I have to say you are really good at explaining how to do the exercise - the best I’ve seen. That being said, I can’t imagine being able to do those exercises with my bad hip, let alone that many reps - totally overwhelming!
Thanks Christine! The exercise dosages are what you want to build up to. You can adjust accordingly depending on the severity of your hip. Always listen to your body as everyone is starting on a different page. You’ve got this 🙂
I tried to do these but I can't I am waiting on hip replacement surgery, using a walker but still struggle to walk, can't lift my right leg, can hardly put weight on it. Do you have any suggestions for me please because I am really struggling.
I’m an active person who, up until three months ago, was still cycling and doing modified yoga. I am strong and flexible, but the only exercises I can do from your video are the bridge and shallow squat. The figure 4 stretch was the first thing t go years ago. If you’re already staring down the barrel of hip replacement, you won’t be able to do most of these exercises. These exercises would be better described a helping you delay the need for surgery as long as possible and that people should do them while their hips are still functioning.
Thank you for your comment, but I think you may be forgetting that not everyone has the same severity of symptoms that you may be having currently. You may be surprised to hear that there are many people who can do these exercises before surgery, at least to some degree. Either way, these exercises are only meant as a general guidelines so people will obviously need to modify on a person-to-person basis.
before I knew my hip was the issue, a little over a year ago I was doing these exercises as part of my PT. An MRI finally diagnosed my bone on bone hip pain and the need for a hip replacement. There is no way I can do these exercises with the amount of pain pre-surgery. I look forward to doing these post-op 😊
@@PTTimewithTim I think everyone that is searching for videos looking for excersise to do before hip surgery is because they already can't do regular exercises and are looking for things to do when your hips are so bad you can't barely move it. Like but squeezes and putting a ball between your legs and squeezing, more accessable excersise. But thank you for the video 😊
@@Cloud-yo1he Its so interesting reading all these comments. I'm not sure folks need to wait as long as they do for the surgery nowadays. People used to be discouraged from getting the surgery because it was so difficult and didn't last as long as the new materials. Nowadays they last a lot longer, and I think there is no need to suffer as much as some folks do before making the choice. I'd be super interested to see if PT Tim has seen a change in this situation in the last few years. I just got my hip replaced and all of these were totally possible before hand...and I am only 61! But, that was my choice. As soon as the docs started to prescribe heavy painkillers like Gabepantin, I was like, nope, let's get the surgery.
There is absolutely no way I could do these exercises. The pain would be excruciating. The gluteal bridge I could do, but not one other exercise. I’m scheduled for THR in 6 weeks.
Thanks for the comment. Obviously, each person is going to tolerate each exercise differently depending on how advanced his/her hip osteoarthritis has become. These exercises are for best case scenario and each individual will need to modify as necessary or even skipping the exercise/s altogether. I think you should read my full article on best ways to prepare for a total hip replacement which discusses all of the important considerations for surgery and what to expect afterwards. Best of luck to you with surgery. You can find the article here: pttimewithtim.com/exercises-before-hip-replacement-surgery/
Me either , my eyeballs almost popped out of my head watching this , the bridge is the only thing I could do. I have surgery in 5 weeks And I went to a physical therapist and told him I'd like to do some exercises to prepare me for hip surgery so he does traction on my hip and two other exercises 😂 I feel like I'm wasting my time.
@@Cloud-yo1he I totally agree with you I have Hip surgery in 2 weeks and there is no way I could do this. My doctor gave me 5 exercises and only one was like this. My hip would be screaming if I tied these. 🙂
Great video Tim! Just two questions and one comment: Q1) The sit-to-stand seems a little too easy for me. Can I substitute deep knee bends? Q2) I assume "daily" means 7 days/week (vs. 5 days/week to allow muscle recovery)? C1) When first trying to learn each of these, it might be helpful to keep the "sets X reps" graphic up during your entire explanation.
The sit to stand can be progressed by doing a standard body weight squat, but only if it doesn’t aggravate the hip joint. Daily typically refers to 5 days with rest days built in to allow the body to recover. Thanks for the comment and questions, Tim!
Thanks for the comment, Richard. I can definitely understand that. Everyone is starting with a different severity of hip OA. Typically, we try to modify any of the ones that you’re having difficulty with. Ex. Not having you do the full motion of the exercise, rather turn it into an isometric exercise or possibly just do partial-range of the exercise. If someone continues to struggle with it or it just plain causes increased joint pain, then we just remove that exercise and substitute with one that doesn’t cause problems. It’s very patient specific. Hope that helps some.
