Total Hip Replacement Exercise Guide - OrthoInfo - AAOS (2022)

Regular exercise to restore strength and mobility to your hip and a gradual return to everyday activities are important for your full recovery after total hip replacement. Your orthopaedic surgeon and physical therapist may recommend that you exercise for 20 to 30 minutes a day, or even 2 to 3 times daily during your early recovery. They may suggest some of the exercises shown below.

This guide can help you better understand your exercise and activity program, supervised by your physical therapist and orthopaedic surgeon. To ensure your safe recovery, be sure to check with your therapist or surgeon before performing any of the exercises shown.

The following exercises will help increase circulation to your legs and feet, which is important for preventing blood clots. They will also help strengthen your muscles and improve hip movement.

Start the exercises as soon as you are able. You can begin them in the recovery room shortly after surgery. You may feel uncomfortable at first, but these exercises will enhance your recovery and actually diminish your postoperative pain.

Ankle Pumps

  • Slowly push your foot up and down.
  • Repeat this exercise several times, as often as every 5 or 10 minutes.
  • If you are watching television, you should pump your feet every time a commercial comes on.

Begin this exercise immediately after surgery and continue it until you are fully recovered.

Total Hip Replacement Exercise Guide - OrthoInfo - AAOS (1)

Ankle pumps

Ankle Rotations

  • Move your ankle inward toward your other foot and then outward away from your other foot.
  • Repeat 5 times in each direction.
  • This exercise should take 3 minutes.
  • Do 3 to 4 sessions a day.

Total Hip Replacement Exercise Guide - OrthoInfo - AAOS (2)

Ankle rotations

Bed-Supported Knee Bends

  • Slide your foot toward your buttocks, bending your knee and keeping your heel on the bed. Do not let your knee roll inward.
  • Hold your knee in a maximally bent position for 5 to 10 seconds
  • Straighten your leg.
  • Repeat 10 times.
  • This exercise should take 3 minutes.
  • Do 3 to 4 sessions a day.

Total Hip Replacement Exercise Guide - OrthoInfo - AAOS (3)

Bed-supported knee bends

(Video) Total Hip Replacement

Buttock Contractions

  • Tighten your buttock muscles and hold to a count of 5.
  • Repeat 10 times.
  • This exercise should take 90 seconds.
  • Do 3 to 4 sessions a day.

Total Hip Replacement Exercise Guide - OrthoInfo - AAOS (4)

Buttock contractions

Abduction Exercise

  • Slide your leg out to the side as far as you can and then back.
  • Repeat 10 times.
  • This exercise should take 90 seconds.
  • Do 3 to 4 sessions a day

Quadriceps Set

  • Tighten your thigh muscle. Try to straighten your knee. Hold for 5 to 10 seconds.
  • Repeat this exercise 10 times during a 10-minute period, rest one minute and repeat.
  • Continue until your thigh feels fatigued.
  • This exercise should take 2 minutes.

Total Hip Replacement Exercise Guide - OrthoInfo - AAOS (6)

Quadriceps set

Straight Leg Raises

  • Tighten your thigh muscle with your knee fully straightened on the bed.
  • Lift your leg several inches. Hold for 5 to 10 seconds.
  • Slowly lower your leg.
  • Repeat until your thigh feels fatigued.
  • This exercise should take 2 minutes.

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(Video) Exercise and Arthritis

Straight leg raises

Standing Exercises

Soon after your surgery, you will be out of bed and able to stand. You will require help at first but, as you regain your strength, you will be able to stand independently. While doing these standing exercises, make sure you are holding on to a firm surface such as a bar attached to your bed or a wall.

Standing Knee Raises

  • Lift your operated leg toward your chest. Do not lift your knee higher than your waist. Hold for 2 or 3 counts.
  • Put your leg down.
  • Repeat 10 times.
  • This exercise should take 3 minutes.
  • Do 3 to 4 sessions a day.

