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how fast can i rehab from bilateral knee replacement surgery

by Vernon Casper Published 2 years ago Updated 1 year ago
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Double knee replacement recovery time is usually at least 13 weeks. Your commitment to your rehabilitation program and how well you follow your therapist’s instructions will determine how quickly you recover. After three months, you should be ready to resume your regular activities.

Timeline for Knee Replacement Surgery Recovery
Most patients are able to care for themselves and resume normal daily activities within 6 weeks and drive within 3 to 6 weeks. It may take 4 to 6 months or up to an entire year to fully recover and realize total benefits of knee replacement surgery.

Full Answer

Who may need a bilateral total knee replacement procedure?

Double knee replacement recovery time is usually at least 13 weeks. Your commitment to your rehabilitation program and how well you follow your therapist’s instructions will determine how quickly you recover. After three months, you should be ready to resume your regular activities. Learn More About Knee Replacement

What is the recovery timeline for a total knee replacement?

Apr 09, 2022 · Within the first 6 weeks after bilateral knee replacement, you should be ready for physical therapy which allows for a natural transition back to the normal knee movement. Those that dedicate themselves to the physical therapy exercises usually recover faster than those that are reluctant to push themselves.

How long to recover from double knee replacement?

Apart from staying longer in hospital (mean 4.7 days (2 to 16) versus 3.3 days (1 to 25)) and requiring more blood transfusions, the outcome at three months and two years was similar or better in the bilateral simultaneous TKR group in regard to morbidity, mortality, satisfaction, the range of movement, pain, the use of a walking aid and the ability to return to work and to …

Should you have both knees replaced at the same time?

Oct 04, 2021 · At HSS, bilateral knee replacements are not performed in individuals over 75 years old due to the greater risk of complications in older patients. Same-day double knee replacement is also out of the question for individuals of any age with a serious medical condition. Severely overweight patients who have a BMI over 40 would not be candidates ...

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How long does it take to recover from a bilateral knee replacement?

Double knee replacement recovery time is usually at least 13 weeks. Your commitment to your rehabilitation program and how well you follow your therapist's instructions will determine how quickly you recover. After three months, you should be ready to resume your regular activities.

What is the fastest way to recover from a knee replacement?

5 Tips to Speed Up Recovery After Knee SurgeryFollow All Physician Recommendations. You should always heed all of your surgeon's instructions and advice. ... Walk Frequently Once You're Allowed. ... Eat Healthy Foods. ... Get Plenty of Sleep. ... Do Physical and Occupational Therapy Exercises.Jun 26, 2019

How many days a week is therapy after knee replacement?

Normally, therapy begins between two days and one week following your surgery. If you begin therapy in your home, expect to transition to an outpatient clinic within two to three weeks following your surgery.

How long does pain and stiffness last after knee replacement?

By 6 weeks, pain and stiffness should continue to resolve, and isokinetic quadriceps and hamstrings strengthening exercises can be incorporated. By 3 months, most TKA patients should have achieved greater than 90% of their ultimate knee motion and pain control.May 28, 2020

What happens at 3 weeks after knee replacement?

By week 3. By the time you're back home or in a rehab facility, you should be able to move around more freely while experiencing reduced pain. You'll require fewer and less powerful pain medications. Your daily routine will include exercise your PT has given you.

How soon can I climb stairs after knee replacement?

Guidelines after Total Knee Replacement surgery By the time you have left the hospital/rehab facility, you should be able to get in-out of bed by yourself, walk with the cane, and go up and down stairs. The biggest challenge in the early recovery of a TKR (up to 3 months postoperative) is the regaining of knee motion.

What should I be doing 6 weeks after knee replacement?

We recommend to avoid longer trips for up to 6 weeks following surgery. During this phase, the knee can still feel quite tight at times. Some days will be better than others. During the first 6 weeks, the knee will still need "ice, elevation, rest and exercise."

How long does it take to bend your knee after surgery?

One to three weeks after surgery Typically, you'll be able to bend your knees at a 90 degree angle, fully straighten your knee, and walk for at least 10 consecutive minutes during this stage of physical therapy.

What are the do's and don'ts after knee replacement?