Thank you, I have searched very many video’s but this one appeals to me most of all and is very well explained and directed, thank you for showing me a daily pattern until the time for my operation, you have strengthened my motivation
I’m trying to understand how these exercises can be done when your in severe pain? I’m currently in p.t. & found even aqua therapy is stressing my hip joint. I keep trying though because i know its better to keep moving but motions are very very limited. Plus i have right sided cerebral Palsy. I’m concerned about my recovery because it’s my strong side, left side hip being replaced.
Hi Micki, glad to hear that you're working with a PT because your case does have some increased complexity to it. You're absolutely right about doing your best to keep the joint moving as much as possible and within a range of motion that is least aggravating to it. Some of my exercises wouldn't be appropriate for you due to the severity of your hip arthritis, so you can just leave out those that you're unable to perform. However, there should be several that you can modify within a limited range of motion that should work okay. Love that you're getting in the pool. That's such a great treatment option for those with severe degeneration. Best of luck on your upcoming surgery!
You're so welcome! I would also highly recommend that you read my full article on how to prepare for this surgery. It should answer most of the questions that you may be thinking of..you can find it here: pttimewithtim.com/exercises-before-hip-replacement-surgery/
Ive watched the first two exercises and came straight to the comments to see if i was the only one who couldnt even begin to achieve these. Heartened to see im not. However, i did them on my good leg and you can feel it right where you should, i guess i should have found this video a couple of years sooner. If i could actually do these i probably wouldnt be a candidate for total hip replacement though.
My hip replacement surgery is scheduled for late-May, so I want to start these right away. Question, should I also do these on the non-operative leg, or is it unnecessary since surgery on the other hip is imminent? Glad I found your channel. I 'Liked' and 'Subscribed.'
Hi Scott, it’s important to strengthen both sides as the “good” leg will be doing a lot of work (carrying the extra weight) after the surgery. Best of luck on the upcoming surgery!
What if you're in combat bike does it have a backrest ? Second question is is I've had back surgery how did these exercises pertain to a weak back and a weak hip ?
Hello, what is the recovery period between hip surgeries? I'm living alone so what's the recommended period for taking absence leave from work? Thank you, great useful videos!
Hello, I assume that you're asking how long the recommended recovery period from having one total hip replacement surgery until having the other hip replaced as well...in this case, about 12 weeks is usually required to build enough strength and independence to allow for the 2nd surgery. Of course, this would depend on how quickly the person recovered and how diligent he/she was with her PT exercises. Also, living along presents some significant challenges after a hip replacement for the first 2-4 weeks after surgery as the person will usually be very weak and medicated when they first arrive home. The surgeon and physical therapist should highly recommend that a friend or family member stay with you in your home or that you stay with someone else during this 2-4 week time period until you're fully independent. You should read my full article on how to prepare for a total hip replacement surgery as it provides you with a lot of critical information to consider. You can find it here: pttimewithtim.com/exercises-before-hip-replacement-surgery/
It was a great article, thanks for sharing. As I mentioned I'm living on my own with no possibility for having any family member with me or staying at someone house so I will ask my surgeon the option of being in an inpatient facility. I'm also worried about how to handle the time I'll be out of work due to the two consecutive surgeries. Any recommendations on this? Appreciate your feedback. Thanks.
It depends on what method of THR you undergo.. hopefully you had the Direct Anterior hip surgery.. leave hospital same day, walker only for a few days, usually... back to most jobs within 6 weeks
@@sarahtrevelline2288 Thanks for the comments. Ya, there are loads of docs out there that still do posterior approach. They’ve been doing it for years and feel most comfortable with it. Totally agree, though, that if the anterior approach is appropriate for someone, then that has the quickest recovery.
Dr Tim I cannot move for months 😢😢 to do these motions I cannot its that bad I have an appt with a surgeon not til September meanwhile I have to wait with no brace bed ridden nothing is recommended besides physio but is it worh doing it before surgery ??
I'm sorry to hear that you're suffering from such advanced stages of hip OA> It can be severely debilitating as you know. I do highly recommend that you see a PT for at least an initial evaluation and 2 or 3 follow-up appts because the PT can recommend and show you how to use a walker or single point cane prior to surgery. This can allow you to offload weight from the painful side and improve your functional mobility at least until surgery time. They can also show you some basic, modified exercises to do at home that can work on maintaining joint mobility. Finally, the PT will also help inform you of everything you'll need to know before/after the hip replacement surgery. It'll be worth it!
