Rehabilitation
2 Months I transitioned from non weight-bearing to full weight bearing and began working on increasing ROM now that precautions had been lifted. Strengthening exercises were also progressing well. I was beginning to feel much better... and even managed to get out of the house a bit more! 3 Months I had a significant flare up after walking around Boulder for a CU football game. My hip was incredibly sore and all hip flexion strength and ROM gains I had made were now diminished due to inflammation. With this flare up, my pelvic floor symptoms returned. It took 1-2 weeks to recover from this incident. During this time, I returned to some of my earlier exercises to take it easy and used a lot of ice to manage inflammation. I also found that exercising in the pool was a great way to continue rehab without pissing my hip off too much. 4 Months Rehab was going well! I was making excellent gains in strength and balance with minimal flare ups :) I was however, beginning to experience some vague knee pain. My surgeon cleared me to begin skiing greens, so long as my physical therapist gave me the green light as well. I was on cloud nine! FINALLY I was back on the mountain! 5 Months Return to running had begun with a very slow progression. Although strength and stability/proprioception had returned to near 90% of the uninvolved side, I was having a lot of pain with this. It was a mild-moderate vague pain around the outside of my hip that radiated to the knee. Most of the pain was localized to the knee, though, so I didn't think much of it. I just figured that I was experiencing patellofemoral pain due to an increase in activity after being sedentary for so long. 6 Months
I was unable to progress past running for 1 minute at a time without significant pain. Run progression was put on hold and we decreased my weight bearing exercise to try and return my pain to baseline. However, my pain persisted and it was present in my every day life--such as walking through the grocery store or rolling over in bed. The pain was always worse at night, regardless of the activity done during the day. 6 Month Post-Op Appointment At what I thought would be my last follow up appointment with Dr. Mei-Dan, I found out that I would need another surgery to address my symptoms. Even though everything had healed perfectly from the hip scope, I was experiencing pain due to my underlying hip dysplasia. I have a more mild form of the condition called "borderline hip dysplasia", which leads to micro-instability of the joint. This micro-instability over the past 26 years has slowly compromised the integrity and health of the joint, causing early signs and symptoms of osteoarthritis. The surgery recommended to me was a Periacetabular Osteotomy (PAO) as a means to preserve my own hip joint, and prevent the need for a total hip replacement.
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AuthorJust a physical therapist and her journey being on the other side rehab. Categories
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October 2017
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