Hip replacement surgery, also known as total hip arthroplasty, is one of the most successful orthopedic procedures for restoring mobility and relieving chronic pain. This guide breaks down what to expect before, during, and after surgery, along with how physical therapy plays a key role in helping patients recover with confidence.
Hip pain can quietly steal your freedom to move. Simple joys like walking to the mailbox, climbing stairs, or standing in the kitchen can become painful reminders that something deeper needs attention. For many, hip replacement surgery offers a second chance at movement without pain.
Hip replacement, or total hip arthroplasty, involves replacing a damaged or worn-out hip joint with an artificial implant made of metal, ceramic, or plastic. This new joint mimics natural movement while eliminating the friction and pain caused by arthritis or injury.
The most common reason for hip replacement is osteoarthritis, but other conditions like rheumatoid arthritis, avascular necrosis, and traumatic fractures can also lead to joint damage. When pain persists despite medication, injections, or lifestyle adjustments, surgery becomes a safe and effective option for long-term relief.
Preparation begins weeks before the operation. Your healthcare team may recommend pre-habilitation or gentle exercises to strengthen muscles, improve range of motion, and prepare your body for a smoother recovery. Physical therapists also help patients learn how to use assistive devices like walkers or canes safely after surgery.
Therapists have a keen eye for ensuring that you are set up for success after surgery. This could include stair training, safety tips like removing tripping hazards, or identifying needs like durable medical equipment (DME) such as a shower chair.
Most hip replacements are performed under spinal or general anesthesia and take one to two hours. The surgeon removes the damaged bone and cartilage, then fits the prosthetic socket and ball securely into the hip. Some patients may have minimally invasive surgery, which uses smaller incisions and can lead to faster recovery times.
Recovery begins almost immediately after surgery. In many cases, patients stand or walk with assistance the same day. Physical therapy starts early to rebuild strength and balance, retrain walking patterns, and prevent stiffness or complications. Gradual exercise progression over several weeks improves mobility and confidence.
Depending on the approach of the total hip replacement, a patient may have movement precautions.
It is important to discuss these with your surgeon to understand how it is safe to move without compromising the surgery. Physical therapists will be able to show you how to safely move to protect your joint including getting in and out of bed, getting up and down from a chair, and turning/pivoting.
In-home physical therapy like the care provided through Luna allows patients to recover in the comfort of their own homes while still receiving expert, personalized guidance. This approach eliminates transportation challenges and ensures each exercise fits real-life needs like getting in and out of bed, climbing stairs, or navigating household surfaces safely.
With proper rehabilitation, most people return to daily activities within three to six months. High-impact sports are typically discouraged, but walking, swimming, and cycling are encouraged to maintain strength and joint health. According to a reputable long-term follow-up study, over 85% of hip replacements last more than 20 years, making it a durable and life-changing solution.
If you or a loved one are considering hip replacement, talk with your orthopedic specialist and physical therapist about your recovery goals. The right preparation, realistic expectations, and guided rehabilitation can make your new hip feel natural. Ready to start your recovery at home? Learn more about Luna’s in-home physical therapy services at getluna.com.
Senior Clinical Program Manager
Ken Charleston, PT, DPT, is a strategic leader in the physical therapy field with over a decade of experience in the health and wellness industry. He has clinical expertise in physical therapy, manual therapy, orthopedic rehabilitation, and injury prevention. Ken has held leadership roles at Luna Physical Therapy and Ivy Rehab Physical Therapy, where he has driven both clinical and operational excellence. He currently serves as Senior Clinical Program Manager at Luna. Ken holds a Doctor of Physical Therapy from Dominican University New York and an MBA from Walden University, combining clinical and business expertise to support high-quality care delivery.
Physical therapy, delivered.
Luna is the leading provider of in-home physical therapy, delivering exceptional care to thousands of patients across the country. With more than 1.2 million visits completed and 85,000+ patients served, Luna brings high-quality, outpatient-level care directly to the home. The platform is trusted by over 20,000 referring physicians and a nationwide network of 3,000+ physical therapists.
Luna maintains a Net Promoter Score (NPS) of 88 and a 99.7% patient satisfaction rate, reflecting its commitment to clinical excellence and personalized care. Luna has also earned CMS MIPS recognition for outstanding quality performance three years in a row, demonstrating measurable outcomes that meet and exceed national benchmarks.
Recognized as the #1 startup in musculoskeletal care by Forbes and one of Fast Company’s Most Innovative Companies in Healthcare, Luna partners with leading organizations including Duke Health, AARP, and Providence. By combining technology, clinical expertise, and a people-first model, Luna is redefining how care is delivered.
Curious what it’s like to get physical therapy at home? This step-by-step guide walks you through what to expect from your first Luna visit to your last. Learn how your PT personalizes care, coordinates with your doctor, and helps you track your recovery—all from the comfort and safety of your home.
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