Recovering from hip replacement surgery—or supporting someone who is—can feel overwhelming, especially during those first few months. It’s natural to have many questions about what activities are safe, how long recovery might take, and when life might start to feel normal again. Understanding what happens in those early weeks and months can make the journey smoother and boost your confidence.
In this article, we turn to the knowledge of Professor Paul Lee, a leading cartilage expert and orthopaedic clinician, alongside the experienced team at MSK Doctors, known for their patient-centred care. Together, they provide clear, practical guidance to help you navigate common challenges and questions after hip replacement.
Understanding the Early Recovery Timeline: What to Expect in Weeks 1–12
Healing from hip replacement surgery happens in stages, especially over the first three months. In the initial one to four weeks, your body focuses on healing and slowly regaining movement . Around three weeks in, it’s normal to feel some aches and stiffness as your body adjusts to its new joint.
But the effects of surgery aren’t limited to just your hip. Surgery can temporarily affect your immune system and blood clotting. For example, a notable study found that levels of an important blood protein called antithrombin III, which helps prevent excessive clotting, drop after surgery—but vary from person to person. This means your body goes through a delicate balancing act in those early days as it recovers.
From weeks five to eight, pain and stiffness usually ease, and you’ll likely notice improved strength and stability. By weeks nine to twelve, many people begin to return to a more active life, although everyone’s healing pace is unique. Professor Lee reminds us that patience and realistic expectations are key during this period.
Daily Living Made Easier: Toileting, Sleeping, Sitting, and Lifting
Adjusting everyday habits after surgery is a common challenge. Take toileting, for instance: most people will start with elevated toilet seats or aids to avoid bending the hip too much. After a few weeks, you can usually switch back to a regular toilet, depending on your comfort and safety.
Sleeping can also pose questions. It’s safest to start by sleeping on your back to reduce pressure on your new hip. Side sleeping can often be reintroduced gradually but avoid lying on the operated side too soon. Sleeping on your stomach is generally off-limits early on.
When sitting, aim to keep your hips slightly higher than your knees and sit upright to protect your joint. Most patients can start sitting up in bed soon after surgery, which helps keep you independent and aids circulation.
As for lifting , steer clear of heavy objects for several months. Lifting lighter items might be okay earlier, but always proceed with caution. Following recommendations from NHS guidelines and the MSK Doctors team ensures you stay safe and comfortable during your recovery.
Driving and Returning to Essential Activities
Lots of people ask if they can drive just two weeks after surgery. While some might feel ready, medical advice usually recommends waiting at least four to six weeks. This ensures your leg is mobile enough, your reaction times are safe, and you’re confident behind the wheel.
Another important consideration is blood clot risk. Research has shown that the highest risk of developing blood clots lasts several weeks after surgery. That’s why early mobilisation, adherence to blood-thinning treatments, and personalised medical advice are vital during recovery.
Before you get back behind the wheel or resume essential activities, make sure your orthopaedic surgeon clears you to do so—experts at MSK Doctors can provide that individual assessment.
Thinking longer term, returning to work or other responsibilities is often very achievable. One study found reassuringly that “among patients working pre-operatively, 92 per cent kept on working, and 70 per cent of patients on sick-leave went back to work.” This highlights the good potential for regaining independence and productivity after recovery.
Taking things slowly and following expert advice helps minimise risks and supports a strong, lasting recovery.
Exercise, Managing Pain, and Long-Term Precautions
Exercise plays a vital role in your rehabilitation, but which exercises you do and avoid matters greatly. Movements that involve deep bending of the hip or crossing your legs should be avoided early on to prevent injury or dislocation.
Instead, focus on gentle strengthening and increasing your hip’s range of motion. Around four to eight weeks, you might still feel some difficulty lifting your leg or occasional aches. Sticking to exercises prescribed by your healthcare team and doing them carefully can help ease these issues over time.
It’s also important to be mindful of your overall health during recovery. For example, if you required a blood transfusion, your immune system might react differently. Research reports “a significant reduction in immunoglobulins after hip replacement with certain transfusions,” which underscores the need for personalised medical advice and close monitoring.
Professor Lee stresses that rehabilitation is not one-size-fits-all. Some limitations may be lifelong, depending on your surgery and individual factors. The MSK Doctors ’ supportive approach helps you understand and follow the necessary lifelong precautions to protect your new hip.
Being vigilant and following specialist advice is essential for long-term health and maintaining the benefits of your surgery.
Conclusion and Responsible Advice
The first three months after hip replacement involve many adjustments—from following a healing timeline to gradually resuming daily activities and exercising safely. Knowing what to expect and taking each step with care will help you recover well and regain your independence.
Professor Paul Lee and the MSK Doctors team are dedicated to providing expert care and support throughout your recovery journey.
Remember, every patient’s path is unique. For tailored advice and peace of mind, always consult a qualified healthcare professional who understands your individual needs.
References
Shtarbova, M., & Klein, S. (1995). Assessment of immunoglobulins after hip replacement. International Orthopaedics, 19(1). https://doi.org/10.1007/bf00184915
McNally, M., Kyle, A., Macdonald, W. R. G., Mayne, E., & Mollan, R. A. B. (1996). Hypercoagulability after Total Hip Replacement. HIP International, 6(1), 1-6. https://doi.org/10.1177/112070009600600101
Jensen, J. S., Mathiesen, B., & Tvede, N. (1985). Occupational capacity after hip replacement. Acta Orthopaedica Scandinavica, 56(2), 135-137. https://doi.org/10.3109/17453678508994338
Frequently Asked Questions
MSK Doctors are renowned for their patient-centred approach, and Professor Paul Lee is a leading cartilage expert. His extensive experience as a Surgical Ambassador and Royal College Advisor ensures patients receive expert, individualised care throughout every stage of hip replacement recovery.
Professor Lee and MSK Doctors emphasise a gradual return to activities, typically over 12 weeks. Recovery timelines vary, so it’s important to follow personalised guidance and realistic expectations to ensure the best long-term outcomes for each individual’s needs.
MSK Doctors and Professor Lee recommend careful readjustment of daily habits, such as using elevated toilet seats initially, careful sleeping positions, and lifting only light objects. Their team provides practical strategies for safety and comfort during the recovery period.
Professor Lee encourages gentle, targeted exercises to strengthen the hip without risking injury. He tailors exercise and pain management plans to each patient, ensuring MSK Doctors’ approach is always supportive and protective of long-term joint health.
Every patient’s recovery is unique. MSK Doctors, with Professor Lee’s expertise, are committed to providing individual assessments and ongoing support, ensuring you follow the safest, most effective plan suited to your specific needs and circumstances.