Total Hip Replacement (Posterior Approach) Recovery Exercises - Ask Doctor Jo

For a total hip replacement, it’s very important to know, and abide by, your precautions after surgery. Listen to your surgeon and physical therapist and do what they tell you to do because they are the most familiar with your particular situation and know the things you should do to recover as quickly as possible. Always check with them first before doing any rehab or recovery exercises. See Doctor Jo’s blog post about this at: www.askdoctorjo...
There are three big precautions for a total hip replacement with a posterior approach. These three precautions are don’t bend past 90 degrees of hip flexion. So that means no bending down to tie your shoes or pulling your knee up towards your chest to put on socks. The next one is no hip adduction. This is crossing your leg across your body, like crossing your leg over your knee. The last one is no hip internal rotation, which is turning your foot inward. All of these put a lot of pressure on where the surgery site is and where the muscles are very weak, so they are important to follow.
Now I will show you some isometric exercises you can do very soon after your surgery. The first exercises are quad sets. Sit in long sitting with your legs straight out in front of you. If you want, put a rolled towel underneath your knee to give yourself a target. Then squeeze your knee down into the roll towards the ground. Hold it for 3 seconds, and do ten of them.
Now is a hamstring set. Bend up your knees in a hooklying position. Push your heel down into the ground and hold it for 3 seconds, do this 10 times.
Then you will do glut or butt squeezes. You are basically trying to tighten your buttocks muscles, almost like if you have to go to the bathroom, and you are trying to hold it. Start off with 10 of these with a 2-3 second hold.
The next two are hip adductor and abductor isometric exercises. First take a ball or pillow folded in half, and put it between your knees. Squeeze into the ball and hold for 3 seconds, repeat 10 times. Then take a belt and wrap it around your thighs just above your knees. Push outwards toward the belt like your legs are opening up like a clamshell. Hold for 3 seconds, and repeat 10 times.
Then you will do an ankle pump. You can prop your ankle up on something if you want, but keep your heel free to move around. I am using a roll, but you can just hang your foot off of the bed or stool. You are going to pull your toes up at your ankle, and then push down like you are pushing on a pedal. This is dorsiflexion and plantarflexion. It works as a natural pump to get the fluid and inflammation out of the leg, so you can do this several times a day. It can also help prevent DVTs, so this is very important.
Finally, you want to focus on the way you walk. Getting back to a normal gait pattern is very important. When we walk normally, our heel hits first, we roll through our foot, and then we push off with our toes. If we don’t get the heel strike in the beginning of the step, we tend to limp. If you are still limping, then you still need an assistive device like a walker or cane. If you walk with a limp, then your muscles will get in the habit of doing it, even when your muscles are strong again.
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Total Hip Replacement (Posterior Approach) Recovery Exercises:
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DISCLAIMER: This content (the video, description, links, and comments) is not medical advice or a treatment plan and is intended for general education and demonstration purposes only. This content should not be used to self-diagnose or self-treat any health, medical, or physical condition. Don’t use this content to avoid going to your own healthcare professional or to replace the advice they give you. Consult with your healthcare professional before doing anything contained in this content. You agree to indemnify and hold harmless Ask Doctor Jo, LLC and its officers for any and all losses, injuries, or damages resulting from any and all claims that arise from your use or misuse of this content. Ask Doctor Jo, LLC makes no representations about the accuracy or suitability of this content. Use of this content is at your sole risk.

[@AskDoctorJo]

Don't forget to hit the 🔴 *SUBSCRIBE* 🔴 button above! *Find all of my videos at **kzbin.info*

[@star1856]

What if the pt is had TKR 2yr back before N now THR ... Female 70+

[@star1856]

These exercises can be done in supine positions???

[@KatJ3st]

A follow up. I'm 2.5 years post op. I can do everything I could do before OA took it slowly away from me. I got a trainer at a gym and a pt and did regular follow ups and I do strength training, balance and spin bike almost daily. I can hike up a steep mountain trail with my dogs too! Trekking poles were a great addition to my recovery protocol.

[@katelove1933]

Hi! Great video :) Can you do a video discussing exercises that are good for total hip replacement anterior approach?

[@AskDoctorJo]

Thanks!

[@johnkinnane547]

G'day Dr Joe I am 63 yo and I have had a left hip replacement. I have also had both knees replaced I get a bit nervous that if I move a certain way that it will "pop" out of the socket at the moment it is very bruised and swollen down to my knee, I am really glad that I found you on KZbin as you make the exercises easy to understand. Thank you for showing how you do it after a posterior replacement kind regards John

[@AskDoctorJo]

Thanks, and you're welcome. Good luck with your recovery.

[@jonileviness9706]

Hi Dr. Jo, i'm thrilled that i found you on youtube, you're so clear on instructions I'm already feeling a big difference with your cane and gait training instructions.

[@AskDoctorJo]

Thanks! I'm glad they are helping.

