SI JOINT FUSION PHYSICAL THERAPY POST OP PROTOCOL

During exercise, muscle pain and aches can be normal. However, flaring joint pain should be a warning to avoid certain exercises.

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SI JOINT FUSION PHYSICAL THERAPY POST OP PROTOCOL

PHASE 1 ʹ 0-4 WEEKS (WOUND HEALING AND PROTECTION ʹ OUTPATIENT PT STARTS 2-4 WEEKS)

OBJECTIVES: Pain control and promote healing via emphasis on weight bearing limitations and adherence to
midrange ROM.

PRECAUTIONS: Avoid hip adduction across the midline. Do not perform repetitive straight leg raise flexion
motions. Sit on supportive surface that is level. No additional lifting until out of wheelchair and no longer
using assistive devices.


LIMIT WB TO TTWB WHICH MEANS LIMITED WEIGHT
THROUGH HEEL WITH WALKER OR CRUTCHES FOR UP
TO 6 WEEKS (minimize hip extension with sm. steps).

NO ADDITIONAL LIFTING, BENDING OR TWISTING
FOR MINIMUM OF 6 WEEKS.

AP/LATERAL PELVIS IMAGES AT 6 AND 12 WEEKS
POST OP APPOINTMENTS.

NOTIFY SURGEON IF ANY NEW RADICULOPATHY,
EXPECIALLY IN THE PRESENCE OF LE WEAKNESS