How does your knee feel once it reaches the year of recovery?

Posted by cyndi2013 @cyndi2013, Oct 27, 2025

I have heard it takes a full year for recovery of TKR. How 🤔 does your knee feel while approaching that one year mark?

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Profile picture for genie15 @genie15

To cyndi2013
Everyone's experience is so different. The best advice I ever got was the comment my physical therapist made, "Everything is connected." If you consider everything that affects how the knee moves, such as your spine, posture, muscles, tendons, ligaments, circulation, and everything that your knee influences, such as your spine, posture, hips, muscles, ligaments, and tendons, you can see how positive feedback loops can happen for good and ill. Anything that gets injured drags down everything it's connected to. Anything that's in good shape helps support an injury while it's healing. If you're thinking about joint replacement, first list what your healthiest and sickest body functions are. You can develop a good idea of what can hold back your recovery that way. There are bad surprises when the doctor makes mistakes, when you have another ongoing illness or injury, or when there's an underlying illness you haven't discovered yet. All of those factors come into play. How physically active you have been over the years matters A LOT going into joint surgery. Active, healthy, younger people heal better and faster. Older, frail, weak, or sick people have a lot more trouble getting through the recovery period. Then there are the differences in skill and experience of the doctors and physical therapists who treat you. They have a tremendous impact on recovery, and that can be amazing or devastating. The surgery is so hard on the body that it can lead to illness and injury, which slow your recovery. A lot of us seem to spend a lot of time, frustration and desperation trying to find more doctors to help with all the consequences of knee replacement surgery. It's a daunting experience. Your family will pay a price because of the long recovery. Patients need a lot of emotional support and a lot of physical help. It's a hard surgery for families to get through. Don't do it unless you find a surgeon who offers pretty substantial patient education classes ahead of the surgery. Avoid a surgeon who won't answer your questions ahead of time about possible complications. Be sure your surgeon has done the operation hundreds of times so they will have the experience to avoid mistakes. Get the second team ready to support you before the surgery happens, including a physical therapist experienced and trained in knee replacement recovery, a really dependable and kind coach, a good patient portal like this one so you can talk to people who understand, and a good family doctor who can see you on short notice when things go south (DON'T COUNT ON THE SURGEON TO BE AROUND TO HELP YOU AFTERWARDS!) Don't ever take on knee replacement surgery alone. Get a walker and a cane and maybe a transport chair ready at home before the surgery. Buy a physical therapy style ice pack and maybe an ice machine because ice will be your number one daily painkiller and swelling reducer. Get on the internet and dig into the research articles and major hospital education pages for the public. Check out all the information that is available from professional organizations and foundations for orthopedic procedures and pain management. There is a ton of stuff to learn. The more you learn, the better questions you can come up with to squeeze true answers about of the doctors. They will just hand you bland euphemisms or not bother to tell you anything if you don't confront them assertively. Get yourself in the best physical shape you can manage ahead of the surgery. Preparation and knowledge and self-discipline will really help you. Good luck! I hope you have no complications and heal well and quickly. Will be thinking about you!

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@genie15 thanks. I will hit my 1 year on Thursday this week. It's definitely been a challenge. I am glad this is behind me.

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Profile picture for mabfp3 @mabfp3

@rosema4 I had a set of gel shots after the cortisone stopped working but they didn’t do anything for me. My dr said that some people have good luck with them and others don’t, so I guess that is me! What are PRP shots? I’m so glad that you are experiencing improvement and that you are having success with the stairs. I’m sure that PT is also helping. I should consider going back to PT! All my best wishes to you!

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@mabfp3
PRP injections are a regenerative medical treatment that involves injecting your own platelets into damaged tissues. Platelets contain growth factors that promote healing and tissue repair.

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My left knee feels stiff and burns a bit.

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It will be a year just before Christmas and my knee is still stiff and burns a little. Does it ever stop? I stretch it whenever I can.

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Profile picture for rainerhans @rainerhans

My replacement is a year ago now, still tightness at the inner side of the knee and can’t kneel anymore, the pressure hurts.
At least for the most of the time it’s much better than it was.

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@rainerhans I agree. I’m glad I had it done. After almost a year it’s still a bit stiff and tender.

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Profile picture for rjdowdell25 @rjdowdell25

@rainerhans I agree. I’m glad I had it done. After almost a year it’s still a bit stiff and tender.

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@rjdowdell25 - As my surgeon/friend told be before my 2 TKRs, the new knees will always remind you that they are not original issue. Hopefully, the pre-op pain will be gone post-op, but it’s our responsibility to stretch and work on range of motion, flexibility, etc.

In my experience, it won’t get better with time. It only gets better with work. I’m 34mo and 22mo post op and I still work on them every day before bed, 2 or 3 times per week strengthening at the gym, and actively caring for our 12 acres. Just my experience and I’m sure others have different outcomes.

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So true! Replaced knees are not original and you need to continually exercise and stretch. I love this!

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Profile picture for rjdowdell25 @rjdowdell25

It will be a year just before Christmas and my knee is still stiff and burns a little. Does it ever stop? I stretch it whenever I can.

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@rjdowdell25 me, too - a year a week before Christmas.
Mine isn’t stiff, but is very sore getting out of a chair.
Worse, I have had night pain until now disturbing sleep. Some nights no sleep. My other knee is acting up and I dread another surgery robbing me of so many months of my life. Good to keep stretching. Good luck.

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My 1 year is coming up also. The knee is good most of the time with no pain. I do still have some clunking at times and some swelling, redness and heat when I have a day of 10,000+ steps. Also, I still sleep with a pillow for my knee some nights. The biggest problem that I have right now is finding shoes that work. I think I walked on the outside of my foot before surgery and now I walk on the inside. I live in a small town area with no access to a shoe store that will fit you properly. The bottom line is, things are much, much better than 1 year ago.

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