Before Hip Surgery

Rehabilitation and exercises before Hip surgery

Research has shown that exercise can help decrease pain, improve leg strength and help
keep your heart in good condition before surgery. If you have not been regularly active,
remember to speak to your GP before starting to exercise.
Endurance activities are good for your heart, lungs, circulation and muscles.
Some suggestions for endurance exercises include walking, swimming or use of a
stationary bike.
If you have not been involved in any regular exercise, it is important to start slowly.
Your goal is to be physically active every day.
Begin with a few minutes and gradually progress until you can exercise at
least 3 times per week for 20 to 30 minutes at a time.

Repetitions- Each exercise should be repeated several times until you feel some tiredness in your muscle.
As you get stronger, you can add more repetitions or sets, continuing to use muscle tiredness as your guideline.
Frequency- 1 – 2 times per day.
Duration– Hold desired position for 5 seconds before releasing.

1. Buttock Muscle Setting

  • Lie on your back or sit in a reclined position in bed
  • Squeeze your buttocks together.

2. Quads Over a Roll (Beginner exercise)

  • Place towel roll under your involved knee
  • Lift heel off bed until knee is straight

3. Thigh Muscle Setting:

  • Lie on your back with your leg straight and toes pointed up to the ceiling.
  • Tighten your thigh muscles by pushing the back of your knee down into the bed.

4. Isometric Hip Abduction (Beginner exercise)

  • Sheet around thigh (just above knee)
  • Push legs apart against resistance of sheet
  • Just tighten muscles, do not move legs

5. Standing Hip Abduction:

  • Hold on to a chair or bathroom counter. It helps to be in front of a mirror to make sure you don’t lean to one side.
  • Keep knee straight and toe pointing forward
  • Move involved leg out to the side without leaning over

6. Single Leg Stance:

  • Stand on involved leg
  • Hands on table or back of chair for support (if needed)

6. Chair Push-Ups:

  • Sit with hands on arms of chair
  • Push down on hands to lift buttocks off chair

Illustrations by Limor Shaked
Sunnybrook's Holland Orthopaedic & Arthritic Centre and Mount Sinai Hospital has developed part of this material and this has been edited by Dr. Michael Drexler. Permission to add this link to my website has been granted by Sunnybrook Health Sciences Centre’s and Mount Sinai Hospital Guides for Patients Having Hip or Knee Replacement.

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