What happens at 4 months after hip replacement?
Sarah Smith
Published Jan 22, 2026
Researchers have previously shown that hip strength and muscle weakness persist up to 2 years after surgery. Based on the rapid recovery in the first 3 to 4 months, some patients may stop doing their exercises, which may limit their recovery and place them at risk for falls.
How long does it take for a hip replacement to settle?
Most people are usually able to return to normal activities within 10 to 12 weeks. But full recovery may take 6 to 12 months. Pain usually goes away during this time, but some people may continue to feel some pain beyond the first year. Most hip replacements last for 20 years.
Why do my hips hurt 3 months after hip replacement?
It's possible that you've developed an infection around the artificial joint. Many infections can be treated effectively with antibiotics. But a major infection near your artificial hip joint may require surgery to remove and replace the joint. Another potential cause of your pain could be a loose implant.
What exercises can I do 4 months after hip replacement?
- Hip bending stretch. Bend your knee and bring your operated leg toward your chest. ...
- Hip flexor stretch. Lie with operated leg hanging over the end of the bed. ...
- Seated hamstring stretch. Sit on the edge of a chair. ...
- Adductor stretch. Stand with your feet wider than hip distance apart. ...
- Side stretch. In sitting or standing.
How far should I walk 3 months after hip replacement?
Swelling can last up to 3 months. We recommend that you walk two to three times a day for about 20-30 minutes each time. You should get up and walk around the house every 1-2 hours. Eventually you will be able to walk and stand for more than 10 minutes without putting weight on your walker or crutches.
26 related questions foundHow far should I walk each day after hip replacement?
The second complication we try to avoid is loosening of the implants. This can happen when patients do too much walking and stress the implants prior to the ingrowth process. Generally, I advise patients to walk only a few hundred yards a day total until they get to around six weeks.
How long does stiffness last after hip replacement?
It usually takes about 4 to 6 weeks to start feeling stronger and to be able to get around with less pain.
When can I lie on my side after hip replacement?
It's best to avoid sleeping on your affected side for at least six weeks. After your doctor gives you the go-ahead, listen to your body, and only lie on your operative side when you feel comfortable.
Can you ever bend over after hip replacement?
You should not bend your hip beyond 60 to 90 degrees for the first six to 12 weeks after surgery. Do not cross your legs or ankles, either. It's best to avoid bending to pick things up during this period.
What can you never do again after a hip replacement?
Some common things to avoid after hip replacement surgery include:
- Don't resist getting up and moving around. ...
- Don't bend at the waist more than 90 degrees. ...
- Don't lift your knees up past your hips. ...
- Don't cross your legs. ...
- Don't twist or pivot at the hip. ...
- Don't rotate your feet too far inward or outward.
Is it normal to have hip pain 6 months after hip replacement?
Results. Six months after surgery, between 26% and 58% of patients still reported hip pain – depending on the definition of persistent pain.
Why does my thigh hurt 6 months after hip replacement?
Pain that never improves after surgery is likely a complication of the surgery itself, such as infection, instability, fracture, or poor implant alignment. Persistent pain can also be a sign of other pathology that may have been missed, including lumbar or sacroiliac joint disease.
Why do I still limp after hip replacement?
One fault that is very difficult to break is a limp that occurs when the operative leg is directly below the pelvis on the ground. This fault is most often seen when the trunk bends too far over the operative hip. A muscle on your hip, the gluteus medius muscle, often weakens significantly after surgery.
What happens if you don't do physical therapy after hip surgery?
You have a window of time immediately after your surgery in which you can restore the range of motion in your new joint. If you don't move and engage in physical therapy, however, scar tissue develops that restricts movement and your muscles weaken.
Why does my thigh hurt after hip replacement?
It is very common in patients and usually resolves with a cortisone injection. Tendonitis around the hip muscles or subtle tears. Sometimes, inflammation around these tendons irritates the local nerves around the hip and can cause radiation or pain in the groin, thigh, and buttock.
What happens if you fall after hip replacement?
However, a fall can still do damage to the hip, such as dislocating the hip, or loosening the prosthesis in the person's femur. They can also certainly damage or even break the other side, or even the same side in the shaft of the femur.
How long do you have to sleep with a pillow between your legs after hip replacement?
Make sure you continue sleeping with the pillow between your legs for at least six weeks.
How do you get rid of limp after hip replacement?
Lying on your unaffected side with both knees bent to 90 degrees and your hips bent to approximately 15 degrees, lift only the top knee, keeping your feet together. Avoid pelvic rotation. Lift the knee as high as possible without rotating your pelvis and hips backwards. Repeat 8 to 12 times.
Can I kneel after hip replacement?
After a hip replacement many patients can kneel down after completing the precautionary period of three months. The safe way to do this is to perform a single-legged kneel whereby the patient kneels on the knee of the operated side only. This means that the other hip has to bend whilst the operated hip stays extended.
How long does it take to walk without a cane after hip replacement?
Most patients will continue to need the cane for walking until 2-4 weeks postoperative; if you feel that you still need it for safety/balance, please continue to use it. I like to see you in the office and examine you before prescribing outpatient physical therapy.
Do you walk with a limp after hip replacement?
3 Exercises to Get Rid of A Limp After Having Hip Replacement Surgery - Orthopedic Associates SC. Many patients who have had a complete hip replacement have experienced a limp for some time leading up to surgery. Traumatic injury hip replacements are rare.
Can you do squats after hip replacement?
Exercises which are Safe after Hip Replacement
You can move your leg while lying down in a safe motion. You can do air squats, walk, light jog, and move up and down the stairs. It's because these exercises have plenty of motion without pausing.
How do you get rid of a limp?
If limping is due to injury or pain, it can likely be treated with rest, ice, crutches, or physical therapy. If limping is due to a neurologic condition, it will likely require evaluation by a doctor to determine the cause and appropriate treatment or therapy.
What pain is normal after hip replacement?
You can expect to experience some discomfort in the hip region itself, as well as groin pain and thigh pain. This is normal as your body adjusts to changes made to joints in that area. There can also be pain in the thigh and knee that is typically associated with a change in the length of your leg.
Can you ever cross your legs after hip replacement?
You shouldn't cross your legs or, if you've had a total hip replacement, you should not roll the surgical leg inward or outward. DO NOT pivot on your affected leg. If you need to turn while walking, fully stop and lift your foot to change direction.