Equipment for Total Hip Replacement (THA) Recovery
The first weeks after a hip replacement usually come with "hip precautions" — movement restrictions meant to protect the new joint while it heals. What's restricted depends on your surgeon's specific surgical approach, so always follow your own surgeon's or therapist's instructions over any general list below. The equipment on this page is grouped around the common needs across all three approaches: staying seated higher, transferring without bending too far, and getting dressed and bathed safely.
Posterior approach: avoid hip flexion past roughly 90°, avoid crossing the legs or bringing the knee past the midline (adduction), and avoid turning the foot or knee inward (internal rotation).
Anterior approach: avoid moving the leg backward past neutral (extension), avoid turning the foot or knee outward (external rotation), and avoid combining extension with external rotation.
Lateral (anterolateral) approach: avoid actively lifting the leg out to the side (abduction) in the early weeks to protect the repaired hip abductor muscles, and use general caution with combined flexion and rotation.
Rehab & Mobility Progression
Recovery from a total hip replacement generally moves through predictable phases, though the exact pace depends on your surgeon's protocol, your surgical approach, and your strength and mobility going in. Physical therapy — in a clinic, at home, or both — plays a role throughout. Here's the general shape of it.
- Days 1–2 (hospital or surgery center): Physical therapy typically starts the same day or the morning after surgery — real exercise, not just walking. That includes bed mobility training, transfer training (sit-to-stand, bed-to-chair), and targeted strengthening like glute sets, quad sets, and ankle pumps, all within your hip precautions, alongside walker-assisted walking. Your surgeon sets your weight-bearing status on the operative leg and confirms it before you go home.
- Weeks 1–2 (early home recovery): The exercise program started at the hospital continues — progressive strengthening, walker-assisted walking, and transfer practice (bed, chair, toilet, car), all within hip precautions. Outpatient or home health PT picks up where inpatient therapy left off, usually starting during this window.
- Weeks 2–6: Many patients progress from a walker to a cane as strength and balance improve — your surgeon or therapist decides when it's safe to switch. Walking distance and time increase, and hip and core strengthening progresses further within precautions.
- Weeks 6–12: Hip precautions are often eased around 6 weeks, depending on your surgeon and how well healing is progressing, opening up a broader range of movement and exercise. Most patients are walking without a device indoors by this point, and gait pattern continues to normalize.
- 3–6 months: Continued strengthening, balance work, and a return to most normal activities. Some soreness, especially with activity, is common through this window.
- 6–12 months: Full strength and endurance around the new joint can take up to a year to return, even after pain has resolved and normal activity has resumed.
This is a general framework, not your specific plan of care. Posterior, anterior, and lateral surgical approaches carry different precaution timelines, and some patients progress faster or slower than the ranges above. Always follow your own surgeon's and physical therapist's guidance over any general timeline.
When Things Are Actually Healed
Feeling better and being healed are two different things, and they run on separate clocks. Knowing what's still knitting together explains why your restrictions last as long as they do, long after you feel fine.
Your incision
- First 48 hours. The skin seals over. That's what lets most surgeons clear you to shower once the dressing comes off. The seal keeps water out. It isn't holding the wound together yet.
- Day 10 to 14. Sutures or staples come out and the incision starts to look like a scar. Most people read that as healed. It isn't.
- Three to six weeks. At three weeks your incision has about 20 percent of normal skin strength. At six weeks, roughly half. Almost nobody gets told this, and it explains why your restrictions outlast how good you feel.
- Three months to a year. Strength climbs to around 70 or 80 percent by three months and stops there. Scar tissue never gets all the way back. Color and thickness keep changing for a year or more, and a raised pink scar will flatten and fade on its own.
Your bone and your implant
- A cemented hip is solid before you wake up. Bone cement cures in about 15 minutes on the table. There's no fracture to heal and nothing to wait on, and that's the reason most people are up walking the same day.
- A press-fit hip works differently. Instead of cement, your own bone grows into the surface of the implant. That takes roughly 6 to 12 weeks to get a real grip and close to a year to finish. Ask your surgeon which kind you have. It changes your weight-bearing rules.
