Post-Surgery Rehabilitation for Hip Joint Injury: Effective Strategies

Postoperative Rehabilitation for Hip Joint Surgery

On February 18 of this year, I had an accident at work.
I suffered a crush injury to my hip joint, and the doctor did not perform a hip replacement; instead, they used screws and plates.
It has been over three months since the surgery, and there are no signs of bone necrosis.
However, after being bedridden for more than three months, my left thigh has become stiff, and I am experiencing lower back pain.
I have been wanting to stand up and walk, and I would like to ask the doctor for rehabilitation methods.

Yulong, 20~29 year old female. Ask Date: 2004/06/01

Dr. Xu Zhenrong reply Rehabilitation

Mr.
Yulong, you have sustained a comminuted fracture of the hip joint due to a car accident and have undergone internal fixation surgery.
Currently, you are experiencing stiffness and soreness in your left thigh.
I would like to address two main issues.
First, there is joint contracture, which is causing limitations in the range of motion, particularly in the hip joint.
Second, there is muscle atrophy and decreased strength, primarily affecting the quadriceps and gluteal muscles.

Rehabilitation methods include hydrotherapy, strength training, stretching, endurance training, balance training, and gait training.
I recommend that you seek treatment at a nearby rehabilitation department, which will take approximately three to six months.
If you reside near Xinzhuang or Banqiao, you are welcome to visit the Rehabilitation Department at Taipei Hospital, Department of Health.
I hope this information meets your needs.

Reply Date: 2004/06/01

More Info

Post-surgery rehabilitation for hip joint injuries, especially after a significant trauma like a fracture, is crucial for restoring function and mobility. Given your situation, where you have undergone surgery involving the insertion of screws and plates without a hip replacement, it is essential to follow a structured rehabilitation program to address stiffness, pain, and overall recovery.

Understanding Your Condition
After a hip joint injury and subsequent surgery, it is common to experience stiffness in the affected leg, particularly after prolonged periods of immobility, such as being bedridden for over three months. The stiffness in your thigh and the accompanying back pain are likely due to muscle atrophy and the lack of movement. When the body is not used, muscles can shorten and lose flexibility, leading to discomfort and difficulty in movement.

Rehabilitation Strategies
1. Physical Therapy: Engaging with a physical therapist is vital. They can create a personalized rehabilitation program tailored to your specific needs and recovery goals. Physical therapy will typically include:
- Range of Motion Exercises: Gentle stretching and mobility exercises can help improve flexibility in your hip joint and surrounding muscles. These exercises should be performed within a pain-free range to avoid exacerbating your condition.

- Strengthening Exercises: Once you have regained some range of motion, your therapist will introduce strengthening exercises to rebuild muscle strength in your hip, thigh, and core. This may include isometric exercises (contracting muscles without moving the joint) and gradually progressing to more dynamic movements as tolerated.

2. Gradual Weight Bearing: Depending on your surgeon's recommendations, you may start to bear weight on your leg gradually. Using crutches or a walker can provide support while you learn to walk again. It is essential to follow your doctor's guidelines on how much weight you can put on your leg to avoid complications.

3. Pain Management: Managing pain is crucial during your rehabilitation. Over-the-counter pain relievers or prescribed medications can help alleviate discomfort, allowing you to participate more fully in your rehabilitation exercises.

4. Posture and Body Mechanics: As you begin to stand and walk, pay attention to your posture and body mechanics. Proper alignment can help reduce strain on your back and hips. Your physical therapist can provide guidance on how to move safely and effectively.

5. Home Exercises: In addition to therapy sessions, your therapist may recommend specific exercises you can do at home. These may include:
- Heel Slides: Lying on your back, slide your heel towards your buttocks and then back out. This helps with knee and hip mobility.

- Ankle Pumps: While lying down, flex and point your toes to promote circulation and reduce stiffness.

- Seated Marching: While sitting, lift your knees alternately to engage your hip flexors and improve mobility.

6. Hydrotherapy: If available, aquatic therapy can be beneficial. The buoyancy of water reduces the impact on your joints while allowing you to perform exercises that may be difficult on land.

7. Gradual Return to Activities: As you progress, your therapist will guide you on how to safely return to daily activities and, eventually, more strenuous exercises or sports. This gradual approach helps prevent re-injury.

Monitoring Progress
Regular follow-ups with your orthopedic surgeon and physical therapist are essential to monitor your recovery. They can assess your progress and make necessary adjustments to your rehabilitation plan. If you experience increased pain, swelling, or any other concerning symptoms, it is crucial to report these to your healthcare provider immediately.

Conclusion
Rehabilitation after a hip joint injury is a gradual process that requires patience and commitment. By following a structured rehabilitation program and working closely with healthcare professionals, you can regain strength, flexibility, and mobility in your hip. Remember, every recovery journey is unique, so focus on your progress and celebrate small victories along the way.

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