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Specific Instructions: • Complete hip outcome tool (FOTO, WOMAC or HOOS JR) Suggested Treatments: ROM: P/A/AAROM within hip precautions (extension and ER to neutral) Manual therapy: Soft tissue mobilization and lymph drainage as indicated Stretching (within hip precautions): passive stretch to hip
Anterior Precautions: No hip extension or hip external rotation beyond neutral. No bridging, no prone lying, and none of the above motions combined. When the patient is supine, keep the hip flexed at or above 30 degrees. Pillow under the patient’s knee or raise the head of the bed. Direct Anterior Precautions: No full bridging. Lateral Precautions:
The surgeon will decide what is the best type of procedure this could be anterior, posterior, anterolateral, posterolateral, and lateral approaches. For each approach, there are different precautions that must be followed to decrease risk of dislocation based on the tissues that were affected during surgery.
• Complete exercises 3-4 times daily until your first post-operative visit. • Perform ankle pumps continuously throughout the day to reduce the risk of developing a blood clot in your calf.
An anterior approach uses an incision that typically starts at the iliac crest and extends down toward the top of the thigh (less commonly, you will find a horizontal incision). The anterior muscles are then divided to display a window to the hip joint and muscles are typically not cut.
restrictions. Make sure you eat a well-balanced meal, drink plenty of fluids and incorporate fiber into your diet as oral pain medications have a tendency to cause constipation. It is also a good idea to take a stool softener such as Colace daily until your system becomes regular after surgery.
Proper activation and recruitment of all hip and core musculature without compensation required prior to initiating strengthening. Neuromuscular re-education for balance and correction of faulty mechanics. Therapeutic exercise for lower extremity strength (double and single limb) Outcome Testing.
