PizzazzEE ©25 – Hips

Special considerations for PizzazzEE ©25 related to Hip Pain, Injury, and Post-surgical conditions

Good Range of Motion (ROM) and flexibility are major goals of PizzazzEE‑25. Certain large joints, like the hips, play a role in much of our movement and in this program. Muscle strength is important to reduce hip pain in most people. Activity (gentle if need-be) is useful to that end.

However, restrictive problems of the joint, especially after partial hip replacement (hemiarthroplasty) or total hip replacement (THR) demand extra care. Luckily, full ROM is usually achieved after hip replacement; it's the timing that may vary.

Frankly, there are time-sensitive restrictions for performing PizzazzEE‑25 whether just starting or continuing the program. One must protect against too much aggressiveness (or too little) when beginning to exercise after surgery. Below, see the emphasis of partial positions/actions in PizzazzEE‑25 steps that you may wish to consult on with your surgeon.

Consider Typical Recovery Time-frames

There are no hard‐and‐fast rules to recovery times. Too many factors need to be considered: age, weight, pre‐surgery condition, nutrition, THR vs. partial replacement, type of surgical entry location, previous physical stamina and health (including muscles and joints).

Taking age and various physical conditions into account, four (4) months following surgery is probably safe to begin/continue PizzazzEE‑25. Again, this is only when your physician/surgeon approves your participation.

Advice Varies. Here are some common phases of recovery, although everyone is different and there are no guarantees. You may recover more quickly than this, or need some extra time.

2 to 10 Days
Ambulation with assistance (while most of time in bed).
2 to 4 Weeks
Walk with crutches or walker.
2 to 6 Weeks
Light ADLs (Activities of Daily Living).
3 to 6 Weeks
Gaining good ROM slowly.
3 to 6 Weeks
Concentration on more frequent independent walking.
4 to 6 Weeks
Less muscle tightness expected.
6 to 8 Weeks
Light aerobics.
8 to 12 Weeks
Normal aerobics, attention still paid to hip position & weightbearing.
3 Months
May be allowed to cross legs.
3 to 4 Months
Even mild pain and swelling should be ending.
3 to 6 Months
Full ROM may be regained or expected to further improve.
6 Months
Stiffness should be gone. Exercise provides continued benefit.

Beginning PizzazzEE ©25

After 4 months, consult with your surgeon on these PizzazzEE‑25 steps if pain, restriction or instability of the hip joint is felt. Do not continue if there is any doubt. On the other hand, exercise that helps with muscles and joints (and as such flexibility, stamina and balance) are critical to your continued improvement.

These steps are complex, but include some of the noted actions. If acting on your own, be mindful of each, any feeling of instability could indicate the possibility of dislocation or subluxation (small displacement of joint). Again, your surgeon can tell you when you can attempt all these movements.

Step #
Step Includes This Motion
1-3, 5
Sitting (if using a gym ball) – but can be done standing
4
Sitting and bending over toward floor
9
Standing and bending toward toes
10
Twisting leg outward (not inward) with one foot in front of other leg
11
Lifting knee with weightbearing on opposite leg
12
Squats (knees staying behind toes & hips staying above knees)
13 *
A full squat with weightbearing on alternate legs. Sitting in "Indian style."
14
Straight legs in a "V" position while balancing up on ischial tuberosities
15 *
Crossed legs and torso twisting away from hips
16
Sitting on floor, legs straight out from hips
17
On back, knees moved down to floor
18
On back, knees moved down to floor (medial and lateral)
19
Oblique "Sit-up". Torso twisting across body – ankle crossed over bent knee.
20 & 23
On side, leg sweeps in front of torso & over lying leg
21
Prone – a mild back bend of torso – little hip motion
22
On 'all fours' straight leg lifted out and held at level of hip
24 & 25
A "child's position" is included

* Pay particular attention.

Movement is needed for hip recovery. But the RIGHT MOVEMENT and at the RIGHT TIME.


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