Physical Therapy after a Hip Replacement

by Liz Hoobchaak | 11 Comments

Hip replacements are one of the most commonly performed orthopedic surgeries. Having been performed since 1960, the surgical technique and prosthesis used have been perfected to allow the patient optimal recovery of functioning with less pain. Having the surgery is only half the battle when it comes to the new joint. Physical therapy is the other important aspect in a full and successful recovery.

Following a hip replacement, physical therapy will help to restore the joint motion and strength. Initially therapy begins in the hospital the day after your surgery. The therapist will teach you how to properly move around in bed, get out of bed, get into the shower and car, go up and down a step, and walk with crutches or a walker. There may be some simple exercises you can perform in the bed to help prevent blood clots such as tightening your thighs, buttocks, and moving your ankle.

Following a hip replacement, some patients may do a short stay in a rehab facility for additional therapy before they go home. This usually depends on the age of the patient, functioning when they leave the hospital, additional care from family members at home, and what their home life environment is like (for example, lots of stairs). Some patients may go home after the hospital and have a therapist come to their home. Once the patient is comfortable and strong enough to leave the house, they can begin outpatient therapy.

Outpatient physical therapy will continue to progress the exercises that you began in home therapy. Outpatient facilities offer more options for the patient, such as exercise equipment, and allows them to rehabilitate in a real life setting alongside others that may be recovering from a similar surgery. The focus will be on increasing the range of motion in the new joint as well as strengthening the muscles surrounding the hip. Balance exercises will also be performed to help decrease the risk of falling. Ice or heat may be used in therapy. Heat may be used to warm up a tight muscle and ice may be used after the exercises to reduce swelling and soreness. Your physical therapist will keep in mind any personal goals that you may have, such as returning to golf, to ensure that you perform specific exercises to help you reach that goal.

Following a hip replacement, there are some important considerations that your physical therapist will help you to follow to decrease your risk for dislocating your new hip. If you have the traditional hip replacement from a posterior approach, meaning the incision is along the back of the hip, there are certain motions to avoid. These include not bending the hip past a 90 degree angle, not crossing your leg over the midline of your body (such as crossing your legs), and not allowing the hip to be rotated inward. Some things you can do to follow these precautions are: put a pillow between your knees, use a raised toilet seat, avoid sitting in too low a seat, avoid bending down to tie your shoe, and always make sure your knee caps are pointed forward or slightly out, never inward. Make sure to speak to your doctor or therapist to know what your precautions are since they may be different with certain surgical techniques.

Even though hip replacements are very successful surgeries, the dedication of the patient and the physical therapist will be the key to gaining your most optimal functioning so that you can start enjoying life pain free again.

11 Comments

  1. Nick Kyros

    Good write up on hip replacement. I have had both my hips replaced and did my therapy at Athetico in Arlington Hts. Thanks to the PT team there, I couldn’t be better.

  2. David Wojick

    I had my hip replaced back in 2008. I saw Eileen Polewski in the Glenview Athletico office. She did a wonderful job getting me back to where I wanted. When people ask how long it took to rehab my hip, I tell tell them it depends upon what you want to accomplish and how hard you want to work. A person can be functional within a year. However, if you want to be athletic, it will take a bit more.

    I am doing everything I want to: playing golf and tennis, doing Cross-Fit, lifting weights, hiking,

    Thanks Eileen.

  3. Randy Steinmeyer

    It’s also important to get strengthen the muscles in and around the hip prior to surgery. I did a long stint at Athletico Clybourn with Monica prior to surgery and it made a huge difference post surgery. It will make rehabilitation easier and quicker.

  4. Marie Fields

    Doctor has said I will eventually have to have hip replacement surgery …. I am 77 years old and would like to know what can be done to reduce the pain without taking medication …. I’m currently taking a series of exercises at Athletico

  5. Liz Hoobchaak

    It is great to hear your comments about your positive experiences with therapy after your surgery. The hard work does pay off in the end. In response to what can be done to minimize pain without medication, strengthening your hip muscles as best as you can tolerate will help to keep your hip strong and stable. Although it may be hard if you are experiencing pain, keeping your hip moving with simple range of motion and flexibility exercises will also help. Since you are in therapy already, talk to your therapist about this and see if they can devise a simple home program that you can perform everyday to help keep your hip moble and strong.

  6. Daniel Carrillo

    Thank you all, I learned alot from you people and the web site, I had surgery on April 29 2013 and complications but with exercises menioned, I hope to recover!

  7. robin hardy

    I had very successful hip replacement on August 20, 2013. I’ve been doing all the exercises and following therapists and book. I feel fine, and now, on November 15, can I book a massage?

  8. treasie craven

    I fell down my deck stairs , it had fifteen stairs and I fell head first,damaged my left knee and hurt my back. that was in 2006 and today I am in still severe chronic pain I had knee surgery but my back damaged the l4 and l5 disc in my back, when I went for a 2nd op, the dr said my hip is also have degenerative disc disease and a cyst on the femor head. I need help and am so tired of hurting and living in pain taking all this medication. I/m only 45 and my life stopped i’m in a wheelchair and I hate it .I am looking for a skilled physcian that can help me I will drive wherever to stop this pain even if it ‘s in another state. Please Help me with my search,

  9. Sarah Clough

    Hi Treasie!

    Thank you for your post! I would be happy to help you in your search. I know some great physicians in the area and have connections with some other great physicians across the country. I am going to send you an email now to follow up with you personally.

  10. james

    I wish i knew how important physical therapy was when i got my hip done. I would of pushed my doctor to get me some therapy. I really feel that the reason my hip has not been as successful is because i didn’t have therapy since i was told i was young and would bounce back. now i have to have it re replaced since it is loose. not 100 percent it is because of not having therapy but who knows. it never really seemed to do good.

    only reason i am posting this is to say please push your doctors to give you therapy even if they feel you don’t need it.

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