Total Hip Replacement Exercise Guide - OrthoInfo - AAOS (8)

Standing knee raises

Standing Hip Abduction

  • Be sure your hip, knee and foot are pointing straight forward. Keep your body straight. With your knee straight, lift your leg out to the side.
  • Slowly lower your leg so your foot is back on the floor.
  • Repeat 10 times.
  • This exercise should take 2 minutes.
  • Do 3 to 4 sessions a day.

Total Hip Replacement Exercise Guide - OrthoInfo - AAOS (9)

Standing hip abduction

Standing Hip Extensions

  • Lift your operated leg backward slowly. Try to keep your back straight. Hold for 2 or 3 counts.
  • Return your foot to the floor.
  • Repeat 10 times.
  • This exercise should take 2 minutes.
  • Do 3 to 4 sessions a day.

Total Hip Replacement Exercise Guide - OrthoInfo - AAOS (10)

Standing hip extensions

Early Activity

Soon after surgery, you will begin to walk short distances in your hospital room and perform light everyday activities. This early activity aids your recovery and helps your hip regain its strength and movement.

Walking

Proper walking is the best way to help your hip recover. At first, you will walk with a walker or crutches. Your surgeon or therapist will tell you how much weight to put on your leg.

(Video) What If You Are TOLD... DON'T Ever LUNGE, Squat, Jump, Etc.

  • Stand comfortably and erect with your weight evenly balanced on your walker or crutches.
  • Advance your walker or crutches a short distance; then reach forward with your operated leg with your knee straightened so the heel of your foot touches the floor first.
  • As you move forward, your knee and ankle will bend and your entire foot will rest evenly on the floor.
  • As you complete the step, your toe will lift off the floor and your and knee and hip will bend so that you can reach forward for your next step. Remember, touch your heel first, then flatten your foot, then lift your toes off the floor.

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  • Walk as rhythmically and smoothly as you can. Don't hurry. Adjust the length of your step and speed as necessary to walk with an even pattern.
  • As your muscle strength and endurance improve, you may spend more time walking, and you will gradually put more weight on your leg.
  • When you can walk and stand for more than 10 minutes and your leg is strong enough so that you are not carrying any weight on your walker or crutches, you can begin using a single crutch or cane. Hold the aid in the hand opposite the side of your surgery.

Stair Climbing and Descending

Stair climbing is an excellent strengthening and endurance activity, and it also requires flexibility.

  • At first, you will need a handrail for support and will be able to go only one step at a time. Always lead up the stairs with your good leg and down the stairs with your operated leg. Remember, "up with the good" and "down with the bad."
  • You may want to have someone help you negotiate stairs until you have regained most of your strength and mobility.
  • Do not try to climb steps higher than the standard height (7 inches) and always use a handrail for balance.
  • As you become stronger and more mobile, you can begin to climb stairs foot over foot.

Total Hip Replacement Exercise Guide - OrthoInfo - AAOS (12)

Stair climbing and descending using a crutch

The pain from your hip problems before your surgery and the pain and swelling after surgery have weakened your hip muscles. In addition, the muscles around your hip prior to total hip replacement became short and tight because your hip didn't move. A full recovery will take many months, and it will take time for your muscles to recondition and get used to your new hip that moves freely. The following exercises and activities will help your hip muscles recover fully.

These exercises should be done in 10 repetitions, 4 times a day. Place one end of the tubing around the ankle of your operated leg and attach the opposite end of the tubing to a stationary object such as a locked door or heavy furniture. Hold on to a chair or bar for balance.

Elastic Tube Exercises

Resistive Hip Flexion

  • Stand with your feet slightly apart.
  • Bring your operated leg forward keeping the knee straight.
  • Allow your leg to return to its previous position.

Total Hip Replacement Exercise Guide - OrthoInfo - AAOS (13)

Resistive hip flexion

(Video) Total Knee Replacement Exercises - 10 Minute Complete Workout

Resistive Hip Abduction

  • Stand sideways from the door to which the tubing is attached.
  • Extend your operated leg out to the side.
  • Allow your leg to return to its previous position.

Total Hip Replacement Exercise Guide - OrthoInfo - AAOS (14)

Resistive hip abduction

Resistive Hip Extensions

  • Face the door to which the tubing is attached.
  • Pull your leg straight back.
  • Allow your leg to return to its previous position.

