Weeks 1–2
Pain
Protect the new joint and calm post-op swelling.
Gentle guided movement, swelling control, and safe transfer training start within days of surgery, protecting the joint while it begins to heal.
What We Treat
The stiffness when you stand up from the couch. The twinge that decides whether today’s a good day. It’s fixable, and it starts with a cause-first evaluation, not a guess.
Sound Familiar?
Two or more? Keep reading.
Why Guided Rehab Matters
A new hip doesn’t come with new muscles. The joint itself gets replaced, but everything around it, the muscles that guarded a painful hip for months before surgery, the scar tissue forming around the incision, the shortened stride and the limp you built to avoid pain, all of that gets left behind by the operation. None of it resolves on its own just because the joint did.
Left alone, scar tissue tightens the capsule around the new joint, deconditioned muscles stay weak, and the limp you used to protect the old hip becomes a habit the new one doesn’t need. That’s why time alone rarely finishes the job. It takes a cause-first evaluation, this time aimed at exactly which tissues are limiting your motion and which muscles need to relearn their job, then a guided plan that pushes your new joint through its full range before stiffness sets the limit for you.
The Honest Truth
Nobody regrets starting too early. Every week, someone in our clinic says they regret waiting.
How We Fix It
Every plan has an endpoint. Here’s what the four phases look like after hip replacement surgery.
Weeks 1–2
Pain
Gentle guided movement, swelling control, and safe transfer training start within days of surgery, protecting the joint while it begins to heal.
Weeks 2–6
Prime
Hands-on mobility work breaks up early scar tissue and restores the hip motion you need to walk without a limp.
Weeks 6–10
Perform
Progressive strengthening rebuilds the hip and core muscles that weakened long before surgery, the ones the operation alone can’t fix.
Weeks 10+
Prevent
Stairs, uneven ground, and getting up off the floor get tested under real conditions before you’re cleared to go all-in: that’s the endpoint, not just another appointment.
It’s been a great experience so far. The facility is clean, the staff is welcoming and accommodating, and I love my physical therapist. She knows how to push me and understands my limitations.
Shared by Mike B. · Excel Physical Therapy patient
Starting hip replacement recovery, unsure what to expect from therapy
A few sessions in, already feeling pushed the right amount by a PT who understands his limits
Questions, Answered
Most surgeons want rehab starting within days of surgery, often before you even leave the hospital. The sooner guided movement starts, the less scar tissue and stiffness build up around the new joint. If you’re a few weeks out and haven’t started yet, that’s still a good time to begin. It’s the delay past six to eight weeks that starts costing you real motion.
Yes, and it’s exactly what your surgeon expects. Early PT after a hip replacement is dosed specifically for a healing joint, gentle, controlled movement that respects the precautions your surgeon gave you while still preventing stiffness from setting in. A physical therapist checks your surgical clearance and builds around it, so you’re never pushed past what your new joint is ready for.
Most patients feel meaningful change within 4-6 visits, walking farther and with less thought behind each step. A full recovery plan runs through all four phases, Pain, Prime, Perform, and Prevent, typically over 10-12 weeks depending on your starting point and activity goals. Either way, you get a plan with an endpoint: you’ll always know which phase you’re in and what’s left, not an open-ended string of appointments.
Book Your Visit
Request a time and a real person calls you back, usually within two business hours. No phone tree. No ‘someone will reach out.’ Just a plan.
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Typical response: under 2 business hours
Step 1 of 5
That’s the hard part done. We’ll call during business hours to lock in your time. Most people are on the schedule same week.
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