Hip resurfacing - is this a good fit ?

[Charlie Vinch]

Hello everyone I'm new to gymnastics and find it very interesting! I currently own a Martial arts school and train Muay Thai and Jiujitsu 4-5 times a week and was wondering if this Is a good compliment along with having 2 bi lateral hip surgeies I need strengthing snd stretching for sure ! Most recent was one year ago

[Wouter Molenaar]

You have to be more specific about the surgeries if you want advice. If you have two total hip replacements or impingement complaints in the hip some excersizes might not be for you. So you should choose the things you would like to do. But more information is necessary.

[Charlie Vinch]

One year ago I got bi lateral hip resurfacing due to degeneration of hip cartilage than was the result of a failed hip labrum surgery ( 3 years ago). I also had hip impingement. Any other info. I'll be glad to present 

[Wouter Molenaar]

If you have hip impingement you probably made x-rays. on the x-ray you can see (or they can show you) if the head of you hip (caput femoris) is shaped normally or more ovally (happens when you do a lot of sports in the age of 10-14 or genetical). When the hip is shaped ovally this can impinge the hip (FAI) and limit flexion (bending the hip) and internal rotation/flexion of the hip. So it depends on the result of you x-ray. But your short story kind of confirms it.

So you should probably start my mobilizing the joint capsule in flexion and internal rotation, and watch our with hip-flexion based excersises and flexion under load.

 

[Charlie Vinch]

Since having hip resurfacing .. It has fixed the cartilage and impingement bc now I have a metal cap on my femoral head that it perfectly round. Have you had these issues also ?

[Wouter Molenaar]

I work as a physiotherapist in the Netherlands. I treat people with the same problem, but usually they want to play soccer again... haha.

[Charlie Vinch]

Yes the surgery is common and has great outcomes what has your experience been with it ?

[Wouter Molenaar]

my experience depends on the person, what level do they want to play, compete at and how much energie to they want to put into rehab. Usually when there are no complications during the surgery the result is good.

[Guest Jonathan Sugar]

I have a similar question - I am s/p bilat hip replacements - 2005 and 2011 respectively - and with the swivel hips exercise there is some discomfort that feels more joint based than muscle based - right side mostly. How should I modify this exercise?

Thanks for all help offered!

[Alessandro Mainente]

Hi Jonathan, no modification to the exercise must be done prior to a visit of a physio who can correctly evaluate your situation since surgery can modify the joint work. 

Meanwhile please do not give further suggestions.

[Ryan Bailey]

Listen to the excellent advice from Alessandro above.

Resurfacing is different than hip replacement.

In your case of Bilateral Total Hip Arthroplasty, or hip replacement, swivel hips are contraindicated; unless otherwise directed by your surgeon. Sometimes physicians will vary on the length of "no hip internal rotation precations" in the case of the common posteriolateral surgical approach. Internal rotation stresses the outer capsule which is cut into by the physician during surgery (and this is why 0 internal rotation is allowed). I have known multiple, younger people who have dislocated in this position after hip replacement, when they do not follow instructions and think they can be too ambitious.