A hip arthroscopy (keyhole surgery) is normally undertaken for a repair of the hip labrum, the band of cartilage surrounding the hip joint, an osteotomy (cutting of bone) to relieve a bony hip impingement syndrome, or a combination of the two.

Your surgeon will have made a decision on the exact type of procedure based on your history, pre-operative scans and what was seen when entering the hip with the arthroscopy portal camera.

Recovery times can vary widely and may differ depending on the extent of the surgery undertaken as well as if there is any associated osteoarthritis (age related changes) to your hip joint.

Phase oneThe first phase of your recovery will be focused on managing your pain and early mobilization to prevent excessive hip stiffness developing. You will be provided with elbow crutches to help with balance and stability when weight-bearing and walking. Under normal circumstances we will encourage you to take full weight through the hip as your pain and strength allow. Your physiotherapist will guide you through some initial activation exercises for your gluteal and quadriceps muscles, which will help to support your hip and prevent excessive muscle wasting post-operatively. Regular mobility exercises of the hip, particularly in to extension will be encouraged at this stage.

Phase twoThe second phase of your recovery will focus on enabling you to walk with a more normal gait pattern and if you have not done so already, weaning off your elbow crutches. Our physiotherapists will design a specific rehabilitation regime to help you regain strength and balance in your operated leg. At this stage many of the exercises will be non-weight bearing and will target the hip extensor muscles (which help to propel you forwards and upwards when walking or climbing stairs/ getting out of a seat) and the hip abductor muscles (which help to stabilize your hip and pelvis when walking and standing on one leg). As your muscle strength improves our physiotherapists will introduce some weight bearing exercises such as wall slides, squats and lunges.

Phase threeThe third phase of your recovery will begin once your walking pattern has normalized and you have enough strength and flexibility in your operated leg to start more complex movements and impact work. Typically, the initial part of this phase will involve commencing light impact work such as jogging on the treadmill and increasing the vigour of existing exercises such as squats, lunges and leg press. Your physiotherapist will guide you appropriately but under normal circumstances once the strength of your operated leg is equal to your non-operated leg, activity or sport-specific rehabilitation exercises can be commenced. This 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

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Circle Health, 32 Welbeck St, Marylebone, London W1G 8EU