Friday, September 29, 2023

Core Exercises After Hip Replacement

What Does Strengthening Your Core Mean

Total Hip Replacement – Exercises 6-9 Weeks After Surgery

The term core is broad and typically used to refer to the musculature of the lumbopelvic-hip complex. Though when most people think core exercises, theyre thinking about abdominal exercisesand on occasion exercises for their low back. These muscles would include the rectus abdominis, transverse abdominis, internal/external obliques, multifidi, erector spinae, quadratus lumborum and other muscles.

In this article well discuss the forgotten aspect of core strengthening: the hips.

Upper Extremity Exercises: Strengthen Your Arms Before Using Crutches Or A Walker

After your hip replacement surgery, you will probably spend some time on crutches or using a walker while you recover. Both of these mobility aids require some upper arm strength. Get your arms in shape before surgery with these exercises!

Bicep Curls


  • Stand with your feet hip-width apart on the TheraBand CLX band and hold one end loop in each hand
  • Lower your arm to a starting position and then bring your hands up to your shoulders by bending your elbows, keeping your upper arms by your sides
  • Hold, return to starting position, and repeat for 10 repetitions
  • Sitting

  • Sit in a sturdy chair with the CLX band under your feet and one end loop in each hand
  • Lower your arm to a starting position and then bring your hands up to your shoulders by bending your elbows, keeping your upper arms by your sides
  • Hold, return to starting position, and repeat for 10 repetitions
  • To make this exercise more challenging, move both hands down a loop to create more resistance.

    Elbow Extensions

  • Sit in a stable chair
  • Stabilize your resistance band by holding one end in your hand with the arm extended
  • Grasp the other end of the band in your other hand with your elbow bent
  • Straighten your arm, pulling the band back while holding steadily with the other hand
  • Hold, return to starting position and repeat
  • After 10 repetitions, repeat on the other arm
  • Seated Chair Press Ups

  • Sit down in a sturdy chair with sturdy armrests and no wheels, sitting towards the front of the chair
  • Repeat for 10 repetitions
  • Standing Abduction Against Wall

    • Stand on operated leg
    • Bend non-operated leg and push your knee against the wall and return to standing on both legs
    • Your hip should not be touching the counter
    • Make sure to keep your hips level and thighs in line

    Progression: Try to take your hand off the counter so that your lower leg is the only part of your body touching the wall.

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    What Exercises Are Safe After Hip Replacement

    First of all, moving the leg while laying down is a safe motion. Walking, stairs, light jogging, and air squats are all safe to do, as well. What these have in common is there is plenty of motion without pausing.

    Unsafe exercises including standing on the surgical leg while exercising the other leg. This requires the operative hip to exert a lot of force. Likewise, single-leg balancing on the operative hip and running both show forces that exceed the acceptable limits routinely.

    Similarly, swimming with a freestyle stroke is safe because of the limited motion the hip goes through. A breast-stroke, however, puts too much force and motion on the hip. It regularly exceeds acceptable limits.

    This study didnt specifically look at heavy lifts such as deadlifts or weighted squats. But it did show that air squats just sneak right up to the edge of the acceptable limits. So we know that adding a barbell would push it over the edge.

    Exercises After Hip Replacement Surgery

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    Hip replacement is a safe and effective procedure that will hopefully ease your hip pain. After your hip replacement surgery, your orthopedic doctor will recommend exercises that may include:

    Low Impact Aerobic Exercise â Low-impact aerobic exercises like swimming, riding a bike and walking are great for rebuilding strength in your knee. However, pace yourself accordingly and increase intensity gradually, or you may start feeling pain. Be sure to stop if you start feeling any pain, or if pain starts to increase.

    Short-Arc Knee Extensions â With short-arc knee extensions, youâll want to roll up several towels so theyâre around 6-8 inches thick. Then, lay in bed while the towels are under one knee and bend the other knee. Keep your knee on the towels and then lift your foot to straighten it out. Hold this for a few seconds, then lower the foot.

    Ankle Pumps â If youâre lying in bed, point your toes downward and then bring them up towards your head while tightening your calf.

    Heel Slides â In a heel slide, youâll slide your heel along your bed while pulling your feet towards you and your knee bends.

    Straight Leg Raise â A straight leg raise starts when you tighten your quadriceps, or the muscles that make up the front of your thigh. Lift your leg 6-12 inches from the bed, toward the ceiling.

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    Exercise Programs For Hip Replacement

    First things first, always follow the doctors recommendations, especially if you are not a physical therapist. I personally learned the hard way with my hip replacements that the prescribed exercises have an intended purpose, and they should be followed accordingly.

    The program sample below begins when the client has received permission from the surgeon or physical therapists to begin exercising on their own. Thus, many of the exercises below will be in conjunction with what the physical therapist is doing, and the goal is not to overdo anything.

    Weeks 1-2: Perform each for 10-12 reps. Begin with 1 set and progress to 2 on the second week if able.

