Removal of Hip Prosthesis — Complete Exercise Program
Looking for a shorter starting point? The Removal of Hip Prosthesis starter guide covers the first 8 exercises on a printable sheet.
A phase-by-phase exercise program used in recovery for removal of hip prosthesis. Each movement includes what it's working on and how it's typically performed. Your own surgeon's or therapist's guidance always comes first.
Phase 1
Walking Program

Short, frequent walks build endurance and confidence.
What it helps: Comfortable, frequent walking keeps the joints loose, builds your stamina, and rebuilds confidence on your feet. Little and often beats long and tiring.
- Take short walks at a comfortable pace.
- Increase your distance gradually as you feel able.
Tips:
- Use your assistive device as directed.
Commonly done throughout the day.
Ankle Pumps

Improves circulation and helps reduce swelling.
What it helps: Keeps blood moving to reduce swelling and the risk of clots while you're less active — small, frequent, and important early on.
- Flex your foot up, pointing your toes toward the ceiling.
- Point your toes down, away from your body.
Tips:
- Move slowly and with control.
Commonly done as 20 repetitions, several times a day.
Quad Sets

Re-activates the thigh muscle and supports knee control.
What it helps: Wakes up the quadriceps — the big thigh muscles that support and control your knee. Getting them firing is the foundation of a strong, steady leg.
- Sit or lie with your leg straight.
- Tighten the muscle on top of your thigh, pressing the back of your knee down.
- Hold briefly, then relax.
Commonly done as 2-3 sets of 10, a few times a day.
Glute Squeezes

Gently re-engages the buttock muscles.
What it helps: Wakes up the glutes — the big muscles that steady and support your hip. Getting them firing again is the first step toward a hip that feels stronger and carries you with less strain on the joint.
- Lie or sit comfortably.
- Squeeze your buttock muscles together.
- Hold a few seconds, then relax.
Commonly done as 2-3 sets of 10, a few times a day.
Heel Slides

Encourages early, gentle knee motion.
What it helps: Coaxes gentle bending back into the knee — restoring the motion you need for stairs, sitting, and getting in and out of a car.
- Lie on your back with your legs straight.
- Slowly slide your heel toward you, bending the knee.
- Slide it back down.
Tips:
- Only go as far as is comfortable.
Commonly done as 2-3 sets of 10, a few times a day.
Sit-to-Stand

Builds the strength and confidence to rise from a chair.
What it helps: Trains the exact strength you use to rise from a chair, a toilet, or a car. Stronger here means more independence and less of a struggle on tough days.
- Sit at the edge of a sturdy chair.
- Lean slightly forward and stand up.
- Lower yourself back down with control.
Tips:
- Use your arms for support as needed.
Commonly done as 2-3 sets of 8-10, once or twice a day.
Upper Body Conditioning
Keeps your arms and shoulders strong — helpful for crutches and staying active.
What it helps: Keeps your arms and shoulders strong — especially helpful for using crutches and staying active during recovery.
- Using light hand weights or a resistance band while seated, work through gentle arm and shoulder movements.
Tips:
- Stay seated and supported while you're non-weight-bearing.
Commonly done a few times a week.
Balance Training

Ongoing balance work for steady movement.
What it helps: Sharpens your steadiness and reactions so you move with confidence and lower your risk of a fall — protecting the progress you've made.
Commonly done a few times a week.
Diaphragmatic Breathing

Calms the nervous system and gently wakes up your deep core without straining the back.
What it helps: Calms the nervous system and gently engages your deep core — a relaxed, supported way to start any session.
- Lie on your back, knees bent, one hand on your chest and one on your belly.
- Breathe in slowly through your nose so your belly rises while your chest stays still.
- Breathe out slowly through pursed lips, letting your belly fall.
Tips:
- Keep it relaxed — never force the breath.
- Useful any time you feel tense or sore.
Commonly done as 5–10 breaths repetitions, several times a day.
Phase 2
Walking Program

Short, frequent walks build endurance and confidence.
What it helps: Comfortable, frequent walking keeps the joints loose, builds your stamina, and rebuilds confidence on your feet. Little and often beats long and tiring.
- Take short walks at a comfortable pace.
- Increase your distance gradually as you feel able.
Tips:
- Use your assistive device as directed.
Commonly done throughout the day.
Sit-to-Stand

Builds the strength and confidence to rise from a chair.
What it helps: Trains the exact strength you use to rise from a chair, a toilet, or a car. Stronger here means more independence and less of a struggle on tough days.
- Sit at the edge of a sturdy chair.
- Lean slightly forward and stand up.
- Lower yourself back down with control.
Tips:
- Use your arms for support as needed.
Commonly done as 2-3 sets of 8-10, once or twice a day.
Quad Sets

Re-activates the thigh muscle and supports knee control.
What it helps: Wakes up the quadriceps — the big thigh muscles that support and control your knee. Getting them firing is the foundation of a strong, steady leg.
- Sit or lie with your leg straight.
- Tighten the muscle on top of your thigh, pressing the back of your knee down.
- Hold briefly, then relax.
Commonly done as 2-3 sets of 10, a few times a day.
Glute Squeezes