Total Hip Replacement Exercise Guide - OrthoInfo - AAOS (15)

Resistive hip extensions

Exercycling

Riding an exercise bike is an excellent activity to help you regain muscle strength and hip mobility.

  • At first, adjust the seat height so that the bottom of your foot just touches the pedal with your knee almost straight.
  • Pedal backwards at first.
  • Ride forward only after a comfortable cycling motion is possible backwards.
  • As you become stronger (at about 4 to 6 weeks) slowly increase the tension on the exercycle. Exercycle for 10 to 15 minutes 2 times a day at first, gradually building up to 20 to 30 minutes, 3 to 4 times a week.

Walking

Walk with a cane until you have regained your balance skills. It is also safe to walk on a treadmill if you are concerned about walking outside on uneven ground.

  • In the beginning, walk for 5 to 10 minutes, 3 to 4 times a day.
  • As your strength and endurance improve, you can walk for 20 to 30 minutes, 2 to 3 times a day.
  • Once you have fully recovered, regular walks of 20 to 30 minutes, 3 to 4 times a week, will help maintain your strength.

FAQs

What is the best exercise after a total hip replacement? ›

Walking. Walking is the best exercise for a healthy recovery, because walking will help you recover hip movement. Initially, the use of a walker or crutches will help to prevent blood clots and strengthen your muscles which will improve hip movement.

How long should you continue exercises after hip replacement? ›

In the first six weeks after surgery major goals include strengthening, balance training, and progressing to walking without the use of an assistive device. In the following 6 to 12 weeks it is important to focus on more advanced therapy goals.

How far should I walk each day after hip replacement? ›

Generally, I advise patients to walk only a few hundred yards a day total until they get to around six weeks. By that point, the implants are ingrown with bone, meaning that the bone is fused to the implant.

What exercises can I do 4 months after hip replacement? ›

  • Hip bending stretch. Bend your knee and bring your operated leg toward your chest. ...
  • Hip flexor stretch. Lie with operated leg hanging over the end of the bed. ...
  • Seated hamstring stretch. Sit on the edge of a chair. ...
  • Adductor stretch. Stand with your feet wider than hip distance apart. ...
  • Side stretch. In sitting or standing.

Can you overdo exercise after hip replacement? ›

While you recover from your surgery, stay active without overdoing it. Some days will be better than others, but over time you should see an improvement. Follow the guidelines given to you by your doctor and therapy team.

What are the 3 hip precautions? ›

Hip precautions encourage patients to avoid bending at the hip past 90°, twisting their leg in or out, and crossing their legs.

Can I do squats after total hip replacement? ›

Squatting after a hip replacement can be a scary task, but it can be done safely by using the recommendations above. To recap: Make sure not to start this process until at least 8 weeks after the surgery and ensure you have the permission from both the surgeon and physiotherapist to do so.

How do I strengthen my hips after hip replacement? ›

Physical Therapy Exercises after Hip Replacement - YouTube

Is riding a stationary bike good after hip replacement? ›

Using a stationary bike

Biking can improve leg and hip muscle strength and increase the new hip's range of motion. Biking on a stationary bike eliminates the risk of falling and injuring the new hip. Adjusting the bike seat higher than usual can help avoid uncomfortable, excessive bending at the hip.

How do I strengthen my hips after hip replacement? ›

Physical Therapy Exercises after Hip Replacement - YouTube

How do you get rid of limp after hip replacement? ›

Lying on your unaffected side with both knees bent to 90 degrees and your hips bent to approximately 15 degrees, lift only the top knee, keeping your feet together. Avoid pelvic rotation. Lift the knee as high as possible without rotating your pelvis and hips backwards. Repeat 8 to 12 times.

How long does it take for bone to grow into hip replacement? ›

If the prosthesis is not cemented into place, it is necessary to allow four to six weeks (for the femur bone to "grow into" the implant) before the hip joint is able to bear full weight and walking without crutches is possible.

