Hip surgery, actually, a periacetabular osteotomy and a hip arthroscopy. That’s what I’m recovering from. The surgery was Nov. 11, 2005. I’m finally able to get into a fitness routine, so I feel it’s time to start tracking what I’m doing.
PTs–my surgeon doesn’t recommend them. He thinks they tend to be a little over-zealous with their work. However, I believe that’s a bit of a generality, and have decided to seek the advice of a PT against my surgeon’s wishes. I’m a creature of habit and tend to do better when given a regimine to follow, plus I’ve got a lot of PT friends, so I’m not hurting for advice.
I’ve noticed remarkable changes in my flexibility and muscle strength since working with PTs, so I think it’s time to start tracking my progress!
My first session–Sandy
Sandy has been a pro mountain bike racer. She’s an unbelievable athlete and someone whose advice I trust. She was the first to help me out with a exercise routine in the swimming pool.
1/13/06 Routine 1
UBE 15 -20 minutes
Pool exercises:
- Frontwards walking – concentrate on good form, heel to toe foot strike, neutral hip position (i.e. don’t let your foot turn inward). 15 “1/2″ laps or as deep as you can go
- Partial squats 2×20, increase to 2×30 as tolerated
- Heel raises 2×20, increase to 2×30 as tolerated
- Hip abduction 1×30 each leg (this is the motion where you take your leg out to the side)
- Hip extension 1×30 each leg (this is the motion where you extend your leg behind you)
- Hip flexion 1×30 each leg (this is the motion where you kick your leg out in front of you)
Results: By the end of 1 week, I was up to 25 minutes on the UBE and had increased to the max sets/reps recommended. Workouts were difficult at first and became easy by the 4th day.
1/24/06 Routine 2
Continue UBE
Pool exercises (do the above as a warmup and continue with the below):
- Backwards walking (4 laps)
- Marching (4 laps)
- 4 points (1×10)
- Squares (1×10)
- Sidestepping (2 laps)
- Front cross overs (2 laps)
- Back cross overs (2 laps)
- Braiding (combining front and back cross overs)(2 laps) – wait until you are comfortable with the cross overs before starting this!
Results: By the end of an additional week (2/4/06), I’m up to 45 minutes on the UBE and can do all the above exercises. I forgot about the Sidestepping!! I’ll add that into the routine. In the interest of time, I’ve reduced the forward walking in Routine 1 to 4 laps.
Sandy encouraged me to see Sallie for some formalized PT assistance. I’ll cover Sallie’s routines to date in the next blog.

























How old are you?
I had a POA at age 48.
Hi Larissa, I’m 36. A POA at 48? That’s impressive. Why that instead of a hip replacement? Guess you’re still pretty young at 48.
Hi Jeni,
My Daughter (aged 20) has just had a Peric acetabular operation on her left hip. Right hip to be done next year.
The surgery went well but the aftercare nursing was atrocious. She is home now 1 week post op. Able to move about very slowly on crutches. Wheelchair for longer trips about the village. Sleeping in our dining room downstairs to avoid the stairs.
Please can you send me any advice or information about how long it took you to weight bear on the leg or any other history of immediate post operation recovery that would help us have some idea of what to expect. The physio care and aftercare advice from the hospital is non-existant!
Anything you can send me would be appreciated. My wife is a nurse thank goodness so she at least knows how to care but we have no idea about how the recovery will progress.
Felicity will be sue back at Durham University in October and will need to be reasonably mobile by then as its a hilly town.
many thanks
Yours sincerely
Peter Jackson
Hi Jeni!
I’m Peter’s daughter, Felicity. I just wanted to say thanks for the response to dad’s questions and just wondered if you could answer a couple of questions from me as well!
Just through having a quick look about your website it seems as if you are an incredibly active person and I was just wondering how long it took you to get back to leading your active lifestyle?
