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Confused: external PT support right away, or wait?
Hello, I just had posterior total hip replacement at a large orthopedics practice in the Washington, DC area. The protocol for PT immediately post-op is only home exercises and then assessment at 4 weeks to determine if additional PT needed from external source.
I understand there is higher risk for dislocation with the posterior approach, however the guidance seems contrary to overall value of PT asap. Any advice? Thank you!
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@lvogelsa I believe that what you would get from early PT is the same exercises as you can do on your own. At four weeks, I personally would push hard for a few PT sessions - not just "cookie cutter" exercises, but a gait evaluation and to talk about your personal goals and limitations then come up with a plan.
Why a gait eval? Because with a bad hip you have either been limping or compensating in some way for the pain of the bad hip. You need to unlearn the old habits and get walking straight, otherwise you risk other aches and pains - knees, hips and back.
Also, examine your most-worn shoes - if there is uneven wear, replace them - this will give you a new start at walking straight.
PS My opinion comes from having had 2 hip replacements & 3 revisions. The first surgeon "didn't believe in" PT and I struggled. The revision surgeon (still my ortho 12 years later) was a firm believer. My years-long back and knee pain was cured by proper PT for my hips.
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6 ReactionsThank you very much for this detailed response, so helpful. After having rotator cuff repair and knee arthroscopy over the years - both accompanied by doctors’ orders for PT - I was so surprised that there could be any hesitation. Did you also have posterior? Glad to hear you ultimately found the right path to address your pain.
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1 ReactionYes, my doc wanted to do the posterior approach because I am petite, and theere was significant damage in the joints, so he needed a complete field of view.
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3 ReactionsYour hips are the biggest weight-bearing joints. I've had two replaced and your doctor should advise you. We don't know your age and condition. I didn't need an outside PT because I am active.
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1 ReactionThanks, very helpful. Yes, I’m an active 60 year-old and prepped before surgery as best as I could with hand weights, body weight exercises, etc. So, hopefully I’ll be good to go.