[@lindamarsh6711]

Excellent teaching techniques the. Dr. Jo. It helps remind me every day to my exercises. Any good suggestions for those of us who have had their knees replaced and now have our first hip done. I know that both my knees have gotten stiff because just before surgery I was unable to walk. A month earlier the ball in my hip collapsed 3 days after having a hernia repair. Man I’m a mess! My hardest time is getting in and out of bed. It was the same in the hospital. The beds are too soft and scooting isn’t in my vocabulary anymore. I can do it to the side but not backwards and forwards. Help. What can I do to prevent hurting myself. I do have a grab bar at the left side of my bed. Same side as my staples all down my thigh and same side I’ve been getting out of bed! I have osteoporosis.

[@katja5105240104]

The most useful video yet. Thanks for showing what not to do.

[@AskDoctorJo]

Thanks, and you're welcome.

[@hansweichselbaum2534]

Very good video. The best I've come across so far. Thank you! I can't seem to find any information on the time span one needs to be careful on non-crossing your legs and the 90° angle restriction. I really would love to reach my toes again. I couldn't touch them for at least three months before the operation!

[@AskDoctorJo]

Thanks, and you're welcome! Usually your surgeon will clear you of the precautions after the first or second follow up as long as there are no complications. Each surgeon is different, but it's usually anywhere from 6-12 weeks, but sometimes a little longer.

[@julianolucca4202]

Hi Hans, just wondering how long it took for you to tie your shoelaces? I'm 7 weeks post op and not sure how long to get out of these restrictions.

[@hansweichselbaum2534]

@@julianolucca4202 Hi Juliano, thanks for asking. I had problems reaching my toes/shoes many months before the operation. I mostly wear sandals, and the occasional pair of shoes, when it rains, are slip-ons. I also have a shoehorn with a long handle. An equivalent question would be when I finally could cut my toenails without problems. I think it was around 6-8 weeks after the operation. My main worry was hip dislocation after the operation. I've heard horror stories about that. But I think the only worry is having a fall, resulting in a dislocation. Now, one year after the operation I feel 100% again. It gradually got better over the months.

[@theoriginalDaveC]

Hey Doctor Jo, really good video, I learned a few new things. I'm on day 5 post-surgery so very in-tune with what I need to do and your video definitley helped me. Thanks!

[@AskDoctorJo]

Thanks, and you're welcome. Good luck!

[@yokoarcher2607]

This is one of best with a very clear explanation for each exercise . I am on the end of the week 4 post operation. I still need a crutch to walk. Then I find it’s very helpful to follow the gait practice. I can manage to prevent typical limping after a few minutes practice !!!❤ How important it is to squeeze the hip to walk on. Thank you again

[@AskDoctorJo]

Thanks, and you're welcome!

[@ebtehaltaha2936]

May you please show (precautions) after hip replacement (lateral approach)/ suggested modifications for daily routine and therapeutic exercise.Thank you

[@janetteraven5463]

Love you Dr Joe. Just had surgery in NZ, and there is a lot more information here than I was given by the hospital. Do you have any recommendations for very tight psoas? I am 10 days post surgery, walking w normal gait and 1 crutch, mostly for balance, maintaining all exercise w no difficulties.

[@AskDoctorJo]

Thanks! Are you going to see a physical therapist for treatment? I know some surgeons don't think you need to go, but it really makes a difference.

[@darthvaporlounge50]

6 day from my surgery and try to make all the exercises...hope thase are good advices....lot of pain for moment!!!! LIKE!!!!

[@AskDoctorJo]

Good luck.

[@mikhelbohia8555]

Darth Vapor Lounge 👍

[@juliebennett9460]

I really appreciate the expertise and advice you have for building strength and gaining proper gait after surgery. I am going into my second hip surgery in a few months. My first was anterior (my surgeon retired) and my second will be posterior. I'm nervous because I am a competitive rower. Is there still, in 2022, a huge percentage difference in dislocations with the posterior approach? I need this surgery to be highly successful, as my winter/spring training is crucial for another successful rowing season.

[@blairo3135]

Thank you 2 weeks post OP RHTHR and I am able to do these .

[@KatJ3st]

Can you do these the first two weeks post op? I'm totally subscribed!!!

[@AskDoctorJo]

Thanks! As long as your doctor has cleared you to start, yes, they should be fine. Good luck!

[@robar711]

Thank you dr. Joe for clarifying that after hip replacement surgery that it is okay to cross you knee over to the outside. I have a total knee replacementon the opposite side and really need to do your pirformis exercise for my back. I also have severe disk degenative disease in a couple of disks.

[@AskDoctorJo]

You're welcome. You surgeon will need to clear you of those precautions, but after a certain period of time, it is possible.

[@angeladibble8075]

Really good, thank you. I do a lot of ankle pumps as well as a routine of other exercises & I've had no ankle swelling at all. It defiantly works well. I'm at week 4 post op and doing well. It's good to what you Dr Jo as a reminder to do my physio the right way.

[@AskDoctorJo]

You're welcome, and thanks.

[@judithwilliams174]

I had a knee op and the foot on that side leans in towards the instep so it makes me still limp. When I saw the heel to toe step I immediately tried it. Fantastic. I'm gonna tell my physio about it as she said I may need a built in insole because my foot isn't level. I'm incorporating that step into my exercises I've been given. Thank you😙

[@AskDoctorJo]

You're welcome!! I hope it helps :-)

[@prasadthorat8737]

Without joint fibula can i walk without limping

[@AlissaatHSPH]

I'm wondering if these are the same exercises that you'd do after hip surgery from a break

[@davidbrewer7937]

My wife's physio is shut down because of COVID-19 a week & a half post surgery for several weeks. She does not want to let up on the steps of physio & fall behind. What are the stages in time for these exercises (day 7-10 day 11-17 day 18-26 etc). Great video by the way. Nice that there is no silly music like most others...

