Mobility and Support
- Walker and Weight Bearing: Crutches or a walker may be used immediately post-surgery for support, balance, and safety. Weight-bearing is allowed as tolerated immediately after the surgery.
Icing and Elevation
- Procedure: Intermittently ice and elevate the joint for 30 minutes every 3 hours for the first few days after surgery to help prevent swelling and pain. Ensure that the affected heel is higher than the shoulder or chest for proper elevation.
Preventing Complications
- Light Activity: Engage in light activities such as sitting up, standing, and short walks regularly. Avoid strenuous activities to prevent deep vein thrombosis and pulmonary embolisms.
Dressing Care
- Dressing and Staples: The hip will be covered with 2 or 3 layers of dressings, including skin glue or Steri-Strips that resolve on their own. Waterproof Silverr Mepilex dressings can be removed at 1 week without replacement.
Postoperative Rehabilitation
- Physical Therapy: Begin formal physical therapy and a home exercise program within 10-14 days after surgery. Follow the Brigham and Women’s Hospital Harvard physical therapy program guidelines.
Pain Medication Regimen
- Tylenol: 1 gram (two 500 mg tabs) every 8 hours starting immediately post-surgery.
- Naprosyn: 500 mg twice daily starting immediately post-surgery.
- Aspirin: 81 mg twice daily starting the evening post-surgery.
- Oxycodone: As needed for pain every 4-8 hours, wean off by taking half tabs every 8-12 hours after the first week and one tab 1 hour before physical therapy appointments.
Q: How soon can I use a walker after total hip replacement surgery?
A: You can use a walker or crutches immediately post-surgery to aid in mobility and balance; weight-bearing is allowed as tolerated.
Q: What is the recommended icing and elevation routine after surgery?
A: Apply ice intermittently and elevate the operated hip for 30 minutes every 3 hours during the first few days to reduce swelling and manage pain.
Q: When should I start physical therapy after my hip replacement?
A: It is recommended to start physical therapy and a home exercise program within 10-14 days following your surgery to aid in recovery.
Q: How do I manage pain after my hip replacement surgery?
A: Begin with Tylenol and Naprosyn as prescribed, and use Oxycodone as needed for pain. Aim to wean off stronger pain medications as recovery progresses.