- Your precautions are protecting soft tissue, not the implant. With a posterior approach, the surgeon cuts and repairs the capsule and the small rotator muscles behind your hip. Those need 6 to 12 weeks to heal back down to bone, and until they do, the hip is vulnerable to dislocating. Anterior approaches go between muscles instead of through them, so those rules often look different.
- Bone keeps remodeling for a year or more as it adapts to carrying load a new way.
These are typical ranges, not promises. Diabetes, smoking, steroids, poor nutrition, and age all slow healing measurably. Your surgeon knows your case and your hardware. Follow their restrictions over anything you read here.
Pain & Swelling, Week by Week
How pain and swelling actually go
Most people expect to feel a little better every day after surgery. That's not how it goes, and not knowing that turns a normal week into a frightening one. This is the pattern we see most often.
- Days 2 and 3 usually feel worse. This is when people call worried something has gone wrong. Almost always it hasn't. Three things land at once: your nerve block wears off, the hospital starts backing off your pain medication, and you're moving more. Swelling in the hip and thigh peaks right about here, and bruising that creeps down toward your knee is normal.
- Through day 7, expect a plateau. Pain holds steady instead of dropping. Stay ahead of it with scheduled medication, elevation, and ice rather than waiting until it's bad and chasing it.
- After day 7 it starts coming down. Figure one to two points a week on a 0 to 10 scale. That's slow enough you won't feel it day to day. Write a number down each morning. Comparing this week to last week is where you'll actually see it.
- Swelling and warmth stay much longer than pain. A hip and thigh that stay puffy and warm to the touch for months is normal, often up to a year. It'll be worse in the evening than the morning, and worse after a busy day. As long as it's trending the right way, that's healing.
These are patterns, not predictions. Your surgical approach matters, whether this was for arthritis or a fracture matters, and where your mobility started matters. Your surgeon and physical therapist know your case.
A slow build around day 2 or 3 is expected. Call your surgeon for anything that doesn't fit that: pain that spikes hard and fast instead of creeping up, fever or chills, redness spreading out from the incision, drainage or a bad smell, a wound that opens, or new calf pain, swelling, or tenderness. That last one can mean a clot. Sudden shortness of breath or chest pain means call 911. Don't talk yourself out of calling. Being checked and told you're fine costs you nothing.
Raised & Supported Seating
Low chairs, toilets, and car seats force more hip flexion than is usually allowed early on — these keep the hip closer to a safe angle.
Raised Toilet Seat / Riser
Reduces how far the hip has to bend to sit down and gives more leverage to stand — one of the most commonly needed pieces of equipment after a hip replacement.
Shop Raised Toilet Seat / Riser on AmazonBidet Toilet Seat Attachment
Reaching around and behind to wipe often bends or rotates the hip past what your precautions allow, especially in the first weeks. A bidet attachment reduces that reach, and cuts down on the friction and inadequate cleaning that raise the risk of skin breakdown and infection while recovering.
Shop Bidet Toilet Seat Attachment on AmazonWaffle / Seat Cushion
Raises seat height on chairs, couches, and the car seat so the hip doesn't have to bend as far to sit — also helps reduce pressure injury risk with prolonged sitting.
Shop Waffle / Seat Cushion on AmazonRecliner Lever Extender
Makes operating a recliner easier without twisting through the hip or reaching awkwardly to release the footrest.
Shop Recliner Lever Extender on AmazonTransfers & Getting Around
Standard assistive devices and transfer aids that support hip precautions during the early recovery period.
Standard Walker
The most common assistive device prescribed immediately after hip replacement, offering the most stability while weight-bearing status and balance are still recovering.
Shop Standard Walker on AmazonFront-Wheel Walker
A common progression from a standard walker once lifting-and-placing it with each step is no longer necessary — check with your therapist before switching.
