How Soon Can I Drive After Knee Replacement
The Roads & Traffic Authority recommends you should generally not drive for six weeks following a knee replacement. In order to be safe driving a car after a knee replacement, you must be able to control the pedals properly and you must not be taking strong pain medications that could impair your judgement or reaction time.
As you get to the six-week mark, ask yourself if you would be able to stop quickly if a pedestrian ran in front of your vehicle. If you feel you could not react quickly enough, wait a little longer.
Returning To Tennis After Knee Replacement What To Do What To Avoid
Tennis can be quite hard on your joints. There are a lot of sudden movements that can lead to a knee injury.
But if you have to take the step to have a total knee replacement can you still play tennis?
There are some sports that are off-limits following surgery such as a knee replacement, but tennis is defined as a relatively low impact sport.
Especially if you use knee supports for tennis that can help aid your return to the sport.
This means that along with swimming, golf, and hiking, you can play tennis after knee replacement surgery.
Here we will be looking at what you can and can not do following knee replacement surgery, including
- Studies into tennis after knee replacement
- Can you play tennis after knee replacement?
- What sports can you play following the surgery?
- What to avoid after total knee replacement
- How long does it take to recover?
Doctors Dont Know Who Can And Who Cant Kneel After Knee Replacement
A February 2021 study comes to us from the Australian National University. In this paper, the researchers suggest that despite patients desires to kneel after knee replacement, there is no evidence or guidelines to offer patients on which knee replacement hardware would be best for them. Here is what the researchers wrote in the journal Knee Surgery, Sports Traumatology, Arthroscopy.
Modern total knee replacement prostheses are designed to restore healthy kinematics including high flexion . Kneeling is a demanding high-flexion activity. There have been many studies of kneeling kinematics using a plethora of implant designs but no comprehensive comparisons. . .The aim of this systematic review was to determine whether there are any differences in the kinematics of kneeling as a function of total knee replacement design.
In this study, the researchers examined 26 previously published articles on different knee replacement implant designs. What they found were limited findings. Too many designs, too many differently conducted studies. What does this mean to the patient who asks their surgeon about their ability to kneel after knee replacement? The researchers concluded: There remains a need for high-quality prospective comparative studies to directly compare designs using a common method. In other words, we cant tell you for sure.
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Why Bathing Is Restricted After Surgery
There are multiple reasons for bathing restrictions after surgery:
- Preventing the weakening of the incision line as it becomes wet and soft
- Preventing the glue or adhesives holding the incision closed from falling off prematurely.
A bath means any soaking activities including swimming, using a hot tub, or any other activity that would allow your incision to be saturated with water that does not come out of a clean tap.
Precautions After Knee Replacement Surgery
This article outlines the necessary precautions to take after total knee replacement surgery so you dont overdo it. The medical team at the hospital and my doctor gave me several suggestions on how to avoid setbacks and how to improve my recovery.
I also learned some dos and donts through trial and error. Well discuss the dangers of falling, infection, blood clots and several other things that might impede your TKR recovery.
Hopefully my experience will make your recovery from knee replacement less painful and free from setbacks. The more you know before surgery, the better your recovery will be.
Do as much reading and researching as much as you can and get information from friends and acquaintances that have had TKR. I asked a lot of questions whenever I met someone that had previously had TKR and Im glad I did.
Everyone has a different experience with total knee replacement and recovery but I was surprised how consistent the advice was.
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How Long After Total Knee Replacement Before One Can Swim
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When Can I Swim After Total Knee Replacement
My significant other is having a tkr on both knees this fall and he is wondering how soon after surgery can he swim? Also has anybody done Exercise or swimming before surgery and if so did it help?
0 likes, 15 replies
Posted 3 years ago
Any exercise before surgery helps. Immersion of the incision in water is up to your doc. I’ve heard 2 weeks to 8 weeks my doc said six. ALL therapy in water is beneficial…very beneficial. Doing the PT ROM exercises in a therapy pool is GREAT. Rebuilding the strength in the atrophied quads, glutes and core is great. One caution…
I’ve read from a whole bunch of swimmers on the Forum that the breaststroke is the only one that a lot of doctors say to avoid for at least six months…puts too much pressure on the knee. Remember…this recovery takes a looooong time and it’s a very gradual process.
Posted 3 years ago
I swam about 3 weeks after having both my knees done. It felt great its awesome exercise. You need to make sure that your wounds are completely healed before getting in the water. Cant risk a chance of infection.
