No NSAIDS such as Advil, Motrin, ibuprofen, Naprosyn, and Aleve x 2 weeks.
Pain: Tylenol for mild pain and if needed use mild narcotic provided.
Driving restrictions: No driving until able to safely move foot from gas to brake if right hip, and/or safely use clutch if left hip.
Work restrictions: Depends on duration of weight bearing restrictions
Exercise restrictions: 2 weeks relative rest followed by 4 weeks progressive PT. No running, jumping, cutting, lunges or deep squats until 8 weeks.
Use crutches for __________ days, non-weight-bearing for _______ days
Use crutches (partial weight bearing) until able to walk normally without limp
Don’t flex the hip beyond 90 degrees for 2 weeks (don’t bring knee to chest)
Hip unloader brace for 4-6 weeks when walking about
Use SI belt for 3-4 days continuously and then for 4-6 weeks with ambulation
f/u for PT in 5-7 days
Activities: In general, with strength and activities, keep pain level below 4/10.
First 2 Weeks:
Use crutches until able to walk without a limp and/or significant pain (<4/10)
Strengthening/Motion: Isometrics always good. Non weight bearing and passive range of motion is good too. Try to get full range of motion by 2 weeks.
Walking: No hiking. May walk on flat ground initially for 10-15 minutes. If this goes well, may walk 5 minutes longer the next day.
Cycling: May gently ride a stationary bike for 15 minutes after week 1. Exertion level 1-3/10
Swimming: May use a pull buoy after week 1. No kicking.
Weeks 2-4:
Strengthening/Motion: Start gentle low load closed chain concentric/eccentrics.
Walking: May begin gentle hiking (no more than 30 minutes), watch hip angles.
Cycling: May ride 30 minutes. No getting out of the saddle til after week 3. Exertion 4-6/10
Swimming: May begin gentle kicking mixed with pull buoy. No more than ½ -1 mile.
Weeks 4-6:
Strengthening/Motion: Progress to moderate load, progressive strengthening.
Walking: May progress to longer hikes up to 60 minutes, still no big step-ups.
Cycling: May ride 60 minutes. May get out of saddle. Exertion 7-9/10 during intervals
Swimming: May swim up to 1-2 miles now. Still encourage breaks with buoy.
