Staying Active After Joint Replacement: A Practical Guide

Why Activity Matters After Joint Replacement

One of the most common misconceptions after hip or knee replacement is that you need to "protect" the new joint by limiting activity. In reality, appropriate exercise and activity are essential for the longevity of the implant, the strength of surrounding muscles, and your long-term quality of life.

Inactive patients after joint replacement are more likely to experience muscle weakness, weight gain, stiffness and a higher risk of implant-related complications. Staying active is protective, not risky — when done sensibly.

Recommended Activities After Joint Replacement

Walking

Walking is one of the best activities after joint replacement. Start with short, frequent walks and progressively increase distance. Aim for 30 minutes of walking most days by 3 months post-surgery.

Swimming and Hydrotherapy

The buoyancy of water reduces joint loading while providing excellent cardiovascular and muscle conditioning. Most surgeons permit swimming from 6–8 weeks, once the wound is fully healed.

Cycling

Stationary cycling is often introduced during physiotherapy from 4–6 weeks. Outdoor cycling can follow once balance and confidence are established.

Golf

Many patients return to golf at 3–6 months. The rotational demands of the golf swing require good hip mobility and strength — physiotherapy specifically targets this.

Pilates and Yoga

Gentle, low-impact forms of both can be beneficial from 3 months, with guidance from a physiotherapist on which movements to modify.

Activities to Approach with Caution

• High-impact activities (running, tennis, football) — increased joint loading may reduce implant longevity. Many surgeons advise against these.
• Heavy lifting — limit until strength is fully restored under physiotherapy guidance.
• Squash and racquet sports — the rapid direction changes and impact loads are high-risk for the implant.

The Role of Physiotherapy in Long-Term Activity

Your physiotherapist is your guide to returning to the activities that matter to you. They'll monitor your strength, mobility and movement quality, and progress your programme in a way that protects your new joint while getting you back to the things you love.

Don't be afraid to ask your physiotherapist about specific activities — whether it's golf, gardening, travelling or grandchildren. A personalised goal is always better than a generic restriction.