Try to sit in a straight back chair (avoid low sofas, recliners, or zero-gravity chairs) for the first 6 weeks.
Avoid soft chairs, rocking chairs, stools, or sofas. Avoid chairs that are too low. Your hips should be higher than your knees when you are sitting. Sit on a pillow or cushion if you have to.
After anterior hip replacement the joint is very stable and you can expect to have very little discomfort and be able to return to sedentary jobs very quickly. We commonly have patients who are sitting up a desk in the hospital, dresses normally, seated in a normal chair and able to do office work day 1 after surgery.
Recliners and sofas are not recommended after your knee or hip replacement because they are not supportive, difficult to get out of and can limit range of motion. Straight back chairs with arm rests are suggested for safety.
It's important to follow these sleeping precautions for 6 to 12 weeks after surgery, depending on your health and personal recovery. The best sleeping position for your hip is to lie on your back with a pillow between your legs.
Patients who have superPATH, direct superior, or anterior hip replacement approach in an Ambulatory Surgery Center begin walking an hour after surgery; they no longer require a walker after 1-5 days; and it usually takes them 2-4 weeks to build up to walking a mile in 20 – 30 minutes.
The second complication we try to avoid is loosening of the implants. This can happen when patients do too much walking and stress the implants prior to the ingrowth process. Generally, I advise patients to walk only a few hundred yards a day total until they get to around six weeks.
Instructions after first postop visit (6-8 weeks after surgery): You should now be comfortable in walking with a cane or nothing at all, placing full weight on the operated leg. At this point, if you haven't already done so, you may wean to using 1 crutch or cane in the opposite hand/arm.
After a hip replacement, many patients can kneel down after completing the precautionary period of three months. The safe way to do this is to perform a single-legged kneel whereby the patient kneels on the knee of the operated side only. This means that the other hip has to bend whilst the operated hip stays extended.
It can take upto 6-8 weeks for the tissues to heal and hence the prolonged hip precautions before being able to tie shoe laces, bend down and pick up things, crossing the legs, sleeping on the side or even driving.
Many people experience hip pain while sitting. A variety of factors, including poor posture, improper seating, sitting for prolonged periods, or sitting in a way that puts pressure on the hips, may cause hip pain. Potential medical causes include autoimmune conditions and pinched nerves.
3-4 weeks post-op
Continue with the above exercises and continue to increase the distance that you walk outside, some patients by this time may be comfortable walking as much as a mile a day.
Activity. It is important to gradually increase your out-of-home activity during the first few weeks after surgery. If you do too much activity, your hip may become more swollen and painful.
“On average, hip replacement recovery can take around two to four weeks, but everyone is different,” says Thakkar. It depends on a few factors, including how active you were before your surgery, your age, nutrition, preexisting conditions, and other health and lifestyle factors.
It's best to avoid sleeping on your affected side for at least six weeks. After your doctor gives you the go-ahead, listen to your body, and only lie on your operative side when you feel comfortable.
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.
It is common for patients to be tired following a total hip replacement, which is due in part to anesthesia, blood loss, pain, and the necessity of prescription pain medications. This fatigue will slowly resolve over the course of the first 6 weeks following surgery.
Most people will fully recover from hip replacement surgery within a few months to a year, but recovery times vary for each patient. Expect about one to four days of bed rest immediately after surgery, but physical rehabilitation usually starts the same day as your procedure.
You can expect to experience some discomfort in the hip region itself, as well as groin pain and thigh pain. This is normal as your body adjusts to changes made to joints in that area. There can also be pain in the thigh and knee that is typically associated with a change in the length of your leg.