Pain after recent Knee Replacement. What is normal? For how long?
Does anyone else feel a “ stabbing “ pain in the back of their knee when flexing it with slight resistance ? For example, when trying to rise from a chair and you bring your feet close to the chair’s base to stand up or just even standing and you flex your leg by raising your foot behind yourself ?
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I still have acute pain on outside of kneecap with bending, getting up. 13 months out. Want to get focused shock therapy but was just diagnosed with stage 1 breast cancer ☹️
I'm sorry to hear about your situation. Focus on the Stage 1 cancer. My understanding is the recovery from that is great when caught early, and you have. Joe
Thank you for your encouragement. While it can be painful, PT has been crucial in meeting my goals for ROM and for strengthening my knee/leg to climb stairs. But PT exercises often result in knee pain (either while doing them or after you finish). That stinks, I know. I hate pain! Very depressing and yes, I have cried many a tear. The flip side is PT works. With courage and commitment to keep going, you can meet your goals. This week will mark 3 months since my TKR surgery. PT is now once a week and I do exercises at home in between therapy sessions. My knee strength has significantly improved and I am nearing my goals for recovery.
Melinda
I had TKA four weeks ago. My physical therapist told me I only had 21 to 28 days after surgery to get to 105% abduction. I am currently at 101 to 103, and the exercises/manipulations the therapist does three times a week are excruciating. I actually end up just screaming. I told my therapist I need a sound proof room so I don't scare the other patients. My flexion is excellent. My question is whether after four weeks post-op, I can still increase my abduction to 105%.
Hi I came across your post I am out of revision like 54 days now I am at 100 flexion ….. I only have like 8 more session of pt but I exercise 3 times a day at home…. I was focusing on bike thought that was main exercise but after your post I am thinking stairs need to be also … I do stairs but definitely not as focused as the rest of my exercises…. I will be changing that today thank you for the tip ….
Robin,
You're talking about knee flexion, that is, how far you can bend your knee, right? You're probably doing ankle slides and pulling your surgical knee as far inward as possible with the help of your other leg, while wearing socks on a wood floor. Your therapist is probably having you raise your leg over short floor hurdles, and a lot of slow walking, assisted if necessary.
The therapist is right in that flexion is dependent on doing these exercises in the weeks immediately after surgery. Don't push it past the discomfort of a hard stretch, you may be going too far. Eventually, they'll want you at 120 degrees of flexion, and 0 degrees of extension (leg straight).
Stay with it and you will be glad you did. All the best.
Joe
I'm happy you found something useful in my post. There is another stair exercise that I just hated at first, but it was important in building strength and stability in the knee so that it can take your weight when coming down stairs. Maybe your PT has already got you started on this one.
Standing just one step up from floor level on your TKR foot, turn so you are facing the wall or the railing if you have that. Your TKR foot will be close to the edge of the step, and you will drop your good foot to the floor. You can put both palms on the wall, or hold the railing for stability at first. Dip/bend your TKR knee, and try to tap just the toe of your good foot on the ground below the step before bringing it back up next to your other foot. Do the knee bend 10-15 times. You are putting your whole body weight on your bent knee, just as you would walking down the stairs. You can put a large book or boards on the floor below at first, to make an easier goal to reach with your good toe. You don't need to put the good foot all the way down, just tap the toe. You also do a set of these facing forward looking up the stairs, and then a set facing straight down. These are hard and uncomfortable to do at first, but it gets better, and they are really good for building strength and balance on your TKR leg.
I can only say what worked for me, you may want to check with your PT person to see if they think these would benefit a person in your current phase of recovery. Someone still having a lot of daily knee pain and weakness may not be ready for them. Your PT person is your best guide.
These simple "dip" exercises work the quad of the surgical leg and build strength. I started doing these after I had established range of motion of about 120 degrees, so around 4 weeks post-op. For some people it will take longer. You'll feel it in the patella, and if the pain is sharp, stop. But if the pain if manageable, then these are good exercises and can be done just about anywhere.
Think of recovery in two phases. The first is to get range of motion (ROM) back in your knee and to straighten your leg (extension). There are exercises, like ankle slides, to do this. Once you've reached 120 degrees ROM (or whatever your PT and Dr.recommend), then you can start to strengthen the quads, and these dip exercises are a good way to do that.
Remember, it's likely the surgeon made a small incision in your quad to weaken it enough to pull the patella to the side during surgery. So the quad on your surgical leg will be a little weak, Be patient and good things should happen.
Great advice ddsack, thanks!
Joe
Thank you I pretty sure I can do but I will ask …. It sounds very challenging…. Exactly what I need at this stage in recovery…. Thank you very much
I get pain in my patella when I get up from a couch, or any soft chair or recliner where my knees are higher than my butt. I just had both knees replaced in 2022, so I think this will get better. My pain is sharp but short and it helps if I have something to grip as I stand up.
Hope that helps.