Phase one - Your surgeon will have had to make incisions through the muscles of your abdomen and pelvic region. This will lead to inevitable pain and weakness when using your hip and abdominal muscles for activities such as transferring from lying to sitting. Your physiotherapists will educate you on how best to adapt these movements and activities so you can return to independence immediately after your operation.

The first phase of active rehabilitation will normally commence 1-2 weeks after your operation when the acute pain from the surgery has reduced. This stage will be focused on managing your pain and early mobilization to prevent excessive pelvic and hip muscle weakness from developing. Your physiotherapist will guide you through some initial activation exercises and static strengthening (no limb movement) for your abdominal and adductor muscles. Regular mobility exercises for the hip will be encouraged to prevent any joint stiffness from developing.

Phase twoThe second phase of your recovery will focus on increasing your muscle strength around your hips, pelvis and abdomen. Our physiotherapists will design a specific rehabilitation regime taking in to account your normal activity level and what your current muscle strength is. Exercises will move on to more dynamic strengthening movements for your abdominal and adductor muscles and will start to include some weight-bearing strengthening exercises such as squats and lunges.

Phase threeThe third phase of your recovery will begin once you have enough strength and flexibility in your lower spine, pelvis and hips to start more complex movements and impact work. This phase will normally commence approximately six weeks post-surgery. Existing abdominal and adductor muscle strengthening exercises and weight-bearing exercises will normally be adapted to include a rotational component to place more stress on the adductor and abdominal muscles. Your physiotherapist will guide you as appropriate, but under normal circumstances activity or sport-specific rehabilitation exercises can be commenced which may include progression to sprinting, jumping and rotational movements depending on the sport desired.

The Game Ready Ice Machine, electric muscle stimulator, AlterG anti-gravity treadmill, Hydro Physio aqua-jogger, sports equipment including the Concept2 rowing machine, plus Circle’s Return to Sport Assessment service may help rehabilitation following a total hip replacement

A hernia is the medical name given to a condition when a part of the abdominal contents protrudes through a weakness in the surrounding muscle or tissue wall. Groin hernia are classified as an inguinal hernia or a femoral hernia depending on the exact anatomical site. The vast majority of hernia can be repaired laparoscopically (through keyhole surgery) and involve your surgeon relocating the protruded tissue back in to the abdomen and placing a mesh across the weak portion of the muscle or abdominal wall. Under normal circumstances, you will be able to return home the day or the day after your surgery.

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Circle Health Group, 1st Floor, 30 Cannon Street, London, EC4M 6XH