Orthopedist specializing in sports medicine at the Southern bone & joint specialists.

Chase D. Smith, M.D.

What to Expect After Surgery

On this page, you will find post-operative instructions to help make your recovery successful.

Post-Operative Instructions

Pain Managment Protocol

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Post Op General

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Elbow Arthroscopy

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Upper Extremity Splint

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Hip Arthroscopy

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Hamstring/Quad/Patella Tendon

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Stem Cell Injection

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Total Hip Arthroplasty

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Hernia

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ACL/MPFL Reconstruction

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Knee Arthroscopy

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Total Knee Arthroplasty

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AC Joint

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Clavicle Fracture

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Rotator Cuff Repair Labrum

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Shoulder Arthroscopy

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Total Shoulder Arthroplasty

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Proximal Hamstring Repair

Therapy Protocol

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Orthopedist specializing in sports medicine at the Southern bone & joint specialists.
ENDOSCOPIC PROXIMAL HAMSTRING REPAIR REHABILITATION PROTOCOL

Chase D. Smith, MD

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Precautions:
  • X-Act ROM Brace for 4-6 weeks (per physician recommendation)
  • WBAT with crutches for 2-4 weeks (per physician
  • Avoid active hamstring strengthening/hamstring stretching
Phase I – Acute Phase (weeks 0-6)

Goals:

  • Gradually improve weight bearing and ROM
  • Diminish pain and inflammation
  • Retard muscle atrophy and strength loss
  • Enhance healing of repair
  • Cryotherapy
  • e-stim for pain/swelling
  • Teach pt. to transfer safely
  • Gait training; restore normal gait

Exercises:

  • Gentle hip flexor, quad, calf, hip adductor stretches
  • Quad sets
  • Ankle strengthening
  • Isometric hip abd/add
  • Initiate core stabilization exercises
  • ROM: Gradually increase hip flexion (with knee flexed)
Phase II – Subacute Phase (Weeks 6-12)

Goals:

  • Improve flexibility and ROM
  • Enhance muscular strength and endurance
  • Promote healing
  • Control any inflammation and pain
  • Modalities as needed
  • Heat, ultrasound, ice
  • Soft tissue mobilization

Exercises:

  • Initiate isometric hamstring contractions (knee flexed to 45 degrees)
  • Progress to isotonic strengthening
  • SLR’s
  • Knee extensions
  • Backward lunges
  • Lateral step overs
  • Forward and backward step overs
  • Calf raises
  • Bridges
  • Wall squats
  • Lateral lunges
  • Leg press
  • Initiate proprioception drills
  • Iiniitate pool exercises, pool running or alter g running(with physician approval)
Phase III – Dynamic Phase (Week 12-16)

Goals:

  • Improve dynamic flexibility of hamstrings
  • Normalize static flexibility
  • Normalize muscular strength

Exercises:

  • Active warm-up
  • Stretch all major LE muscle groups
  • Continue strengthening exercises listed above
  • Jogging on dry land
  • Initiate light ballistic maneuvers when appropriate
  • Plyometric leg press
  • Plyometric front lunges
  • Scissor jumps
  • Scissor box jumps
  • Side to side box jumps
  • Skip lunges
  • Fast speed lateral step overs
  • Forward knee high running
  • Stretch after workout
  • Cryotherapy
Phase IV – Sports specific and agility phase (Weeks 16 and beyond)

Goals:

  • Normalize ballistic flexibility
  • Normalize muscular strength and agility
  • Gradual return to sports participation

Exercises:

  • Active warm-up
  • Stretch all LE muscles
  • Continue strengthening program
  • Continue selected ballistic drills
  • Initiate sport specific program
  • Side shuffles
  • Forward running
  • Backward running
  • Progress to sprints
  • Running and cutting drills
  • Gradually increase intensity of running (jog to run to sprint)
  • Stretch following
  • Gradual return to sports participation
Orthopedist specializing in sports medicine at the Southern bone & joint specialists.
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Dothan/East Location

  • Randall Building
  • 1500 Ross Clark Circle
    Dothan, AL 36301

Dothan/West Location

  • Granger Building
  • 345 Healthwest Drive
    Dothan, AL 36303

Enterprise Location

  • 404 North Main Street
    Enterprise, AL 36330

Ozark Location

  • 2126 W. Roy Parker Rd. ,
    Suite #201, Ozark, AL 36360

Troy, Alabama

  • 717 John H. Witherington Drive,
    Troy AL 36081

Eufaula Location

  • 820 W. Washington Street
    Eufaula, AL 36027

Andalusia Location

  • 512 E. Three Notch Street
    Andalusia, AL 36420