Introduction
Knee replacement surgery is often recommended for pain caused by arthritis. Technological advancements have curtailed the admission and recovery times such that patients are back on their feet usually very quickly. However, in some instances, if the patient has been awaiting surgery for a long time, or other joints are affected, the recovery can take longer and be more challenging.
Here we explore the pivotal role physiotherapy can play in enhancing physical and mental wellness during this crucial period.
Types of knee replacement
There are two main types of knee replacement available depending on the extent of damage in the knee.
- A total knee replacement or total knee arthroplasty involves replacing the full surface of the knee in both the leg and thigh bones.
- A partial knee replacement involves replacing parts of these surfaces. The surgeon will explain in detail what will be replaced and how this will work out.
Most knee replacements will work well for at least 15-20 years.
The Journey to Recovery
The path to recovery post-knee replacement surgery is unique for each individual. Generally, patients are able to go home the next day and resume daily activities in between 3-6 weeks. However not all patients progress at the same rate. Often, patients who have been presenting with pain and mobility taken longer to improve and the general health and functionality of the person also impacts recovery times. Recovery involves not just physical healing but also mental and emotional adaptation. Physiotherapy plays a crucial role in this journey, offering tailored exercises and techniques to rebuild strength and mobility.
Usual complications following knee replacement surgery
Pain is by far the most common, followed by joint stiffness, swelling, clicking or popping sensation in the joint and nerve damage.
Identifying problems
Your specialist physiotherapist will be able to carry out an in-depth initial assessment which will help identify any potential issues, through manual palpation of the area, observation, and gait analysis. Tests and measurements may also be taken. The assessment will also lead to a discussion on goals so that the patient is involved in the rehabilitation process.
Managing Pain and Discomfort
Post-operative pain and discomfort are common challenges. It is normal to experience pain and this usually disappears by about 6 months. In some cases, there is immediate relief of pain after surgery as the offending worn joint is replaced. A physiotherapist employs various techniques like manual therapy and specific exercises to alleviate pain, reduce swelling, and speed up recovery.
Restoring Mobility and Strength
Overcoming Mental Barriers
One of the primary goals of post-knee replacement physiotherapy is to restore mobility and strength. Through a structured exercise regimen, patients gradually regain the ability to perform daily activities with ease and confidence. The aim is to achieve at least 90 degrees of knee flexion (bending) by about 3 months post-surgery, but often patients achieve good range very early in their rehabilitation.
Recovery is as much a mental challenge as a physical one. Physiotherapy sessions often include motivational support and strategies to overcome fears and anxieties associated with post-surgery rehabilitation.
Long-term Wellness and Prevention
Beyond immediate recovery, physiotherapy focuses on long-term health and prevention of future issues. This includes guidance on lifestyle changes, regular exercise routines, and ergonomic advice to ensure sustained wellness.
Three great exercises below to try and with practice will hugely help your rehab.
*Please always check with your physiotherapist that you are doing them in the correct way. Ask for supervision from someone if you are unsteady*.
Exercise 1 – Repeat each exercise 3-5 times and practice throughout the day.
Exercise 2 – Repeat each exercise 3-5 times and practice throughout the day.
Exercise 3 – Repeat each exercise 3-5 times and practice throughout the day.
Conclusion
The journey through post-knee replacement recovery is not just about regaining what was lost, but also about embarking on a path to a more active and fulfilling life. To see how physiotherapy can help talk to one of our physiotherapists by contacting us on 0330 335 1016, or please fill out our contact sheet, and we will get back to you.