Joint replacement surgery is a transformative procedure that can significantly improve mobility. In fact, 90% of patients report “excellent pain relief and restored quality of life” after joint replacement surgery. However, the first month of recovery is crucial in setting the stage for long-term healing success.

The first 30 days after joint replacement can feel overwhelming, but knowing what to expect after knee or hip replacement can make all the difference. From pain management to post-surgery rehabilitation, each week brings new milestones in your recovery journey. This guide breaks down the first 30 days of recovery, outlining key movement goals, rehabilitation strategies, and expert-backed tips to help you heal with confidence.

Joint Replacement Recovery Timeline: Week 1

Managing Pain & Early Mobility

The first week of joint replacement recovery focuses on pain management, swelling reduction, and initiating movement to promote healing. Whether you’ve had a knee, hip, or other joint replaced, these early days set the foundation for long-term mobility.

Most patients are discharged within 1-2 days of their surgery. While discomfort is expected, following your post-surgery rehabilitation plan can make recovery smoother.

What to Expect in Week 1:

  • Swelling, bruising, and discomfort around the surgical site.
  • Regular pain medication to manage post-surgical discomfort.
  • Use of assistive devices like walkers or crutches for short distances.
  • Beginning gentle physical therapy exercises to prevent stiffness and improve circulation.
  • Possible difficulty sleeping due to discomfort and changes in routine.

Tips for a Smoother Recovery:

✓ Reduce swelling: Elevate the leg and apply ice packs consistently. A cold therapy unit (ice machine) is provided to patients at Gateway Surgery as part of their surgical package. This is a useful tool to help manage swelling and reduce pain.
✓ Stay ahead of pain management: Take medications as prescribed. Don’t wait until pain becomes severe!
✓ Follow all weight-bearing guidelines: Generally patients can put full weight through their hip or knee right after surgery, but may be limited due to pain. Using a walker or crutches after surgery can help restore a normal walking pattern,  and help you manage your pain.
✓ Prevent infection: Keep the surgical site clean and dry, and watch for signs of redness or unusual swelling.
✓ Optimize rest: Use pillows for support and find a comfortable sleeping position to minimize discomfort.

Joint Replacement Recovery Timeline: Week 2

Increasing Mobility & Managing Swelling

By the second week of joint replacement recovery, many patients start noticing improvements in mobility and reduced swelling. At the two week mark patients will be seen by a Gateway Surgery physician or their family doctor to check their incision and possibly remove sutures or staples if required. You will be doing exercises provided post operatively and your surgeon and team will provide recommendations as to when to start formal physical therapy to further progress your activity and exercise program.

What to Expect in Week 2:

  • A gradual decrease in pain and swelling as healing progresses.
  • Increased ability to bear weight on the new joint (as guided by your surgeon and care team).
  • Improved walking distances with assistive devices, like walkers or crutches.
  • Beginning functional movements, such as getting in and out of bed more easily.

Tips for a Smoother Recovery:

✓ Stay consistent with your exercises: Doing little bits of movement throughout the day can help strengthen muscles and increase range of motion.
✓ Keep icing and elevating: Even as swelling decreases, managing inflammation is essential to comfort and mobility.
✓ Eat a nutrient-rich diet: Protein, vitamins, and hydration support tissue repair and speed up recovery.
✓ Monitor for infection: Watch for redness, warmth, or increasing pain around the incision site.
✓ Incorporate gentle stretching: This helps prevent stiffness and improves flexibility in the new joint.

Joint Replacement Recovery Timeline: Week 3

Gaining Independence & Strength

By week three of joint replacement recovery, patients often begin to notice progressive improvements in mobility, strength, and daily function. The focus shifts from managing pain and swelling to building independence, with many patients regaining confidence in walking and movement.

Whether you’re recovering from a hip or knee replacement, this phase is key to progressing toward greater range of motion, reduced reliance on assistive devices, and increased daily activity levels while staying committed to your post-surgery rehabilitation plan.

What to Expect in Week 3:

  • Walking with more confidence, often transitioning to a cane or walking stick.
  • Improved range of motion in the affected joint, making movement easier.
  • Less reliance on pain medications as healing continues.
  • Easier daily activities, such as dressing, bathing, and standing for longer periods.
  • Possible return to light work or social activities, depending on your progress and surgeon’s advice.