I had two hip replacements by two different surgeons in two different Hospitals and in both cases, I was never told to do pre-surgery exercises.Go figure.
Hi Judy, thanks for the comment. It all just depends on the severity of the hip arthritis. Most people wait off quite a long time to get a hip replacement, so I’d say those people probably wouldn’t tolerate the aggressive kicking motion. However, someone could always give it a try and see how the joint feels during and after the activity as a quick test. Normally, I recommend that my patients do walking through the water in a pool up to at least waist deep water. They can walk forwards, backwards, and side stepping which is actually more work than you might expect at first glance.
@@PTTimewithTim Thanks! I'll go and see how it feels and try the walking if the lapping has become to hard - it started 2 yrs ago (didn't know what it was) but n the last month it got bad quicker and I'm 8-9 on a cane ... waiting for surgery. Torn because everyone says to get strong.
@@judylindow2739 I completely understand. There's a lot of deconditioning that occurs in the surrounding hip muscles due to the disuse over time, which leads to significant weakening of these muscles. I wouldn't think of it so much as though I need to "strengthen" my hip seeing as there would typically be a lot of pain in the joint if you were to truly try to strengthen it in the traditional sense of the word. Rather, I would think to myself that I want to prepare my hip as much as possible for surgery, so that my rehabilitation afterward is a quick and optimal as possible. If a patient came to see my pre-op who had severe hip OA, we would start with very basic and limited-range stretching to try and improve or at least maintain whatever hip range of motion is left. We would also begin with isometric-hold exercises (where you press against something so the muscle engages but there's no actual joint motion occurring) to engage the muscles, but not aggravate the joint. I highly suggest that you read my hip joint replacement article, which gives you all of the pre-surgery information that you should incorporate in your planning. You can find it here: pttimewithtim.com/exercises-before-hip-replacement-surgery/
Tim, new subscriber here. Great stuff! I have a question for you. Last summer, I was diagnosed with right hip osteoarthritis. Bone on bone. The need for a total hip replacement was not immediate, but within the next year. I was planning on a 2024 summer surgery. On December 15, 2023, I had a major heart attack. My EF got down to 18%, but with cardiac rehab, I am already up to 30%-35% and climbing. The only piece of equipment that is comfortable at rehab, given my hip, is a seated elliptical by Ortho. I'd buy one if they weren't so expensive. I am on 7 different medications now and will be on two of them for at least a year and the others most likely for life. My hip replacement surgery will now most likely be in the spring or summer of 2025. My question is, outside of cortisone injections (which really didn't help much), do you know of any exercises and/or treatments (PT, Chiropractic, heat, ice, etc.) that could help me in any way to reduce the pain? It's not constant, but given that I am 15-18 months away from a surgical solution, I'm trying to seek ways to make it feel better, in any way possible, until that time. Thanks for any help or guidance and God Bless.
Thanks so much for the comment! I'm so happy to hear about your recovery since the MI. Great job so far! My first thought regarding pain management would have been to recommend you checking out a corticosteroid injection, though since you've already tried that without any success (unfortunately), I would recommend that you speak with your heart doctor and your orthopedic surgeon to see if there's a pain medication that would be safe for you to take that could help hold you over until the spring of 2025 when you could finally have the hip replacement surgery. Other than that, I would check into aquatic therapy as this allows you to move the arthritic joint in a significantly reduced gravity environment (reducing the compression within the joint). We know that "motion is lotion," so moving the hip joint in the water can also help reduce hip pain, but it's also great for heart health. Hope this helps!
If I could do these properly, I wouldn't get my total hip replacement. I can do 2 of them. I have drop foot on my left foot with my knee replaced on the left also. Now, the left hip on July 31.
Thanks for the comment, Michael. I can appreciate your initial hesitation as most people that are about to get a hip replacement have some degree of moderate to severe hip OA. These joint conditions make it not only painful, but also restrict the overall range of motion that the joint can move through. Please understand, though, that the exercises that I demonstrate can still be performed by those in preparation for a hip replacement. As I mentioned in the video, though, each exercise, will need to be modified by each individual in order to be successfully performed without aggravating the hip joint. Modifications can include reducing the overall range of motion of the movement, decreasing the repetitions per set, decreasing the # of sets, changing the exercise from a full movement to an isometric (which is when you push against something that doesn't move, i.e. squeezing both knees together while lying on your back). Ultimately, each person will have to pick and choose which exercises that he/she can perform because everyone's hip is going to act differently. Hope this helps clear up some confusion. Best of luck with your upcoming THA!
