Recovery after a major procedure like hip replacement involves several key steps. From preparation to the healing journey, there’s a lot to consider, including potential challenges and whether a caregiver will be needed. Success depends on proper coordination among your healthcare team, yourself, and your loved ones. Dr Gaurav Gupta, a joint replacement surgeon in Jhansi with expertise in robotic joint replacements, answers some frequently asked questions and shares valuable advice on recovering from a hip replacement.
When can I go home after a hip replacement?
Dr Gupta explains that most patients are able to walk and return home within a few days after surgery. Contrary to popular belief, extended bed rest is usually unnecessary. In fact, movement of the new joint supports a quicker recovery. However, individuals with underlying conditions, like heart or lung issues that need monitoring, or those who undergo complicated surgeries or lack at-home support, may need a longer stay.
Will I need to use a walker at first?
Whether you’ll need a walker initially depends on the assessment by your healthcare team, including your surgeon, physiotherapist, and primary care provider. If walking unassisted feels unstable, you may be advised to use a walker or cane temporarily, but these aids aren’t always required for everyone.
When will my hip incision heal?
Surgical incisions in modern hip replacements are generally small, according to Dr Gupta. These are covered with dressings and typically heal within six weeks. To prevent infection, it’s recommended to delay bathing until the wound has healed, usually about two weeks after surgery.
How soon does rehabilitation start after the hip surgery?
Rehabilitation begins even before the operation with pre-surgery physical therapy. Right after the procedure, patients resume working with a therapist to reinforce exercises. Once at home, therapy continues with more targeted routines. Initial goals include mastering everyday movements, such as getting out of bed or a chair, then progressing to more demanding actions like climbing stairs or entering and exiting vehicles. Muscle strength is key to achieving these goals, making resistance exercises for the hip and knee muscles a core part of the rehab process.
Hip and Knee Replacement at Jhansi Orthopaedic Hospital
At Jhansi Orthopaedic Hospital, the Hip and Knee Replacement program offers a dedicated team of orthopaedic specialists skilled in joint procedures. The staff guides patients through every stage—from pre-surgical education to post-op care and physical therapy—with a focus on helping individuals return to their preferred activity level as quickly as possible.
What is considered a “normal” amount of pain after a hip replacement surgery?
It’s normal to experience some pain and swelling after surgery. Dr Gupta recommends resting between therapy sessions, applying ice to the leg and incision area, and, under medical guidance, using anti-inflammatory medications to ease symptoms. Elevating the leg above heart level while lying down can also help with swelling. However, if your pain consistently rates at 6 or above on a 1-to-10 scale, inform your doctor. Persistent or severe pain could indicate infection or another complication. With continued therapy, pain should decrease to a level of 1 or 2 by the twelfth week.
How long does it take to recover after a hip replacement?
Recovery time varies, but Dr Gupta notes that most people recover within two to four weeks. Factors such as your age, level of activity before surgery, overall health, nutrition, and existing medical conditions influence your individual timeline. He emphasizes the value of “prerehabilitation”—getting in shape before the operation to improve recovery outcomes.
How soon can I return to regular activities after a hip replacement?
The timeline for resuming everyday activities depends on their physical demands. When it comes to driving, patients who had their right hip replaced may need to wait up to a month, while those with a left hip replacement might be able to drive within one to two weeks. Starting with a quiet parking lot and gradually moving to more active roads is recommended. Also, be cautious if taking medications like opioids, which can impair coordination.
Returning to work depends on your job’s physical demands. Desk workers may resume duties in about two weeks, but jobs involving physical labor or heavy lifting might require a six-week break. Getting back into sports should also be postponed for about six weeks. Swimming or any pool activity should be avoided until the incision is fully healed, which also takes around six weeks. As for sexual activity, it can be resumed whenever the patient feels physically ready and comfortable.
What could slow down my recovery?
Recovery could be slowed by complications like infection, fractures, or dislocations. Dr Gupta warns that symptoms such as fever, wound drainage, difficulty in hip movement, or unmanageable pain should prompt an immediate call to your doctor. Avoiding sudden or jerky movements, and progressing through rehab at a comfortable pace, can help prevent complications.
How long will my hip replacement implant last?
Modern hip implants, now made from metal, plastic, and ceramic components, are more durable than their older, all-metal counterparts. These advanced prosthetics are built to last anywhere from 20 to 30 years, and the chances of failure or needing revision surgery are low.
How long after replacing one hip should I wait to replace the other?
For those suffering from severe arthritis in both hips, Dr Gupta explains that a double hip replacement—where both joints are replaced at once—may be a suitable option. In some cases, this can actually lead to faster recovery. However, patients must be prepared for the increased physical effort required to strengthen both legs simultaneously and might need more home support in the early days of recovery. If choosing to replace each hip separately, it’s advisable to wait at least six weeks between surgeries to reduce the risk of blood clots.
Visit us on www.docgauravgupta.com, www.joh.co.in
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