Tips for a Smoother Recovery:

✓ Keep progressing with physical therapy: Consistency is essential to regaining strength and mobility.
✓ Follow post-surgery rehabilitation guidelines: Avoid skipping steps to prevent setbacks and increase your amount of activity gradually.
✓ Stay hydrated and maintain proper nutrition: Tissue healing and muscle recovery rely on good hydration and nutrients.
✓ Gradually increase walking distance: Longer walks help build endurance, but avoid overexertion to prevent strain.

Joint Replacement Recovery Timeline: Week 4

Preparing for a Return to Normal Activities

By week four of joint replacement recover, most patients feel stronger, more mobile, and more independent. Recovery is different for every individual and it is important to listen to how you are feeling and gradually increase your activity. Many individuals find they can resume light daily activities with minimal discomfort.

This week is about regaining stamina, improving strength, and gradually returning to everyday life while continuing post-surgery rehabilitation.

What to Expect in Week 4:

  • Walking more confidently. Many patients can now move without assistive devices.
  • Improved stamina and strength, allowing for longer walks and light household activities.
  • Possible clearance to drive, depending on recovery progress and your surgeon’s approval.
  • Returning to work for non-physical jobs, with reduced discomfort in daily tasks.
  • Some patients may begin mild strength training, focusing on low-impact exercises to rebuild muscle.

Tips for a Smoother Recovery:

✓ Gradually increase activity levels: Build strength at a stead pace without overdoing it. Listen to your body!
✓ Keep attending follow-up appointments: Your surgeon and care team can track progress and adjust your recovery plan.
✓ Stay consistent with post-surgery rehabilitation exercises: Daily movement helps maintain flexibility and prevent stiffness.
✓ Watch for persistent stiffness or swelling: If discomfort lingers, additional therapy may be needed.
✓ Avoid high-impact or strenuous activities: Stick to low-impact movement until your surgeon clears you for more intense exercise.

What to Watch For - When to Call Your Surgeon

Most joint replacement recoveries go smoothly, but it’s important to know the signs of potential complications. Catching issues early can help prevent serious problems and keep your recovery on track.

If you experience any of the following symptoms, contact your surgeon immediately:

  • Excessive redness, warmth, or drainage from the incision site. This could indicate an infection.
  • Persistent fever above 101°F (38°C), a sign that your body may be fighting an infection.
  • Increased pain or swelling that doesn’t improve with rest, ice, or elevation.
  • Difficulty breathing or chest pain. This could signal a blood clot or other serious complication.
  • Sudden loss of mobility or joint instability, making it hard to bear weight or move safely.
  • Unexplained fatigue, dizziness, or weakness, which may indicate an underlying issue.

Trust Your Instincts: If something feels off, it’s always best to check with your doctor or contact our post operative nursing support team. Prompt action can prevent setbacks and ensure a smoother recovery.

Looking Ahead: Long-Term Recovery & Success

While many patients see major improvements within the first month, full recovery takes time—often several months. Staying committed to your exercise program, strength-building, and post-surgery rehabilitation will help you achieve the best possible outcome.

What to Focus on for Long-Term Recovery:

  • Keep up with low-impact exercises: Activities like swimming, cycling, or walking help maintain joint health without excess strain.
  • Support healing with proper nutrition: A balanced diet rich in protein, calcium, and vitamins strengthens muscles and bones.
  • Be patient with your progress: Everyone heals at their own pace. Some days will feel easier than others.

By staying active, listening to your body, and following your recovery plan, you can regain mobility, reduce pain, and return to a healthy, fulfilling lifestyle. If you have any concerns along the way, don’t hesitate to reach out to your orthopaedic team for guidance and support.

Why Choose Gateway for Your Joint Replacement Surgery?

At Gateway Surgery, we understand that joint replacement is more than just a procedure. It’s a decision toward reclaiming your mobility and quality of life. That’s why our team of highly skilled orthopaedic surgeons, physical therapists, and concierge team provide personalized, expert care at every stage of your recovery.

From tailored rehabilitation plans to ongoing follow-up support, we’re here to guide you through each stage of the healing process, ensuring you feel confident, supported, and on track for long-term success.

Have questions about your recovery? Whether you're preparing for surgery or navigating the first month post-op, our team is here to help. Contact Gateway Surgery today to learn how we can support your healing journey.

What concerns or questions do you have about the first month after joint replacement surgery? Drop a comment below, we’d love to hear from you!