19/07/2025
Sleep Hygiene After Hip or Knee Replacement Surgery
How to Rest, Recover, and Sleep Better!
đľ Why Sleep Can Be Hard After Surgery?
After total joint replacement, itâs common to feel exhausted yet unable to sleep. Hereâs why:
⢠Pain, stiffness, and swelling in the joint (often worse at night).
⢠Limited mobility or discomfort lying down.
⢠Medication side effects (especially from opioids, steroids, or anesthesia).
⢠Anxiety or racing thoughts about recovery.
⢠Disrupted routine, daytime napping, and lack of activity.
⢠Overstimulation in the evening (screens, noise, clutter).
đ 4 Non-Medical Strategies for Better Sleep
đ§ź 1. Stick to a Sleep Hygiene Routine
⢠Same bedtime and wake time daily including weekends.
⢠Stop eating at least 2â3 hours before bed. Digesting food too close to bedtime can disrupt sleep.
⢠Avoid caffeine after 2 PM and alcohol altogether during recovery (it affects healing and deep sleep).
đ 2. Make Your Bedroom Sleep-Only
A cluttered or overstimulating space can subconsciously keep your brain alert. Try these simple changes:
⢠Remove electronics from the nightstand (no phones, tablets, or TVs in bed).
⢠Use blackout curtains or a sleep mask.
⢠Keep the room cool (65â70°F is ideal).
⢠Add a white noise machine or fan to block out distractions.
⢠Keep a small ice pack, wedge pillow, or extra blanket nearby so you donât have to get up.
⢠Only use your bed for sleep and restânot eating, scrolling, or watching TV.
⢠𧺠Declutter tip: Keep a small bedside caddy or basket with essentials like lip balm, water, tissues, and your medications. Everything else goes in a drawer or another room.
đ°ď¸ 3. Build a Healing Evening Routine (Example)
TIME What to do:
7:00 PM Light dinner, no more food after this
8:00 PM Shower or warm compress, cold therapy for swelling
8:30 PM Take pain meds and supplements (as advised), start dim lighting
9:00PM Journaling or breathing exercise, no screens
9:30 PM Bedtime-cool room, eye mask, quiet space, no distractions
đ§ââď¸ 4. Wind Down With Purpose
⢠Do gentle stretches or breathing exercises to relax your body.
⢠Turn off overhead lights and use warm, dim lamps in the evening.
⢠Listen to a calming playlist, nature sounds, or a short sleep meditation.
⢠Utilize aromatherapy such as Lavender Essential oils in a diffuser or a few drops on your pillowcase.
⢠If thoughts are racing, try writing them down before bed or using a guided app like Calm, Insight Timer, or Headspace. Tip: Download ahead of time to avoid exposure to blue light from your device.
đ Consider Sleep-Supportive Supplements
Always check with your provider before adding supplements, especially after surgery. Here are options people often tolerate well:
Supplement How It Helps Notes
Magnesium glycinate Helps relax muscles, supports deep sleep May also reduce muscle cramps
Melatonin Signals brain time to sleep Use lowest effective dose
L-theanine Calms the mind without drowsiness Often found in nighttime teas
GABA Supports a calmer nervous system Available in capsules or powders
Glycine powder Improves sleep quality Also supports wound healing
Tip: Avoid taking sleep aids too earlyâtake 30â60 minutes before bed, after youâve started winding down.
đ When to Call Your Doctor
You should reach out to your provider if:
⢠Youâre in severe pain at night despite medications.
⢠You notice redness, warmth, swelling, or fever.
⢠You have symptoms of blood clots, such as new leg swelling, shortness of breath, or chest pain.
⢠You canât sleep at all for several days, and itâs affecting your ability to function.
⨠Final Tip
Good sleep is part of your healingânot a luxury.
You donât need to force sleepâbut you can create the conditions for it. A peaceful room, a calm mind, and small nightly habits can add up to better rest, faster healing, and more energy for recovery.