How a normal hip works The causes of hip pain What to expect from hip replacement surgery What exercises and activities will help restore your mobility and strength, and enable you to return to everyday activities. Hip pain that limits everyday activities, such as walking or bending Hip pain that continues while resting, either day or night Stiffness in a hip that limits the ability to move or lift the leg Inadequate pain relief from anti-inflammatory drugs, physical therapy, or walking supports. If you decide to have hip replacement surgery, your orthopaedic surgeon may ask you to have a complete physical examination by your primary care doctor before your surgical procedure.. Tell your orthopaedic surgeon about the medications you are taking.. Exercise is a critical component of home care, particularly during the first few weeks after surgery.. Serious complications, such as joint infection, occur in less than 2% of patients.

Recovery Activities After Total Hip Replacement. During your recovery at home, follow these guidelines to take care of your wound and help prevent infection:. The most common types of dressings being used today are applied sterilely in the operating room and are not removed for 7 to 10 days.. Your doctor will tell you which over-the-counter medicines are safe to take while using prescription pain medication.. Once you get home, you should stay active.. Your doctor will advise you when it is safe to resume your normal work activities.. Don't cross your legs at the knees for at least 6 to 8 weeks.

Whether you have just begun exploring treatment options or have already decided to undergo hip replacement surgery, this information will help you understand the benefits and limitations of total hip replacement.. How a normal hip works The causes of hip pain What to expect from hip replacement surgery What exercises and activities will help restore your mobility and strength, and enable you to return to everyday activities. In a total hip replacement (also called total hip arthroplasty), the damaged bone and cartilage is removed and replaced with prosthetic components.. Hip pain that limits everyday activities, such as walking or bending Hip pain that continues while resting, either day or night Stiffness in a hip that limits the ability to move or lift the leg Inadequate pain relief from anti-inflammatory drugs, physical therapy, or walking supports. In addition, your orthopaedic surgeon will explain the potential risks and complications of hip replacement surgery, including those related to the surgery itself and those that can occur over time after your surgery.. Most people who undergo hip replacement surgery experience a dramatic reduction of hip pain and a significant improvement in their ability to perform the common activities of daily living.. Recovery Activities After Total Hip Replacement Recovery Total Hip Replacement Exercise Guide Treatment Obesity, Weight Loss, and Joint Replacement Surgery If you decide to have hip replacement surgery, your orthopaedic surgeon may ask you to have a complete physical examination by your primary care doctor before your surgical procedure.. Securely fastened safety bars or handrails in your shower or bath Secure handrails along all stairways A stable chair for your early recovery with a firm seat cushion (that allows your knees to remain lower than your hips), a firm back, and two arms A raised toilet seat A stable shower bench or chair for bathing A long-handled sponge and shower hose A dressing stick, a sock aid, and a long-handled shoehorn for putting on and taking off shoes and socks without excessively bending your new hip A reacher that will allow you to grab objects without excessive bending of your hips Firm pillows for your chairs, sofas, and car that enable you to sit with your knees lower than your hips Removal of all loose carpets and electrical cords from the areas where you walk in your home

During primary total hip replacement surgery, the hip joint is replaced with an implant or prosthesis made of metal, plastic, and/or ceramic components.. In other cases, the whole prosthesis needs to be removed or replaced and the bone around the hip needs to be rebuilt with augments (metal pieces that substitute for missing bone) or bone graft.. Damage to bone and soft tissue around the hip may make it difficult for the doctor to use standard primary hip implants for revision hip replacement.. If a total hip replacement becomes infected, it can be painful and the implant may begin to lose its attachment to the bone.. If you experience recurrent hip dislocations, you may need revision surgery to better align your hip joint or to insert a special implant designed to prevent dislocations.. Revision total hip replacement is a more complex procedure and takes longer to perform than primary total hip replacement.. The risk of infection is slightly higher after revision surgery than after primary total hip replacement.

