Whats It Like To Recover From Knee Replacement Surgery
The rehabilitation period after knee surgery is just as important as the surgery itself. Recovering from knee surgery is a weeks-long process that gradually strengthens the knee and returns you to your normal level of activity. The 12 weeks after surgery are critically important to regain your mobility, and your recovery begins the very day your surgery is complete.
A typical timeline for recovery after knee replacement looks something like this:
Day 1. After youve recovered from the anesthetic, your physical therapist will help you stand up and walk slowly by using an assistance device.
Day 2. You may walk for brief periods with the aid of an assisted device. Youll work during this time on flexing the knee as much as possible.
Week 1. You should be able to bend your knee by 90 degrees, although the pain and swelling may make this comfortable. Youll start to bathe, dress, and use the toilet on your own and likely change your own bandages, although you may still require the help of a caregiver.
Weeks 2 3. Youll start work with a physical therapist. You will have a daily work schedule to keep the knee mobile. You will likely use a continuous passive motion machine that keeps the joint slowly moving while preventing the buildup of scar tissue and stiffness. During this time, your healthcare team will work closely with you to rehabilitate the joint safely.
Living With A Knee Replacement
Total knee replacement may greatly improve function, but most patients will not be able to do more than they did before the onset of arthritis.
A replacement knee may feel different than a natural knee. One small study3 found that most people report being aware of their new knees even 12 months after surgery. Their awareness was most notable when climbing stairs, kneeling, or rising from a chair. About half of the people in the study also reported symptoms such as knee stiffness , swelling, crackling, or numbness.
These symptoms can exist even though overall knee function is improved and knee pain is decreased. These symptoms do not mean the knee replacement surgery was not successful or that patients regretted having the surgery.
What Does Knee Replacement Surgery Involve
The team at Tri-State Orthopaedics provide the latest advancements in treating chronic knee problems. When conservative options arent enough, your provider may recommend knee replacement surgery. Also called arthroplasty, this procedure involves replacing the structure of the damaged knee joint with metal and plastic parts to restore the normal function of the knee and relieve chronic pain.
Knee replacement is an incredibly common and successful procedure. Over 90% of people who have knee replacement experience significant improvement in pain and their ability to get around. For most people, knee replacement restores a good quality of life, giving back independence and allowing you to engage in activities you used to enjoy. However, recovery is often a long road. If youre scheduled for or considering knee surgery, here are some helpful dos and donts in your path to recovery.
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Continuous Passive Motion Machine
The PT will also help you use a continuous passive motion machine. This device moves the joint slowly and gently after surgery. It helps prevent a buildup of scar tissue and joint stiffness.
Youll probably use the CPM machine in the hospital and possibly at home, too. Some people leave the operating room with their leg already in the device.
Some pain, swelling, and bruising are expected after TKR surgery. Try to use your knee as soon as possible, but avoid pushing yourself too far too soon. Your healthcare team will help you set realistic goals.
What can you do at this stage?
Get plenty of rest. Your PT will help you get out of bed and walk a short distance. Work on bending and straightening your knee, and use a CPM machine if you need one.
On the second day, you might walk for brief periods using an assistive device. As you recover from surgery, your activity level will increase gradually.
What Is Knee Replacement Surgery
Knee replacement surgery is a surgical technique to repair the knee joint. Plastic and metal prosthetic parts are attached to the bones in the knee joint. During the procedure, damaged cartilage and bone are cut away. Then an artificial joint is put in place.
This surgery might be required for someone with a severe knee injury or people who experience pain from chronic arthritis. A sports medicine doctor might recommend knee replacement surgery based on your knees strength, stability, and range of motion. A variety of surgical techniques and prostheses can be used, depending on your weight, age, knee size and shape, activity level, and overall health.
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Returning To Activities / Sports
With knee replacement recovery time is one of the biggest healers. Over time the swelling will reduce, your muscles will get stronger and your knee should free up becoming more flexible than beforehand.
It is important to take things easy for the first few weeks but after that, you can start thinking about returning to your favorite activities. Here are some helpful tips on knee replacement recovery time:
- You can resume most activities after 6-12 weeks, for example swimming
- Some activities should be carried out with care e.g. golf dont wear shoes with spikes
- Some activities are not advised following a total knee replacement as they put too much stress on the new knee joint. These include: jogging, contact sports e.g. basketball and football, squash, badminton, jumping activities and skiing. If you are unsure, discuss things with your doctor.
Pain and swelling can take up to 3 months to settle and knee replacement recovery time continues up to 2 years after your operation.
Technical Details Of Total Knee Replacement
Total knee replacement surgery begins by performing a sterile preparation of the skin over the knee to prevent infection. This is followed by inflation of a tourniquet to prevent blood loss during the operation.
