Doctor insights on:
Total Knee Replacement Recovery Timeline
Use Advil (ibuprofen) for relief. How long is typical time table for pain/recovery of total knee replacement of both knees?
3 months: The recovery time for bilateral replacement is the same as for a single knee. It takes about 6 weeks to feel better than you did before surgery when walking and 3 months to return to all normal activities. I tell patients that it will be a year before you reach maximal improvement. ...Read more
Gradual improvement: Every patient will recover at their own pace following a knee replacement. Healthy signs include gradual reduction in pain and swelling around the knee; gradual improvement in the range of motion or flexibility of the new joint; and gradual resumption of day=to=day activities. Work in partnership with your orthopaedic surgeon and physical therapist to gauge your progress. ...Read more
Research: The orthopaedic community continues to improve outcomes through a variety of avenues. It is necessary to speak to your surgeon directly. After surgery, most people spend 3-4 days in the hospital, and then go home or to an extended rehab stay. Therapy is typically 8-12 weeks. Weight bearing is started immediately, with a rapid transition from a walker to a cane to independant activity. ...Read more
What's normal recovery like for total knee replacement and what's not normal and should be reported?
Varies: There is variation in recovery from a knee reacemrbt based upon the person and surgical technique as well. In general, most patients doing well between 4-12 weeks after surgery. Increased swelling in leg, redness or discharge from incision, or pain that is worsening are among the things that should alert a patient to a potential complication. ...Read more
How long does it take to recovery from having scar tissue removed after having total knee replacement?
Varies with healing: Most surgeons prefer to allow the surgical scars to mature for several months to identify areas of problem scars versus those that mature and become less apparent. Soft tissue wound healing is generally completed in 9-12 months, permiting revisions. As the knee is a mobile joint, it will take a bit longer for scarring to settle down and determine the areas of need and options. ...Read more
My husband's patella tendon was torn during surgery for a total knee replacement. How will the recovery from the tendon injury effect tkr recovery?
It will definitely: Prolong recovery to a degree as the patellar tendon is a significant part of knee stability and mobility. ...Read more
Recovery: Typically is about 2-3 months. It is an inpatient surgery you are in the hospital 2-3 days and then either go home with PT or to Rehab. You are up walking either the day of or after surgery. Stitches out at two weeks. Typically off crutches in 3 weeks once you can stand walk with good quad strength. ...Read more
Total knee replacement because of mrsa, I may need a revision because of reoccurring cyst, will 2nd time be as hard? No infection now 1st is cemented
Very tough?: If u mean u need a revision because of MRSA infection in the knee now, the process is long. When the implants r removed cultures r taken ; no new implants. Antibiotic impregnated cement is left in ; u r treated with the proper antibiotics. When CRP ; other studies return to normal, the area may b aspirated ; cultured again ; if clean u then can talk 2 ur surgeon about the next step. ...Read more
VERY, if indicated: Total knee replacement (tkr) is a real success stories of modern medicine. When indicated, a tkr can be a overall health game changer. Tkr recipients usually regain levels of activity that became otherwise impossible or intolerable (walking, biking, stair climbing). Aerobic exercise in turn provides excellent support for overall cardiopulmonary health. Discuss tkr with your orthpaedic surgeon. ...Read more
Total knee needed: The most concise answer is when arthritic knee pain is not relieved any longer by nsaids, therapy, cortisone injections, hylauronic acid injections, knee braces, ice, nutritional supplements or arthroscopy and x-rays show advanced arthritis and cartilage loss or spurs. When function is impaired and activity declines from pain. Or, when start subtracting things you enjoy from your life due to pain. ...Read more
Yes, but not often: Knee replacements can feel like "seizing" or "locking up" on rare occasions and they are usually not due to the device. The most likely phenomena you are experiencing is either "crepitus" or "clunk" which is when scar tissue surrounding the front of the knee gets trapped within the device creating a sensation of locking up. When severe enough, it can be alleviated by removing that scar tissue. ...Read more
With advise: You can exercise after knee replacement, and it is a good idea. The best exercise is that which avoids stress across the knee. Although you want to strengthen the muscles around the knee, you do not want to place undue stresses across the replaced knee. Your orthopedist and your physical therapist can best advise you. ...Read more
