Hip Replacement

When hip pain interferes with daily life and is not helped by conservative treatments such as pain management or injections, total hip replacement replaces the damaged joint with an implant to reduce or eliminate pain. Our surgeons use minimally invasive techniques, with same-day, outpatient surgery for select candidates.

What Is Hip Replacement?

A hip replacement (total hip arthroplasty) resurfaces a worn or damaged hip joint with a durable implant, replacing the ball at the top of the thighbone and the socket it sits in. It relieves the bone-on-bone pain of advanced arthritis and restores comfortable movement.
 
At Total Spine and Orthopedics, we perform it using minimally invasive techniques, with smaller incisions and less disruption of muscle and soft tissue than traditional surgery, which for most patients means less postoperative pain, faster healing, and a shorter hospital stay. Because surgery is never the first step, we begin with conservative care and recommend replacement only when the hip no longer responds to it.

Conditions Hip Replacement Treats

Hip replacement is one of the most successful procedures in all of medicine, but it is never the first step. Care begins with the least invasive options, and surgery is recommended only when hip damage no longer responds to them.

Conditions it treats

  • Osteoarthritis. The most common reason, the gradual wearing away of the hip’s cushioning cartilage.
  • Rheumatoid & post-traumatic arthritis. Inflammatory or injury-related joint damage.
  • Avascular necrosis. Loss of blood supply that causes the hip bone to break down.
  • Hip fractures & dysplasia. Structural damage that leaves the joint painful and unstable.

Tried first, when appropriate

  • Activity & weight management. Reducing load on the joint.
  • Physical therapy. Strengthening the muscles that support the hip.
  • Anti-inflammatory medication. To manage pain and swelling.
  • Joint injections. Image-guided corticosteroid injections for temporary relief.

When these no longer control your pain, or when imaging shows the joint is worn beyond repair, a hip replacement can restore comfortable, reliable movement. Your surgeon will always recommend the least invasive option appropriate for you.

Do I Need A Hip Replacement?

The best way to determine whether you are a candidate is to consult an orthopedic physician who specializes in joint surgery. Our physicians will explore all possible options to eliminate or reduce your pain; in many cases, injections or pain management are effective first.
 
Evaluation includes an examination of motion and strength and X-rays to assess the joint. Many patients recover primarily at home after their procedure.

How Hip Replacement Works

A total hip replacement resurfaces the worn joint with a durable implant. Our team uses minimally invasive techniques throughout. Here is what the procedure involves, step by step.

  1. 1
    Anesthesia
    What happens

    You are placed under anesthesia and monitored throughout, so the procedure itself is painless.

    Why it matters

    Your comfort and safety are managed by the care team from start to finish.

  2. 2
    Reaching the joint
    What happens

    Working through a smaller incision with specialized instruments, the surgeon accesses the hip while sparing the surrounding muscle and soft tissue.

    Why it matters

    Less disruption to muscle and tissue is what drives the reduced pain and faster recovery of a minimally invasive approach.

  3. 3
    Removing the damaged surfaces
    What happens

    The worn femoral head (the ball) and the damaged cartilage in the socket are removed.

    Why it matters

    Taking out the arthritic surfaces is what ends the bone-on-bone pain you have been living with.

  4. 4
    Placing the implant
    What happens

    A new socket liner and a ball on a stem are fitted precisely, recreating a smooth, natural-feeling joint.

    Why it matters

    The new joint is designed to move smoothly and restore comfortable, reliable function.

  5. 5
    Closing and beginning recovery
    What happens

    The incision is closed, and a guided recovery plan with physical therapy begins.

    Why it matters

    A structured recovery is central to a strong, lasting result.

Your surgeon will walk you through the details of your procedure, including the approach and what your hospital course is likely to look like.

Are You A Candidate?

Hip replacement may be right for you when these ring true, and when less invasive care can no longer keep you comfortable. The surest way to know is a conversation with an orthopedic specialist.

Deep hip or groin pain

Aching that lingers with walking, stairs, or at rest, and often disturbs your sleep.

Conservative care isn’t enough

Physical therapy, medication, and injections no longer control your symptoms.

Imaging shows joint damage

X-rays reveal advanced arthritis or bone-on-bone wear in the hip joint.

Stiffness and a limp

Trouble putting on socks or shoes, reduced range of motion, or leaning on a cane to get around.

Your life has shrunk around it

You’ve given up activities, hobbies, or travel you love because of your hip.

You’re in good general health

Overall health supports surgery and healing, something we assess together during your evaluation.

Recognize yourself here? Schedule a consultation and we’ll review your imaging and every option with you.

Frequently Asked Questions

How do I know if I need a hip replacement?

Hip replacement is considered when hip or groin pain limits your daily life or sleep, X-rays show advanced joint damage, and conservative care such as physical therapy, medication, and injections is no longer keeping you comfortable. The clearest way to know is an evaluation with an orthopedic specialist, who will review your imaging and options with you. Total Spine and Orthopedics offers a consultation to determine whether you are a candidate.

What does hip replacement surgery involve?

In a total hip replacement, the worn surfaces of the joint, the ball at the top of the thighbone and the socket it sits in, are removed and replaced with a durable implant that recreates a smooth, natural-feeling joint. Our team performs the procedure using minimally invasive techniques, and your surgeon will explain what to expect based on your anatomy and health.

What is minimally invasive hip replacement?

Minimally invasive total hip replacement uses smaller incisions and specialized instruments instead of one large incision, with less disruption of the surrounding muscle and soft tissue. For most patients that means significantly less postoperative pain, faster healing, and a shorter hospital stay than traditional surgery.