[@AskDoctorJo]

These are very basic ones that she should already have (hopefully). Unfortunately, I don't know what specific stage they would be in since I can't evaluate her and everyone is different depending on how well they are healing and what all their surgeon did. Hopefully her physio will be able to call her and help her on her progression.

[@Leftrightnow1530]

Thank you so much for making this video. I still have a right foot and ankle swelling and had a couple of questions which you have helped to answer right now.

[@AskDoctorJo]

You're welcome.

[@lisanurhasanah2884]

thank you Dr Jo it's very helpful

[@AskDoctorJo]

You're welcome. Good luck.

[@deejmum1]

Thank you .These are really useful exercises.

[@AskDoctorJo]

You're welcome.

[@grannyp.w.4343]

Thankyou! I really needed this! 10 days out!

[@AskDoctorJo]

You’re welcome!

[@nihlegeorge572]

Should you start doing these excersises day one?

[@kenbajema]

Thanks so much.

[@AskDoctorJo]

You're welcome.

[@sudeshsampath794]

Thanks you this programs

[@AskDoctorJo]

You're welcome.

[@verareiki9263]

Thank you so much for show me what I need to do. Starting the day I'm also going to start watching everything I eat and eat way less than I eat

[@AskDoctorJo]

You're welcome.

[@zishansaifi2081]

My hip replacement left leg how much time pain avoid and walker avoid

[@ravikumarts8845]

Is this exercise are for total hip replacement for one leg or both the legs.

[@austra1973]

can you massage your legs post op ? from what week? Got any types for both hips?

[@TahoeRealm]

Great video !

[@AskDoctorJo]

Thanks!

[@riversidecountryclub2211]

Thanks Dr Joe for the info ! I had posterior total hip replacement on my right side. I think everything is prob going well considering my surgery, it's been 17 days today...it kinda feels as if my incision site is tight maybe lil numb. I'm sure it's just my muscles trying to stretch again .,

[@AskDoctorJo]

You're welcome! If your incision site is completely healed with no more scabbing, you can start scar tissue mobilizations to help with that.

[@riversidecountryclub2211]

@@AskDoctorJo incision site looks great ....scar tissue mobilizations ? You got a vid for that ? Lol ?

[@riversidecountryclub2211]

Actually I may be misleading you....I meant I have swelling about three inches diameter with my scar in middle. Does that still classify as "harden scar" ?

[@AskDoctorJo]

As long as the actual incision is completely closed with no scabbing. These might help: kzbin.info/www/bejne/lWivhHaAgK6gjqc

[@keighbeey6079]

@@riversidecountryclub2211 8

[@cecigalvis2108]

Hi Doctor. What kind of gait pattern is advisable in an anterior and posterior approach? (Early post op). Thanks 😊 🙏

[@KatJ3st]

How soon after surgery can you start doing these exercises? I assume we don't do any 'floor work' ;-) But what also can I do for other parts of my body? Are there stretches to for upper body, lower back and arms/calves etc? The body is pretty tight and sore all over...

[@marrissagonzales3]

thanks for this

[@AskDoctorJo]

You're welcome.

[@darylpressley2720]

My understanding, is that I have to have right hip replacement and I'm not having hip replacement until after the New Year on top of that I have sciatica pain on that same side. My question is will the sciatica subside after my hip replacement?

[@tamaranuthurdei2693]

What would you consider the earliest point to introduce the active (no resistance) side lying clam shell post THA (posterior/lateral approach)? Likewise at what point post THA would you use the theraband resistance during hook lying clam shells (same approach)? 6 weeks? Thanks

[@AskDoctorJo]

I think it can be earlier than that (even just a week or two out), but it really depends on how much strength and control they have. I would start with a manual resistance in hooklying first. If you feel like they have good control without pain, you could start with the lightest resistive band. Once they can get to 20-25 reps of a green or blue, then you could do sidelying clamshells, but start off the same with manual resistance or no resistance to make sure they are doing it correctly and activating their gluts (med and max).

[@rochelleholmes9271]

Hi Doctor Jo I just had hip replacement on 9/16/20. I've been in bodybuilding for 40 years so I have a lot of muscle. I'm having a problem getting up after sitting. My hip is stiff. What is the best exercise I should do for this? Thank you for all your videos!!! They are wonderful!!!

[@AskDoctorJo]

You're welcome, and thanks! That's pretty normal that close from your surgery. Sometimes, something as simple as heel slides, heel taps, or kicking out your leg a few times might help loosen it up before standing. As far as exercises, if it's a posterior approach, the above video might help.

[@KatJ3st]

I appreciate the gait training as walking with a bad hip sure creates a bad movement from shoulder to heel! How often are you supposed to do these exercises daily? All of them everyday? How many times a day?

[@AskDoctorJo]

Therapeutic exercises can be done 2-3 times a day, every day.

[@ibrahimismail7608]

Thanks dr jo

[@AskDoctorJo]

You're welcome.