Pain/disability: When to have a knee replacement has to be an individualized decision. Moderate to severe pain and/or loss of the ability to function to one's satisfaction are reasons to have a knee replacement. Failure to get relief with nonsurgical measures is also a reason. Severity of arthritis on an x-ray should not be the primary factor, as many with severe x-ray changes have little pain and good function. ...Read more
Never too young: When all conservative options have been exhausted, and symptoms have become disabling, then it is time for knee replacement, regardless of age. Current knee replacement techniques result in 20-30 years of pain free function 95% of the time. If you are young, then you might anticipate that revision knee replacement might be necessary in your future. ...Read more
Exercise with total: The only major restriction on exercise for total knees is to avoid jogging or running as your aerobic exercise. Jumping and landing exercise are also not great because like jogging, you can cause loosening of the implant from the bone or cement fixation. This also can speed the wear down of the plastic bearings. Bicycles, tai chi, walking, swimming, dancing, golf, tennis, ellipticals are all good. ...Read more
Butt attached to leg: You have likely been compensating for your knee prior to your surgery. This can throw your pelvis off but you don't notice it because it works. Now that your knee is fixed, you're likely walking more normally so you notice that your pelvis is off and your butt hurts. A good do can apply some omm to re-right your pelvis and help alleviate some of the pain. ...Read more
May not be complete: Some are fortunate to have the surgery and shortly there after once the wounds healed, they have no pain at all. Many will have great improvement of pain, but never completely resolved after the replacement surgery. It is a big surgical procedure with significant risks/benefits, so do your research and discuss with doc thoroughly. Good luck to you. ...Read more
TKA healing: You can typically put full weght on it immediately postop. The rehab however continues for several months, and continuing with home exercise program to re-train the sort tissues and muscles. Tisuue is made of collagen which takes 6 weeks to heal, then 6 weeks or so to recalibrate to the realignment. ...Read more
Knee replacement: Although we call it a "total" knee replacement, this surgery is actually a "resurfacing" of the end of the femur, the top of the tibia and the undersurface of the patella (knee cap) with metal and plastic components. Although the acl and PCL ligaments are "replaced" in a total knee with a plastic post, the muscles (quads & collateral ligaments (mcl and lcl) are preserved intact with this procedure. ...Read more
Not necessarily: While 37 is very young there are some circumstances where a total knee may be indicated. Before considering this however, there are a number of other options available that you should discuss with an orthopedic surgeon. These may include rehabilitation, bracing, medications or injection therapies, arthroscopic procedures, cartilage repair, osteotomies, and partial replacements. ...Read more
Very: Let's be very honest, although there have been significant advances in how we manage the pain of a knee replacement postoperatively, the first few days to weeks involve a significant amount of pain. Utilizing pain catheters, injections around the knee during surgery, epidural catheters, and various medication combinations the pain is usually well controlled. ...Read more
Scar tissue: After a knee replacement, achieving maximum knee motion is often a race against your bodies natural healing process. Though your pre-operative range of motion can ofter predict your maximum expected post-op range of motion, aggressive physical therapy is crucial to achieve the best result. ...Read more
Pain...and work!: Assuming the knee was placed correctly, now it is up to you and the other health care providers to assure the best chance of you being satisfied with the results. You and your md are a team... As is your pt. You need to religiously perform your stretching exercises, attend your pt sessions and let your doc know of any issues quickly since the first few months are critical. ...Read more
Physical therapy: Physical therapy is an integral part of the total knee replacement process. Many orthopaedic surgeons will start pt prior to surgery ("pre-hab"). Therapy is usually started immediately after surgery in the hospital. Upon discharge from the hospital, pt is usually done 3x/week for 4-12 weeks, depending on the rate of the patient's recovery. ...Read more
More risk: It really depends on why the revision is done, but in general revision surgery does carry a higher risk of infection, pain, and complication than does primary knee replacement. But the data shows an improvement in pain after the surgery. It may involve removing and replacing some or all of the components. ...Read more
HTO, UKR, TKR option: The younger the patient, the more we like to try and find an alternate procedure to a TKR (total knee replacement). High tibial osteotomy (, HTO), and even more so- Unicompartmental knee replacement (UKR) options are being utilized to improve function in the younger adults. When all else fails or becomes non-feasible, a TKR can be a option even in the mid 30's. Discuss ALL options with your surgeon ...Read more