Physical therapy in your home
May 21, 2018
This guide summarizes best practices. The best care involves a combination of best practices, and the healthcare provider’s and patient's inputs.
3 days - 3 weeks post surgery
Reduce swelling and pain
Increase range of motion within precautions
Increase independence with transfers and gait (follow weight bearing precautions as prescribed by surgeon)
Monitor wound healing for signs and symptoms of infection
Precautions vary based on the surgical approach and generally followed for six weeks post surgery. Follow your health care provider's instructions.
Don't bend the operated hip more than 90 degrees - don't sit in a low chair with knee above hip and don't lean forward in sitting where your trunk goes in front of your hip.
Don't cross legs or bring legs together. Keep feet in line with knees, and knees in line with hips. Sleep with a pillow between the knees.
Don't turn legs in or out. Don't pivot with your feet fixed. Instead, move your feet.
Don't let your knee go behind your hip.
Ice 10-15 minutes, multiple times a day to reduce swelling and pain
Exercises (with guidance of your therapist)
Short and long arc quads
Gait: progress from walker or crutches to cane
3 - 6 weeks post surgery
Increase hip range of motion within precautions
Normalize functional activities
Precautions still apply until at least six weeks after surgery. Follow your healthcare provider's instructions.
Ice 10-15 minutes, as needed, to reduce swelling and pain
Additional exercises (with guidance of your therapist)
Standing hip abduction
Standing knee flexion
Standing heel and toe raises
Stationary bike within precautions (don't bend hip beyond 90 degrees)
Functional activities training
Sit to stand within precautions (don't bend hip beyond 90 degrees)
Gait without assistive device, as tolerated
6 - 12 weeks post surgery
Normalize all functional activities
Begin endurance activities
Precautions lifted unless otherwise instructed by your surgeon.
Progress strength and balance exercises
Begin light recreational and endurance activities (walking, swimming, progress stationary biking)
3+ months post surgery
Continue walking, swimming, and stationary biking for aerobic conditioning
Begin other recreational activities (golf, outdoor cycling, impact sports such as tennis or jogging) with clearance from surgeon
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