Everyone emphasizes the importance of exercise in the time preceding THR, to keep muscles strong around the hip joint and speed recovery. But how do you do this when it's so painful? I'm 50 and in good shape, used to exercising but it's hard to maintain a regimen right now. I've read about some incredibly elaborate workouts in this forum that people claim they stuck to up to the day of surgery. Well if I could do all that I wouldn't NEED surgery! All I can think is that they must be taking LOTS of pain meds. Maybe that's the answer, more pain meds and just work on through the burn. I'm also concerned that my poor ol' joint has to hold out somehow until August when my surgery is scheduled. I have advanced avascular necrosis. What are good exercises for AVN hip joints to prepare for surgery? I know there are lots of you out there...... Wendy