Why Would I Need A Knee Replacement
Knees that are damaged by arthritis or injury often fail to function properly. The purpose of the knee, which is the bodys largest joint, is ambulation. Without a properly functioning knee joint, you will have trouble doing the simplest of tasks, such as walking from your bed to the restroom or sitting down and getting up from your couch. When your knees continue to worsen you may even have trouble sleeping because of pain in your knees.
Unless the knee has been injured in an accident of some sort, this is a gradual process where the joint gradually wears out over time. Your doctor may try a variety of treatments, from lifestyle changes, such as giving up running, to medications to help with the pain. For a time, you may try walking with supportive devices such as a cane or wearing leg braces. Eventually, though, when your efforts to manage the pain no longer work, its time to consider knee replacement.
What Should I Expect During The First Six Weeks After Discharge
During the first six weeks after discharge, you should be making progress week by week. Most patients are eager to report their progress at follow-up visits and are ready to move to the next level in their recovery. Most patients can accomplish the following during the first six weeks after total joint replacement:
- Walk without help on a level surface with the use of walker, crutches or cane as appropriate.
- Climb stairs as tolerated.
- Get in and out of bed without help.
- Get in and out of a chair or car without help.
- Shower using a tub bench once staples are removed as long as there are no issues with the incision.
- Resume your activities of daily living including cooking, light chores, walking and going outside the home. You should certainly be awake and moving around most of the day.
- Some patients return to work before the first follow-up visit. This is approved on an individual basis and should be discussed with your surgeon.
Icing and elevation
After a joint replacement, swelling is expected. Swelling can cause increased pain and limit your range of motion, so taking steps to reduce the swelling is important. Continue using ice packs or some form of cold therapy to help reduce swelling.
Sexual activity after joint replacement
Many people worry about resuming sexual activity after a joint replacement.
Resuming your diet
If youre not eating well after surgery, contact your healthcare provider about nutritional supplements.
What Causes Bursitis In The Knee
There are a great many different causes of knee bursitis that can range from the less serious such as idiopathic causes, underlying osteoarthritis, repetitive straining of the muscle or joint around which the bursa is located and simple muscle fatigue to the more serious such as infection, rhabdomyolysis, local trauma and potentially even undiagnosed malignancy. Fortunately, the most serious causes are exceptionally rare and the vast majority of bursitis cases are caused by less serious diagnoses.
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Fractured Knee Recovery Time
How long does a fractured knee take to heal? In most cases, knee fractures heal quickly. Depending on several factors, such as your general health and age, your doctor will decide when you may begin moving your knee to prevent stiffness.
To avoid serious problems later on, its important to abide by your doctors instructions for putting weight on your affected leg, whether your fractured knee is treated with surgery or not. Once youre allowed to put weight on your healing knee, its normal to feel unsteady and weak. Communicate with your doctor to ensure the weakness is of a normal severity. Using a knee brace is the best way to reduce the impact of this joint weakness on your life.
If your job involves mostly sitting, you may be able to return to work a week after your injury. If your job involves climbing or extended walking, on the other hand, you may be able to return to work in about 12 weeks. Only return to sports after being cleared by your doctor, which typically takes 2 to 6 months.
Types Of Arthritis That Affect The Knee
This broad category includes a wide variety of diagnoses including rheumatoid arthritis, lupus, gout and many others. It is important that patients with these conditions be followed by a qualified rheumatologist as there are a number of exciting new treatments that may decrease the symptoms and perhaps even slow the progression of knee joint damage.
Patients with inflammatory arthritis of the knee usually have joint damage in all three compartments and therefore are not good candidates for partial knee replacement. However, inflammatory arthritis patients who decide to have total knee replacement have an extremely high likelihood of success. These patients often experience total, or near-total, pain relief following a well-performed joint replacement.
Osteoarthritis is also called OA or degenerative joint disease. OA patients represent the large majority of arthritis sufferers. OA may affect multiple joints or it may be localized to the involved knee. Activity limitations due to pain are the hallmarks of this disease.
