Recovering from a hip replacement can feel like a journey into the unknown. This guide is designed to help patients understand total hip replacement recovery week by week. Whether you’re considering private hip replacement in Canada or already scheduled for surgery, knowing what to expect can offer peace of mind and confidence during your recovery. From what to expect the first week after hip replacement surgery to key milestones months down the line, we cover it all with a focus on post-surgery walking recovery, pain management, and structured rehabilitation programs.
Each year, over half a million hip replacement procedures are conducted in the United States. As the population continues to age, this number is steadily increasing, reflecting the growing demand for mobility-restoring surgeries.
What to Expect After Hip Replacement Surgery
Understanding what happens immediately after hip replacement surgery is crucial for mental preparation and physical readiness. Recovery is highly individualized, but most patients follow a similar path of milestones that can be expected during the first few days and weeks. This section will introduce key expectations around incision care, assistive devices like walkers or canes, and vital signs monitoring.
Day of the Surgery: Initial Recovery
Immediately after surgery, you’ll wake up in the recovery room under close monitoring for vital signs. Post-operative instructions will be reviewed, and anesthesia effects will begin to wear off. Pain management begins immediately with prescribed medications and anti-inflammatory medication to control discomfort. Enhanced recovery pathway (ERP) principles are applied to support early mobility and patient comfort. You may have walking aids and mobility exercises initiated the same day, depending on the surgeon’s recommendation.
1–2 Days After Surgery: Hospital Stay and First Steps
Patients are encouraged to begin walking recovery within 24 hours. Using a walker or crutches, you’ll take your first assisted steps. Physical therapists introduce basic movements such as ankle pumps and deep breathing exercises to prevent blood clots and support healing. Hospital staff will monitor incision care, manage pain and swelling, and teach the use of assistive devices. Pain management plans are tailored, and ice therapy may be used to minimize inflammation. You may be started on a structured rehabilitation program that includes early-stage physical therapy sessions.
3–4 Days After Surgery: Preparing for Discharge
By now, you should be able to walk short distances with assistance using a walker or cane. Your healthcare provider will assess your mobility improvement and readiness to return home. Home care planning includes installing grab bars, a raised toilet seat, and ensuring proper footwear is available. Daily activities assistance is critical at this stage, and you may be advised on sleep hygiene, wound care, and nutrition and hydration to support recovery. Total hip replacement recovery week by week includes continuous therapy and preparation for the challenges ahead.
One Week Post-Surgery: Regaining Mobility
During the first week, walking short distances and performing light exercises is key. You may still need a walker. Expect lingering discomfort and stiffness, which is normal. The rehabilitation programme will now focus more on regaining range of motion through mobility exercises such as leg lifts, stretching exercises, and gradually increasing weight-bearing activities. What to expect the first week after hip replacement surgery also includes managing prescribed medications, attending follow-up appointments, and preventing infection through proper incision care.
Two Weeks After Surgery: Healing and Daily Activity

Two weeks after hip replacement surgery, most patients experience reduced pain and swelling. Walking becomes easier, though assistive devices like a cane may still be necessary. This stage often involves more independent activity, light chores, and beginning to resume a basic daily routine. Your physical therapy plan will be adjusted for increased challenge, emphasizing post-surgery walking recovery and improved mobility. Structured therapy sessions and continued use of anti-inflammatory medication support this progress.
Three to Six Weeks: Physical Therapy and Progress
Physical therapy becomes more intensive. Patients may begin strengthening and flexibility exercises, including more advanced range of motion routines. Total hip replacement recovery week by week improves steadily as endurance increases. Enhanced recovery programme methods include incorporating lifestyle adjustments, personalized rehabilitation programs, and the avoidance of twisting or pivoting movements. Patients should avoid high-impact activities and follow their orthopedic surgeon’s instructions closely.
Six to Nine Weeks: Increased Independence
Many patients walk without support and resume basic household tasks and light activities. This is a key phase in hip replacement recovery week by week where mobility gains are noticeable. Structured rehabilitation work continues with a focus on low-impact exercises and gradual resumption of normal activities. Walking aids may be reduced or discontinued based on stability and surgeon approval. Patients should continue incision care, follow-up appointments, and mobility exercises daily.
