Hip Precautions

Extension and external rotation stretches to avoid

Patients ask me about hip precautions daily. Some had their friends dislocate, others had their therapist warn them about certain maneuvers for the first six weeks. Since most of my total hip replacement (THR) operations are performed via a very stable direct anterior approach, I rarely require strict precautions after surgery. I allow my patients to sleep on their sides, cross their feet, bend forward the day after surgery. Certain stretches such as morning sunrise stretch, extending leg behind you or outward rotation of the leg (external rotation) are not recommended the first 6 weeks after surgery, as these maneuvers are used to dislocate your hip during surgery. That being said, in 5 years of practice, I have not seen any dislocations after an elective total hip arthroplasty performed through a direct anterior approach.

Author

Pavel Muradov Orthopedic Surgeon

You Might Also Enjoy...

Activity level after joint replacement surgery.

Activity level increases in most cases after a joint replacement surgery. Functional activity is likely to increase even in older heavier patients. Sports activity is likely to increase in younger patients.

Pain Free Injections

Hip pain and knee pain is commonly treated with various orthopedic shots. Patients often have anxiety about getting the shot. At Integrity Orthopedics, we use local anesthetics to numb the joint prior to intra-articular injection, making it pain free.

Physical Therapy Now Available at Integrity Orthopedics

Big news happening at Integrity this week. We're excited to introduce Kristen and Will Classen as our new physical therapists. Their skill set will complete our comprehensive treatment program. Schedule an appointment today by calling 832-755-5766.

Obesity and Osteoarthritis

Severe obesity is associated with increased incidence of osteoarthritis and complications following joint replacement. Unfortunately, 2/3 patients who have severe obesity and arthritis do not perceive their health as compromised. Sounds challenging?

Robotic Knee and Hip Replacement Marketing Myths

Internet is filled with claims about robotic assisted hip and knee arthroplasty, but is it evidence based? Do we have strong data to support increased cost and surgical time to use a robot in every case?

JJ (Jean-Jacque) Throchon

JJ is a friend who faced the deadliest cancer (same cancer that killed my father) and beat the odds without conventional chemo by changing his lifestyle, what he eats, how he eats and supplements. He started a movement in Europe. I hope it catches on!