Typically submaximal isometric hip exercises are the best to do when the pain is already so severe that you can barely move it. Isometrics work in this type of situation because the joint doesn’t move while the muscles still contract.
Hi I am due to have a hip replacement in the next six months not been given a date yet (nhs) been waiting 10 months and want to strengthen my legs can I start doing these exercises now even thought it might be six months before my op?
I have waited 5 years for hip surgery I'm finally getting it done on the 29 th of July I'm so excited to have my life back . Good luck to all and a quick recovery ❤️
Typically a rowing machine would cause increased hip joint pain in an arthritic hip because it requires end-range hip motion (which arthritic hips have very little of). If you have been consistently using the rower without any aggravation to the hip joint, then it would likely be fine to continue with, but only if it doesn’t cause increased joint pain during/after the use of it.
Dr i have complete acl tear and also high grade mcl tear three months back I am fifty years old I am also suffering from oesteo arthritis doc has advised for not doing surgery can I live a healthy life without surgery
Hi Anju, sorry to hear about your injury. I have an article on ACL tears that can help guide you on this injury: pttimewithtim.com/acl-tear-exercises-without-surgery/
The easier exercises can be performed daily and the more difficult ones can be performed every other day in the beginning then eventually ramping up to daily as the body’s tolerance to them improves.
Hello, Barbara. A lot of people with ask their friends and family because someone usually will have one lying around somewhere collecting dust. If not, checking out a nearby gym or recreational facility would be a great idea as you could then use it post-operatively as well after several weeks. I’ve also had patients purchase one as there are some more affordable ones out there for sale. Finally, if you still cannot find one then that’s okay. You’ll just have to use the one in the PT clinic post-op. Hope that helps!
Ice packs are always great for reducing pain and inflammation, however, heat is usually better when dealing with arthritic joints as it helps to reduce pain, but also improve joint mobility (by reducing stiffness that is all too common with arthritis). Ice is typically used post-operatively.
Lots of people own stationary bikes and if you don't, maybe you know someone who does have one that would let you use it periodically. Also, getting a temporary gym membership could be a consideration to use their stationary bikes. Ultimately, if someone absolutely just can't get access to one it's okay. Just continue with the rest of the exercises.
@@PTTimewithTim the maturity of hard-working people do not own stationary bikes and in my experience people that do have things like bikes and treadmills are too busy and never use them
With 10+ years of experience, I would respectfully disagree. Obviously, it would depend on the severity of hip OA, but these exercises are very much doable :)
Some are doable. I can do the leg raise, side line abuduction, sit to stand and bridge, but none of the rest as they give me too much pain. I have moderate osteo
@@margarethaines5996 Nice job Margaret! We typically modify any exercises which a person is unable to get into the full position by reducing the total range of motion of the movement or even change the exercise into an isometric (which is when you push against something without any movement at all). This is quite common for people who are experiencing joint degeneration. Best of luck with your surgery prep!
👉 Want to learn Dr. Tim’s Top 5 Daily Stretches for optimal health? Download for FREE here: pttimewithtim.com/freebie/
I have to say you are really good at explaining how to do the exercise - the best I’ve seen. That being said, I can’t imagine being able to do those exercises with my bad hip, let alone that many reps - totally overwhelming!
Thanks Christine! The exercise dosages are what you want to build up to. You can adjust accordingly depending on the severity of your hip. Always listen to your body as everyone is starting on a different page. You’ve got this 🙂
i agree
I tried to do these but I can't I am waiting on hip replacement surgery, using a walker but still struggle to walk, can't lift my right leg, can hardly put weight on it. Do you have any suggestions for me please because I am really struggling.
I was thinking the same thing!!
@@annetaylor9804 did you have the surgery? If so, how’s it going. My surgery is next month.
I’m an active person who, up until three months ago, was still cycling and doing modified yoga. I am strong and flexible, but the only exercises I can do from your video are the bridge and shallow squat. The figure 4 stretch was the first thing t go years ago. If you’re already staring down the barrel of hip replacement, you won’t be able to do most of these exercises. These exercises would be better described a helping you delay the need for surgery as long as possible and that people should do them while their hips are still functioning.
