Total Hip Replacement At-Home Therapy

 

The typical time in the hospital following a total hip arthroplasty/replacement can range from about one to three days. There are several important things to consider when planning to go home.

One of the most important things to understand about returning home after a total hip replacement are your movement precautions. Hip precautions help protect the new joint from dislocation.  Maintaining these precautions helps ensure safe healing of the hip.

**Note each surgeon may differ slightly in their precautions after surgery**

  • Anterior hip replacement precautions (an incision at the front of the hip): avoid hip flexion > 90 degrees, avoid crossing legs (adduction) and avoid toe in (internal rotation).
  • Posterior hip replacement surgery (curved incision on the side and back of the hip): avoid hip extension (stepping back), avoid turning toe out (external rotation) and stepping out to the side (abduction) and void crossing your legs (adduction across midline).

There are other ways to make the transition home easier after joint replacement. Elevating your toilet seat will help prevent forward flexion past 90 degrees. Removing any rugs or cords that could be a trip hazard to avoid falls. Using a shoe horn, sock aid, or reacher will make normal daily tasks possible without breaking your precautions.

Physical therapy will start before you leave the hospital and continue once you return home. At home, the first things your physical therapist will address is bed mobility, getting into sitting position, getting out of bed, walking with an assistive device, and gentle motion and strengthening. As you progress, a home exercise program will be given to you by your physical therapist. Home exercises may include things like standing hip abduction, standing hip extension, quad sets, straight leg raises, and glute sets.

Disclaimer:  The information in this blog is intended to be informational only, and is not intended to be used in lieu of medical care.  Consult a doctor or a physical therapist before attempting treatment on your own.

To request an appointment for a free consultation before your potential Total Hip Replacement, click here or call directly to one of our three locations during regular business hours:

Cool Springs: 615-224-9810
Shelbyville: 931-684-0027
Spring Hill: 931-489-2022

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