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Before Hip Replacement Surgery: Preparation and Planning Guide
Summary
Preparing for hip replacement surgery involves several steps to ensure a smooth recovery and improved mobility post-surgery. This guide provides essential information and helpful tips to get you ready for the procedure, from pre-operative exercises to home arrangements.
What Is This & Why It Matters
Hip replacement surgery is a common procedure to alleviate pain and improve joint function. Proper preparation before the surgery can significantly impact your recovery, helping you regain mobility faster and reducing the risk of complications. This guide will walk you through essential steps to take in the weeks leading up to your surgery, including exercises, dietary restrictions, and home setup.
What You Should Do
- Engage in physical therapy sessions 2-3 times weekly for 4-6 weeks before surgery to strengthen your muscles.
- Perform daily home exercises such as quadriceps sets, glute sets, hip abduction exercises, and ankle pumps for at least 15 minutes.
- Stop eating or drinking anything after midnight on the night before your surgery.
- Discuss with your doctor about stopping medications like aspirin or blood thinners 7-10 days prior to surgery.
- Arrange to have an abduction pillow, raised toilet seat, shower chair, and long-handled reacher at home for after surgery.
- Prepare your bedroom by ensuring your nightstand is accessible and consider using bed elevators to raise your mattress by six inches.
- Stock your freezer with pre-made meals to avoid excessive standing or bending while cooking post-surgery.
- Plan for assistance with household chores, yard work, and car driving for 4-6 weeks after surgery.
- Complete any required pre-operative testing such as lab work, EKGs, or chest x-rays as scheduled by your doctor.
- Take a shower the night before your surgery and wear loose-fitting clothes on the day of the procedure.
What You Should NOT Do
- Do not eat or drink anything after midnight before your surgery day.
- Avoid taking aspirin, NSAIDs, or any blood thinners unless instructed otherwise by your surgeon.
- Do not engage in activities that could lead to falls or injuries in the weeks leading up to your surgery.
- Refrain from smoking or using tobacco products as they can hinder healing processes.
- Avoid making significant lifestyle changes without consulting your healthcare provider first.
- Do not neglect arranging for help with daily tasks during your recovery period.
Symptoms: Normal vs Warning Signs
Normal (Don't Worry)
- Mild soreness around the hip area after exercises is normal.
- Feeling tired or fatigued due to increased physical activity is expected.
- Some anxiety about the upcoming surgery is natural.
- Temporary changes in appetite may occur as you adjust to new routines.
- Minimal swelling in the lower extremities can be typical during preparation.
Call Your Doctor If...
- Experience significant pain that does not improve with rest or medication.
- Notice excessive swelling that worsens over time instead of improving.
- Develop a fever over 100.4°F (38°C) indicating possible infection.
- Have difficulty breathing or experience chest pain—seek emergency care immediately if this occurs.
- Feel persistent dizziness or lightheadedness that doesn't subside with rest.
- Observe unusual bruising or bleeding that doesn't stop easily—especially if on blood thinners before stopping them as advised.
- See any signs of allergic reaction such as rash, itching, or hives.
FAQ
How long will my hospital stay be?
Most patients stay in the hospital for 1-3 days post-surgery depending on individual recovery progress.
Will I need someone to drive me home?
Yes, you will need someone to drive you home from the hospital as you'll be unable to drive immediately after surgery.
How long before I can walk again?
With assistance from physical therapy, most patients begin walking with aid within a day after surgery.
Is there a specific diet I should follow before my surgery?
Maintain a balanced diet but avoid eating or drinking anything after midnight before your surgery day.
Can I continue my daily medications?
Consult with your surgeon regarding which medications are safe to continue prior to the procedure.
What should I pack for my hospital stay?
Pack comfortable clothing, personal hygiene items, and any necessary medical documents.
How do I manage pain post-surgery?
Your healthcare team will provide pain management options including medications and physical therapy exercises.