Total Hip Replacement - Exercises 0-4 Weeks After Surgery
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- Опубліковано 18 січ 2021
- Total Hip Replacement - Exercises 0-4 Weeks After Surgery
UA-cam Channel: / physicaltherapyvideo
Website: bobandbrad.com/
Physical Therapist Assistants Mike and Alex discuss techniques for pain management, swelling, and initial stengthening and range of motion exercises thst can be completed 0 to 4 weeks after total hip replacement surgery. They review hip precautions and why they are important to follow.
Episode 6 - On Printable Program
This video is a part of a series of videos for the Total Hip Fitness Program.
Check out the full series of videos along with downloadable guide sheets for each video on our website here: bobandbrad.com/programs
DISCLAIMER We insist that you see a physician before starting this video series. Furthermore, this video series is not designed to replace the treatment of a professional: physician, osteopath, physical therapist, orthopedic surgeon, or chiropractor. It may however serve as an adjunct. Do not go against the advice of your health care professional. When under the care of a professional make certain that they approve of all that you try. This information is not intended as a substitute for medical treatment. Any information given about back-related conditions, treatments, and products is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read in this publication. Before starting an exercise program, consult a physician.
Medical Disclaimer All information, content, and material of this website is for informational purposes only and are not intended to serve as a substitute for the consultation, diagnosis, and/or medical treatment of a qualified physician or healthcare provider.
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Hi, almost 75 yo guy here 8 weeks post-op with Posterior left total hip. Do the exercises as proscribed but puleese don't over do it! It's not a race! Keep the walker to stop you from rocking and rolling.Your new Hip can last 20 years with care. Go for walks with friends. Good luck!…..Graham
Can't thank you guys enough for making these videos. It took me practically 4 weeks to get physical therapy started and this program helped me to get going on my own. My surgeon and physical therapist, when I eventually got one, both commented on how well I was doing. The credit goes to you. Thanks again .
Great video. Thank you very much. In the 21st century a Total Hip Replacement should only be performed using the Direct Anterior Approach. The anterior approach is more technically demanding for the surgeon, which is why many surgeons have not yet switched to this approach. This approach is considered a minimally invasive surgery to replace the damaged hip while avoiding nearby muscles and tendons. This approach causes less pain and results in a quicker recovery. There are generally no hip precautions necessary after the direct anterior approach, so motion is not restricted. Patients can return to work when they feel comfortable. This typically takes about 2 weeks. As a 75 year old male and an engineer in the power industry, the surgery was performed as an outpatient and I was home that evening on January 9, 2024. Used a walker for the first two days and then a cane for the following two weeks mostly for protection from falling and to relearn how to walk without a limp. Was active and back to work the following week and playing pickleball at 8 weeks. Was cleared from physical therapy after 4 sessions. Was already doing the exercises and riding my stationary bicycle before the sessions with the physical therapist. My biggest recommendation is to do at least 2 or 3 times a day the associated physical therapy exercises for several weeks prior to the surgery and for at least 8 weeks post surgery or in my case until I got back to my normal fitness activities. The ankle pump exercise should be performed even more frequently. I still do them frequently throughout the day. Also ice pack pads will be your post surgery friend; they should be used frequently on the area of the incision for the first 2 weeks after surgery.
Spent 20 minutes looking online for a Post’s pelvic socket fracture surgery physical therapy and this is absolutely the best one so far. Thank you
Had the anterior approach done on my left hip 7 days ago. This is so helpful! Thank you!
Thank you such having trouble finding a provider and KNEW I had to be doing something.. this video was a gift in disguise..thanks again
I have been following Bob and Brad for a few years. Initially it was for problems with my back, but later for other things. Now I'm back and looking for exercises for after hip replacement surgery. You guys have not let me down.