Tighten your thigh muscle and hold your knee fully straightened with your leg unsupported.. Repeat several times until your leg feels fatigued or until you can completely bend your knee.. Repeat several times until your leg feels fatigued or until you can completely bend your knee.. Repeat several times until your leg feels fatigued or until you can completely bend your knee.. Advance your walker or crutches a short distance; then reach forward with your operated leg with your knee straightened so the heel of your foot touches the floor first.. As you become stronger and more mobile, you can begin to climb stairs foot over foot.. The following exercises and activities will help you recover fully.. You can place light weights around your ankle and repeat any of the above exercises.

A periprosthetic hip fracture is a broken bone that occurs around the implants of a total hip replacement.. Although a fracture may occur during a hip replacement procedure, the majority of periprosthetic fractures occur after a patient has spent years functioning well with a hip replacement.. Most periprosthetic fractures occur around the stem of the metal component placed in the femur.. Because these types of injuries are often very painful, someone with a periprosthetic hip fracture will most likely go directly to the emergency room.. Blood and other laboratory tests can provide your doctor with important information about your general health and help prepare you for surgery.. Most cases of periprosthetic hip fractures require surgery.. Patients that require surgery may be in the hospital for several days before the surgery is performed.. In some cases, a bone graft is also used to help the broken bone heal.. In some cases of periprosthetic hip fracture, the implant stem is loose.. Surgery to treat a periprosthetic hip fracture is most often performed using general anesthesia (you are put to sleep).. Factors such as poor bone quality, fracture comminution (multiple bone fragments), and, in some cases, the presence of bone cement, increase the complexity of the case.. It is important to use opioids only as directed by your doctor.. Your surgeon will determine how much weight you can place on your healing leg.. You may also require a hip brace for several weeks after surgery to further protect your hip while the fracture heals.. Complications following surgery for periprosthetic fractures can be serious.

Regular exercises to restore your normal hip motion and strength and a gradual return to everyday activities are important for your full recovery.. Do this exercise several times as often as every 5 or 10 minutes.. Hold for 5 to 10 seconds.Repeat this exercise 10 times during a 10-minute period.. Be sure your hip, knee and foot are pointing straight forward.. With your knee straight, lift your leg out to the side.. Slowly lower your leg so your foot is back on the floor.. Lift your operated leg backward slowly.. Then move forward, lifting your operated leg so that the heel of your foot will touch the floor first.. A cane or a crutch is then used for several more weeks until your full strength and balance skills have returned.. The following exercises and activities will help your hip muscles recover fully.. Bring your operated leg forward keeping the knee straight.. Adjust the seat height so that the bottom of your foot just touches the pedal with your knee almost straight.. Once you have fully recovered, regular walks, 20 or 30 minutes 3 or 4 times a week, will help maintain your strength.

Treatment Minimally Invasive Total Hip Replacement. A variation of this approach is a minimally invasive procedure in which the surgeon uses one or more shorter incisions, or changes the location of the incision.. In minimally invasive surgery, the surgeon makes a smaller surgical incision and cuts or detaches fewer muscles around the hip.. The artificial implants used are the same as those used for traditional hip replacement.. However, specially designed surgical instruments are needed to prepare the socket and femur and to place the implants properly.. Minimally invasive total hip replacement can be performed with either one or two small incisions.. Minimally invasive surgery based on incision location Another approach to minimally invasive surgery is to change the location of the incision.. Minimally invasive total hip replacement is not suitable for all patients.. Like all surgery, minimally invasive surgery has a risk of complications.. Like traditional hip replacement surgery, minimally invasive surgery should be performed by a well-trained, highly experienced orthopaedic surgeon.. Your orthopaedic surgeon can talk to you about their experience with minimally invasive hip replacement surgery, and the possible risks and benefits of the techniques for your individual treatment.

