It is often recommended that knee replacement surgery be a "last resort" treatment due to the invasiveness of the procedure and risks. More conservative options such as physical therapy, exercise, activity and lifestyle modifications, and injections should be considered first. However, although some people do not have a positive outcome from surgery, most individuals do benefit greatly from knee replacement surgery in terms of decreased pain, increased mobility, increased activity tolerance and function. Hope this helps!

Sorry to hear that. Have her continue to focus on exercises and stretches that emphasis knee straightening. A lot of repetitions and time trying to straighten the knee will lead to improvements with time.

That's an interesting thought! The tourniquet can definitely cause some temporary effects like muscle tightness or discomfort, as it restricts blood flow to the area during surgery. However, the primary cause of quad muscle loss (atrophy) after surgery is more likely due to factors like muscle disuse and inflammation. The tight band feeling might also be a combination of the tourniquet's pressure and post-surgical swelling.

If possible, scoot toward a piece of furniture such as a couch or chair. Then you should be able to get your arms up on the chair and push through your forearms and elbows rather than your wrists. If nothing is available to assist the best option is probably to get in a quadruped position on your forearms and knees, again pushing through the forearms to walk your arms up until your in a kneeling position and then kneeling on one leg, and then finally pushing up from that position.

The biggest concern after a fall is the potential for a fracture, typically of your thigh bone / femur or where the bone attaches with the prosthetic. If you are concerned about a potential fracture after falling, be sure to consult with your surgeon and they can recommend if it is appropriate to come into the office for an x-ray and further testing.

This does certainly make getting up from the floor more difficult. The best option if you can't tolerate briefly kneeling on either leg, is to rotate your body so that your hands are on the floor in front of you and your on your feet, like a bear crawl position. Then you can walk your hands back toward your feet bending at your torso at the same time until you can push yourself up into a standing position.

First of all, congratulations on being a survivor! It's understandable that you're feeling frustrated with your recovery, especially after both knee replacement and cancer treatment. Certain cancer medications, like chemotherapy or hormone therapy, can sometimes affect muscle strength, flexibility, and joint health, potentially contributing to stiffness or slower recovery. Additionally, the body may take longer to heal after cancer treatment, as it can impact your energy levels, bone health, and overall mobility.

Thank you for your reply. Besides keep doing exercises, stretching, bending the knee, what else should I do ?

@@lenym5719 Some things you can consider is pool therapy / exercises where you can typically move and stretch the knee more with better tolerance. You can also consider some massage strategies such as with your hands, massage stick, tennis ball.

It’s possible that the pain you're feeling could be due to a variety of factors, like swelling, muscle tightness, or the adjustment of your body to the new joint. Pain below the knee joint and to the right could also be related to soft tissue irritation or the way you're moving as you recover. If this continues to be an issue be sure to consult with your physical therapist and/or surgeon.

This can be difficult. Sometimes having the surgical knee on the bottom makes it easier to keep it straight. If you are about 2 weeks or more out from surgery and are able to achieve full knee extension (straightening) there is really less worry about bending the knee while you sleep.

Nerves are very normal. You are in for a long journey of rehab and recovery but it will all be worth it in the end. You got this!

@KneeReplacementTherapists it's a meme

You're welcome! I’m sorry to hear about the calf cramp-it can be really annoying, especially early in recovery. Cramping is common after ACL reconstruction, often due to muscle weakness, dehydration, or the muscles adjusting to changes from surgery. Make sure you’re staying hydrated and try gently stretching or massaging your calf to relieve the tightness. Elevating your leg and icing it can help reduce swelling, which might also be contributing to the cramping. As you progress in PT, strengthening your muscles around the knee and calf should help prevent cramps from happening as much. You’re still early in the recovery process, so hopefully, it’ll improve as you continue healing. If it persists, definitely mention it to your PT or surgeon. Keep it up, and take things one step at a time!

@ glad I found you! Thnx man!❤️ keep up the good work

Glad to hear it! Thanks for watching!

I totally understand your concerns, and it's completely normal to feel apprehensive given all the mixed stories out there. It's important to recognize that everyone's recovery experience is different, and the internet can often amplify the negative side, making it seem like those are the majority of cases. Yes, knee replacements can be a significant surgery with real risks, and it's absolutely valid to be cautious. You’re also right that being in good physical shape can often lead to better outcomes, but that doesn't mean people who aren’t athletes or “super fit” can’t have positive results. Many factors, including age, overall health, and adherence to physical therapy, play a role. The people who struggle more with recovery tend to be the ones who might have additional complications or who weren't as proactive about rehab. Exploring pain management is a good idea to help you navigate the years before you may need surgery. In the meantime, have you considered things like physical therapy, weight management, or alternative therapies like injections (like viscosupplementation or cortisone) that might give you some relief and help you delay surgery a bit longer? Ultimately, it's about finding what works best for you and feeling confident in your decision when the time comes. I hope you find the right path forward that balances pain relief and long-term mobility.

