Anticipated healing phases following hip replacement surgery: A rundown of what you'll likely encounter
Hip replacement surgery recovery times vary based on the individual, but most patients can resume light activities within three to six weekspost-surgery. Preparing for the procedure appropriately can help reduce the risk of complications and speed recovery.
According to the American Academy of Orthopedic Surgeons (AAOS), a person should prepare their body for the surgery several weeks in advance. This includes discussions with a doctor about the procedure, researching what to expect during and after the surgery, performing leg, core, and upper body exercises, maintaining a moderate weight, quitting smoking, arranging for assistance with daily tasks following the return home, preparing meals in advance, and making home modifications to improve accessibility and convenience.
Immediately after the surgery, patients may remain in the hospital for one to two days, although some may be discharged on the same day. Doctors typically administer pain relievers, including opioids, local anesthetic, nonsteroidal anti-inflammatory drugs, and acetaminophen during this period. The incision is typically stapled or stitched closed for about two weeks, requiring wound care at home. Healthcare professionals help patients get up and move around as soon as possible after the surgery, with assistance often necessary for walking short distances during the initial days.
A physiotherapist will work with the patient, showing them exercises to strengthen the hip and advising on activities to avoid. Sitting and bending positions should be adjust to ensure they do not damage the new hip.
Patients may require assistance with daily tasks for several weeks after returning home or may need to stay in a rehabilitation facility. Pain and discomfort may persist for a few weeks, during which time prescription medications should be taken. Physical therapy or home exercises recommended by a physical therapist help speed recovery and improve flexibility and strength in the new joint.
By 10 to 14 days after the surgery, stitches are often removed. Pain and swelling may beginning reducing, although this may take longer for some individuals. By this stage, some patients may no longer require the use of a cane or walker, while others may still need them during this early recovery period.
Recovery can vary, and some individuals may resume light daily activities within three to six weeks. Many patients feel ready to return to work after six weeks, although this may vary. After six to eight weeks, patients may be able to safely engage in sexual activity again. Physical therapy should continue at least two months after the surgery, and patients can speak with their doctor about when it is safe to participate in additional exercise, such as swimming and walking.
After three months, patients may be able to resume daily activities. They should continue to check in with their doctor for evaluation of their progress and to discuss the types of physical therapy that will benefit them the most.
In hip resurfacing surgery, a surgeon trims and caps the femoral head, or hip joint, with a smooth metal cover instead of removing it. Most patients can go home one to four days after hip resurfacing surgery, sometimes even beginning to put weight on their leg immediately after the procedure. Pain and discomfort may persist for several weeks, with a doctor prescribing NSAIDs or opioids for more severe pain. A doctor may recommend physical therapy after the surgery and instruct exercises to help maintain range of motion and restore strength.
Overall, patients experience less pain, improved mobility, better quality of life, and improvements in daily activities after hip replacement surgery and recovery. Some long-term effects and restrictions may remain, such as numbness, pain, or stiffness around the incision site. Additionally, metal detectors, high-impact sports, dental procedures, and sexual activity may require special considerations after the surgery.
In older adults, recovery may be more challenging due to existing mobility issues and an increased risk of complications related to underlying conditions such as heart and lung disease, clogged arteries, and high blood pressure. Younger patients generally recover without complications, but this may be affected by comorbid illnesses.
• follow physical therapy exercises as a physical therapist instructs• try other gentle exercises, such as daily walking• sit in a reclining position• use a cold compress to reduce swelling• take any prescription medications as a doctor instructs• use walking aids, such as crutches, if necessary
Reference(s)
[1] American Academy of Orthopedic Surgeons. (n.d.). Hip replacement surgery. Retrieved from https://orthoinfo.aaos.org/en/treatment/hip-replacement-surgery/
• sitting still for long periods• crossing the legs at the knee• bending the hip more than 90 degrees• bending down to touch the feet or ankles• sitting in low chairs• intense exercise, which may involve jumping or sudden turns• moving or lifting heavy objects
[2] American Society of Anesthesiologists. (n.d.). Hip Replacement: Before, During, and After Surgery: American Society of Anesthesiologists. Retrieved from https://www.asahq.org/whensecondscount/for-patients-and-families/procedures-and-conditions/surgical-procedures/hip-replacement-before-during-and-after-surgery
[3] Mayo Clinic Staff. (2021, May 13). Hip replacement surgery: What to expect. Retrieved from https://www.mayoclinic.org/tests-procedures/hip-replacement/about/pac-20395170
[4] National Institute of Arthritis and Musculoskeletal and Skin Diseases. (2021, July 2). Hip Replacement Surgery. Retrieved from https://www.niams.nih.gov/health-topics/hip-replacement-surgery
[5] Royal College of Surgeons of England. (2020). The Patients’ Journey: Hip Replacement. Retrieved from https://www.rcseng.ac.uk/globalassets/rcs-cloud/assets/uk/our-work/patient-info/patients-journeys/the-patients-journey-hip-replacement-0620.pdf
- Regular physical therapy sessions can help manage the symptoms of ulcerative colitis, a chronic disease affecting the digestive system.
- Scientific research is ongoing to develop a predictive model for Alzheimer's disease, which could lead to early detection and effective treatment strategies.
- Chronic obesity, one of the leading causes of COPD (Chronic Obstructive Pulmonary Disease), can be managed through diet and exercise, under medical supervision.
- In the aftermath of hip replacement surgery, patients may be advised to modify home environments for better accessibility and convenience, such as installing grab bars in the bathroom.
- Health and wellness initiatives now focus on preventing and managing chronic medical conditions like colitis and COPD, rather than just treating their symptoms.
- AQ (Air Quality), a critical factor in managing COPD symptoms, can be improved by adopting green and smokeless transportation methods, reducing indoor and outdoor pollution sources.