BlogDos and Don'ts Following Knee Replacement Surgery. ... Get moving: Do your prescribed exercises. ... Do elevate your leg and use ice. ... Do follow your physical therapist's instructions. ... Do follow your doctor's instructions on caring for the wound. ... Do eat a healthy diet. ... Don'ts following knee replacement surgery.

What is the most commonly reported problem after knee replacement surgery?

Pain and Other Physical Complications. Knee replacement surgery can result in physical complications ranging from pain and swelling to implant rejection, infection and bone fractures. Pain may be the most common complication following knee replacement surgery.

How should I sleep after knee surgery?

The best way to sleep after knee surgery is on your back. This position makes it easy to keep your leg straight while sleeping, allowing proper blood flow to the surgery site. You can also prop your leg up using pillows while sleeping on your back.

What is the best painkiller after a knee replacement?

Acetaminophen: Normal Tylenol taken at doses recommended by your doctor can help with pain relief and have a much lower risk of future addiction. Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): NSAIDs are a great option for non-narcotic pain medications, such as ibuprofen (Motrin) and naproxen (Aleve).

How many months apart is a bilateral knee replacement?

A staged bilateral knee replacement procedure is defined as two, separate surgical events taking place for one knee at a time, and the surgeries are typically performed several months apart.

How long does it take to recover from a knee replacement?

The average time a person is in physical therapy is anywhere from 6 to 12 weeks. When finished, you should be able to resume almost all normal activities without any pain.

What is short term recovery?

Short-term recovery is defined as the period from your surgery to the time when you can begin physical therapy. During this time you will experience a great deal of pain, and the doctor or nurse will usually provide you with oral painkillers. However if the pain becomes intolerant, you can request something more powerful from your doctor to help ease the pain.

How long does it take for a foot to heal after surgery?

Long-term recovery is defined as 3 to 6 months after the surgery, when the surgical wounds and the internal soft tissues are complete healed. Most people are ready to return to work and have resumed all normal activities without any limitations. However some swelling of the feet could continue up to a year after corrective surgery.

Can you replace a knee with an artificial knee?

When the cartilage has worn away in the knees, an artificial knee can replace it. In bilateral knee replacement surgery, the surface of the damaged lower leg and the thigh bone is removed. The damaged ends of the bones are shaved off and replaced with new plastic and metal surfaces. The knee replacement restores almost all normal function of the knee, and its goal is mainly to relieve pain, help straighten the limbs, and restore a normal range of motion to the knees.

How to get back to normal knee?

Step-ups: Step up and down on a single step, alternating which foot you start with each time. Bicycling on a stationary bike. This is a very important time in your recovery. Committing to rehab will determine how quickly you can return to a normal, active lifestyle, and how well your knee works in the future.

How to straighten knees?

Try to bend and straighten your knee, using a CPM machine if needed. Day 2. Sit up and stand, change locations, walk a little farther, climb a few steps with help, and possibly shower. Try to increase your knee bend by at least 10 degrees and work on straightening your knee.

How long does it take to recover from knee replacement surgery?

In this stage, you’ll get back on your feet and return to an active lifestyle. The 12 weeks following surgery are very important for recovery and rehab. Committing to a plan and pushing yourself to do as much as possible each day will help you heal ...

What is a CPM machine?

They will also help you use a continuous passive motion (CPM) machine, which is a device that moves the joint slowly and gently after surgery. It helps prevent a buildup of scar tissue and joint stiffness. You’ll probably use the CPM in the hospital and possibly at home, too.

How long does a knee last after TKR?

The AAHKS recommends seeing your surgeon every 3 to 5 years after TKR.

How long does it take to recover from a knee injury?

The American Association of Hip and Knee Surgeons (AAHKS) say that it can take up to 3 months to return to most activities, and 6 months to a year before your knee is as strong and resilient as it can be. At this phase of recovery, you can start to relax.

How long do you stay in the hospital after knee surgery?

You will likely stay in the hospital for 1 to 3 days after surgery, but this can be a lot longer. When you can leave the hospital depends heavily on the physical therapy you need, how quickly you are able to progress, your health before surgery, your age, and any medical issues. By now your knee should be getting stronger ...

How to improve knee motion after TKR surgery?

By the third week after your TKR surgery, you should be working in an outpatient physical therapy facility. More aggressive ROM exercises can be started, and your knee motion should improve gradually to about 100-105 degrees by the end of week 6. 4 . You may benefit from riding a stationary bicycle after TKR surgery.

