Yesterday was my 2 week post-op visit. It was only my second outing since surgery. I didn’t end up going to church on Sunday because I was sore and thought it would be better to take it easy! I’ll start with the operation report and what it said (what Dr. Ellis did):
Post-operative diagnosis: Right hip subspine impingement
Procedure: Arthroscopic acetabular rim trimming
Findings/Procedure: Significant erythema underneath the inferior spine. Minimal articular cartilage damage. Mild residual cam lesion, medially. Capsular tear superiorly with synovitic changes underneath the inferior spine.
Procedure: AIIS resection, mild osteoplasty medially/laterally, capsular plication
I had appointments with both my surgeon’s PA and PT. My appointment with the PA was supposed to be at 3pm and 3:30pm with the PT. At 3:15pm Dave, my surgeon’s PT, came out to the waiting room and got me. He took me back and asked how things were going. I told him I was having groin time, sharp at times. He asked if Dr. Ellis plicated the capsule…I didn’t know. He told me to go ahead and take my brace off and lay on my back on the table while he went and pulled up my op-report. While I was laying on the table waiting on Dave to come back in, the PA, Tiffany, came in the room to remove my stitches. I was very excited to get my stitches out, they were quite tight this time (Tiffany even commented on how tight they were). While she removed my stitches, Dave came back in. The three of us discussed my symptoms/questions. We discussed my pain levels and decided to change my anti-inflammatory to Duexis rather than Mobic. Both Tiffany and Dave said it is much more effective in pain control. It’s 3x/day alternating with Tylenol. Dave wanted to move my leg around, so Tiffany left and said that Dave was going to do what she would do, so Dave could grab her if I had any further questions.
As Dave moved my leg around we discussed my other questions. Dave was happy with how my joint felt. We discussed how my my deep, sharp, groin pain could be related to my hernia repair. When Dr. Leff repaired my hernia he told me that it was tight….so with the swelling and changes from my surgery it could be pulling the mesh, etc. Both Dave and Tiffany told me that they don’t expect anyone to be pain free at 2 weeks. I know that it is early in my recovery, so I am not panicking, just trying to be cautious.
They have changed some on their protocols since my last surgery….formal PT doesn’t start until 3 weeks (only 1 more week until I get to see my wonderful PT). Also, they have changed their crutches restrictions….still WBAT, but they’d like you to stay on both crutches for 4 weeks (maybe 6 weeks for me per Dave). In the past I had transitioned to one crutch by this point. So, I am to continue anti-rotation boots for 4 weeks. Brace for 4 weeks at home (I rarely wear it at home because I am not doing much of anything) and 6 weeks outside the home. I did ask if I could do any pool therapy (I am antsy and want to get back to the gym), Dave was hesitant, but said I could start walking forward at 4 weeks. Other than that, my home exercises/restrictions are below:
Exercises are the same for the most part although I am on Capsular restrictions…
-No hyperextension x 4 weeks
-No external rotation in prone
-No FABER x 6 weeks
-No single knee fall-outs x 4 weeks
-No kneeling hip flexor stretch until ~6 weeks
Home Exercise Program:
-Hooklying reverse butterfly (2-3 min, 2-3x/day, pain free)
-Short arc quad (10 times, 3 sets)
-Prone hamstring curls (10 times, hold 10 seconds, 1 set)
-Bridges (10 times, 3 sets)
-Posterior Pelvic tilt (10 times, 3 sets)
Side note: No more pendulums because they have been causing pain….instead I am to have my PT do passive circumduction.