The 8 BEST Exercises After Hip Replacement Surgery | PT Time with Tim
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- Опубліковано 2 чер 2024
- Learn the 8 BEST Physical Therapy Exercises After a Total Hip Replacement Surgery from Dr. Tim, a Licensed Physical Therapist.
📰 Looking for my FREE in-depth article to learn everything you need to know when preparing for a total hip replacement including what to expect after a hip replacement and how to properly prepare for an upcoming total hip replacement surgery? Check it out here: pttimewithtim.com/exercises-a...
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👉 Products Mentioned in this Video:
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💪 Exercises Included in this Video:
00:00 Introduction
01:15 Recumbent Stationary Bicycle
02:14 Piriformis Hip External Rotation Stretch
03:25 Hip Flexor "Thomas" Stretch
04:35 Dual-Leg Bridging
05:11 Supine Marching
06:09 Straight Leg Raise
07:29 Supine Hip Adduction Isometrics
08:36 Sit-to-Stand from Chair
10:26 Outro
Hi, I’m Dr. Tim, PT, DPT, OCS! I am a licensed physical therapist and founder of www.PTtimewithTim.com. Join the PT Time with Tim community as you learn how to treat and prevent common injuries. Follow along on your journey to living a pain-free, active, and adventurous lifestyle as we “Restore to Explore”.
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#hipreplacementsurgery #hipreplacementrecovery #totalhipreplacement #hiparthritis #hipexercises #hippainrelief
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The following video is provided for educational and entertainment purposes only and is not meant to be construed as medical advice nor a treatment plan. The information provided should not be used to self-diagnose or self-treat any health, medical, or physical condition. This video was created by PT Time with Tim, LLC. Always seek the advice and assistance of a licensed medical doctor or physical therapist before taking part in any therapy, or if you need to receive a competent medical opinion. If you think you may have a medical emergency, call 911 or go to the nearest emergency room immediately. Never disregard professional medical advice or delay in seeking it because of something you have heard on this PT Time with Tim video. PT Time with Tim, LLC makes no representations about the accuracy or suitability of this content.
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Purchase Dr. Tim's custom home exercise program worksheets as seen in this video! Worksheets are available to print at home or use on any mobile device and each one includes ADDITIONAL exercises to ensure a full, comprehensive rehab program. pttimewithtim.myshopify.com/
This has help me alot after my surgery thanks alot
So happy to hear that! Thanks for leaving a comment.
What is a good way to progress to piriformis stretch. I am 6 weeks post anterior hip replacement and just released from most restrictions but I cannot dream of putting my foot in that position (I hope at minimum to be able to put on socks). This is a great video with explanations of many of the exercises in the next phase I have in my home exercise handout.
Hi Kimberley, thanks for the comment. You're exactly right, most people experience significant tightness after surgery. Prior to surgery, the joint is very stiff and painful, so people protect the joint and don't take it through it's full range of motion. This, in-turn, causes the muscles to tighten up over time. After the joint has been replaced, the muscles are still very tight and will need to to be stretched gradually back to their original lengths. In particular with the Piriformis Stretch, I typically start my clients out by having them lie on their back with the goal of getting the heel to rest on the opposite thigh near the knee and holding that stretch. Once that position is easier to get into, then they can slowly slide the heel towards mid-thigh, and then eventually they can begin to gently push the knee of the stretch leg outwards into more of the traditional figure 4 position (as seen in the video). All of the these advancements are expected to take a couple of weeks to progress through, so it's a gradual process.
@@PTTimewithTim thank you for the explanation
I had anterior approach and I started Pilates at about 5weeks and found it really helped
Nice job, Scott! Thanks for the comment 😁
sir can you explain me please that can i do cycling after total hip replacement surgery because my muscles are so weak.4 to 5 years has passed to surgery
Thank you for your comment. I can say that, in general, there is no problem with gradually getting back into cycling on either a stationary bike or road bike is an appropriate activity for most people. It is very important to focus on strengthening exercises after a hip replacement because the muscles are typically very weak leading up to the surgery.
I will follow this exercises from now thank you❤❤❤
You're welcome!
Thank you for the excellent video!
You are welcome!
