Chris Lena MD, James Alvarez PAC

Arthroscopic and Reconstructive Surgery of the Shoulder and Knee Sports Medicine MEA’s Karen Smith, Jackie Zuidema, Annmarie Fiore

Tel: (860) 549-8249 - FAX: (860) 244-8813 www.oahct.com

PostoperativeInstructionsFollowingHipArthroscopyforIliopsoasRelease

Generalcomments:Patientswillbegivencrutchesinthesurgicalcenter,tobeusedfor2-6weekstoreduceweight-bearingonthehip.Theprogressiontoweightbearingastoleratedwillbedeterminedbywhatisdoneduringthesurgery.Additionally,somepatientsreceiveabracethatreducestheangleofmotionofthehip.Physicaltherapywillbeprescribedandisextremelyimportanttoasuccessfulrecoveryfromtheprocedure.

Itisparamountthatyouuseyourcrutchesforwhateverperiodoftimeyouareadvised.Keepingpartialweightoffthehipisamajorcontributortoarapidhealingofthehiptissues.

Thefollowingaresomeinstructionsfortheinitialpostoperativeperiod:

1. BANDAGES:Yourbandagemayberemoved2daysfollowingsurgery.Bandaidscanbeusedtoprotecttheincisions.

2.MEDICATIONS:Aprescriptionwillbeprovidedtohelprelievepain.Pleaseusethismedicationasdirected.Thismedicationisstrong,andshouldnotbetakenwithalcoholorotherpainmedications,andmaycausedrowsiness.Exercisegoodjudgmentinitsuse.YoumayalsotryoverthecounterpainmedicationssuchasAleve(naprosyn)orAdvil(Ibuprofen).Takeasdirectedunlesstherearecontraindications.Take1Aspirin(325mg)dailyinadditiontothepainmedicationforonemonth.

3.SHOWER:Youmayshowerafter48hours.Donottakeabathorsubmergethehipunderwaterfor7days.Ifanydrainageispresent,donotgetthehipwetandpleasecalltheoffice.

4.STITCHES:Therearestitchesintheskin.After7-10dayswewillremovethesuturesintheoffice.Ifanyproblemisnotedwiththeincision,pleasecalltheoffice(860)549-8249.

5.WORKACTIVITY:Mostpeopleareabletoreturntoeithersedentaryorrestrictedworkactivitywithin1-2weeksoftheiroperativeprocedure.Generally,fullnormalstressfulactivitiesandsportsareresumedafter3-4monthsdependingontheextentofyoursurgicalprocedure.

6.COMFORT:Painandswellingafterarthroscopyistobeexpected.Thisshouldsubsideafter2-4days.Ifthefollowingdevelopandpersistafter24hours,pleasecalltheoffice:

a. Feverover101.5degrees.b. Swellingbelowtheknee,inthecalf,ankleorfootwhichdoesnotrespondtoelevation.c. Increasingpaininthehip,thighorcalf.d. Dischargeordrainagefromthewoundwhichcontinuesgreaterthan24hours.

9.FOLLOW-UP:Pleasecalltheofficethedayafteryouroperationandmakeanappointmentfor7-10daysafteryourprocedure.Youwillbechecked,yourprocedurediscussedandyourrehabilitationwillbeplanned.

OrthopedicAssociatesofHartford•Tel:(860)549-8249•Fax:(860)244-8813•oahct.com

HipArthroscopyPostOperativeInstructions

You’vehadarthroscopichipsurgerytoday.Yourhipjointandlabrumwereevaluatedthoroughly. Ifoundinyourhip: ___InflamedBursa ___TightIliopsoas _______________________________________________________________________________________Iwasableto:___ReleaseIliopsoas ___RemoveBursitis ________________________________________________________________________________________UntilIseeyou,youshould:___Nonweightbearing___Partialweightbearing<50%___Weightbearingastolerated___Stationarybike ___Postopday ___Startphysicaltherapy(areferralhasbeengiven)

OrthopedicAssociatesofHartford•Tel:(860)549-8249•Fax:(860)244-8813•oahct.com

Hereareseveralexercisesthatarerecommendedforin-homerehabilitation.Thesearejustsuggestions,yourDoctororPhysicalTherapistmayhavedifferentsuggestionsbasedonthecomplexityoftheprocedure(s)performedonyourhip.

StationaryorRecumbentBike

Raiseseatonenotchhigherthannormalsoyouarebarelymakingrevolutions

Mayridethedayofsurgery,slowly

Startoffwithminimalresistanceandexercisefor10to15minutes

Secondday:ridethebiketwice,onceinAMandoncePMeach10to15min

Graduallybuilduptimeandresistance

Ifyouhaveincreasedsoreness,decreasetimeand/orresistance

Pool

Maybeginpost-opday2(ifsurgerywasonMondaygetinpoolWednesday)

Coverwounds(asurgicaldressingisprescribedtoprotectthewoundsinwater)

Walkinchestdeepwaterfor5minutes,bringinglegupto80degreeswitheachstep

Flutterkicks:10to15minutes

Bicycleincornerofpool10to15minutes

Isometrics

All4planes

Makeagoodmusclecontractionagainstresistancebutdonotactuallymoveleg

Do3setsof10inallplanes,whileholdingfor5seconds

AssistedResistance

Someonecanapplyresistancetoyouineachdirection:

1. Trytomovetowardsthemidlineofyourbody

2. Pushdownagainstthebed

3. Pushawayfromthemidlineofyourbody.

4. Liftup,likeastraightlegraise(thismaybesore,ifsoyoumayskip)

5. Avoidsquatsorlegpresses

AnklePumps

Pointtoetowardsfaceandthenaway

Perform30everyhourforthefirstfewdays

WeightBearingStatus:

NonWtBearing=0%ofyourweightisappliedwhilewalking.

PartialWtBearing=50%ofyourweightisappliedwhilewalking

ProgresstoFullWtBearing=PartialWtBearwhileslowlyincreasingweight