Purchase Dr. Tim's custom home exercise program worksheets as seen in this video! Worksheets are available to print at home or use on any mobile device and each one includes ADDITIONAL exercises to ensure a full, comprehensive rehab program. pttimewithtim.myshopify.com/
@@PTTimewithTim my replacement was very successful and no longer in any pain. My doctor told me to continue some of the exercise exercises for the rest of my life to keep that hip, strong and healthy. And at 80+, I’m doing them.
Just found your program. 4 weeks out from Lft THR and excited to do these. My current PT is a great woman but, I can add some of these as they differ from the normal routine. They don't differ in intensity, just different movements and adds some variety.
I had surgery yesterday out patient. When would I start with these exercises? Do you have any suggestions for band excercises for upper body hike rehabbing the hip? Thanks
Hello! Some surgeons are much more conservative than others in terms of exercises after surgery. When in doubt, always follow your specific surgeons instructions. Hope this helps! 🙂
I am having my second anterior hip replacement in 2 weeks on rt hip. I had left hip done in 2013. Any exercises for the stomach and waist for first weeks after surgery. I have tight abs and remember last hip replacement that area drove me crazy trying to keep it toned.
Hey Tim thanks for the great video. I'm two weeks out from my anterior hip replacement. How many days a week do you recommend doing these exercises? feeling a little sore after doing these yesterday. Thanks!
Typically every other day until the body’s tolerance to them improves and the post-exercise soreness resolves quicker after each round of exercises. Then they can be performed daily.
Good video. Thank you very much. However, Please check if the second stretch is the same one you included in your web page, the piriformis stretch? Pulling my knee towards my opposite shoulder didn’t seem like the right thing to do. Have always been athletic so I was in good shape prior to surgery, although surgeon said femoral head was ‘terrible’…avascular necrosis present as well so this surgery was fantastic, What a relief. 5 weeks post op and not too obvious it was done to an outsider.
Thank you for these exercises...I get my rt hip replacement July 22 2024...I had a left hip replacement 2013. What's good to do for your waist and stomach during the precaution time? I workout and am concerned about loosing my small waisrline
What about people who have severe pain in their SI joints after hip surgery? I believe I have ankylosing spondylitis and of course osteoarthritis and psoriatic arthritis and fibromyalgia so I also have rectus abdominal issues where am I tummy muscles are not closed. What modifications would work best for someone like me because I think some of these are too much for my abdomen. I’m also definitely an older woman and have lots of muscle joint and bone pain. Thanks for your video.
In this complex case, I would recommend that you work one-on-one with a physical therapist so that each exercise can be customized to your specific needs.
@@PTTimewithTim That’s exactly what I’ve been trying to do but because most of the places I’ve checked out didn’t take my insurance 100% I haven’t had any physical therapy for two weeks or more after I left rehab so everything is messed up now and gotten tight again because I haven’t been moving all right. I hope I see the therapist tomorrow they take my insurance 100% if you can actually help me get my self more functional. Sounds like a pot good possibility I told him I didn’t have a lot of space to work and he said we’ll work it out so I like his attitude
sir can you explain me please that can i do cycling after total hip replacement surgery because my muscles are so weak.4 to 5 years has passed to surgery
Thank you for your comment. I can say that, in general, there is no problem with gradually getting back into cycling on either a stationary bike or road bike is an appropriate activity for most people. It is very important to focus on strengthening exercises after a hip replacement because the muscles are typically very weak leading up to the surgery.
I was wondering about exercise number two. I need to understand how that is okay to do since you are laying on your back crossing your one leg sort of over the other leg and having your ankle rest on your thigh while you push your leg forward. It seems contradictory because it is crossing, so please help me to understand it. Thank you!
I’ll have my hip replaced in a few months. I’m no longer able to do the periformis stretch. I’m not sure if it’s because of the AVN or muscle tightness. Will I be able to do that again post surgery?
