My surgeon, an athlete himself, is enthusiastic about PT, and I am, too, generally. But thanks to advice I read on this forum, I have not pushed myself as hard as usual. I'm doing a lot of walking, bike riding, kayaking, but not to the point of pain or exhaustion, and I do 13 machines in my circuit at the YMCA. The 5 lower body machines, I am using about half the weight that I used pre-op, but I'm doing more repetitions. With the ad and abductors, I'm not pushing the ROM to point of pain. Upper body is same as before surgery. When I think about it, which isn't often, I do my PT exercises but really, the machines at the Y duplicate a lot of those movements.
I was so resistant to the idea of THR back last June (I was in denial, really) that the first ortho I saw gave me a shot of cortisone into the hip and ordered 8 weeks of PT twice a week, which I did diligently. Not too painful, due to the cortisone, and it accomplished, I think, two things. First, it finished off what was left of my hip, and second, it gave me better range of motion and strengthened all the involved muscles, leaving me with bone on bone

but in great shape for the surgery.
So, I assessed my situation post-op and with the help of
Josephine advice about hips sorting themselves out without much PT, moderated my activity somewhat. Because my new hip is not cemented, and I've read that osteointegration takes 4-6 months, I figure I will continue to take it easy until 6 months post-op, at which point I'll increase my weights and step up my activity---longer paddle trips, longer bike rides and hikes.
At ten weeks post-op now, I find that after a couple of very active days, I need a lazier day, and it is better to alternate activities; ride one day, paddle or hike the next.
Sorry so wordy. My point is really what Sharon said. You start where
you are, not where anyone thinks you should be. Don't do anything to the point of pain. And once you're rid of the crutches, walk, walk, walk.