This isn't my first hip replacement, I had my right hip done 9 years ago when I was in my early 40's. I had developed pain in my hip. An orthopedic surgeon told me I had some thinning of the cushion in the joint, but should be fine for another 5 to 10 years. I was back a year later because my leg kept buckling on me. The cushion was completely gone. It was just bone on bone. My left has now done the same thing. I am just over 2 weeks post surgery. A few days ago I had a visit with the surgeon and a physical therapist. Everything is great. I already had ditch the walker most of the time. I shared with them my need to strengthen my legs as much as possible before August. I am a teacher associate and will be working in a building that is 4 stories so I will be going up and down stairs ALOT. The therapist gave me some more exercises to add to what I was already doing.
I came here to see if you guys had something more that I might add. I'm glad I did. You have all the ones my therapist had given me and more. I will be adding them into my rotation.
Thanks again for all the time and effort you guys put in to these videos. You are so very helpful.
Update*
I had my surgery on Dec 23rd 2021...
I started muay thai in April...after a full month I feel amazing...for those who don't know muay thai has ALOT of knees and kicks...just go slow and never get discouraged.
Excellent exercise session
Excellent demonstration. Easy to follow.
I'm having a total right hip replacement surgery on April 11th and I won't be able to cover therapy costs through Medicare so I appreciate these videos. 👍
Thanks Bob and Brad, TRHR Posterior approach tomorrow. Have been doing your pre op exercises and just made notes for next 4 weeks from your hip replacement programme. Gave a patient perspective talk to some uni physio students about hip pain ealier this year and I advised them if they take away one thing from the morning it is to go and check out you guys !
Thank you. I'm doing the excersise. I ditched the crutches to soon. I'm 18 day post op. I'm walking w a limp, no pain I feel fantastic. I will get those back out today.
Thank you, hope others in other languages can make information about health as good as yours.
I had a total right hip on 28th January 2022. I am now almost 10 days down the road to recovery and these exercises are done every day now.
Im doing most all these exercises
And i have not had surgery for hip
Replacement at this time. I have bone to bone osteo arthritis
Ivpropen 200mg, cane, walker assist. Some walking without
Assistance (at home)
Not ready to see orthopedic surgeon I'm a woman 69 years
I'm about to join you, I will have both replaced soon. 😌
@@cynthiajean3774 hi, do you have pain with the bone on bone?
I’m 32 and have arthritis in both my hips really bad .. just had surgery May 31th on my left hip now about 3weeks into recovery.. Hope you recover well
I’m on day 4 after surgery and I haven’t had a therapy session at all, my first day is not until July 11th is this normal? So far I’m laying in bed
This is so cool.Have started this just now on my fifth post op day . I only got four exercises given by the hospital. You two are brilliant and I enjoyed doing these exercises today. Will continue these until my sixth week . Thank you
So happy I found your videos! Had a left hip replacement 12/17/23. Started your video 12/24/23. Doing 3 times daily. Still waiting for my PT to show up. Thank you
I'm 2 weeks after hip surgery. Just a lil pain in the groin area. 4 weeks return visit. Got a long way to go; but no pain. I enjoyed your video.
Wow, this was extremely helpful. I'm 4 weeks post-op - posterior approach and this help me with confirmation where I am, what I can or can't do, 90 degree definition and they I can lose the cane yet because I'm walking like you showed. I'm back to work and doing really well but I believe the exercises and explanations of right and wrong way of doing them is going to help tremendously!! Thanks so much!
best video yet. Thanks
excellent explanations
Right Hip replacement. 2 days a week at Rehab Hospital. Worked for me. But on my days off , this helped as well. Love from Oz.🇦🇺
Thank you fellas. I am 4 Days post Left Hip Posterior replacement. I am doing the best I can but find these exercises easy enough to understand and do. I am 57 years old.
I just am 6 days out from my hip replacement. Boy, the information about using the cane is swinging my hip was great. I gave up the cane to early, but you put me back on track!
Thank you for your excellent video.
Thank you! While I'm getting stronger, I'm still using my walker 4 weeks out, posterior approach. I've asked for HH PT but nothing has happened yet. I didn't know what specific movements would be helpful but I've been doing what I thought would help to stretch & strengthen my weak areas. This video is gold.
