Introduction Rehabilitation requires coordinated effort from orthopaedic surgeon physical therapist occupational therapist case manager nursing staff patient and patient's family Care can be broken down into different phases including preoperative teaching inpatient acute care (hospital) inpatient extended care (rehab/SNF) outpatient home care Preoperative Teaching Physical therapy preoperative physical therapy has not been shown to improve postoperative outcomes Hip precautions useful if discussed before surgery types of hip precautions posterolateral approach login to view 4 more bullets anterolateral approach login to view 4 more bullets direct anterior approach login to view 5 more bullets Inpatient Acute Care (Hospital) Pain management preoperative NSAIDS and opioids given immediately before procedure reduce postoperative pain intraoperative regional anesthesia (spinal and/or epidural) login to view 1 more bullet periarticular multimodal drug injection login to view 1 more bullet postoperative multimodal oral drug therapy login to view 1 more bullet Physical therapy goals sitting upright --> gait training, ambulation with walker, out of bed to chair --> transfers, gait normalization --> independence Discharge home criteria independent ambulation with assistive device independent transfers independent ADLs stairs with supervision appropriate home assistance (spouse, family, visiting nurses) Inpatient Extended Care (Rehab) Earlier discharge to rehab from hospital associated with improved outcomes Discharge criteria to home similar to those in hospital Outpatient Care Return to sport low-impact exercises are preferred golf login to view 2 more bullets high-impact exercises increase revision rates in patients less than 55 years-old Driving recommendations 3-4 weeks after right THA less than 3-4 weeks after a left THA reaction time returns to preoperative levels at 4-6 weeks Return to work within a month if no manual labor