Hip Replacement/Labrum Repair Arlington, VA

Hip-replacement-Labrum-Repair-MMA-&-Sports-Rehab-Arlington-VA

The hip labrum is a ring of cartilage that encircles the hip socket, playing a pivotal role in cushioning and stabilizing the joint. When this structure becomes damaged or torn, it can lead to pain, limited range of motion, and functional impairment. Beginning from gentle mobilization exercises to advanced strength training, a rehabilitation program aims to restore the hip’s stability, reduce pain, and ultimately help individuals regain their quality of life and mobility.

We will listen to you and your needs. We believe in educating our patients regarding what to do, what to avoid, and understanding red flag symptoms regarding post-surgery. Each injury and surgery can be different, we work closely with your surgeon’s office to ensure we are on the same page with your recovery. We will ensure you understand post-op precautions during rehab so that you are safe with movement and facilitate tissue healing.

Day 0 – 21

Goals:
• Maintain integrity of repair.
• Protection phase using crutches and Partial Weight Bearing (PWB).
• Manage pain/swelling/inflammation.
• Improve pain free AROM/PROM
• Flexion no > 90
• Extension no > 0
• Abduction, ER, IR no > 30
Exercises:
• Gait training
• Quad sets
• Prone knee flexion

Week 4 – 6

Goals:
• Began Weight Bearing As Tolerated (WBAT)
• Attain normal gait with device.
• Increase ROM to following parameters:
• Hip flexion: As tolerated.
• Extension: 0-10
• Abduction, ER, IR: 45 degrees
Exercises:
• Standing hip abduction
• Single leg balance
• Standing hamstring curls

Week 7 – 12

Goals:
• Week 6-8: Wean from crutches.
• Neuromuscular Re-education
• Introduce squatting.
• Progress strengthening
• Progress to full ROM within tolerance
Exercises:
• Gait training without device
• Bridges
• Quadruped kick backs

Week 12 – 16

Goals:
• Achieve full ROM.
• Improve dynamic balance and plyometrics.
• Achieve strength 4/5 compared to unaffected side.
Exercises:
• Progressive LE strengthening exercises
• Single leg balance with perturbations
• Plyometrics

***Criteria to progress to return to sport***

Y Balance Test 80% of uninvolved side
Strength of hip 90% compared to uninvolved side.
No pain with progressive exercises.
No joint inflammation, muscular irritation, or pain.

Week 16+ <

Goals:
• Begin return to sport.
• Begin return to run protocol.
• 5/5 strength compared to unaffected side.
Exercises:
• Walk/run interval training program.
• Dependent on sport
• Progressive strength training.

We will work closely with your Physician/ Surgeon team so, we are on the same page about your progress. We will listen to your goals and progress accordingly while addressing appropriate tissue healing. We see variety of patient populations, from the High-level Professional Athlete to the person whose goals are to walk, garden and perform regular activities of daily living. We will individualize our rehab program just for you and your goals. Contact us today at our Arlington on Edgewood St or Arlington on Walter Reed Dr Physical Therapy Center to learn more!

Check Out What Our Patients Have To Say About Their Experience

I’d been going for therapy elsewhere but it hadn’t really helped long term…I’d feel better that day, then as soon as I’d train, my hip would be painful immediately after.

– Jen G.

Having played soccer professionally in Europe I’ve had experience with a lot of physical trainers, and Dr. Ujjwal is one of the best.

– Tyler B. | Professional Soccer Player

Dr. Ujjwal’s method of re-evaluating your progress at intervals helped uncover a torn labrum (pretty badly I might add) in my right hip when I was taking longer than expected to recover.

– Mel C.

I was very impressed with the services provided by Dr. Ujjwal Shakya at MMA & Sports Rehab. I tore my hamstring and had to find physical therapy fast.

– L.H.

Dr. Ujjwal is an amazing doctor; after struggling with hip problems for about 5 years I finally feel like I can really do the things I love again thanks to Dr. Ujjwal.

– Kristina J.

Dr. Ujjwal, Jaime, and the staff do a great job making you feel comfortable in the PT setting. After my hip surgery, they helped to relieve a lot of the pain.