Gluteus Medius Repair PT Protocol

to serve as a recipe for treatment. We request that the PT/PTA/ATC should use appropriate clinical
decision-making skills when progressing a patient. The exercises listed are not all inclusive, you can modify
exercises as long as you maintain the appropriate precautions.

Please keep in mind common problems that may arise following hip surgery: Hip flexor tendonitis,
abductor tendonitis, sciatica/piriformis syndrome, ilial upslips and rotations, LB pain from QL
hypertonicity and segmental vertebral rotational lesions. If you encounter any of these problems, please
evaluate and treat as you feel appropriate, maintaining AHI͛s precautions and guidelines at all times.

Gradual progression is essential to avoid flare-ups. If a flare-up occurs, back off with therapeutic exercises
until it subsides. Please reference the exercise progression sheet for timelines and use the following
precautions during your treatments. Thank you for progressing all patients appropriately. Successful
treatment requires a team approach, and the PT/PTA/ATC is a critical part of the team! Please contact
AHI at any time with your input on how to improve the therapy protocol.

Please Use Appropriate Clinical Judgment During All Treatment Progressions

General Guidelines and Precautions following surgery
Weight bearing: 2 crutches, 20 pounds flat foot weight bearing in brace for the first 6 weeks
post op, unless instructed otherwise by AHI MD
ROM restrictions:
NO Active hip abduction and IR
NO Passive hip ER and adduction for the first 6 weeks post op
Do not push through pain or pinching, gentle stretching will gain more ROM.
Use CPM 4 hours/day or stationary bike on zero resistance 2 hours/day ONLY for patients who
have also had an arthroscopic procedure inside the hip joint
General precautions: Hip flexor tendonitis, Trochanteric bursitis, synovitis, scar tissue
Manage scarring around portal site

Begin therapy the day after surgery. Therapy should begin 1 time per week for first 6 weeks, then 2-3
times per week after discharged from brace and crutches at 6 weeks following surgery, unless
instructed otherwise by AHI MD.