Post-Hip Replacement Surgery: Essential Rehab Tips and Guidance

Rehabilitation Methods After Hip Replacement Surgery!

Hello Doctor: My mother just underwent hip replacement surgery on October 27.
I would like to ask the following questions:
1.
The doctor has said that she can start training to walk after the surgery, but my mother currently lacks the strength.
Is there anything that can help boost her energy, or is it due to pain that she has no strength to use?
2.
We need to help my mother get up from the bed independently, but the nurse mentioned that she should first turn her body to a 90-degree angle with the bed before exerting effort to sit up.
This seems very difficult for her at the moment.
Are there any other methods that could make it easier for her to get up?
3.
Are there any rehabilitation exercises she can do in bed right after the surgery?
4.
Will there be any resources available for future rehabilitation exercises to assist with her recovery?
5.
Are there any other precautions we should be aware of?
Thank you! Wugu / YY

Wugu YY, 20~29 year old female. Ask Date: 2004/10/30

Dr. Shi Guozheng reply Orthopedics

After surgery, physical strength is usually somewhat diminished, and aside from consuming nutritious foods, there aren't many other methods to improve it.
Of course, training to walk requires sufficient strength in both the arms and lower limbs, so initially, it is essential to use crutches or a walker.
The method of getting up should be done carefully to avoid joint dislocation, so it is crucial to follow this approach.
While in bed, you can practice bending and straightening your legs to strengthen the muscles.
For other rehabilitation exercises, it is best to consult a physical therapist at a rehabilitation clinic for guidance.

Reply Date: 2004/10/30

More Info

Post-hip replacement surgery rehabilitation is a crucial phase in the recovery process, and it’s great that you are seeking guidance for your mother’s recovery. Here are some essential tips and guidance based on your questions:
1. Energy and Pain Management: After hip replacement surgery, it is common for patients to experience fatigue and pain, which can limit their ability to engage in physical activity. To help boost your mother’s energy, ensure she is consuming a balanced diet rich in protein, vitamins, and minerals. Foods like lean meats, fish, eggs, dairy products, fruits, and vegetables can aid in recovery. Additionally, staying hydrated is essential. If pain is a significant factor, consult her physician about appropriate pain management strategies, including medications that can help her feel more comfortable and allow her to participate in rehabilitation activities.

2. Getting Out of Bed: Transitioning from lying down to sitting up can be challenging post-surgery. The method suggested by the nurse—turning to the side and then sitting up—is a common technique, but if it’s too difficult, consider the following alternatives:
- Use of a Bedside Table: Position a bedside table within reach. Your mother can use it for support as she turns and sits up.

- Pillow Support: Placing a pillow under her knees while she is lying down can help reduce strain on her hips and make it easier to roll onto her side.

- Assistance: If possible, have someone assist her in the process until she gains more strength.

3. In-bed Rehabilitation Exercises: While in bed, there are several gentle exercises that can help maintain mobility and strength:
- Ankle Pumps: While lying down, have her flex and point her toes to promote circulation.

- Leg Slides: She can slide her operated leg out to the side and back to the center while keeping her knee straight.

- Knee Bends: If comfortable, she can bend her knee and slide her foot towards her buttocks, then extend it back out.

4. Rehabilitation Resources: It’s beneficial to have a structured rehabilitation plan. Many hospitals provide handouts or resources for post-operative exercises. Additionally, consider consulting a physical therapist who can create a personalized rehabilitation program tailored to your mother’s specific needs. They can also provide guidance on the progression of exercises as she gains strength.

5. Additional Precautions:
- Avoid High-risk Movements: For the first few months, she should avoid crossing her legs, bending at the waist beyond 90 degrees, or twisting her body excessively to prevent dislocation.

- Use Assistive Devices: Encourage the use of walkers or crutches as needed to maintain balance and stability while walking.

- Follow-Up Appointments: Regular follow-ups with her orthopedic surgeon are essential to monitor her recovery and address any concerns.

In summary, recovery from hip replacement surgery requires patience and a structured approach to rehabilitation. Encourage your mother to engage in gentle exercises, maintain a nutritious diet, and seek assistance when needed. If she experiences persistent pain or difficulty, it’s crucial to communicate with her healthcare provider to ensure she receives the appropriate support and adjustments to her rehabilitation plan.

Similar Q&A

Post-Operative Care and Rehabilitation After Hip Replacement Surgery

Dear Director Chen: My uncle has been experiencing hip joint pain for a long time and recently has been unable to walk. An orthopedic surgeon has performed a total hip replacement surgery. What should we pay attention to after the surgery? Is rehabilitation necessary?

Dr. Chen Xianchang reply Rehabilitation
Hello, thank you for your inquiry. Here are my responses and recommendations: 1. After total hip arthroplasty, it is important to avoid hip flexion beyond 90 degrees and internal rotation, as these movements can lead to hip dislocation. 2. On the third postoperative day, laser...

Post-Total Hip Replacement: Essential Guidelines for Recovery and Care

I underwent surgery on May 7, 2016, for a "right pelvic fracture with associated right hip dislocation," which led to post-traumatic arthritis nearly two years later, resulting in a total hip arthroplasty on March 27, 2018. I have some questions as follows: 1. Are ther...

Dr. Shi Guozheng reply Orthopedics
1. No. 2. Rehabilitation is necessary and is usually well understood. 3. Strength training for the muscles helps to stabilize the joints. 4. Driving should be avoided for six weeks post-surgery; the seat should be elevated to prevent dislocation. 5. Dental treatments may cause tr...

Key Rehabilitation Strategies After Hip Replacement Surgery

Hello, Doctor: My father fractured his femur eight years ago and had it fixed with a steel rod. Due to poor rehabilitation post-surgery, it became deformed. Five years ago, the rod was removed, resulting in a leg length discrepancy. Recently, he experienced abnormal hip pain, so ...

Dr. Shi Guozheng reply Orthopedics
After hip replacement surgery, recovery typically occurs between one and a half to three months. Since the patient has not yet reached one month post-surgery, some pain is a normal phenomenon. Rehabilitation is still necessary; usually, practicing walking is sufficient, but the u...

Post-Operative Hip Replacement: Understanding Movement Restrictions

Dear Director Chen, Hello. For a standard health insurance hip replacement, there are limitations on angles and movements after surgery. Is this just a transitional period post-surgery, or will one never be able to squat down to tie shoelaces, sit on low sofas or stools, or keep...

Dr. Chen Yongxue reply Orthopedics
Hello, after hip replacement surgery, to prevent dislocation, it is advisable to avoid adduction, abduction, external rotation, and excessive flexion for at least six to twelve weeks post-surgery. This is related to the surgical procedure, so it is best to consult your attending ...