How to Prepare for Hip Replacement Surgery

Co-authored by OrthoNOW

Last Updated: November 16, 2021

Hip replacement surgery can be a great choice if your hips are failing or you are in constant pain due to a hip disorder. Getting a replacement can restore your quality of life and allow you to participate in the activities you have been forced to abandon. However, before undergoing hip replacement surgery, you need to prepare for the actual surgical procedure. If you and your doctor have agreed that hip replacement is the best and most logical step for you to take, prepare in the months, weeks, and days leading up to your surgery.

Method 1

Method 1 of 3:

Preparing A Few Months Before

1
Strengthen your body to set the stage for a speedy recovery.^{[1]
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OrthoNOW
Orthopedic Professionals
Expert Interview. 13 July 2021.} Although hip pain can significantly lessen the amount of exercise you do on a regular basis, you should make sure your lower body's muscles are in good condition prior to undergoing surgery.
- If you have been abstaining from exercise, your leg and gluteal muscles may have become much weaker.
- Ask your doctor (or a physical therapist) for the right exercises to help strengthen your back, leg, and gluteal muscles.
- This way, your body can support your recovering pelvic muscles after surgery.
- Some people can do specific exercises that others will have a hard time doing. Go easy on yourself and listen to your body's cues.
2
Perform gluteal sets to strengthen your glutes. Gluteal sets are very easy to perform, and you don't need any special equipment to do them.
- Just lie flat on your back and squeeze your buttock muscles for a few seconds.
- Your hips should raise a little while doing this.
- Repeat this exercise 10 to 20 times.
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3
Try leg raises to strengthen your quadriceps and hips. Leg raises are very easy to do and can be done on any flat surface, such as the floor or a firm mattress.
- From the same starting position as the gluteal sets, you can advance to leg raises.
- First, raise your knees.
- Then, straighten your legs as much as you can, until your toes are pointing at the ceiling.
- Hold this pose for a few seconds, then slowly lower your legs.
4
Do ankle rotations. You may use your hands to support your legs, or you can simply raise your legs as if you're about to do leg raises.
- Rotate your ankles five times to the right and five times to the left.
- Repeat with the other leg.
5
Take iron, and avoid blood-thinning supplements. Ask your doctor for recommended supplements to take prior to surgery, and follow his or her advice about other supplements you should take or avoid.
- Iron is often recommended because it helps prevent excessive bleeding after or during surgery.
- Your doctor may advise you to stop taking certain supplements and medications that may interfere with the surgical and recovery processes, such as vitamin E, gingko biloba, glucosamine/chondroitin, fish oil, turmeric, dong quai, or any other natural herbs or supplements that have known blood-thinning capabilities.
6
Call your insurance company to make sure your treatment and post-operative care are in order. Sometime during the months leading up to your surgery, make sure that you call your insurance provider to let them know about your upcoming procedure.
- Ask the insurance company if they will cover your post-operation care, such as therapy.

Method 2

Method 2 of 3:

