3 Month Post-Op Total Knee Replacement -Expectations and Answers to what is normal following surgery
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- čas přidán 7. 12. 2021
- Here I share information on what is normal around three to four months after having a total knee replacement. Each patient is different so be sure to speak with your surgeon about your expectation and road to recovery.
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#health #surgeryrecovery #kneerehab #medical #totalkneereplacementsurgery
TKR 4 months ago. Still very painful, inflammation, achy all the time, I have 112 flexion. Very slim women always an athlete but this is a horrible painful surgery. I am exhausted all the time, no sleep, wake up all night from pain and heat in knee. I go to Rehab 3 days a week. PT say, some patients heal slower, darn this is brutal surgery. Will never have other knee done.
I am going on 4 month recovery. I usually ache due to rain or coldness, but usually can do a normal day with 3 grandchildren to and from school. However I find sitting too long and sleeping with knees bent give me so much pain. You said you had heat in your knee. During those times I feel really bad burning on my inner knee as if the arthritis was still there. Once I straighten my knee it goes away in 5 minutes or so. Is that what you call heat? I feel why have it done if I am feeling the same ache and burning as before the surgery, and my son is trying to get my to get the other knee done. I am just wondering if this is normal, the burning.
Same-I totally agree 😮
I am 2 months out and was hoping it was going to get better for me until I read your comment. I too have always been active, and I am experiencing the same symptoms you described. I’m lucky if I sleep 4-5 hours a night. I’ve woken myself up with my moaning. I understand that different people heal at different rates so why do they put us on the same medication regime? I think I would have a better outlook if I actually had something to take some of this pain away.
I’m 39 and 4 months out as well. I’m in the same spot as you guys😔 it’s a bitch. Get some asper cream and massage it all over ur knee before bed. It’ll help u sleep. Try some magnesium and melatonin.
@@cherylkemp1552 so what are you taking for pain?… I am so sick of not being able to have a cocktail or even a glass of wine because I’m on pain meds that do very little to help my pain anyway… Sometimes I think oh I think that glass of wine may help me even sleep… but I’m just saying… It never bothered me before… Helped me sleep… I’m at four months and I can’t cross my leg the way he just did sideways. I can bend it but it’s just painful and swollen the more I work out and I’m a thin fitness person who is just dealing with so much! So much pain and swelling!
I am starting back to gentle aerobics at the YMCA this week. This is my 10th week post surgery.
You are so good. I will be watching you regularly.
Your giving the straight no crap good advice, thanks Adam
I wish I had known this when I had my first replacements.
Great information, Thankyou!
Very informative. Thank you
Thank you for all the info, it answered my questions. 😊👍
Thank you for filling in the gap of information! It's reassuring to hear what is normal and your encouragement for a healthy lifestyle.
Happy to help
I am 7days out of total knee replacement. I am truly enjoying all of the videos about knees. Thank you for putting them together
I enjoy your videos. I am now almost two weeks post Op left TKR. For me, the pain has not been too bad, thankfully. I start physical therapy tomorrow. So far so good. I feel comfortable enough to walk without a cane. I am fifty-eight so a bit younger than most patients, so I may have the advantage of a quicker recovery, we'll see. I hope to return to work after six weeks of being off if I can. Thank you again for the informative videos.
I am so helpful in this video
im actually enjoying the information you are conveying as im going in for TKR in may and some of the other videos are instilling fear in me with regards to being post op stuff.
as far as range of motion i have pretty good range of motion as it is now, for me it's just constant pain so the pain bit won't be anything new and knowing that it will get better as time goes on
This series is great. I had my right TKA last February and my left TKA 2 months ago. Everything in tis series lines up well with my Ortho and PT folks. Keep up the good work.
Glad you like them!
Just returned to tennis 4 1/2 months after bilateral TKR. I was walking and swimming well so gave it a go after watching your video. No knee pain after , just some serving arm discomfort from disuse. Caused a few chuckles on the court when asked if my doctor said it was ok to play and I replied the one on CZcams said it is .
My main aim was to get back to tennis , so great to get back on the court.
