Protective Phase: 0-8 weeks post operative range of motion restrictions

  • Foot flat weight bearing limited to approximately 20 pounds for two weeks, then can progress to WBAT with crutches
  • Passive range of motion in all planes, no adduction past midline or end range rotation
  • Active range of motion in sagittal plane to 90 degrees of flexion and frontal plane to 25 degrees of abduction
  • Core muscle stabilization exercise; should be initiated on the mat table
  • Isometric strength work within pain free limits, should be initiated around the hip without weight bearing
  • Week 0-3 Exercises
  • Week 3-6 Exercises
  • Week 6-8 Exercises

Restorative Phase: 8-12 weeks post operative

  • WBAT by this time
  • Progressive range of motion to normal limits, mobilization and passive stretching should not encourage hypermobility of the hip joint, aggressive rotation or adduction should be limited
  • Piriformis, illiopsoas and gluteal flexibility normalized
  • Progressive close chain strength work starting in the sagittal plane and moving to multiplanar activities
  • Proprioceptive deficits are progressively addressed
  • Highly compressive or high load activities (i.e. running) are avoided
  • Week 8-12 Exercises

Functional Phase: greater than 3 months post operative

  • Begin running
  • Begin sport specific or work specialized conditioning