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FAQs About Physical Therapy for Hip Replacement Patients

April 18, 2025

A senior woman is undergoing physical therapy for a hip replacement with the help of a male physical therapist.

Recovering from hip replacement surgery involves more than just rest. Rehabilitation plays a vital role in ensuring a full recovery, and this is where physical therapy for hip replacement patients comes in. Physical therapy helps improve mobility, rebuild strength, and restore independence.

Whether you are preparing for hip replacement surgery or have just had the procedure, you might have several questions about physical therapy.

This blog will provide clear, easy-to-understand answers to the most common questions about physical therapy for hip replacement recovery.

What Is Physical Therapy for Hip Replacement Patients

Physical therapy for hip replacement patients focuses on helping individuals regain movement and strength after surgery. The therapy involves guided exercises designed to help patients walk, climb stairs, and perform daily tasks without pain or discomfort.

Physical therapists work closely with patients to create exercises based on individual needs, allowing every patient to recover safely and effectively.

Why Is Physical Therapy Important After Hip Replacement Surgery

Physical therapy is essential after hip replacement surgery to:

  • Increase Mobility: Exercises improve joint flexibility and help restore a fuller range of motion.
  • Build Strength: Strengthening muscles around the hip reduces strain on the new joint.
  • Reduce Pain: Techniques like stretching and guided movement minimize post-surgery discomfort.
  • Prevent Complications: Therapy reduces the risk of blood clots, stiffness, and scar tissue buildup.

Recovery through physical therapy ensures you can enjoy a pain-free and active lifestyle with your new hip joint.

When Should I Start Physical Therapy After Hip Replacement Surgery

Physical therapy typically begins the day after your surgery. During your hospital stay, your healthcare team will introduce light exercises to help you move safely.

Regular physical therapy sessions are often recommended for several weeks to months after discharge, depending on your recovery progress.

What Happens During Physical Therapy After Hip Replacement Surgery

Your physical therapy will progress in stages as you heal. Here is an overview.

Stage 1: Immediately After Surgery (Days 1–7)

Your therapy starts the day after surgery. A physical therapist will guide you through simple movements to prevent complications like blood clots and to ease stiffness. Common exercises include:

  • Ankle pumps to improve circulation.
  • Assisted leg lifts to engage the thigh muscles.
  • Seated knee bends to begin improving mobility.

Using a walker or crutches, you will also start practicing walking short distances.

Stage 2: Early Recovery (Weeks 2–6)

During this time, your focus will shift to rebuilding strength and range of motion. Therapy may include:

  • Bridge exercises to strengthen the glutes.
  • Side-lying leg lifts to build hip abductors.
  • Standing heel raises to improve leg stability.

You will also practice functional activities such as climbing stairs or sitting in and getting out of chairs.

Stage 3: Advanced Recovery (Weeks 7–12)

By this stage, you will work on regaining full functionality. Exercises will become more challenging, focusing on balance and endurance. These could include:

  • Step-ups on a low stool.
  • Resistance band exercises for the legs.
  • Gentle stretches to improve flexibility.

Your physical therapist may also teach you proper posture and movements to protect your new hip joint during daily activities.

Do I Need to Continue Therapy at Home

Yes, continuing physical therapy at home is a critical part of the recovery process. Your therapist will provide specific exercises for you to follow daily.

Using tools like resistance bands or small weights may also help strengthen your muscles further. Keep a routine and follow your therapist’s guidance to accelerate your recovery.

How Long Does Recovery Take With Physical Therapy

The recovery period varies depending on the patient and the extent of the surgery. Generally, most patients achieve significant improvements within 6 to 12 weeks of regular physical therapy.

Full recovery and return to everyday activities may take several months.

Factors that can impact recovery time include:

  • Age and overall health.
  • The severity of pre-surgery hip damage.
  • Adherence to therapy exercises and post-surgery guidelines.

Your physical therapist and orthopedic surgeon can provide a tailored timeline for your recovery.

Will Physical Therapy Hurt

It is normal to feel some discomfort or stiffness during physical therapy after hip replacement surgery, especially in the early stages. However, therapy should not cause severe pain.

Your therapist will adjust intensity levels to ensure exercises remain manageable while helping you progress. Always communicate with your therapist if something feels too painful.

Physical Therapy for Hip Replacement in Northeast Tennessee and Southwest Virginia

Proper therapy is crucial for a successful recovery after a hip replacement. If you are searching for expert guidance, Watauga Orthopaedics’ physical therapy team is here to help.

With compassionate, personalized care, we ensure that every step of your healing process is tailored to your needs. Whether you are just starting your treatment or need continuing therapy, our specialists focus on providing the highest quality care to help you regain your mobility.

Schedule a consultation with one of our skilled physical therapists at any of our three locations to begin your recovery today. Contact us at (423) 282-9011 or use our appointment request portal. We look forward to serving you!

Filed Under: General Tagged With: hip replacement surgery, Orthopedic Surgeon, physical therapy, physical therapy for hip replacement, Physical Therapy for Hip Replacement in Northeast Tennessee and Southwest Virginia

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JOHNSON CITY ORTHOPAEDICS OFFICE
2410 Susannah Street | Johnson City, TN 37601
Physical Therapy Office: 2412 Susannah Street | Johnson City, TN 37601
Phone: (423) 282-9011
Fax: (423) 282-0035
Appointments: M-F: 8 am – 5 pm
Walk-In Clinic:
M-F, 8 am – 8 pm
Sat: 8 am – 5 pm | Sun: 1 pm – 5 pm
After Hours Virtual Care Available Through the HURT! App 24/7/365

KINGSPORT ORTHOPAEDICS OFFICE
875 Larry Neil Way | Kingsport, TN 37660
Phone: (423) 282-9011
Fax: (423) 282-0035
Appointments: M-F, 8 am – 5 pm
Walk-In Clinic: M-F, 8 am – 8 pm
After Hours Virtual Care Available Through the HURT! App 24/7/365

BRISTOL ORTHOPAEDICS OFFICE 
340 Steeles Road | Bristol, TN 37620
Phone: (423) 282-9011
Fax: (423) 282-0035
Appointments: M-F, 8 am – 5 pm
Walk-In Clinic: M-F, 8 am – 8 pm
After Hours Virtual Care Available Through the HURT! App 24/7/365

GREENEVILLE OFFICE
1132 Erwin Hwy, Greeneville, TN 37745
Phone: (423) 282-9011
Fax:(423) 282-0035
Walk-In Clinic: M-F, 8 am – 5 pm
After Hours Virtual Care Available Through the HURT! App 24/7/365

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At Watauga Orthopaedics, our board-certified orthopedic surgeons are experts in treating injuries and conditions of the Spine/Neck/Back, Foot & Ankle, Hand & Wrist, Hip & Knee, Joint Replacement, Pediatric Orthopaedics, Shoulder & Elbow, Sports Medicine, Trauma & Fractures, and Work-Related Injuries. We offer multiple treatments and services in Johnson City, Kingsport, and Bristol, TN.