An ischial tuberosity avulsion fracture occurs when the ligaments that hold your hamstrings to your hips tear away from the bone, breaking off a piece of your hip bone in the process. This painful condition often requires surgery to re-attach your hamstrings to your hips. Following your surgery, your doctor is likely to prescribe rehabilitative exercises to help restore strength, stability and range of motion to your hips. Be sure that you check with your doctor to determine whether this protocol is right for you.
The First Two Weeks Following Surgery
Shortly after you wake up from surgery, your doctor will get you up and moving. As soon as you can, your doctor will instruct you to begin standing up and placing weight on your injured hip. During this time you will also likely be asked to begin range of motion exercises, such as bending and straightening your leg as far as you can. Other exercises during this time can include bridging exercises to develop stability, range of motion exercises on a stationary bicycle and walking or jogging in a swimming pool.
Weeks Three To Four
You should be able to place all of your weight on your hip at this point, and your doctor is likely to begin exercises to restore full range of motion to your joint. You may be asked to perform partial squat exercises, abdominal crunches and side bridging exercises. In addition, you should be exercising on a treadmill and perform more difficult exercises like single-leg squats and step-up exercises.These exercises are designed to help to restore range of motion and stability to your joint and get you ready to return to your daily activity level.
Weeks Five-Plus
It's been over a month since your surgery, and you should be able to place all of your weight on your hip at this point. Your therapist is likely to begin sport-specific exercises, point including running and jumping exercises, agility drills and exercises that rotate your trunk while you're in motion. At this point, you should have a full range of motion in your joint and these exercises are designed to help restore strength and stability.
Return to Sport
Your doctor or therapist will tell you that you're ready to return to sport and leave therapy when you can place all of your weight on your injury without pain and have regained your previous strength and flexibility. By this point, you should be able to perform at your previous level without pain or tenderness in your joint. Be sure to tell your doctor if you're experiencing any apprehension about returning to your previous performance level.
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