01What is rehabilitation after hip replacement?
Total hip replacement (THR) replaces the ball and socket of the hip joint with artificial components. It is performed for advanced osteoarthritis, some hip fractures and other joint conditions.
Depending on the surgical approach and your surgeon’s preference, you may be given specific movement precautions in the early weeks. Rehabilitation focuses on safe mobility, hip strength and balance.
02Common challenges after hip replacement
- Hip and thigh weakness
- Limping or difficulty walking without support
- Swelling around the hip and thigh
- Difficulty with stairs, getting in and out of bed or a car
- Reduced confidence and fear of dislocation
03How a physiotherapy assessment helps
Your assessment with Dr. Pankaj B. LokhandeBPTh, MPTh (Ortho & Sports), PhD Scholar (MUHS)
We review your surgeon’s instructions and any precautions, then assess walking, hip strength, range of motion within permitted limits, balance and daily function.
04Rehabilitation approaches we may use
Walking re-education
Safe progression from walking aids to independent walking where possible.
Hip strengthening
Gluteal and thigh strengthening progressed gradually.
Balance training
Reducing fall risk and improving confidence.
Functional practice
Stairs, transfers, dressing and car use within precautions.
Home exercise programme
Simple daily exercises.
Return to activity
Walking further, light exercise and hobbies as permitted.
Your plan is chosen after assessment. Not every approach listed here is suitable for every person.
05Who may benefit
- Patients after total or partial hip replacement
- Older adults after hip fracture surgery
- People preparing for hip surgery
06Safety precautions
- Follow any hip movement precautions given by your surgeon exactly.
- Use walking aids as advised until cleared to progress.
- Remove trip hazards at home and use good lighting.
07When to see a doctor first
- Sudden severe hip pain, shortening or turning of the leg (possible dislocation)
- Fever or wound redness and discharge
- Calf pain or swelling, sudden breathlessness or chest pain
08Frequently asked questions
How long will I need a walking aid?
This varies. Many people progress over several weeks, depending on surgery type, strength and balance.
What are hip precautions?
Some surgeons recommend avoiding certain movements, such as deep bending or crossing legs, for a period after surgery. Your surgeon will advise.
When can I drive?
Your surgeon will advise when it is safe, based on your recovery and the side operated on.
Can I climb stairs after hip replacement?
Yes, usually with a specific technique initially. We will teach you safely.
FURTHER READING
This page provides general information and is not a diagnosis or a substitute for an individual assessment. Recovery varies from person to person. See our medical disclaimer.