Thank you for your comment, but I think you may be forgetting that not everyone has the same severity of symptoms that you may be having currently. You may be surprised to hear that there are many people who can do these exercises before surgery, at least to some degree. Either way, these exercises are only meant as a general guidelines so people will obviously need to modify on a person-to-person basis.
before I knew my hip was the issue, a little over a year ago I was doing these exercises as part of my PT. An MRI finally diagnosed my bone on bone hip pain and the need for a hip replacement. There is no way I can do these exercises with the amount of pain pre-surgery.
I look forward to doing these post-op 😊
@@PTTimewithTim I think everyone that is searching for videos looking for excersise to do before hip surgery is because they already can't do regular exercises and are looking for things to do when your hips are so bad you can't barely move it. Like but squeezes and putting a ball between your legs and squeezing, more accessable excersise. But thank you for the video 😊
@@Cloud-yo1he Its so interesting reading all these comments. I'm not sure folks need to wait as long as they do for the surgery nowadays. People used to be discouraged from getting the surgery because it was so difficult and didn't last as long as the new materials. Nowadays they last a lot longer, and I think there is no need to suffer as much as some folks do before making the choice. I'd be super interested to see if PT Tim has seen a change in this situation in the last few years. I just got my hip replaced and all of these were totally possible before hand...and I am only 61! But, that was my choice. As soon as the docs started to prescribe heavy painkillers like Gabepantin, I was like, nope, let's get the surgery.
There is absolutely no way I could do these exercises. The pain would be excruciating. The gluteal bridge I could do, but not one other exercise. I’m scheduled for THR in 6 weeks.
Thanks for the comment. Obviously, each person is going to tolerate each exercise differently depending on how advanced his/her hip osteoarthritis has become. These exercises are for best case scenario and each individual will need to modify as necessary or even skipping the exercise/s altogether. I think you should read my full article on best ways to prepare for a total hip replacement which discusses all of the important considerations for surgery and what to expect afterwards. Best of luck to you with surgery. You can find the article here: pttimewithtim.com/exercises-before-hip-replacement-surgery/
Me either , my eyeballs almost popped out of my head watching this , the bridge is the only thing I could do. I have surgery in 5 weeks And I went to a physical therapist and told him I'd like to do some exercises to prepare me for hip surgery so he does traction on my hip and two other exercises 😂 I feel like I'm wasting my time.
@@Cloud-yo1he I totally agree with you I have Hip surgery in 2 weeks and there is no way I could do this. My doctor gave me 5 exercises and only one was like this. My hip would be screaming if I tied these. 🙂
I agree with u guys… that is to much
I could never bring my leg up that high I can’t even put a sock on😢
Great video Tim! Just two questions and one comment:
Q1) The sit-to-stand seems a little too easy for me. Can I substitute deep knee bends?
Q2) I assume "daily" means 7 days/week (vs. 5 days/week to allow muscle recovery)?
C1) When first trying to learn each of these, it might be helpful to keep the "sets X reps" graphic up during your entire explanation.
The sit to stand can be progressed by doing a standard body weight squat, but only if it doesn’t aggravate the hip joint. Daily typically refers to 5 days with rest days built in to allow the body to recover. Thanks for the comment and questions, Tim!
I can’t do Any of those excercises. My hip will break if I do that
Thanks for the comment, Richard. I can definitely understand that. Everyone is starting with a different severity of hip OA. Typically, we try to modify any of the ones that you’re having difficulty with. Ex. Not having you do the full motion of the exercise, rather turn it into an isometric exercise or possibly just do partial-range of the exercise. If someone continues to struggle with it or it just plain causes increased joint pain, then we just remove that exercise and substitute with one that doesn’t cause problems. It’s very patient specific. Hope that helps some.
So wonderful Tim. Such a helpful teacher. I’m heading to hip replacement in 5 weeks and will value these exercises.
Thanks so much James! It’s great to hear from you. Best of luck with your upcoming surgery.
Thank you, I have searched very many video’s but this one appeals to me most of all and is very well explained and directed, thank you for showing me a daily pattern until the time for my operation, you have strengthened my motivation
You're very welcome! Thank you so much for the lovely comment 😁
most people don't have a recumbent bike at home
I’m trying to understand how these exercises can be done when your in severe pain? I’m currently in p.t. & found even aqua therapy is stressing my hip joint. I keep trying though because i know its better to keep moving but motions are very very limited. Plus i have right sided cerebral Palsy. I’m concerned about my recovery because it’s my strong side, left side hip being replaced.
