Orthopedic, Mobility, & Post-Surgical Rehab

Guide

Post-Hip Replacement Rehab: Recovery & Therapy

Authored by: The DrSensory Editorial Team

Reviewed by: 🛡️ DrSensory Clinical Review Board – Doctor of Therapy Rehab Division

Last updated: June 2025

All medical content on this page has been reviewed and approved by licensed Doctors of Physical Therapy (DPTs) on the DrSensory Clinical Review Board. Our reviewers follow strict editorial standards and ensure alignment with current APTA guidelines, evidence-based practice, and orthopedic rehabilitation protocols.

14 min read

Post-Hip Replacement Recovery: Comprehensive Rehabilitation Guide

Understanding Hip Replacement Surgeries

Total Hip Replacement (THR)

Total Hip Replacement involves replacing the hip joint with a prosthetic implant to alleviate pain and improve function.

Hip Resurfacing

Hip Resurfacing is a less invasive alternative to THR, preserving more of the patient’s natural bone.

Post-Surgical Rehabilitation Phases

Phase 1 – Immediate Post-Operative Care (0–2 Weeks)

  • Goals: Manage pain and swelling, prevent complications, and begin gentle range of motion exercises.
  • Activities: Use of assistive devices (walker/crutches), ankle pumps, and isometric exercises.

Phase 2 – Early Mobility (2–6 Weeks)

  • Goals: Increase mobility, restore basic functional movements, and begin weight-bearing exercises.
  • Activities: Walking with assistive devices, hip abduction/adduction exercises, and seated marches.

Phase 3 – Strengthening and Functional Training (6–12 Weeks)

  • Goals: Enhance strength, improve balance, and restore functional movement patterns.
  • Activities: Bridges, step-ups, mini squats, and balance exercises.

Phase 4 – Advanced Strengthening and Return to Activity (12+ Weeks)

  • Goals: Achieve full strength, improve endurance, and return to daily activities.
  • Activities: Lunges, resistance band exercises, and sport-specific drills.

Importance of Physical Therapy

Physical therapy is crucial for optimal recovery, helping to:

  • Reduce pain and inflammation
  • Restore range of motion
  • Strengthen hip muscles
  • Improve functional movement
  • Prevent future injuries

A structured rehabilitation program tailored to individual needs can significantly enhance recovery outcomes.

Finding a Physical Therapist Near You

DrSensory connects patients with licensed physical therapists specializing in post-surgical hip rehabilitation. Use our directory to:

  • Search by location
  • Filter by specialty
  • View therapist profiles
  • Book appointments online

🔍 [Find a Hip Rehab Therapist →]

For Therapists: Enhance Your Practice Visibility

Join DrSensory to:

  • Increase your online presence
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  • Manage appointments and patient communications

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Frequently Asked Questions (FAQ)

What is post-hip replacement rehabilitation?

Post-hip replacement rehabilitation is a structured therapy program designed to help patients regain mobility, strength, and function after hip replacement surgery. It includes physical therapy, exercise routines, and lifestyle adjustments to support recovery and prevent complications.

How long does hip replacement recovery take?

Recovery after a hip replacement typically takes 6 to 12 weeks, depending on the individual’s age, overall health, and adherence to rehab exercises. Full recovery, including a return to normal activity, may take up to 6 months.

What exercises are recommended after hip replacement surgery?

Common post-hip replacement exercises include:

  • Ankle pumps and circles
  • Quad sets
  • Glute sets
  • Heel slides
  • Standing hip abductions

Always consult your physical therapist before starting any exercise to ensure safety and proper form.

When can I walk after a hip replacement?

Most patients begin walking within 24 hours after surgery, often with the aid of a walker or crutches. As rehab progresses, weight-bearing increases, and patients transition to a cane and eventually walk independently.

Is physical therapy necessary after hip replacement surgery?

Yes, physical therapy is crucial for a successful recovery. It improves joint mobility, strengthens surrounding muscles, prevents stiffness, and helps patients regain independence in daily activities.

Can I drive after hip replacement surgery?

Most patients can resume driving 4 to 6 weeks after surgery, depending on the leg operated on and their ability to perform emergency stops. Always get clearance from your surgeon before driving again.

What are common challenges during hip rehab?

Challenges may include:

  • Pain or swelling in the operated leg
  • Difficulty sleeping
  • Muscle weakness
  • Fear of movement or falling

A skilled rehab team can help address these issues with tailored support and gradual progression.

What should I avoid during hip replacement recovery?

Avoid the following during early recovery:

  • Crossing your legs
  • Bending your hip past 90 degrees
  • Twisting or pivoting on the operated leg

These restrictions help prevent dislocation and promote proper healing.

How can I speed up recovery after hip replacement?

Tips to enhance recovery:

  • Follow your physical therapy plan consistently
  • Maintain a healthy diet and hydration
  • Use assistive devices as needed
  • Keep your follow-up appointments
  • Avoid high-impact activities until cleared by your surgeon

When can I return to work or sports after a hip replacement?

Return-to-work timelines vary:

  • Desk jobs: 4–6 weeks
  • Physically demanding jobs: 2–3 months or longer
Return to low-impact sports like swimming or cycling is often permitted after 3 months, but always consult your healthcare provider.

This page provides general educational content and is not a substitute for professional medical advice. Always consult a licensed provider for diagnosis and treatment.

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