Gently re-engages the buttock muscles.
What it helps: Wakes up the glutes — the big muscles that steady and support your hip. Getting them firing again is the first step toward a hip that feels stronger and carries you with less strain on the joint.
- Lie or sit comfortably.
- Squeeze your buttock muscles together.
- Hold a few seconds, then relax.
Commonly done as 2-3 sets of 10, a few times a day.
Hip Abduction & Adduction (Lying)

Works the muscles on the inside and outside of the hip and thigh.
What it helps: Gently strengthens the inner and outer hip muscles while lying down — easy, supported work that steadies the joint without loading it.
- Lie on your back with your legs straight.
- Slide your leg out to the side, keeping your toes pointed up.
- Slide it back to the center.
Tips:
- Keep your kneecap pointing toward the ceiling.
Commonly done as 20 repetitions, 1-2x daily.
Upper Body Conditioning
Keeps your arms and shoulders strong — helpful for crutches and staying active.
What it helps: Keeps your arms and shoulders strong — especially helpful for using crutches and staying active during recovery.
- Using light hand weights or a resistance band while seated, work through gentle arm and shoulder movements.
Tips:
- Stay seated and supported while you're non-weight-bearing.
Commonly done a few times a week.
Balance Training

Ongoing balance work for steady movement.
What it helps: Sharpens your steadiness and reactions so you move with confidence and lower your risk of a fall — protecting the progress you've made.
Commonly done a few times a week.
Ankle Pumps

Improves circulation and helps reduce swelling.
What it helps: Keeps blood moving to reduce swelling and the risk of clots while you're less active — small, frequent, and important early on.
- Flex your foot up, pointing your toes toward the ceiling.
- Point your toes down, away from your body.
Tips:
- Move slowly and with control.
Commonly done as 20 repetitions, several times a day.
Heel Slides

Encourages early, gentle knee motion.
What it helps: Coaxes gentle bending back into the knee — restoring the motion you need for stairs, sitting, and getting in and out of a car.
- Lie on your back with your legs straight.
- Slowly slide your heel toward you, bending the knee.
- Slide it back down.
Tips:
- Only go as far as is comfortable.
Commonly done as 2-3 sets of 10, a few times a day.
Phase 3
Progressive Walking Program

Keep building your walking distance and pace.
What it helps: Keep building your walking distance and pace — steady gains in endurance and confidence on your feet.
Commonly done daily.
Sit-to-Stand

Builds the strength and confidence to rise from a chair.
What it helps: Trains the exact strength you use to rise from a chair, a toilet, or a car. Stronger here means more independence and less of a struggle on tough days.
- Sit at the edge of a sturdy chair.
- Lean slightly forward and stand up.
- Lower yourself back down with control.
Tips:
- Use your arms for support as needed.
Commonly done as 2-3 sets of 8-10, once or twice a day.
Standing Hip Abduction

Strengthens the muscles on the side of the hip.
What it helps: Strengthens the outer-hip muscles that hold you steady whenever you're on one leg — which is every step you take. Stronger here, steadier hip.
- Stand holding a counter for support.
- Lift your leg out to the side, keeping it straight.
- Lower slowly.
Tips:
- Keep your toes pointing forward.
Commonly done as 2-3 sets of 10-15, 1-2x daily.
Quad Sets

Re-activates the thigh muscle and supports knee control.
What it helps: Wakes up the quadriceps — the big thigh muscles that support and control your knee. Getting them firing is the foundation of a strong, steady leg.
- Sit or lie with your leg straight.
- Tighten the muscle on top of your thigh, pressing the back of your knee down.
- Hold briefly, then relax.
Commonly done as 2-3 sets of 10, a few times a day.
Upper Body Conditioning
Keeps your arms and shoulders strong — helpful for crutches and staying active.
What it helps: Keeps your arms and shoulders strong — especially helpful for using crutches and staying active during recovery.
- Using light hand weights or a resistance band while seated, work through gentle arm and shoulder movements.
Tips:
- Stay seated and supported while you're non-weight-bearing.
Commonly done a few times a week.
Single-Leg Balance

Improves balance and stability.
What it helps: Trains your hip and leg to stay steady when all your weight is on one side — which is most of walking. Better balance means a surer, more confident step.
- Stand near a counter for safety.
- Lift one foot and balance on the other leg.
- Hold as able.
Commonly done daily.
Balance Training

Ongoing balance work for steady movement.
What it helps: Sharpens your steadiness and reactions so you move with confidence and lower your risk of a fall — protecting the progress you've made.
Commonly done a few times a week.
Core Strengthening

Supports posture and overall stability.
What it helps: Builds the core that holds your trunk steady, supporting your posture, your back, and everything you do on your feet.
- Perform gentle core exercises as directed.
Commonly done a few times a week.
Resistance Band Strengthening

