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Exercises 6 Weeks After Total Knee Replacement

Is Walking Good After Total Knee Replacement

Total Knee Replacement ( TKR ) Physiotherapy exercises for Fast Recovery @Geetha Mihi

Walking is a good way to increase mobility slowly following knee surgery. You can walk as much, or as little as you would like.

However, it should not be seen as a substitute for exercises that your doctors or physiotherapist gives you.

There are plenty of additional low-impact exercises that you can do during your recovery and walking is just one of them.

Swimming is also a great low-impact activity that is great during knee replacement recovery.

You can begin swimming as soon as your knee is healed sufficiently. It takes the pressure off the joint due to the buoyancy of the water.

It may take a little longer to get to walking long distances again after surgery.

Knee Extension Machine After A Knee Replacement

This exercise is a great way to strengthen the quad muscle without putting too much pressure on the newly replaced knee joint. This again needs to be low weights and high repetitions.

This exercise often gets a bad reputation after surgery for causing high pressure in the knee cap however, after a knee replacement, this exercise is quite safe and one of our favorites to use.

Start out using both legs and stick with low weight and high repetition. As you get stronger, then you can progress to single-leg for this exercise.

What Happens If You Dont Do Physical Therapy After Knee Surgery

Why you should commit to physical therapy after knee surgery

Its important to get moving and functioning as soon after the procedure otherwise, the following can occur: Decreased blood flow to the area can negatively affect healing at the surgical site. Muscles can weaken and atrophy if they go too long without use.

Recommended Reading: Questions To Ask Before Knee Replacement

The Tools Available To An Orthopedic Surgeon After Surgery

Once your surgeon staples you back together his tools to help you get back to your life are as follows:

In-patient physical therapy

Outpatient physical therapy

Manipulation Under Anesthesia followed by intense P.T.

Second Manipulation Under Anesthesia followed by intense P.T.

Arthroscopy followed by intense P.T.

Second Arthroscopy followed by intense P.T.

Revision Surgery followed by one or more of the above

Knowing this and the fact that my six-week-caller wants to get out of nearly all of these options and get back to life at all costs I have to bring up the X10 Knee Recovery System to those who clearly need to take steps to get their recovery back on track. If a post-surgery knee patients wants the best odds of avoiding the MUA then the X10 provides a radically different therapy intervention that has proven itself thousands of times over. It is not a guarantee for success as the pace of scar tissue development can vary widely. However, the X10s ability to provide meaningful range of motion gains without the pain that accompanies traditional therapy makes it stand apart from all other therapies.

If you want to speak with me or one of our other amazing knee coaches to talk about your situation just click here or on the Schedule a Free Phone Consultation box on the side of this page. I know you will be glad you did no matter what your situation is.

Oh, and if it is me, Ill do my best to not to ask you how you are doing today!

Range Of Motion After Knee Replacement Surgery

126 best My Knee Guide

After a total knee replacement , one of the most important goals is to achieve a functional range of motion at the knee joint. Functional range of motion simply means that you are able to move your knee enough to perform your day to day activities with comfort and ease. Regaining range of motion after surgery is a common struggle amongst many patients, but there are ways to set yourself up for success. In this blog post we will cover what functional ROM is, some common TKR goals and questions, and what you can do to maximize your ROM after surgery. For a more in depth look at ROM, see our post titled âThe Importance of Range of Motion.ââ

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Weight Lifting After A Total Knee Replacement A Helpful Guide

If youve had a total knee replacement, weight lifting and resistance training may be something that you want to consider. Lifting weights can help build muscle, improve bone density, and help maintain balance and coordination.

After a total knee replacement, you must build up the muscles and gain strength in the leg. However, it can take up to a full year to recover from a knee replacement, and you wont be in physical therapy during that entire year. You are going to have to continue with strengthening exercises long after and be compliant.

Research shows that leg strength helps total knee replacement prosthesis last longer, there is less pain, and youre able to return to sports such as skiing and tennis much faster.

In this blog post, well cover all you need to know about resistance training and weight lifting and give you guidance on how to approach it correctly.

Activities With A High Risk Of Falling

After a total knee replacement, loss of strength, range of motion, and balance lead to an increased risk of falling. A fall can damage the prosthesis or interfere with the healing process.

A 2018 study found that 17.2 percent of a group of 134 people who had undergone a knee replacement fell at least once within 6 months of their operation. Roughly two-thirds of these falls occurred when walking.