I'm so glad the videos have been helpful to you! Day 10 is still pretty early in the recovery process, so it's completely normal to experience pain, swelling, and those strange sensations. The burning sensation, electrical shocks, and aching around the groin and hip are all common post-surgery symptoms-your body is still healing and adjusting. Sleep can definitely be one of the hardest parts of recovery, and I hear you on the struggle to get those solid hours of rest. Have you tried elevating your leg with some pillows or using ice or heat before bed? That might help ease some of the discomfort. Hang in there! It sounds like you're making progress, and remember, recovery takes time! 😊

Great job!

It sounds like you're doing everything you can, and it's great that you're seeking out help to continue your recovery. Swelling and stiffness can persist for several months after surgery, especially if there's excess scar tissue involved. If you're not feeling like you're getting enough hands-on attention in PT, you might want to consider seeking out a PT who specializes in manual therapy or myofascial release, which can be really effective for breaking up scar tissue and improving mobility. Also, make sure you're doing your home exercises regularly, as they can help supplement your PT sessions and encourage better mobility over time. Glad the videos are helpful! Keep going, and I hope you feel better soon! 😊

It is normal to have some lingering tightness after surgery. It is best to continue doing at least a few minutes of range of motion exercises multiple times per week for up to a year after surgery. Long-term, staying physically active in whatever way is most enjoyable for you will over time help with joint mobility and stiffness.

Fair question. Hopefully, it still provided some useful information for you.

I usually recommend waiting until about 3 months after surgery just based on the ability to tolerate the amount of pressure through the knee

@@pearlenethomas9057 positive thinking only that you won't 😊

Sorry to hear you are still dealing with walking difficulties. Continue to try to stay active and consider following up with a physical therapist to learn some exercises you can try to help walk better. Hope you're able to address this issue and see improvements in your walking soon.

I agree, positive thinking is important, sometimes much easier said than done.

@@KneeReplacementTherapists Do you have any suggestions?!

I'm glad you found some help and support with this video. I agree, there are definitely some steep hills and obstacles in that marathon too! All a part of the process...best wishes with your continued recovery from surgery.

Same issue with me,more pain later,but take your pain meds,try toexercise everyday but don't overdo, ice your knee when in pain, in time you'll recover..I'm now 8 months after tkr and only have 10% pain.

Clicking can be caused by a couple different things such as the prosthetic components contacting each other, or friction from ligaments or other soft tissue moving against the new knee. Often it is more annoying than harmful. this video I've made can help share more details: kzbin.info/www/bejne/rGqQhKesg7qekNk

@KneeReplacementTherapists, thank you for replying.

Scar tissue can definitely be a factor in limiting mobility and causing discomfort, and while physical therapy exercises are essential for maintaining strength and flexibility, there are a few additional approaches that might help break up scar tissue and improve your mobility. First, consider gentle myofascial release or soft tissue massage. This can help target the scar tissue and break it down over time. A skilled therapist can guide you through techniques to improve tissue flexibility and release tightness around the knee. Another option is foam rolling around the surrounding muscles-especially the quads, hamstrings, and calves-since tight muscles can also contribute to pain and restriction. You can also try heat therapy before stretching or exercising to help loosen the tissue, making the stretches and exercises more effective. It’s great that you’re still committed to doing your exercises and using ice when needed, but if you're not seeing enough progress, it may be worth exploring other treatments or following up with your doctor. Hang in there, and keep up the hard work! Wishing you continued healing!

It's 8 months for me now and the best thing you can do for yourself is to keep doing your exercises, eventually you'll recover quickly, take your pain medication.

Thank you for your kind words, I'm very glad you've found them so helpful! Glad to hear overall you are doing well! 🙂

Hi I've been doing your TKR exercises from your KZbin channel and they have worked very well. Simple and easy to follow instructions . Keep up the good work .

What exercises do you be doing, maybe I'll give them a try.

Hi,just watch kee to knoe old videos ,his exercise routine ft0m day 1 after surgery to his 12 week and beyond. Sometimes if you feel a lot of pain dont exercise, rest.While doing them listen to your fav music or watch tv..Avoid exercises which hurt, slowly youll start feeling stronger and have less pain. DONT OVER EXERCISE.😢​@pearlenethomas9057

You are very welcome, thanks for watching!

Thanks for watching and hope the exercises help!

