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RE: Hey all! - Ivan_Drago - 10-20-2024

Thanks for the welcome guys!

Recovery from the surgeries has been interesting. I had the injury for almost 5 years before I saw an Orthopedic Dr. I slowly lost levels of function despite my best efforts in the gym. For the last year or so pain increased to a level which affected my work on a daily basis. So I had a colleague screen me and send a referral to a hip specialist.

Injuries to the hip joint in particular can lead to a surprising number of other problems throughout the body. The longer you let something like that go, the more your body adapts to the injury by altering the way you organize movement, in order to compensate for injury. The more the rest of your body adapts around the new compensatory movement pattern, the longer it usually takes after a surgical repair for the body as a whole to regain its most efficient movement patterns and peak strength, as these compensatory adaptations must be undone.

The same rule applies to low back injuries which I'm sure a lot of us have or will have. You can be 60-80% better in a few months but its important to stay diligent with the PT and expect some ups and downs as those compensatory adaptations have to be worked out during the recovery process.

In my case, I was pain free with normal activity for the first time in years at 6 weeks post surgery. I could squat pain free at 10 weeks and was doing agility drills at 12 weeks. Still the rest of my body has to adapt to a hip that moves well. Strength imbalances pop up. Other areas need to be brought up in order to match the intergrity of the new repair. This is where you get the final 20-40% of recovery and thats when you hear people saying  "Im better than before the surgery". Full recovery typically go's unrealized in people who simply stop therapy when they are pain free.

Im at 11 months, and things are still improving. Im a little surprised because of the volume of exercise Ive done since surgery. But Im undoing 5 years worth of adaptations and I have to be patient. The body can only change so much per day. Aside from generally seeing what the entire  process is like from the patient side of things, that has been the biggest lesson.