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.