Total Hip Replacement Post Surgery Physiotherapy
The hip joint is a ball and socket synovial joint made up of the articulation between the pelvic acetabulum and the head of the femur. Wear and tear, fractures and dislocation can cause damage to the joint, and this would require corrective treatments.
Total hip replacement is a surgical procedure during which the surgeon removes a damaged section of the hip joint and replaces it with an artificial implant that functions similarly to a normal hip. The implants are made of metal (stainless steel or titanium), or hard plastics. The surgery is safe, and effective in relieving pain and improving function. Total hip replacement is usually an option for people suffering from severe hip pain that interferes in daily activities, which other non-surgical treatment options do not adequately address.
Following surgery, patients are also required to undergo physiotherapy to improve the function and mobility of their joints.
What Does Total Hip Replacement Address?
Total hip replacement is a common procedure performed in patients with the following conditions:
Osteoarthritis is a degenerative condition that occurs during the ageing process after years of wear and tear. The protective cartilage that covers the ends of bones and joints gets worn out eventually, causing severe hip pain and stiffness.
This is a secondary osteoarthritis condition as a result of an injury or direct trauma. The underlying cartilage and bone become damaged due to improper healing, causing persistent pain and affecting daily activities such as putting on a pair of pants or climbing up and down a flight of stairs.
Following a fracture or dislocation of the hip joint, the blood supply to the femoral head may be interrupted or reduced. The lack of blood supply may cause the surface of the femoral head to be brittle and weak, making it difficult to support the hip joint. This condition is also known as osteonecrosis.
Total Hip Replacement Physiotherapy Management
Physiotherapy after total hip replacement surgery is essential and mandatory. This is because the hip joint is prone to dislocation as a result of the trauma on the hip stabilisers (capsule, ligaments and muscles) and the size of the implant. Hip exercises are necessary immediately post surgery to regain the use of your muscles around the hip joint. Post operative physiotherapy aims to address the functional needs of the patient (e.g. start moving), and improve strength and range of motion.
Speak to our Singapore best physiotherapists for a suitable treatment programme after your total hip replacement surgery. Call us at +65 6904 4900 or drop an email at enquiries@rapidphysiocare.com.
Frequently Asked Questions
What physiotherapy is needed after a hip replacement?
After hip replacement, physiotherapy focuses on helping you move safely, reduce pain, and regain strength. In the early days, therapy includes simple exercises like ankle pumps, leg slides, and walking with support. As you heal, therapy progresses to more active movements that strengthen your hip muscles and improve balance.
A structured physiotherapy plan is essential for a smooth recovery. At Rapid Physiocare, we tailor each rehab plan to your condition and pace whether you’re just out of surgery or weeks into recovery.
How to speed up recovery from hip replacement?
To recover faster:
- Follow your physiotherapy exercises as per instructed
- Use walking aids properly (walker, crutches, or cane)
- Avoid movements that could stress your new joint (like crossing legs or bending too far)
- Stay active, but don’t overdo it
Recovery isn’t about speed, it’s about healing safely. With the right physio plan, your body gets stronger day by day, and your mobility returns in a steady, confident way.
How long does physiotherapy last after hip replacement?
Most patients begin physiotherapy within 1 to 3 days after surgery or sometimes even on the same day, depending on your surgeon’s plan.
The overall duration of therapy depends on your progress, but many patients continue physiotherapy for 6 to 12 weeks. Some may benefit from longer support if mobility or strength takes more time to return.
At Rapid Physiocare, we monitor your progress closely and adjust the plan to match your goals.
What are the most effective physical therapy exercises after a hip replacement?
The best physiotherapy includes:
- Mobility training: Learning how to walk safely
- Strength exercises: Most importantly for hip, thigh, and core muscles
- Balance work: Minimise fall risk
- Education: Knowing what movements to avoid
Manual therapy (gentle hands-on techniques) can also help reduce stiffness. What’s “best” truly depends on you so we build your recovery plan based on how your body responds and what your daily life requires.
Is walking good therapy after hip replacement?
Yes — walking is one of the most important parts of your recovery. It helps keep your joint flexible, strengthens muscles, and improves blood flow.
In the beginning, you’ll walk short distances with a walking aid. As strength returns, we’ll guide you to walk more independently and with proper posture.
Consistency is key. Walking regularly, safely, and correctly is key to regaining your independence.
How much physiotherapy is needed after hip replacement?
On average, most people need 2 to 3 physiotherapy sessions per week in the first month, along with home exercises. After that, the frequency may reduce based on your recovery.
Some patients recover quickly; others need longer care and that’s completely normal. The right amount of therapy is not just about the number of sessions, it’s about progress and confidence in your movement.
When can I start sleeping on my side after hip replacement?
Most people can start sleeping on their side around 4 to 6 weeks after hip replacement, but it depends on how well your body is healing and the type of surgery you had. Consult your physiotherapist before making any changes.
If you do sleep on your side:
- Lie on yournon-operated side
- Place a pillow between your knees to help keep your hips aligned.
- Avoid crossing your legs or twisting your hip
In the early weeks, side sleeping can put pressure on the joint or risk dislocation if not done properly. If you’re uncertain, it’s best to lie on your back with a small pillow under your knees until your therapist advises otherwise.