Posted 3 years ago
I just checked I had them done on June 5th and was in pool on the 27th so a little over 3 weeks
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Sports And Exercise Activity After Knee Replacement
The Knee Society recommends specific activities for patients with total knee replacement, these include:
- Cycling:Riding a bicycle outdoors or using a stationary bike indoors is an excellent way to strengthen your new knee. It’s best to start with riding on the flat or using a lower tension for an indoor cycle.
- Swimming: Enjoying the pool won’t put any weight on your joints and you can get an aerobic workout. You can begin swimming as soon as your stitches have been removed and the wound is healed.
- Walking and Hiking: Walking is highly recommended for your recovery. If you’ve been a runner, you may want to enjoy the lower impact of walking after a knee replacement.
- Calisthenics : It is good to keep your body in shape with strength and flexibility workouts that are low in impact. While you may love Zumba, you’ll need to stick with lower impact moves and avoid twisting movements.
- Low-Resistance Weightlifting: Keeping your muscles toned is an important component of fitness.
- Low-Resistance Rowing: You’ll get a good upper body workout, but you will need to set the machine so your knee angle is greater than 90 degrees.
- Skiing and Elliptical Machines: Like cycling, there is no impact but you can get a good aerobic workout.
Best Exercises For Swimming After Tkr
If you are not used to swimming I would suggest you get into the pool as soon as possible and begin walking, marching and water jogging. Try flutter kicking on your stomach and back holding on to the edge of the pool.
Next, you may want to use a kickboard and begin flutter-kicking laps before using specific strokes. As soon as you can, try to swim one lap at a time until you can swim multiple laps.
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How Long To Wait To Bathe
In all cases, refer to the discharge materials you were given after surgery, which should include your surgeons specific instructions for bathing. If there are no instructions regarding baths, call your surgeons office the staff should be able to provide a specific time frame.
How many weeks you should wait after your surgery will depend on the type of surgery you had. If your incision has not healed, regardless of the type of procedure you had, you should avoid bathing or swimming.
If your incision isn’t completely closed, or there is an obvious gap in your incision where an area of the incision hasn’t closed, do not soak in a bath or go swimming. If you have a cast on your leg, soaking in a bathtub would be a bad idea.
Recommendations For Patient Activity After Knee Replacement Vary Among Surgeons
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During recovery after knee replacement surgery, exercise is critical. After initial recovery, patients will want to resume more strenuous activities. In addition to exercise prescribed by a physical therapist, several studies have shown patients who participated in athletic activities prior to surgery will want to continue this practice after surgery. However, how much activity and how strenuous this activity should be remains unclear.
We just have gut instinct as to what is best for the implant and what is not,Richard Iorio, MD, told Orthopedics Today. In general, if it feels comfortable with the patient, if they are educated and trained well in the activity and they can do it without pain or discomfort and it is good for their cardiovascular fitness, we will encourage participation.
A literature review by Michael R. Bloomfield, MD, and his colleagues showed total joint procedures are increasingly being performed in more active patients, with 19% of patients returning to athletic activities after knee replacement. However, other research has shown there is limited peer-reviewed information to help orthopedic surgeons advise their patients on the appropriate athletic activity after knee replacement.
Low vs. high impact
Image: Frank Martucci, NYU Langone Hospital for Joint Diseases
UKA and revision TKA
Return to sport possible
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Why Is My Knee Throbbing After Surgery
Excessive pain in the knee following arthroscopic surgery is usually due to overactivity or spending too much time on your feet before the thigh muscles have been adequately strengthened. Excessive swelling can also cause pain in the knee. It is normal for the knee to be sore and swollen following arthroscopy.
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So Can We Do Anything About It When It Is A Problem With The Other Knee
Clearly knee weakness and instability in the other knee, will present problems in kneeling. If your knee is not bad enough for another knee replacement and you would like to explore other options please consider a review of the following information:
In this article, we are updating research and clinical observations in the use of Platelet Rich Plasma Therapy for the treatment of knee osteoarthritis. We will also explain why PRP may not work and how getting a single PRP injection is NOT PRP Therapy and will usually lead to unsatisfying long-term results.
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Swimming Techniques After Knee Replacement
As I mentioned above, the breaststroke was a bit awkward at first because the surgical knee was not flexing on the kick as well as the non-surgical knee. I was still going to therapy and working on my range of motion at this point.
The freestyle stroke was very comfortable and I was able to swim with ease. As time went by I tried the backstroke, which had caused me a lot of pain pre-knee replacement surgery.
