Since the arthroscopic surgical incisions are much smaller than standard open techniques recovery is much quicker. However, whilst initial recovery is rapid, full benefit from hip arthroscopy may not be realised for up to 3 months. Driving is possible 2-4 weeks post operatively and most patients will return to work within 4-6 weeks.
Proper supervised rehabilitation is critical and should be performed by a trained physiotherapist. The exact programme of rehabilitation will vary depending upon what surgical procedure has been undertaken but generally has 3 or 4 separate phases.
Phase I (week1-3) – Protected weight bearing, analgesia avoid swelling, regain passive range of movement, isometric gluteal/hamstrings, exercise bike with no resistance, closed chain bridging.
Phase II (week 4-6) – this phase commences when range of movement is >70% of uninvolved leg. Exercises aimed at achieving full range of passive movement, hydrotherapy, progressive gentle resistive exercises, prioprioceptive exercises, core stability work, weaning off crutches
Phase III– this phase commences once full range of movement has been achieved. Aims to improve muscle strength and endurance. Jogging and non contact sports.
Phase IV – sport specific exercises.