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Physical therapy for total hip replacement

It's important to note that the best exercises after a total hip replacement can vary depending on factors such as the individual's overall health, the specific surgical approach used, any complications during surgery, and the guidance of their healthcare team, including the physiotherapist. However, there are some common exercises often recommended for rehabilitation after a total hip replacement:

1. Ankle Toe Movement:



Gradual walking is typically encouraged as soon as possible after surgery. 

Start with short distances and gradually increase as tolerated. 

Walking helps improve circulation, strength, and mobility.

1. Walking: 

  • Gradual walking is typically encouraged as soon as possible after surgery. 
  • Start with short distances and gradually increase as tolerated. 
  • Walking helps improve circulation, strength, and mobility.


2. Quadriceps Sets: 

  • These involve tightening the thigh muscles while sitting or lying down. 
  • Hold the contraction for a few seconds and then relax. 
  • This exercise helps maintain strength in the quadriceps muscles.


3. Straight Leg Raises: 

  • While lying on your back, tighten your thigh muscles and lift one leg off the bed or floor. 
  • Keep the knee straight and hold for a few seconds before lowering it back down. 
  • This exercise helps strengthen the hip flexor and thigh muscles.


4. Hip Abduction: 

  • Lie down on your back.
  •  Keeping your knee straight and your toes pointing forward, slowly move your leg away from your body.
  •  Hold for a 10 seconds, then return to the starting position.
  •  Repeat for a set number of repetitions as advised by your physiotherapist.


5. Hip Extension Exercises: 

  • While standing and holding onto a stable surface for support, slowly move your operated leg backward, keeping it straight. 
  • Hold for a few seconds and then return to the starting position. 
  • This exercise helps strengthen the muscles on the back of the hip.


6. Heel Slides: 

  • While lying on your back, slowly slide your heel towards your buttocks, bending your knee. 
  • Hold for a few seconds and then straighten your leg back out. 
  • This exercise helps improve hip flexion and knee mobility.


7. Seated Leg Press: 

  • Using a resistance band or a leg press machine, sit with your back supported and press your operated leg forward against the resistance. 
  • This exercise helps improve strength in the hip and thigh muscles.


This exercise helps strengthen the muscles around your hip, particularly the abductors, which can help improve stability and mobility. However, it's essential to remember that your physiotherapist will provide you with a personalized exercise plan based on your specific needs and progress, so always consult them before starting any new exercises, especially after a surgical procedure like a hip replacement. Additionally, they'll also guide you on when to progress to more advanced exercises as you recover.

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