General Guideline Principles for Pre- and Post-Operative
Rehabilitation, Including Hip Arthroplasty and Hip Fractures
for workers compensation patients

The New York State workers compensation board has developed these guidelines to help physicians, podiatrists, and other healthcare professionals provide appropriate treatment for Pre- and Post-Operative Rehabilitation, Including Hip Arthroplasty and Hip Fractures.

These Workers Compensation Board guidelines are intended to assist healthcare professionals in making decisions regarding the appropriate level of care for their patients with ankle and foot disorders.

The guidelines are not a substitute for clinical judgement or professional experience. The ultimate decision regarding care must be made by the patient in consultation with his or her healthcare provider.

Pre- and Post-Operative Rehabilitation, Including Hip Arthroplasty and Hip Fractures

Introduction of Pre- and Post-Operative Rehabilitation, Including Hip Arthroplasty and Hip Fractures

Although there may be some overlap with the traits and requirements of individuals undergoing arthroplasty, the next sections will address mobilisation and exercise after hip fracture individually.

Treatments of Pre- and Post-Operative Rehabilitation, Including Hip Arthroplasty and Hip Fractures

Rehabilitation (supervised formal therapy) needed after a work-related injury should be concentrated on regaining the functional ability needed to meet the patient’s daily and work obligations and enable them to return to work, with the goal of returning the injured worker to their pre-injury status to the extent that is practical.

Active therapy calls for the patient to put in an internal effort to finish a particular activity or assignment. The procedures known as passive therapy rely on modalities that are administered by a therapist rather than the patient exerting any effort on their side.

Passive therapies are typically seen as a way to speed up an active therapy programme and achieve concurrently objective functional gains. Interventions that are active should be prioritised over those that are passive.

To sustain improvement levels, the patient should be advised to continue both active and passive therapies at home as an extension of the therapeutic process.

Post-Operative Exercise and Rehabilitation Program are recommended for hip fracture patients.

Indications: all patients with hip fractures. Programs must be tailored to each patient, taking into account details including preoperative health, bone quality, immediate surgical outcomes, contraindications, and other medical issues.

Frequency/Dose/Duration –With verification of continued objective functional progress, the total number of visits may be as low as two to three for individuals with minor functional deficits or as high as 12 to 15 for those with more severe deficits.

If there is evidence of functional improvement toward particular objective functional goals (such as increasing range of motion or improving capacity to conduct work activities), more than 12 to 15 visits may be necessary to address persistent functional impairments. A home exercise regimen should be created and followed in conjunction with the therapy as part of the rehabilitation strategy.

What our office can do if you need Hip Arthroplasty and treatment of your Hip Fracture

We have the experience to help you with their workers compensation injuries. We understand what you are going through and will meet your medical needs and follow the guidelines set by the New York State Workers Compensation Board.

We understand the importance of your workers compensation cases. Let us help you navigate through the maze of dealing with the workers compensation insurance company and your employer.

We understand that this is a stressful time for you and your family. If you would like to schedule an appointment, please contact us so we will do everything we can to make it as easy on you as possible.