Some lifestyle modifications to reduce your risk of falling include:

  • using the handrail when going up and down the stairs
  • using a rubber mat or shower chair when showering
  • sitting down when putting on shorts or pants
  • keeping the floor clear of stray toys, slippery rugs, and other objects that pose a tripping hazard
  • avoiding slippery terrains like mud, ice, or wet grass

Recommended Reading: What Causes Stabbing Pains In Knees After Tkr

Home And Outpatient Physical Therapy

If you are sent home from the hospital, you may choose to have a home care physical therapist come to your house for your rehabilitation. This is usually reserved for people who may have a difficult time traveling to an outpatient physical therapy facility.

The focus of home physical therapy is to maximize your safe functional mobility in your home. You will likely continue on working on knee ROM and strength. Functional mobility like walking and stair climbing may also be a part of your home physical therapy after TKR.

As your surgical incision heals, your physical therapist may begin gentle scar tissue massage and mobilization to help improve the mobility of your incision. This can help the skin and other tissues around your knee move better and more freely.

If you are able to travel to a physical therapy facility, you may begin outpatient physical therapy. Here, your physical therapist will continue to work on improving your knee ROM, and it is expected that you are able to bend your knee to a 90 degree angle be the end of week 2.

Knee Manipulation Procedure What To Expect

Exercises after knee replacement, total Knee replacement rehab, Physiotherapy after Knee Replacement

If you have recently undergone a knee replacement surgery and your regular postoperative physical therapy exercises do not seem to increase your range of motion, your doctor might recommend you knee manipulation surgery.

Knee manipulation is performed under general or epidural anesthesia. Prior to joint manipulation and ice pack is applied to the affected knee to prepare the tissues for the procedure for approximately 5 minutes. After that your doctor will perform the actual knee manipulation by forcing your knee to bend or flex and break up the scar tissue around the joint preventing the proper movement.

The actual knee manipulation takes very little time, but the recovery, on the other hand, includes grueling aggressive and rather painful physical therapy to increase flexibility and range of motion in your knee. Its absolutely crucial for you to stick to the knee exercise regimen to gain at least 110 degree knee bend to perform your daily activities like walking, doing steps and getting up from a sitting position.

Knee manipulation might help restore the flexibility of your knee joints if you commit to stringent physical therapy exercise program and follow all your doctors orders.

You may also consider additionally to try alternative treatment such as visceral manipulation procedure.

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What Happens At 9 Weeks After Knee Replacement

It all comes down to motion. At nine weeks, its important to start returning to those activities you enjoy. Most patients are even returning to work and getting more aggressive with the rehabilitation. At this point, its important to be patient and know that youre getting better and better every week.

How Long Does It Take To Climb Mount Evans

The hike up will take 15-20 minutes to finish with an elevation gain of 82 feet. You may think that this is not that much of a hike, but never underestimate it. The elevation can make this easy trail a little difficult, remember youre still climbing at over 14,000 feet. The peak is 14,265 feet above sea level.

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Those Whove Had A Knee Replacement

With a knee replacement, you will want to be sure to elevate your leg while icing. This helps cut down swelling and inflammation, which speeds up healing. While icing, lay on your back and prop your surgical leg with 3 or more pillows. DO NOT put pillows directly under your knee as this cause stiffness . Pillows should prop your heel. When icing, keep your knee as straight as possible. Your surgical leg must be elevated higher than your heart.

  • Once elevated, ice you 15-20 minutes at a time.
  • Wrap ice in a tea towel, t-shirt, or thin cloth. DO NOT apply directly to skin .
  • Repeat icing at least 3-4 times a day. If you think you would benefit from icing more frequently, ask your doctor if this is a good idea.

How long to ice a knee after knee replacement surgery? Its important to keep icing daily in the first 90 days of surgery and beyond. As long as you have pain and swelling, icing is a great tool to overcome these recovery setbacks.

What Is Considered A Functional Rom

Pin on Knee Replacement

In order to complete your normal activities of daily living with ease, your knee has to be able to move freely. After a total knee replacement, at the very least 100-110° of knee flexion is needed to perform basic ADLs such as sitting, walking, and stair climbing. However, some activities may require even more knee flexion for optimal performance and comfort.

  • Walk on level surfaces: 60-75°
  • Go up and down stairs: 80-90°
  • Sit and stand from a regular chair: 90-95°
  • Sit and stand from a low chair: 90-115°
  • Squat: 110-165°
  • Sit in a bathtub: 135°

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How Long Do You Need Physical Therapy After A Knee Replacement

Of course, this will vary from patient to patient, depending upon your individual situation. However, in general, you can expect around 3 to 4 weeks of formal physical therapy from our experts.

