For many people, the thought of returning to running after a hip replacement is both exciting and daunting. Hip replacement surgery is a common and highly effective treatment that relieves pain and restores mobility, often lost due to arthritis or injury. For those eager to get back on their feet and resume running, it’s important to understand the challenges, safety considerations, and expert guidance around this high-impact activity. In this article, we’ll explore everything you need to know about running after a hip replacement, helping you make informed and safe choices on your recovery journey.

Understanding Hip Replacement Surgery and What to Expect

Hip replacement surgery involves removing the damaged parts of your hip joint and replacing them with artificial components, designed to reduce pain and improve movement. Recovery typically takes several months, and progression varies between individuals. Early on, the focus is on simple but crucial movements like walking unaided and climbing stairs. As healing continues, many regain the ability to perform daily tasks—such as using a toilet or putting on jeans—comfortably and independently.

While the recovery timeline varies, it’s important to be aware of possible complications—even though they are uncommon. For example, nerve injuries can occasionally occur during surgery. As noted in a review of cases, “nerve palsy following hip replacement can be a devastating complication… Revision surgery carries a higher risk than initial surgery.” Not only the sciatic nerve but also other nerves like the femoral and obturator nerves may be affected. If you notice unusual numbness, weakness, or persistent discomfort after surgery, it’s important to seek prompt medical advice.

Every patient’s experience is unique, influenced by factors like overall health and how closely they follow rehabilitation advice. Leading orthopaedic expert Professor Paul Lee and the team at MSK Doctors provide professional, personalised support, guiding patients carefully so they regain confidence and function at a safe pace.

Can You Run After Hip Replacement? Benefits and Risks

Deciding whether to run after a hip replacement is highly individual. Running does offer many benefits, such as boosting heart health, improving mood, and maintaining independence—all important for general wellbeing. However, it is a high-impact activity that places extra stress on your new hip joint, which needs careful consideration.

Scientific studies offer an encouraging but balanced perspective. One large study found that “running significantly reduced the risk of osteoarthritis and hip replacement, due in part to running’s association with lower body mass index (BMI).” Interestingly, the study also showed that “risk reductions did not significantly differ between runners and walkers” who reached similar activity levels, suggesting that overall activity and maintaining a healthy weight matter most.

Ultimately, whether running is advisable after your surgery depends on factors such as the type of implant used, your surgical outcome, fitness level, and personal health. Professor Paul Lee and the team at MSK Doctors stress the importance of a tailored approach—carefully weighing these elements to find what’s best and safest for you.

Preparing to Run: Rehabilitation and Precautions

Returning to running should always begin with a sensible and well-structured rehabilitation plan. Early stages focus on restoring your hip’s range of motion, strengthening the surrounding muscles, and improving balance through gentler activities like cycling, swimming, or guided physiotherapy exercises.

High-impact activities like running are generally delayed until your hip has healed sufficiently and your muscles are strong enough to cope with the demands. Healthcare professionals, including physiotherapists and orthopaedic surgeons, will assess your progress regularly. Key milestones include being able to sleep without pain, safely lift moderate weights, and turn in bed comfortably.

It’s important to listen to your body and avoid rushing. Professor Paul Lee and MSK Doctors provide expert monitoring to help you safely advance your activity, tailoring recommendations to your personal recovery journey.

Tips for Running Safely and Exercise Alternatives

Once you have the green light to start running again, there are steps you can take to protect your hip and minimise injury risks. Starting gently with light jogging rather than full-speed running is recommended. Choosing softer surfaces, like grass or running tracks instead of concrete, helps lessen the impact on your joint. Well-cushioned, supportive running shoes are also essential.

Balancing running with lower-impact exercises is equally important. Swimming, cycling, or using an elliptical machine can maintain your cardiovascular fitness while giving your hip a break. A relevant study found that “other (non-running) exercise actually increased the risk of osteoarthritis and hip replacement with greater intensity, independent of BMI,” emphasising that not all activities affect the hip equally.

Maintaining a healthy weight, pacing yourself, and regularly consulting your healthcare team are all vital parts of winning the long-term race to healthy, active hips. The expertise and caring environment at MSK Doctors help patients develop sensible, personalised exercise plans that align with their goals and medical needs.

Conclusion: Balance and Personalised Care Are Essential

Returning to running after a hip replacement is achievable for many, but it depends on a range of personal and medical factors. A careful, personalised approach—rooted in professional guidance—maximises safety and helps you enjoy activity confidently.

Professor Paul Lee and the MSK Doctors team provide trusted, expert support throughout your recovery, helping you make informed decisions about physical activity. Remember, no two patients are the same, and consulting your own healthcare providers remains the cornerstone of a successful and safe return to running.

Disclaimer

This article provides general information and is not a substitute for professional medical advice. Always consult your healthcare team for recommendations tailored specifically to your health and recovery.

References

Unwin, A., & Scott, J. E. (1999). Nerve palsy after hip replacement: medico-legal implications. International Orthopaedics, 23(3), 133-137. https://doi.org/10.1007/s002640050329
Williams, P. T. (2013). Effects of running and walking on osteoarthritis and hip replacement risk. Medicine & Science in Sports & Exercise, 45(7), 1292–1297. https://doi.org/10.1249/mss.0b013e3182885f26