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Lifestyle optimization

Nutrition, sleep, and prehab before joint replacement.

Patients often think recovery starts after surgery. The PBJ framework treats nutrition, sleep, strength, motion, and mindset as part of the preoperative build.

Support healing with protein-forward nutrition and hydration conversationsProtect sleep before surgeryUse prehab to learn safe movementPrepare the home and caregiver plan

Recovery principles

A clear plan beats a crowded packet.

The PBJ Rapid Recovery System gives patients a practical way to prepare before surgery, understand the early recovery window, and know when to call for help.

01

Fuel: enough nutrition to support healing and energy

02

Rest: sleep routines that reduce stress

03

Movement: safe strength, motion, and walking habits

Chapter guidance

What patients need to understand.

01

Food is part of the plan

Nutrition should be practical, not a strict promise. Patients can discuss protein, hydration, weight goals, diabetes control, and supplements with the care team.

  • Avoid crash dieting around surgery
  • Ask about supplement timing
  • Coordinate nutrition changes when medical conditions matter

02

Sleep affects resilience

Poor sleep can make pain, anxiety, and fatigue harder to manage. Sleep apnea, insomnia, and medication questions should be discussed early.

  • Bring CPAP or sleep apnea details
  • Plan a comfortable recovery sleep setup
  • Ask before using sleep aids with post-op medications

03

Prehab is practice

Prehab helps patients learn transfers, walking aid use, stairs, swelling control, and safe movement before surgery week feels busy.

  • Practice getting in and out of chairs
  • Plan walking routes at home
  • Ask which exercises fit the painful joint

Patient checklist

Make the next step concrete.

A patient should finish each chapter knowing what to do next, what is normal, and what should prompt a call to the office.

1

Review nutrition goals and supplement questions before surgery

2

Tell the team about sleep apnea or major sleep problems

3

Practice safe transfers, stairs, and walking aid use

4

Clear walkways, rugs, cords, and low-light hazards

5

Confirm help with rides, meals, pets, and medications

Common questions

Fast answers, careful claims.

Does this replace my office instructions?+

No. These chapters explain the recovery process in plain language. Follow the written instructions from Dr. Morton and the care team.

Should I call if I am unsure?+

Yes. If symptoms are worsening, confusing, or listed as warning signs, call the office or seek urgent care based on the situation.

Will every patient recover on the same timeline?+

No. Recovery depends on diagnosis, procedure, health, support, travel, and complications. Use the timeline as guidance, not a guarantee.

Ready for a plan?

Start with a focused orthopedic consultation.

Bring your symptoms, imaging, records, medication list, and goals. The first win is understanding what is causing the pain and what path is realistic.

Recognition

Awards, focused training, and Hawaii-specific care planning help patients compare trust before they schedule.

US News High Performing in Hip and Knee Replacement
2025 Top Doctors
Best of West 2023
40 Under 40
First Hawaii orthopedic surgeon fellowship-trained in robotic joint replacement
ACGME-accredited fellowship training in hip and knee replacements
Minimally invasive, muscle-sparing approaches when appropriate
Concierge-style coordination for travel and neighbor island patients
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