Is hip replacement a same-day or outpatient procedure?

Sometimes. For select candidates, hip replacement may be performed on a same-day, outpatient basis, and a minimally invasive approach typically means a shorter hospital stay overall. Your surgeon will confirm what is appropriate for your health and your procedure.

How long is recovery after hip replacement?

A minimally invasive hip replacement generally means less pain and a faster recovery than traditional surgery. Guided movement and physical therapy begin soon after surgery, walking aids are set aside over the following weeks, and everyday activities return during that time. The hip continues to strengthen over the following months. Your surgeon and physical therapist will guide your individual timeline.

What conditions does hip replacement treat?

The most common reason is osteoarthritis, the gradual wearing away of the hip joint’s cartilage. Hip replacement also treats rheumatoid and post-traumatic arthritis, avascular necrosis (loss of blood supply to the bone), hip fractures, and hip dysplasia when these cause pain and damage that no longer respond to conservative care.

Will I have activity restrictions after surgery?

Yes. During the healing period your surgeon will give you clear, personalized guidance on what to do and what to avoid to protect the new joint. These guidelines are tailored to your procedure and your progress.

Is hip replacement painful?

The procedure itself is performed under anesthesia, so you feel nothing during surgery. Recovery involves some discomfort that is managed with modern pain protocols, and many patients find that the arthritis pain they lived with beforehand eases as they heal.

Is It Time? Signs To Watch For

Hip arthritis tends to build slowly, so it’s easy to adapt to the pain without realizing how much it has taken. These are the signs it may be time to talk to a specialist:

  • Pain in the hip or groin that flares with walking, standing, or climbing stairs.
  • Stiffness that makes it hard to bend, put on socks, or get in and out of a car.
  • Pain at night or aching that keeps you from a full night’s sleep.
  • Grinding or catching, a sense that the joint no longer moves smoothly.
  • A limp or a cane you’ve started relying on to get around.
  • Relief that keeps fading, medication and injections don’t last like they used to.

Your Recovery, Step By Step

A minimally invasive hip replacement generally means less pain and a faster recovery than traditional surgery. Every recovery is individual, the timeline below is a general guide, and your surgeon and physical therapist will tailor the plan to you.

  1. 1
    After surgery
    What to expect

    Guided movement and physical therapy begin soon after surgery. Depending on your case, you may go home the same day or after a shorter stay than traditional surgery requires.

    Your part

    Follow your team’s guidance and begin gentle activity as directed.

  2. 2
    The first weeks
    What to expect

    You move around with a walker or cane while the hip heals, and the arthritis pain you had before often begins to ease.

    Your part

    Attend physical therapy and follow your activity guidance closely.

  3. 3
    Over the following weeks
    What to expect

    Walking aids are gradually set aside and many everyday activities return, at a pace your surgeon confirms.

    Your part

    Keep building strength and range of motion steadily through therapy.

  4. 4
    Several months out
    What to expect

    The hip continues to strengthen, and the full benefits of the surgery are typically felt over the following months.

    Your part

    Stay active and keep your follow-up visits so we can confirm you’re on track.

Contact your care team promptly about fever, increasing redness or drainage, calf pain or swelling, or pain that is not improving.

Related Treatments

Minimally Invasive Vs. Traditional Surgery

The Minimally Invasive Advantage

Traditional hip replacement has long been effective, but advances in surgical technique have made the minimally invasive version an excellent option. Both use the same durable implant, the difference is how the joint is reached, and how that shapes recovery.

TraditionalMinimally invasiveOur approach at Total Spine
IncisionA single larger incision.Smaller incisions with specialized instruments.
Muscle & soft tissueMore disruption of the muscle and tissue around the joint.Less disruption of surrounding muscle and soft tissue.
Postoperative painMore pain in the early recovery period.Significantly less postoperative pain for most patients.
Hospital stayA longer hospital stay is typical.A shorter stay, with a same-day, outpatient option for select candidates.
RecoveryA longer, more gradual return to activity.Faster healing and a quicker return to normal activities.

For the right candidate, the minimally invasive approach means less pain, a shorter stay, and a faster return to the life you’ve been missing.

Not every patient is a candidate for every technique. Your surgeon will recommend the approach that fits your anatomy and health.

Our Patients Stories

Hear our patients share their experience with us, All in their own words.

Why Choose Total Spine and Orthopedics

Expert, ultra-minimally invasive spine and orthopedic care, close to home.

  • Ultra-minimally invasive and endoscopic techniques

    We specialize in procedures performed through incisions smaller than a dime, sparing muscle and supporting a faster recovery.

  • Same-day, outpatient procedures

    Most patients walk in and return home within hours, rather than facing an overnight hospital stay.

  • Board-certified, fellowship-trained surgeons

    Our team includes early leaders in endoscopic spine surgery.

  • A complimentary MRI review

    Understand your diagnosis and options from a board-certified specialist before committing to any treatment.

  • Trusted by our community

    More than 1,100 patient reviews at a 4.6-star average, and over 50,000 patients treated.

  • Same-day joint replacement for select candidates

    Our surgeons offer outpatient, same-day hip replacement when it is safe for you.

  • Comprehensive spine and orthopedic care

    From injections to advanced procedures, your full continuum of care is handled in one place.

  • Convenient locations across the Space Coast and Orlando

    Care close to home in Melbourne, Orlando (Lake Nona), and Titusville.

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