RehabFAQs

how many weeks post op from a total knee replacement do you have to be to go to outpatient rehab

by Beaulah Heathcote Published 2 years ago Updated 1 year ago

Most patients will continue to need to take pain medication prior to physical therapy sessions for 8 to 12 weeks postop. You may also try less powerful pain medications such as Ultram, Nucynta, or Tylenol #3 if you are experiencing a lot of side effects and your pain isn't too severe.

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

Jan 03, 2022 · According to the American Association of Knee and Hip Surgeons , it may be as long as 12 weeks before you can resume most of your normal activities, and 6-12 months before the joint is strong and resilient. AAKHS breaks down the timeline of knee replacement recovery as follows: Weeks 1- 3: Focus on building up to standing or walking for 10 minutes or longer, …

When can I exercise after total knee replacement surgery?

Nov 30, 2020 · The first 12 weeks after knee replacement surgery are the most critical time for rehabilitation and recovery. During this time, you need to be committed to following the doctor’s recommendations, which will help to improve your long-term prognosis. Here is an overview of what you can expect during these 12 weeks:

How soon can you take care of yourself after knee replacement surgery?

Knee Replacement Recovery Timeline; Knee Replacement Surgery: Postsurgical Care; Knee Replacement Recovery: Discharge to 21 days; Knee Replacement Recovery: Weeks 4 to 6 ; Knee Replacement Recovery: Week 8 and Beyond

When can I bend my knee after total knee replacement surgery?

Sep 10, 2021 · This is typically done after about six weeks when doctors feel you are well enough to handle strenuous activity without putting too much strain on yourself. The first few months after knee replacement surgery will be difficult. This is because patients need time to recuperate before returning home.

How far can you walk 3 weeks after knee replacement?

3 weeks after surgery: At this point, you should be able to walk for more than 10 minutes at a time, without a walker or crutches. Your physical therapist may challenge you to go on longer walks and stop using an assistive device like a cane.

How long should you elevate your knee after surgery?

To minimize the swelling in your leg, you need to elevate your operative leg above the level of your heart. This should be done at least three times per day for 30 minutes each time.

How long do you need someone to stay with you after a knee replacement?

"Plus, everyone is more comfortable at home, and if they meet certain criteria, they really don't need to stay in the hospital." That criteria includes having someone at home with you for five to seven days after surgery.May 7, 2021

How long are you non weight bearing after knee surgery?

It typically takes seven to 10 days after the procedure, until the patient is comfortable without the assistance of a crutch.

What happens at 4 weeks post op knee replacement?

Knee pain and function greatly improve during the first few weeks after knee replacement surgery. Significant improvements continue during weeks 4 through 6. By week 6, the majority of patients are off pain medications and have resumed their day-to-day routines.

What happens at 5 months after knee replacement?

The conventional wisdom, and most clinical literature, agree that at five months after knee replacement it is unlikely to see much gain in flexion (bending the knee back). It is understood that knee replacement patients have until three months to improve their flexion, and six months to finish off their knee extension.Mar 17, 2019

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.

What happens at 7 weeks after knee replacement?

By 7-8 weeks after surgery, you continue to exercise your knee and work with your physical therapist. You may add more complicated exercises to your routine and exercise for longer periods of time. You should still plan to avoid high-impact workouts to avoid putting too much stress on your knee.

What is the fastest way to recover from knee surgery?

4 Tips for Faster Recovery after Knee SurgeryKeep the Knee Straight. While it may not be incredibly comfortable, it's important that you keep your knee joint completely straight immediately after your surgery. ... Wear Your Knee Brace. ... Appropriate Exercise. ... Physical Therapy.

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.

Should I still have pain 8 weeks after knee replacement?

The total knee replacement smile After a total knee replacement, I'll see my patients again in 6-8 weeks. Often, they won't be full of the joys of spring at this point. The knee will often still be sore, and we'll be managing this with physio once or twice a week, ice packs and over the counter painkillers.Oct 26, 2019

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 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 ...

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 ...

What to do if you have a sprained knee?

At week 12, keep doing your exercises and avoid high-impact activities that could damage your knee or the surrounding tissues, including: 1 running 2 aerobics 3 skiing 4 basketball 5 football 6 high-intensity cycling

How long does it take for a knee to bend?

Within a week, your knee will technically be able to bend 90 degrees, though it may be difficult due to pain and swelling. After 7–10 days, you should be able to fully extend your knee out straight. Your knee may be strong enough that you’re not carrying weight on your walker or crutches anymore.

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 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 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?

The first 12 weeks after knee replacement surgery are the most critical time for rehabilitation and recovery. During this time, you need to be committed to following the doctor’s recommendations, which will help to improve your long-term prognosis.

What is knee replacement surgery?

Knee replacement surgery (also commonly known as total knee replacement or knee arthroplasty) is a surgical technique to repair the knee joint. Plastic and metal prosthetic parts are attached to the bones in the knee joint. During the procedure, damaged cartilage and bone are cut away. Then an artificial joint is put in place.

How long does it take to get discharged from the hospital?

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.

Can knee replacement surgery be done for arthritis?

This surgery might be required for someone with a severe knee injury or people who experience pain from chronic arthritis. A sports medicine doctor might recommend knee replacement surgery based on your knee’s strength, stability, and range of motion.

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

Knee pain and function greatly improve during the first few weeks after knee replacement surgery. Significant improvements continue during weeks 4 through 6. By week 6, the majority of patients are off pain medications and have resumed their day-to-day routines.

How long after knee replacement do you need pain medication?

In general, pain medications will be needed in lower doses and less often than they were in the first 2 or 3 weeks after knee replacement surgery. A doctor or pharmacist may recommend tapering opioid or other pain medications to avoid side effects.

