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Joint replacement, whether hip or knee arthroplasty, is typically recommended when persistent joint pain and stiffness severely impair daily life, and all conservative treatments, such as medication, physical therapy, or injections, have failed. Imaging studies (X-rays or MRI) that show advanced joint damage like bone-on-bone arthritis or deformity strengthen the case for surgery when coupled with patient symptoms.
Synopsis
In Recent Studies
In recent years, there's been a notable rise in patients in their 40s and 50s opting for joint replacement, thanks to advancements in implant materials and surgical techniques, making recovery faster and prosthetics more durable (often lasting 20–30+ years). These developments have shifted the narrative from “waiting until retirement” to seeking timely surgery that restores activity and quality of life.
Generally, it has been observed that joint replacement is considered when pain limits your independence, quality of life is predominantly affected, and imaging confirms structural degeneration, and when you've tried all non-surgical options without relief.
Before Surgery: The Planning
Joint replacement (arthroplasty) begins well ahead of the operating room. At Manipal Hospital Ghaziabad, our medical team will assess your overall health, including blood tests, ECG, and imaging, to ensure you’re a good candidate (e.g., managing diabetes, quitting smoking, optimising weight). Physical therapists may instruct muscle-strengthening exercises (like isometric training) and walking-aid techniques prior to surgery. It’s also wise to prepare your home pre-stock meals, rearrange furniture for accessibility, and clear fall hazards. This blog is a compilation of information regarding every aspect of joint replacement from before, during and after the surgery.
During Surgery: The Procedure
Joint replacement typically lasts 1–2 hours under regional or general anaesthesia. Surgeons remove the damaged joint and replace it with prosthetic components, metal, ceramic, or plastic, selected based on imaging-based templating for anatomical fit. After implantation, incisions are closed, and immediate post-op monitoring begins in recovery.
After Surgery: What to Expect
Pain & Swelling Management
Expect moderate to severe swelling in the first one–two weeks, gradually decreasing over months. Pain is managed using nerve blocks, anti-inflammatories, or opioids as needed; icing and leg elevation help reduce discomfort.
Mobility & Rehabilitation
Early mobilisation, often within 24 hours, is vital to prevent blood clots and promote healing. Physical therapy begins immediately to restore strength and movement using walking aids initially, progressing to full weight-bearing over 2–4 weeks.
Follow-up & Healing
Stitches or staples are reviewed after ~2 weeks; physical therapy continues for 6–8 weeks or longer. Most patients resume daily activities by 3 months, with considerable improvement in strength, mobility, and pain. Full joint recovery may take up to 12 months.
More Reads: Common Causes of Joint Pain
Benefits of Joint Replacement Surgery
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Life-Changing Pain Relief - Joint replacement removes worn, arthritic surfaces that cause chronic pain. Most patients experience dramatic pain reduction, often eliminating the need for regular pain medications.
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Restored Mobility & Function - Following surgery, many regain a full range of motion, with increased flexibility and the ability to perform daily activities like walking, climbing stairs, and gardening.
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Enhanced Quality of Life - Pain relief and improved movement translate into greater independence, emotional well-being, and the ability to engage in social activities and hobbies.
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Improved Overall Health - By increasing physical activity, patients reduce the risk of obesity-related conditions. Studies suggest a 30–40% lower risk of heart attack, stroke, and depression post-replacement.
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Fewer Joint Complications - Replacing a painful joint reduces stress on nearby joints and improves posture and balance, which often enhances overall joint health and reduces future complications.
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Return to Activity - Most patients return to low-impact activities, such as walking, swimming, cycling, or playing golf, within months, often resuming pursuits that were previously impossible.
More Reads: Joint Replacement: Procedure, Indications & Recovery
Risks & Long-Term Outlook
Potential complications include infection (<2% risk), blood clots, nerve injury, prosthesis loosening, or dislocation, particularly concerning with hip surgery. Adhering to movement precautions (e.g. avoiding hip flexion) helps reduce risk.
Most implants last 20–30+ years, with over 80% still functioning well after 25 years when proper protocols are followed.
Conclusion
Joint replacement is a well-established option for chronic pain relief and restored mobility. Proper pre-op preparation, early post-op rehabilitation, and gradual lifestyle reintegration lead to improved quality of life. Following recommendations carefully and pacing yourself maximise long-term success and allow many to return to activity with confidence.
Consult our expert Orthopaedician in Manipal Hospitals Ghaziabad, if you need personalised treatment and care for Joint Replacement.
FAQ's
A typical hip or knee replacement takes about 45–90 minutes, depending on the joint and complexity.
Implants are typically made from combinations of metal, ceramic, and medical-grade polyethene (plastic).
Most patients stay 1–4 days, with many going home within 24 hours following successful recovery protocols.
Risks include infection (<2%), blood clots, nerve injury, implant loosening or dislocation, and general surgical or anaesthesia-related complications.
Most regain independence within 6–12 weeks, with full recovery taking up to 12 months for strength and mobility improvement.
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