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@detayled

I'm seeing a lot of people posting here that a physical therapist is absolutely needed / required after a complete hip replacement surgery and that is false. They are wrong and they are pushing opinion based disinformation. I've had a total left hip replacement, my own recovery at home was going quite well with remarkable progress from day 6 post op forward. I'm not embellishing any of this. As long as I did my generic "at home" based forms of patient stretches and exercises, stayed active around the house and didn't break any of my surgeon's post operative rules, life was great and getting greater every day...that is until I agreed to see a physical therapist. I won't go into all of the negative details regarding what they did to me and how much personal recovery set back they caused me but after a few sessions it became transparently clear that involving a physical therapist in my post op recovery was both counterproductive and even unnecessary. It was against my best interest. They were having me do all kinds of things (all in the name of strengthening muscles) for a positive patient outcome. Most of those exercises were completely unnecessary at that point in time but would have been OK to do many months later after all of my surgical incisions had completely healed. Guess what, strengthening muscles is what everyone uses as a rationale for PT after a hip replacement. It is used a blanket reason by many surgeons and physical therapists and proponents of PT and the world is now learning that this is simply false. If you want the abusive torture of unnecessarily exercising muscles while your surgical (4 layers in most cases) sutures are healing, there is no shortage of people who are willing to walk you down that dark, painful and unnecessary road. And yes...there will always be those who back up their opinions regarding that matter with cherry picked studies to defend their opinion about the absolute need for a physical therapist after a total hip replacement. That is dust of confusion it will probably never settle. The Internet if full of such cherry picked studies and they are a dime a dozen. In my case, physical therapists and their techs only caused me more damage than help in my recovery and end the end I had to draw the line and say "enough is enough" I was already making enormous strides in my recovery on my own at home without the involvement of a physical therapist or tech. They just had me doing all kinds of unnecessary things and they were causing me incredible pain, joint and muscle damage and sleep deprivation. A physical therapist or tech turned out to be both counterproductive and unnecessary in my case. But don't take my word for it. We now live in a time where newer orthopedic surgeons are not even pushing a physical therapists on all of their hip replacement patients post operatively. They tailor this to their individual patient's own needs and many of them are going home from the hospital with just a printed handout of generic "at home" physical therapy stretches and exercises that can be done standing as well as in bed as opposed to recommending a physical therapist. I personally know of one and she did just fine in her recovery. The same is happening for me. This won't be everyone's story but it is all the truth. The message that all hip replacement placement patients require or should have the benefit of a physical therapist in their post operative recovery is an old dogma dogma message that is not true as a blanket statement. As to why this old dogma message is still religiously pushed in various medical and clinical circles is irrelevant. It really is irrelevant and does not make anything "so". To go there is simply to wonder into a land of confusion that is full of willful ignorance, old established standards that are now being revisited and rethought as well as conspiratorial thinking. I'm not going to go there.

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Replies to "I'm seeing a lot of people posting here that a physical therapist is absolutely needed /..."

@detayled, I see you have taken issue with posts recommending physical therapy after hip replacement. You're right that a referral to a trained physical therapist may not be necessary.

That said, physical activity is necessary to regain mobility. Thus professional physical therapy guidance is often offered to help motivate complete recovery. Here's what Mayo Clinic says on the subject:
- Physical therapy https://www.mayoclinic.org/tests-procedures/hip-replacement/about/pac-20385042
"Daily activity and exercise can help you regain the use of your joint and muscles. A physical therapist can recommend strengthening and mobility exercises and can help you learn how to use a walking aid, such as a walker, a cane or crutches. As therapy progresses, you'll gradually increase the amount of weight you put on your leg until you're able to walk without assistance."

Please keep in mind the Community Guidelines ((https://connect.mayoclinic.org/blog/about-connect/tab/community-guidelines/) that help keep the discussions in this forum safe, supportive, inclusive, and, above all, respectful. I encourage you to review the guidelines and pay particular attention to guidelines 1 and 2. Here's an excerpt.

1. Be careful about giving out medical advice
– Sharing your own experience is fine, but don't tell other members what they should do.
– Experiences and information shared by members on the Mayo Clinic Connect are not a substitute for professional medical advice, diagnosis or treatment.
– Never disregard professional medical advice or delay in seeking it because of something you have read on the community.

2. Remain respectful at all times.
– Exercise tolerance and respect toward other participants whose views may differ from your own.
– Disagreements are fine, but mutual respect is a must.

Please be mindful when using statements like "they are wrong", "disinformation" and "conspiratorial thinking". These are non-helpful, inflammatory terms that do not apply to this topic. Here on Mayo Clinic Connect, members share a variety of experiences, perspectives, and knowledge.

It sounds like you have had a personal negative experience with PT when you were making good recovery strides with exercises on your own at home. I'm truly sorry that this happened to you. When did you have a hip replacement? How are you doing now?

HelIo,
I agree with you a 100 percent, I had my first hip replacement done and went to physical therapy like one time. Then 26 days later I had my right hip replaced, went to physical therapy and my therapist was making me do exercises that actually we're very painful. So when I went to go see my doctor on my two week check up I told him about it and he said stop physical therapy immediately,and showed me two exercises to do. I did them everyday and I was back to work after 7 weeks after the second surgery.