[@NoelSmyth-eb3hu]

Hi Dr Jo, I had a posterior left leg Hip replacement in2021 should I do weight training after this operation if so what exercises would you recommend, Noel Smyth.

[@samariens596]

We are currently in Europe and I just found out I need a hip replacement. What should I look for in a Dr to do this type of surgery in the states? My husband is a retiree and therefore we have TriCare. We won’t be able to move back until summer 2021.

[@scripter03]

How to treat hip bursitis in patients with partial hip replacement

[@AskDoctorJo]

It depends on how far out from the surgery, if they are still on precautions, and a number of other things.

[@Holly-tg4lp]

Hi Dr. Jo! Love your videos! I am 48 years old 5 weeks post-op posterior approach. I have a tilted pelvis post-op which makes my operated side feel longer. My doctor said I don’t need PT to just walk. Any exercises you can suggest that could even out my pelvis that doesn’t break my 90 degree restrictions??

[@AskDoctorJo]

Thanks! I hate to hear your doctor would say that. Just walking really doesn't give you the best results. The above video should definitely help. Do you feel like the tilt is from hip flexor tightness? Some stretches for the hip flexor would probably help: kzbin.info/www/bejne/bZO1kotsgpehqJo Some might not be appropriate for you, but take a look and see if one or two might work. Good luck.

[@zulfiqarali-rw7ry]

I have a question , is adduction activities precaution in both posterior and anterrior approaches​ or just in posterior ?

[@AskDoctorJo]

Not usually with anterior unless the surgeon had to do something different during the surgery.

[@kimkies354]

It's not clear whether forward bends and crossing legs, etc. are okay after 6 months post-op. If the doctor says you can do what you want without pain, is it then okay to do any movements including forward bends and yoga, etc.

[@AskDoctorJo]

It's usually 6 weeks, but yes, it's definitely up to your doctor. Precautions are there for a reason. I have seen people in the clinic re-dislocate their hip because they were breaking precautions. I really think it only happens if there is something wrong to start with, but in my opinion, it's better to be safe than sorry. Good luck.

[@ishaqahmad9864]

I had non operative hip dislocation and reduction without surgery. what precaution for my please guide me. these precautions for life time or limited time.

[@AskDoctorJo]

You will need to ask your doctor who relocated it those questions.

[@jenniferwright286]

Thank you, Dr Jo! I’m post op 14 months. What can you recommend? Thank you 😊

[@fallback8314]

are you ok now?

[@OmarFaruk-mv5wb]

Hey dear Jo your videos are great. How long should maintain 90 degree rules?

[@AskDoctorJo]

Thanks. Your surgeon will clear you for that after your follow up.

[@uranusaziz7184]

thank you Dr. I had my operation 5 months ago post. approach. What is the beast exorcise to loss weight fast as I'm over weight and I still have muscle weakness

[@AskDoctorJo]

You're welcome. Do you have access to any equipment?

[@uranusaziz7184]

no Dr l do'nt have ,l do your exercise and abdomenal exercise and little walking and squat.

[@uranusaziz7184]

can l jumping?or it's too dangrous?l have around 30kg to loss.

[@AskDoctorJo]

Unfortunately, I don't know without getting to evaluate you. Has your surgeon cleared you of all your precautions?

[@uranusaziz7184]

He told me precaution,but l was hopping as it's my favored sport,he to walk and give me exercise to strength muscles,and diet.thank you Dr very much.

[@fallback8314]

anyone know if these can be done at home? or are you required to be at a rehab place with a physical therapist for a month or two? cuz i'm thinking, at a rehab place you may get an hour training per day but at home you can do them more frequently at your own time. what's the truth? am i wrong?

[@asuthiono1]

I think I had the posterior approach. Anyway how can you lie down on the floor if you've posterior approach since it requires bending down your body? Thanks for the exercises video, really appreciate! 👍🏻

[@AskDoctorJo]

You're welcome. You can do them on the bed or couch if you can't get on the floor. Good luck.

[@drhasan4521]

How long these restrictions?

[@deedolly6144]

Hi guys, I'm 22 and had a total hip replacement exactly a week ago ( last Tuesday ). I'm a stomach sleeper, does this mean I can NEVER sleep on my stomach again?? Or is this just for the recovery stage? Also, I feel as though my operated leg is much longer, advice?? Loved the video

[@AskDoctorJo]

Thanks. Once you are no longer on precautions, you should eventually be able to sleep on your stomach again.

[@margaretchin8384]

I had my replacement done slightly more than a year ago. My doctor still says I am not allowed to do all the actions that you have mentioned in your video. My question is when can I do all these actions?

[@marrissagonzales3]

Thanks a lot Dr Jo I undergone a total hips.cementless arthroplasty at my right hips way back sept 16 2014 exactly 3 yrs ,but still i cant walk properly is this one suitable for me,thanks again

[@AskDoctorJo]

You're welcome. Yes.