OA patients who have symptoms limited to one compartment of the knee sometimes are good candidates for minimally-invasive partial knee replacement .
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 After Knee Replacement Surgery
When the surgery is over, you will need to stay in the hospitals recovery room for observation. Usually, patients can return to their hospital rooms within a few hours after their pulse, blood pressure, and breathing are stable. Since knee replacement is major surgery, its common for the patient to be in the hospital for a few days before returning home. You will begin physical therapy during this in-hospital time.
When its time to head home, your medical team will have a transition plan to help with continued physical therapy and pain management. Its crucial that you are diligent about following these recommendations to regain the range of motion and strength needed in the joint.
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Seeing The Doctor For A Diagnosis
What Should I Be Doing In The Early Stages Of My Recovery
- Continue your exercise program and increase activity gradually your goal is to regain strength and function.
- Follow all therapy instructions.
- Resume activity as you gain strength and confidence.
- For total knee replacement, swelling of the knee or leg is common with an abrupt increase in activity. If this occurs, elevate the leg above the level of your heart , and apply ice directly to the knee. You may continue with elevation and icing as needed to help decrease swelling and discomfort.
- Continued exercise at this early stage is important to achieve the best outcome with your new joint replacement. Based on your needs, your therapy may be continued at home or in an outpatient setting of your choice. You will be given an exercise program to continue exercising at home.
Don’t sit for longer than 30 to 45 minutes at a time. Use chairs with arms. You may nap if you are tired, but do not stay in bed all day. Frequent, short walks either indoors or outdoors are the key to a successful recovery.
You may experience discomfort in your operated hip or knee, and you may have difficulty sleeping at night. This is part of the recovery process. Getting up and moving around relieves some of the discomfort.
You should climb stairs with support. Climb one step at a time good leg up bad leg down. Hold on to a railing, if available.
When you’re a passenger in a car, sit on a firm cushion or folded blanket to avoid sitting too low.
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Motivation To Regain Physical Function
And finally, Dr. Courtney sees another factor speeding recovery for certain patients. Motivation is big one, especially with knee replacement surgery, he says. If patients are involved in sports, like golf, tennis, or swimming, their motivation to get back to their activities plays an important role.
Grade 3 Knee Sprain: 16 Weeks
Theres a complete tear of the ligament, making this a severe sprain. This usually needs to get surgically repaired.
Ligaments prone to severe sprains during contact sports and car accidents include:
- Anterior cruciate ligament
- Posterior cruciate ligament
Patients usually wear a knee immobilizer for ~6 weeks after surgery. Physical therapy follows shortly after. But, sport-specific therapy might begin 4 months post-surgery.
Symptoms of a severe knee sprain include :
- A loud pop at the moment of injury.
- Pain and swelling can vary from person to person.
- Bruising in the first 24 hours after injury.
- Unstable knee, or like its giving out.
- Cant bear weight on the injured knee.
Treatment options for severe knee sprains include :
- Surgery to repair the torn ligament.
- Physical therapy. This helps promote healing, reduce swelling, and manage pain. It also helps you regain your strength, range of motion, and stability.
- Rest, ice, medication.
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Do Follow Your Doctors Instructions On Caring For The Wound
To avoid post-op infection, be sure you understand how and when to change your bandage. If the skin aroundthe wound becomes red or drains, or if you develop a fever and chills, call your doctor right away. To avoidcomplications of a clot, call your doctor if your leg is tender, swells unduly below or above the knee, orif you develop pain in your leg or calf.
Knee Replacement Recovery Exercises
Although you will be advised on specific exercises that you can do by your physical therapist, the exercises that you should focus on the most, particularly in the early recovery period, are exercises that work on range of motion, degree of bend in the knee as well as developing strength in the quadriceps muscles. As soon as you feel you are able to get onto a stationary or recumbent bike, you should do so. This is an excellent exercise as it is very low impact, but works on range of motion and strength, and the knee and can be aided by the contralateral side.