2 months and 12 days after TKR, we left for 16 days of hiking in Patagonia Chile. The hikes were all mountainous and we hiked over 50 miles. I had some stiffness but the knee performed very well. I did 2.5 - 3 hours of PT daily to prepare for this because I had the deadline and wanted to be able to do the hikes. I first worked on flexibility and getting the leg strait. Had 130 degrees within 10 days and strait. That was painful work. Then I mainly focused on quad strength and balance. The payoff was that 2 months after knee replacement I did hard hikes in the mountains and for the first time in a decade had no pain descending. Now that I am home, I am still doing therapy (the leg crossing one is one of those) and returning to more regular workout schedule. The key is setting goals and doing the PT every day.
You are a stud!
Very helpful videos. Thank you! Can you post a link for the kneeling protocol you discuss?
Hi Doctor your videos are great
Thank you, glad you liked them.
6:25 I have been following your videos and can say you are so informative and have helped me a lot I am now three months in and have most of my range of motion but am still pushing for more and will for a few more months. I took a spot to have it done but winter was just starting so house exercises we a must only to Physiotheripy did I go out . Still have night pain but have gabapentin to help I am active work out on my elliptical exercise as well as my daily routine. I was active before surgery so that helped the road was tough there is no getting around it the worst pain I ever had only now can I say it was worth it . Many thanks will continue to watch for your videos.
Glad to hear. Thanks for watching. Keep up the great work.
Thank you so much for this vid. It is very helpful for me as both my knees are done and I will have to get both replaced. Love from Dublin, Ireland..
Glad it was helpful!
Thank you.
You're welcome!
I went back to work after 3 weeks after surgery. I worked about 50% of my normal hours for the next 5 weeks and now I’m back to full time. I still have swollen heated knee but I’m keeping at my exercises.
Great info
Glad it was helpful!
I had a catastrophe snow skiing accident in 1987. I had 5 surgeries in 3 years one being major. Nothing helped. I went to therapy 3x a week for a year. I was diligent. I’d been an elite runner (4:30/mile) so I wasn’t a wimp. Finally in 2015 I found a personal trainer who recommended I see an orthopedic surgeon as soon as he saw my X-rays he said why did I wait so long I should have had them replaced 30 years ago. I told him how many doctors, injects, PT, etc I did. I had both knees replaced and 6 weeks later I was back in the yoga studio. When I saw my doctor at 6 weeks I could do a complete proper squat and put my hands flat on the floor. He was stunned. He was 100% against yoga. After me he now recommends it if appropriate. I still have the same amount of pain but I can do more things. I did a 32 mile race which I walked and it felt so great to be doing something challenging. Don’t underestimate your patients.
Great info. I am currently 3 months out and this is all true for me. However, I had to go back to work at 8 weeks to my nursing job and it’s been brutal, I feel it’s setting me back in my healing.
How are you doing now?
I hope your feeling better!
I am 79 years, going to be 80 in June. I am 2 weeks and 5 days out of surgery from my TKR. I have never had so much pain in my life....would rather give birth to my 9 children again!! This left knee keeps me awake at night, with a pounding tooth ache sort of pain. I have tried icing....with out relief. Getting out of bed, sitting in a chair, does offer some relief, but I have been told to keep the left leg as straight as possible. Last night, I did give in, and slept in a chair.....restlessly, though! I am able to ambulate in the house, with out the aid of my walker....but, the pain.....when will it go away? My surgeon, that I saw yesterday, said the tooth ache like pain is normal......everything looks good. I nearly cried, as I was hoping for some relief giving advice. My other knee, is bad, but I will NEVER-EVER have it operated on. I won't go through this for anybody......I am terribly stressed out.
Hi I’m sorry you had such a terrible time I was the same as you and I’m 60, bit of a shock to the system and I had read well 😊, my surgeon did tell me TKR is one of the most painful operations you can have and that regular pain relief is key. I hope things are all good for you now 9 months on. I noticed the acute pain lessening at 4 weeks but the aching and feeling of heaviness and stiffness is still there at 12 weeks if I’m standing or walking for longer than 10 minutes unfortunately this discomfort worsened dramatically in both knees after using a stationary bike, lesson learned. My surgeon here in the UK is pleased with progress I have full range of motion, scar healed well and my physiotherapist is pleased with progress. My surgeon reminded me that healing from this procedure is a marathon not a sprint he advised not to expect “normal” till 12 months, to listen to your body, rest when need be, eat well, stay hydrated and take analgesia if needed. and continue my exercises, interestingly he does not rate extra walking as exercise at this stage. Good advice I think. Future good health to you, my other knee will need done but were trying conservative care at the moment, not sure I could face all this again so soon! 😁🏴🇬🇧🏴
Thank you very much for sharing information .Today I finished 3 months. I go to work . I have my saree shop . I am 90% all right but after siting long time I get stiffness .
