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Navigating Life Post-Hip Replacement: Understanding and Embracing the Restrictions

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Navigating Life Post-Hip Replacement: Understanding and Embracing the Restrictions

Navigating Life Post-Hip Replacement: Understanding and Embracing the Restrictions

A hip replacement surgery, also known as total hip arthroplasty, is a common orthopedic procedure aimed at relieving pain and improving mobility in patients with severe hip joint damage due to arthritic conditions such as osteoarthritis, rheumatoid arthritis, and avascular necrosis.

While the surgery is highly successful in achieving its objectives, patients need to adhere to specific restrictions post-surgery to ensure a sustainable, successful recovery. These restrictions are designed to protect the new hip joint, prevent dislocation, and allow for optimal tissue healing. In this blog post, we will explore the typical restrictions after a hip replacement and the rationale behind them, as well as guide how to manage these limitations effectively.

Restrictions After Hip Replacement Surgery

There are certain restrictions and limitations that patients must undergo for a quick recovery. Adhering to these restrictions protects the newly replaced joint from any damage.

1.      Movement Limitations

Immediately following surgery, patients are usually advised to avoid certain movements that can potentially dislocate the new joint. These movements, known as “hip surgery precautions,” include not bending the hip more than 90 degrees, not crossing the legs, and not turning the operated leg inward or outward beyond the midline of the body.

These restrictions are typically in place for the first six to twelve weeks post-surgery. The hip joint is a ball-and-socket joint, and after replacement, the new components are held in place by surrounding soft tissues, including muscles, ligaments, and a small amount of bone cement. Initially, these tissues are weakened by surgery, and the joint is vulnerable to dislocation until they have healed sufficiently. By following hip precautions, patients can minimize the risk of dislocation and ensure the new joint remains stable.

2.      Weight Bearing

For a few weeks post-surgery, patients may be advised to use walking aids such as crutches or a walker to avoid putting too much weight on the new hip. Weight-bearing restrictions vary depending on the type of surgery, the implant used, and the patient’s recovery progress. Proper weight distribution is crucial to allow the new hip joint to heal correctly. Excessive weight can cause unnecessary strain and may lead to complications such as loosening of the implant or failure of the surgery. Gradually increasing the amount of weight-bearing activity under the guidance of a physical therapist to help strengthen the surrounding muscles and ensure that the bone grows into the implant (osseointegration) effectively.

3.      Activity Restrictions

High-impact activities such as running, jumping, and contact sports are typically off-limits for several months after hip replacement surgery. In some cases, patients may also need to avoid certain movements that cause twisting or pivoting of the hip.

High-impact activities can stress the new joint and impede the healing process. In addition, they increase the risk of damaging the implant or causing the bone to fracture around it. Low-impact exercises such as walking, swimming, and cycling are generally preferred for the initial rehabilitation phase.

4.      Driving Restrictions

Most patients are unable to drive for at minimum 6 weeks post-surgery, especially if the surgery is on the right side, as it requires significant hip movement and coordination. The ability to drive safely is compromised due to the pain, stiffness, and limited range of motion that are typical following a hip replacement. Additionally, the medications prescribed for pain relief may impair judgment and reaction times. After 6 weeks, your physician will likely lift the restriction of driving.

5.      Sleeping and Sitting Positions

For the first few weeks, patients are often instructed to sleep on their back or the non-operative side with a pillow between their legs to maintain the correct alignment of the new hip. For the first 3 weeks post-surgery, it is recommended the patient does not sit at a ninety-degree angle.

The team at Swift Surgeries practices the anterior hip approach which means post-operative restrictions to sitting in low chairs are not required. These measures help prevent dislocation by keeping the hip in a stable position during the healing phase. Over time, the body will adjust, and these restrictions can be gradually lifted.

6.      Bathing and Showering

Initially, patients may need assistance with bathing and showering to avoid slipping and falling. They are also going to be instructed to avoid submerging the incision in water until it is fully healed. The surgical incision is at risk of infection until it is completely healed. In addition, slipping or falling can lead to complications such as joint dislocation or injury.

7.      Wound Care

Proper wound care is essential to prevent infection. Patients must keep the incision clean and dry, and watch for signs of infection such as redness, swelling, or increased pain. Infection is a serious complication of any surgery, and in the case of a hip replacement, it can lead to implant failure and the need for further surgery. Careful wound management helps reduce the risk of infection. Ask your physician if you have any concerns regarding wound care.

8.      Physical Therapy and Rehabilitation

A structured physical therapy program is crucial for regaining strength, flexibility, and balance. Regular exercise helps to improve the function of the new hip joint and prevents the muscles from becoming weak or stiff. Physical therapy is essential for achieving the best possible long-term outcome.

Our team does not instruct patients to begin physical therapy right away. Usually around 6 weeks post-operation, our patients are then instructed to begin physical therapy. Before that, patients will have at-home exercises to complete progressively to help prepare for physical therapy at 6 weeks.

How to Manage Restrictions Post Hip-Replacement?

  • Patience: Recognize that the body needs time to heal. It is essential to follow the advice of your physician, team and surgeon and not push beyond recommended restrictions too quickly. Commonly, patients feel much less pain after surgery, thus resulting in them thinking they can resume normal activities right away. This is strongly discouraged until your physician clears you to resume activities.
  • Communication: Keep in touch with your healthcare team. They can provide guidance and adjust restrictions as your recovery progresses. Asking questions about your progress will help you understand the procedure and what to expect. Our office is available to our patients 24/7/365 for any orthopedic questions or concerns. Reading your patient handbook, including the FAQ’s, is going to help you understand the process and prepare you.
  • Support Network: Rely on family and friends for help with daily activities during the initial recovery phase. It’s strongly encouraged to have someone with you 24/7 for the first 2-3 days after surgery, and someone available to help around your home for the first week or so.
  • Home Modifications: Make any necessary changes to your home environment to accommodate your temporary limitations, such as installing grab bars, ramps, or a shower chair. Sometimes our patients plan to occupy their residence on one floor, if possible, for the first week post operation.
  • Mobility Aids: Use crutches, walkers, or canes as prescribed to maintain stability and prevent falls. Our office will provide you with durable medical equipment needed to help you mobilize after your surgery.
  • Pain Management: Follow the medication regimen provided by your doctor to manage pain effectively. Be sure you follow all directions and prescriptions as provided.
  • Nutrition and Hydration: A balanced diet and adequate hydration can aid in the healing process. Staying hydrated, eating healthy foods, and maintaining a balanced diet will help with recovery.
  • Attend All Follow-Up Appointments: Regular check-ups are essential to monitor your progress and address any concerns.

Conclusion

While the restrictions after a hip replacement surgery may feel limiting, they are usually temporary and are designed to facilitate a successful recovery. By understanding the rationale behind these restrictions and adhering to them, patients can minimize the risk of complications and optimize their new joint’s longevity.

Remember, patience and persistence in following the post-operative guidelines are key to regaining mobility and returning to an active lifestyle. With time and commitment to rehabilitation, the quality of life can significantly improve post-surgery, allowing individuals to enjoy the benefits of their new hip for many years to come.

Consult With a Doctor

After your initial consultation, we will provide you with a surgical date. Our team will attempt to accommodate your schedule to provide timely care. Our patients will receive a detailed guide on precautions and keys to recovery to allow for optimal healing.