Core Physiotherapy Rehabilitation Programmes
Physiotherapy plays a very important role in the recovery from injury or surgery for every sportsman and women. It is vital you are assessed by a specialist in hip and groin injuries so that the appropriate diagnosis can be made and the correct advice regarding physiotherapy or other treatment may be provided.
Many groin injuries will benefit from a period of supervised physiotherapy; injuries which require surgery will also benefit from both pre-operative physiotherapy and focused post-operative rehabilitation. The physiotherapy department at the Whitfield clinic provides experienced, full time support to patients attending the hip and groin clinic.
Each patient who requires physiotherapy will be provided with a specially tailored personal rehabilitation programme and will be encouraged to follow the programme with the supervision of an experienced therapist in their home area.
Rehabilitation following injury:
Initially following injury:
For any injury the early principles of management remain the same:
- Complete rest for the limb involved is encouraged (the use of crutches is often necessary)
- Placing covered ice packs over the injury for 10 – 15 minutes, four times a day, for at least five days will help with swelling/inflammation. (Do not place ice directly onto the skin as this may cause a burn)
- A compression bandage may be used for hamstring or quads strain
- If swelling exists, highly elevate limb regularly, when sitting or lying down
- Anti-inflammatory medication will help with pain, swelling and return to function in many cases (a doctor should always be consulted first).
1. Groin Strain
Following the early management of an acute or recurrent groin strain, rehabilitation is centred on stretching and strengthening the stability of the core muscles [pdf], the adductor group of muscles [pdf] and the main hip muscles [pdf].
2. Adductor Strain
A programme of adductor stretching and strengthening [pdf] is employed with an expected return to sports before 6 weeks; this however will depend on the extent of the injury. Pubic cleft injection may be required for resistant or recurrent cases and would be advised, if required, by the consultant.
Post Operative Rehabilitation Programmes
The following rehabilitation programmes are regularly improved and modified to maximise the successful outcome from surgery, promoting early healing and a rapid return to sports; each programme is designed specifically for athletes undergoing surgery.
Please only use the rehabilitation programmes to which you have been advised.
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1. Orthopaedic Surgery
Total Hip Replacement
2. Sports Hip and Groin Surgery
a. Hip Arthroscopy
1. Femoroacetabular Impingement
2. Labral repair
3. Labral tear
b. Adductor Surgery
1. Adductor de-tensioning
2. Adductor reconstruction
c. Groin Surgery
1. Sports Hernia (‘Gilmore’s groin)
2. External Ring Repair
Post operative Rehabilitation Video Blog
Shane has recorded his weekly progress following Hip Arthroscopy.
To see further rehabilitation videos please click here.