Working on range of motion and strength can be achieved by dangling your leg over the side of a chair or bed and extending the knee so that the leg is fully outstretched and holding it against gravity for several seconds before then allowing gravity to bend the knee again. This is a very simple exercise, but also very effective and can be done anywhere with relative ease and does not require any special equipment.
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Knee Replacement Recovery Timeline
Immediately following the knee replacement surgery, depending on the type of anesthetic that you received, you will either wake up or come around from any sedating medications that you have been given during the surgery in the recovery room. Your knee will be wrapped in bandages and a surgical dressing. If you received a spinal anesthetic for the knee replacement, you will still be numb through approximately your waist downwards at this stage. If you received a general anesthetic, you will not be numb and you may notice soreness and pain in the knee at this point in time. Patients who receive a spinal anesthetic usually find that this wears off after approximately 8 hours and this is the point at which those patients will notice soreness in the knee.
Provided that you recover well in the recovery room without any complications, you will be transferred to a ward and they will begin your postoperative pain medication regimen after your arrival. During your inpatient stay, you will be aided by physical therapist and nurses as well as other healthcare professionals in getting back on your feet and mobilizing, usually with a gait aid such as a Zimmer frame or a cane, or a rollator walker.
Why Would I Need Surgery
Osteoarthritis is the main reason why people go for knee replacement surgery. The age-related condition is very common and occurs when cartilage — the cushion between the knee and the bone joints — breaks down.
Other reasons include:
- Rheumatoid arthritis: Rheumatoid arthritis is when the bodyâs immune system attacks and destroys the lining of the knee.
- Deformities: People with bowed legs or âknock-kneesâ often get surgery to restore the position of the knee.
- Knee injuries: A broken bone or torn ligaments around the knee sometimes will result in arthritis that causes great pain and limits your movement.
How Much Should You Walk After A Knee Replacement
After you have recovered from your knee replacement surgery, you should be able to walk normally with minimal pain or no pain at all. You’ll likely be able to return to your normal activities.
It’s crucial is to take your time during the recovery process, complete all of your physiotherapy, and wait until your knee is fully recovered before doing all the things you used to do pre-surgery.
Make sure to get the ok from your doctor or physiotherapist before returning to any activities.
Pending on your recovery and your own situation it might be recommend that you exercise for 20 to 30 minutes, 2 or 3 times a day and walk for 30 minutes, 2 or 3 times a day during your early recovery Orthoinofo
How Long Does Knee Bursitis Take To Heal
Most patients should notice that the bursitis settles down within several weeks, whether this is due to the activity modification or whether this is due to the commencement of a course of antiinflammatory medication. If neither of these are effective after 3 or 4 weeks then consideration of an injection should be given.
If the patient does wish to proceed with injection as an intervention then typically these injections will take several days to become effective and should provide significant pain relief that will hopefully be semi-permanent in nature .
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How Do You Treat Bursitis Of The Knee
Bursitis of the knee is usually treated with anti-inflammatory medications along with compression with sleeve. The patient can also use physical modality like ice or heat to relieve pain. If the pain is not improved with these measures, then prescription medication as well as cortisone injection with or without aspiration can help in decreasing the pain and swelling.
Here Is An Overview Of What You Can Expect During These 12 Weeks:
- Days 1 3: In the hospital, you will work with a physical therapist and occupational therapist to work on straightening and bending the knee.
- Discharge Day: Most people are discharged from the hospital within a few days. You will be sent home with specific instructions for care, medication, and therapy.
- Week 3: By the time you reach week three, you will be able to move around a little more, and the pain will be decreasing.
- Weeks 4 6: The most noticeable improvements in your knee happen during this time if you are consistent with your rehab and exercise activities.
- Weeks 7 11: Physical therapy and rehabilitation continue. At this point, you will be working on range of motion, mobility, and strengthening the muscles.
- Week 12: You can start to return to normal activities but still need to avoid high-impact exercise .
Beyond this initial recovery time, you will notice that the pain will continue to decrease, and your function will improve.
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