Introduction

Undergoing a total hip replacement is a significant step, and the path to recovery can sometimes feel daunting. Knowing what to expect each week can provide reassurance and help you feel more confident as you heal. This straightforward, research-based guide explains what recovery looks like for patients in the UK, highlighting key milestones—from managing pain and regaining mobility to returning to everyday activities. Whether you’re preparing for surgery or already in recovery, this guide is here to support you each step of the way.

What Is Total Hip Replacement and Why Does Recovery Matter?

A total hip replacement involves removing a damaged hip joint and replacing it with an artificial one to reduce pain and restore movement. While the surgery is a major procedure, understanding the stages of recovery is just as crucial. Being informed helps you set achievable goals, stay motivated, and take an active role in your rehabilitation. Studies show that sticking to a clear recovery plan can help you bounce back faster and improve your results. Modern surgical techniques, better pain management , and structured recovery programmes continue to improve outcomes for patients. Knowing what to expect can ease anxiety and empower you to move forward with confidence.

Week 1: Laying the Groundwork for Recovery

The first week after surgery is about setting the stage for healing. Managing pain is your top priority, usually with medication and regular check-ins with your medical team. You’ll likely feel sore and tired at first, but early movement is vital. With support, you’ll start taking a few steps or standing, which boosts blood flow and helps prevent complications like stiffness or blood clots . It’s normal to feel limited in what you can do—don’t be discouraged. Each small step counts towards your recovery, and knowing what’s typical this week can make the process feel less overwhelming.

Weeks 2 to 4: Building Strength and Confidence

Between weeks two and four, you’ll probably notice pain decreasing and your ability to move improving. This stage focuses on gradually building strength through simple exercises and regular physiotherapy sessions, with special attention to the muscles around your hip. You might still feel some aches or twinges—these are a normal part of healing. Listen to your body and avoid pushing yourself too hard. Education before surgery, effective pain management , and steady rehabilitation all contribute to better recovery. Research supports keeping a moderate level of activity during this time, which helps restore mobility safely and efficiently.

Weeks 5 to 6: Regaining Independence

By weeks five and six, most people find their confidence growing as they regain strength and independence. You may be able to return to more everyday activities, such as driving or going back to work part-time—just make sure to get your doctor’s approval first. Pain should have eased significantly, and you’ll likely notice improvements in balance and movement . Physiotherapy at this stage may become more challenging, focusing on restoring full mobility. In the UK, recovery plans encourage gradually increasing your activity while following professional advice to stay on track. Notably, most people are ready to drive again by around eight weeks, though some—particularly after right hip replacement —may need more time for reaction speeds to recover. Following the guidance of your healthcare team greatly improves your chances of a smooth recovery and reduces the risk of setbacks.

Beyond Week 6: Long-Term Care and Living Well

After the six-week mark, the focus shifts to maintaining your progress and making lifestyle adjustments to protect your new hip. Keep up with your physiotherapy exercises at home to maintain joint flexibility and muscle strength. Lifelong precautions, such as avoiding high-impact sports or certain twisting movements , will help keep your new hip functioning well for years to come. Regular follow-ups with your medical team will monitor your health and catch any issues early. Staying committed to your ongoing care lets you enjoy the full benefits of surgery and continue living an active, fulfilling life. Remember, while many people feel much better by eight weeks, full recovery can take months for some.

Conclusion: Owning Your Recovery Journey

Recovering from a total hip replacement is a step-by-step process that requires patience, dedication, and support. Everyone’s progress will look a little different, but following a week-by-week plan can guide your expectations and help you celebrate your achievements along the way. Keep in touch with your healthcare team, set realistic goals, and focus on the positive changes you’re making. With time and commitment, most people experience lasting pain relief , better movement, and a return to the activities they enjoy. Your recovery is a journey—and with the right care, you can look forward to a more active, confident future.

References

Ibrahim, M. S., Twaij, H., Giebaly, D. E., Nizam, I., & Haddad, F. S. (2013). Enhanced recovery in total hip replacement. The Bone & Joint Journal, 95-B(12), 1587-1594. https://doi.org/10.1302/0301-620x.95b12.31303
Klapwijk, L. C. M., Mathijssen, N. M. C., van Egmond, J. C., Verbeek, B. M., & Vehmeijer, S. B. W. (2017). The first 6 weeks of recovery after primary total hip arthroplasty with fast track. Acta Orthopaedica, 89(1), 140-140. https://doi.org/10.1080/17453674.2017.1375340
MacDonald, W. C., & Owen, J. W. (1988). The effect of total hip replacement on driving reactions. Journal of Bone and Joint Surgery - British Volume, 70-B(2), 202-205.