POST-SURGERY HIP PHYSIOTHERAPY: REGAIN MOBILITY WITH PERSONALISED EXERCISES

Effective rehabilitation for an active life after hip surgery

Physiotherapy is a key pillar in the recovery process following both total hip replacement surgery and hip arthroscopy. At Anca & Bacia, our goal is to help you regain mobility, strength, and independence as quickly as possible, through a rehabilitation plan tailored to your specific needs. From the first exercises in bed to walking independently, our team, together with the physiotherapy team, will guide you through every step, minimising discomfort and speeding up the healing process. Discover the recommended exercises for the initial phase and how they contribute to your overall well-being.

 

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The importance of physiotherapy in recovery

After surgery, early rehabilitation is crucial to avoid complications such as joint stiffness or muscle loss. Studies show that starting physiotherapy within the first postoperative week significantly improves functional outcomes.

Exercises help restore movement, strengthen the muscles around the hip, and prevent issues associated with prolonged immobilisation.

Rehabilitation exercises initial phase

In the initial phase, exercises are simple and performed under supervision, starting in the hospital and continuing at home. Always respect the limits of pain and swelling, adjusting the intensity as needed.

Exercises while lying in bed

These movements help stimulate circulation and prevent muscle atrophy in the first few days:

Ankle mobilization

Perform gentle ankle flexion/extension and rotations (10 repetitions, 2-3 times a day). This improves circulation and reduces the risk of blood clots.

Knee flexion

With your foot supported on the bed, slowly bend the knee, hold the maximum position for 5-10 seconds, and repeat 10 times.

Gluteal contractions

Contract the gluteal muscles for 5 seconds and then relax, repeating 10 times. This strengthens the pelvic area.

Abductor exercise

Slide the operated leg to the side and return to the starting position (10 repetitions).

Quadriceps contraction

Try to straighten the knee by contracting the thigh muscles for 5-10 seconds (10 repetitions).

Straight leg raise

Lift the leg with the knee straight, holding for 5-10 seconds (this may be challenging in the first weeks; only start if you can tolerate it).

Standing exercises

When authorised by the medical team, start these exercises to improve stability and walking:

Knee lift

Lift the knee towards the chest, keeping it bent, and repeat 10 times per leg.

Leg abduction

Lift the operated leg to the side, keeping the knee straight, and repeat 10 times. This strengthens the hip abductor muscles.

Hip extension

Lift the leg backward, hold for 5 seconds, and repeat 10 times. This helps with the natural extension of the movement.

Walking and stairs

Walking with a walker or crutches

In the first weeks, walk with support, placing the operated foot down as tolerated. Gradually increase the distance, under the guidance of the physiotherapist and according to the instructions given by your attending physician.

Going up and down stairs

Use the handrail and go up the stairs leading with the non-operated leg first; when going down, start with the operated leg. Practice under initial supervision to ensure safety.

Tips for effective rehabilitation

  • Frequency: perform the exercises for 20-30 minutes, 2-3 times a day, as recommended in the hospital.
  • Pain control: stop if you feel intense pain and consult your physiotherapist or attending physician.

  • Follow-up appointment: schedule the postoperative check-up to assess progress and adjust the rehabilitation plan.
  • Equipment: use comfortable, non-slip footwear at home to prevent falls.

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