How Soon Can I Return To Regular Activities After A Hip Replacement
The goal of physical therapy is to get you back to your normal life, whether its going to work, playing with kids, or engaging in your favorite sport or hobby. Depending on the amount of physical activity a task requires, the amount of time it will take to be able to perform that task differs.
- Driving. If you had surgery on your right hip, it may take up to a month to be able to drive safely again. If it was your left hip, then you might be back in the drivers seat in one or two weeks. Start in a parking lot and slowly move to rural roads, working your way up to the highway. Taking medications that may impair your coordination, such as opioids, might delay how soon you can go back to driving.
- Work. If you have a desk job with minimal activity, you can return to work in about two weeks. If your job requires heavy lifting or is otherwise tough on the hips, it is recommended to take off about six weeks to recover.
- Sports. For sports with minimal activity, such as golf, you can return when you feel comfortable. For high impact contact sports you should wait about six weeks to get back in the game. Before getting into a pool, you should also wait about six weeks until the incision completely heals.
- Sexual Activity. You can return to sexual activity whenever you feel comfortable.
When Youre Ready To Go Home
You can go home when your temperature is normal, you are able to get into and out of bed by yourself, and you can get to the bathroom by yourself. As you near the end of your hospital stay, you will be anxious to go home and your mental outlook will improve. Once home, your physical recovery may speed up as family, familiar surroundings, and peace and quiet can help a lot. Before you leave the hospital, your healthcare team will talk with you about
how to care for your incision following your hip precautions using your abduction wedge or pillow at night an exercise program to do at home special equipment recommended by your surgeon when to make your first follow-up visit with your surgeon medicines you will be taking how much weight you can put on your affected leg
Before you go home, your physical therapist will watch you do your exercises to be sure you are doing them the right way. Ask your family to bring bed pillows for you to use in the car during your ride home. Your stitches or staples will be removed 10 to 14 days after your surgery. Keep your incision dry until the stitches or staples are removed. Be sure to keep all follow-up appointments with your surgeon.
How To Manage Dressing Tasks:
You can dress in the clothes you like, with the right tools. Avoid donning any lower-body clothes in standing.
Learn about and apply dressing aids, long-handled reachers, sock aids, and shoehorns which all have extensions so that you can still get dressed without bending over too far beyond your hip restrictions.
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Tips For Getting Back Into Exercise Safely
We understand that people who enjoyed high levels of activity before their hip operation will want to make a quick return. But its crucial they do so safely to avoid damaging their new hip. Doctors can provide detailed medical advice and recommend physiotherapy to speed up the recovery process. They may also advise you to use assistive devices such as crutches or walking frames in the days following your operation.
Exercise And Muscle Building After 1 Year Hip Replacement
I am now 1 year out from surgery. Although things have been going well, I still feel like I’m not where I should be.
I still can’t lay on my operated side.
I still have to take steps one at a time.
I still need a cane when walking distances.
And I still have slight limp.
I haven’t followed my exercises faithfully but I do walk 3 times a week. It still hasn’t built up my muscles in my hip and I still have a dent in my hip.
Can hip exercises help at this stage of the game or has the muscle already healed past re-fixing
Posted 6 years ago
Hi mile I would def get professional opinion before embarking on on upping exercise in case you have under lying issues . I’m sure gentle daily walking can only be a good thing . Not being rude but how old are you and how active were you pre op ? I think both these make difference too .
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Exercises To Avoid After A Hip Replacement
You want to limit high-impact exercises, like running and HIIT moves that involve jumping, in order to protect the longevity of your implants and reduce the stress on them.
“Personally, I think it is still important to keep in mind that these are artificial implants and there may be some concerns with their long-term durability with certain activities,” Dr. Ast says.
“We tend to ask patients not to use running as their primary form of exercise, meaning if patients want to run from time to time that is probably fine, but to run multiple miles, multiple times a week may not be the best idea for the longevity of these implants.”
Very high-impact activities, like skydiving, are not recommended because they can increase the risk of the bone breaking around the implant.
Hip Replacement In Context
Total hip replacement is one of the oldest and most successful replacement procedures in medicine. One of the first total hip replacement attempts occurred in Germany in 1891 . The materials and methods of hip replacements have evolvedthank goodnessyet the idea remains the same: a rigid femoral stem, a robust acetabular component, and bone cement or type of grout to improve fit.
