A patient will need to be at bedrest for three to five days. Crutches are used for approximately seven to ten days in uncomplicated cases. In patients requiring repairs or who have extensive problems, crutches may be necessary for four to six weeks. Ice is important for the first week after surgery. Ice machines or cryotherapy are popular methods of applying cold to the hip joint. A patient may use the bathroom immediately after surgery. Dressings are used for two days, and then Band-Aids are used at the small incision sites. A patient may shower the following day, and the product Press’n Seal can be helpful to keep p the dressings dry. Analgesic pain medication will be necessary for the first few days.
Just the same, cortisone shots are commonly used--and often are successful--in helping to relieve arthritis symptoms temporarily. Some patients are able to use them to get enough pain relief to hold off joint replacement surgery for months or even years. Cortisone shots are a treatment for pain; they do not alter the course of arthritis and they do not cure the condition. In general, they are more commonly used for arthritis of other joints than they are for arthritis of the hip joint.
I'll use the right leg for our example, as illustrated in the picture [on page 48]. The patient is supine, with the right leg in the same 90-90 position I described above. I am sitting on the patient's right side, with my right shoulder against their posterior thigh. I use both of my hands to grasp firmly around the whole of the upper thigh. My left hand will be the main hand, with the heel of my left hand pushing against the greater trochanter. I pre-tension the area by both lifting the whole thigh superior and taking it into internal rotation to the feather edge of the barrier. I then do a quick thrust into further internal rotation. I really don't use much fine-tuning of three dimensions here; it's a pure thrust into internal rotation.