Ten to Twelve Weeks: Returning to Normal Routines
Light activities and some work duties may be resumed. Continued physical therapy supports strengthening and balance. Total hip replacement recovery week by week may now include low-impact hobbies like walking or swimming and light chores around the home. You may be ready to drive again and even resume intimacy with surgeon approval. Be cautious of any instability or swelling and avoid heavy lifting or high-impact activities.
Three to Six Months: Strength and Endurance
Endurance improves significantly. Patients may be back to nearly full mobility. Return to work is often possible, depending on job demands. At this stage of total hip replacement recovery week by week, pain should be minimal, and patients can participate in more structured rehabilitation activities. A focus on long-term physical therapy exercises and maintaining proper sleep hygiene and nutrition and hydration continues to support healing.
Six Months to One Year: Full Recovery Milestones
Most patients return to full function with no limitations. Strength and mobility are restored. Total hip replacement recovery week by week culminates with full independence. You’ll be cleared for more demanding low-impact activities and must continue to follow lifetime precautions such as avoiding high-impact sports and maintaining regular follow-up appointments.
Long-term studies indicate that nearly 90% of individuals experiencing moderate discomfort prior to their initial hip replacement surgery report significant relief, often describing little to no pain even five years post-procedure. This highlights the sustained benefits of a well-placed prosthetic implant and structured rehabilitation program. You’ll be cleared for more demanding low-impact activities and must continue to follow lifetime precautions such as avoiding high-impact sports and maintaining regular follow-up appointments.
Hip Replacement Recovery Timeline by Age
Recovery outcomes can vary based on age. This section outlines age-specific expectations and how rehabilitation strategies are tailored accordingly. A structured rehabilitation program and enhanced recovery pathway can benefit patients of all ages.
Recovery for 60-Year-Olds
Generally quick recovery. Often more mobile and active pre-surgery, so rehabilitation progresses faster. Mobility exercises, proper footwear, and therapy sessions support quicker return to activity resumption.
Recovery for 70-Year-Olds
Still able to recover effectively, though progress might be slightly slower. Adherence to physical therapy and orthopedic surgeon’s instructions is crucial. Lifestyle adjustments and home care support are essential.
Recovery for 75-Year-Olds
Patients may need more time and support. Walking recovery may be slower but still effective with proper planning. Enhanced recovery programme support, assistive devices, and safe movement tips play a vital role.
Recovery for 80-Year-Olds
Recovery is slower and requires close monitoring. Assistance and home adjustments are essential. Deep breathing exercises, assistive devices, and daily routine support promote safe progress.
Normal Pain vs. Complications After Surgery
Understanding what type of pain is normal can ease anxiety. It’s also important to know when to call your doctor. This section explains the differences and emphasizes early detection of complications.
What Pain Is Normal?
Mild to moderate discomfort, swelling, and bruising are expected. Pain decreases over the first few weeks. Lingering discomfort and stiffness are common but should improve with therapy and pain management.
When to Contact Your Doctor
Severe pain, high fever, or increased redness may indicate infection or complications. Watch for signs of instability, especially when walking. Follow-up appointments and proper incision care are critical.
Complications to Watch For
Complications after hip replacement surgery are uncommon but still possible. Being informed about what to look out for helps ensure early detection and quick medical intervention. Monitoring for warning signs and staying in close communication with your healthcare provider is vital during your recovery journey.
- Blood clots
- Infection
- Dislocation
- Leg length discrepancy
- Poor incision healing or excessive swelling
- Prosthetic implant issues
Do’s and Don’ts After Hip Replacement
Knowing what to do and avoid helps you heal faster. These recommendations reduce risk and speed recovery. Follow your healthcare provider’s advice strictly.
Activities to Avoid
Certain movements and actions should be avoided after hip replacement surgery to ensure the healing process is not disrupted. During early recovery, the new joint is still stabilizing and susceptible to injury. Following these precautions will help reduce the risk of dislocation, strain, and setbacks in your total hip replacement recovery week by week.
- Twisting or pivoting movements
- Crossing legs
- High-impact activities or heavy lifting
- Rapid changes in position without stability support
Safe Movement Tips
Use assistive devices such as a walker or cane. Install grab bars and use a raised toilet seat. Wear proper footwear and maintain good sleep hygiene to prevent falls.
When Can I Drive Again?
Usually 4-6 weeks after surgery, once you stop pain medications and regain control of your leg. Always wait for surgeon approval before driving again. Your ability to brake quickly is essential for safety.