Thanks for your help
Just had a left hip replacement ( anterior approach) 11 days ago. I’m glad I found this video. Thanks.
Thank you. Your knowledge and personality makes video easy to watch. Very helpful. I’m 11 days out from anterior approach total hip replacement. I will continue to follow your videos.
Great Video Thanks.....
My grandpa had a hip replacement today . I am a physio but wanted some more ideas , thanks guys.
I had hip replacement yesterday and two young ladies came in and told me everything and these two guys covered 99% of what they told me. They're good to go
The big thing is putting on and taking off shoes and socks
I'm from Texas and I could listen to y'all talk for days.😁 Great video I'll use this for prehab.
Thank you so much
I just had a hip replacement on Monday . I’m 38 years old. I appreciate these videos
Hi! I'm 50 years young. Going for mine in a couple of week. Super nervous. I'm cyclist. Can't wait to get back in the saddle. Please tell me about your experience. Thank you!
@@tracytb8869 i'm 48 had 7 weeks ago hip resurfacing right hip.. Please don't be nervous no need.. In 4 weeks i was back on the mountainbike (but slowley) and in 6 weeks slow and low kicking (i'm a martial artist)... Take.. Youre.. Time.. Don't be afraid for the surgery i was in pain for 8 years, ik in fear for 8 years, in depression 8 years long.. So i have payed and suffer and mental trained like you.. So i took my reward for it.. And now i is Youre turn to get your price in turn of fear and pain..
So please you don't have to be stronger, Just DO it... And share with the world with friends, with all the others who had the samen like you and me... God bless you take care having a good recovery..👍 👍 👍 👍 👍 👍 👍 👍
@@royvandedonk2429 Thank you for the words of encouragement.
@@royvandedonk2429 I have completed 1 year 3 month hip replacement but i have pain how to strength hip due to accident reason of hip replacement
@@cvvideos1943 by accident? I think its gonna be much harder to recover but not imposible. A hip replacement is one of the most succesfull joint replacements, but you need to understand the musculair motions and the damage of the soft tissue. For my hip i had over 6 different fysiotherapists and 3 for my shoulder. Eage of them had different point of a view and different healing methodes. I had massage, dry needeling, micro shochs, giropractic, meditation everything!... I try everything... You must understand how your body is communicat with you. There are so many ways. You should never stop researching the best way and keep moving, is the best walking, cyling Just the normal movements are mostley the best..
Greetings form Malaysia! I am 14days post hip replacement and these exercises are great guys! Thank you so much and God bless all at Bob & Brad team!
What are the best types and materials for hip implants?
I'm from Indonesia
I am headed into surgery in 2 weeks. And I appreciate this information so much thank guys. I tried to watch a video of a hip replacement, could not. So I decided to focus on the end results instead and get ready to dance again.❤
How is your recovery coming along?
@@galaxiax3284 it has been an adventure. The one thing I was not prepared for was the lack of physical strength through the entire body.. However just passed the 2 month mark and I am feeling more and more like myself everyday. Got the next hip scheduled for August 1st, so be New Year's I will be so ready to dance my heart out all night long. I can't wait. Thanks for asking.🙏❤🌎
@@patriciayingst5783 how soon did you begin to go upstairs, or to drive by yourself? Sorry I’m on my fourth day and I just rented a medical bed and it’s a world of difference in fact it just arrived today and prior to that I was on the couch and I kept tweaking my hip bone and it was very painful, anyhow I’m hoping to get my left hip 3 months after this one, are you moving without a walking chair now?
The very best advice I could give is let your body tell you when it's good to go. I got all hung up on progress of others and comparing it to mine. I find that raising my legs to sleep helps. I'm not a back sleeper never have been, however I am still learning.
And most importantly watch stuff like Dr. Joe, and Abraham Hicks if you don't already.