This past year I have been incredibly involved with my college’s rowing squad and its something that I am keen to get back to as soon as my hips allow me. I was not expecting to get back to it until after Christmas (having had the operation on the 12th July) but then I would need to dramatically increse my fitness over the christmas holidays if I am to get my old place back on the squad. How long did it take you to get back to any serious aerobic exercise?
Also I was planning on doing some coaching of amateur rowers before christmas and for this I would need to cycle along the riverside – do you think this would be possible after three or four months post-op?
I guess with things like swimming and going out dancing with my friends I will be able to judge for myself when the time comes but I would love to know about your experiences as a rough estimate of what I can expect.
Thanks,
Felicity
Jeni,
Hold out some hope for me…. I had PAO surgery June 07 at age 52+. I ran a 1/2 ironman late last year and wanted to preserve the natural hip so I could run again. Hope is quickly dimming as the hip pain is still prevalent. I followed pretty much the same workout routine in the pool, but still can’t swing my leg high enough to mount my bike. I’m envious of your beautiful pictures and am one of those nuts who thinks a ride starts at 50 miles.
When did you start to feel strength return to your leg. Right now at 5 months post op every movement for me is tough. Love to hear your advice
Hi Jeni,
I really like your website, it’s very well done. I was interested to read your blog, as I was a competitive cyclist up until 3 years ago when my hips fell apart at age 23. I love cycling, both mountain biking and road cycling, however can no longer do much cycling due to my injury. I have finally found out that I have mild hip dysplasia and also a small labral tear on my right hip. I get groin pain on the right side, and I also get a sore lower back and knees, and I believe (as does my PT) that it is all linked. Both of my hips pop and click at least once a day. No matter what stability exercises I do, I can’t get strong enough to cope with the demands of cycling, but I’ll do anything to enable me to get back to cycling again.
I’m interested to know what your symptoms were before you had the PAO? and how badly damaged your hips were before you had your PAO. Did you try conservative therapy first, and if so did it help? It sounds like you have recovered well from the surgery and are able to ride as much as you want which is great.
If you have time and could get in touch with me, I would really appreciate it,
Thanks very much,
Julia
Hi Jeni,
I’m 29 and was just diagnosed with hip dysplagia. My doctors are talking about my needing a periacetabular osteotomy and I stumbled across your blog while researching it. I’m having trouble finding any good information about the recovery process and durations of time until I can function again. I’ve got 4 year old twins and a very active lifestyle and am hoping to be able to function as an active young adult/mother as quickly as possible. Any information you have to share would be greatly appreciated!
Thank you!
Cheryl
Hi Cheryl,
I am 31 yrs old, and going to have PAO hip surgery in January. I was curious about the recovery time, and if it is possible to sit in a classroom about 4 weeks after the surgery? I realize it’s quite some time to be able to get around with full weight bearing, but I was hoping to go back to a full time schooling program in which I will just be sitting. Any thoughts? How long did it take you to be able to drive after the surgery? I have been an athlete my whole life, and I have a background with rehab exercises, so I was hoping for a smooth recovery. Any insight is greatly appreciated.
Hi Jeni,
I came across your blog when I was researching POA recovery. My doctor just referred me to Dr. Santore yesterday… I was told that he doesn’t take many insurances so it might a waiting process of a couple months to get them to accept it. Did you have a problem with insurance with him? I am extremely nervous and anxious about the whole thing, but its nice to see some good reviews about Dr. Santore. Where in San Diego do you live?
Krystal
Hi Jeni,
I have had a RPOA on 10/12 of this year and just found your blog. I am in the process of getting myself back up on my bike – I want to do 70 miles in June (as fast as I can). Your blog has been good inspiration for me. I start PT in early January. Until then, I am going to work on some of the pool exercises you have here. I’ll be back to read more!
Regards,
Kathy
[...] I have the go ahead to start PT in early January. Until then, I am going to start working on some pool exercises I found on the “Riding and Ramblings” blog (in my links list). I have six months to [...]