Returning to sport after hip replacement

For many patients, a common question following hip replacement surgery is whether they will be able to return to sport after their hip replacement.

In this article, Mr Sulaiman Alazzawi, a consultant orthopaedic and trauma surgeon, explains when it is safe to start exercising after hip replacement, which sports are suitable, and how to make a safe and sustainable return to activity.

When can you start exercising again?

Gentle activity usually begins immediately after surgery, under the supervision of a physiotherapist. Simple walking, basic strengthening exercises, and stretches are encouraged to help restore function and speed up recovery.

When it comes to sport, however, more time is needed:

1. Low-impact activities after hip replacement may be resumed from around 3 months post-surgery.
2. More demanding sports after hip surgery may require 6–12 months of rehabilitation and a tailored assessment by your surgeon.

Every patient’s recovery is unique, and your timeline will depend on factors like age, general health, muscle strength, and the type of sport you wish to return to.

Which sports are safe after hip replacement?

Choosing the right type of sport after surgery is important for protecting your new joint while still enjoying the benefits of physical activity.

Low-impact sports (recommended)

These are considered the safest choices after hip replacement, as they place minimal strain on the artificial joint while promoting cardiovascular fitness and muscle strength:

• Walking
• Swimming
• Cycling
• Golf
• Yoga and Pilates (with modifications)

Moderate-impact sports (case by case)

Some activities may be possible if you had a good level of fitness before surgery. These should only be resumed after medical clearance:

• Doubles tennis
• Hiking on even ground
• Rowing (indoor machine or water-based)

High-impact sports (not recommended)

Sports involving running, jumping, twisting, or sudden direction changes are generally discouraged. These include football, rugby, squash, basketball, and marathon running. They can place excessive stress on the artificial joint, increasing the risk of wear, loosening, or dislocation.

Tips for a safe return to sport

• Follow your physiotherapy plan: rehabilitation is essential for regaining strength and balance.
• Take it step by step: begin with short, low-intensity sessions and increase gradually.
• Listen to your body: discomfort, pain, or swelling may signal that you need to slow down.
• Use suitable equipment: correct footwear or a well-fitted bike can make a big difference.
• Maintain regular check-ups: follow-up appointments allow your surgeon to assess your progress.

Benefits of returning to sport after hip replacement

Resuming physical activity offers benefits beyond the hip joint itself. It helps maintain cardiovascular health, keeps muscles strong, improves balance, and enhances flexibility. Many patients also find that returning to sport after hip replacement boosts mood, confidence, and overall quality of life.

With the right preparation and guidance, many patients can safely return to sport after a hip replacement.

Consult with Mr Alazzawi via his Top Doctors profile to explore the safest and most effective way to resume sport after hip replacement.