Let it all unfold, no matter what you need to heal and worrying to much about anything made my pain worse. 🙏♥️🌎
@@patriciayingst5783 got it thanks, I just now started doing exercises and got a huge cramp on my hip that ran down my quad 😂 I will take it easy after all I got 3 month disability, well good luck on your second surgery.
THANK YOU TWO YOUNG GENTLEMEN VERY VERY MUCH .
I AM INTO WEEK 3 OF THESE , DOING THEM EVERY DAY & I AM GOING TO CONTINUE DOING THEM DAILY WEEKS TO COME .
I WILL LATER FOLLOW THE ADVANCED PROGRAMS FOR THE ENSUING MONTHS TO COME . PWW
Thank you for this very helpful video. Please I would like to ask how many time per day we should make those exercises
Thanks
Had r hip replacement 12/12. Finally feeling more like myself again. Walking. Stairs. I use a cane when outdoors for stability i appreciate the exercises to help with recovery I’m looking to return to work first Monday in February. These exercises will help with strengthening Summer will be awesome to be pain free and not walk with a limp again !! Thanks guys. 🥰🥰
My husband just had rt hip replacement on 3/2, so I'll be show them to him tomorrow.
Thanks guys, really appreciate this. I’m three weeks out and staying focussed. Still lots of fatigue but I had some haemoglobin and anaesthetic issues post op. It’s quite a journey!
you can do it, David!
Great..
These are wonderful!! Thank you!! I’m on day 18 since my total anterior hip replacement surgery. No PT was ordered so these are really helpful!!
All the best in your recovery!
Thank you for these. Today is 2 weeks post op. Only 44 so I'm hoping to bounce back quickly.
There are exactly what I am doing with my PT few hours after my anterior approach right hip replacement which I did just 10 days ago. Thank you. I am doing at least # 1-7 att home 3x a day:
Bob and Brad It would be great to get a video for post op exercises with minimally invasive lateral approach or "super approach" There are no post op restrictions; what should you do week 1, 2, 3?
Thank you guys for all of these. I just had a full hip replacement at the age of 51 after a nasty bike accident, here in Spain. I wasn’t giving any PT, but I’m doing his exercises now. I’m only a week out, but it’s nice to know that I have these to do. Thank you so much.
Thanks!
Much appreciated, thank you!
Thankyou. Very helpful. Binni. Australia. 🇦🇺 xx
These are Great! Almost exactly what my dr advised after total anterior hip replacement Surgery! Much better than my paper copy! Thank you!
Thanks ❤️
Thanks! It's been 2 weeks and I've felt like a wimp still using my walker. It's just easier to walk with the walker. Now I don't feel so bad about still using it. Love these videos!
I used a walker for two weeks after my first hip replacement. I recovered well and was walking 4 miles in three and a half months. Had my second a week ago and expect to use the walker for two weeks again.
Nice sir good explanation TQ sir
You guys may will be the best PT in the world. Too bad I have to see you again! Last time I watched for my L knee replacement, this time I thought I'd be seeing you for my R rotator cuff I broke 10 months ago but because it took so long to get an appointment (covid etc) I needed a R hip replacement. So I'll definitely be back, but now its likely to be a C-Spine surgery, then R knee then cuff. Yes, I did ask "why can't I just have a titanium skeleton? Apparently, we can't yet send the molecules through the ether.
😂😂hugs and it shall be well,am 4weeks post Op its not easy I started my exercises today and I have mother of them all muscles😅be we solder on with our new skeletons😅
I had also done THR ON 29DAYS BEFORE THEN I WAS SAW YOUR EXERCISE VIDEO I FEEL MUCH RELIFE FROM PAIN AND STIFFNESS.
THANK SIR
Thank you for the tutorial. Actually I have been doing some of your exercises. They way people talk about Hip surgery that is easy, FYI it is NOT a cake walk, I finally had my left done Anterior surgery. I am at four weeks and it still hurts. Again, thank you guys
I'm having my my right hip replacement next week (Yay!!) I'm doing exercises 1 to 6 daily now to be as ready as possible for recovery.
