Download Post-Operative Rehabilitation Guidelines for Trochanteric Bursectomy/Gluteus Medius Patch Augmentation

Weeks 0-4:

WBAT w/ crutches
PROM > AAROM> AROM, advance as tolerated
Avoid repetitive hip abduction
Quad & Glute Sets
Seated knee extensions
Hip Isometrics
Bridging Progression, Pelvic Tilts
Baby Cobra pose
Mini Squats
Stationary bike w/o resistance

Goals: Prevent muscle atrophy, stiffness

Weeks 4-8:

Wean off crutches when gait normalizes
Soft tissue and scar mobilization
Clam Shells
Incorporate resistance to abduction, adduction & extension
Dead bugs
Planks/Side planks
TRX squats, lunges
Leg press
Prone hamstring curls
Knee extensions

Goals: D/C crutches, Achieve full ROM, Closed-chain, double-leg strength progression, focus on more FUNCTIONAL exercises. Core stabilization

Weeks 8-12:

Continue soft tissue mobilization
Forward and side steps over mini hurdles
Side steps and retro steps with resistance bands
BOSU squats
Single-leg strength training i.e. bridges, squats
Resisted side-steps
Forward and side lunges
Begin increasing stationary bike resistance

Goals: Progress to open-chain, single-leg strength training. Emphasis on restoration of strength, balance and proprioception. Advance exercises only as patient exhibits good control with previous exercises (proximally and distally)

Weeks 12-16: Begin run/walk progression

Ladder agility training
Single leg RDL
Split squats

Goals: Restore neuromuscular endurance

Weeks 16+:

Return to sport program
Jump squats
Sport specific exercise

Please note that these instructions are general guidelines to be followed; however, any written or verbal instructions provided by Dr. Nwachukwu supersede the instructions below and should be followed.