Navigating Your First 10 Weeks After Surgery: A Step-by-Step, Medically-Backed Guide to Total Hip Replacement Recovery

Having a total hip replacement is a significant milestone on your journey toward less pain and greater mobility. But while the surgery marks an important beginning, your recovery and daily rehabilitation are what truly pave the way to long-term success. Research shows that patients who follow a structured, medically guided rehab plan tend to recover faster and regain more function.

This guide breaks down what to expect and what to focus on during your first ten weeks after surgery. Drawing on clinical studies and expert recommendations, we’ll walk you through each step—from managing early discomfort to building strength and confidence—so you can move forward with clarity and optimism.

Week 1: Getting Started – Managing Pain and Preventing Complications

The first week after surgery centers on controlling pain, reducing swelling, and avoiding complications. Expect some soreness and restricted movement as your body begins to heal.

Gentle movement is key—even simple exercises like ankle pumps and gentle leg lifts improve blood flow and reduce swelling. Your care team will show you how to position your leg for safety, such as avoiding bending your hip over 90 degrees or crossing your legs, which could strain your new joint.

It’s crucial to prevent blood clots at this stage. Your doctor may recommend blood-thinning medication, compression devices, or both. Don’t hesitate to discuss your blood clot prevention plan; staying proactive protects you as you heal.

By following these early precautions, you set the stage for a smooth and successful recovery.

Week 2: Taking Small Steps – Beginning to Move Safely

As you enter week two, the focus shifts to gently increasing your mobility. Most people begin walking short distances with a walker or crutches , giving muscles and joints a chance to re-engage without too much strain.

Simple exercises such as seated knee extensions and hip abductions become part of your daily routine. These movements activate muscles around your hip that are vital for stability. Clinical studies confirm that this gentle, regular activity supports healing and helps reduce swelling.

Oral anticoagulants may be prescribed for ongoing blood clot prevention, as they are easy to take and manage—especially if keeping up with treatment is a concern for you.

Keep an eye out for unusual pain, redness, or swelling. Report anything concerning to your care team right away.

Week 3: Building Strength – Regaining Control

With swelling decreasing, week three is the time to focus on rebuilding strength around your new hip. You might try standing hip flexions ( lifting your knee forward while standing) or introduce light resistance bands. These exercises improve muscle tone and balance—both critical for walking safely.

Gradually, you may start relying less on your walker or crutches. Remember, there’s no need to rush; pushing too hard can do more harm than good. High-impact activities—like running or jumping—should stay off-limits for now. Listen to your body. If you feel pain or fatigue, ease up and give yourself time to recover.

Ongoing strengthening in these early weeks not only boosts your mobility now but sets you up for meaningful improvements in the months ahead.

Week 4: Increasing Flexibility – Improving Range of Motion

By week four, your goal is to gently increase your hip’s range of motion. Controlled stretches such as heel slides (sliding your heel toward your body while lying down) and gentle hip rotations can make a big difference in flexibility.

Avoid any extreme positions that might put new strain on your healing joint . Regular stretching keeps stiffness at bay and prepares you for a return to daily activities. This is also a good time to start practicing safe ways to sit, stand, and move around your home.

Week 5: Gaining Independence – Building Endurance

Around week five, many people find themselves ready to take back more daily tasks. Low-impact activities like stationary biking or light aquatic therapy (gentle exercises in water) are excellent for building endurance without adding stress to your hip.

Water supports your body and makes movement easier and less painful. Studies show aquatic therapy helps improve cardiovascular health and muscle strength in a safe, supportive environment. Keep working on strengthening the muscles that support good posture and walking, but continue to avoid twisting or walking on uneven surfaces.

Most patients are able to perform most activities of daily living independently around this time. Still, be alert for any lingering discomfort or complications and continue to follow your doctor’s recommendations for blood thinners as directed.

Week 6: Moving with Purpose – Advancing Functional Mobility

This week, rehab zeroes in on practical movements needed for daily life. Exercises like step-ups, mini-squats, and balance drills will improve coordination and walking confidence.

Balance work is especially helpful at this stage—it lowers your risk of falling, which is a concern after hip surgery . As you gain strength, pain usually decreases, allowing you to move more freely. Always focus on maintaining good posture and steady, controlled movements.

These functional exercises help bridge the gap from basic healing to more active daily living.

Week 7: Back to Daily Life – Increasing Activity

In week seven, you’ll likely feel ready to try more household activities and take gentle walks outdoors. The key is to pace yourself—slowly increase your walking distance, and keep up with your strength and flexibility routine.

Remember, it’s normal to tire quickly and need extra rest. Avoid high-impact activities and heavy lifting for now. Regular check-ins with your physical therapist can help you tailor your rehabilitation to suit your ongoing progress.

Week 8: Getting Stronger – Preparing for More Activity

This week is about preparing your hip for greater challenges ahead. Resistance training with bands or light weights starts to build up the muscles supporting your joint, improving your ability to move and balance.

Be careful not to ramp up the intensity too quickly; slow progress is safer and more effective. Pay attention to your body—if you experience pain or swelling, dial back your activity and talk with your doctor. Many people notice a real boost in strength and feel readier for more regular daily routines.

Week 9: Conditioning Your Body – Enhancing Movement Efficiency

By week nine, the focus shifts to overall conditioning. Exercises like lunges, side-stepping, and core strengthening help with posture and more natural, efficient movement.

A balanced exercise program at this stage reduces the risk of overcompensating with other muscles, which can lead to imbalances or discomfort. Stay consistent with your exercises, but always monitor for new pain or stiffness and keep your care team in the loop.

Week 10: Looking Ahead – Transitioning to Long-Term Wellness

Week ten marks a transition from detailed rehab to maintaining your recovery long-term. Regular low-impact activities—walking, swimming, biking—are now great options to keep your hip healthy and your whole body strong.

Research shows that staying active is crucial for preventing stiffness and maintaining independence. Keep following movement safety tips and check with your doctor before taking up any new activities. By this point, you’re well on your way to reclaiming your mobility and quality of life.

Conclusion: One Step at a Time Toward a Stronger, Healthier You

Recovering from a total hip replacement is a gradual journey. Each week brings new targets and achievements, supported by proven rehab techniques and precautions.

Following a clear step-by-step plan helps your body heal—and builds confidence as you regain independence. Remember, everyone’s recovery looks a bit different, so stay connected with your healthcare providers for guidance tailored to your needs.

Be patient and give yourself credit for every bit of progress. If you want extra support, seek out recovery groups or work with rehabilitation specialists who can help you along the way.

These first ten weeks create a foundation for a strong, active future. Take your recovery one step at a time—with care, knowledge, and hope.

References

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

Knutsson, S., & Bergbom Engberg, I. (1999). An evaluation of patients’ quality of life before, 6 weeks and 6 months after total hip replacement surgery. Journal of Advanced Nursing, 30(6), 1349-1359. https://doi.org/10.1046/j.1365-2648.1999.01232.x

Mody, B. S., Wadhwa, M., Roy, R., & Echila, S. (2023). Current Evidence and Expert Opinion on Thromboprophylaxis After Total Knee and Hip Replacement. Cureus. https://doi.org/10.7759/cureus.51089