Hi Micki, glad to hear that you're working with a PT because your case does have some increased complexity to it. You're absolutely right about doing your best to keep the joint moving as much as possible and within a range of motion that is least aggravating to it. Some of my exercises wouldn't be appropriate for you due to the severity of your hip arthritis, so you can just leave out those that you're unable to perform. However, there should be several that you can modify within a limited range of motion that should work okay. Love that you're getting in the pool. That's such a great treatment option for those with severe degeneration. Best of luck on your upcoming surgery!
thank you that was really well explained
You're so welcome! I would also highly recommend that you read my full article on how to prepare for this surgery. It should answer most of the questions that you may be thinking of..you can find it here: pttimewithtim.com/exercises-before-hip-replacement-surgery/
Ive watched the first two exercises and came straight to the comments to see if i was the only one who couldnt even begin to achieve these. Heartened to see im not. However, i did them on my good leg and you can feel it right where you should, i guess i should have found this video a couple of years sooner. If i could actually do these i probably wouldnt be a candidate for total hip replacement though.
Thank you so much for the information provided
You’re welcome!
I am having THP bi-lateral. First one Sept 4...I am riding my mountain bike best I can.
My hip replacement surgery is scheduled for late-May, so I want to start these right away. Question, should I also do these on the non-operative leg, or is it unnecessary since surgery on the other hip is imminent? Glad I found your channel. I 'Liked' and 'Subscribed.'
Hi Scott, it’s important to strengthen both sides as the “good” leg will be doing a lot of work (carrying the extra weight) after the surgery. Best of luck on the upcoming surgery!
What if you're in combat bike does it have a backrest ? Second question is is I've had back surgery how did these exercises pertain to a weak back and a weak hip ?
Hello, what is the recovery period between hip surgeries? I'm living alone so what's the recommended period for taking absence leave from work? Thank you, great useful videos!
Hello, I assume that you're asking how long the recommended recovery period from having one total hip replacement surgery until having the other hip replaced as well...in this case, about 12 weeks is usually required to build enough strength and independence to allow for the 2nd surgery. Of course, this would depend on how quickly the person recovered and how diligent he/she was with her PT exercises. Also, living along presents some significant challenges after a hip replacement for the first 2-4 weeks after surgery as the person will usually be very weak and medicated when they first arrive home. The surgeon and physical therapist should highly recommend that a friend or family member stay with you in your home or that you stay with someone else during this 2-4 week time period until you're fully independent.
You should read my full article on how to prepare for a total hip replacement surgery as it provides you with a lot of critical information to consider. You can find it here: pttimewithtim.com/exercises-before-hip-replacement-surgery/
Thank you so much for the information provided!
It was a great article, thanks for sharing.
As I mentioned I'm living on my own with no possibility for having any family member with me or staying at someone house so I will ask my surgeon the option of being in an inpatient facility.
I'm also worried about how to handle the time I'll be out of work due to the two consecutive surgeries. Any recommendations on this? Appreciate your feedback. Thanks.
It depends on what method of THR you undergo.. hopefully you had the Direct Anterior hip surgery.. leave hospital same day, walker only for a few days, usually... back to most jobs within 6 weeks
@@sarahtrevelline2288 Thanks for the comments. Ya, there are loads of docs out there that still do posterior approach. They’ve been doing it for years and feel most comfortable with it. Totally agree, though, that if the anterior approach is appropriate for someone, then that has the quickest recovery.
Dr Tim I cannot move for months 😢😢 to do these motions I cannot its that bad I have an appt with a surgeon not til September meanwhile I have to wait with no brace bed ridden nothing is recommended besides physio but is it worh doing it before surgery ??
I'm sorry to hear that you're suffering from such advanced stages of hip OA> It can be severely debilitating as you know. I do highly recommend that you see a PT for at least an initial evaluation and 2 or 3 follow-up appts because the PT can recommend and show you how to use a walker or single point cane prior to surgery. This can allow you to offload weight from the painful side and improve your functional mobility at least until surgery time. They can also show you some basic, modified exercises to do at home that can work on maintaining joint mobility. Finally, the PT will also help inform you of everything you'll need to know before/after the hip replacement surgery. It'll be worth it!