Can I return to work part time?

The ability to return to work will depend on factors such as pain levels, medications being taken, stamina, and job requirements. If the employer allows, a person may return to work part-time before committing to a full-time schedule.

Can a patient walk without a walker?

Walking independently. Gradually, the patient will make the transition to walking independently, without a walker or assistive device. For example, a physical therapist may first encourage the patient to make short trips around the house without a walker.

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

Knee Replacement Recovery Timeline. Most patients are discharged one day after surgery. On your discharge day, you may be able to stand and walk out of your hospital room, or you may need assistance with walking, which is completely normal. In the weeks following, most patients gradually expand their physical abilities.

How long after knee replacement can I walk?

As your therapy program ends around the 12-week mark, stick with your walking schedule and gradually challenge yourself to walk further and longer. One year after surgery: You will continue to make progress for an entire year after knee replacement.

What to do after knee replacement surgery?

Recommended Exercises After Knee Replacement Surgery. After your knee replacement, it’s important to stick with the recommended physical therapy plan and continue challenging yourself without over exerting your healing knee. Following an exercise regime can help reduce swelling, increase your range of motion and strengthen your body.

How long can you walk after a syringe?

3 weeks after surgery: At this point, you should be able to walk for more than 10 minutes at a time, without a walker or crutches. Your physical therapist may challenge you to go on longer walks and stop using an assistive device like a cane. 6 weeks after surgery: Between weeks 4 and 6, you may be able to start driving again, ...

How long does physical therapy last after surgery?

12 weeks after surgery: Typical physical therapy programs last for up to 12 weeks. At this point, you should be able to walk for several blocks at a time and may even be able to pick up hobbies like swimming and cycling.

Is it normal to have a knee replacement?

After undergoing a knee replacement surgery, it’s normal to want to get back on your feet as fast as possible. Regular exercise can help restore your strength and improve your range of motion so you can return to the everyday activities you love. At the same time, too much strain on your healing knee can cause post-operative swelling and pain.

How long does knee replacement pain last?

How Long Does Pain Last After Knee Replacement? Knee Replacement pain generally lasts for 1-2 weeks post-surgery, depending on the age, gender, and physical strength of the person. However, generally for old patients, the knee replacement pain may last for months.

What is the best knee flexion?

As a general rule, 120 Degree Knee Flexion will allow you to carry out most normal activities. For daily living, a minimum flexion of around 105°-110° is required. Here’s the approximate range of motion flexion required for everyday activities: 1 65° to walk 2 70° pick an object off the ground 3 85° to climb upstairs 4 95° to stand from a sitting position 5 105° to tie shoelaces 6 115° (or greater) to squat or sit cross-legged 7 125°+ covers most activities. However, squatting or sitting on your heel may always prove challenging.

Is knee replacement surgery successful?

The Bottom Line. The success rate for knee replacement surgery is high, but it’s essential to have some realistic expectations about your knee. Most people experience a reduction in pain and stiffness after knee surgery, and they have increased mobility.

Do people have different ROM potentials?

Not only do people have different ROM potentials, to begin with, people also heal at different rates. With that in mind, here is the Knee Replacement Range of Motion, based on studies of some total knee replacement patients.

My Pain Level 4 Months After Knee Replacement

My pain level continued to decrease from 3 months after knee replacement to month 4. If you work hard following your surgery I expect that you will feel a big difference in your knee, just as I have.

Range Of Motion 4 Months After TKR

As I’ve mentioned in other articles, your range of motion will increase the most in the few weeks after knee replacement (check out my detailed article on my range of motion progress ).

Leg Strength and Endurance: Activities I Can Do

If all goes well, you will definitely feel that your leg is stronger and more stable after four months.

Should Others Anticipate Knee Rehabilitation Setbacks

Thankfully, I have had few setbacks. I’ve read a number of stories about others who have struggled to regain their mobility. I even know a few people who had to go in a few months after surgery to have their joint manipulated under anesthetic ( limited range of motion ).

Conclusion

The last two months have gone by much quicker than the first two months post-knee replacement. The healing process is amazing.

How long after knee surgery can you move?

The truth is that getting up and moving around after surgery is encouraged but for the first two weeks you should be protecting the joint from full weight bearing forces by using the walker. This allows you to carry a percentage of your body weight through your arms instead of on your surgical knee.

How long does it take for a knee to hurt after surgery?

The first 7-10 days after surgery, you will be struggling with chemical pain induced by the trauma that your knee has undergone. Marines, and other really tough guys get humbled by this pain and you do yourself a grave disservice to try to muscle through this period.

Can a knee replacement be painful?

During your knee replacement surgery, the ends of your long bones have been cut and a prothesis placed over the top. Bone that has been cut can be very painful, just ask someone who has had a small piece of bone taken from their iliac crest for use in a back surgery. That bone removal site can ache for months.

Can you baby the knee when bending?

The rule is baby the knee went it comes to walking (see above) but don’t baby the knee when it comes to bending. That doesn’t mean you aggressively bend the knee. You must use frequent low loads and the knee will respond delightfully and give you back your range of motion in steady increments.

How long does it take to get off narcotic pain medication?

However if you take your pain meds as prescribed, and work hard, you can be off narcotic pain medicine in two weeks or at least by the time you finish gaining back your range of motion. Gotta get the range then you can back off pain medicine.

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Can you walk without a walker after knee surgery?

Patients mistakenly think that walking is a major achievement after surgery and that walking without a walker is even better. Other healthcare professionals can misguidedly feed into that misconception making the problem even worse. The truth is that getting up and moving around after surgery is encouraged but for the first two weeks you should be protecting the joint from full weight bearing forces by using the walker. This allows you to carry a percentage of your body weight through your arms instead of on your surgical knee.

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