Shop Front-Wheel Walker on AmazonCane
The typical next step down from a walker once strength, balance, and gait pattern have improved enough — most patients transition from a walker to a single-point cane somewhere within 1 to 3 weeks after surgery, though the exact timing depends entirely on individual progress. Let your surgeon or therapist make the call on when it's safe to switch.
Shop Cane on AmazonGait Belt
Gives a caregiver a safe, stable point of contact for assisting with early walking and transfers — proper training on its use still matters.
Shop Gait Belt on AmazonSlide Board (Transfer Board)
Bridges the gap between two surfaces — bed to wheelchair, wheelchair to car — for a seated slide transfer instead of a full stand-pivot. Especially useful when weight-bearing is restricted early on. Requires a clinician to confirm it's appropriate and coach the technique first.
Shop Slide Board (Transfer Board) on AmazonTransfer Pole
A floor-to-ceiling tension pole with a grip handle, installed beside the bed or a favorite chair — extra stability for standing up and sitting down without twisting through the hip.
Shop Transfer Pole on AmazonBed Assist Rail
Something secure to push up from when rolling, sitting up, or standing from bed — comes in frame-mounted and slide-under-mattress styles.
Shop Bed Assist Rail on AmazonRigid Leg Lifter
Hooks around the ankle or foot to help lift and guide the operative leg into or out of bed without reaching down past the hip precaution limit.
Shop Rigid Leg Lifter on AmazonDressing Without Bending Past the Hip
Reaching down to the feet is one of the fastest ways to exceed a hip flexion precaution — these keep the reach at arm's length instead.
Reacher / Grabber Tool
Picks up dropped items and helps pull on pants or grab socks without bending down toward the feet.
Shop Reacher / Grabber Tool on AmazonSock Aid
Makes putting on socks possible without bending toward the feet — one of the more commonly missed needs after hip surgery.
Shop Sock Aid on AmazonLong-Handled Shoehorn
Reduces the need to bend down while putting on shoes — pairs well with a reacher and sock aid.
Shop Long-Handled Shoehorn on AmazonBathroom Safety
Showering is one of the higher-risk activities early after hip surgery — standing, wet surfaces, and a tub edge to clear.
Shower Chair or Bench
Lets bathing happen seated, removing the risk of standing on a wet, slippery surface while also keeping the hip at a safer angle than a standard tub transfer. If there's a tub wall to step over, a transfer bench (extending from outside the tub to inside it) is usually the safer early-recovery choice — you sit down on dry ground first, then slide across, instead of balancing on the surgical leg while lifting the other over the edge. A shower chair, which sits entirely inside the shower, tends to work better for walk-in or curbless showers with no wall to clear, or later in recovery once stepping over the tub is no longer a precaution concern.
Shop Shower Chair or Bench on AmazonGrab Bars
Install near the toilet and inside the shower or tub for a stable handhold during transfers and standing.
Shop Grab Bars on AmazonTub-Mounted Grab Bar
Clamps directly onto the edge of the tub — no drilling into the wall required. A good option for renters or anyone who wants a stable handhold without a permanent installation.
Shop Tub-Mounted Grab Bar on AmazonHandheld Shower Head
Pairs with a shower chair or bench to make bathing possible without standing or reaching for a fixed head.
Shop Handheld Shower Head on AmazonLong-Handled Bath Sponge
Reaches the feet and lower legs for washing without bending past the hip precaution limit.
Shop Long-Handled Bath Sponge on AmazonNon-Slip Grip Socks
Textured rubber tread gives sure footing on wet tile — a simple, low-cost layer of fall protection for the walk between the shower and a bath mat.
Shop Non-Slip Grip Socks on AmazonPain & Swelling Control
Non-drug tools that help most with pain and swelling during recovery.
Cryo Cuff / Cold Therapy Unit
Circulates cold water around the hip to help control pain and swelling. Because it holds a steady, even temperature over the whole treatment window instead of warming up within minutes like a standard ice pack, it tends to control pain and swelling more effectively and for longer. Follow your surgeon's or therapist's guidance on frequency and duration. Tip: frozen water bottles work well in place of bagged ice — they're easier to refill and swap out than digging through a freezer for ice each time, and they won't leak as the ice melts.
