I had my left hip resurfaced two months ago. I am having some issues with my flexability of the envolved hip. My surgeon has released me except for no running yet. I am doing all my own PT now ie, pool, weights, stairs etc. I am a health club owner and have access to lots of equipment. I can now tie my shoe and put on my socks but I cannot place my left foot on my right knee when I am in a seated position....do you know of any good stretches that will help??? My main reason for this surgery was because I was unable to get my left knee up under me while getting to a standing position surfing.....I really want to be able to continue to surf and I know now is the time to stretch the soft tissues and then focus of more strength later......thanks for any advise.....Lewis B
Passmore PT » Passmore PT forum
Hip Resurfacing for a 48 year old surfer
(12 posts)-
Posted 15 years ago #
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Good to hear from you...
When you say he has released you, do you mean you have no movement retstrictions? This is important, so that I know what I can and can't advise you. Do you know what type of surgical approach he did with your hip? Anterior/posterior? Did you ever have restrictions of movement?
Is your stance regular or goofy? This will just help me "paint the picture."
You have the right idea..."now is the time to stretch the soft tissues and then focus of more strength later."
Get back to me on my questions and we will move forward.
Also, if you know anyone else who could benefit from this site, please spread the word.Look fwd to hearing back from you,
Thanks,
JPosted 15 years ago # -
I was released without any movement restrictions, only one was "no running". I am, however running in chest deep water now. The first three weeks I was to avoid crossing my left knee over my right knee, keeping a small wedge between my knees while sleeping.
I believe the surgery was a posterior-lateral...The incision is slightly posterior to my midline and runs over the femoral head.Starts in my Glut and ends about 8 inches inferior to my iliac crest.
I surf with my left foot forward. Other facts...6 ft, 190 lbs, been surfing for 30 years. Riding long boards 8 & 9 footers....gives me more time to jump up.
One other thing to ask you....when I am concentrating on some exercise using my left leg, I will feel a slight "clunk" in my hip, no pain....do I need to worry?Posted 15 years ago # -
Lewis,
This clunk you refer to is nothing to worry of as of now. SPECIFICALLY, which exercises cause this clunk? To address this initially I would do some setaed hip internal and external rotation exercises, with light weight that you can do about 3 sets of 25 with. Start with 1-2 sets and progress. The rotators help with some joint stability. The clunking may be occuring do to some capsular tightness of the hip and the joint articulation may just be a little off. If the clunking get more severe, intense, or frequent, then I would suggest seeking a follow up with your physician or a qualified local physical therapist.
Back to your original question... Are you sure you have no restrictions in regard to not flexing the hip past 90 degrees? I know some Dr's who are doing this type of surgery aren't following all of the same previous Hip Replacement sugery restrictions, but I just want to make sure, before advising you on stretches. We'll move fwd with this issue, just re-assure me with an answer.
Thanks for your patience, ~J
Posted 15 years ago # -
I did have restrictions is regards to not flexing hip beyond 90 degrees or knee above the hip. However I am allowed to bring my knee to my chest now....although I cannot, due to stiffness...I am using a leg press machine at the gym with about 180 lbs without any pain. I can get my left knee about 10 inches from my chin with hip flexion and lumbar flexion....I also have some moderate DDD at L5-S1 along with spinal stenosis.....did I say I was an old man (:
I have recently discovered some major weakness in my adductors and I have begun using some resistance bands to isolate my left inner thigh muscles......not sure how much info you need....sorry to go on. I did do a spinning class last night for an hour. no hip pain.
I will begin with some seated int/ext rotation exercises.Posted 15 years ago # -
Lewis,
Don't worry about "going on." The more I know about you, the better.
I am sure you have notable weakness in your hip adductors, abductors, and likley extensors, when compared to the non-surgical side. Please do some isolated movements for these muscle groups. I am thinking like 3 sets of 15, every other day, to every two day, for you. By the 3rd set, and 15th rep, you should be in NO MORE PAIN, but tired enough that 16 would be too much and you can adeuately recover for the next workout.
With your spinal stenosis: We might get a double whammy with this one and the hip... Classic stenosis and hip stretches that overlap are supine lying with both legs straight, while pulling one at a time up towards your chest with knee bent. I would Rec: 4 reps with each leg, holding for as many seconds as you are old (this is a joshism). Follow that with Both legs at the same time with knees bent towards your chest, same parameters.
IMPORTANT: stretch intensity=enough to feel something happening, but not enough to irritate, or so much that you feel like resisting it! Think, "long duration, low/medium intensity.
More for the hip: Try supine with legs bent over the appropriate size exercise ball (swiss ball). Rock the ball side to side GENTLY at first and progressing as you loosen up. Do, twice a day about 2-4 minutes at a time.
Try supine with heels on same ball and legs/knees almost fully extended. Tighten abs, and with some pressure thorugh your heels, roll the ball towards your butt as your knees move towards your chest actively.
Try, standing next to a supportive structure, and actively swing your hip fwd and bwd, followed by side to side.. VERY VERY light at first, let your body tell you as it loosens up and go further. 1-2 minutes each directions and GENTLe at first.
Try, 5 minutes on upright bike, slwoly progressing seat height into a VERY light stretch.Often , you will feel good with these, but the next day you will "pay." GO EASY at first, and see how you respond.
ORDER: Bike, supine ball movements, standing movements, supine stretches, strengthening exercises.
KEEP IN TOUCH, and get back to me anytime, I'll be wondering abut you...Plus, we have to get you back in the water for CANE SEASON!
Again, if you know someone who needs guidance, please share this site...
~J
Posted 15 years ago # -
Hello Josh,
Just wanted to give you an update. My left hip is doing well. I have gained a good bit of mobility and the "clunking" has decreased as well. The stretches were I bring my bend knee to my chest (supine) position with the other leg straight, is a tuff one. I am working on it daily but see just a small amount of improvement. I now can cross my left leg were in I place my left foot on my right knee/thigh, then I push down on my left knee(external rot. of the femur. I really fell this stretch in my left glute.
One problem I am having now is with all this exercising, my right hip is becoming more symptomatic......anyway, thats whats happening.....Posted 15 years ago # -
Lewis
Good to hear the L hip is coming along.
Sorry to hear about the R hip! Symptomatic, in what way? What symptoms are you dealing with?Thanks for keeping in touch and let me know if I could help any more...
~JPosted 15 years ago # -
I am feeling pretty much the same symptoms as I did with my left hip (pre-surgery). Stiffness with hip flexion, pain while sleeping on my right side, pain getting up out of a low chair....I believe it is really due to becoming more active now that my left hip is improving....I have begun taking 1500mg glucosamine/chondroitin mix along with essential fatty acids and celibrex...trying to lose about 10 pounds 195-185....also have been working on some jump ups( lying on the floor face down pretending to be on a surfboard. I place a 6 inch step plattform on each side of me at chest level and place my hands on them and then jump up as if I am on the board.)This helps me get my feet and knees under me. I will progress to using 3 inch plattforms as soon as I can do ten of these without dragging my toes.
The ocean temps are in the upper 50's. Will soon be time to get in a give it a try.Posted 15 years ago # -
Keep training! I just surfed in my home town where I grew up, Cocoa Beach, and it was low 70's water temp! Not to rub it in... :)
I good Manually trained PT should be able to mobilize your hip with various techniques and give you some relief. If you run into trouble looking for one, let me know if I can help.
G'Luck
~JPosted 15 years ago # -
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