Pain after hip fracture surgery: what should you know?

Pain may come from the fracture area, the incision, bruised muscles or stiffness after reduced movement. It can flare during transfers, walking or exercises, especially when strength is returning. Fixation with an [Intramedullary Nail](/materials/intramedullary-nail/) or another implant can leave soreness while tissues settle. Pain that trends down with the prescribed plan is different from pain that suddenly becomes severe, follows a fall, or is paired with a shortened or turned leg. The original [Hip Fracture](/conditions/hip-fracture/) and the operation both affect recovery.

Take pain relief as prescribed so you can breathe deeply, sleep and participate in safe movement. Use the walking aid and weight-bearing limit given by your surgeon or therapist. Keep the wound protected, use supports for transfers, and do not attempt stairs alone until you have practised them safely. Gentle exercises should follow your rehabilitation plan rather than pain being pushed through. [Post-Operative Rehabilitation](/treatments/physiotherapy-and-rehabilitation/post-operative-rehabilitation/) can address strength, balance and walking; a [Falls Prevention Programme](/treatments/physiotherapy-and-rehabilitation/falls-prevention-programme/) can reduce hazards at home.

Contact your surgical team for increasing pain, new drainage, spreading redness, wound opening, fever, or pain that prevents the planned exercises. Seek urgent assessment after a fall, or if you suddenly cannot stand or bear weight. Emergency help is needed for severe breathlessness, chest pain, fainting, or a swollen painful calf. New confusion, unusual drowsiness or inability to take fluids also deserves prompt medical advice, especially during early recovery.

Ask what level of weight bearing is allowed, how to time pain medicine around therapy, and which wound changes are expected. Ask when the implant and fracture should be reviewed, what to do after a stumble, and how to distinguish muscle soreness from a problem with fixation. Your team can explain the purpose and expected stages of [Hip Fracture Surgery](/treatments/trauma-and-fracture-care/hip-fracture-surgery/).