Thanks for the comment. If someone is unable to get into any form of the piriformis stretch, then there's no reason to attempt it. It would likely just aggravate the joint. We would simply just focus on all of the other exercises that the person could tolerate without joint irritation. After the surgery, it will require extra time and effort in order to get that hip rotation (as achieved with the piriformis stretch) as the muscles will have severely shortened from the lack of motion prior to surgery, but it will be possible eventually.
@@PTTimewithTim Thanks for responding. Unfortunately, I’ve let myself get weak. Plus side, I started using a walker. My ego got in the way and I should’ve been using it years ago. I went on a trip to Spain and I managed to do 10k-15k steps a day with the help of Tylenol. Since being back I go on a 2mi walk every other day. It’s been great for my confidence and mood. I swear like a tweaker but I figure I just have a lot of strength to rebuild. I know it’s hard to answer specifics over the internet, but I have an extremely tight hip flexor on the left side. To the point I can’t let my leg hang over the side of the bed to stretch. Anything I can do that’s more gentle?
@@starbrightinfinity3329 That's so great of you to keep getting out there. It can be difficult to find the right balance of staying active, yet not pushing so hard that it sets you back too much if the joint gets irritated from too much walking. For someone who has significant hip OA, I would not expect them to be able to get into too much hip extension (letting the leg get behind you) as the hip joint simply won't allow it because of the poor joint quality. However, it still should be possible to find a position to gently stretch the hip flexor muscles without feeling pain in the hip joint. Typically, I'll have someone lie on their back (in bed) with the opposite knee bent and the other leg (stretch leg) straight. If they don't feel a stretch in this position, then we would advance to the side of the bed and begin to slowly lower the stretch leg down from the side of the bed while still having the other knee bent until a comfortable stretch is felt in the front of the hip/thigh of the downward stretch leg. Additionally, I would only have them hold the stretch for about 30 seconds so that the hip joint doesn't get stiff.
@@PTTimewithTim Hey, I appreciate you writing such a thorough response. You’re right, when just laying flat with one knee bent, I can feel a stretch. Im only 38 so dealing with AVN for the last few years has been a big blow to quality of life. I’m now more determined to get back on track. Cheers!
What is a good way to progress to piriformis stretch. I am 6 weeks post anterior hip replacement and just released from most restrictions but I cannot dream of putting my foot in that position (I hope at minimum to be able to put on socks). This is a great video with explanations of many of the exercises in the next phase I have in my home exercise handout.
Hi Kimberley, thanks for the comment. You're exactly right, most people experience significant tightness after surgery. Prior to surgery, the joint is very stiff and painful, so people protect the joint and don't take it through it's full range of motion. This, in-turn, causes the muscles to tighten up over time. After the joint has been replaced, the muscles are still very tight and will need to to be stretched gradually back to their original lengths. In particular with the Piriformis Stretch, I typically start my clients out by having them lie on their back with the goal of getting the heel to rest on the opposite thigh near the knee and holding that stretch. Once that position is easier to get into, then they can slowly slide the heel towards mid-thigh, and then eventually they can begin to gently push the knee of the stretch leg outwards into more of the traditional figure 4 position (as seen in the video). All of the these advancements are expected to take a couple of weeks to progress through, so it's a gradual process.
I had my hip replacement for nine months now am still having some pain also but since I started the exercise am better I will advise if the pain is much u can contact your doctor
I am having a lateral approach hip replacement. No crossing legs. With your Piliformis hip external rotation stretch you are crossing a leg. Is this somehow OK?
This is a great question, with most lateral approaches the precautions include hip internal rotation (crossing of the legs), however the piriformis stretch is hip external rotation. Of course, always follow your surgeons guidelines. If you read my article on preparing for this surgery, you’ll see the pictures which explain everything. You can find it here: pttimewithtim.com/exercises-before-hip-replacement-surgery/
That Thomas stretch could be potentially disastrous to re-stretch that front flexor, as it could cause the new ball on the femur to pop (dislocate❗️) out the front.
