Exercises | Physiotherapy for femoral head necrosis

Exercises

In the course of therapy for femoral head necrosis, various exercises are used to maintain and improve the mobility and stability of the joint. Stretching of the hip For this exercise, place yourself in the quadruped position. Now let the pelvis sag and stretch the head towards the ceiling.

Then slowly move into a kind of cat’s hump, moving the head towards the chest and bending the back. 10 repetitions Mobility For this exercise, stand on your healthy leg. Now lift the other leg and move it slowly in front of your body past the supporting leg.

Then move the leg outwards as far as possible. Do 15 repetitions Strengthening Place yourself in a quadruped position for this exercise. Now slowly stretch the affected leg straight backwards.

To make it more difficult, the opposite arm can be stretched forward at the same time. Hold this position for about 15 seconds. 3 repetitions

  1. Stretch your hips Put yourself in a quadruped position for this exercise.

    Now let the pelvis sag and stretch your head towards the ceiling. Then slowly move into a kind of cat’s hump, moving the head towards the chest and bending the back. 10 repetitions

  2. Mobility Stand on your healthy leg for this exercise.

    Now lift the other leg and slowly move it in front of your body past the supporting leg. Then move the leg outwards as far as possible. Do 15 repetitions

  3. Strengthening Put yourself in a four-footed position for this exercise.

    Now slowly stretch the affected leg straight backwards. To make it more difficult, the opposite arm can be stretched forward at the same time. Hold this position for about 15 seconds. 3 repetitions

Symptoms

Hip necrosis is a disease that progresses insidiously. Due to the unclear symptoms, it is often only detected at a very late stage. In the beginning, the affected persons may feel a pulling in the groin area.

This can also lead to sudden onset of pain in this area. Many people also experience it as a sore muscle sensation that is often not paid much attention to. In some cases, it is also possible that pain occurs in the knee joint area and then even less so in the hip area.

Only when the hip joint necrosis progresses further and becomes noticeable through increasing pain in the hip area and especially during movement, is this a reason for many to consult a doctor.In the further process, movement restrictions become increasingly noticeable. These are initially limited to internal rotation, but can expand further, so that the affected patients can only put little or no weight on the leg, resulting in a limp when moving around and the patients feel increasingly restricted in their everyday life. If the femoral head completely disintegrates in the final stage of the disease, the affected person usually suffers severe pain in the hip and groin area and a normal daily life is hardly possible. You can read more about the causes of groin pain in our article Groin pain.