and physical therapist may recommend that you exercise for 20 to 30 minutes, 2 or 3 times a day. Standing Hip Abduction Be sure your hip, knee and foot are pointing straight forward.. With your knee straight, lift your leg out to the side.. Standing Hip Extensions Lift your operated leg backward slowly.. Advance your walker or crutches a short distance; then reach forward with your operated leg with your knee straightened so the heel of your foot touches the floor first.. As you complete the step, your toe will lift off the floor and your and knee and hip will bend so that you can reach forward for your next step.. You may use a cane in the hand opposite your surgery and, eventually, walk without an aid.When you can walk and stand for more than 10 minutes and your leg is strong enough so that you are not carrying any weight on your walker or crutches, you can begin using a single crutch or cane.. Always lead up the stairs with your good leg and down the stairs with your operated leg.. The pain from your hip problems before your surgery and the pain and swelling after surgery have weakened your hip muscles.. Resistive Hip Abduction Stand sideways from the door to which the tubing is attached and extend your operated leg out to the side.. In the beginning, walk for 5 or 10 minutes, 3 or 4 times a day.. As your strength and endurance improve, you can walk for 20 to 30 minutes, 2 or 3 times a day.

A hip replacement is a surgical procedure that removes damaged sections of the hip joint (bone and cartilage) and replaces them with a replacement hip joint and socket made of metal, ceramic, or hard plastic.. Sit in a stable chair Stabilize your resistance band by holding one end in your hand with the arm extended (the left arm in the photo above) Grasp the other end of the band in your other hand with your elbow bent (the right arm in the photo above) Straighten your arm, pulling the band back while holding steadily with the other hand Hold, return to starting position and repeat After 10 repetitions, repeat on the other arm. Try these simple exercises to get your hips and legs in shape before your hip replacement surgery.. Sit on a sturdy chair Place one foot up on a small stool or box, with the knee fully extended Sit up with good posture Lean forward hinging at the hips When it starts to pull at your hamstrings (the back of your leg), hold for 20-30 seconds Relax and repeat Switch to the opposite leg and repeat. Lay on your side (the non-surgical side ) on your bed Rest your top arm on your side so you create a straight line from your shoulder to your hip to your legs Bend your bottom, non-surgical leg if you need extra support Tighten your core and thigh muscles and lift your top leg up towards the ceiling Keep your toes pointing forward or down (not towards the ceiling) Keep your hip rolled forwards, not backwards

Total joint replacement surgery, including hip replacement, is one of the most commonly performed elective surgeries.. While you’re in the hospital recovering from your surgery, a physical therapist will work with you on doing specific exercises and movements.. Once you’re at home, you’ll need to continue doing the exercises that your physical therapist recommended you do.. Therefore, completing your physical therapy home exercise program multiple times throughout the day will be important.. Even though you’ll likely be able to get around without much help, it’s still important to keep up with physical therapy exercises and to do gentle movement and light walking on a regular basis.. Although a lot of work needs to be done after your surgery, there are important steps you can take before your surgery to help make your recovery as smooth as possible.. Exercises You’ll start physical therapy in the hospital, soon after surgery.

One of the most. important things you can do after your joint replacement surgery is to. perform your rehabilitation exercises daily as prescribed by your. doctor or PT.. The following rehabilitation exercises are commonly prescribed to. people recovering from both knee and hip replacements, known. clinically as a total knee arthroplasty (TKA) or total hip. arthroplasty (THA).. If you’re. preparing for hip or knee replacement, the below can give you an idea. of the type of exercise you might perform after surgery.. 3 Knee extensions: lie on your back with. your legs straight and a small towel rolled up beneath your ankle on. the affected side (your heel should be floating off the bed or. floor).. There's. nothing magic about the exercises your doctor or PT will prescribe to. you after you get your knee or hip replaced.. Total knee replacement exercise. guide.

Videos

1. LUNCH N' LEARN with Dr. Tomaschko, Ortho Surgeon
(Sentara Northern Virginia Medical Center)
2. What's the Difference Between Knee Rehab & Comfort for Knee Pain?
(Bill - The Knee Pain Guru)
3. Knee Pain Q&A on Knee Surgery, Arthritis, and Knee Joint
(Bill - The Knee Pain Guru)
4. The Latest Advancements and Treatment Options for Hip and Knee Arthritis
(Syracuse Orthopedic Specialists)
5. The Knee Pain Guru: Bone on Bone Chronic Knee Pain
(Bill - The Knee Pain Guru)
6. Exercises After Knee Replacement - Tips to return to normal walking as soon as possible.
(Total Therapy Solution - Physical Therapy)

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