I have not had any surgery on my hip, hence I have an injury on my hip, it has been 7 years, I got myself examined in the hospital, got an X-ray or MRI done and all my reports are normal, sir, please tell me the solution for my hip pain
My hip has no surgery, so I have an injury on my hip for 7 years now, should I get it checked in the hospital or get an x-ray done or an MRI done, everything is normal in the report sir, so please solve my hip pain 🙏❤️
Great question. This is an easy misunderstanding that is made by many people. Post-op precautions regarding crossing of the legs is referring to a traditional female style of crossing the legs. This is when the leg crosses the midline of the body. The “male” version of crossing your legs does not involve the leg crossing midline though should still be done slowly and with caution initially. You can read my detailed article on this with illustration at pttimewithtim.com/exercises-before-hip-replacement-surgery/
Purchase Dr. Tim's custom home exercise program worksheets as seen in this video! Worksheets are available to print at home or use on any mobile device and each one includes ADDITIONAL exercises to ensure a full, comprehensive rehab program. pttimewithtim.myshopify.com/
I had anterior approach and I started Pilates at about 5weeks and found it really helped
Nice job, Scott! Thanks for the comment 😁
Thanks for these! I am 2 weeks post op Posterior approach. Will be starting these today! Very well explained.
Great video. I am doing these while waiting for 2 months til surgery. This way, I will be in the habit of doing them.
Thanks so much! Best of luck with your upcoming surgery.
I did the same strategy for my knees. Nurses said I woke up from surgery doing ankle pumps :)
@@PTTimewithTim my replacement was very successful and no longer in any pain. My doctor told me to continue some of the exercise exercises for the rest of my life to keep that hip, strong and healthy. And at 80+, I’m doing them.
Just found your program. 4 weeks out from Lft THR and excited to do these. My current PT is a great woman but, I can add some of these as they differ from the normal routine. They don't differ in intensity, just different movements and adds some variety.
4 weeks post op anterior right hip replacement. I look forward to doing these stretches.🙏❤️
This has help me alot after my surgery thanks alot
So happy to hear that! Thanks for leaving a comment.
I had surgery yesterday out patient. When would I start with these exercises? Do you have any suggestions for band excercises for upper body hike rehabbing the hip?
Thanks
After 3 or 4 week
Can you please let us know in which week which exercise to start. I got my hip replaced 2 weeks ago
Posterior approach LEFT THR.
Now I’m confused! Most of these exercises I’ve been told to leave until 6 weeks. I’m in the UK.
Hello! Some surgeons are much more conservative than others in terms of exercises after surgery. When in doubt, always follow your specific surgeons instructions. Hope this helps! 🙂
Good to know. I just had hip replacement.
Thanks
Welcome
I am having my second anterior hip replacement in 2 weeks on rt hip. I had left hip done in 2013. Any exercises for the stomach and waist for first weeks after surgery. I have tight abs and remember last hip replacement that area drove me crazy trying to keep it toned.
Hey Tim thanks for the great video. I'm two weeks out from my anterior hip replacement. How many days a week do you recommend doing these exercises? feeling a little sore after doing these yesterday. Thanks!
Typically every other day until the body’s tolerance to them improves and the post-exercise soreness resolves quicker after each round of exercises. Then they can be performed daily.
thanks man@@PTTimewithTim
Good video. Thank you very much. However, Please check if the second stretch is the same one you included in your web page, the piriformis stretch? Pulling my knee towards my opposite shoulder didn’t seem like the right thing to do. Have always been athletic so I was in good shape prior to surgery, although surgeon said femoral head was ‘terrible’…avascular necrosis present as well so this surgery was fantastic, What a relief. 5 weeks post op and not too obvious it was done to an outsider.
@@kristalleland54583:24
Thank you for these exercises...I get my rt hip replacement July 22 2024...I had a left hip replacement 2013. What's good to do for your waist and stomach during the precaution time? I workout and am concerned about loosing my small waisrline
What about people who have severe pain in their SI joints after hip surgery?
I believe I have ankylosing spondylitis and of course osteoarthritis and psoriatic arthritis and fibromyalgia so I also have rectus abdominal issues where am I tummy muscles are not closed.