I had two hip replacements by two different surgeons in two different Hospitals and in both cases, I was never told to do pre-surgery exercises.Go figure.
Getting ready for hip replacement surgery for severe arthritis. Can I swim laps for surgery prep? Freestyle.
Hi Judy, thanks for the comment. It all just depends on the severity of the hip arthritis. Most people wait off quite a long time to get a hip replacement, so I’d say those people probably wouldn’t tolerate the aggressive kicking motion. However, someone could always give it a try and see how the joint feels during and after the activity as a quick test. Normally, I recommend that my patients do walking through the water in a pool up to at least waist deep water. They can walk forwards, backwards, and side stepping which is actually more work than you might expect at first glance.
@@PTTimewithTim Thanks! I'll go and see how it feels and try the walking if the lapping has become to hard - it started 2 yrs ago (didn't know what it was) but n the last month it got bad quicker and I'm 8-9 on a cane ... waiting for surgery. Torn because everyone says to get strong.
@@judylindow2739 I completely understand. There's a lot of deconditioning that occurs in the surrounding hip muscles due to the disuse over time, which leads to significant weakening of these muscles. I wouldn't think of it so much as though I need to "strengthen" my hip seeing as there would typically be a lot of pain in the joint if you were to truly try to strengthen it in the traditional sense of the word. Rather, I would think to myself that I want to prepare my hip as much as possible for surgery, so that my rehabilitation afterward is a quick and optimal as possible. If a patient came to see my pre-op who had severe hip OA, we would start with very basic and limited-range stretching to try and improve or at least maintain whatever hip range of motion is left. We would also begin with isometric-hold exercises (where you press against something so the muscle engages but there's no actual joint motion occurring) to engage the muscles, but not aggravate the joint. I highly suggest that you read my hip joint replacement article, which gives you all of the pre-surgery information that you should incorporate in your planning. You can find it here: pttimewithtim.com/exercises-before-hip-replacement-surgery/
I am scheduled for mid january
Been doing many of those for a few months already and have total posterior approach hip replacement in 2 months May 2024
Great to hear! Keep up the good work.
Posterior?? Why? That is an antiquated method!! Go for at least Lateral, if not the Direct Anterior approach!
Tim, new subscriber here. Great stuff! I have a question for you. Last summer, I was diagnosed with right hip osteoarthritis. Bone on bone. The need for a total hip replacement was not immediate, but within the next year. I was planning on a 2024 summer surgery. On December 15, 2023, I had a major heart attack. My EF got down to 18%, but with cardiac rehab, I am already up to 30%-35% and climbing. The only piece of equipment that is comfortable at rehab, given my hip, is a seated elliptical by Ortho. I'd buy one if they weren't so expensive. I am on 7 different medications now and will be on two of them for at least a year and the others most likely for life. My hip replacement surgery will now most likely be in the spring or summer of 2025. My question is, outside of cortisone injections (which really didn't help much), do you know of any exercises and/or treatments (PT, Chiropractic, heat, ice, etc.) that could help me in any way to reduce the pain? It's not constant, but given that I am 15-18 months away from a surgical solution, I'm trying to seek ways to make it feel better, in any way possible, until that time. Thanks for any help or guidance and God Bless.
Thanks so much for the comment! I'm so happy to hear about your recovery since the MI. Great job so far! My first thought regarding pain management would have been to recommend you checking out a corticosteroid injection, though since you've already tried that without any success (unfortunately), I would recommend that you speak with your heart doctor and your orthopedic surgeon to see if there's a pain medication that would be safe for you to take that could help hold you over until the spring of 2025 when you could finally have the hip replacement surgery. Other than that, I would check into aquatic therapy as this allows you to move the arthritic joint in a significantly reduced gravity environment (reducing the compression within the joint). We know that "motion is lotion," so moving the hip joint in the water can also help reduce hip pain, but it's also great for heart health. Hope this helps!
Nice
Thanks
If I could do these properly, I wouldn't get my total hip replacement. I can do 2 of them. I have drop foot on my left foot with my knee replaced on the left also. Now, the left hip on July 31.
