Recovering After a Total Knee Replacement

Recovering After a Total Knee Replacement: What to Expect

Total knee replacement is a major surgery to improve mobility and reduce pain for those with severe knee issues, such as arthritis or injury. Understanding the recovery process can help patients manage their expectations and ensure a smoother rehabilitation. Here’s a detailed breakdown of what to expect after total knee replacement. 

First 24-48 Hours 

The first 24-48 hours following surgery are crucial for pain management and early mobilization. Once the surgery is completed, you’ll be moved to a recovery room, where healthcare professionals will monitor your vitals. Pain management will be a priority, with medications provided to keep discomfort under control. 

Physical therapy begins as soon as possible, often within 24 hours. The goal is to help you start moving the knee and walking with assistance, usually with the help of a walker or crutches. Early movement is critical for preventing blood clots and promoting circulation. You’ll also be encouraged to perform gentle exercises to regain knee motion and avoid stiffness. 

1-3 Weeks Following Surgery 

You’ll gradually regain strength and mobility during the first few weeks post-surgery. Physical therapy will intensify, focusing on improving the knee’s range of motion and strength. You may still use a walker or crutches for support, but many patients can walk short distances unassisted by the end of this period. 

Swelling and bruising around the knee are common, and you’ll need to elevate the leg and apply ice packs to manage these symptoms. Pain should decrease, but you’ll likely continue with pain medications and anti-inflammatories. Following your physical therapist’s recommendations is important to avoid overexerting the knee while keeping up with the exercises. 

4-6 Weeks Following Surgery 

By 4-6 weeks post-surgery, most patients experience significant mobility and pain reduction improvements. You should be able to walk longer distances with minimal or no support. Strengthening exercises will continue to focus on building muscle around the knee, and you’ll likely be encouraged to engage in light activities such as stationary biking or swimming to maintain joint flexibility and endurance. 

At this stage, stiffness may still be present, but regular exercise and stretching should help. It’s crucial to stay consistent with physical therapy to avoid setbacks. Patients typically feel more independent in their daily routines and can return to work if their job doesn’t involve heavy physical labour. 

7-12 Weeks Following Surgery 

Between 7 and 12 weeks, most people regain close to their full range of motion. You’ll continue with physical therapy, although the sessions may become less frequent as you gain strength. Pain should be minimal by this point, and most patients return to normal daily activities such as walking, driving, and light household chores without much discomfort. 

However, it’s important not to rush back into strenuous activities or high-impact sports. Full recovery can take up to a year, so listen to your body and your healthcare provider’s advice to avoid potential complications or injury. 

Learn More About Knee Replacement Surgery 

Knee replacement surgery is a life-changing procedure for many people, significantly reducing pain and improving quality of life. The key to a successful recovery is understanding the healing process and sticking to your physical therapy and rehabilitation plan, including pre-surgery preparation and long-term outcomes; consult your surgeon or explore reputable medical resources. 

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