What modifications would work best for someone like me because I think some of these are too much for my abdomen. I’m also definitely an older woman and have lots of muscle joint and bone pain. Thanks for your video.
In this complex case, I would recommend that you work one-on-one with a physical therapist so that each exercise can be customized to your specific needs.
@@PTTimewithTim That’s exactly what I’ve been trying to do but because most of the places I’ve checked out didn’t take my insurance 100% I haven’t had any physical therapy for two weeks or more after I left rehab so everything is messed up now and gotten tight again because I haven’t been moving all right. I hope I see the therapist tomorrow they take my insurance 100% if you can actually help me get my self more functional.
Sounds like a pot good possibility I told him I didn’t have a lot of space to work and he said we’ll work it out so I like his attitude
I will follow this exercises from now thank you❤❤❤
You're welcome!
sir can you explain me please that can i do cycling after total hip replacement surgery because my muscles are so weak.4 to 5 years has passed to surgery
Thank you for your comment. I can say that, in general, there is no problem with gradually getting back into cycling on either a stationary bike or road bike is an appropriate activity for most people. It is very important to focus on strengthening exercises after a hip replacement because the muscles are typically very weak leading up to the surgery.
Thank you sir
Thank you for the excellent video!
You are welcome!
I was wondering about exercise number two. I need to understand how that is okay to do since you are laying on your back crossing your one leg sort of over the other leg and having your ankle rest on your thigh while you push your leg forward. It seems contradictory because it is crossing, so please help me to understand it. Thank you!
I’m having the same question, I tried doing the stretch but it is very uncomfortable on my hip
I'm so afraid I'm 7months out RTHR and trying to lose weight. But definitely try today
I’ll have my hip replaced in a few months. I’m no longer able to do the periformis stretch. I’m not sure if it’s because of the AVN or muscle tightness. Will I be able to do that again post surgery?
Thanks for the comment. If someone is unable to get into any form of the piriformis stretch, then there's no reason to attempt it. It would likely just aggravate the joint. We would simply just focus on all of the other exercises that the person could tolerate without joint irritation. After the surgery, it will require extra time and effort in order to get that hip rotation (as achieved with the piriformis stretch) as the muscles will have severely shortened from the lack of motion prior to surgery, but it will be possible eventually.
@@PTTimewithTim Thanks for responding. Unfortunately, I’ve let myself get weak. Plus side, I started using a walker. My ego got in the way and I should’ve been using it years ago.
I went on a trip to Spain and I managed to do 10k-15k steps a day with the help of Tylenol.
Since being back I go on a 2mi walk every other day. It’s been great for my confidence and mood. I swear like a tweaker but I figure I just have a lot of strength to rebuild.
I know it’s hard to answer specifics over the internet, but I have an extremely tight hip flexor on the left side. To the point I can’t let my leg hang over the side of the bed to stretch. Anything I can do that’s more gentle?
@@starbrightinfinity3329 That's so great of you to keep getting out there. It can be difficult to find the right balance of staying active, yet not pushing so hard that it sets you back too much if the joint gets irritated from too much walking. For someone who has significant hip OA, I would not expect them to be able to get into too much hip extension (letting the leg get behind you) as the hip joint simply won't allow it because of the poor joint quality. However, it still should be possible to find a position to gently stretch the hip flexor muscles without feeling pain in the hip joint. Typically, I'll have someone lie on their back (in bed) with the opposite knee bent and the other leg (stretch leg) straight. If they don't feel a stretch in this position, then we would advance to the side of the bed and begin to slowly lower the stretch leg down from the side of the bed while still having the other knee bent until a comfortable stretch is felt in the front of the hip/thigh of the downward stretch leg. Additionally, I would only have them hold the stretch for about 30 seconds so that the hip joint doesn't get stiff.
@@PTTimewithTim Hey, I appreciate you writing such a thorough response. You’re right, when just laying flat with one knee bent, I can feel a stretch.