Exercises for Hip Replacement Recovery
Exercise is a core component of total hip replacement recovery week by week. A structured rehabilitation program ensures mobility and strength. Always follow your personalized rehabilitation plan.
Early-Stage Exercises
The first phase of your recovery includes gentle movements that help restore blood flow and prevent complications. These exercises are typically easy to perform while lying down or seated, making them ideal for early recovery. Following your physical therapy plan closely during this time is essential for gradually improving mobility and preventing stiffness.
- Ankle pumps to improve circulation
- Quad sets for muscle activation
- Glute squeezes for pelvic control
Strengthening and Balance Workouts
Once early recovery exercises are well tolerated, the focus shifts to building muscle strength and enhancing balance. This phase is essential to regain stability and support around the new joint. Incorporating strengthening and balance workouts also helps reduce the risk of falls and supports long-term mobility improvement.
- Leg raises for hip strength
- Standing marches to improve balance
- Supported knee bends for flexibility
Long-Term Mobility Routines
Sustaining your recovery progress involves committing to regular movement well after the initial healing period. These routines are designed to support joint health, enhance endurance, and improve your overall lifestyle. Engaging in long-term mobility routines promotes ongoing physical activity and helps maintain the benefits of your hip replacement over time.
- Walking regularly, gradually increasing distance
- Pool therapy to reduce joint strain
- Light yoga to enhance range of motion and posture
Lifetime Precautions After Hip Replacement
Protecting your new joint requires long-term vigilance. Here’s how to keep your prosthetic hip in optimal condition. Always follow lifestyle adjustments and orthopedic surgeon’s instructions.
Can I Return to Sports or Heavy Activity?
Yes, but only low-impact activities are recommended long-term. Avoid high-impact activities that stress the joint. Surgeon approval is required for activity resumption.
How to Protect Your New Joint
Maintain a healthy weight. Continue physical therapy exercises. Avoid instability and follow lifestyle precautions such as avoiding twisting movements.
How Timely Medical Alternatives Can Help

Navigating the healthcare system can be challenging. Timely Medical Alternatives provides access to private hip replacement in Canada with comprehensive support. We help you receive quality care without the long wait.
Fast Access to Quality Hip Replacement Care
Avoid long wait times with private hip replacement in Canada coordinated by Timely Medical Alternatives. We connect patients with top surgeons and minimally invasive hip replacement procedures.
Support Throughout the Recovery Journey
From diagnosis to full recovery, we assist patients through every phase of care. Our enhanced recovery pathway includes support for follow-up appointments, rehabilitation programs, and daily activities assistance.
Patient-Centered Coordination with Top Surgeons
Access the best surgical teams across Canada and the U.S. with personalized service. We help you prepare your home for recovery and maintain regular check-ins for optimal outcomes.
Planning Ahead for a Smooth Recovery
Proper planning can significantly ease the recovery process. This section highlights essential preparations for a safe transition from hospital to home. Early organization promotes smoother healing.
Preparing Your Home Environment
Install grab bars, raise toilet seats, and clear pathways. Ensure proper lighting and minimize trip hazards. Arrange for daily activities assistance and mobility aids.
Arranging Transportation and Support
Coordinate rides to therapy and enlist help for errands and meals. Plan for help with light chores and post-operative instructions. Use assistive devices for safe movement.
Managing Medications and Appointments
Use reminders and organizers to stay on track with medication and follow-up visits. Keep track of pain management schedules and anti-inflammatory medication doses. Attend all therapy sessions and follow your physical therapy plan.
Conclusion
Understanding total hip replacement recovery week by week is key to regaining confidence and control after surgery. Whether you’re 2 weeks after hip replacement surgery or just starting, trust that each phase brings progress. With guidance, enhanced recovery programs, and commitment, full recovery is achievable.
FAQs
How far should I be walking 1 week after hip replacement?
Short walks around the house with a walker or crutches are ideal. Gradually increase distance as tolerated with support. Use walking aids and follow your physical therapy program.
What should I be doing 2 weeks after a total hip replacement?
You should be walking short distances independently or with minimal support and doing daily physical therapy. Continue pain management, follow-up appointments, and daily routine adjustments.
What should I be doing week 3 after hip replacement?
Start moderate physical therapy, continue walking regularly, and increase activity within safe limits. Avoid twisting, maintain incision care, and follow your surgeon’s recovery stages.

