In the UK, it is not common practice for surgeons to send their patients to physio after a joint replacement. This can result in people feeling a bit lost when they read on BoneSmart of all the intensive PT (physical therapy) that our US members discuss. Please be assured that this is not essential. Each country gets good results from their procedures. However, to overdo exercises is never a good idea as it can lead to chronic (i.e. longlasting) inflammation and similar problems. And exercises should never ever cause pain in any way whatsoever for the same reason. Hips actually don't need much exercise to get better. They do a pretty good job of it all on their own if given half a chance. Trouble is, people don't give them a chance and end up with all sorts of aches and pains and sore spots. All they need is the best therapy which is walking and even then not to excess. But after the first 2-3 weeks of rest and recuperation, normal activities of daily living (ADLs) can be quite adequate for that rehab/PT ADLs include: ~ Personal hygiene and grooming ~ Dressing and undressing ~ Functional transfers, e.g. Getting out of bed ~ Voluntarily controlling bladder and bowel elimination ~ Ambulation (Walking or using a wheelchair) ~ Housework ~ Meal Preparation ~ Care of pets ~ Meal preparation and clean-up Walking and other activity Hip or knee, walking is about the best exercise you can do but again, you need to moderate your time and distance. Always use your walker, crutches or canes as appropriate, only moving from one to the other as you gain confidence. Your goal is a full stride in your walk and the use of an aid in the early stages of recovery helps you balance and stretch out your steps as you walk. If you have any signs of a limp as you walk, it's an indication that you need to go back to an aid that provides a bit more support for a while. I would suggest the following regime and please note the key point is never cause yourself pain Week 1 and 2 Walking around the house as normal - trips to the bathroom and kitchen are included! Be up on your feet several times a day as you need to but don't get obsessive about it. A 5 minute walk every one to two hours is plenty. No other activity, no house work or anything like, just rest, rest, rest Week 2 and 3 Start on a plan of walks around the house lasting longer than 5 minutes but don't a) get into too much pain and b) get too tired. Stop before you get to that point Activity: for these two weeks nothing but rest, occasional trips to the kitchen to get a snack or a drink and to the bathroom for potty and showers! Week 3 Take short walks outside the house in the garden, driveway or road for about 5-10 minutes maximum, once a day Activity: prepare yourself a meal or help prepare a family meal - but just peeling the potatoes or similar Weeks 4 and 5 Lengthen the walks to about 10-15 minutes once a day, maybe twice a day if it doesn't cause your knee/hip to swell or be painful. Activity: now you can do some dusting and push a vacuum round the middle of the living room; do more meal prep and maybe fill and empty the washing machine Weeks 6 and onward Start taking car trips to the shops but keep them short and sweet at the start, no longer than 15-20 minutes Take at least one 5 minute rest while you are out. Activity: ironing, washing, meal prep but get someone else to clear up after, wash up but someone else clears the table, brings you the dirty dishes, dries and puts them away after, not you!! Bed making and changing sheets, cleaning bedrooms etc., can wait until about week 8!