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Health Information and Tools > Health A-Z >  When You’re Having a Hip Replacement: Activity Guidelines

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When You’re Having a Hip Replacement

Activity Guidelines

​​​​​​​​​​​​​​​​​Ask your surgeon about any sports or other activities you want to do. The following are only guidelines for what you may or may not​ do.​

Movements to Avoid

Bending

 
  • Do not bend your hip more than 90°.
  • Do not bring your knee higher than your hip.
  • Do not reach forward towards your feet.
  • Do not​ reach down for objects on the floor.
 

Twisting and Turning​

Don’t:

  • twist your operated leg when standing, sitting, or lying down
  • twist your leg when turning
 

Do:

  • take small steps while turning
  • keep your toes facing the same direction

Crossing Your Legs

Don’t:

  • bring your leg across the mid-line of your body
  • cross your legs at the knee or ankle when sitting, standing, or lying down

Do:

  • sit up straight with your back touching the back of the chair
 

​​​​​Sleeping

You can sleep on either side, but you must always have pillows between your legs to prevent them from crossing.

 

If you sleep on your back, don’t put a pillow under the knee of your operated leg. It can cause a blood clot to form. It can also cause a permanent bend in your knee.

 


Sexual Positions​

Many people have questions about intimate relations after a hip replacement.

While it’s usually safe for your hip joint about 4 to 6 weeks after surgery, you also have to feel ready and be comfortable.

For the first 3 months,​ you have to protect the new joint. This brochure shows you the positions that are safe and the ones that aren’t safe for your new joint.

  • Make sure you let your partner know what’s comfortable or if a position causes pain.
  • Make sure you’re comfortable before you start. Using pillows may help.
  • No sudden movements.
  • Make sure your partner doesn’t put their full weight on your hips if you had a hip replacement.

Safe Positions for the Hip Joint

 
 
 
 
 
 
 

​Positions Not Safe ​for the Hip Joint

Hip twists too much.

Hip bends too much.

Hip bends and twists t​oo much.

Hip bends too much.

*Illustrations from Returning to Sexual Activity following Joint Replacement Surgery (Vancouver Coastal Health, 2013) and Sex after Joint Replacement Surgery (London Health Sciences Centre, 2013)

General Guidelines

The First 3 Months after Surgery

  • Walking
  • Phase 1 exercises
  • Phase 2 exercises – start when your Case Manager or physiotherapist tells you to.

After 3 Months

  • Swimming and other pool exercises: Careful not to do any twisting motions such ​as a whip kick.
  • Low-impact fitness exercises that don’t involve jumping, twisting, quick starts or stops, or other movements that put sudden force on your hip.​
  • Walking on a treadmill.
  • Golfing.
  • Cycling: The seat and handlebars must be set high enough so that you don’t have ​to bend your hip more than 90°.
  • Slow, gentle dancing.
  • Light hiking.
  • Gardening: Use raised beds or long-handled tools so that you don’t have to bend your hip more than 90°.

Activities NOT to Do

  • ​Do not lift and push heavy objects (25 lbs. or 11 kg).
  • Do not do any activities involving jumping, twisting, quick starts or stops, or other movements that put sudden force on your hip.
  • Do not do contact sports.

Current as of: May 6, 2019

Author: Bone and Joint Health Strategic Clinical Network, Alberta Health Services