JOI Birmingham Hip Resurfacing Protocol
Phase I – Acute Post-Operative Phase
- Normalize Gait
- Decrease Pain
- Prevent Stiffness
Post-Op Weeks 1-2
- Weight Bearing: PWB with Crutches for 2-3 weeks
- ROM: Speak with MD office regarding PROM restrictions
- Modalities: RICE
- Exercises: Ankle Pumps
- Quad Sets
- Gluteal Squeezes
- Active Heel Slides (careful to not cause psoas tendonitis)
- Recumbent Bike without resistance as ROM allows
- Seated “Dangle” Stretch (See Attached Picture)
Post-Op Weeks 3-4
- Weight Bearing: Progress to FWB. (If bilateral resurfacing was performed this may be delayed by 2 weeks)
- Modalities: RICE
- Scar Massage as needed
- SLR Hip Abduction (Progress from Standing to Side-lying)
- SLR Hip Extension
- SLR Hip Flexion (careful not to cause psoas tendonitis)
- Walking is to tolerance
- Stationary Bike
- “Figure 4 crossing of legs stretch”(See Attached Picture)
- Can begin a pool program if the wound is well healed
Phase II – Intermediate Phase
- Regain Hip Mobility
- Gentle Strengthening
- Normal Basic Activity
Post-Op Weeks 4-6
- Weight Bearing: Should be FWB without assistive device
- Modalities: RICE as needed
- Massage and Scar Massage as Needed
- Initiate hip flexor stretching edge of bed
- Add leg press light weight
- Add double leg bridges
- Resisted ER and IR of Hip in Standing
- Single Leg Balance and Proprioception work
- Add resistance to bike
- Childs Pose for Hip Flexion
Post-Op Week 6-12
- Modalities: PRN
- Tall kneeling or stool hip flexor stretching
- Elliptical and stairmaster progression
- Advanced bridging exercises (single, unsteady surface, resistance)
- Initiate mid-range multidirectional lunges
- Closed chain exercise progression
Phase III – Return to Function Phase
- Restore Normal Strength
- Return to Prior Level of Function
- Begin gentle return to activity under the direction of MD and Therapist
“Seated “Dangle” Stretch: This is a simple exercise to help increase flexion. Find a stool or lower chair. Place your knees at shoulder width. Bring your hands down towards your ankles and hold when you feel the stretch. Don’t bounce or continue if you have a lot of pain. Repeat for a set of 10.
“Figure 4 crossing of legs”: This exercise is designed to increase the rotation in your hip joint, particularly so that you can put on your own shoes and socks. In a sitting position, gently grab your operated foot and bring it to rest on your un-operated knee. This will bring you into a sitting, cross-legged position. It will be difficult at first, and you may feel some pain around the incision site. If it is too stiff to accomplish this early on, you may turn your body at an angle to the chair/bed, and bring the foot onto the chair/bed instead of your opposite knee. Gently press on your operated leg to flatten it.
Whether you are suffering from back issues, joint pain, or injuries resulting from any type of activity, JOI has 12 physical therapy clinics conveniently located in Jacksonville and Northeast FL who specialize in orthopedic rehab.
If you are interested in scheduling an appointment at JOI Rehab for physical therapy, call (904) 858-7045. Come see us!
Where is Telemedicine frequently used?
All JOI Physicians, Physical Therapists and Occupational Therapists now offer Telemedicine services for virtual visits from the convenience of your home. If you feel that it is best to stay in your own home during this time, we can still provide orthopaedic Telehealth services for you. Through the download of the free Zoom app on the your phone, tablet or laptop. Our physicians and Telehealth for Physical Therapy can evaluate you and provide the care you need.
- To schedule a new patient or follow up patient appointment with your MD, please call (904)JOI-2000 or read more here about our orthopedic telemedicine providers.
- To schedule an appointment for physical or occupational therapy, call 904-858-7045 or call any of the 12 area JOI Rehab Centers.
JOI Physicians are currently offering ASAP Fracture care. Make an appointment by calling (904)JOI-2000. This is a new option for patients who would like to avoid the emergency room if they have suffered a fracture or soft tissue injury. To learn more about this service, read this article about fracture and injury care.