Dr. Christian Eccles, our Fellowship-trained Hip and Knee Replacement surgeon, says Therapy is vital to obtaining the best functional outcome possible after a knee replacement as it can aid in pain control, improve motion, and expedite recovery.

Our patients typically are able to drive within 2 to 4 weeks, go back to work in 6 to 8 weeks, and golf in 6 to 12 weeks.

Your physical therapy exercises that you learn should be continued on your own for a minimum of two months after your surgery. They may also recommend some additional exercises such as riding a stationary bicycle after this period to help keep your knee flexible. This will also help build your muscle tone.

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.

Also Check: Pain In The Back Of The Knee When Bent

How Far Should I Be Walking After Knee Replacement

One of the most common questions about knee replacement surgery is related to the time it takes to recover. Thats probably because its normal to wonder what your mobility will be like after such a major surgery.

When your knees go bad, whether, from wear and tear or injury, you end up realizing just how important these joints are to your mobility. Knee pain can keep you from performing even the simplest daily tasks. While having major knee surgery to replace the joint typically alleviates your pain, you may wonder how long it will take to return to normal functions.

Whats it like to have knee surgery at Louisville Hip and Knee Institute, and how far can you go on your new knees? We have answers that may surprise you.

How Long Should You Do Physical Therapy After A Knee Replacement

High Level Exercises Weeks 4-8 – Total Knee Replacement

During knee replacement surgery recovery, your doctor may recommend exercising for 20 to 30 minutes.

This should be done 2 or 3 times a day, you should also walk for up to 30 minutes a day throughout your early recovery.

Your doctors instructions should be adhered to strictly in order to minimize recovery time.

Also Check: Why Do My Knees Hurt When I Sleep

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.

Lunges After A Knee Replacement

This is an exercise that we like to wait before starting after a knee replacement. Lunges place more stress on the knee joint than other exercises. We want to wait until 5-6 weeks to start true lunges. We start small mini lunges in therapy between the 3-4 weeks after surgery, but these are assisted with a railing or counter and are small excursions. The risk of starting full lunges too early is an injury to the quad or the quad tendon.

At 5-6 weeks after surgery, start with bodyweight reverse lunges. Reverse lunges put less pressure on your knee joint and are much more comfortable early on after surgery. Start with small movements, and over the next 6 weeks, gradually progress your depth of movement.

At 8-12 weeks after surgery, you can begin to work in other types of lunges. This includes a lateral lunge and a forward lunge. We still recommend using only bodyweight until you can perform this exercise with minimal pain and no residual swelling AFTER you are done working out.

, you can start to increase the resistance with your lunges. Start with holding light dumbbells by your side first and make sure you can perform with proper form and not compensate with the non-surgical leg. Once you can successfully lunge with 20-pounds dumbbells in each hand 30x, then you can progress to barbell lunges with only the bar. This may take up to 8-9 months after surgery.

Pro Tip: It takes a full year until you feel mostly normal after a knee replacement

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Sitting Supported Knee Bends

  • While sitting at your bedside or in a chair with your thigh supported, place your foot behind the heel of your operated knee for support.
  • Slowly bend your knee as far as you can. Hold your knee in this position for 5 to 10 seconds.
  • Repeat several times until your leg feels fatigued or until you can completely bend your knee.
  • This exercise should take 2 minutes.

Sitting supported knee bend

Circulation Exercise: Gluteal Sets

Total Knee Replacement

Lie on your back with your legs straight. Squeeze buttock together and tighten buttocks muscles. Do NOT hold your breath.

  • Repeat 10 times .
  • Do 2 sets a day.

Gluteal Sets

Lie on your back. Bend your surgical knee by sliding your heel toward your buttocks.

  • Repeat 10 times .
  • Do 2 sets a day.

You may be instructed to pull on a bed sheet hooked around your foot to help you slide your heel.

Heel Slides

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How Long Will I Need Pain Medication After Total Knee Replacement

The amount of time you will need pain medication after a total knee replacement will vary depending on the individual. Some people may only require medication for a few days, while others may need it for several weeks. The important thing is to listen to your body and take the medication as long as you feel you need it.

How long after total knee replacement does pain last? A short period of time after surgery should be enough for pain to subside. Make a note of your pain level and do not abuse your medication if you do not feel better. Most injuries and surgeries necessitate the use of rest and ice. Many people who have had total knee replacement report that they are better able to walk in a matter of weeks. They may experience pain for weeks or even months after surgery. Dr. Bill Hefley, your orthopedic surgeon, will be able to advise you on your treatment options.

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