Hip arthroscopy

Post-op recovery	First 2 weeks	Date
Goals	Protect the hip and surgical incisions Recover from swelling and inflammation Control of post-surgical pain
Precautions	Partial-weight bearing on crutches (20kg) for first week Come off crutches week 2 Do not flex more than 90 degrees
Recommendations	Rest and elevate as required Ice as desired – up to 3 times a day (particularly in the first 72 hours) Range of motion exercises of ankle Range of motion exercises of knee Range of motion exercises of hip
Suggested exercises	Stretching: Supine abduction and adduction Hip flexion standing and supine (up to 90 degrees) Seated hamstring stretch Standing quads stretch Pendulum movement of the leg when standing Strengthen: Static gluteal, Quads and hamstring contractions Isometric abduction, adduction

Phase 1	Week 2 to week 6
Goals	Free range of motion (not beyond 90 degrees of hip flexion) Begin strengthening Return to normal gait Gain balance
Precautions	Do not flex hip more than 90 degrees. Do not couch to floor or sit on floor. Do not squat more than 90 degrees
Recommendation	Use the weight of the leg to do exercises and build strength Short walks Do not run
Suggested exercises	Hip abduction standing – side and back at 45 degrees Side leg raise – leg straight and leg bent Supine straight leg raise Supine and standing leg extensions Bridging with gluteal contraction Core strengthening abdominals Single leg stance exercises for balance and neuromuscular control Double calf raise – progress to single

Phase 2	Week 7 to week 12
Goals	Comfortably walk normally Strengthen Normal functional daily activities
Precautions	No running No deep squats
Recommendations	Resisted strength training of core, gluteals, hamstring, quads, Abductors. Start light and build up resistance. Allowed to begin flexion greater than 90 degrees if comfortable NO deeps squats No rowing machine/erg
Suggested exercises	Thermaband exercises for gluteals and abductors Lunges Step up, step downs Squats (limit to 60 degrees if using weights) Leg press (limit hip flexion to 60 degrees if using weights) Double calf raise – progress to single Single leg stance exercises Bridging Core strength training Exercycle, elliptical trainer, swimming

Phase 3	3 Months – 6 months
Goals	Gain full function and strength Return to sport and recreation activities
Precautions	Avoid collision sports or high risk recreational activity until you have completed sport specific exercises and are cleared by physiotherapist or surgeon Return to vigorous athletic activity as physiology allows (rapid return to rigorous strength training or endurance and speed training can lead to tendinopathies or injury)
Recommendations	Achieve full range of motion including high flexion Concentrated full rehab program that includes strengthening of core, hip flexors, gluteal muscles, external rotators of the hip, quadriceps, hamstrings and calves. Gain in confidence during athletic activity. Neuromuscular control and co-ordination of leg Long walks Return to running in sensible progressive time frame Sport specific training and exercises
Suggested exercises	Thermaband exercises for gluteals and abductors Lunges jump up, jump downs Squats (limit to 90 degrees if using weights) Leg press (limit hip flexion to 90 degrees if using weights) Calf raises Single leg stance exercises, jumps and landing Bridging Core strength training Exercycle, elliptical trainer, swimming