Hip Resurfacing Surgery: Phase 1
Phase 1: Protection and Early Recovery (0-6 Weeks)
Goals:
Control pain and swelling
Protect healing tissues
Restore walking pattern
Improve range of motion
Exercise examples:
These are the post-PAO range of movement and activation exercises, with inner range quads left out as noted. When carrying out this exercise program you may feel some discomfort at your hip. It is important that this pain does not exceed 3-4/10, where 10/10 is the maximal and 0/10 is no pain.
| Exercise | Reps | Sets | Frequency |
|---|---|---|---|
| Supine hip flexion | 10 -15 | 3 | 2 -3 times a day |
| Supine hip abduction | 10 -15 | 3 | 2 -3 times a day |
| Bent knee fall out | 10 -15 | 3 | 2 -3 times a day |
| Standing hip flexion | 10 -15 | 3 | 2 -3 times a day |
| Standing hip abduction | 10 -15 | 3 | 2 -3 times a day |
| Standing hip extension | 10 -15 | 3 | 2 -3 times a day |
| Core squeeze | 10 (10 sec holds) | 1 | Daily |
| Seated heel raises | 10 (10 sec holds) | 1 | Daily |
Supine hip flexion
Lying on your back slowly slide your heel towards your bottom, flexing at your hip and return to starting position in a controlled manner. Do this on a slippy surface for ease of movement. e.g. a sock on a wooden floor.
Supine hip abduction
Lying on your back slowly slide your heel outwards, in a slow controlled manner and slowly return to starting position. Do this on a slippy surface for ease of movement. e.g. a sock on a wooden floor.
Bent knee fall out
In lying with your knee slightly bent, ensure your tummy is tight, slowly allow your knee to fall out to the side in a controlled fashion and return to the starting position.
Standing hip flexion
In standing, holding onto a stable surface for support, slowly lift your knee up to a right angle and return to starting position.
Standing hip abduction
In standing, holding onto a stable surface for support, slowly lift your leg out to the side and return to starting position.
Core squeeze
In lying with your knees bent, gently squeeze your stomach muscles whilst almost trying to pull your pelvic muscles upwards, hold for 10 seconds, repeat 10 times.
Seated heel raises
In sitting push up onto your tip toes activating the calf muscles hold for 10 seconds, repeat 10 times.