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Structural integration (including Rolfing)

Structural integration aligns, balances and lengthens the body by pressing into the connective tissues of the body and maneuvering them back into place.

Can you tell me what kinds of bodywork therapies I can have after having a hip labral tear surgery?

Jagdish Jindal (Houston, TX) on Feb 29, 2012
Concentrate massage work on the PSIS join, the gluteal muscles and the thigh muscles.
Deborah Gilmore (Golden, CO) on Feb 29, 2012
That would depend on how long ago the surgery was, and if your doctor has cleared you for massage. If so, I would recommend neuromuscular and myoskeletal alignment therapy.
Nicole Scruggs (Detroit, MI) on Feb 29, 2012
Try Reiki and craniosacral treatments. I would also recommend a salve made of comfrey leaves and root and marshmallow root.
Amy Stark (Orlando, FL) on Feb 29, 2012
Before and after any surgery it is suggested that you receive energy healing (ie. Reiki) because it helps to heal the energetic body that is fueling the physical recovery. Hospitals are now incorporating Reiki because it decreases the amount of time it takes to heal from the surgery. One client found her fibroid surgery a joy because she received several energy healing sessions before her surgery.
Judie Yim (New York, NY) on Feb 29, 2012
Some clients have seen rapid recovery with the help of regular massages, as they help flush the area with fresh blood and lymph.
Joseph DeBoo (Naperville, IL) on Feb 29, 2012
Movement! Movement is life. A massage that incorporates body mobilization techniques and movement is best. In this day and age as well as this advance technology, hospital now have you up and about the day after surgery. A massage that re-enforces what the hospital has started with the introduction of movement is the best. Light stretching -very light stretching - is a good idea but PNF at this point might be out of the question.
Joseph McCoy (Muenster, TX) on Feb 29, 2012
Rolfing and myoskeletal alignment techniques are great for joint dysfunctions and pain. First ask your surgeon for approval.
Claudio Luna (Los Angeles, CA) on Feb 29, 2012
At the remodeling stage, you can have cross fiber friction work on affected area to break up scar tissue. Lymphatic drainage massage and Swedish massage can be very beneficial as well. Weight bearing, isometric and free weights exercises could contribute toward a full recovery of the joint.
Carin Piacente (Putnam Valley, NY) on Feb 29, 2012
After you have the surgery, you will be put through some physical therapy. Any type of massage would be great, however, avoid activity or motion at first with your hip. Are you doing it microscopically? I would avoid Rolfing for a while.
Rob Hundley (Broomfield, CO) on Feb 29, 2012
I cannot speak to Rolfing, but as for deep tissue massage, that would be very beneficial to breaking up deep scar tissue around the hip joint. Scar tissue, if left untreated, can cause pain and restrict movement in the joint. There are also several deep muscles that control hip rotation that should be worked as well.
Silvia Casabianca (Bonita Springs, FL) on Feb 29, 2012
Almost any expert massage therapist should be able to provide what you need. However, my choice would be Trager or Feldenkreis. These therapies are not as well known among the general public but they are indicated precisely for rehab purposes. After a surgery that involves musculoskeletal tissues, the body creates a shield that protects the affected area. Some of the muscle fibers in the shield over time get weak because of lack of use or exaggerated tension. After a while, the mind "remembers" the pain and restricts movement to avoid pain. Trager and Feldenkreis rehabilitate through movement and touch. They are very specific, targeting the proprioceptors to helpithe body rid of restrictive patterns that have no longer a purpose. After just a few sessions, which will nclude movement, compression, resistance and release techniques, the body regains normal function.
Lauren McGregor (Hollywood, FL) on Feb 29, 2012
The best type of massage for anyone who is coming out of surgery would be lymphatic drainage. What this massage does is helps the area heal faster, has less complications, less swelling, and helps reduce scarring. There are so many more benefits to this modality. If you would like to know more please let me know with an email and I would be glad to answer anything for you.
Dominique Charleston (Seabrook, MD) on Feb 29, 2012
When was the surgery? A doctor's consent is required first.
Peter Proto (Meriden, CT) on Feb 29, 2012
Wait at least 72 hours. But I'd wait until you've had physical therapy for a week. Then deep tissue massage would be appropriate.
Rosemary Rickard (Tampa, FL) on Feb 29, 2012
That would depend a lot on where you are at in your recovery or how long it has been since your surgery. If you have not ever had a massage before and you are not accustomed to deep work, then your therapist should work with you to decide what is best for your pain threshold. An good experienced massage therapist with a high level of sensitivity will take the time to access your injuries and surgeries and be able to work with your individual needs.
Sally Cina (Saint Louis, MO) on Feb 29, 2012
