Your hip was replaced. The X-ray looks fine. But the pain is still there. Getting into the car hurts. Stairs feel risky. You did the exercises, and it still hasn’t resolved. You’re not imagining it.
We look beyond the implant.
We assess tendons, nerves, scar tissue, your spine, and the way your muscles are communicating with your brain.
Advanced technology paired with targeted rehab.
Focal shockwave, EMTT, and scar treatment address what exercises alone cannot.
A plan that builds on itself, not a revolving door.
Scar cleanup first, pain modulation next, then progressive strength so the gains last.
60-minute one-on-one assessment + treatment plan.
No pressure, no contracts.
If any of this sounds familiar, you're in the right place.
Groin or front-of-hip pain when getting into a car, climbing stairs, or rising from a chair
Outer hip pain or tenderness over the side that makes sleeping on that side impossible
Burning, numbness, or tingling along your outer thigh that nobody can fully explain
You finished physio months ago but the pain came back, or never fully left
You’re told the X-ray looks fine, but the pain is still limiting your life, and you want answers beyond “give it more time”
The Real Problem
Explore 4 slides on Hip Replacement Rehab
Most people have several of these happening at once. That’s why we assess the whole chain, from your lower back to your knee, not just the hip joint.
OUR APPROACH
INITIAL VISIT
Full movement and strength assessment of your hip, lower back, and lower limb
Identify whether pain drivers are scar/adhesion, tendon, nerve, spine-referred, or a combination
You leave with a written treatment plan, clear timeline, and transparent pricing before you commit
First 3 to 10 Weeks
Surgical scar treatment to restore tissue glide and sensory communication (focal shockwave)
EMTT to reduce deep inflammation and support tissue recovery
Manual soft-tissue work targeting adhesions and restricted areas around the incision site
Make stairs, walking, and daily movement tolerable, fast.
10+ Weeks and Beyond
Progressive strengthening of hip, gluteal, and core muscles now that scar and pain drivers have been addressed
Gait retraining and mobility work tailored to your activity goals
Ongoing exercise program (up to 3 months) to build lasting resilience
What To Expect
Every case is different, but research and our clinical experience consistently show:
Early improvement is common within the first few weeks once scar tissue and soft-tissue pain drivers are directly treated. Many patients notice a difference after 3 to 5 shockwave sessions.
Functional gains you can feel: getting into and out of a car with less guarding, sleeping on the affected side, walking longer distances, and returning to activities you had pulled back from.
Patients who come in soon after surgery, or even prepare the site before surgery, tend to respond exceptionally well. But even those months or years post-op see meaningful improvement.
Our promise: we will tell you honestly at the assessment if we don’t believe you’re a good candidate for this approach.
EVIDENCE
Persistent pain after hip replacement affects roughly 1 in 7 patients at 12 months, confirmed by a meta-analysis published in BMJ Open.
Focused shockwave therapy has been shown to reduce pain and improve function in gluteal tendon conditions, with a randomized trial reporting lower pain scores at 2 and 6 months compared to ultrasound.
EMTT has been shown to reduce pain and improve physical function in a double-blind, placebo-controlled trial of musculoskeletal pain, with effects persisting at 12 weeks.
Shockwave therapy has been shown to improve pain and reduce scar thickness in a randomized, double-blind trial of hypertrophic scar treatment.
A systematic review of post-hip-replacement pain diagnoses found that the majority of cases involve treatable soft-tissue and extra-hip sources, not implant failure.
Outcomes are group averages from clinical trials; individual results vary.
Here are answers to some of the most common questions about Hip Replacement Rehab.
6 results found
It depends on what’s driving your pain. Focused shockwave has strong randomized trial evidence for gluteal tendon conditions (lateral hip pain) and emerging evidence for scar-related pain. If your pain is tendon-driven, scar-driven, or both, it may be a very good fit. We determine this during your initial assessment.
Yes. When fascia, muscle, and skin are cut during surgery, scar tissue and adhesions can form and restrict tissue movement. This can also interrupt sensory signals between the surgical site and your brain, affecting how nearby muscles function. We treat the surgical scar as a priority and have seen it make a significant difference.
Most treatment plans involve 3 to 5 shockwave sessions, 8 to 10 EMTT sessions, and an exercise program lasting up to 3 months. Exact numbers depend on which pain drivers are present in your case. We map this out during your first visit with transparent pricing.
Often because exercises were started before the underlying tissue condition was addressed. If scar tissue, adhesions, or sensory nerve disruptions haven’t been cleaned up, strengthening alone may not hold. That’s why we treat the surgical site first, then build strength on a healthier foundation. We review this with you during your initial assessment.
Because most persistent pain after hip replacement comes from soft tissues, not the implant. Research shows the majority of “painful hip arthroplasty” cases involve tendon irritation, scar tissue, nerve-related symptoms, or pain referred from the lower back. An X-ray shows bone and metal. It doesn’t show any of these drivers.
It’s a recognized occurrence. Small sensory nerves (especially the lateral femoral cutaneous nerve) can be affected during certain surgical approaches. These neuropathic symptoms are more common than many patients are told and often require a different treatment strategy than standard exercises. We assess for this in your first visit.
YOUR NEXT STEP
Stop guessing, stop collecting random treatments, and get a plan that treats the whole system, not just the joint.
Initial Hip Replacement Rehab Assessment — Edmonton
60-minute one-on-one session. Here’s what’s included:
Full-body movement and strength assessment (hip, lower back, lower limb)
Identify which pain drivers matter for your case: scar, tendon, nerve, spine, or combination
Review of history and imaging if available
Clear written plan with transparent pricing before you commit
No referral needed. No obligation to continue beyond the first visit.
No pressure, no contracts.
We will tell you honestly at the assessment if we don't believe you're a good candidate for this approach. If your condition needs something different, we'll refer you directly.
There are 7 other resources that share the same topics: