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thigh pain after hip replacement
9/21 14:20:32
Richard Haynes PTA/CPT - 1/14/2009


Question
Hello,  I had hip replacement in July.  My hip is working great.  The problem I am having is pain on the outside of my thigh and some inside.  I think it's because the nerves are coming back.  Is this normal? Also, I am going to start going back to the gym.  Are there exercises/machines that I should avoid?  Thanks

Answer
Hello Susan,

The pain you are you are having for the most part is normal. I am sure you have had a check-up since July and the surgeon will X-ray the hip to ensure the prosthesis is locked in properly.

With that said, The muscular discomfort with hips after replacement can come and go. It will take close to a year for the hip to be totally healed. It will also depend what you have been doing lately as far as activities are concerned.

Anything new as far as exercise or other outdoor activities will cause muscular pain/discomfort as well.


The gym will be great for the hip. I suspect the surgeon took you off your previous hip precautions some time ago.

The only exercises I would avoid would be heavy squatting with weight.
You can use a leg press and leg extension machine to work the leg muscles. I would avoid letting my knees go past that 90 degree mark however if you use the leg press.

Any high impact activity of course is out. No running in other words but stationary bike, stair master and the treadmill are all ok.

There are really not many machines to avoid in most gyms at this point. Just do not have weight on your legs and go past 90 degrees.
Be sure to work your hamstrings as well any hamstring machine I have seen in a gym will be ok also UNLESS your surgeon has advised you otherwise.

I am suspecting here you had a normal replacement and rehabilitation without difficulty.

I am a big believer in working out with resistance after a surgery like yours.

Just watch your intensity when starting back and monitor that pain you are having. If it continues to linger or gets worse go see the surgeon for a check-up.

Good Luck
Richard Haynes
Punta Gorda, Florida.

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