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    • Hip Arthroscopy: Labral Repair / CAM takedown
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    • Hip Arthroscopy: Labral Debridement
    • Hip Endoscopy: IT Band Sectioning
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Hip Endoscopy: IT Band Sectioning

Dr. Vishal M. Mehta, sports medicine orthopedic surgeon

Message from your doctor…

Whether you or one of your family members or friends is considering a hip endoscopy, or are scheduled for surgery, I understand this can be a stressful time.  You may have forgotten some of the information we discussed during our last visit, or forgot to ask me a specific question about what to expect. This site is designed to help us stay connected, and to answer some of the most common questions patients ask me about hip arthroscopy.

I want to make sure that both you and your family members have timely information at your fingertips during the days, weeks, and months following your surgery…so you can get back to enjoying the activities you love.

POST-OPERATIVE INSTRUCTIONS

PAIN
MILD PAIN
ICE
DRESSINGS
BATHING
PHYSICAL THERAPY
WEIGHT BEARING
OFFICE VISIT
WHEN TO CALL
PREVENTION OF BLOOD CLOTS
DRIVING
MOTIONS TO AVOID
RETURN TO WORK
PAIN

Please take your prescription pain medication for the first 24 hours as directed. After the first day or two, as the pain lessens, you may decrease the frequency with which you take the medication. Remember, the medications are not necessarily meant to completely eliminate your pain, only to make it more bearable.

Narcotic pain medications can cause constipation; you may wish to use an over-the-counter stool softener to help prevent this.

MILD PAIN

If you are having minimal pain and would like to switch to a milder medication, please take Tylenol/acetaminophen (extra strength or regular). Do not take Tylenol and norco together (this would be too much acetaminophen). Do not exceed more than 4000mg of Tylenol/acetaminophen in a 24 hour period.

ICE

Use ice as much as possible for the first 48 hours, then it is recommended to ice 3-5 times/day for 20 minutes each time for 1-2 more weeks.

DRESSINGS

You will have a soft dressing applied over your incisions. It is meant to absorb any leaking blood or fluid from the joint, and to protect from infection. Leakage immediately after surgery is normal and actually helps to drain some of the fluid that accumulates around the hip during surgery. The dressings may become moist or blood-stained; this is normal and usually not a cause for alarm.

BATHING

You may remove your dressing 2 days after your surgery to take a shower. Under the surgical dressing you will have absorbable sutures underneath steri-strips (white strips) closing your incisions. Please leave the steri strips in place until they fall off on their own or until they are removed at your first post-op appointment. You may let soap and water gently wash over your incisions, but do not scrub them. Pat them dry with a towel, then recover each of the incisions with a band-aid if desired.

You may not soak your shoulder in a bathtub or go into a pool or hot tub until incisions are well healed (usually takes a few weeks).

PHYSICAL THERAPY

Therapy typically starts within 1 week after surgery.  Most patients go 2-3x/week for about 3-4 weeks.

It is normal to start physical therapy before your first post-operative visit.

WEIGHT BEARING

You will be given crutches for comfort. You may put full weight on the operative hip immediately after surgery.  You have no weight bearing or motion restrictions.

OFFICE VISIT

Your first post-op visit will be scheduled 10-14 days after surgery. You will see Dr. Mehta’s Physician Assistant on the first visit. At this visit, we’ll check your incisions and answer any questions you may have.

WHEN TO CALL

Please call our office at (630)584-1400 if you develop a fever greater than 101°F, increasing pain that is not responding to pain medication, redness around incisions, increased swelling, persistent bleeding or drainage, or drainage other than clear fluid or blood. You might experience mild numbness or tingling into your operative hip/leg within the first few days after surgery. This should dissipate with time.  You should call our office if you experience worsening of the numbness or increased cold sensation into your feet.

PREVENTION OF BLOOD CLOTS

Although the risk is very low, there is a small chance of developing blood clots into the leg after a surgery. A blood clot in the leg is called a DVT or deep vein thrombosis. Some patients will be asked to take a 325mg aspirin daily for 1 month after surgery to prevent blood clots. Some patients at higher risk of blood clots will require another form of anticoagulation such as lovenox injections, xarelto or coumadin pills.. Those at higher risk include patients who have had prior DVT, are on birth control pills, patients that smoke, or have clotting disorders. Signs of a blood clot could include calf pain and leg swelling. If you develop calf pain and/or painful swelling to either leg, please call our office immediately or go to the emergency room.

DRIVING

If you had a right hip surgery, you should not drive for 1-2 weeks post-op. This is for your safety, as well as other drivers. Secondly, you should not drive while taking any narcotic pain medications. If you had a left hip surgery, you may drive once you are done taking the pain medication.

MOTIONS TO AVOID

You can move your hip as tolerated and you have no specific motion restrictions.  However, avoid repetitive flexing of the hip for the first week post-op.  It is also recommended to avoid laying directly onto the operative hip/incisions for a few weeks.  After the first few weeks, when the incisions aren’t as sensitive, you may apply pressure as tolerated.

RETURN TO WORK

This depends on the nature of your job. If you have a desk job or can work from home, you may be able to do computer/phone work within 1 week of surgery. If you have a labor-intense job, or job that requires heavy lifting/repetitive bending, you may need to be off work for months. Some employers allow light-duty, and we can give you work restriction notes at each post operative visit if necessary.

MOST COMMON QUESTIONS

When can I put full weight on my leg?
When can I go back to work?
How can I learn more about hip endoscopy?
When can I put full weight on my leg?

You will be given crutches for comfort. You may put full weight on the operative hip immediately after surgery as you have no weight bearing or motion restrictions.

When can I go back to work?

This depends on the nature of your job. If you have a desk job or can work from home, you may be able to do computer/phone work within 1 week of surgery.

If you have a labor-intense job, or job that requires heavy lifting/repetitive bending, you may need to be off work for months. Some employers allow light-duty, and we can give you work restriction notes at each post operative visit if necessary.

How can I learn more about hip endoscopy?

SPORTS SPECIFICS

We know you are eager to return to your sports and hobbies. We want to guide you safely through that process. Please use the following as a guide.
SWIMMING
BASKETBALL
FOOTBALL
SOCCER
WRESTLING
HOCKEY
BASEBALL/SOFTBALL
GOLF
SWIMMING

Once incisions are well healed (around 3-4 weeks) you may swim as tolerated

BASKETBALL

1-2 months post-op: Jogging and sports drills as tolerated

3 months: Typically no restrictions for sports, if everything has progressed well

FOOTBALL

1-2 months post-op: Jogging and sports drills as tolerated

3 months: Typically no restrictions for sports, if everything has progressed well

SOCCER

1-2 months post-op: Jogging and sports drills as tolerated

3 months: Typically no restrictions for sports, if everything has progressed well

WRESTLING

1-2 months post-op: Jogging and sports drills as tolerated

3 months: Typically no restrictions for sports, if everything has progressed well

HOCKEY

1-2 months post-op: Jogging and sports drills as tolerated

3 months: Typically no restrictions for sports, if everything has progressed well

BASEBALL/SOFTBALL

1-2 months post-op: Jogging and sports drills as tolerated

3 months: Typically no restrictions for sports, if everything has progressed well

GOLF

1-2 weeks post op: May resume golf whenever you are comfortable. Start with putting/chipping and progress to irons/driver as tolerated

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