Rapid Recovery Joint Replacement: What to Expect Before, During & After Surgery

Dr. Adam HartDr. Adam Hart
7 min read

Joint replacement surgery—whether it's a hip replacement treatment or knee joint surgery—has evolved significantly over the past decade. What once required weeks of hospitalization and months of slow recovery can now be completed with improved outcomes and faster healing times, thanks to rapid recovery joint replacement programs.

If you’re preparing for hip or knee surgery or researching the best orthopedic surgeon in Montreal, this guide will walk you through everything you need to know about rapid recovery joint replacement—what it means, how it works, and what to expect before, during, and after surgery.

What Is Rapid Recovery Joint Replacement?

Rapid recovery joint replacement is a modern, patient-centered surgical approach focused on improving outcomes and shortening recovery time for patients undergoing hip replacement treatment or knee replacement treatment.

Also called enhanced recovery after surgery (ERAS) or fast-track joint replacement, this protocol is based on evidence-based practices and collaborative care. The goal is to help patients regain mobility, reduce complications, and return to daily life much sooner than with traditional joint replacement surgery.

Key Features of Rapid Recovery Programs

  • Minimally invasive surgical techniques

  • Multimodal pain management (less reliance on opioids)

  • Immediate mobilization (walking within hours after surgery)

  • Personalized physical therapy

  • Patient education and proactive planning

  • **Shorter hospital stays or outpatient procedures

    Whether you're undergoing knee joint surgery or working with experienced [hip replacement surgeons**](https://dradamhart.com/hip-replacement/), rapid recovery programs streamline your healing journey without compromising safety or comfort.

Conditions Treated with Rapid Recovery Surgery

  • Osteoarthritis of the hip or knee

  • Post-traumatic arthritis

  • Degenerative joint disease

  • Rheumatoid arthritis

  • Avascular necrosis (in hips)

  • Failed prior joint surgery

    If your symptoms include chronic pain, stiffness, reduced mobility, and a poor response to conservative treatments, you may be a candidate for hip replacement treatment or knee replacement treatment under a rapid recovery protocol.

Step-by-Step: What to Expect from Rapid Recovery Joint Replacement

Let’s break down the patient journey before, during, and after surgery.

1. Preoperative Phase: Getting Ready

a. Patient Education

One of the defining features of a rapid recovery program is comprehensive patient education. Before your surgery date, you’ll attend a pre-op class or consultation with your care team. This includes:

  • An overview of the surgical procedure

  • Recovery timelines and milestones

  • Home preparation tips (e.g., clearing walkways, installing support rails)

  • Post-operative care plans

Educated patients recover faster because they understand how to manage pain, movement, and therapy.

b. Health Optimization

Patients are encouraged to:

  • Stop smoking (to reduce complications)

  • Improve nutrition

  • Control existing conditions like diabetes or high blood pressure

  • Strengthen muscles through prehabilitation exercises

    This phase may also include evaluations from your anesthesiologist, physical therapist, and primary care provider.

2. Surgical Procedure Day: What Happens?

a. Minimally Invasive Surgery

Whether you're seeing hip replacement surgeons or preparing for knee joint surgery, rapid recovery procedures often use minimally invasive techniques. These methods:

  • Limit soft tissue damage

  • Reduce blood loss

  • Decrease post-op pain

The actual surgery typically lasts 1–2 hours.

b. Anesthesia & Pain Management

Instead of relying solely on general anesthesia, rapid recovery programs use:

  • Spinal anesthesia or regional nerve blocks

  • Long-acting local anesthetics at the surgical site

  • Multimodal analgesia (a combination of medications for better pain control)

This approach minimizes side effects and allows faster mobilization.

3. Immediate Postoperative Phase: Recovery Begins Day 1

Unlike traditional joint replacements, where you may be confined to bed for a day or more, rapid recovery patients begin walking within hours of surgery.

a. Same-Day or Short Hospital Stay

Depending on your overall health and procedure type:

  • You may go home the same day (outpatient)

  • Or stay for 24–48 hours for observation

b. Physical Therapy Starts Immediately

Physical therapy begins the same day as surgery or early the next morning. Therapists will guide you through:

  • Standing and walking with a walker

  • Performing simple range-of-motion and strength exercises

  • Practicing safe techniques for using stairs, toilet, or getting in and out of bed

Early movement is key to reducing complications such as blood clots and stiffness.

4. Weeks 1–2: Building Momentum

During this phase, your focus shifts to independent mobility and pain management.