Next, a well-positioned skin incisiontypically 6-7 in length though this varies with the patients size and the complexity of the knee problemis made down the front of the knee and the knee joint is inspected.
Next, specialized alignment rods and cutting jigs are used to remove enough bone from the end of the femur , the top of the tibia , and the underside of the patella to allow placement of the joint replacement implants. Proper sizing and alignment of the implants, as well as balancing of the knee ligaments, all are critical for normal post-operative function and good pain relief. Again, these steps are complex and considerable experience in total knee replacement is required in order to make sure they are done reliably, case after case. Provisional implant components are placed without bone cement to make sure they fit well against the bones and are well aligned. At this time, good functionincluding full flexion , extension , and ligament balanceis verified.
Finally, the bone is cleaned using saline solution and the joint replacement components are cemented into place using polymethylmethacrylate bone cement. The surgical incision is closed using stitches and staples.
Anesthetic
Length of total knee replacement surgery
Pain and pain management
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Is A Knee Replacement Painful
Knee replacement surgery is a common orthopedic surgery in the U.S. with the number of surgeries performed each year expected to hit 1 million by 2040. Knee replacement surgery is proven to provide pain relief, improve mobility and quality of life, but it has a reputation of being painful. Patients considering this procedure are often hesitant because theyve heard that the surgery itself has a long recovery time and they wonder if the pain and time recovering will be worth the benefits.
Are you considering knee replacement surgery? Lets first look at the facts- Most knee replacements are expected to last more than 15 years, and according to recent statistics, three to six weeks after surgery is the average time it will take to resume to most daily activities.
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Strengthening And Flexibility Exercises
We will prescribe physiotherapy exercises to strengthen the muscles around the new knee. These exercises will:
- Help to protect the new knee as muscles get stronger and more flexible
- Increase the amount of blood flow that will promote healing
- Improve the movement of the knee so it is easier for you to function inside and outside the house
This will be the bulk of the rehabilitation that you need to focus on. Exercise dosage and types will be tailored to you and your goals to ensure effectiveness and relevance of the program. Perseverance is key with any knee rehabilitation. We will be celebrating achievements no matter how big or small they may be!
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How Long Does The Pain Last After A Knee Replacement
Over 90% of patients who have knee replacement surgery experience a significant improvement in their pain and mobility. But remember that this is a major surgery, which means that it takes time to recover after going under the knife.
It often takes three months to return to normal activities and six months to 1 year before your knee is strong and resilient.
Will I Need To Use Crutches Or Other Assistive Devices After Knee Replacement Surgery
Yes. And depending on the type of surgery youve had , youll probably need to use an assistive device for at least a few weeks during recovery.
Assistive devices make certain activities like walking, using the restroom and dressing easier to do. They also help keep you safe.
The types of assistive devices youll need after knee replacement surgery depend on your condition, but common devices include:
- Walking aids like crutches, canes or walkers
- Shoehorns and sock aids
- Raised toilet seat
The good news is some assistive devices may be covered by your insurance, so be sure to check with your insurance provider before you go in for surgery.
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Four To Six Weeks After Surgery
After about a month, your knee strength will improve. Plus, youll feel more comfortable as your knee pain and swelling decreases.
Depending on the type of knee replacement you had and how your recovery has been going, you may rely less or not at all on certain assistive devices.
During this phase of physical therapy, your physical therapist might introduce more low-impact activities like swimming, cycling or longer walks. The goal will be to improve your endurance so youre able to get back to typical daily activities.
At this phase, you will also work toward bending your knee to 120 degrees, begin climbing stairs and be able to return to light household activities and chores.
How Soon Can I Return To Regular Activities After A Hip Replacement
The goal of physical therapy is to get you back to your normal life, whether its going to work, playing with kids, or engaging in your favorite sport or hobby. Depending on the amount of physical activity a task requires, the amount of time it will take to be able to perform that task differs.
- Driving. If you had surgery on your right hip, it may take up to a month to be able to drive safely again. If it was your left hip, then you might be back in the drivers seat in one or two weeks. Start in a parking lot and slowly move to rural roads, working your way up to the highway. Taking medications that may impair your coordination, such as opioids, might delay how soon you can go back to driving.
- Work. If you have a desk job with minimal activity, you can return to work in about two weeks. If your job requires heavy lifting or is otherwise tough on the hips, it is recommended to take off about six weeks to recover.
- Sports. For sports with minimal activity, such as golf, you can return when you feel comfortable. For high impact contact sports you should wait about six weeks to get back in the game. Before getting into a pool, you should also wait about six weeks until the incision completely heals.