[@carolemiller3983]

Hi Dr Jo. Your video is extremely helpful. I only wish I had seen it sooner! I was 2 was post surgery ( posterior) & was able to do more weight baring & use a cane. Unfortunately, a few days after my dr visit, I went to pick up a Xmas ornament from a lower table & had a hip displacement. Ouch! The ER was able to get it back in, but obviously I regressed in my recovery. There is not much literature on what to do after a displacement. I have, thus, been fearful to move much. It is 4 weeks since displacement & it seems that I should be doing your recommendations. I am worried that the displacement has negatively impacted on my recovery. I was not referred to PT. I am an active person, but don’t want to overdo now that I feel better & want to follow exercises that will strengthen my gait. I would appreciate any advice from you! Thank you so much!

[@AskDoctorJo]

Thanks! So sorry to hear you had a dislocation. Usually you can start gentle stretches and exercises right away, but it really depends on your hardware and how stable it is now. I would call and ask for a PT referral. I think it's really important, especially with the setback. Good luck.

[@carolemiller3983]

AskDoctorJo Thank you for your reply. What would need to be done to check on “my hardware”. It doesn’t feel as tight as it did prior to displacement. Would physical therapy help bring it back to where it was? And how long would you recommend I wait prior to seeking an evaluation from an ortho surgeon. I don’t want to settle & be worse off than I was when I started! Could you tell me where I could get additional information regarding displacements? I’m so happy to have found you, as I feel at a loss in where to go from here since I have not received direction or detailed info from my surgeon’s office. I’m essentially looking for reassurance that this can still heal properly & willing to do whatever it takes. Thank you so much!

[@carolemiller3983]

Also, I will try to get PT referral, but in interim, I feel like I could follow your video. Would that be ok to do? Thanks so much for ur time & well wishes.

[@AskDoctorJo]

Have you not seen your surgeon since the dislocation? I definitely think PT would get you back to where you want to be for sure. I think the exercises in the video should be fine, but honestly, I don't know for sure without getting to evaluate you. You can definitely still heal properly, and get back to doing the things you want, but I really think you should get a PT evaluation so they can make sure everything is good, and ready for you to continue with your rehab.

[@carolemiller3983]

Bless you DoctorJo! Thank you for your words of encouragement!! No, I have not seen my surgeon since displacement. That is a bit of a sore subject..... After my 2 wk f/u, I was given a 6 wk f/u appt. The displacement occurred 2 days after my first appt. It took me 4 days after that to get a return phone call to let me know his review of my ER visit. At that point, he told me it was put in correctly & would see me at the reg scheduled appt., despite my request to be seen sooner. So, for 4 weeks, I have just been “winging it”, keeping the restrictions, but uncertain & quite frankly afraid to do much of anything. I was not even sure if I could try to use cane & after seeing your video, I realized I have been walking wrong & bending my legs in bed wrong. I’m so happy to hear that PT may help me get back to where I was! As I previously said, I wish I had seen your video sooner & written you. You would have alleviated my 4 wks of anguish! I will request the PT referral for sure! Thank you again!! 🤗

[@lynnchasan6339]

Hi Dr Jo, will I ever be able to do yoga again after my THR?

[@AskDoctorJo]

Once your doctor clears you of your precautions, you should be able to.

[@brentfoster9138]

My surgery is in 6 weeks and I’m terrified.

[@gdan8259]

Any major difference with an anterior approach?

[@AskDoctorJo]

Yes, very different. The precautions are the main difference.

[@keithbrockie6716]

Very informative video. I was interested to hear about the associated knee pain. I had a knee replacement op 3 years ago and 6 weeks ago I had a THR op on the same leg and have been suffering a lot of pain in that knee. I am hoping this is going to get better with time! Is this something you can reassure me will happen and will these exercises help? I have religiously been doing the exercises shown me at the hospital but the pain doesn't seem to abate.

[@AskDoctorJo]

Thanks. Unfortunately, I don't know since I can't evaluate you, but in general, as long as there were no complications, the pain should go away. Is there any way you can go to physical therapy where they can give you some extra tips and help?

[@keithbrockie6716]

@@AskDoctorJo Many thanks. I will give it a few more days and if no better will contact the hospital physio dept where the op was done.

[@AskDoctorJo]

You're welcome. Good luck!

[@rochelleholmes9271]

I just posted a question. I am a subscriber

[@pubalikatipomia3389]

Im a gaintt cell tumor patient . I have done my surgery 8month before . Now I can't able to walk of my own leg . I walk with the help of walker Plz suggest me some advise

[@lissiewalkin3354]

do these exercise apply to a posterior lateral and an anterior lateral approach too?

[@AskDoctorJo]

They are specifically for posterior, but usually there are not any precautions for an anterior approach because they don't have to cut through major muscles, so they should be fine to do.

[@sandronunes99]

How long after the surgery can we try walking without the cane? Is it just a matter of having the muscles ready and holding the weight as you’ve shown? Of there is any precaution we need to have before, like not putting to much weight on the replaced hip...?

[@AskDoctorJo]

It depends on a few different things. The main one is if it was an anterior or posterior approach. Are you going to physical therapy for it because the physical therapist should help you progress off the cane. My rule of thumb is, you need to have a pretty normal walking pattern without the cane. If you are still limping a lot without it, you are not ready to walk without it.

