Key Takeaways
- The first six weeks of hip surgery recovery focus on protecting the joint while gradually restoring movement.
- Early physiotherapy helps reduce pain, improve walking, and prevent long-term stiffness.
- Strength and control become more important from weeks three to six as daily activities increase.
- Clear guidance and pacing are key to avoiding setbacks and building confidence in your new hip.
Hip surgery recovery can feel like a big unknown, especially in the early weeks when everything feels slower and more effortful than expected. While every recovery is different, the first six weeks tend to follow a similar pattern. Understanding what’s normal during this phase can take a lot of stress out of the process and help you feel more in control as your body heals.
Below is a realistic breakdown of what most people experience in the early stages and how physiotherapy supports a smoother recovery.
Week 1 to 2: Managing pain and protecting the hip
The first two weeks after hip surgery are all about healing and settling things down. Pain, swelling, and bruising around the hip and thigh are very common. You may also notice stiffness, especially after sitting or first thing in the morning.
Most people will be using crutches, a walker, or a frame during this stage. These supports are there to protect the joint and help you move safely while the tissues begin to heal. Short, frequent walks around the house are encouraged, along with gentle exercises prescribed by your physiotherapist.
Physiotherapy early on focuses on safe movement. This includes learning how to get in and out of bed, sit and stand without straining the hip, and walk with good technique. Simple exercises help maintain circulation, reduce stiffness, and activate key muscles without overloading the joint.
If you’re feeling unsure about what movements are safe or how much activity is too much, early guidance can make a big difference. You can book an appointment or speak with a physiotherapist at MGS Physio.
Week 3 to 4: Improving movement and confidence
By weeks three and four, many people notice a gradual reduction in pain and swelling. Movement starts to feel easier, and confidence with walking often improves. Depending on your progress and your surgeon’s advice, you may begin to reduce your reliance on walking aids.
Physiotherapy during this phase focuses on improving hip mobility and rebuilding normal movement patterns. Exercises may feel slightly more challenging, but should still be controlled and comfortable. Balance, coordination, and posture become more of a focus, especially as walking distances increase.
This stage can feel encouraging, but it’s also when people are most likely to overdo it. While the hip may feel better, it’s still healing internally. Doing too much too soon can lead to flare-ups or delayed recovery.
Having a structured rehab plan helps keep progress steady without unnecessary setbacks. If you’re unsure how to increase your activity safely, a tailored physiotherapy program can guide you through this phase with confidence.
Week 5 to 6: Building strength for everyday life
The final part of the first six weeks is about preparing your hip for daily demands. By now, walking should feel more natural, and everyday tasks like climbing stairs or getting in and out of the car are usually easier.
Strength work becomes more important during this stage. Exercises target the hip, glutes, and core muscles that support the joint and help reduce strain during movement. Building this strength is key to protecting the hip long term and setting up a safe return to work, exercise, or hobbies.
You may still notice stiffness after rest or mild discomfort after activity, which is normal. The goal is steady improvement, not perfection. A physiotherapist can help progress exercises at the right pace so your hip keeps adapting without being overloaded.
If you live in Manly, North Curl Curl, or Mona Vale and want ongoing support beyond the early recovery phase, working with a local physio can help bridge the gap between surgery and full function. Find out more about appointments here.
Common questions and concerns during recovery
Many people worry if their recovery is “normal.” Questions about pain levels, clicking sensations, or uneven strength between sides are very common. Mild aches and muscle soreness are expected, especially as activity increases, but sharp pain or worsening swelling should be checked.
Sleep can also be disrupted in the first six weeks. Finding a comfortable position, using pillows for support, and keeping a regular routine often helps. Your physiotherapist can also suggest strategies to make sleeping more comfortable during recovery.
It’s important to remember that hip surgery recovery is not a race. Progress looks different for everyone and depends on factors like your fitness before surgery, the type of procedure, and how consistently you follow your rehab plan. The aim is to return to daily life feeling strong, confident, and supported.
If something doesn’t feel right, getting advice early can prevent small issues from becoming bigger problems. Ongoing physiotherapy support helps ensure your recovery stays on track and adapts as your goals change. Get in touch with us today!