Thanks for the great video. I will be six weeks out on May 17 and I think maybe I am expecting way too much from myself. From early on I was a star patient and way ahead of the game to the point that even my surgeon was impressed at two week visit. Now I feel like I am regressing even with therapy. I went back on the Motrin so now I can move a little better. I am not able to take narcotics so I did the whole thing with a four hour rotation of Motrin and Tylinol and recently thought I should start getting off of those but now realize it is too soon and because of this video I realize I need to be a little more patient with what is going on so thank you very much. I have my six week visit on the 18.
It going on my fifth month and I can't put any pressure on it to walk on it
@@evaritch2070 Have you gone back to the doctor to have him check it? I was walking before five months.
@@evaritch2070I was waking the day after….have you been doing your PT?
Dr. Adam! I so much enjoy your videos, but I came across one where you said that you can stand at the kitchen sink for these particular exercises. I cannot find it, now, on any of the videos. I am at 2 months and doing great with my TK. Starting the kneeling today. Thanks for your time! Nancy
I know what you are talking about but I can't remember or find the video where I covered that. I do talk about standing exercises in my book to work the hamstring while standing at the sink.
Thanks for the wonderful information you are providing. I had my bilateral TKR in about 15 weeks ago and I am generally fine and I can walk about two miles and bicycle for about 45-60 minutes. Only problem is when I come down the stairs. I feel slight pain under my kneecaps. Is it something that I should worry about it? I appreciate your answer. Thanks.
Ed
I am 7 weeks from replacement surgery on my knee and doing great but I have been wondering about crossing my surgical leg over my opposite knee. I tried a few times but it caused pain. I wondered if my new knee was designed to articulate that way. Thank you so much for sharing the cross leg stretch. Neither my surgeon or physical therapist showed me that technique. It will be included in my daily stretch going forward.
Me too! I am 10 weeks post surgery tkr. I tried this technique but it is still a little painful! Am going to continue.
Thank you Dr Adam Rosen for this info. I had my TKR single knee done the last mth. I was happy to have my new joint on Valentines' Day. I hv been doin some exercise to bend n straightened daily about 3 sets of 20x. It's painful when exercise are done. However, the stiffness didn't improve. Is it normal?
I did it the hard way...first surgery December of 2022...then due to continued draining and then a fall that tore the quad tendon off the quad muscle led to surgery #2 an I & D in January...In March surgery #3 where they took the prosthesis out and an antibiotic-spacer in for three months with a picc line. In May the prosthesis back in and within two weeks a bad infection, and another picc line and another I & D and followed by oral antibiotics. Three months out and so far doing ok but did have to have a Manipulation Under Anesthesia for excess scar tissue. Not blaming anyone...my surgeons were wonderful and worked hard to help me through it. Hopefully in time the stiffness will get better and I'm feeling very optimistic about that. Good luck to all and smooth sailing!
How in the world did you know you had an infection in your knee? All they do is look at mine and say the swelling will go down and they do a blood test to see if I have any white blood cell counts… Other than that, how would they know? You went through a lot and are very positive… Good for you!
Good to know that it is normal to have knee pain up to 3 months. I'm 7 weeks out and was getting impatient with the pain not going away. Thanks for your advice.
Forget about Lent’s 40 days and nights, mine went on for 100 days, but it is perfect now 😊
Same here. I'm at 3 more post surgery, and still pain in joint esp in middle of night
Who needs 120% knee flexion ? I am 77 and can do everything I need to do around my house, can go up and down stairs with out a problem all with 110% bend.
@@nannasuep I agree. I got the TKR because I had OA, I go to PT but not concentrating on % of flex 🙄 my quality of life moving forward is the goal
im actually around 9 weeks post TKR and apart from the tiny bit of pain in the morning but it goes away and im pretty much off pain killers apart the od paracetamol, crossing my legs is quite hard for me as no one told me to do stretches for pivoting
Thanks for the video I'm 4months but still have stiffness when will it goes away and is so sensitive where the cut is although I can squeeze but no material cannot though it.
