@deb1222 Welcome to Mayo Connect. Yes, the swelling and bruising are common after hip replacement surgery. I have had 5 THR and revision surgeries and the amount of swelling, bruising and pain has varied each time. Also, nerves are cut and/or bruised in the surgical process - the amount depends on the surgical approach, the surgical process moved, even how muscles and tendons were moved or cut in the process.

On my last revision, I had the pain like you describe - after a few days it improved as the swelling went down and the pooled blood started to be absorbed. Things that can help are keeping the leg elevated whenever sitting or laying down - higher than the heart if possible. Lymphatic massage to get the fluid moving. Ankle pumps every hour or so, and before getting up can get the blood moving too. Also, icing 20-30 minutes per hour while awake, and into early sleeping hours can also help.

His physical therapist may have other suggestions.
Sue