Hip Replacement in Active Adults: What Sports Are Still Safe?
Published by Dr Oliver Khoo at Thursday, December 18, 2025
Hip replacement surgery is no longer reserved only for older, sedentary patients. Today, many active adults in their 40s, 50s and 60s are choosing hip replacement to regain mobility, reduce pain, and return to the activities they love. A common question remains: what sports are still safe after hip replacement, and when can you return to them?
The short answer is yes—you can stay active after hip replacement. However, not all sports place the same demands on the joint, and understanding impact levels, timelines, and long-term joint protection is key to a successful outcome.
This article explores low-, moderate- and high-impact activities after hip replacement, realistic timelines for return to sport, and how active adults can protect their new hip for years to come.
Modern hip replacements are designed to restore movement and function, not limit it. Staying active after surgery helps to:
That said, activity needs to be progressive, controlled, and appropriate to avoid unnecessary wear or injury.
Sports and activities are typically grouped based on how much stress they place on the hip joint.
Low-impact activities place minimal stress on the hip and are generally safe for long-term participation.
Examples include:
Why they’re safe:
These activities involve smooth, controlled movements with minimal joint loading, reducing wear on the prosthesis while keeping muscles strong.
Typical timeline:
Moderate-impact sports place more load on the hip but may be suitable for experienced, well-conditioned individuals.
Examples include:
Key considerations:
Typical timeline:
High-impact sports place repetitive or sudden force through the hip joint and can increase the risk of implant wear, loosening, or injury.
Examples include:
Why they’re discouraged:
Repeated impact and twisting forces can shorten the lifespan of the hip replacement and increase the risk of complications.
Some patients may return to select high-impact sports under medical guidance, but this is usually the exception rather than the rule.
While recovery varies between individuals, general milestones include:
Patience is essential—rushing recovery increases the risk of setbacks.
To maximise the lifespan of your hip replacement:
A well-managed hip replacement can last 15–25 years or more with the right care.
For highly active people, the psychological shift can be just as challenging as the physical recovery. While certain sports may need to be modified or avoided, many patients discover new activities they enjoy just as much.
The goal isn’t limitation—it’s longevity.
Running is generally discouraged due to the repetitive impact on the joint. Some individuals choose to run short distances, but this should be discussed carefully with your surgeon.
High-impact and repetitive loading can increase wear. Low- and moderate-impact activities are far less likely to compromise implant longevity.
Yes. Strength training is encouraged, especially when supervised initially. Focus on controlled movements and avoid heavy impact or deep hip flexion early on.
Yes, with modifications. Avoid extreme ranges of motion and poses involving deep twists or hip flexion, particularly in the first few months.
Persistent pain, swelling, or reduced mobility are signs to slow down and seek professional advice.
Many patients report improved function and comfort compared to pre-surgery, especially once strength and confidence return.
Hip replacement doesn’t mean giving up an active lifestyle—it means redefining it. With modern surgical techniques, structured rehabilitation, and smart activity choices, active adults can continue to move, exercise, and enjoy life with confidence.
Choosing the right sports, respecting recovery timelines, and listening to your body are the foundations of long-term success.