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@flaredhead

Joe,
I wish my doctor had advised me to strengthen my leg muscles before surgery. Instead, in preparation for surgery, I was given a "Joint Academy" booklet that included some very basic exercises to do--the same exercises used by At-Home PT (the first three weeks after surgery). Before TKR surgery, I did those basic exercises and walked 20 minutes a day. But after reading your post, I'm thinking it would have helped speed my recovery if my legs had been stronger before the operation. I guess the challenge with exercising prior to surgery is any pain you may be experiencing with the bad knee. Regardless, I'm 11 weeks out from TKR and my progress is slow but sure. I'm off pain meds and in outpatient therapy, ROM is good and I'm focusing on quads, hoping to master stairs soon. However, if I need TKR on my other knee, I will remember your advice. Thanks!

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Replies to "Joe, I wish my doctor had advised me to strengthen my leg muscles before surgery. Instead,..."

Hi Cindi,

Well I'm glad you found the information useful. I actually hired a very good trainer with a degree in kinesiology, told him exactly what I needed, and he showed me the right exercises - and not just for my legs. We worked on core and upper body as well.

He was aware of the condition of my knees. so to your point, he'd always ask if I could tolerate a certain exercise without a lot of pain. That's why good trainers are so valuable. They know different exercises that accomplish the same thing.

That said, by the time I had my second TKR I walked with a noticeable limp. My knee was bone-on-bone. Still, I had exercised enough to help with the recovery.

And keep in mind that surgeons need to make a slight cut in the quad muscle to release the patella. That hurts a little after surgery if you push on it slightly but it makes the muscle weaker. Just something to keep in mind. That cut has to heal too. It won't interfere with the post-op exercises though.

One other thing done during a TKR is the application of a tourniquet on the thigh. Makes sense to slow blood flow to the knee, but no one told me. Three days after surgery my inner thigh turned a very dark red/black. It was a bruise from the tourniquet but scared the hell out of me!

Good luck to you Cindi and stay strong!

Joe