  • Soft-tissue Work:
  • Roller massage may be used, but it should be done with a hand-held roller using upper-body strength and not body weight compression.Roll hip flexors, quadriceps, adductors, and hamstrings on both sides for up to 60-seconds.
  • Core Activation
  • Breathing: Beginning supine, with one hand placed or small weight placed on the belly button, breath in and push the belly button into the hand. Breath out slowly as you draw your belly button towards the spine. Repeat the same process prone , except the hand, doesnt need to be placed on the belly button.
  • Week 3-4: Perform each for 12-15 reps. Begin with 1 set and progress to 2 on the fourth week if able.

  • Soft-tissue Work
  • Roll hip flexors, quadriceps, adductors, and hamstrings on both sides for up to 60-seconds.
  • Core Activation
  • Standing Y-T-As:
  • Balance/Stability:
  • Why Is Physical Therapy After A Total Hip Replacement Surgery Important

    Regaining your range of motion and strength after total hip replacement surgery is critical to regaining your ability to do the things that are important to you. You will start the following exercise program very soon after your surgery. Your physical therapist will help you with the exercises initially and you will be expected to continue the exercises as instructed. As you recover, some exercises will be discontinued and others may be added. Please let your therapist or surgeon know if you are having difficulty with your exercises.

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    What Is A Total Hip Replacement

    A total hip replacement surgery gives thousands of Americans a new lease on life every year. Due to wear and tear, arthritis, or injury, the hips cartilage and bone can break down. These conditions can lead to chronic pain, stiffness, weak hips, and reduced mobility. A total joint replacement first removes the damaged cartilage and bone. After removing the bone, the surgeon inserts a metal or artificial replacement joint. Total hip replacements have evolved to minimally invasive, meaning smaller incisions, less pain, and faster recovery.

    How To Exercise After Hip Replacement Surgery

    Best Home Exercises after Total Hip Replacement: Critical Exercises

    We understand that if you are an athletic person, you just want to know when you can return to the gym after a hip replacement. Hip replacement surgeries have become common as more and more people are staying active. To avoid hip replacement, they want to know what kind of exercises they should avoid after a successful hip replacement.

    Usually, it is safe to go back to most of the exercises that you were doing before, but some of the activities need caution. And if you are not taking precautions, then some of the aggressive exercises can ruin your hip. If you have recently undergone hip replacement from the best Orthopaedics & Joint Replacement hospital in Pune, here are the things that you should consider.

    How Much Loosening will happen to an Anterior Hip Replacement?

    After a joint replacement, the joints that were dissected will heal back together. And with traditional hip replacements, a moderate amount of activity will come with a little bit of pain, and that would prevent you from doing too much.

    You may follow the popular anterior approach for a hip replacement, which may reduce the amount of pain, but however, if you dont follow their post-operative precautions, you could be in a world of pain, which may result in failure of your operation.

    Causes of Early Loosening Of A Hip Replacement

    Total Hip Replacement: When Can I return to the Gym?

    Exercises which are Safe after Hip Replacement

    Have Patience

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    Hip Replacement Surgery And Covid

    During the Coronavirus-19 pandemic, many elective surgeries are being postponed, including hip and knee replacements.

    One study estimates that 30,000 primary and 3000 revision hip and knee replacement surgeries will be canceled each week while COVID-19 restrictions regarding non essential surgery are in place.2

    Of course, if youre the one getting a hip replacement it may not feel elective. Dr. Christopher Smith, orthopedic surgeon at Houston Methodist West Hospital acknowledges, It’s the kind of pain that leads to become less active, whether athletically or socially, and many people get to the point where the pain becomes such a big part of their lives they become unhappy…during visit, I commonly hear, ‘I wish I had done this sooner. There’s not necessarily a medical rush to have a joint replaced. However, the decision to proceed with joint replacement sooner than later will eliminate the pain and suffering of a prolonged waiting period.3

    If youre stuck waiting for your hip replacement surgery, there are still steps you can take to prepare, so youre ready once your surgery is rescheduled!

    Side Lying Hip Abduction:

    Equipment needed: floor mat, pillow

    1. Lie on your side with your legs stacked on top of each other. You can place a pillow between your knees for comfort. Rest your head on your lower arm to avoid straining your neck. Use your top arm to stabilize your body. 2. Pull your belly button in to engage your core, then lift your top leg up towards the ceiling to about 45 degrees. Make sure to keep your toes pointed forward and your hips stacked on top of eachother . When lifting your leg, it should not come out in front of you. Try to keep it inline with your upper body, or slightly behind you in extension. 3. Hold for 2 seconds at the top, then slowly lower your leg back to the starting position. 4. Repeat about 10 times, or until you feel muscle fatigue. If you find you need more control, you can bring your bottom leg out in front of you slightly, bending at the knee.

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    Get Started With A 13 Exercise Prehab Workout Before Your Hip Replacement

    You should always talk to your doctor, physical therapist, or other healthcare professional before beginning a new exercise program.

    Do not complete any of these exercises if they cause you pain. Your muscles might be sore after exercising, but you should not be in pain while exercising.

    Ready to get started? Follow these prehab exercises to prepare for your hip replacement surgery.

