

Adventist HealthCare's Joint Replacement Centers offer you pre-surgery education, a dedicated orthopedic unit and individualized rehabilitation and recovery plans.

Before Surgery

You will come to the hospital to work with your physical therapist, occupational therapist and nurse. The physical therapist will review your rehabilitation process and instruct you on your exercise program, using crutches or a walker, climbing stairs, precautions, sitting down and standing properly. The physical therapist will also look at your overall condition including strength and range of motion. The occupational therapist will talk about equipment to help with dressing, bathing, toileting and other daily activities. He or she will also discuss safety techniques for your home and ways you can save your energy.

Inpatient Care

One of our board-certified joint or orthopedic surgeons will perform your surgery.

Throughout your stay, our staff will monitor you with the latest technological equipment on our dedicated orthopedic unit.

You will begin your rehabilitation the day of your surgery at Adventist HealthCare Shady Grove Medical Center with expert therapy staff from Adventist Rehabilitation Hospital of Maryland, also a member of Adventist HealthCare.

You will do exercises with your therapist to strengthen muscles around the replaced joint and improve your range of motion.

If you had a knee replacement procedure, your doctor may also have you use a continuous passive motion (CPM) machine to slowly increase the knee’s range of motion while you are in bed. The CPM machine gently bends your knee back and forth. Surgeons differ on when they start the CPM machine but it is typically within the first 24 to 48 hours.

When you leave the hospital, our joint replacement staff will recommend whether you need physical therapy at home or at an outpatient clinic. A social worker will help arrange this therapy.

Home Care Services

Adventist HealthCare Home Care Services has been delivering health care and healing to our community for more than 40 years. Adventist HealthCare Home Care Services offers physical and occupational in-home therapies for people recovering from joint replacements.

Therapy includes:

  • Home safety assessment
  • Fall prevention program- Advanced Balance and Coordination Program (ABC)
  • Post-surgery musculoskeletal assessment
  • Treatment for muscle weakness, joint range of motion and pain
  • Instruction in therapy exercises
  • Gait and balance training
  • Functional mobility and activities of daily living
  • Wheelchair seating and positioning assessment
  • Caregiver education
  • Energy-saving techniques
  • Joint protection instruction
  • Pain control and/or neuromuscular re-education methods
  • Assessment and treatment of different types of equipment

Goals of therapy for you and your caregiver:

  • Achieve independence at home
  • Increase knowledge of treatment after surgery
  • Ensure compliance with treatment program
  • Transition to outpatient therapy
  • Decrease risk for re-hospitalization

Outpatient Clinic Rehabilitation

You can get physical and occupational therapy at Adventist HealthCare Physical Health & Rehabilitation, located next to Adventist HealthCare Shady Grove Medical Center.

Adventist Rehabilitation Hospital’s physical and/or occupational therapy focuses on exercise and functional training including:

  • Gait and transfer training
  • Balance training
  • Strengthening/endurance exercises
  • Joint mobilization
  • Massage to reduce swelling
  • Ultrasound
  • Individualized exercise programs
  • Techniques for stretching muscles
  • Wound care

The length of therapy varies based on the type of surgery you had, as well as your age, fitness and motivation levels. Generally, knee and hip replacement patients have about two weeks of home therapy followed by four to six weeks of outpatient therapy.

Outpatient rehabilitation following shoulder and hand surgery varies depending on the injury and type of surgery, but average around four weeks.

Find an Orthopedic Surgeon

Call our free, 24-hour referral service at 1-800-642-0101 or browse our Doctors Directory for help finding the physician or specialist that best suits your needs. On the Doctors Directory search page, enter a physician name, specialty or area of interest to find a list of related doctors.

FREE Joint Replacement Class

Register for our Free Joint Replacement Class to learn about total joint replacement surgery options at Adventist HealthCare.

Register Online

Convenient Service Location(s)

Classes & Events

Find health-related activities near you!

  • Nov
    1:30 PM - 4:00 PM
    Considering joint replacement surgery? We encourage you to attend this FREE joint replacement preparation class.
  • Dec
    1:30 PM - 4:00 PM
    Considering joint replacement surgery? We encourage you to attend this FREE joint replacement preparation class.