- Sexual Activity. You can return to sexual activity whenever you feel comfortable.
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Who Is Appropriate For A Knee Replacement
Individuals with moderate to severe pain and stiffness, limited mobility, and chronic inflammation and swelling may be candidates for a knee replacement. Those who do not respond to conservative management such as steroid or lubricating injections, anti-inflammatories, other surgeries, or physical therapy may also be candidates for a knee replacement. Knee replacements are commonly performed in individuals 50 to 80 years of age. They have also been done successfully in juveniles and young adults, and can last about 15 to 20 years.
With proper care after a knee replacement, including physical therapy, you can get back to the things you love doing, with a recovery time of usually 2-3 months.
At this point, you and your doctor have decided a knee replacement is right for you. Congratulations, you are one step closer to scoring 90 strokes on 18 holes!
Heres what you need to know before your surgery.
Knee Replacement Recovery Time Guide
Here we will look at total knee replacement recovery time, including what happens at what stage post-op and how long it typically takes to get back to your usual activity.
If are having or have had only one side of your knee replaced, visit the partial knee replacement recovery time section instead to found out how it will be for you.
Knee replacement recovery time will vary from person to person, and may be affected by:
- Severity of arthritis
- Compliance with exercises pre and post-op
Let’s have a look at a typical knee replacement recovery time process.
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What Causes Pain After Knee Replacement Surgery
Researchers continue to study the many causes of pain after knee replacement surgery. Some are biological and due to conditions present before surgery, while others are due to complications that arise during surgery.
On the biological side, patients suffering from arthritis may experience increased sensitivity because of the ongoing pain that was present before surgery. As well explain below, inflammatory responses and allergy-related problems can also contribute to persistent pain. Another source of pain is referred pain originating from the hip due to a change in alignment.
If you are experiencing ongoing pain after knee replacement surgery, but do not have a medical history of arthritis or the previously mentioned issues, you may be dealing with surgical complications. While your doctor will take steps to prevent problems, its still possible for these to rare issues to occur:
Remember to stay open and honest with your doctors. This will help them properly diagnose and treat the problem to get you the pain relief youre looking for.
What To Expect During Recovery
Many patients considering a total knee replacement want to know how long walking again will take. Fortunately, walking with an assisted device such as a walker, cane, or crutches will begin within 24 hours of surgery. If all goes well, patients are discharged home within 2-3 days after surgery. Physical therapy can be completed at an outpatient clinic or at home. Full rehabilitation will take approximately 8 weeks.
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How Long Does It Take To Recover From Knee Replacement Surgery
Having a knee replacement is not easy on your body. It can take each person a different period of time to heal after such a surgery, so your doctor might not be able to tell you exactly how long it will take you to recover from knee replacement surgery.
However, the American Association of Hip and Knee Surgeons reports several important recovery milestones and the time it often takes to reach them. They reveal that many patients will be able to return to most normal activities within about three months. Yet, they also warn that it can take between six months to a year to fully recover your knee strength and endurance.
Physical therapists can help you address several important factors that can impact how long it takes you to recover from knee replacement surgery. They can do so by creating a pre- and post-surgical rehab plan thats unique to your needs.
How Long Will I Need Pain Medication After Total Knee Replacement
Pain, swelling, and bruising are all normal after knee replacement surgery, both for partial and total knee replacements. Youll be sent home with oral pain medications after your surgery, which youll take for several weeks after your surgery.
The most commonly prescribed pain medications after knee replacement surgery include prescription-strength naproxen sodium, ibuprofen, and acetaminophen. If those commonly used pain relievers dont provide enough relief, your doctor can prescribe something stronger, such as hydrocodone or an opioid pain killer. Narcotics are addictive pain relievers and can be taken safely after surgery but the duration of these drugs if chosen for use, should be limited as much as possible. Please speak with your physician prior to surgery in regards to the pain protocols that will be used postoperatively
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Looking After Your New Knee
- continue to take any prescribed painkillers or anti-inflammatories to help manage any pain and swelling
- use your walking aids but aim to gradually decrease the amount you rely on them as your leg feels stronger
- keep up your exercises to help prevent stiffness, but do not force your knee
- do not sit with your legs crossed for the first 6 weeks after your operation
- do not put a pillow underneath your knee when sleeping as this can result in a permanently bent knee
- avoid twisting at your knee
- wear supportive shoes outdoors
- do not kneel on your operated knee until your surgeon says you can
- raise your leg when sitting and apply an ice pack wrapped in a tea towel for 20 minutes every 3 or 4 hours to reduce any swelling
Page last reviewed: 02 August 2019 Next review due: 02 August 2022