Rolf Structural Integration can be a good option once you have healed from the surgery. The tissue needs time to heal first. It normally takes a few months for the inflammation and fragility of the tissue has diminish. Once the body has healed, at that point one of the biggest benefits Rolf structural integration can provide is to break up the scar tissue resulting from surgery. A talented practitioner can also help you establish healthy movement patterns throughout both your hip and leg function.
Ken Elwood (Fostoria, MI) on Feb 29, 2012
A hip labral tear involves the ring of soft elastic tissue, called the labrum, that follows the outside rim of the socket of your hip joint. The labrum acts like a socket to hold the ball at the top of your thighbone (femur) in place. You should be able to have deep tissue or Rolfing; just make sure the practitioner knows about your surgery and how long ago it was done so the massage can be tailored to your needs.
Norma Segovia (San Antonio, TX) on Feb 29, 2012
To start, I would work on the scar tissue to keep it from adhering to much, then just work the muscles around the incision area to keep them loose. Then I would work on the back and leg as well, eventually since I am sure you were overcompensating before the surgery. It's a slow process.
Brian Chambers (Chicago, IL) on Feb 29, 2012
There should be no absolute contraindications specific to the surgery other than those that always apply, e.g. nothing that jeopardizes proper healing of the incision, and nothing that takes a joint past a safe range of motion. All injuries and surgeries lead to some compensatory stresses so it is a good idea to assess all the muscles and joints and work to restore balance and proper functioning (this is where coordination between the physical therapist and massage therapist can really enhance your recovery!). When the incision is completely healed, it should be safe to begin deep tissue work directly on the external hip rotators, but trust your own judgement about the difference between "good pain" and "bad pain" when doing intense bodywork. Good luck!
Micah Harris (Marietta, GA) on Feb 29, 2012
It truly depends on how long ago the surgery was. If it was not too long ago, I would recommend deep tissue massage. As with all massage, the therapist would need to get some information from you to know for sure what kind of bodywork would be best for you. With that said, based on the information here, I would recommend deep tissue massage. That way you can start to affect those muscles and break up the scar tissue from the surgery. Although scar tissue is good at first, it can realign your muscles incorrectly over time. If it has been a while, and the scar tissue hasn't been broken up at all, then I would have to recommend neuromuscular therapy. It is designed to break up scar tissue and get muscles back to their proper placement. This massage method can be painful, so communicating with your therapist is a must.
Richard Bartlett (Lansing, MI) on May 11, 2012
Any sort of deep tissue work would be great for you, once your recovery period is over (8-12 weeks) and your doctor has cleared you to receive massage. This can be helpful in getting your range of motion back to what it once was, and relieving any pain that remains.
Jenny Sweeney (Tallahassee, FL) on Apr 3, 2012
Ouch, that is quite a painful surgery to recover from. Here's hoping for a speedy recovery. After hip surgery, you can expect to have limited range of motion due to the scar tissue that forms around the area. Depending on when the surgery was performed, the area may still be contraindicated (aka, not recommended) while the tissue heals. Once healing has occurred, and the epidermis has healed, I'd recommend starting off with Swedish massage to help blood flow and circulation to the area. After the tissue has been properly warmed up, targeted myofascial massage will help stretch the fascia in the area. Next, deep tissue techniques, including cross-fiber friction over the area will target the deep muscles in the area, providing much-needed relief. Good luck!
Kjol Lahti (Montpelier, ID) on Mar 21, 2012
Ask an therapist do they have experience in doing massage after this particular surgery! Be willing to guide the therapist thru the sessions dealing with this area. Your in charge it is your body and it will be tender!
Christine Gross (Grand Rapids, MI) on Mar 19, 2012
Hello: You can do either with Dr approval after such a surgery.
Megan Dempsey (Denver, CO) on Mar 19, 2012
Once you are cleared by your doctor for massage, you could have swedish, trigger point therapy, myofascial release, neuromuscular therapy, craniosacral therapy, myokinesthetic system, deep tissue, PNF stretching. You can have any kind of massage from a therapist who is experienced in orthopedic and rehabilitative massage.
Christina Richards (New York, NY) on Mar 18, 2012
Rolfing can be very beneficial after having hip labral tear surgery due to the decrease in range of motion from scare tissue build up and imbalances that occur due to compensations. Rolfing is different than massage because it focuses on balancing the entire body in gravity which becomes imbalanced due to having a labral tear and the rehabilitation process after surgery. Best, Christina
Minki Kim (Astoria, NY) on Mar 3, 2012
Hi, I recommend either modality. I advise you undergo sessions once you've completely healed from the surgery. I've had experience working with a post-op client who had a labral tear and the Rolf Method surely restored a great amount of mobility, alignment, and function in this area. Good luck! -Minki Kim of MKSI