Im only 38 so dealing with AVN for the last few years has been a big blow to quality of life. I’m now more determined to get back on track.
Cheers!
@@PTTimewithTim thank you very much for the good job you're doing I feel like we should have a WhatsApp group
What is a good way to progress to piriformis stretch. I am 6 weeks post anterior hip replacement and just released from most restrictions but I cannot dream of putting my foot in that position (I hope at minimum to be able to put on socks). This is a great video with explanations of many of the exercises in the next phase I have in my home exercise handout.
Hi Kimberley, thanks for the comment. You're exactly right, most people experience significant tightness after surgery. Prior to surgery, the joint is very stiff and painful, so people protect the joint and don't take it through it's full range of motion. This, in-turn, causes the muscles to tighten up over time. After the joint has been replaced, the muscles are still very tight and will need to to be stretched gradually back to their original lengths. In particular with the Piriformis Stretch, I typically start my clients out by having them lie on their back with the goal of getting the heel to rest on the opposite thigh near the knee and holding that stretch. Once that position is easier to get into, then they can slowly slide the heel towards mid-thigh, and then eventually they can begin to gently push the knee of the stretch leg outwards into more of the traditional figure 4 position (as seen in the video). All of the these advancements are expected to take a couple of weeks to progress through, so it's a gradual process.
@@PTTimewithTim thank you for the explanation
I'm 5 days out from surgery (anterior approach), and there is no way in Hades that I'd do that stretch!
@@PTTimewithTimgreat clear explanation. Thank you
Sir can you assist i had a total hip replacement for both legs but am still having pains on my left side even though it's getting to 6 months post op
I had my hip replacement for nine months now am still having some pain also but since I started the exercise am better I will advise if the pain is much u can contact your doctor
Good 👍
I am having a lateral approach hip replacement. No crossing legs. With your Piliformis hip external rotation stretch you are crossing a leg. Is this somehow OK?
thats exactly my thought, seems like a very dangerous position id say leave that one out!
This is a great question, with most lateral approaches the precautions include hip internal rotation (crossing of the legs), however the piriformis stretch is hip external rotation. Of course, always follow your surgeons guidelines. If you read my article on preparing for this surgery, you’ll see the pictures which explain everything. You can find it here: pttimewithtim.com/exercises-before-hip-replacement-surgery/
For me it depends on how long u had the sugary my is getting to a year now so am doing the exercises
That Thomas stretch could be potentially disastrous to re-stretch that front flexor, as it could cause the new ball on the femur to pop (dislocate❗️) out the front.
Thanks for the comment! As discussed in the video, there are separate precautions for those who have had anterior hip replacements.
I have not had any surgery on my hip, hence I have an injury on my hip, it has been 7 years, I got myself examined in the hospital, got an X-ray or MRI done and all my reports are normal, sir, please tell me the solution for my hip pain
How are we supposed to do these if we don’t have a table like that or anything we can lie on except a bed?
My hip has no surgery, so I have an injury on my hip for 7 years now, should I get it checked in the hospital or get an x-ray done or an MRI done, everything is normal in the report sir, so please solve my hip pain 🙏❤️
Just had a LATERAL , walking day 2..
Hi and thank you so much for the video. Im only two days out of an anterior THR. should I be doing these or maybe ease in starting w easiest?
This exer's, how Many weeks after surgery?
You should definitely check out my article on this topic: pttimewithtim.com/exercises-after-hip-replacement/
Isn't that second one crossing your legs??
Great question. This is an easy misunderstanding that is made by many people. Post-op precautions regarding crossing of the legs is referring to a traditional female style of crossing the legs. This is when the leg crosses the midline of the body. The “male” version of crossing your legs does not involve the leg crossing midline though should still be done slowly and with caution initially. You can read my detailed article on this with illustration at pttimewithtim.com/exercises-before-hip-replacement-surgery/
Translate in Indonesia please, thanks u
These are too early. Not meant for week 1 or 2 , the video should specify when it’s appropriate to start.
Exactly