I too🙏
Just had a total hip replacement yesterday, at 41 it’s unheard of but I had previous surgery on that same hip. Will be following!
I to am 41 and had one on the 26 of this month, and I must say my doc done a fantastic job!!! Along with the second week of physical therapy I’m doing well!!
@@AlbertoGonzalez-tc2ju did u start your physical therapy right after ur surgery day?
@@hadakal6170 im 28 had a resurfacing two weeks ago I started the day after its getting a lot better already!
@@hadakal6170 yes I did,I had my surgery two weeks ago and now can walk without crutches
@@AlbertoGonzalez-tc2ju I am also 41 going in this Friday for my first right hip replacement. I'm hoping for fast recovery but will follow instructions. This gives me hope.
Getting a hip replacement 03/09/22. Good information
Any recommendations for a sneaker shoe for after surgery?
Hi Bob and Brett. I have no cartilage in my right hip. My doctor says I'm two years out for surgery? Do you have any pain relieving exercises for this agony. Thank you. Linda Cimino Sarasota, Florida
Great video! In section #12, "Knees and Fit Glide", around 11:00, a "use a towel" is mentioned, but no explanation of how that works and, I reckon, most do not have the mechanism that you have there. Is it shown somewhere? Thank you!
Hi I had lateral aspects of hip replacement 2 weeks ago . But your video talk mite anterior and posterior. Any thing different to do in lateral aspects
Hi
I have had my right total hip replacement surgery a week ago. I am 31 years old and find these videos really helpful. Training as much as I can to recover quickly. Thanks
35 and just had mine last thursday.
@@buddha.awakens9809 I hope you are recovering well
@@iUm51r I'm doing great actually. My nerve pain is completely gone. I have obviously muscle soreness from the insicion but atp it feel like a Charlie horse. Hopefully I can be back doing yoga and jiu-jitsu in 7-8 months.
I also hope ur healing up nicely. Sending positive intent you way.
Can you walk pain free now 2 months later?
@@SkyHermit I went back to work after 4 weeks. Now at a little over 2 months and I'm working out again. Everyone is different though.
You guys are the best thank you so much
First day after hip resurfacing still in the Hospital
Have started the exercises
Much love to you’s ❤️🙂
Best of luck on your recovery!
@@BobandBrad thank you both so much ❤️🙏🙂
What are the best types and materials for hip implants?
I have severally RA this is my 14 operation can't use Walker or cane my hands at 3 weeks have blisters I hope walking like a duck will not affect my hip replacement your exercises are grate , thanks you,
Have had R hip replaced twice. The exercise that helped me the most (not right after surgery, but later on) was hip hikes.
What implants u used
@@suryathesun5941 my current hip is a Zimmer. Wasn't the type of hip that was the problem. It was the doctor who put it in incorrectly.
@@arbez288
I am searching for best surgeon for hip replacement
@@suryathesun5941 I would choose a board certified newer surgeon. A doc who is familiar with whatever underlying problem caused need for new hip (mine was FAI). I was referred to a hip revisionist by another hip surgeon. There are Facebook groups who can help you find a good surgeon in your area. Best of luck.
@@arbez288
Tq bro Tq for u r advice
these exercises for posterior approach or anterior?
The surgeon damage one nerve in my leg during the surgery and as result I finished with drop foot. Which exercises can I do to get better. Thank you for your help.
compression - what do you recommend for compression? and when ?
Can you do these if you had a Calcar fracture during surgery? And do you do all of these the first week?
Can I use a massage wand for my sore quad muscle it's hurting ?
my big brother had a hip surgery it couldve been really useful if this was posted 2 months ago
It's never too late. Even if he doesn't think he needs them now, these exercises may benefit him in the future if he begins them now. Blessings to your brother. Hope everything works out well for him.
Please help me what to do??