Preparing A Few Weeks Before

1
Get your home ready to accommodate your limited mobility. A few weeks before the surgery, get your home ready.
- Make sure that all the items you need on a regular basis are at hip level.
- This way, you don't have to twist your pelvic muscles or strain other sore parts of your body.
- Rearrange your closet so that items such as socks or underwear are near hip level, so you won’t have any trouble reaching down for those items.
- Make sure you have a sleeping space in the downstairs of your home available for at least a couple of weeks after surgery, because stairs will be hard to handle.
- Make sure you have a comfortable bed that makes it easy for you to lie down and get up with minimal support.
- Get a chair with appropriate support, such as sturdy arms, to support yourself when you are getting up and sitting down.
2
Arrange your home so it is easy to navigate with a walker. After your surgery, you may require a walker to help you with your routine activities.
- Make sure that you arrange your house to enable unfettered movement.
- Ensure that all objects are placed out of the way to help you move around easily.
3
Install new equipment in your bathroom to make bathing easy. If your bathroom doesn't have any handlebars, now is the time to install them so you won’t have problems steadying yourself in the bathroom.^{[2]
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OrthoNOW
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Expert Interview. 13 July 2021.}
- Arrange aids to help you bathe, including a chair and low-level shelves to store your soaps and shampoos.
4
Take care of household chores and errands. Run errands to stock your house with the things you will need after your surgery.
- Stock up on easy-to-prepare meals like frozen or canned food items.
- Make sure that you have all the necessary items you need, like water, milk, snacks, juice, and other food items.
- Don’t forget to stock up on items such as toilet paper, shampoo, soap, and other products that you use on a regular basis.
5
Ask a family member or friend to provide assistance after your surgery. Ask for a friend or a family member to help you with grocery shopping, bill payments, and other necessary chores.
- If that isn't possible, you could look into paying for bills online.
- If you have a friend or family member who is able, have them cook delicious but healthy meals for you when they can.
6
Under your doctor's supervision, stop taking any blood-thinning medications to prevent excessive blood loss. Your doctor may advise you to stop taking NSAIDs or non-steroidal anti-inflammatory drugs a few weeks before surgery.
- The reason for that is because NSAIDs are blood thinners and may increase blood loss during surgery.
- Some medications taken for rheumatoid arthritis, such as humira, enbrel, methotrexate, and plaquinil, could impair your immune system, so it is best to abstain from using these if possible.
- Also, avoid anticoagulants such as heparin and plavix, because these thin your blood and can increase blood loss when you undergo surgery.
7
Inform your family, friends, and colleagues about your surgery. Your personal and business life is going to be affected by your hip replacement surgery, because you will need to take some time off to recover.
- Once you learn how long it will take you to return to work, you need to plan your work schedule in such a way that the impact on your work will be reduced.
- Try asking your partners or colleagues to help with your work until you can return.
8
Eat well to ensure that your body can heal efficiently. Talk to your doctor about the diet you should follow to make your surgery and recovery go smoothly.
- Eat a balanced diet that gives you the energy necessary to recover.
- Your doctors may suggest that you increase your intake of protein to speed up bone and muscle recovery.
- Here are some suggestions to help you plan your diet:
- Increase your protein intake by eating foods such as milk, eggs, fish, peanut butter, nuts, and beans.
- Eat foods high in calcium to strengthen your bones, such as milk, cheese, yogurt and canned salmon.

Method 3

Method 3 of 3:

Preparing On The Day Of Surgery

1
Have someone accompany you to the hospital. If someone can accompany you on the day of your surgery, they can help you in a few ways.
- First, he or she can help fill out forms for you and remember the surgeon’s instructions before and after surgery.
- This person can also help make your stay in the hospital be as comfortable as possible by assisting you when there is no nurse nearby, ensuring that you have all your necessary items at the ready, and helping you with the commute when it's time to go home.
2
Maintain perspective to stay calm and feel confident. Don't focus on potential problems now that you are about to have your surgery.
- Although you are having surgery and your life may be restricted for a few weeks, at the end of the day your quality of life will be improved.
- Remembering this will shift your focus to your bright future.

Expert Q&A

Question

How do I prepare my body for a hip replacement?

OrthoNOW
Orthopedic Professionals
OrthoNOW is a network of orthopedic, rehabilitative, and emergency care professionals based in the Miami, Florida metro area. Providing services such as diagnosis, digital x-ray, ultrasound, fluoroscopy, MRI, and pre-concussion testing, OrthoNow focuses on an alternative urgent care delivery model. OrthoNOW was founded by Alejandro Badia, MD, FACS, who completed his MD at New York University and completed fellowships at Allegheny General Hospital in Pittsburgh, Pennsylvania and in Freiburg, Germany.

OrthoNOW

Orthopedic Professionals

Expert Answer

You could work on proper transfers and bed mobility techniques so once you have the surgery, you would know how to do it. Also, strengthening the non-operated leg would help since it will be under a high demand for some months.