How Long Does it Take to Recover After Joint Replacement?

As a specialist in joint replacement, I am frequently asked “How long will it be until I am back up and doing the things I want to do?”   The first two weeks after surgery can be difficult.  Many patients are tearful and emotional during this time.  It is hard to be dependent on others.   Sleeping can be particularly difficult.   Pain is controlled with medication but narcotics can make you irritable and tired.  Driving is not allowed until narcotic pain medications are discontinued and for 6 weeks after surgery on the right leg.

The recovery time is different for hips and knees.  I am amazed at how quickly patients recover after total hip replacement, especially when it is done through a direct anterior approach.  Typically by 2 weeks after surgery, most people are ready to transition to a cane and are taking minimal pain medications.  Physical therapy can help improve strength and balance and by 6-8 weeks after surgery most people are back to their usual activities.  The new hip will continue to be sore intermittently, however, for several months.

Recovery after knee replacement can be slow.  The natural response to knee pain is to not move the knee.  However, if you don’t move it, the knee will become stiff very quickly.  Physical therapy is essential for recovery after knee replacement. You will have 2 weeks of home physical therapy and then you will need to go to outpatient physical therapy for 6-8 weeks.  Initially, the therapy focuses on regaining motion, later on it will be on strengthening.   Some people tend to have a harder time getting their motion back than others.  Even if you can bend your knee fully, many people feel that the knee is “stiff” for many months following surgery.   Most people use a cane until 6-8 weeks after surgery and it may take 3-6 months before you can do everything you want to do.  Many people have difficulty kneeling after knee replacement surgery.   Improvements in pain and swelling and motion continue for at least a year after surgery.

Patients are scheduled for postoperative appointments at 2, 6, and 12 weeks after surgery, and more frequently as necessary.   Everyone recovers at their own speed.   Talk to your surgeon if you have concerns about your recovery.