I started off with small flutter kicks again and to my amazement, there was no pain. I was also able to do flutter kicks both on my back and stomach without any pain. As time went by and my range of motion I was able to kick much better when doing the breaststroke .
How Soon Can I Fly After Knee Replacement
It is usually safe to take a short flight a week after surgery as long as you do not have blood clots in your legs. Long flights are best avoided during the first few months after surgery, as there is a risk of deep vein thrombosis .
If you must travel, we recommend you wear TED stockings, mobilise throughout the flight as much as possible and if possible keep your legs elevated when seated during the flight. If it is necessary to travel long distances, then speak to your GP or Professor Bill Walter prior to doing so.
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When Can You Resume Swimming After A Surgery
Although recognized as a low-impact sport, swimming is a relatively poor choice in activity after surgery. If youre bound in a cast or stitched up, the water can soften the materials and reduce their efficacy. Worse, if you still have an open wound, you risk infecting it underwater. This includes public pools, fresh water lakes, oceans and even tubs.
Everyone recovers at a different pace, so you should consult your doctor before jumping into the water. Generally, it is okay to swim once the stitches come out or dissolve, which can be one to two weeks after the procedure. Any post-operation soreness should also be taken into consideration.
When Can You Travel After A Hip Replacement
Again, as recommended by the Royal College of Surgeons, travelling is to be avoided for at least three weeks following surgery.
Getting in or out of a car, or sitting for long periods of time is potentially damaging for soft body recovery tissues. Post-surgery therapy usually includes a strict daily routine that shouldnt be interfered with in the first few weeks. So its important to rest up and allow yourself to recover before thinking about any travel plans.
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How Can We Help These Problems The Often Overlooked And Ignored Cause Of Knee Instability And Possible Causes Of Inability To Kneel After Knee Replacement The Knee Ligaments
When a knee replacement is performed, the joint itself has to be stretched out so the surgeons can cut out bone and put it in the prosthesis. When the joint is stretched out, the knee ligaments and tendons that survive the operation will cause pain as they heal from the surgical damage. Sometimes the ligaments and tendons heal well. Sometimes they do not heal as well.
When A Patient Says I Just Cant Kneel
Lets look at another study looking for answers, here we have doctors at the University of Bristol in the United Kingdom publishing in the journal Disability and Rehabilitation, April 2019
- The researchers here conducted telephone interviews with 56 patients who had extreme difficulty kneeling at 7-10years after knee replacement.
- Patients were asked about reasons for difficulty kneeling, how it impacted their lives, and experiences of healthcare services.
- Most people had difficulty kneeling because of pain or discomfort in the replaced knee.
- Many patients described how this limitation affected their daily lives, including housework, gardening, religious practices, leisure activities, and getting up after a fall.
- Patients often adapted to these limitations by finding alternatives to kneeling, assistance from others, or home adaptations.
- Many patients had accepted that they could not kneel, however some still expressed frustration.
- Few patients had consulted with healthcare professionals about kneeling difficulties, and unmet needs included the provision of information about kneeling and post-operative physiotherapy.
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Maybe It Is Not In Your Knee But In Your Head Nerve Pain Versus In Your Head Pain
We have been helping people with a lot of musculoskeletal difficulties for 28 years. The number of people who have been in our office because they were constantly told that their problems were not in their joints but in the head was vast. Many times we find the problems are not in the patients head but are actually in the joints.
This concept that a patient is having difficulty kneeling because they have a fear of kneeling or rather a fear of the pain kneeling may cause them is not a new idea but it is the subject of a lot of current research. A study from March 2019 published in the medical journal Knee from doctors in the United Kingdom asked the question, Why do patients not kneel after total knee replacement? Is neuropathic pain a contributing factor?
Here are the summary points of this research:
- Despite kneeling being an important and valued function of the knee, a proportion of patients are unable to kneel following knee replacement. This study explores the reasons for this and assesses whether neuropathic pain is a contributing factor or something else.
- 88% of patients in this study had tried kneeling post-operatively.
- There was no change in kneeling ability for the whole study group from pre- to post-operatively. .
- Patient reasons for not kneeling varied. However, the average test scoring for pain and function for all kneeling abilities lay within the nociceptive rather than neuropathic range.
How To Shower After Hip Replacement Surgery
Hip replacement surgery can restore your mobility after a hip fracture, or after the surgical replacement of a joint damaged by arthritis. Doctors replace the hip joint with an artificial joint. After several days hospitalization, youll return home to continue your recovery. For the first several weeks youll have stitches and you wont be able to take a bath, but you can shower, as long as you follow a few precautions.
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