How to Navigate Common Post Hip Surgery Complications

Table of Contents

Overview of Post Hip Surgery Complications

Understanding Complications

As an Exercise Physiologist, I’ve worked closely with clients post-hip surgery—from total hip replacements to fracture repairs. I’ve seen firsthand how the right rehabilitation approach can be the difference between a sluggish recovery and a confident return to movement. Below is a breakdown of what you need to know.

• Some complications, like pain and swelling, are part of normal healing.

• Others, such as infections, blood clots, and nerve injuries, may require medical intervention.

• Rehabilitation and exercise play a critical role in preventing long-term issues and restoring function.

Common Post Hip Surgery Complications

Infection

• What to look for: Redness, swelling, fever, wound discharge.

• What I’ve seen work: Early wound monitoring and hygiene education. Clients who understand what’s normal and what’s not recover faster and avoid setbacks.

• Action: Antibiotics, sterile dressing changes, and daily check-ins early on.

Blood Clots

• Deep vein thrombosis (DVT) is a risk after hip surgery due to reduced mobility.

• Symptoms: Leg pain, swelling, warmth, and redness.

• Prevention: Blood thinners, compression stockings, and regular movement.

Dislocation After Hip Replacement

• Occurs when the new hip joint moves out of place.

• Common in the first few months post-surgery due to weak supporting muscles.

• Prevention: Avoid bending the hip past 90 degrees, crossing legs, or twisting movements.

Differences in Leg Length

• Some patients feel that one leg is longer or shorter than the other post-surgery.

• Causes: Muscle tightness, implant positioning, or pre-existing alignment issues.

• Management: Physical therapy, shoe inserts, or in rare cases, corrective surgery.

Nerve Injury

• Can result from surgical trauma or swelling around nerves.

• Symptoms: Numbness, tingling, or muscle weakness in the leg or foot.

• Recovery varies; mild cases improve with time, while severe cases may require further intervention.

Post Hip Surgery Recovery & Timeline

Timeline of Recovery

• Weeks 1-2: Pain management, gentle mobility exercises, wound care.

• Weeks 3-6: Increased movement, supervised physiotherapy, walking with assistance.

• Months 2-3: Gradual return to normal activities, improved strength and endurance.

• Months 4-6: Near full recovery for most patients, possible return to low-impact exercise.

Factors Affecting Recovery

• Age and overall health

• Pre-existing conditions (e.g., diabetes, osteoporosis)

• Surgical technique and implant type

• Commitment to rehabilitation and physical activity

Pain Management Strategies

• Medications: Prescribed pain relievers or anti-inflammatories.

• Cold Therapy: Ice packs to reduce swelling and discomfort.

• Gentle Movement: Avoiding prolonged inactivity to prevent stiffness.

• Physical Therapy: Strengthening exercises to support healing.

Post Hip Surgery Rehabilitation

Importance of Rehabilitation

• Prevents muscle atrophy and stiffness.

• Improves joint stability and range of motion.

• Reduces risk of complications like blood clots and dislocations.

Rehabilitation Exercises

• Ankle pumps to promote circulation and prevent DVT.

• Quadriceps sets to strengthen thigh muscles.

• Seated knee extensions for leg mobility.

• Hip abduction exercises to restore balance and prevent falls.

• Walking with assistance (walker, crutches) to regain confidence and strength.

Goals of Rehabilitation

• Restore safe and independent movement.

• Strengthen muscles supporting the hip joint.

• Improve balance and coordination to reduce fall risk.

• Gradually return to daily activities and low-impact exercise.

Conclusion

Summary of Key Points

• Common post-surgery complications include infection, blood clots, dislocation, leg length differences, and nerve injuries.

• Early rehabilitation and exercise prevent complications and speed up recovery.

• Pain management strategies and consistent follow-ups ensure long-term success.

A Word of Encouragement!

If you’ve had hip surgery, know this: recovery isn’t about waiting—it’s about working smart. I’ve helped countless people regain strength, mobility, and confidence post-op. You don’t need to “just live with it”—you need a plan, accountability, and expertise.