    Sit To Stand Without Hands:

    Pin on Butt Exercises

    Equipment needed: sturdy chair1. Sit in a chair and place your hands straight out in front of you with the palms down and arms parallel to the floor. 2. Lean forward, and raise up to a standing position. 3. Make sure to avoid locking your knees or allowing them to cave in during the exercise.4. Slowly sit back down into the chair, controlling your body throughout the entire lowering movement. 5. Repeat about 10-15 times, or until you feel your legs begin to fatigue.â

    Check out our youtube channel for more information on how to perform exercises and find answers to your PT questions. Need more specific help or want a customized exercise program? Download the OneStep Digital Physical Therapy app to consult with a licensed physical therapist today!

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    What You Should Know & Buy Before Hip Replacement Surgery

    Getting ready for your hip replacement? Learn about how a hip replacement is performed, including two ways the replacement can be attached to the bone. And find out our top suggestions for helpful tools as you recover, including a reacher, a raised toilet seat, and more. Plus, find out what happens after surgery. Get the answers by reading this article, What You Need to Know Before a Hip Replacement!

    How To Safely Exercise At Home After A Hip Replacement

    After a hip replacement surgery, staying physically active is pivotal to your recovery. Safe exercises at home can make it an easier process for you to regain and retain your range of motion after this common surgery.

    While you may not be able to engage in all the activities you did before your hip replacement, there are many ways to exercise safely as soon as your doctor gives you the go-ahead. Were here with some exercise tips to help get you moving again.

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    Basic Hip Strengthening Exercises


    • Start by lying on your side with your knees bent to 90 degrees. A band around the knees isnt necessary but it may be used to provide greater resistance.
    • There is some debate on whether this exercise is best performed with your hips in neutral or slightly flexed at ~30 degrees. Gluteus medius is likely activated more when flexed, gluteus maximus when positioned in neutral. Feel free to perform in both positions
    • Keep your feet together and lift the knee of your top leg up toward the ceiling
    • Keep your hand on your pelvis to make sure you dont allow yourself to rotate backward
    • Hold 2-3 seconds when your knee reaches the highest point without your hips rolling backward
    • Perform 3-4 sets of 15 repetitions

    Ankle Pumps And Rotations

    Hip Replacement Surgery Recovery Week 2

    You can start ankle exercises right after surgery. Lying on your back, flex and point your feet hinging at the ankle. Pump them like this several times. You can do ankle pumps every 10 minutes or so. For ankle rotations, make a circle with your foot by moving it at the ankle. Turn your foot inward toward the other foot, sweep outward away from the other foot, and then back inward. Go several times in each direction 3 to 4 times a day.

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    Getting Back To Your Best

    In the days following your operation its important to rest, but your recovery depends on gradually increasing your activity every day.

    Your physio will help you decide when the time is right to set aside your walking aid. Most patients are free of all aids within six weeks. You may find these crutch-use guides handy:

    Advanced Exercises And Activities

    The pain from your hip problems before your surgery and the pain and swelling after surgery have weakened your hip muscles. In addition, the muscles around your hip prior to total hip replacement became short and tight because your hip didn’t move. A full recovery will take many months, and it will take time for your muscles to recondition and get used to your new hip that moves freely. The following exercises and activities will help your hip muscles recover fully.

    These exercises should be done in 10 repetitions, 4 times a day. Place one end of the tubing around the ankle of your operated leg and attach the opposite end of the tubing to a stationary object such as a locked door or heavy furniture. Hold on to a chair or bar for balance.

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    Advanced Hip Strengthening Exercises

    • Just like the regular bridges listed above, lie down on your back
    • Keep just one knee bent and your other knee straight
    • Tighten your stomach as described above and lift your hips up away from the table, pressing down through the heel of your bent leg
    • Be sure to keep your opposite leg straight and avoid allowing your hip to drop on that side
    • Perform 2-3 sets of 8-10 repetitions an alternative position for this exercise would be to bend your opposite knee and rotate your leg to rest your ankle on the thigh of your working leg in a figure 4 position

    Circulation Exercise: Gluteal Sets

    Hip Flexor Exercises #HipFlexor in 2020

    Lie on your back with your legs straight. Squeeze buttock together and tighten buttocks muscles. Do NOT hold your breath.

    • Repeat 10 times .
    • Do 2 sets a day.

    Gluteal Sets

    Lie on your back. Bend your surgical knee by sliding your heel toward your buttocks.

    • Repeat 10 times .
    • Do 2 sets a day.

    You may be instructed to pull on a bed sheet hooked around your foot to help you slide your heel.

    Heel Slides

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    What Does The Research Say About Exercises To Avoid After A Total Hip

    One of the most well-done studies Ive seen recently was by George Bergman and. In this study, nine patients actually received hip replacements with strain gauges embedded in the hip itself!

    In this way, the doctors were able to take accurate measurements of the stress and strain on the hip with different exercises. And these demonstrated a pretty surprising set of results.

    What they found, in general, was that its important to keep the hip moving and keep the weight light. This allowed the hip to stay lubricated and glide smoothly, reducing the torque and fraction the implants feel.

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