After hip replacement most patients stand and walk with a frame or crutches within a day, return to desk work around six weeks, drive after at least six weeks, and resume most usual activities by around twelve weeks, while following hip precautions in the early period. Dr. Rai confirms each of these timings for your hip at your reviews.
From day 1Walking with a frame or crutchesYou stand and walk on the day of surgery or the next morning with a physiotherapist present. The walking aid is reduced from frame to crutches to a single stick over the following weeks as your balance and abductor strength improve. Most patients walk without a stick somewhere between six and twelve weeks.
From day 1Getting in and out of bed and a chairYou are taught to lead with the operated leg getting into bed and out of a chair, and to use a high firm chair with armrests rather than a low soft one. Practise this on the ward before discharge. Most early difficulty at home comes from furniture that is too low, not from the hip itself.
Week 1 to 2Stairs, washing and wound careThe rule for stairs is good leg up, operated leg down, holding the rail. Keep the wound dry until stitches or clips come out around ten days. Report fever, spreading redness or discharge, and report calf pain, swelling or sudden breathlessness immediately, as these can indicate a clot.
Around 6 weeksDesk work and light household tasksMost desk-based workers return around six weeks, often with shorter days at first and a chair high enough to keep the hip above ninety degrees. Light household tasks resume earlier, but anything requiring you to reach low cupboards, bend into a washing machine or carry weight is introduced more gradually.
Around 6 weeksDrivingDriving is usually allowed after at least six weeks, once you are off strong painkillers and can perform an emergency stop without hesitation. Getting into the car matters as much as driving it: sit down first with the leg extended, then swing both legs in together, keeping the knees apart rather than crossing them.
Around 12 weeksSwimming, cycling and most usual activitiesSwimming and stationary cycling are encouraged from around twelve weeks and suit a replaced hip particularly well, because they build strength and endurance without impact. Walking for exercise, travel and most ordinary activity return in the same period, and the hip keeps improving in comfort for several months more.
First 6–12 weeksBending past 90 degrees, crossing the legs, turning the foot inThese three positions are what take a new hip towards dislocating while the soft tissues around it are still healing. A raised toilet seat, a high chair and a pillow between the knees in bed are what make them easy to avoid. How long your precautions apply depends on the surgical approach used, so follow the period you were given.
Long termDeep squatting, sitting cross-legged and floor sittingThese positions are generally avoided for the life of the implant rather than only in the early weeks, because they take the hip into its least stable range. This matters a great deal in Indian homes, and it is worth planning bathroom and seating arrangements before surgery rather than discovering the problem afterwards.
Long termRunning, jumping and contact sportHigh-impact activity accelerates wear of the bearing surface and shortens the working life of the implant. Swimming, cycling, walking and golf are encouraged instead. If your work or sport genuinely requires impact, raise it before surgery so the implant and bearing can be chosen with that in mind.