I haven’t used HRV since pre-surgery actually. The HRM strap that I have isn’t a clip on so it’s kind of a pain in the ass to put on when you can’t even flex your hip 45 degrees. I will start using it tomorrow though as it couldn’t hurt. Whenever I do start using it, I’m going to include a lot more info like you’re doing in your journal.
18 days Post surgery, Monday, 7.29.13
AM session - 10min water walking in the pool at my house.
First PT session:
10min on upright bike - there was level 3 pain, but it eventually went away.
Passive Stretching/Mobilization - Lot’s of pain when she was manually stretching me. There is still pinching because of probably scar tissue buildup - my hip flexion couldn’t even make it to 85 degrees. However, when she used hip mobilization/distraction techniques, I was able to gain an extra 15 degrees of motion up to 110 degrees. It’s still painful to get complete ROM in hip extension, abduction, flexion, IR, and ER but it improved a lot by the end of the session.
Rehab Exercises - 6 Way Hip Raises
1x20 of supine straight leg raises, Prone hip extensions, Lying hip abductions, Lying Clamshells, Lying IR, Lying Hip adduction
Gym session afterwards
Bench - 6x3, 185lbs, 60sec rest
SL Leg Ext - 2x15, 25lbs
Hammer Seated Shoulder Press - 3x10, 100lbs
BW Dips - 3x6
10 min cooldown on upright bike
3hrs later
EMS MaxS, Quads only - 5 reps at 3sec ON/20sec OFF
I finally ditched the crutches yesterday and I’m still walking with a slight limp but it’s improving. I had a lot going on yesterday which is a good thing. I went through a lot of aching pain in the PT session, and there is still impingement like symptoms in my hip which is part of the process of this rehab. “Your nervous system still thinks that there is an impingement in your hip which is why it’s still guarding itself. Remember also that you’ve practically had to deal with this issue your entire life prior to surgery” is what my PT said about the current symptoms. It’s definitely a new learning process for me to learn how to use my hip correctly.
I still don’t feel comfortable using EMS MaxS right now. The two incisions that I had were on the lateral TFL and proximal rectus femoris muscles and there’s still a ton of stiffness there and possible scar tissue. I’m also missing a ton of range of motion in my hip. When I used EMS MaxS on my quads yesterday, it still wasn’t firing correctly during the session. The tetanic contraction is unstable and very flutter-like. I supposed I could still use it for hamstrings at the very least along with glutes, adductors, etc. I’ll try this out and report back tonight.