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Surgery rehabilitation

Hip replacement rehabilitation

Physio after a hip replacement helps you strengthen the new joint and return to walking, stairs and daily tasks safely. We support you before and after surgery in Perth.

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Understanding the condition

A hip replacement (total hip arthroplasty) replaces the worn ball and socket of the hip joint, usually to relieve pain and stiffness from arthritis. Most people go home within a few days, are back to light daily activities by about six weeks, return to normal routines around three months, and keep gaining for up to 12 months.1 Your surgeon will explain which movements to avoid early on to protect the joint from dislocation.1 Registry data show 10-year revision rates of about 2.5% to 8.0%, depending on the group.2

Rehabilitation, including physiotherapy and occupational therapy, helps you strengthen the new joint and improve flexibility.1 WA public hospitals offer joint replacement nurse contact and education before surgery, and say active participation before and after surgery improves recovery.5 Exercise before hip replacement (prehabilitation) is common, but the evidence is weaker than for knees: one 2023 review found insufficient evidence for hip outcomes, and another found minimal gains before or after surgery.3,4 It supports recovery but is not a guarantee.

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Hip replacement rehabilitation

What to look out for, and how we help

Symptoms are a guide, not a diagnosis. Your GP confirms the diagnosis; our team helps you manage it day to day.

What you might notice

  • Hip, groin or buttock pain, stiffness or loss of movement that limits walking, stairs, putting on socks and shoes, or sleep
  • Some swelling, bruising and tightness around the hip in the first weeks after surgery
  • Weak hip and thigh muscles, a limp, or still needing a walking aid
  • Difficulty with getting in and out of a car, a chair or the bath while following your surgeon's precautions
  • Concern about when to drive, return to work or restart exercise
  • Call 000 or go straight to an emergency department for chest pain or shortness of breath, and seek urgent medical review for redness or pain in your calf or lower leg even at rest (possible blood clot), an incision that is red, hard, hot, swollen or draining, a temperature over 38.5°C or chills, or sudden hip pain with less movement and being unable to put weight on the leg (possible dislocation).

How our team helps

  • Assessment before surgery and after discharge, checking movement, strength, balance, walking and your goals
  • Individual exercise programs that follow your surgeon's precautions and progress as you recover
  • Walking aid prescription and advice as you move from a frame or crutches to a stick and then without
  • Hands-on therapy where it helps you move and exercise more comfortably
  • Hydrotherapy and group exercise classes once your surgeon agrees and the wound has healed
  • Return to work planning, and reports for your GP, surgeon, insurer or NDIS planner

Your PDC care team

The teams and services that most often support people with this condition. They work from one shared plan, and one GP referral reaches all of them.

Allied health teams

Physiotherapy
Physiotherapy
Allied health team
Physiotherapy
Musculoskeletal treatment and rehabilitation to help you move better and manage pain.
Read more

Exercise Physiology
Exercise Physiology
Allied health team
Exercise Physiology
Safe, effective exercise programs designed by Accredited Exercise Physiologists for chronic condition management.
Read more

Related services

Related conditions

Terms explained

Plain English explanations for this condition are being added.
See all conditions

Sources and clinical review

Our care follows Healthdirect and WA Health joint replacement guidance, current physiotherapy evidence, and your surgeon's rehabilitation protocol.

  1. Healthdirect Australia. Hip replacement. Healthdirect Australia; reviewed June 2025.
  2. Australian Orthopaedic Association National Joint Replacement Registry. Lay summary: hip, knee and shoulder replacement 2025 supplementary report. Adelaide: AOANJRR; 2025.
  3. Konnyu KJ, Thoma LM, Cao W, et al. Prehabilitation for total knee or total hip arthroplasty: a systematic review. Am J Phys Med Rehabil. 2023;102(1):1-10.
  4. De Klerk TC, Dounavi DM, Hamilton DF, Clement ND, Kaliarntas KT. Effects of home-based prehabilitation on pre- and postoperative outcomes following total hip and knee arthroplasty: a systematic review and meta-analysis. Bone Joint Open. 2023;4(5):315-28.
  5. Fiona Stanley Fremantle Hospitals Group, WA Health. Your joint replacement journey. Perth: WA Health; updated 30 April 2025.
  6. Bone and Joint Health Strategic Clinical Network, Alberta Health Services. Hip replacement: when to get medical help. Alberta Health Services; reviewed 18 July 2025 [cited 2026 Oct 4].
  7. Healthdirect Australia. Deep vein thrombosis (DVT). Sydney: Healthdirect Australia; reviewed May 2025 [cited 2026 Oct 4].
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Common questions

How long does it take to recover from a hip replacement?
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Most people manage light daily activities by about six weeks and are back to normal routines around three months. Further gains can continue for up to 12 months.<sup>1</sup> The pace varies from person to person, so follow your surgeon's advice.

What movements should I avoid after a hip replacement?
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It depends on the surgical approach and your surgeon, who will explain how to care for the new hip and prevent dislocation, especially in the first months.<sup>1</sup> Follow those instructions closely. We build your exercises and daily routines around them.

Does physio before a hip replacement help?
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It may help you feel prepared, but the evidence is weaker than for knees. One review found insufficient evidence for hip outcomes and another found minimal gains before or after surgery.<sup>3,4</sup> Active participation in your care is still encouraged.<sup>5</sup>

Can I swim or play sport after a hip replacement?
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Your surgeon will advise which activities to avoid, and most people are advised to avoid high-impact sports.<sup>1</sup> Once the wound has healed and your surgeon agrees, hydrotherapy and other low-impact exercise are common choices. We help you build up gradually.

Do I need a referral, and what funding is available?
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No referral is needed for private appointments. With a GP Chronic Condition Management Plan, Medicare rebates apply to up to five eligible allied health services a calendar year. Private health extras may also contribute, and workers compensation or DVA may apply in some cases.

Not sure where to start?

Tell us what is going on and we will point you to the right discipline, or to more than one. Most people start with a single appointment and leave with a plan the rest of the team can see.

Or go straight to a service

Phone (08) 6110 0570 · Medicare, NDIS, DVA and private options across our services

For GPs and health professionals

Referring a patient with this condition?

Send an online referral in under two minutes. One referral reaches every discipline at PDC Health Hub.