They do not have the size and bulk that an ice pack needs to be effective at reducing pain and swelling after a total hip replacement surgery. Along the way, the patient has invariably been instructed to ice the hip for 15 to 20 minutes, remove the ice pack for 20-30 minutes, then re-apply the ice pack to the hip again for another 15-20 minutes.. How to safely use cold therapy. Use an ice pack or a frozen gel pack for 15 to 20 minutes at a time or as directed by your surgeon. — If you are using an ice pack, put a clean, dry towel between your skin and the ice pack. Do not place the ice pack directly on your skin.

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