Thanks for the comment, Michael. I can appreciate your initial hesitation as most people that are about to get a hip replacement have some degree of moderate to severe hip OA. These joint conditions make it not only painful, but also restrict the overall range of motion that the joint can move through. Please understand, though, that the exercises that I demonstrate can still be performed by those in preparation for a hip replacement. As I mentioned in the video, though, each exercise, will need to be modified by each individual in order to be successfully performed without aggravating the hip joint. Modifications can include reducing the overall range of motion of the movement, decreasing the repetitions per set, decreasing the # of sets, changing the exercise from a full movement to an isometric (which is when you push against something that doesn't move, i.e. squeezing both knees together while lying on your back). Ultimately, each person will have to pick and choose which exercises that he/she can perform because everyone's hip is going to act differently. Hope this helps clear up some confusion. Best of luck with your upcoming THA!
When the pain is unbearable yet you want to strengthen muscles
The joint is already stiff with minimal mobility and pain what's the best option
Typically submaximal isometric hip exercises are the best to do when the pain is already so severe that you can barely move it. Isometrics work in this type of situation because the joint doesn’t move while the muscles still contract.
Hi I am due to have a hip replacement in the next six months not been given a date yet (nhs) been waiting 10 months and want to strengthen my legs can I start doing these exercises now even thought it might be six months before my op?
Yes, these exercises can be performed well in advance of a hip replacement regardless of how long out the surgery may be. Best of luck!
I have waited 5 years for hip surgery I'm finally getting it done on the 29 th of July I'm so excited to have my life back . Good luck to all and a quick recovery ❤️
How many times a day should I do these op due in 3 weeks (soon to be 80 years old)
I dont have that kind of bike but I do have a rowing machine. Would I benefit from trying to do 30-45 minutes every day prior to surgery?
Typically a rowing machine would cause increased hip joint pain in an arthritic hip because it requires end-range hip motion (which arthritic hips have very little of). If you have been consistently using the rower without any aggravation to the hip joint, then it would likely be fine to continue with, but only if it doesn’t cause increased joint pain during/after the use of it.
Dr i have complete acl tear and also high grade mcl tear three months back I am fifty years old I am also suffering from oesteo arthritis doc has advised for not doing surgery can I live a healthy life without surgery
Hi Anju, sorry to hear about your injury. I have an article on ACL tears that can help guide you on this injury: pttimewithtim.com/acl-tear-exercises-without-surgery/
Should you do these exercises every day before surgery 👍
The easier exercises can be performed daily and the more difficult ones can be performed every other day in the beginning then eventually ramping up to daily as the body’s tolerance to them improves.
What if I don't have access to recumbent bike
Hello, Barbara. A lot of people with ask their friends and family because someone usually will have one lying around somewhere collecting dust. If not, checking out a nearby gym or recreational facility would be a great idea as you could then use it post-operatively as well after several weeks. I’ve also had patients purchase one as there are some more affordable ones out there for sale. Finally, if you still cannot find one then that’s okay. You’ll just have to use the one in the PT clinic post-op. Hope that helps!
Thank you!
I’m guessing you should do these on both sides because after hip surgery your other side will bear more weight
My surgery is on 11 22
Best of luck with your surgery!
@@PTTimewithTim thank u
Should I be using a hip ice pack
Ice packs are always great for reducing pain and inflammation, however, heat is usually better when dealing with arthritic joints as it helps to reduce pain, but also improve joint mobility (by reducing stiffness that is all too common with arthritis). Ice is typically used post-operatively.
What makes you think I have a stationary bike available?
Lots of people own stationary bikes and if you don't, maybe you know someone who does have one that would let you use it periodically. Also, getting a temporary gym membership could be a consideration to use their stationary bikes. Ultimately, if someone absolutely just can't get access to one it's okay. Just continue with the rest of the exercises.
@@PTTimewithTim the maturity of hard-working people do not own stationary bikes and in my experience people that do have things like bikes and treadmills are too busy and never use them
😂😂😂😂😂there is no way if you have a hip that needs replacing you can do these …..😂😂
With 10+ years of experience, I would respectfully disagree. Obviously, it would depend on the severity of hip OA, but these exercises are very much doable :)
Some are doable. I can do the leg raise, side line abuduction, sit to stand and bridge, but none of the rest as they give me too much pain. I have moderate osteo
@@margarethaines5996 Nice job Margaret! We typically modify any exercises which a person is unable to get into the full position by reducing the total range of motion of the movement or even change the exercise into an isometric (which is when you push against something without any movement at all). This is quite common for people who are experiencing joint degeneration. Best of luck with your surgery prep!