Introduction
Total hip replacement (THR) is a surgical procedure where a damaged hip joint is replaced with an artificial implant to relieve pain and restore mobility. It is commonly performed for arthritis, fractures, or hip degeneration. Physiotherapy plays a crucial role in ensuring a smooth and successful recovery after surgery.
This blog will discuss the importance of physiotherapy, key rehabilitation phases, and exercises that help regain strength and mobility after THR.
Importance of Physiotherapy After Total Hip Replacement
Physiotherapy is essential to:
✅ Improve joint mobility and flexibility
✅ Strengthen hip and leg muscles
✅ Reduce pain and swelling
✅ Prevent complications like stiffness and blood clots
✅ Restore balance and walking ability
✅ Ensure a safe return to daily activities
Rehabilitation Phases After Total Hip Replacement
1. Immediate Post-Operative Phase (0-3 Days After Surgery)
- Patients are encouraged to start moving within 24 hours after surgery.
- Deep breathing and circulation exercises prevent lung infections and blood clots.
- Ankle pumps and quadriceps contractions help improve blood circulation.
- Using a walker or crutches to start walking with assistance.
2. Early Recovery Phase (Week 1-4)
- Pain management techniques (ice therapy, gentle movement).
- Standing and weight-bearing exercises to strengthen the leg muscles.
- Hip abduction and ankle strengthening exercises.
- Learning how to sit, stand, and use stairs safely.
3. Intermediate Phase (Week 4-8)
- Gradual increase in activity levels.
- Resistance exercises using bands to strengthen the hip muscles.
- Gait training (walking practice) to improve balance.
- Core stability exercises to support hip movement.
4. Advanced Recovery Phase (Week 8-12 and Beyond)
- Return to normal daily activities with minimal restrictions.
- Balance and coordination training.
- Cycling, swimming, and low-impact activities to maintain fitness.
- Strength training to enhance hip stability and endurance.
Best Physiotherapy Exercises After Total Hip Replacement
✔ Ankle Pumps – Improves circulation and prevents swelling.
✔ Quadriceps Sets – Strengthens thigh muscles.
✔ Glute Squeezes – Activates hip stabilizers.
✔ Heel Slides – Enhances knee and hip mobility.
✔ Standing Hip Abduction – Strengthens side hip muscles.
✔ Seated Knee Extensions – Improves leg strength.
Precautions After Total Hip Replacement
❌ Avoid crossing legs to prevent hip dislocation.
❌ Do not bend the hip beyond 90 degrees in the early stages.
❌ Use a firm chair to maintain proper posture.
❌ Follow weight-bearing restrictions as advised by the surgeon.
❌ Use walking aids until you regain full strength and balance.
Conclusion
Physiotherapy after total hip replacement is essential for a smooth recovery, pain relief, and restoring mobility. Following a structured rehabilitation plan helps patients regain their independence and return to daily life safely.
If you or a loved one has undergone a hip replacement, consult a physiotherapist for a personalized rehabilitation program!
#TotalHipReplacement #Physiotherapy #HipSurgeryRecovery #Rehabilitation #HipReplacementExercises