How To Exercise To Improve Mobility After Hip Surgery

Start small

Immediately after surgery, physical therapy movements will focus on strengthening the muscles in the lower body and increasing circulation. Increasing circulation is essential for reducing the risk of blood clots. For some patients, these exercises may even start in the recovery room after the hip replacement.

Pump the ankles

Recovery from hip replacement surgery can take some time. Start small with some simple ankle pumps. Over time, stronger legs will support the new hip better. To start, lie on the back with both legs straight and one ankle propped up on a towel. Flex the foot and push the heel away from the body. Draw the toes back toward the shin and hold for 5 seconds. Then point the toes and hold for another 5 seconds. Repeat for 10-15 reps on both sides.

Bend the knees

This exercise is done lying flat on the back and may even be performed from a bed. From a reclined position, bend the knee and slide the foot closer to the buttocks, keeping the heel on the bed or floor. Try to keep the knee from caving inward toward the opposite leg. Hold for 5 seconds, and then extend the leg straight. Repeat for 10 reps on both sides.

Standing movements

After a patient has regained enough strength to stand, the series of recommended exercises will increase. If needed, patients may hold on to the wall or the back of a firm chair for added support and stability.

Build hip strength

In this exercise, stand up straight and hold on to a firm, supportive surface. Make sure the hip, knee, and foot are all pointing forward. With steady posture and the knee straightened, lift the leg out to the side. Slowly lower the leg back down. Repeat 10 times on each side. For added strength, repeat with moving the leg backward. Continue for 10 reps on each side.

When you can walk

In addition to performing physical therapy exercises, walking is one of the best ways to build strength in the new hip. When a patient is cleared to start walking, proper form is crucial. Stand up tall with weight evenly balanced on the walker or crutches. Move the walker or crutches forward a few inches, then reach forward with the affected leg. Keep the knee straightened so that the heel of the foot touches first. Then as the patient moves forward, the foot will rest evenly on the floor. Try to focus on walking evenly and smoothly.

Getting rid of the crutches

When patients can walk and stand for more than 10 minutes, the surgeon or physical therapist may approve movement without the use of an assistive device. Eventually, patients can build up to walking for 20-30 minutes multiple times per week to maintain strength. For more specific advice on hip surgery recovery, speak with an orthopedic surgeon or physical therapist.