[@sandronunes99]

Many thanks for your prompt response! :-) Yes, I'm going to physical therapy, and the protocol they are following is very similar to your video. I did the posterior approach... so I know the rotators were cut and stiched back in place... hence why all the precautions... But until 1y before the surgery I was very active... cycling about 200km per week with long rides on weekends. Always practiced sports, and I'm young for this surgery (i'm 41y). Today I completed 12 days after the surgery and I'm feeling amazingly well. No swelling, no pain, and walking very well with one cane. I can do all the exercises in physical therapy, and even some with weights... I have the feeling that doctors in Brazil are overly conservative with the recovery protocol... he asks to walk with two canes for 4 weeks, and one cane for another 4 weeks, before walking freely... I can notice I'm still not fit enough to leave the cane (I'm limping, not a lot though, not like you described in the video), but I'm more than well to use only one. And I can feel that in another week or so, I'll be able to walk without limping (I can feel by the improvement during the physical therapy). So my question was more to understand if there was some "no no" for trying to walk without the cane if I was feeling well... or if I could try and see day by day how may strength was improving and if I could leave the cane... Thanks for the answers Dr. jo!

[@AskDoctorJo]

You're welcome! Usually it's about 3-4 weeks for most people to start weaning off the cane. I wouldn't push it too much even being that you are young and healthy. Sometimes you just have to let biology do the work, and let your body heal. You are probably okay to try short distances, like around your home, but I would wait until at least 3 weeks before you start longer distances without one. Good luck!

[@handyn333]

Thanks for the video the one thing I did not want was a limo unfortunately I had a prosthetic fracture in my inner femor bone 1 week after THR surgery recovery has been hell and it cause meniscus tears in my knee now I have so much weakness I that leg when I put pressure on out out hurts causing more to limp..My hips don't hurt anymore but what can I do about the tears and recovery and strengthen that area. I believe I would be walking fine of out were not for that any advice will give insight... Thank You

[@AskDoctorJo]

Were you in physical therapy through all that?

[@handyn333]

AskDoctorJo yes.... I'm now about to start aquatic therapy the revision surgery was Dec29th

[@AskDoctorJo]

I was going to suggest aquatic therapy. I think that is the best place for you right now.

[@handyn333]

AskDoctorJo Thank you for responding!!

[@AskDoctorJo]

You're welcome!

[@ninfav.332]

You are Wonder Dr.Jo thanks✌💖nice day:)

[@AskDoctorJo]

You're welcome, and thanks!! You too.

[@MrAdnap23]

Hi I had a double hip replacement 4 weeks ago and I was wondering what your take on walking at this stage, ie amount of times a day?, I'm currently walking with my crutches once a day for about 25 mins, I'm Now ready to get rid of my crutches and begin to walk in aided, my Physio has said if I feel ok then go for it, what do you think?

[@AskDoctorJo]

I agree. If you feel safe and steady (though you might want to walk with just one before none), I think you can walk as much as you feel comfortable. Good luck.

[@MrAdnap23]

Thank you

[@AskDoctorJo]

You're welcome.

[@jonileviness9706]

As to this video i'm hoping to get an anterior approach, would these exercises be appropriate as well? Or are there better ones? Sx in about 6 to 8 weeks. I've been dealing with this pain since 2009 but really bad for the past 3 to 4 years, I finally went to a surgeon and the x ray shows that my ball is very flat and i've lost 1/2" on my left leg. I've tried a cane sporadically but was doing it wrong. My question is, with the poor muscle use as well as underused will using the cane properly help undo some of the damage i may've already done?

[@AskDoctorJo]

Getting stronger might help reduce some of the pain, but it won't fix the damage already done unfortunately. I would strongly recommend going to physical therapy before AND after your surgery. They can help you prepare for everything you will need to know and ways to modify things at home after your surgery.

[@jonileviness9706]

Thanks, I see the surgeon on Friday so I'll ask.

[@AskDoctorJo]

You're welcome. Good luck.

[@dariosimone2383]

Nice , I like

[@AskDoctorJo]

Thanks.

[@senadaredjepova8047]

Hi, i have been operated 13 years ago and i am doing well but i never walked normally, no one can tell me what can i do to avoid limping, do u have any exercice ? Thank u :-)

[@AskDoctorJo]

Do you have access to a pool?

[@kaleemmuhayuddin4683]

How to conclude that my muscles are much stronger to move the hip joints at any angle if i had bilateral hip replacement? Please answer me as soon as possible.

[@AskDoctorJo]

Your surgeon should be the one to clear you of any precautions.

[@kaleemmuhayuddin4683]

@@AskDoctorJo Can you please help me out of this? Because doctor told me to have 5 precautions until i am no more.

[@AskDoctorJo]

Until you are no more? I don't understand. Unfortunately, since I can't evaluate you, I don't know.

[@kaleemmuhayuddin4683]

@@AskDoctorJo Means i can't bend my legs while sitting, I can't bicycle or travel on motorcycle, I can't run or jump & can't cross my legs. Are these restrictions for lifetime or for several months?

[@lakshmiu1841]

I had it done it on both hips 2 years ago. Don't know how else to decrease my low back pain and the lateral edge of sacrum pain. Can i use tennis ball on my low back?

[@AskDoctorJo]

Do you feel like it's your piriformis muscle?

[@lakshmiu1841]

Hi doctor. Wish you a Merry Christmas. yes. i think so. is that because of unbalanced sacrum? for temporary relief can i use balls on the piriformis and on the sitbone? or is it contra indicated.