What is TKR protocol?

A knee post-operative protocol is a general guideline that your surgeon and physical therapist may follow to ensure that you are progressing properly after your surgery. The TKR protocol provides you and your physical therapist (PT) a framework on which to build your rehabilitation program.

How long does swelling last after TKR surgery?

Sometimes swelling persists for many weeks after TKR surgery. 6 .

What to do after TKR surgery?

Usually, a standard walker or a wheeled walker is used after surgery to help provide extra support while you are walking. Your acute care physical therapist will also instruct you ...

What is a total knee replacement?

A total knee replacement (TKR) surgery is typically done when severe arthritis causes knee pain, limited motion, and extreme difficulty with walking. If you have had a TKR or are expecting to have one, you may benefit from physical therapy after surgery to help you regain your normal mobility. 1 . A knee post-operative protocol is ...

What is a CPM machine?

When you wake up after your TKR surgery, your knee may be in a device called a continuous passive motion (CPM) machine. This machine helps to gently and slowly bend and straighten your knee while you are lying in bed. There are settings on this machine to adjust the amount of motion that occurs at your knee joint.

What is NMES in physical therapy?

Your physical therapist may also wish to use neuromuscular electrical stimulation (NMES) to help improve the muscular activation of your quadriceps. This therapeutic modality helps to contract your quadriceps muscle for you and improve your ability to contract this muscle on your own. 5 .

Should I have both knees replaced at the same time?

This procedure, known as a bilateral knee replacement (or double knee replacement), has both pros and cons. Your orthopedic surgeon and you must be carefully weigh both before you make a decision.

What are the pros of double knee replacement?

Having both knees replaced at the same time enables patients to get back to their normal lives more quickly.

What are the cons of double knee replacement?

Studies show there is a greater risk of complications, including cardiovascular problems and blood clots.

Who is a candidate for double knee replacement?

Candidates for the procedure must be in excellent health, aside from the arthritis, with no underlying medical problems. They must have no history of heart or lung disease. They also need to be psychologically prepared for the intensive rehabilitation double knee replacement entails.

Advances in total knee replacement

Not long ago, many people thought that if you had one knee replaced, the pain and rehab would be so taxing you wouldn’t want to come back for surgery on the other knee.

Know what to expect before having a knee replacement

Whether having two separate procedures or both knees replaced simultaneously, the orthopedic surgeon should have a detailed discussion with the patient about what to expect.

How to speed up meniscus repair?

How can I speed up recovery from meniscus repair surgery? After undergoing a healing period with low amounts of physical activity, rehabilitation exercises are typically recommended to speed up recovery from meniscus repair surgery . Always consult your doctor to determine the appropriate exercises.

What is meniscus repair?

Meniscus repair surgery is used to repair damaged cartilage in the knee that provides shock absorption and stability. Meniscus repair surgery is one of the least invasive types of knee surgery because the meniscus is repaired using stitches or anchors instead of replacing part of the knee. The recovery time following meniscus repair surgery tends to be far shorter compared to other knee surgeries. This type of surgery is often done in combination with a ligament reconstruction or a partial knee replacement.

How to recover from knee replacement?

Tips for a Faster Recovery from Knee Replacement 1 Physical therapy – Physical therapy is an essential part of speedier recovery time from knee surgery. Your physical therapist will provide techniques and adaptations that will help you safely perform everyday activities. 2 Keeping knee joint straight – It’s important to keep the knee joint as straight as possible immediately after surgery. Sitting in a firm straight-back chair, and ensuring your joint is kept straight while lying in bed can help. You should also avoid kneeling, squatting and excessive use of stairs to help speed up your recovery. Click here for a guide by the U.S. National Institutes of Health (NIH) for recovering after having knee replacement surgery.

How to recover from meniscus surgery?

Movement – According to the American Academy of Orthopaedic Surgeons, your doctor will prescribe rehabilitation exercises after an initial healing period to help restore mobility and strength in your knee. Movement is strongly recommended after surgery to help speed up your recovery, ...

How to speed up recovery from knee replacement surgery?

Physical therapy, keeping the knee joint straight, and avoiding kneeling, squatting and excessive stair use can help to speed up recovery time from knee replacement surgery.

Why do you need surgery for ACL tear?

