Patient Success Story: Rehabilitating After PAO Surgery with Aqua Physio

“I was naturally quite nervous about the long recovery following my PAO surgery. However, Aqua Physio made the process so fun and enjoyable, which really helped me keep a positive attitude throughout! I improved and gained mobility beyond even my surgeon's expectations—all thanks to the team at Aqua Physio.”
— TG

Background: Why TG Needed Surgery

TG had been experiencing progressive hip pain for several years, worsened by rowing. After thorough imaging (X-ray, CT, MRI), she was diagnosed with hip dysplasia, a condition where the hip socket doesn’t fully cover the ball of the femur. This led to increased joint stress and pain, eventually requiring a left-sided PAO to reposition the hip socket for better alignment and stability.

Pre-Surgery Preparation

Understanding the importance of early planning, TG visited Aqua Physio before her surgery to meet the team and familiarise herself with the hydrotherapy environment. This helped reduce anxiety and built confidence about her upcoming rehab.

Phase 1: Early Recovery (Weeks 1–2)

Mobility Support

• TG began mobilising with two elbow crutches under a strict 20kg weight-bearing limit on her operated hip.
• Controlled, partial weight-bearing was encouraged to support bone healing.

Pain Management & Wound Care

• Pain peaked at 4/10 and was managed with regular pain relief.
• Waterproof dressings allowed her to begin hydrotherapy safely, even before full wound healing.

Hydrotherapy Sessions (Twice Weekly)

• Deep-water exercises supported non-weight-bearing movement and maintained hip mobility and gluteal activation.
• Mild lower back discomfort was managed with exercise modifications.
• Weight-bearing drills in chest- and neck-deep water included:
  • Single-leg balance
  • Mini squats
  • Marching
  • Assisted walking with buoyancy aids
• Gentle stretching targeted the hip flexors and quads to prevent tightness.

Phase 2: Strength & Control (Weeks 5–6)

Strength Progression in Water

• Floating resistance exercises were introduced using the therapist’s hands.
• Controlled hip flexion work targeted the range that had been painful before surgery.

6-Week Surgeon Review

• X-rays confirmed successful bone healing.
• Weight-bearing increased to 30kg, with a plan to gradually wean off crutches.

Phase 3: Returning to Dynamic Function (Week 7 Onward)

By this stage, TG was able to exercise pain-free in 1.6m-deep water with excellent movement quality.

Hydrotherapy Progressions

• Resistance bands introduced for strength training
• More dynamic, upright exercises mimicked land-based functional tasks

Long-Term Goals

• At 12 weeks, most patients return to day-to-day activities on land.
• TG began incorporating water-based jumping, hopping, and running drills.
• At 6 months, return to impact sports may be approved based on land-based assessment and surgeon feedback.

A Positive Mindset, A Remarkable Recovery

TG’s story is a great example of how hydrotherapy can accelerate recovery while making the process enjoyable. She exceeded expectations, and did so with a smile on her face.