Due to the hip being a robust and stable joint, hip replacement hardware generally doesnt have the same types of stress applied to it such as something like a knee replacement. Because of the high shear forces at the knee, knee replacement fits are trickier than a hip. Thus, after full recovery, which is said to take up to a year, the hip can withstand many forces and move through normal ranges of motion.
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Total Hip Replacement: 3 Exercises For An Earlier Return Of Functional Gait
The hip is the second most common joint replaced in the body after the knee. Many approaches to hip replacement exist, but they all have the same long-term outcome.1 Additionally, surgeons do not routinely refer patients to outpatient rehab following hip replacement as they usually do for knee and shoulder replacement. This is becoming even more the norm in todays bundled payment structures.2
Do I Still Take My Normal Medications Before Surgery
Inform your surgeon about all of your medications, both over-the-counter and prescription. Some medications dont react well with anesthesia, and others such as aspirin, ibuprofen and blood thinners increase bleeding. For these reasons, you may need to stop taking certain medications before your hip replacement. If youre taking aspirin or aspirin-based medication for arthritis, you must stop taking these two weeks before your surgery. If youre taking medications for other medical problems, dont discontinue taking these without checking with your primary healthcare provider. Make sure to bring a list of all medications, the dosages and how often you take them. This includes all herbal supplements and vitamins. This is important information that will be documented in your hospital records.
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Bathroom And Shower Activities:
You can use the shower and the toilet after surgery, but with the proper precautions in order to avoid infection and injury.
Consider purchasing and applying the following types of equipmentduring your bathroom tasks: shower chair, raised toilet seat, grab bars, a long-handled sponge, and a non-skid bath mat. The
Although you can technically stand in the shower or tub, your balance is still severely compromised and it would be wiser to sit on a shower chair or bench.
Its quite common for people to slip on wet surfaces, rupture their new joint, and be re-admitted for another surgery. This you want to avoid by all means!
When You Can Bend Over 90 Degrees After Hip Replacement
Hip replacement surgery is performed by an orthopedic surgeon to remove a hip joint with arthritis. The old joint gets replaced with an artificial joint, so the patient can enjoy lasting relief.
Recovery from hip replacement surgery is a gradual process which requires the patient to take certain precautions to ensure a full recovery. Thats why many patients ask questions such as, When can you bend past 90 degrees after hip replacement? or Can you bend after hip replacement?
At OrthoBethesda, we encourage our patients to work with physical therapists after their hip replacement to ensure the recovery process is a fast, comfortable and pleasurable experience. Here are some answers to frequently asked questions about recovery from a hip replacement.
How Do I Prepare For Surgery What Happens Before A Hip Replacement
In order to prepare for surgery, youll schedule a series of appointments to receive testing and clearance. During these appointments, studies including lab testing, urine analysis, an EKG and X-rays may be performed. Based on the results of these tests and your health history, clearance is or is not initiated for the surgery.
Before surgery, your medical risk will be assessed. Your healthcare providers need to make sure that the risks of a hip replacement dont outweigh the benefits. They will check for:
- How anxious/stressed you are about your surgery.
- How well youll handle blood loss.
- How well you might tolerate anesthesia.
- How you might manage the rehabilitation process.
- How your other medical problems may affect your healing.
- How active you are.
- How appropriate your weight is.
Your lower extremities will be evaluated before surgery. Your healthcare providers will do the following:
You will have radiographs of the hip and pelvis to assess the status and structure of the hip joint. Occasionally advanced imaging may be needed to assist in the diagnosis or treatment planning.
Your healthcare provider will likely require some tests before surgery. Tests may include:
- Complete blood count .
- Other tests, as needed.
- Electrocardiogram .
You can try these tips at home prior to surgery:
- Elevated toilet seats.
- Grasping device for putting on socks and shoes.
Recovery Can Take From Three Months To Over A Year
If you have had a total hip replacement surgery, there are certain precautions you need to take while you are recovering. This is especially true if your surgery was done via a posterior approach .
These precautions are important in order to avoid a hip replacement dislocation. When this happens, the artificial ball of the upper leg slips out of the artificial hip socket.
This article will explain the three precautions you need to take after your surgery and for how long.
According to research from the University Hospital of Cologne, around 2% of people with a total hip replacement will experience a dislocation within a year, while 28% of those with a second hip replacement will experience the same.
