Knee Replacement 3 weeks in
Hi everyone,
So I recently had a knee replacement. On the day after surgery my ROM was at around 85. The physio was happy enough and and Docs to send me home. On the next day my knee blew up. Swollen as anything.
I literally had very little ROM for the first 12 days after surgery.
I just had my first Physio appointment and I’m sitting at 65. She was reasonably happy but I’m still getting swelling which seems to prevent me from bending more.
I think atm with exercises I’m at the 80 mark but still having difficulty.
Everywhere I read the expectations are 90-100. This gets me worried.
I’m pushing hard but can only budge as far as the knee wants to go.
Any feedback or advice?
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Stay in close touch with your surgical team. Below 90 degrees usually requires Manipulation Under Anesthesia (MUA). Also, don’t push too hard in PT, as that increases inflammation and swelling. Your PT should guide your level of effort. Good luck.
Wow, that’s not good sign. Most good results start at 100-115. My 87 y.o. Sister had 112 to start but had done lot of pre-surgery prep, swimming/bike, They will tell u it is scar tissue.
Please, please don't push hard on those stretches so soon after surgery! All that swelling is a sign of inflammation. That's necessary in order for all the wounds to heal. You must not aggravate the wounds and interfere with the healing process. It does not matter what anyone else's knee is doing. It's not a competition or a race. You have 4 months to get the swelling to subside so you can bend your knee. At that point the wounds should have matured. Yes, it takes that long to heal. Don't let any physical therapist tell you there is a rush, or that you won't walk again, or that the doctor will forcibly rip your leg muscles to break the scar tissue. It's bullying and it's not correct most of the time. Once the swelling is gone your knee will probably bend just fine. Keep icing, elevating, and GENTLY moving your knee half a dozen times a day. Take naps. Read a book while you are prone for ice and elevation. They are the best help you can have. Don't panic. If you push too hard for too long you might end up like me, with multiple muscle injuries, more inflammation, worse swelling, loss of range of motion, bursitis, depression, and a much longer and much more painful road to recovery. Good luck to you . I do understand the fear and anxiety.
Thankyou genie I appreciate you. Yes I’ve been doing plenty of research and most doctors have said exactly what you have said. So that what I’ve decided to do.
I’ll do my exercises to the best of my abilities. Keep
Icing. Rest. Move around but by bit without assistance. Stay on top of my medication and gradually work at it.
I’m so sorry you have had to go through such a traumatic experience. I hope things are much better for you now. 🙏🏽💙
My advice to you is to read genie15's reply everyday and block out everything else. You will be fine.
Absolutely what I’ll be doing. Genies15’s advice made me feel
100% better, and safe. Thankyou 🙏🏽
Sure would like to join joint replacements for my wonderful wife
Thanks for your comments. Apparently I failed to point out, I did the first TKR IN 2021 on left knee and Revision in 2023. Right knee done 90 days after left in 2021. Have never had swelling go completely down on left knee in 4 years and is .4 inches bigger across knee cap than right. Go figure?
Everyone is different, sometimes dramatically so. Stop making yourself miserable by comparing yourself to others and focus on small steps of progress.
Hmmmm, as this is the first time I’ve ever had this surgery the only way of my learning is to compare to others. I certainly am not overly dramatic if you were suggesting that, or am I miserable. Am
I worried? Oh absolutely. This type of surgery can either go really good or really bad. I’m on my own, with very little help. So I think I have every right to be concerned and hoping I’m on the right track. Luckily there have been some people kind enough to politely give me some feedback and reassurance. Thankyou for taking the time to comment though.