Advanced hip exercises

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This advice and exercise booklet has been produced by Physiotherapists working within the Worcestershire Acute Hospitals NHS Trust.

It offers advanced exercises from when you are discharged home after your hip surgery.

Follow the exercises with care, if any of the exercises make your pain worse STOP and seek advice.

Advice
Regular exercise will help restore normal hip motion, muscle strength and promote a gradual return to everyday activities.

These strengthening exercises after your hip surgery should be done 3 times daily in order to gain maximum recovery post op.

This booklet will guide you through stages 1-3 over the next 12 weeks of your rehab and onwards.

Stage 1. To be completed from discharge for 6 weeks post op

With each of the following exercises use a sturdy chair or a table/worktop to steady yourself. Ensure your upper body is held upright to maintain correct posture. Repeat each 10 times.

Stage 2.) To be completed from weeks 6-12 Post Op

Repeat each of the following exercises 10 times. Complete each slowly to ensure good control.

Stage 3.) Week 12 Post Op and Onwards

This is the final stage of strengthening work for your hip. Make sure you complete these on your bed at home and repeat each 10 times. Complete slowly to ensure good control.

QUERIES
If you have any queries about any of the advice contained in this booklet
OR
If you are unable to progress your exercises in accordance with the booklet
OR
If you have persistent pain, swelling or worsening of your symptoms, please contact the Physiotherapy Department at the hospital where you had your operation between 8.30am – 4.30pm Monday to Friday.

Worcestershire Royal Hospital
01905 760622 / 760187
Alexandra Hospital, Redditch
01527 512114
Kidderminster Hospital
01562 513066

Other information
The following internet websites contain information that you may find useful.

www.worcsacute.nhs.uk
Worcestershire Acute Hospitals NHS Trust
www.patient.co.uk
Information fact sheets on health and disease
www.rcoa.ac.uk
Information leaflets by the Royal College of Anaesthetists about ‘Having an anaesthetic’
www.nhsdirect.nhs.uk
On-line health encyclopaedia

Feedback for Inpatient Therapies

Please scan the QR code or follow the link below:

If you have been seen by a Physiotherapist or Occupational Therapist during your admission, please leave us some feedback by scanning the QR code or following the link and filling in the short survey.

https://apps.worcsacute.nhs.uk/PublicSurvey/AHPFeedback

Ward admitted to:__________________________________

Therapy team who treated you: _______________________

If your symptoms or condition worsens, or if you are concerned about anything, please call your GP, 111, or 999.

Patient Experience
We know that being admitted to hospital can be a difficult and unsettling time for you and your loved ones. If you have any questions or concerns, please do speak with a member of staff on the ward or in the relevant department who will do their best to answer your questions and reassure you.

Feedback
Feedback is really important and useful to us – it can tell us where we are working well and where improvements can be made. There are lots of ways you can share your experience with us including completing our Friends and Family Test – cards are available and can be posted on all wards, departments and clinics at our hospitals. We value your comments and feedback and thank you for taking the time to share this with us.

Patient Advice and Liaison Service (PALS)
If you have any concerns or questions about your care, we advise you to talk with the nurse in charge or the department manager in the first instance as they are best placed to answer any questions or resolve concerns quickly. If the relevant member of staff is unable to help resolve your concern, you can contact the PALS Team. We offer informal help, advice or support about any aspect of hospital services & experiences.

Our PALS team will liaise with the various departments in our hospitals on your behalf, if you feel unable to do so, to resolve your problems and where appropriate refer to outside help.

If you are still unhappy you can contact the Complaints Department, who can investigate your concerns. You can make a complaint orally, electronically or in writing and we can advise and guide you through the complaints procedure.

How to contact PALS:
Telephone Patient Services: 0300 123 1732 or via email at: wah-tr.PALS@nhs.net

Opening times:
The PALS telephone lines are open Monday to Friday from 8.30am to 4.00pm. Please be aware that you may need to leave a voicemail message, but we aim to return your call within one working day.

If you are unable to understand this leaflet, please communicate with a member of staff.

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	Hip Flexion in standing Stand tall holding a stable support. Lift your operated leg up with your knee bent, hold for 3 seconds then lower the leg back down.
	Hip Abduction in standing Keeping your knee straight and toes pointing forward, slowly raise your leg out to the side. Hold for 3 seconds then slowly lower your leg back down. Try to keep the top half of your body straight and avoid leaning.
	Hip extension in standing Stand tall holding a stable support. Tense your buttock muscles and lift your operated leg out behind you, keeping your knee straight. Hold for 3 seconds then return to the starting position. Try to keep the top half of your body straight and avoid bending forwards.
	Hamstring curl in standing Stand tall holding a stable support. Bend your operated knee and lift your foot off the floor. Hold for 3 seconds the return to your starting position.

	Mini squats Stand tall holding a stable support. Tense your buttock muscles then slowly bend your knees to a small squatting position. Only bend to the point where you feel comfortable, do not bend your hips past 90 degrees. Hold this position for 3 seconds before slowly returning to the starting position. Gradually increase the length of time you can hold the position for – work up to 10 seconds.
	Bridging Lie down on your bed. Tense your stomach, bottom and thigh muscles. Slowly lift your pelvis towards the ceiling pushing through your feet. Hold for 5 seconds then slowly relax back down onto the bed.
	Hip Flexor Stretch Stand tall with one foot in front of the other, holding a stable support if needed. Slightly bend your legs and then straighten the hip of the rear leg by tilting your pelvis backwards, until you can feel a stretch at the front of your hip. Your physiotherapist will advise you how long to hold this stretch for.

Advanced hip exercises

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