Shop Cryo Cuff / Cold Therapy Unit on AmazonZipper Compression Socks
Supports circulation and helps control swelling in the lower leg on the operative side, without the pull-on struggle of traditional compression hose. Always confirm with your physician whether compression is appropriate for you and what level to use — this depends on your specific surgical protocol and on any relevant medical diagnoses (such as peripheral arterial disease or an existing clotting condition), not just personal preference.
Shop Zipper Compression Socks on AmazonTENS 7000 Digital TENS Unit
A dual-channel unit with adjustable intensity for managing pain between visits, using inexpensive, easily replaceable electrode pads. Disclaimer: requires approval from your physician or therapist before use — do not begin TENS after surgery without it.
Shop TENS 7000 Digital TENS Unit on AmazonSee the full Recommended Equipment page for topical options like Biofreeze, Voltaren, and Salonpas.
Home & Car Access
Small changes that reduce trip and fall risk while a hip precaution limits how you move.
Threshold Ramp
Smooths out small steps at doorways — one of the most common, and most overlooked, fall risks in a home.
Shop Threshold Ramp on AmazonCar Door Jam Handle
A portable support handle that inserts into the car door's striker to provide a sturdy grip for pulling up to stand or lowering to sit — helpful given how low most car seats sit relative to a hip precaution.
Shop Car Door Jam Handle on AmazonNon-Slip Stair Tread Strips
Adhesive grip strips applied to the edge of each stair add traction without the cost or installation hassle of full carpet runners.
Shop Non-Slip Stair Tread Strips on AmazonHow Medicare Pays for DME
Some higher-cost items below — wheelchairs and similar equipment — may be covered in part by Medicare rather than paid for out of pocket. Here's how that coverage generally works.
- A physician's order is required. Medicare only covers durable medical equipment (DME) — items that are reusable, primarily and customarily used for a medical purpose, and appropriate for use in the home — when a physician or treating practitioner documents it as medically necessary, and it's supplied by a Medicare-enrolled DME supplier that accepts assignment.
- Cost share: Once the annual Part B deductible ($283 in 2026) is met, Medicare pays 80% of the Medicare-approved amount; the patient (or a supplemental/Medigap plan) is responsible for the remaining 20% coinsurance.
- Rental vs. purchase: Standard wheelchairs and similar "capped rental" items are typically rented rather than purchased outright — Medicare pays the monthly rental for up to 13 continuous months, after which ownership automatically transfers to the patient. Simpler items, like canes and walkers, are usually purchased outright from the start.
- Replacement — the 5-year rule: Most DME has a Medicare-defined "reasonable useful lifetime" of 5 years from the delivery date. Medicare will cover a replacement once that period has passed, if the item is still medically necessary. Within the 5 years, Medicare generally covers repairs for normal wear rather than a full replacement.
- Early replacement exceptions: equipment that's lost, stolen, or damaged beyond repair (a fall, fire, accident) can usually be replaced before the 5 years are up with documentation, such as a police or insurance report — as can equipment that no longer meets a patient's needs because of a genuine change in their medical condition.
Not everything on this page is DME. Many items below — adaptive daily-living aids, over-the-counter comfort products, and similar convenience items — fall outside Medicare's DME definition and are typically not covered, regardless of the rules above. This is general education, not a coverage determination for any specific item; confirm coverage for a specific piece of equipment with a physician, a DME supplier, or Medicare directly.
Want more practical guidance like this?
Stephen's book, Caring for Your Aging Loved One, covers home modifications, mobility, and navigating the healthcare system — available now on Kindle and Kindle Unlimited.
Get the BookAs an Amazon Associate, Advocates on Aging earns from qualifying purchases. Some links on this page are affiliate links — if you buy through them, we may earn a small commission at no additional cost to you. This page reflects general equipment categories commonly used after hip replacement surgery, not personalized medical advice or your specific surgeon's protocol. Always follow your own surgeon's and therapist's instructions.
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