Movement Restrictions After Hip Replacement

2 Positions You Should Never Do While Recovering

hip rehab
Jeannot Olivet / Getty Images

Hip replacement surgery is a treatment for severe arthritis of the hip joint. Patients who commit to hip replacement surgery must understand that there are some changes they will have to adapt to for the rest of their life. The trade-off for the patients is that they will likely have a significant decrease in hip pain and disability.

After hip replacement surgery, patients may have to restrict certain activities to prevent problems with the hip replacement implant. The concern is that hip replacement implants are not as stable as a normal hip joint. This means that it is possible for the ball of the ball-and-socket hip replacement to dislocate. 

There are some newer methods of performing a hip replacement, including anterior hip replacement, as well as some newer styles of implants that may lower the chance of dislocation. Your doctor can let you know if you need to take precautions to prevent hip dislocation.

2 Positions to Avoid

In order to prevent the chance of a hip replacement dislocation, certain positions should be avoided. These positions place the implant in a position where dislocation is more likely. These restrictions are known as hip precautions.

Crossing Your Legs

You should not cross your legs after hip replacement surgery. When putting on socks and shoes, you should not cross your legs to bring your foot towards your body. Your therapist will instruct you on how to safely get dressed.

To avoid placing stress on the hip, you should not sleep on your side until your surgeon tells you that it's okay. Even then, some surgeons will recommend that you sleep with a pillow between your legs to keep your hips level.

Forward Bending

It is important not to bend your hip up more than 90 degrees while recovering from a total hip replacement. In general, if your knee is below your hip joint, you are in a safe position. Problems occur with deep-cushioned seats or low seats such as a toilet.

There are devices you can rent to temporarily raise a toilet seat, thereby reducing the forward flexion of the hip. You should also use pillows or cushions to elevate a seat so that you are always seated with your knees lower than your hips.

It is important to work with your physical therapist and occupational therapist to learn the proper ways to get dressed, sit down, walk, and perform other routine activities.


A hip replacement implant is not as stable as a normal hip joint. If a dislocation of the hip replacement occurs, the hip implant must be put back in place. This can usually be done in the emergency room but may require additional surgery. Furthermore, hip replacement dislocations can damage the implant and decrease the chances of success after hip replacement surgery.

As hip replacement implants have changed over time, and as surgical procedures have been developed and refined, the precautions after hip replacement surgery have also changed. Not every surgeon uses the same precautions; some prefer significant restriction, while others may allow more activities.

It is important that you discuss with your surgeon the specific recommendations for your situation as there may be reasons why you need more (or less) restrictive precautions.

A Word From Verywell

Complications from hip replacement surgery are unusual, and there are often steps that can be taken to prevent these from occurring. A dislocation is one of the most concerning complications. Typically, a hip is more likely to dislocate in certain positions. Learning to avoid these positions can help to prevent complications.

Fortunately, surgeons today are able to lower this possible risk of surgery, and newer implants may lessen the chance of hip dislocation. That said, every patient should discuss their precautions with their surgeon after having a hip replacement.

Was this page helpful?
Article Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Tsukada S, Wakui M. Lower dislocation rate following total hip arthroplasty via direct anterior approach than via posterior approach: five-year-average follow-up results. Open Orthop J. 2015;9:157-62. doi:10.2174/1874325001509010157

  2. Barnsley L, Barnsley L, Page R. Are hip precautions necessary post total hip arthroplasty? A systematic reviewGeriatr Orthop Surg Rehabil. 2015;6(3):230–235. doi:10.1177/2151458515584640

  3. Yu S, Garvin KL, Healy WL, Pellegrini VD Jr, Iorio R. Preventing hospital readmissions and limiting the complications associated with total joint arthroplasty. J Am Acad Orthop Surg. 2015 Nov;23(11):e60-71. doi:10.5435/JAAOS-D-15-00044