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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 and always use a handrail for balance.
- As you become stronger and more mobile, you can begin to climb stairs foot over foot.
Stair climbing and descending using a crutch
What Could Slow Down My Recovery
As with any surgery, there is some risk of complications during and after a hip replacement, which may include infection at the incision site, bone fractures and hip dislocations, explains Thakkar. If you notice a fever, drainage from the incision site, difficulty moving your hip or severe pain that is not relieved by your medication, contact your doctor immediately.
Taking rehabilitation at a comfortable pace and avoiding sudden, sharp movements can help prevent dislocations and falls that may delay the recovery.
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How Do I Safely Ride In A Car And On A Plane After A Hip Replacement
You may go out in a car approximately three weeks after you return home, but make sure to avoid sports cars and cars with bucket seats because of the low seat height. When riding in a car, make sure to stop every 45 to 60 minutes to get out and do some walking. Also, do ankle pumps in the car while riding. If youre flying, request an aisle seat and keep the operative leg extended in the aisle. Request to be boarded last on the plane.
How To Sit On Chairs / Sofas After Having A Total Hip Replacement:
Consider what kind of chairs you should and shouldnt sit in at home. For example, sitting in plush and low-riding sofas should be avoided due to the risk of dislocating the hip.
Sit on chairs that encourage a healthy sitting posture and that are slightly elevated. Your feet should be tip-toeing the floor and your hips bent less than 90 degrees.
These types of chairs help you to become compliant with maintaining your precautions after hip replacement surgery.
They are also similar to what are called hip chairs. Hip chairs encourage the proper sitting angle while sitting and do not compromise your surgical hip to become dislocated.
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Biggest Take Away: Dont Judge Your Recovery By Other Peoples
Every hip replacement is different. Some people recover faster or slower. But more importantly, that coach on Insta may be great at training Olympic hopefuls but he knows next to nothing about orthopedic surgery.
Those people have a financial incentive to attract views on social media. But your focus should be on the long term success of your hip replacement. Is squatting 6 weeks earlier really worth taking twenty years off the life of your hip replacement? Sounds like a bad trade to me. After all, there are plenty of reasons you should keep working out into your 60s, 70s, and beyond.
Once again, just because you arent experiencing much pain immediately after an anterior hip replacement doesnt mean its safe to return to your normal exercise routine. Be safe. Be smart. Theres simply no arguing with biology.
Why Is Physical Therapy After A Total Hip Replacement Surgery Important
Regaining your range of motion and strength after total hip replacement surgery is critical to regaining your ability to do the things that are important to you. You will start the following exercise program very soon after your surgery. Your physical therapist will help you with the exercises initially and you will be expected to continue the exercises as instructed. As you recover, some exercises will be discontinued and others may be added. Please let your therapist or surgeon know if you are having difficulty with your exercises.
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After Leaving The Hospital
At first, doing your usual daily activities, such as bathing, cooking, and cleaning, will be hard to do on your own. Thats why its important to have a support system in place to ensure youre able to get through your day safely.
If you dont have the necessary support system, you may need to stay at a rehabilitation facility once you leave the hospital.
Youll get supervised physical therapy every day until youre strong and steady enough to move around safely on your own.
Once youre at home, youll need to continue doing the exercises that your physical therapist recommended you do.
This will help you gain strength and flexibility in your muscles and new joint, and itll help speed up your recovery.
If needed, your healthcare team may arrange for a home health aide, physical therapist, or visiting nurse to come to your home to help you with your recovery or to check on your progress.
Once youre at home, youll have to keep your wound dry until your stitches come out.
How To Properly Get In And Out Of Bed:
Consult with your doctor or rehab therapist about what kind of movements you need to avoid when climbing in and out of bed as well as shifting around while laying down.
For example, most doctors say to avoid lying on your stomach or lie on the operative leg when side-lying.
Ask about whether or not you are allowed to prop pillows around your hips and if you can place a pillow between your legs.
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What Is The Hip
Your hip is a joint a ball-and-socket joint that connects the thigh bone of your leg to your pelvis. Your femur has a head at its top thats shaped like a ball, and it fits into the acetabulum . Its kept in place by ligaments, tendons and muscles around the joint. Your hip is the most flexible and free-moving joint in your body and can move backwards and forwards, to the side and can perform twisting motions.