Hip Arthroscopy: Post-Operative Physiotherapy Protocol
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Phase 1 (Week 1-3): Swelling Reduction, Pain Control, Muscular Activation
Aims
Reduce Swelling, Control Pain, Regain Muscular Control
Protected Weight Bearing
With crutches at direction of Dr Slattery
Compression + Cryotherapy
(Cold Packs/Active Fluid cooling)
Reduce bruising and swelling
Exercises
Short crank stationary bike – no resistance
Quads sets
Hamstring sets
Gluteal sets
Prone Lying
Supine Heel slides
Passive circumduction and log rolling
Phase 2 (Week 3-6): Range of Motion and Strengthening
Aims
Obtain full ROM, reduce swelling and pain, early muscle retraining
Swelling control
Compression and cryotherapy to continue as required
Swimming with pool buoy
From week 2 after wound check
Exercises
Supine double leg bridge
Prone IR/ER AROM
Side lying clams
Forward step ups/downs
Double leg squat
Straight leg raises hip abduction and extension
Bike with resistance (from week 4)
Phase 3 (Week 6-12): Advanced Retraining
Exercises
4 Point Trunk exercises
Lunges in all directions
Single leg squats on uneven surfaces
Monster walks with TheraBand
Front and side plank progression
Straight line jogging
Phase 4 (3-6 months): Sport Specific Retraining
Goals
Enhance neuromuscular control, normalize muscle strength, perform selective sports specific drills + agility training
Exercises
Ladder drills
Agility exercises
Cutting activities
If at any time there is increasing pain, or regression in your progress, please contact your surgeon to review your condition.