Hip surgery, whether it's Periacetabular Osteotomy (PAO), hip arthroscopy, or a hip preservation procedure, is a major medical intervention that requires proper post-operative care. Managing pain after hip surgery is crucial for a smooth recovery, improved mobility, and long-term joint health. This guide will provide expert-backed pain management strategies to help you heal faster and regain your quality of life.
➡️ Read more about understanding the recovery process after hip surgery.

Understanding Post-Surgical Pain
After hip surgery, some pain and discomfort are expected as the body heals. The intensity of pain depends on several factors, including:
✔️ Type of surgery (total hip replacement, arthroscopy, or periacetabular osteotomy).
✔️ Pain tolerance and overall health.
✔️ Adherence to post-surgery care and rehabilitation.
Pain typically peaks in the first few days post-surgery and gradually subsides as healing progresses. Proper pain management helps improve comfort, mobility, and overall recovery speed.
➡️ Learn about rehabilitation tips for a faster recovery.
Top Pain Management Strategies After Hip Surgery
1. Follow Your Doctor’s Pain Management Plan
Your healthcare provider will create a custom pain management plan, which may include:
✔️ Medications (prescription and over-the-counter pain relievers).
✔️ Physical therapy to restore movement and reduce discomfort.
✔️ Lifestyle modifications to minimize strain on the hip joint.
➡️ Explore the role of physical therapy in hip preservation.
2. Take Pain Medications as Prescribed
✔️ Opioids: Used for short-term, severe pain relief, but should be taken cautiously due to potential side effects and dependency risks.
✔️ NSAIDs (Non-Steroidal Anti-Inflammatory Drugs): Help reduce inflammation and swelling (e.g., ibuprofen, naproxen).
✔️ Acetaminophen (Tylenol): Effective for mild to moderate pain relief without increasing bleeding risk.
📌 Note: Always follow your doctor’s instructions and avoid self-medicating beyond the recommended dosage.
3. Use Cold Therapy to Reduce Inflammation
Applying ice packs can help reduce swelling and numb pain in the affected area.
✔️ How to apply cold therapy:
Wrap an ice pack in a cloth (to prevent skin damage).
Apply for 15-20 minutes every 2-3 hours (especially in the first 48 hours post-surgery).
Continue using cold therapy for pain relief as needed during recovery.
➡️ Learn how to avoid hip surgery with alternative treatments.
4. Elevate Your Leg to Reduce Swelling
Keeping your leg elevated above heart level can reduce inflammation and discomfort.
✔️ Use pillows or cushions to prop your leg up while resting.
✔️ Elevation also promotes circulation, helping with faster healing.
5. Engage in Gentle Movement
While rest is essential, prolonged inactivity can cause stiffness and blood clots.
✔️ Begin light movements under the guidance of a physical therapist.
✔️ Recommended gentle post-surgery exercises:
Ankle pumps (to prevent blood clots).
Leg raises (to strengthen muscles).
Short, frequent walks (to improve circulation).
➡️ Check out top exercises to prepare for hip surgery.
6. Use Assistive Devices for Support
Assistive devices reduce pressure on the hip joint, minimizing pain during movement.
✔️ Crutches or walkers – Prevent falls and overexertion.
✔️ Cane – Helps with balance and weight distribution.
✔️ Orthopedic seat cushions – Reduce hip strain while sitting.
➡️ Read about understanding hip labral tears: causes and treatment options.
7. Practice Relaxation and Stress Reduction Techniques
Pain perception can increase with stress and anxiety. Try these relaxation techniques:
✔️ Deep breathing exercises – Reduce tension and pain intensity.
✔️ Guided meditation – Enhances mental focus and relaxation.
✔️ Gentle stretching or yoga – Helps improve flexibility and ease discomfort.
➡️ Learn how to manage hip pain effectively.
8. Sleep in a Comfortable Position
Getting enough restful sleep is essential for pain relief and healing.
✔️ Recommended sleeping position:
Sleep on your back with a pillow between your knees for hip support.
Avoid sleeping on the operated side until cleared by your doctor.
📌 Tip: Use a firm mattress and supportive pillows to keep your hip aligned properly.
9. Stay Hydrated and Eat a Nutritious Diet
Proper hydration and nutrition play a key role in healing and reducing inflammation.
✔️ Drink at least 8-10 glasses of water daily.✔️ Eat anti-inflammatory foods like:
Omega-3-rich fish (salmon, tuna).
Leafy greens and berries (spinach, kale, blueberries).
Lean proteins (chicken, turkey, plant-based options).
➡️ Discover diet and nutrition tips for hip health.
10. Know When to Seek Medical Help
While pain is expected, severe pain or unusual symptoms may indicate a complication.
📌 Contact your doctor immediately if you experience:
❌ Severe pain that doesn't improve with medication.
❌ Increased swelling, redness, or warmth at the surgical site.
❌ Signs of infection (fever, drainage from the incision).
❌ Difficulty moving or weight-bearing on the hip.