Undergoing hip replacement surgery is a significant decision, and understanding the recovery process can help set realistic expectations. Recovery experiences can vary based on several factors, including age, the type of surgery performed, adherence to physiotherapy, and preoperative health status.

Age and Recovery

Age plays a crucial role in recovery. Younger patients often experience quicker rehabilitation due to better overall health and higher activity levels. Older adults may face a more gradual recovery, potentially influenced by other health conditions. However, individual experiences can vary widely, and age is just one of many factors affecting recovery.

Type of Hip Replacement: Total vs. Partial

The nature of the surgery—total or partial hip replacement—also impacts recovery.

  • Total Hip Replacement (THR): This procedure involves replacing both the acetabulum (hip socket) and the femoral head (thigh bone head). Recovery may take longer due to the comprehensive nature of the surgery.
  • Partial Hip Replacement (Hemiarthroplasty): Involves replacing only the femoral head. This is typically performed for specific types of hip fractures and may result in a shorter recovery period compared to total hip replacement.

The Role of Physiotherapy

Physiotherapy for hip conditions, is vital in restoring strength, flexibility, and function to the hip joint. A structured physiotherapy programme can help improve mobility, reduce pain, and prevent complications. Adherence to prescribed exercises significantly influences the speed and success of recovery.

Importance of Movement and Managing Initial Pain

Early mobilisation is encouraged to promote blood circulation and prevent stiffness. Patients may experience initial pain and discomfort, which is a normal part of the healing process. Pain management strategies, including medications and ice application, can aid in comfort during this phase. Gradual increase in activity levels, as guided by healthcare professionals, supports recovery.

Typical Recovery Timeline

Recovery timelines can vary:

  • First Few Days: Hospital stay with initiation of physiotherapy.
  • Weeks 1–2: Reduction in pain and swelling; increased mobility with assistance.
  • Weeks 3–6: Continued improvement in strength and function; possible transition to walking aids.
  • Months 3–6: Resumption of most daily activities; ongoing physiotherapy as needed.

It's important to note that these timelines are typical, and individual recovery can differ based on various factors.

Impact of Preoperative Condition and Timing of Surgery

The underlying condition necessitating surgery, such as osteoarthritis or fracture, can influence recovery. Patients with better preoperative physical condition and those who undergo surgery promptly after symptom onset often experience more favourable outcomes. Delaying surgery can lead to muscle weakness and joint stiffness, potentially prolonging recovery.


Recovery from hip replacement surgery is a personalised journey influenced by various factors. Engaging in preoperative preparation, adhering to postoperative physiotherapy, and maintaining open communication with your healthcare team can optimise recovery outcomes.

Dr. Oliver Khoo is an orthopaedic surgeon specialising in hip and knee surgeries, practising in Sydney and Griffith, Australia.



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