[@AskDoctorJo]

Merry Christmas to you too. If you are two years out from your surgeries, you can use a ball or even stretch it normally. You shouldn't be on any precautions anymore. Good luck.

[@lakshmiu1841]

Thank you. I watched your groin and adductors stretches. it will do good. Thanks again.

[@jeffreyninodecastro6311]

Doctor Jo I got left total hip replacement last May 25, my problem is the LTHR part is clubfoot this exercises fit for me also?

[@AskDoctorJo]

They should be okay to do. Good luck.

[@nancylamb1117]

Hey Jo, how is a post op protocol for a labral tear and FAI repair but not replacement different than what you show here?

[@AskDoctorJo]

The precautions would be different, but early on the exercises would be similar. Usually with a labral repair you are only toe touch weight bearing for the first few weeks.

[@nancylamb1117]

Oddly, I was told crutches for a month but on my follow up on day 6 the Doc said no crutches after 2 weeks. And I'm getting incomplete info on exercises... Love the precautions here.

[@AskDoctorJo]

Sorry to hear. Some protocols are different depending on the doctor who did it, but I would think maybe your doctor was confused on how far out you are. Most of the time, you are on crutches for 3-4 weeks, and you can progress weight bearing and go down to 1 crutch at the 3 week mark if you are doing well. Also, for the first 2 weeks, you should not bend your hip past 90 degrees or externally rotate your hip (turn your foot outward). These will not injure anything, but it would possibly irritate the surgery site. Are you in formal physical therapy now?

[@Megatron1873]

@@AskDoctorJo Hi Dr Jo I've just had a Hip Labral tear repaired with 1 Anchor inserted. I've had really bad lower back pain & tight IT Band and calf's prior to and currently 3wks post of. I am off crutches and weight bearing tho. I enjoy your videos as I tried most of them pre op but would like to know what I could follow to help with my recovery. Many thanks and please keep the videos coming

[@AskDoctorJo]

Thanks! Are you going to physical therapy for it now?

[@purushottamkumar6066]

Hyy doctor, My father age is about 58 has hip replacement surgery ( hemi aurthoplasty) after operation 2 week they can not walk properly just like foot drop. What to do please advise me

[@AskDoctorJo]

What does the surgeon think is going on?

[@Wingnuthas]

Love you

[@courskine645]

hello Dr jo, i sorry for my verry bad english pls, i have some questions pls, about the mouvements in a posterior aproche, can we do mouvement like a lateral rotation? abduction? ans extension? is this 3 mouvements can provoque a dislocation or not if we do them in all the interval of the joint (i mean to the extream like à normal joint )? or we have to do them only for a some degrees? my auther question is about the forbiden mouvements, they are forbiden in interval after a surgy or for the entier life? thank you so much

[@AskDoctorJo]

The only ones you shouldn't do are the ones I mentioned. No hip flexion past 90 degrees (bringing the leg up past your waist), no adduction (crossing the leg across the body), and internal rotation (turning the foot inward). Unless your doctor/surgeon has told you otherwise, you can do all other movements. Usually the precautions are only for a few months until the muscles get strong to protect the joint again, but your doctor should clear you of them when you go back for a follow up. Good luck.

[@courskine645]

thank you very much, i'm a new physical therapy assistante in morocco, and somme times i hear many contradiction information about this subject, that's why i wanted to have a definitif sur information :)

[@AskDoctorJo]

You're welcome! If in doubt, I think it's always best to call the surgeon's office and double check for that particular patient :-)

[@courskine645]

thank you for the advices ^^

[@AskDoctorJo]

You're welcome :-)

[@soniashukla7399]

had a THR surgery before 1 year still having pain

[@AskDoctorJo]

Sorry to hear.

[@carolineminton8159]

AskDoctorJ

[@Bamcis100]

Can you do a video for total hip replacement after ANTERIOR approach ?

[@AskDoctorJo]

I can. I will put it on my list of videos to do.

[@betterlifesubliminals9925]

what about 2 years those restrictions we still have to follow after 2 years of thr?

[@AskDoctorJo]

Not usually. Your doctor usually clears you of those precautions after your last follow up.

[@betterlifesubliminals9925]

AskDoctorJo my doctor doesnt clear anything properly no matter how hard i ask and it had made my life hell i dont know what to do no videos available for 2 years after op precautions and my doctor doesnt answer much

[@peacheslyntreasure8682]

Hi Doctor am to to a hip replacement surgery this year but am scared that my life will not be normal again I walk with a limp now due to weakness of muscle am also doing physical therapy now please help me with my concern

[@AskDoctorJo]

Hip replacements are the easiest joint replacement to recover from (in my opinion). So as long as you are consistent with your physical therapy before and after and have no complications, you should do great and feel better after you recover than you did before your surgery. Good luck.

[@peacheslyntreasure8682]

@@AskDoctorJo thank you for your reply

[@AskDoctorJo]

You're welcome.

[@ayelafizza4380]

Hi Dr.jo my age is 22 and i had my THR 4weeks ago....can u plz show what not to do in future to avoid dislocatiom and can i sit on floor for yoga

[@AskDoctorJo]

If it was a posterior approach, the above will help, and I talk about the precautions. Good luck.