Just had posterior Hip Resurfacing procedure, would these protocols work the same as for a THA?
keep safe everyone.
I just surgery L@THR and dr says you cannot use surgery leg for 1 and half month completely.but here is using completely.please mention.
Do you do these exercises on both legs or just the side you had the surgery on?
I really am benefiting from these exercises following a L then right hip replacement. Great video of practical things to do for returning to good quality of life. Thanks guys!
1. Ankle Pumps
2. Glutes Sets
3. Quads Sets
4. Hip Abduction/Adduction to neutral
5. Heel Slides
6. Short Arc Quads (SAQ)
7. Hip Flexion Stretch/ Buttocks Stretch (For Anterior approach; NOT for Post Hip approach
What about a lateral approach? Same as anterior?
I just went to Pilates class and modified as necesssry.
Working as a truck driver & lifter, how long do I need to be out of work ?
How many reps and sets should you go through
I this for the anterior method?
After surgery how many days wait for start this excercise
I just had an anterior approach right hip replacement. I am lucky that I was given brief Pt sessions (same shown here) 2x a day starting from day of surgery. Total of 5 days stay in the hospital part of the package. I used the walker only for 2 days then the cane. I’ve done my surgery on May 23. Pain is gone after a week n now walking on my own.
Could someone use a mini rebounder without jumping, just doing a gentle health bounce?
I think the anterior approach has become the more popular approach because it has very few restrictions
Just had it tei weeks ago,and I can walk without crutches
starting...
I am 2.5 weeks out of right total hip replacement.. I had in home PT come for 4 sessions and then said I’m good .. Dr doesn’t send for outpatient PT .. I’m at a loss for where I need to be or what I need to do 😢 I’ve been watching videos to hopefully do the right thing
i just had right hip surgery 6days ago and still in d hospital, having tummy cramps sometimes and high temp at night
I am 16 days post anterior approach. My PT has me doing all the quad exercises, marching, and step ups with ankle weights. Full squats without holding onto anything. I have to take prescription pain meds, which I am running out of to get through a session. My knee is killing me. Very sharp pain upper inner knee cap. She keeps upping the difficulty every session bc I am doing ‘so well’. Except it doesn’t feel all that great. I can push through it, but I am hitting 7 on the pain scale doing some of this stuff, with Dilaudid and tylenol on board. I am then so sore that I just lay in my recliner for the rest of the day. Is this normal? I feel we are going too fast. Am I being a baby? My knee hurts with every step. It is the limiting pain, not the hip. How do I fix it? I can pinpoint exactly which exercises are making the knee irritated. I have no underlying knee pathology and it didn’t hurt before surgery. Advice?
So sad you were pushed without guidance on what to do after. Rule of thumb for pain is there's good pain and bad pain. So I've had the anterior hip replacement and the swelling due to it is messing with my knee joint. Always treat pain as Gods warning to do something to fix the pain. This reply is three mn out hope you've addressed the pain and are progressing well.
I'm due for a hip replacement, and it scares me. What exercise can I do before hand?
Is it okay to take water pills for swelling after my hip relacement?
Hi I had a bilateral hip replacement surgery just 15 days ago, and I’m having a lot of pain in my heel with numbness while I sleep overnight , I can’t bare the pain it’s like a stabbing pain . All around my heel . Also I feel pain underneath my knee at night . Do you know why this happens ?
Hey i just had replacement of hip and same thing is happening to me, pain was gone but its back, may i ask if pain gone forever?
What restrictions can we have when there s lateral approach?
Had lateral which is being referred to as super approach and my surgeon had no post op restrictions
Can I ride my Peleton bike during this time ?
What's the average age of the patient for this pt timeline? I'm 43. 3 weeks post op. Been walking unassisted, no walker no cane, for about 2. I've definitely broke the 90 degree numerous times. I feel great, don't walk funny. Probably do to much on it. I was healthy and very active pre op. If everything feels good, am I rushing? I feel due to my age and physical condition, it puts me way ahead of the curve.