Take-home guide · week-by-week

Hip Replacement: Week-by-Week Guide

A printable week-by-week guide to hip replacement recovery — hospital day, the first weeks, strength milestones and when to return to activity.

At a Glance

  • You will walk on the new hip within a day — early movement is the goal
  • Expect swelling for weeks and mild swelling for months; elevate and ice
  • Follow your surgeon's movement and position restrictions exactly
  • Strength and stamina take months — this is a marathon, not a sprint

The First Weeks

Day 0–1 (hospital):

  • Sit up and stand with support
  • Walk short distances with a walker
  • Begin breathing and ankle exercises

Week 1–2:

  • Walk with a walker several times a day
  • Sleep with a pillow between your knees
  • Follow wound care and any position restrictions

Week 2–6:

  • Progress from walker to cane as strength improves
  • Do your physiotherapy exercises daily
  • Expect swelling that comes and goes

Months 2–6

  • Walk without aids when cleared; drive when your surgeon allows
  • Build strength with clamshells, hip hinges and glute bridges
  • Return to desk work and low-impact activity (walking, cycling, swimming)
  • Report any sudden pain, wound redness, fever or severe calf swelling

Do This

  • Move early and often within your restrictions
  • Keep pain controlled so you can move
  • Elevate and ice for swelling
  • Follow the hip loading principles

Avoid This

  • Twisting the hip or crossing the legs if restricted
  • Lying still for long periods
  • Pushing through sharp pain or ignoring new symptoms
  • Returning to heavy work or sport without clearance

When to See Someone

Contact your care team urgently for fever, a red or leaking wound, severe calf pain or swelling, sudden shortness of breath, or a hip that looks out of place.

References

  1. AAOS OrthoInfo. "Activities After Total Hip Replacement." https://orthoinfo.aaos.org/en/recovery/activities-after-hip-replacement/
  2. AAOS OrthoInfo. "Total Joint Replacement." https://www.orthoinfo.org/treatment/total-joint-replacement/

This information is for education only and is not a medical diagnosis. InjuryAtlas does not replace an assessment by a qualified health professional. Always follow your surgeon's specific protocol after surgery.
Recovery guidance needs context.

These resources provide general education, not a diagnosis or personalised treatment plan. A recent major injury, deformity, substantial weakness, worsening neurological symptoms or inability to use the affected area should be assessed.