I’m sorry to hear about the pain in your right knee. For now, focusing on low-impact exercises like swimming or using a stationary bike might help, as these activities strengthen muscles around the knee without adding extra strain. Water exercises are particularly good since the buoyancy reduces pressure on the joint. Seated exercises, such as leg raises, can also help maintain strength without stressing your knee. You can also try to incorporate pain management strategies for your right knee similar to the left knee such as use of pain medicine, icing, heat, compression to make certain exercises more tolerable. Hope this helps and best wishes to you!

Thank you. Swimming would be great, but impossible for me where I live. I will focus on the other recommendations. When I added an ankle weight on my operated knee, the pain in my thigh muscles were unbearable and I could barely walk. I feel the therapist should have started me at a 2 lb. weight, not 5 lbs! Thank you for this helpful video. I will keep watching and hope to get the right knee done within a year. Take good care yourself, and thank you!

Thanks for watching, hope it helps!

Unless your doctor instructs you otherwise, there should be no reason you can't have a foot massage after knee replacement surgery. If you are considering going to a nail salon for a pedicure or manicure, it is appropriate to wait a few weeks after surgery as there is a small risk of bleeding and potentially causing an infection.

@KneeReplacementTherapists thanx for ur message. Its been 1 year after knee surgery now.

Glad to hear it, thanks for watching!

So sorry to hear about your injury and intense pain following surgery. Your body has been through a lot and needs time to heel. I would definitely discuss your pain and symptoms with your doctor to see if there are any other pain management options. I hope you find relief and start feeling better soon.

@KneeReplacementTherapists thank you for the reply I'll definitely speak to them regarding it I'm the type to try not to complain out of fearing of looking weak but it's making my sleep horrendous.

You're so welcome!

Sorry to hear your having burning pain, hope the video helps. If the issue persists, be sure to consult with your surgeon.

It sounds like you’ve made some great progress since your surgery, but I totally get how frustrating it is to hit a plateau, especially with stairs. After a patella fracture, it’s common for stair climbing to still feel challenging, as it requires strength, balance, and coordination. If you’re falling forward while going down, it might be due to weakness in the quadriceps or difficulty controlling the descent. You could try adding more targeted strengthening exercises for your quads, hamstrings, and calves, as well as balance work to help with control. Sometimes it helps to focus on improving your eccentric strength (the lowering phase of movement) as that’s key for safe stair descent.

I’m sorry to hear you’re still dealing with pain. Recovery times can vary, and some people take longer to heal after a knee replacement. The pain on the outside of your knee could be related to soft tissue healing or muscle imbalances. Continuing physical therapy and strengthening exercises can help, but if the pain persists, it might be worth checking in with your surgeon to rule out any issues. Stay patient-progress can be slow, but many people see improvements even after a year or more. Hang in there!

Thank you for watching! Best wishes to him with his surgery and rehab and recovery after!

Sorry to hear you're dealing with intense itching. You can try applying some ice to the area to numb and dull the sensation. You may also try some cream or lotion.

You're very welcome, thanks for watching!

Having neuropathy and charcot foot are definitely added channels when it comes to walking and mobility. Continue to practice and relaxed walking becomes easier and easier with time.

You are very welcome! Hang in there you got this! Best of luck with your continued recovery!

You are very welcome, thank you for watching!

Some discomfort is not abnormal with this especially after surgery, but please consult with your physical therapist or doctor if pain is intense or anything doesn't seem right before performing this exercise more.

You are very welcome, glad they have been helpful!

@ I had my knee replaced six months ago and I’ve been watching every single one of your videos since the beginning of my journey. They have helped me so much thank you very much you really do make a difference in peoples lives. I just wanted you to know that.

I'm sorry to hear that you're still experiencing pain and swelling six weeks post-op. Your perspective is important, and I hope you find the support and information you need as you continue to heal. Hang in there!

I understand where you're coming from! It can be really helpful to hear from actual patients who have gone through knee surgery and their experiences. Everyone's journey is different, and seeing real stories can provide valuable insight. Hopefully, I can feature more patient experiences in future videos! Your feedback is important-thanks for sharing!

It sounds like you've been through quite a journey with your knee replacement. It's great to hear that it's holding up well so far. While it's always good to keep an eye on any past injuries, many people recover well without long-term issues. If you have any concerns or experience pain later on, definitely check in with your doctor. Keeping up with physical therapy and staying active can also help maintain your strength and mobility. Wishing you continued healing and strength!

I'm sorry to hear about your thigh pain! It might be helpful to consult with a physical therapist or orthopedic specialist who can assess your specific situation. In the meantime, gentle stretching and strengthening exercises can sometimes provide relief. Make sure to listen to your body and take it easy if anything feels uncomfortable. Hope you feel better soon!

Thanks for watching!