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Arthritis Diet and Exercises

Hip Exercises – After Your Joint Replacement Surgery


Hello, my name is Megan McCormick a physical
therapist from Barnes-Jewish Hospital. Today I will go through your required exercises
needed before and after your hip replacement surgery. Having the best strength for your
new joint begins now. I encourage you to pause the video when needed and practice each exercise
individually. In addition, please remember to consult your physician before starting
this exercise program. Today we have one of our former patients who will demonstrate the
exercises. Hello, my name is Chris Simons. I am 48 years old; currently I am 26 weeks
post-surgery and credit my successful recovery to not only the care I received from my Washington
University orthopedic physician, but the vigorous rehab schedule that I followed. We will now
be demonstrating ankle pumps.This exercise can be performed in sitting or while lying
down. Knees may be bent or straightened. If you keep your knees straight, you will feel
a better stretch in your calf muscle on the back of your leg.Bend and straighten your
ankles slowly. Move through the full range of motion from pointing toes like a ballerina
to pulling toes up toward body, feeling the stretch in the back of your calves. Be sure
to move at the ankle joint, not moving just your toes. Remember to do 10 repetitions of
each exercise two times a day. We will now demonstrate glute sets or buttocks squeezes. Lie on your back in bed with both legs fully extended straight and supported in the bed. Squeeze
your buttocks or butt cheeks firmly together. You should see your pelvis lift upward during
this movement. Hold for 5 seconds. Then relax your buttocks. Do not hold your breath during
the 5 second hold. Do not tilt your hips forward or contract your abdominals. Remember to do each exercise 10 repetitions two times per day. We will now be demonstrating heel slides.
Lie on your back in your bed with your legs extended. Keep your heel in contact with the bed as
you slowly slide your heel up toward your buttock, while bending your knee up. Keeping
your heel on the bed will ensure you are not bending your hip more than 90 degrees.
Your knee can either stay midline and point up toward the ceiling or you may pull the knee
up and away from your body. Using a slick surface, such as a cookie sheet beneath your
heel helps to decrease the friction between you and the bed, making the movement easier.
Remember to do 10 repetitions of each exercise two times a day. The next exercise is the
leg side slides. Following surgery you will perform this exercise in bed. Today Chris
will be demonstrating the leg slide on the floor. Remember that Chris is 26 weeks post
surgery. You may need to scoot toward the center of bed in order to have room to safely
perform this exercise. Lie on your back with legs fully extended. Slide one leg out to
the side as far as you can. Slide the leg back in to staring midline position. Do not
cross your legs or the midline of your body. Keep your knee straight and your toes pointed upward toward the ceiling during the entire movement. Using a slick surface, such as thick trash bag or
a cookie sheet beneath your heel helps to decrease the friction between you and the
bed, making the movement easier. Do not lift your leg or allow your knee to bend up during
the movement. Your entire leg should remain in contact with the bed during the movement. Remember to perform each exercise 10 repetitions two times per day. We will now be demonstrating
short arc quads or mini kicks. Lie on your back in bed. Place a firm roll approximately
8-10 inches in diameter, such as a pillow, a large coffee can or an unopened 2 liter bottle
of soda with a towel wrapped around it, under your knee so that there is a slight bend in
the knee. Make sure your leg is relaxed on the roll. Slowly lift your foot from the bed
and straighten your bent knee. Only straighten your knee. Do not lift your entire leg off
of the supporting surface. Hold for 5 seconds, then slowly lower the foot back down to the
surface and relax. Like with all of the exercises, please be sure you are not holding your breath.
Your opposite leg may be relaxed in a comfortable position of your choosing. Remember to perform
each exercise 10 repetitions two times a day. Barnes-Jewish Hospital and Washington University
Physicians are your partners in your journey to lead you back to a healthier lifestyle
with your new joint. If at any time you have questions, please visit BarnesJewish.org or
contact your orthopedic surgeon’s office. In addition, I want to thank Mr. Simons for
helping us demonstrate these exercises. Thank you and remember having the best strength
for your new joint begins before your surgery and continues post-surgery.

6 thoughts on “Hip Exercises – After Your Joint Replacement Surgery

  1. Thank you so much,my 79yr mom fell down a month ago, got discharge from hospital a couple weeks ago been using your video as therapy solo much improvement, still using a walker but getting stronger everyday.God bless you and thank you.

  2. I am 34 just had total hip replacement surgery on Dec 8th 2017. After surgery I have a foot drop any suggestions to help?

  3. This is good. I would suggest you include with this whether these are for posterior vs anterior hip replacements. The two have very different contraindications. Thanks!

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