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← Return to Kneeling After TKA
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Joint Replacements | Last Active: Oct 5 11:59am | Replies (42)
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After reading this article which I found interesting, @kathi100 posted, I'd be very curious to know how many patients actually had PT that involved any type of recommended therapy to help with kneeling? I know I did not. Even with my knee pain prior to replacement, I was able to kneel easily, but not afterwards. I do think this needs to be something addressed with a patient prior to surgery. My doctor never mentioned kneeling could be a potential issue & as it was mentioned in the article, many patients have expectations that include being "back to normal" which includes kneeling.
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Nothing came up in my PT, though it didn't occur to me to ask and I had a very good therapist to work with. All I found in my own pre-surgery research was that it was difficult for some patients. So I just experimented with various types of cushion material until I found what worked for me. I can kneel when I need to, but it will never be comfortable.
I was not impressed with the YouTube videos that claimed you can desensitize yourself by doing it often. I can anticipate the discomfort of kneeling on a hard object and ease myself down slowly, but the prostheses will always remain hard, and always be there.
I agree that it is something that should be addressed clearly before surgery and also during PT. Not everyone can kneel before surgery due to weight, strength and mobility issues. But those that are active kneelers should be given better instructions on how to resume kneeling.
Maybe it doesn't come up because the normal allowed PT instruction time of 4-6 weeks has not yet allowed the knee and scar to fully heal and they don't want you to put that kind of pressure on the knee yet. I don't remember how long after surgery I started kneeling.