I had both knees replaced (14 weeks ago and 7 weeks ago). Both are doing great and I'm way ahead of the game on recovery with range of motion, building strength and activity level. The question/concern I have is, I still can't get up off of a standard chair or low sofa without assistance from my hands. I get a sharp shooting pain right across the front of the knee. It's getting a little better as I can now go from sitting to standing on my mountain bike but that's less of a lift. So, do you think this is normal and it will come in time? Thanks so much for your informative videos and calm demeanor.
mg
Hi, I watched your 1 month and 3 month videos. I'm 6-7 weeks out from a total knee replacement. Thank you for both videos as they have answered a lot of questions about things I've been experiencing or going through. You mentioned a knee sleeve to help reduce swelling. Can this be a Medi, padded support sleeve that has aluminum strips inside that I used prior to knee surgery? Could you please confirm at 3-4 months you are 80-90% recovered from knee replacement surgery? At 3-4 months, would a person be sufficiently healed and able to no longer need trekking poles or a walking stick? You mentioned at 3-4 months a person should build up stamina and endurance. In addition to walking, could a person go to a gym and lift weights again at this point? (within reason of course slowly starting out and pacing ones self)
At what stage a patient can climb stsirs
Hi thank you for all your information .
I had 3 months ago RKnee surgery I have problem with bending I can go 106 my surgon after 6 months if not improvement he wants to do MUA I want to get your opinion. I go to gym I do all excersize at home you think I can improve my stiffness and bending my self.please let me know thank you so much
You said it is hard to get more range of motion after 3-4 months after TKA. Do you have any recommendations to get that last 5-10 degrees. I think I am at 112-115 degrees. I am 7months out. Thank you for any suggestions.
Hi Dr Adam,I went back to work 7 weeks after surgery.I am a housekeeper, but I have a lot of restrictions.
Today, I am exactly 3 months post- op Total Knee Replacement. I have next to zero pain and overall feel good. My question is, is it normal for my knee replacement to still feel very un-natural? Or that it has slipped?
Thank you in advance.
Three and a half months past surgery, still having a hard time. Can't walk far with a cane and only 104 degree bend at most. Therapy twice a week but where is the progress? Still not driving my car or being able to walk out to it with a cane
When does the swelling go down significantly.. I am 5 weeks off walking no Cain walking to much I think
2nd knee replaced and it is much slower than 1st. 9 weeks out, some things hard to do
Thank you for information but it is too generalized. I am at 10 weeks at just getting to 100 with PT.I had a bowed leg for years and people have to take a lot of factors into consideration. Great to have a base line but I find there are so many things that affect the healing process
I’m 4 months out and still very achy and tender on the sides of the knee. Also stairs are still pretty hard to do
Me too.❤
Many of my patients have found the diclofenac gel (Voltaren) helpful for that soreness and achyness on the sides if you do not have a contraindication to nsaids. The stairs are hard but they are therapy and every day try to go up one more step as normally as possible. I have some patients hold onto the railing and just step up onto the first step with their operative leg. Once the first day (should be easy), twice the 2nd day and so on and over a few weeks they get stronger, develop more confidence and then can navigate the stairs with ease.
Wow! I didn't know that you could kneel.
Yes you can! You can check out this other video for a kneeling protocol -czcams.com/video/JlP7q0NnN8o/video.html
3-Months after knee replacement, good recovery. Have 3 raised spots on the knee. What is it ?
I am doing water aerobics and it’s helping my recovery a lot. We do all kind of leg work in the water and I know I couldn’t do it as well if I was in a gym on dry land. My knee gets stiff and achy I’m 14 weeks out
Keep up the good work!
Hello Sir, I am now 8 weeks out from my 2nd, and 13 weeks from 1st. I am finishing up PT, have 4 more visits. I plan on working legs a bit. I have started some intro to kettlebells, and am going to add the goblet squat. I am leery as my right leg has been pretty much a kick stand for 22 years. I appreciate the facts as you present them. TYVM
My knee not bend properly. 3months 20days my knee operation in August 10 th. Can I bend knees if I start doing physiotherapy
Do any one has same experience of warm and heat coming from the TKR site? Is it normal ? This neuopathic pain
👍👍
I had TKR on July 13 2023, 10 weeks post TKR I can bend 105 degree but still with pain and stiffness if not moving needs to change position and get moving all the time my major problem is the heat that is coming out from the knee and I use cold compress every time it is Neuropathic pain I do not know when it will fade my surgeon said it might continue 3 to 6 months
😊👍
Still lagging full extention any help from anyone 4 months
I have a question. I’m 49 and getting some pain going up stair and weak going down after going one step at a time sideways. When should I look at surgery? I don’t want to do more damage.