Thanks
Welcome
I’ll have my hip replaced in a few months. I’m no longer able to do the periformis stretch. I’m not sure if it’s because of the AVN or muscle tightness. Will I be able to do that again post surgery?
Thanks for the comment. If someone is unable to get into any form of the piriformis stretch, then there's no reason to attempt it. It would likely just aggravate the joint. We would simply just focus on all of the other exercises that the person could tolerate without joint irritation. After the surgery, it will require extra time and effort in order to get that hip rotation (as achieved with the piriformis stretch) as the muscles will have severely shortened from the lack of motion prior to surgery, but it will be possible eventually.
@@PTTimewithTim Thanks for responding. Unfortunately, I’ve let myself get weak. Plus side, I started using a walker. My ego got in the way and I should’ve been using it years ago.
I went on a trip to Spain and I managed to do 10k-15k steps a day with the help of Tylenol.
Since being back I go on a 2mi walk every other day. It’s been great for my confidence and mood. I swear like a tweaker but I figure I just have a lot of strength to rebuild.
I know it’s hard to answer specifics over the internet, but I have an extremely tight hip flexor on the left side. To the point I can’t let my leg hang over the side of the bed to stretch. Anything I can do that’s more gentle?
@@starbrightinfinity3329 That's so great of you to keep getting out there. It can be difficult to find the right balance of staying active, yet not pushing so hard that it sets you back too much if the joint gets irritated from too much walking. For someone who has significant hip OA, I would not expect them to be able to get into too much hip extension (letting the leg get behind you) as the hip joint simply won't allow it because of the poor joint quality. However, it still should be possible to find a position to gently stretch the hip flexor muscles without feeling pain in the hip joint. Typically, I'll have someone lie on their back (in bed) with the opposite knee bent and the other leg (stretch leg) straight. If they don't feel a stretch in this position, then we would advance to the side of the bed and begin to slowly lower the stretch leg down from the side of the bed while still having the other knee bent until a comfortable stretch is felt in the front of the hip/thigh of the downward stretch leg. Additionally, I would only have them hold the stretch for about 30 seconds so that the hip joint doesn't get stiff.
@@PTTimewithTim Hey, I appreciate you writing such a thorough response. You’re right, when just laying flat with one knee bent, I can feel a stretch.
Im only 38 so dealing with AVN for the last few years has been a big blow to quality of life. I’m now more determined to get back on track.
Cheers!
What about people who have severe pain in their SI joints after hip surgery?
I believe I have ankylosing spondylitis and of course osteoarthritis and psoriatic arthritis and fibromyalgia so I also have rectus abdominal issues where am I tummy muscles are not closed.
What modifications would work best for someone like me because I think some of these are too much for my abdomen. I’m also definitely an older woman and have lots of muscle joint and bone pain. Thanks for your video.
In this complex case, I would recommend that you work one-on-one with a physical therapist so that each exercise can be customized to your specific needs.
@@PTTimewithTim That’s exactly what I’ve been trying to do but because most of the places I’ve checked out didn’t take my insurance 100% I haven’t had any physical therapy for two weeks or more after I left rehab so everything is messed up now and gotten tight again because I haven’t been moving all right. I hope I see the therapist tomorrow they take my insurance 100% if you can actually help me get my self more functional.
Sounds like a pot good possibility I told him I didn’t have a lot of space to work and he said we’ll work it out so I like his attitude
Hey Tim thanks for the great video. I'm two weeks out from my anterior hip replacement. How many days a week do you recommend doing these exercises? feeling a little sore after doing these yesterday. Thanks!
Typically every other day until the body’s tolerance to them improves and the post-exercise soreness resolves quicker after each round of exercises. Then they can be performed daily.
thanks man@@PTTimewithTim
Good video. Thank you very much. However, Please check if the second stretch is the same one you included in your web page, the piriformis stretch? Pulling my knee towards my opposite shoulder didn’t seem like the right thing to do. Have always been athletic so I was in good shape prior to surgery, although surgeon said femoral head was ‘terrible’…avascular necrosis present as well so this surgery was fantastic, What a relief. 5 weeks post op and not too obvious it was done to an outsider.
This exer's, how Many weeks after surgery?
You should definitely check out my article on this topic: pttimewithtim.com/exercises-after-hip-replacement/