Adds gentle resistance to build strength.
What it helps: Adds gentle, adjustable resistance to build strength steadily as you recover.
- Use a band for hip or leg exercises as directed.
- Move slowly through the range.
Commonly done a few times a week.
Phase 4
Walking Program

Short, frequent walks build endurance and confidence.
What it helps: Comfortable, frequent walking keeps the joints loose, builds your stamina, and rebuilds confidence on your feet. Little and often beats long and tiring.
- Take short walks at a comfortable pace.
- Increase your distance gradually as you feel able.
Tips:
- Use your assistive device as directed.
Commonly done throughout the day.
Cycling

Low-impact endurance and motion.
What it helps: Low-impact endurance that keeps the joints moving smoothly while you build fitness — easy on the body, good for the long run.
Commonly done as able.
Upper Body Conditioning
Keeps your arms and shoulders strong — helpful for crutches and staying active.
What it helps: Keeps your arms and shoulders strong — especially helpful for using crutches and staying active during recovery.
- Using light hand weights or a resistance band while seated, work through gentle arm and shoulder movements.
Tips:
- Stay seated and supported while you're non-weight-bearing.
Commonly done a few times a week.
Balance Training

Ongoing balance work for steady movement.
What it helps: Sharpens your steadiness and reactions so you move with confidence and lower your risk of a fall — protecting the progress you've made.
Commonly done a few times a week.
Single-Leg Balance

Improves balance and stability.
What it helps: Trains your hip and leg to stay steady when all your weight is on one side — which is most of walking. Better balance means a surer, more confident step.
- Stand near a counter for safety.
- Lift one foot and balance on the other leg.
- Hold as able.
Commonly done daily.
Stair Training

Practices safe, confident stair use.
What it helps: Practices safe, confident stair use — strength and control for one of the most demanding everyday tasks.
- Practice going up and down stairs with a rail.
- Lead as directed by your therapist.
Commonly done as directed.
Core Strengthening

Supports posture and overall stability.
What it helps: Builds the core that holds your trunk steady, supporting your posture, your back, and everything you do on your feet.
- Perform gentle core exercises as directed.
Commonly done a few times a week.
Progressive Strengthening

Gradually increases strength as you recover.
What it helps: Gradually raises the challenge as you get stronger, so your body keeps adapting and improving rather than plateauing.
Commonly done as directed.
Functional Strength Training

Task-based strengthening that rebuilds the movements of daily life and activity.
What it helps: Trains the real movements of daily life — lifting, carrying, squatting — with good mechanics, so everyday tasks feel easier.
- Work through functional movements — squats, step-ups, lunges, and balance — as cleared.
- Add resistance gradually.
Tips:
- Quality of movement first, then load.
Commonly done several times a week.
Phase 5
Walking Program

Short, frequent walks build endurance and confidence.
What it helps: Comfortable, frequent walking keeps the joints loose, builds your stamina, and rebuilds confidence on your feet. Little and often beats long and tiring.
- Take short walks at a comfortable pace.
- Increase your distance gradually as you feel able.
Tips:
- Use your assistive device as directed.
Commonly done throughout the day.
Cycling

Low-impact endurance and motion.
What it helps: Low-impact endurance that keeps the joints moving smoothly while you build fitness — easy on the body, good for the long run.
Commonly done as able.
Swimming

Low-impact, full-body conditioning.
What it helps: Full-body conditioning with the water carrying your weight, so your muscles work hard with almost no load on the joints.
Commonly done as able.
Progressive Strengthening

Gradually increases strength as you recover.
What it helps: Gradually raises the challenge as you get stronger, so your body keeps adapting and improving rather than plateauing.
Commonly done as directed.
Balance Training

Ongoing balance work for steady movement.
What it helps: Sharpens your steadiness and reactions so you move with confidence and lower your risk of a fall — protecting the progress you've made.
Commonly done a few times a week.
Flexibility Exercises

Maintains a comfortable range of motion.
What it helps: Keeps your joints and muscles moving through a comfortable range, so you stay supple and move with ease.
Commonly done most days.
Core Strengthening

Supports posture and overall stability.
What it helps: Builds the core that holds your trunk steady, supporting your posture, your back, and everything you do on your feet.
- Perform gentle core exercises as directed.
Commonly done a few times a week.
Functional Strength Training

Task-based strengthening that rebuilds the movements of daily life and activity.
What it helps: Trains the real movements of daily life — lifting, carrying, squatting — with good mechanics, so everyday tasks feel easier.
- Work through functional movements — squats, step-ups, lunges, and balance — as cleared.
- Add resistance gradually.
Tips:
- Quality of movement first, then load.
Commonly done several times a week.
Low-Impact Recreational Activities

Enjoyable activities that protect your joint.
What it helps: Getting back to the activities you enjoy in ways that are kind to your joints — the whole point of building this strength.
Commonly done as you like.
Recovery reading
Browse all exercise guides · Condition guides · Recovery education library
Are you a clinician? See how orthopedic practices use JointBooklet.
These are general exercise guides, not a personal prescription. The repetitions and frequency shown are what's commonly used — your own surgeon or therapist may advise something different, and their guidance comes first.