Hip Arthoscopy

Hip Arthroscopy Rehabilitation Protocol

Phase I - Initial phase

Goal: Regain range of motion within tolerance, decrease pain and swelling, neutralize muscle atrophy

• Day of surgery
  • Isometric gluteal sets
  • Ankle pumps
  • Heel slides
• Post-operative days 1-7
  • Weight bearing with crutches
  • Isometric quadriceps, gluteals, hamstrings, adductors, and abductors
  • Active assist range of motion all planes
  • Hip mobilization and gentle joint distraction techniques
  • Closed chain bridging, balance drills

Phase II - Intermediate phase

Goal: Regain and build muscle strength, focus on symmetry/core strength

Post-operative weeks 2-3

• Wean crutches and normalize gait pattern
• Increase range of motion limits
• Gentle progressive resistive exercises
• Closed chain single leg bridging
• Open chain hip 4-way
• Mobilization with movement
• Proprioceptive/balance work
• Stationary bike/aqua therapy

Phase III - Advanced phase

Goal: Improve functional strength and endurance, core strength & stability

Post-operative weeks 4-6

• Continue flexibility exercises
• Progressively increase resistive and functional strengthening exercises
• Initiate sport specific exercises
• Gradual return to sport

Note: Weight bearing may be limited after some surgical procedures with a hip arthroscopy, including:

• Labral repair
• Iliopsoas release
• Microfracture
• Capsulorraphy

Individual rehabilitation protocols will vary by patient and procedure, this information is simply a guide to the rehabilitation following hip arthroscopy in some patients. Always defer to your doctor when making decisions about your rehabilitation!

Sources:
McCarthy, JC "Hip Arthroscopy: Applications and Technique" J. Am. Acad. Ortho. Surg., May 1995; 3: 115 - 122.