Do You Need Total Hip Replacement After Prehabilitation?

Prehabilitation may include strengthening, mobility work, walking practice, weight-bearing advice and preparation for daily tasks. It can help you build skills for recovery and gives the clinical team a clearer picture of how your hip affects movement. It does not remove the underlying cause of hip pain, and improvement may support continued non-surgical care. Surgery becomes a discussion when pain, stiffness or loss of function remains significant despite appropriate management, or when the joint damage and examination support replacement.

Track changes in walking, stairs, dressing, sleep and pain during your programme. Review the result with your orthopaedic clinician and physiotherapist. Ask whether you should continue exercise, change activities, use walking support or consider another treatment. If total hip replacement is proposed, discuss implant choices, preparation, hospital care, rehabilitation and the activities you hope to resume. Your goals and overall health belong in the decision.

Contact your care team for rapidly worsening hip pain, new inability to bear weight, increasing warmth or swelling, or fever. Seek urgent care after a fall with severe pain or deformity, or for new numbness, weakness or loss of bladder or bowel control.

What did prehabilitation show about my strength and function? Is continued non-surgical care reasonable? What findings support replacement? What would recovery involve, and which activities could I work towards afterward?