What to Expect:

  • Walking with a walker or cane

  • Performing home exercises 2–3 times a day

  • Decreased swelling and improved flexibility

  • Daily activities with minimal support

Many rapid recovery patients report less pain and faster confidence in movement compared to traditional recovery protocols.

5. Weeks 3–6: Return to Normalcy

Your body is healing, and you're getting stronger each day.

Goals:

  • Walking short distances without assistance

  • Climbing stairs more easily

  • Beginning outpatient physical therapy (if needed)

  • Resuming light activities (driving, desk work, light chores)

Patients who follow their care plans can return to most daily activities within 4–6 weeks. Working closely with the best orthopedic surgeon in Montreal can help you stay on track and avoid setbacks.

6. Weeks 7–12: Full Mobility & Long-Term Success

By the end of 2–3 months, most patients reach the final phase of recovery.

Milestones:

  • Full or near-full range of motion

  • Resuming hobbies, walking, or light sports

  • Little to no pain during movement

  • Returning to work and regular life

    Continued exercises may be recommended to maintain strength and protect your new joint for years to come.

Also read this blog : What is Total Hip Replacement: Surgery Process, Causes & Recovery

Benefits of Rapid Recovery vs. Traditional Joint Replacement

Feature

Rapid Recovery

Traditional Surgery

Hospital Stay

0–2 days

3–5 days

Mobility

Same day

After 24–48 hrs

Pain Management

Multimodal, opioid-sparing

Opioid-heavy

Physical Therapy

Immediate

Delayed

Return to Work

4–6 weeks

8–12 weeks

Complication Risk

Lower

Higher

Rapid recovery programs improve the patient experience and optimize outcomes—especially for active individuals who want to resume daily life quickly.

Choosing the Right Surgeon for Rapid Recovery

Success begins with choosing the best orthopedic surgeon in Montreal—someone experienced in rapid recovery protocols and advanced joint replacement techniques.

What to Look For:

  • Board certification in orthopedic surgery

  • Specialization in joint replacement (hip and knee)

  • Experience with minimally invasive and robotic techniques

  • Strong patient reviews and outcome data

  • Access to a multidisciplinary care team

A collaborative approach between surgeon, anesthesiologist, physical therapist, and nursing staff is essential for a successful rapid recovery experience.

Who Is a Good Candidate for Rapid Recovery?

While many patients qualify for rapid recovery joint replacement, ideal candidates generally include:

  • Those with a healthy BMI

  • Non-smokers

  • Individuals without complex health conditions

  • Motivated patients who can follow post-op plans

  • Those with good support at home

Even if you have existing medical conditions, your care team can tailor the protocol to suit your needs. Ask your hip replacement surgeons or orthopedic team during your consultation.

Frequently Asked Questions (FAQs)

Q1. Is rapid recovery safe for older adults?

Yes. With proper screening, many patients in their 60s, 70s, and even 80s undergo rapid recovery joint replacement safely.

Q2. Is rapid recovery more expensive?

Not necessarily. While some advanced techniques may have higher initial costs, the shorter hospital stays and quicker return to work can offset these expenses. If you're comparing hip replacement treatment options, ask your clinic about pricing and insurance coverage.

Q3. When can I return to work after rapid recovery knee or hip surgery?

Most patients return to desk jobs within 4–6 weeks. Physically demanding work may require 8–12 weeks.

Q4. Will I need physical therapy after surgery?

Yes. Most patients continue a personalized physical therapy program for at least 6–12 weeks after surgery to restore full mobility.

Q5. How do I find the best orthopedic surgeon in Montreal for this procedure?

Look for credentials, experience with rapid recovery protocols, and patient reviews. Clinics associated with major orthopedic hospitals or joint centers are often a good choice.

Final Thoughts: Your Journey to Recovery Starts Now

Joint pain shouldn’t define your life. Whether you're planning knee replacement treatment or exploring hip replacement treatment, rapid recovery joint replacement offers a faster, safer, and more empowering way to regain your mobility.

With support from top-rated hip replacement surgeons and a personalized care team, your journey from surgery to strength can be smoother than ever. By understanding what to expect—and preparing ahead—you’ll set yourself up for a successful recovery and a pain-free future.

0
Subscribe to my newsletter

Read articles from Dr. Adam Hart directly inside your inbox. Subscribe to the newsletter, and don't miss out.

Written by

Dr. Adam Hart
Dr. Adam Hart