OAH Iliopsoas Releasefor Iliopsoas Release General comments: Patients will be given crutches in the...

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