Did you get the surgery?
Is not the cross-leg stretch a hip dislocating risk for someone such as myself that who has had them replaced ?
Talk with your surgeon. With my patients it has been okay. It would be dependent on your, the approach and other factors.
Many thanks for your reply. I will take this opportunity to thank you also for sharing you knowledge, it has been a great help to me over the last three months. Best wishes from England.
Hi im 7 weeks post op cull knee replac ement my range is only 65° bend im religiously doing the physio at home..nothinvs i.proving it.i had insomnia for 6 weeks and am now on sleeping tablets getting a good nights sleep...1st appt is this friday 19th august with my surgeon...any advice i would appreciate
Hi there how is the rom now . Hope your getting better
I stay stiff all day and I'm still limping. It also still hurts. I ride in the carts cause it hurts to walk through Walmart. I still do my own pt at home and at the gym. I just want to walk without pain and limping. I'm 3 months post op.
How are you doing now?
I am 56 and had a left tkr in mid October, so am at about 10 weeks. This week has been a step in the right direction, thankfully. I have 2 questions though, 1st is what is the max bend one can expect? I am at about 135, but really want to be able to do child's pose, is this asking too much? And 2nd, while sleeping, when I change positions, I get sharp pain on the outside and back of my knee, every time. It does seem to be lessening in intensity, but wakes me up multiple times per night. Is this normal?
The best predictor of post-op range of motion is pre-op motion. Although many current knee designs allow 140 degrees of bend around the world most patients only achieve 115-120. Your participation with PT and biology play a factor too. For question 2 I would check with your doctor.
@@dradamrosen thank you so much for responding!
Heading back to work, 12 hr shifts NICU NP. 3 months post TKA. Would you recommend a support sleeve? I think that may help with the swelling and stiffness.
swelling can be a problem with standing. a knee sleeve might help. If you notice more swelling below the sleeve a compression stocking may help. If swelling persists you should talk with your doctor.
A compression sleeve helped me with swelling while standing a lot.
I’m just not sure why my knee feels so heavy if that’s just from the swelling that hasn’t gone away? It’s been 3 1/2 months since the manipulation where they manually bent it for me, but I still can’t bend it all the way back now because it’s so swollen… I am able to hobble around and walk on it OK but it’s that heavy feeling that just feel like I’m dragging a ball in chain!and I guess how would they tell if my body is not accepting it… An x-ray?
whats your view on going to gym for leg workouts such as seated leg press,sqat rack, leg & hamstring curls after 3 months ? thank you
I’m a little over 8 weeks out on my second TKR. First one was in May and still healing as well. I’m having lower back pain that wraps around my hip and remember it happening with the first knee around this same time. I’m working on my core but limited on exercises. Is this common? Lower back pain after tkr? I know my gait has changed. I’m in my 50 ‘s and hoping that getting my knees done would give me back a better quality of life…. Now if my back would behave that would be great.
Hi, i did my bileteral 6 weeks ago. Im having back pain too. Basically daily i hav to bare the bck pain. Its more irritable compared to the knee recovery. Hot pack n painkiller are my friends now.
I am 10 week out on my tkr. Week 2 I started having low back pain that made my glutes cramp, now the back pain is gone, but when sleeping I still get glute spasms/pain. So weird.
Why my incision feels bumpy after 3 months knee replacement
I'm at my 3 mths after a total knee replacement. When I'm in therapy they use compressions on my knee. When I go home my is is stiff and hurts behind the knee. Is this normal? I still need medication for therapy.
I am going to go back to work 11 weeks post op. I have 140 from and 0 straight.
You are a rock star!
Im 3 months left total and only at a very painful 105 ROM and totally upset. my surgeon doesnt seem concerned. Im 72 years old. What are thoughts, would be gratefully appreciated. I had 28 wks of therapy
28 one hr sessions of therapy.
Range of motion depends a lot on your range of motion before surgery. Some people may not hit 115 or 120 but still be happy and not have pain. If you are concerned it is always a good idea to get a second opinion to make sure you are progressing as expected.
@@dradamrosen thank you.
Thanks!!🥰🥰🥰🥰
Dec. 15 I'm having TKR
💞💞💞🦵🦵🙏🏻🙏🏻🙏🏻
You nervous? I was scared, but it all worked out great.
Good luck!! Wishing you a speedy recovery.