[@ayelafizza4380]

How long should i have to take this precoutions?

[@fizashaikh-zc6iy]

Hey did you recover completely because I just had my surgery now I am so demotivated

[@arlenek6797]

had my total hip replacement almost 8 months now, lot of people still using a sock aid at this point? Thanks

[@AskDoctorJo]

Once cleared by the doctor of all precautions, it should be okay to try getting them on without it. Are you asking if you should still be using it, or if it's normal to have to be using it?

[@arlenek6797]

@@AskDoctorJo yes i got the all clear from my doctor to try everything. I am wondering is it normal to still be using one? thanks

[@AskDoctorJo]

It really depends on how much motion you had before the surgery, and if you were able to do it before. In general, people usually have enough motion back, but it's very different for everyone.

[@arlenek6797]

@@AskDoctorJo I had 0 movement and couldn't even put on own shoes prior to surgery... What does the ball one help with? Thanks

[@AskDoctorJo]

The ball squeeze between the knees helps strengthen and relax the inner thigh muscles.

[@munazzaasghar768]

Hi..dr..my mom is 70 yrs old...her hip ball break...and she is suffereing from cancer too.thats why dr..doing not operate her..kindly tell me excersie for her..that her hip ball again re join

[@AskDoctorJo]

She really needs to go see a physical therapist in person. I don't know how to help without getting to evaluate her in person.

[@biswajitsadhukhan4846]

Mam.. Mera mri report 3stage .. Hip replacement problem

[@mujahed783]

hip replacement 1 year ago but yet i m not fit yet plz help me and which exercises i do???? & how long time i m not able bike riding

[@AskDoctorJo]

Did you go to physical therapy after your surgery?

[@mujahed783]

AskDoctorJo No physical therapy only my doctor talk one exercises leg up and down 2 times in day.plz suggest what i do

[@mujahed783]

plz help me

[@AskDoctorJo]

You really need to go to physical therapy. Unfortunately, I don't know how to help without getting to evaluate you.

[@annkent1530]

Hi Jo I'm in the UK and nearly four weeks post op and regularly doing your e,exercises. I'm confused about precautions. Is it ok to bring unoperated leg up towards waist or bend over that leg?

[@AskDoctorJo]

Did you have a posterior approach or an anterior approach? The precautions are different.

[@sleeks9939]

Had my total hip replacement on Dec. 8th 2017. After surgery now I have a foot drop 😣 any solution?

[@AskDoctorJo]

Have you talked with your surgeon?

[@sleeks9939]

AskDoctorJo yes I have he is sending me to go see a neurologist. It is just weird I never had a foot drop before but right after the surgery this occurred. Maybe something we wrong?

[@scripter03]

I have completed 5 months now and I am limping, I walk with a cane. My X-ray showed bursitis in my right hip which had partial hip replacement.

[@AskDoctorJo]

The best option would be to go see a physical therapist for treatment.

[@scripter03]

AskDoctorJo thank you

[@AskDoctorJo]

You're welcome. Good luck.

[@dannymcgough6664]

My blance is off very bda and my body shakes

[@neilkennington2397]

Great video thank you! My surgeon told me to do most of these exercises but I'm eternally thankful for what you said about concentrating on heel - toe approach when walking and to keep using your cane . I'm at the 2 week mark now and I thought I was doing great by not using my cane and limp / wobble around! NOPE! Thanks for the tip , I'll stick with the cane and concentrate on a heel toe approach when walking.

[@AskDoctorJo]

Thanks, and you're welcome! Good luck with your continued recovery.

[@DianeKovacs]

Please do anterior soon. :)

[@AskDoctorJo]

It's on my list 😁

[@DianeKovacs]

@@AskDoctorJo Thank you. :)

[@user-ul5mi6lt3p]

أنا عربيه لكن احبب قناتك

[@AskDoctorJo]

Thanks.

[@user-ul5mi6lt3p]

@@AskDoctorJo Can you do sports after breaking your hip?🥲

[@ezzaldinkhalaf1979]

Im afraid of dislocation

[@AskDoctorJo]

As long as you follow your precautions until your doctor says you can stop them, you should be fine.

[@KatJ3st]

Thank you for explaining all these better than my ortho clinic!!!

[@AskDoctorJo]

You're welcome!

[@flywithknowledge541]

I m from india ....I m 25years old ...I did my surgery before 3month ...I m feeling so much pain ..but in this video,it helps me a lot

[@fizashaikh-zc6iy]

I am just 20 it's 3 months of my surgery , can you tell me how much time did you take to recover

[@lucinda2329]

Thank you sooo much. Really clear, great information!

[@AskDoctorJo]

You're welcome, and thanks!

[@KatJ3st]

Oh God I hope I don't have to have posterior approach?!?!? Nightmare recovery time

[@AskDoctorJo]

Either way, being consistent with physical therapy is the key to a quick recovery.

[@KatJ3st]

@@AskDoctorJo I'm starting already with pre-op physio! I just wish it didn't hurt so damn much. NSAIDS are destroying my gut and the pain is driving me crazy

[@AskDoctorJo]

Good luck with your surgery. It will be tough, but you will get there!