Post-Hip Surgery: Best Exercises to Alleviate Stiffness and Improve Mobility - Physical Fitness

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Hip joint surgery?


I had hip surgery six months ago, and recently I've been feeling a bit stiff.
What types of activities would be more suitable for me?

Wu Dama, 50~59 year old female. Ask Date: 2016/06/23

Dr. Li Weiqiang reply Physical Fitness


Dear Ms.
Wu,
Hello, you had hip surgery six months ago, and recently you have been feeling some stiffness again.
What types of activities would be more suitable for you? Swimming is a good exercise for you.
Wishing you peace and health.
Sincerely,
Dr.
Li Wei-Chiang
Attending Physician, Department of Rehabilitation Medicine
Taoyuan General Hospital, Ministry of Health and Welfare

Reply Date: 2016/06/23

More Info


After undergoing hip replacement surgery, it's not uncommon to experience stiffness and reduced mobility as time goes on. This can be due to various factors, including the natural healing process, muscle atrophy from reduced activity, or even scar tissue formation. To alleviate stiffness and improve mobility, a combination of gentle exercises and stretches is recommended. Here’s a comprehensive guide on suitable activities post-hip surgery.


Recommended Exercises
1. Range of Motion Exercises: These exercises help maintain and improve flexibility in the hip joint. Simple movements like leg swings (forward and backward) and side leg raises can be beneficial. Aim to perform these exercises slowly and within a comfortable range.

2. Strengthening Exercises: Strengthening the muscles around the hip can provide better support and stability. Exercises such as:
- Bridges: Lying on your back with knees bent, lift your hips off the ground, squeezing your glutes at the top.

- Clamshells: Lying on your side with knees bent, keep your feet together and lift your top knee while keeping your feet in contact.

- Quadriceps Sets: While sitting or lying down, tighten your thigh muscle and hold for a few seconds.

3. Walking: Gradual walking is one of the best forms of exercise post-surgery. Start with short distances and gradually increase as your strength and confidence improve. Walking not only helps with mobility but also promotes circulation.

4. Swimming and Water Aerobics: These activities are excellent for low-impact exercise. The buoyancy of water reduces stress on the joints while allowing for a full range of motion. Swimming can help improve cardiovascular fitness without putting undue strain on the hip.

5. Cycling: Stationary cycling can be a great way to improve leg strength and mobility without the impact associated with running or jogging. Start with low resistance and gradually increase as tolerated.

6. Pilates and Yoga: Once you have regained some strength and flexibility, consider incorporating Pilates or gentle yoga into your routine. These practices focus on core strength, flexibility, and balance, which can be particularly beneficial for hip recovery. However, it’s crucial to avoid poses that require deep hip flexion or twisting until cleared by your physician.


Precautions
While engaging in these activities, it’s essential to listen to your body. If you experience pain (beyond mild discomfort), swelling, or increased stiffness after exercising, it may be a sign to modify your routine. Avoid high-impact activities and extreme sports, as these can increase the risk of dislocation or injury to the hip joint.


Additional Tips
- Consistency is Key: Aim to perform these exercises regularly, ideally daily or several times a week, to see the best results.

- Warm-Up and Cool Down: Always start with a gentle warm-up to prepare your muscles and joints, and finish with a cool-down to help with recovery.

- Consult a Physical Therapist: If you’re unsure about which exercises are best for your specific situation, or if you’re experiencing significant stiffness or pain, consider consulting a physical therapist. They can provide personalized guidance and develop a tailored rehabilitation program.


Conclusion
In summary, post-hip surgery, engaging in a variety of gentle exercises can significantly help alleviate stiffness and improve mobility. Focus on range of motion, strengthening, and low-impact activities while being mindful of your body’s signals. With patience and consistency, you can regain mobility and enhance your quality of life after hip replacement surgery. Always consult with your healthcare provider before starting any new exercise regimen to ensure it aligns with your recovery goals.

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