When you tear your ACL, surgery is normally required because the entire ligament is torn instead of just a partial tear. In a ligament reconstruction, the torn ligament is removed from the knee and a graft (a living piece of tissue) is inserted in its place.

How to recover from ligament reconstruction?

Tips for a Faster Recovery from Ligament Reconstruction. Exercises – Exercises will help to increase mobility in your knee (bending and extending), regain muscle strength, and improve balance. According to the National Health Services (NHS) in the UK, the type of exercise depends on the amount of time after recovery.

How to make knee replacement recovery?

In order to make the best knee replacement recovery, follow all the advice from your doctor and physical therapist. Start exercises prior to surgery, get up and about as soon as possible, stick to your rehab programme, take medications reguarly when advised and keep going.

How long does it take for knee pain to go away after knee replacement?

As the knee heals, the post-op knee replacement recovery pain will settle down, usually within a few weeks.

How long does it take to recover from knee replacement?

Here is some more guidance relating to specific activities and knee replacement recovery time: 1 You can resume many activities after 6-12 weeks, for example swimming 2 Some activities should be carried out with care e.g. golf – don’t wear shoes with spikes 3 Some activities are not advised following a total knee replacement as they put too much stress on the new knee joint. These include: jogging, contact sports e.g. basketball and football, squash, badminton, jumping activities and skiing. If you are unsure, discuss things with your doctor.

How long does it take for a knee replacement to heal?

Pain and swelling can take up to 3 months to settle and knee replacement recovery time continues up to 2 years after your operation.

What activities can you not do after knee replacement?

These include: jogging, contact sports e.g. basketball and football, squash, badminton, jumping activities and skiing. If you are unsure, discuss things with your doctor.

When to start rehab for knee replacement?

Knee replacement recovery begins before your surgery. You will have a rehab programme to work on which you can actually start before your operation to get your muscles in the best shape possible which will really help. The people who make the best total knee replacement recovery are the ones who start the rehab process before their operation.

Is it safe to kneel on a knee replacement?

It is perfectly safe to kneel on a knee replacement once your incision is completely healed. However, most people find it relatively uncomfortable, and if you are going to kneel, it is recommended that you put a pad or pillow underneath your knee to make it more comfortable. Posted: 4/6/2020.

Can you remove padded dressing from shower?

The nurse will check your dressing and your overall health that morning, and the therapist will educate you on how to safely get in and out of the shower. Your outer padded dressing and tape can be removed. Underneath you will find a clear tape that is glued to your skin. Do not remove this.

How to get out of a recliner?

Make yourself get out of the recliner and outside for at least 3 walks a day once your therapist gives you the go ahead. If your caregiver or a friend or family member will walk with you, their encouragement and conversation make taking walks easier. Do ankle pumps and ankle rolls even when you are sitting down.

How long do staples stay in your knee?

As I mentioned above, you will have staples in your knee for about 12 days. Short pants or athletic shorts make it easy to dress and also keeps the fabric from long pants off the wound. Even after the staples have been removed long pants especially denim can cause discomfort.

How to recover from knee surgery?

Ice and elevation are the keys to your recovery. You can ice throughout the day and you can elevate your knee anytime you are sitting or lying down. If you are like me, you will find yourself sitting around in your recliner a lot between exercise times.

How to reduce swelling in knees after exercise?

Ice your knee after exercise and after walking. If your knee feels good after exercise and you don’t notice any swelling or pain, ice anyway. Also, if you are sitting, reading or watching TV, ice between exercises. The more you ice early on the sooner the swelling will decrease.

How to recover from a syphilis?

The more comfortable you are and the easier you can access needed items the better your recovery will be. Choose the right clothing and shoes. Prepare meals and have easy access to food, water, and snacks. Use walking aids to help you regain proper walking form.

What to do before TKR?

Before TKR, invest in a couple of new pairs of shoes. Your old shoes may have wear from walking incorrectly. Spend a little more than usual and get a good athletic shoe with cushion (air) for your walks. Consider a pair of slip-ons or Velcro tie shoes for around the house.

Is it important to strengthen your hip?

Strengthening the hip is important too. However, the sooner you begin to see progress on your range of motion the better your recovery will be. Your therapist will have you doing range-of-motion exercises right off the bat. You don’t want scar tissue to build up.

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