Hiking is one of the most popular leisure activities worldwide, promoting not only physical fitness but also mental well-being. However, many people with an artificial joint wonder if they can still safely participate in this sport. The good news is that, thanks to modern implants, minimally invasive surgical techniques, and targeted rehabilitation, hiking is possible with a hip or knee replacement (total hip arthroplasty; total knee arthroplasty) and can even contribute to the longevity of the prosthesis.

This article will tell you everything you need to know about hiking with an artificial joint, from the advantages and proper preparation to specific recommendations for hip and knee replacement wearers.

Advantages of hiking with an artificial joint

1. Joint-friendly movement

Hiking is a very joint-friendly activity compared to high-intensity sports like jogging or tennis. Because walking generates less impact, the implant is not subjected to unnecessary stress.

2. Muscle building and stability

Strong muscles support the artificial joint and reduce the risk of improper weight distribution. Regular hiking helps strengthen the thigh and gluteal muscles, which is particularly important after hip or knee surgery.

3. Improve mobility

The controlled movements involved in hiking promote joint flexibility. Furthermore, it can help maintain the mobility and functionality of the implant in the long term.

4. Positive effects on the cardiovascular system

Hiking promotes blood circulation, improves oxygen uptake, and reduces the risk of cardiovascular disease. Patients with an endoprosthesis particularly benefit from these health advantages.

5. Psychological benefits

Regular exercise in the fresh air increases general well-being, reduces stress and can alleviate depressive moods.

The right preparation for hiking with an endoprosthesis

1. Individual consultation in advance

Before resuming hiking, a medical examination is advisable. The treating orthopedist or physiotherapist can provide an individual assessment of the artificial joint's load-bearing capacity.

2. Choosing the right equipment

• Hiking boots: Well-cushioned, stable shoes reduce impact stress.
• Walking sticks: They relieve stress on the joints and improve balance.
• Backpack with hip belt: Even weight distribution protects the spine and joints.

3. Correct hiking technique with joint replacement

• Even, controlled steps avoid sudden peaks in exertion.
• Always walk downhill with a slight bend and use hiking poles for relief.
• Take regular breaks to avoid overstressing the joint.

Hiking with a hip replacement (total hip arthroplasty)

Advantages of a short-stem prosthesis for hikers

Modern short-stem prostheses allow for better bone preservation and more physiological mobility. This type of prosthesis represents a sensible alternative, especially for active people who enjoy hiking.

Special considerations when hiking with a hip prosthesis

• Beware of the risk of dislocation: Extreme movements should be avoided, especially in the first few months after surgery.
• Take it slow on inclines: Pay attention to maintaining a consistent load when walking uphill.

Special challenges and adjustments

After hip replacement surgery (total hip arthroplasty), it is particularly important to gradually increase the load and get used to the new joint. The following points are essential:

• The right prosthesis: A short-stem prosthesis offers several advantages over conventional hip prostheses. It allows for better bone preservation, more physiological force transmission, and therefore faster rehabilitation. This is particularly important for hikers, as good mobility and stability are crucial.
• Initially, low stress: After surgery, you should start with short and flat distances to gradually get the new joint used to movement.
• Gradual increase: Over time, more challenging routes with moderate inclines can be chosen. Descending should be done with particular care, as this puts greater stress on the joint.
• Optimize your gait: A smooth and controlled gait is important to avoid strain. If you are unsure about your gait, gait training with a physiotherapist can help.
• Proper hiking technique: Long strides or sudden changes of direction should be avoided. Sturdy hiking poles support balance and relieve stress on the joints.



Optimal conditions and recommendations

• Soft, springy surfaces like forest floors or meadow paths are ideal. Hard asphalt roads or rocky mountain trails should be avoided if possible.
• Suitable footwear: Hiking boots with good cushioning and non-slip soles provide additional stability.
• Use trekking poles: These help to distribute the load evenly and improve stability on uneven terrain.
• Plan breaks: Regular rest breaks are important to avoid overloading the joint.

Hiking with a knee replacement (total knee arthroplasty)

Challenges and tips

• Walking downhill puts more strain on the knee than walking uphill. Hiking poles and a controlled walking style can help.
• Muscle building is crucial: Strong thigh muscles support the knee joint and reduce the stress on the implant.

Hiking with a knee replacement (total knee arthroplasty) presents different challenges than hiking with a hip replacement. The knee joint is particularly susceptible to impact loads and therefore needs to be protected.

• Breaking in the prosthesis: In the first few months after surgery, the knee may still feel unfamiliar. A gentle and gradual increase in weight-bearing helps it get used to the new joint.
• Mastering ascents and descents: When walking uphill, care should be taken not to hyperextend the knee. When walking downhill, short steps and controlled weight distribution are essential to avoid overloading the prosthesis.
• Maintain flexibility: Regular stretching exercises help to maintain knee mobility and avoid muscle shortening.
• Improve stability: Well-trained thigh muscles relieve the prosthesis and promote safe hiking.

Specific recommendations

• Choose suitable hiking trails: Gentle inclines and wide paths are better than narrow, steep paths with uneven terrain.
• Adjust your stride frequency: Steps that are too fast or too long can put additional strain on the knee. A moderate pace is advisable.
• Avoid stairs and high steps: If stairs are unavoidable, you should support yourself well and walk slowly.

Recommended hiking routes for people with hip or knee replacements

Different routes are suitable depending on your fitness level:

• Easy: Flat paths without significant changes in elevation, e.g., riverside paths.
• Medium: Gentle inclines with well-maintained paths.
• Difficult: Steeper climbs and uneven paths should only be chosen with good preparation.

Testimonials from those affected

Many people with endoprostheses report that they are able to walk without difficulty again after the implantation. Through targeted training, the right technique, and mindful movement, they have regained their mobility and quality of life.

Conclusion: Hiking with an artificial joint - no problem!

Hiking is one of the best sports for people with a hip or knee replacement. Proper preparation, suitable equipment, and adapted hiking techniques allow for safe and joint-friendly exercise in nature. Those who listen to their bodies and avoid overexertion can benefit from the health advantages of hiking for many years.