Kneeling with artificial knee

Posted by ellerbracke @ellerbracke, Dec 7, 2018

I have touched on this in other messages, but not in a focused manner. As an avid gardener, kneeling is essential for me. Almost 3 months after TKR, things are generally going very well. I have forced myself to get used to the weird, “ball bearing/metal” feeling in the knee by not avoiding, but embracing times when it can be pushed/bumped against surfaces (soft, like side of mattress while making bed, hard, as in kitchen cabinet doors while cooking), and I sense a semi-acceptance of the odd sensation. I know many/most people simply don’t do it or can’t do it… I’m looking for those who are as stubborn as I am and want to find out how you managed to ultimately feel normal-ish.

@chigirl

Had a knee replacement nine months ago (January). When I kneel, i can feel the replacement and it hurts. Am I alone or is this normal?

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I have had both knees replaced
I can kneel on one but not the other
Don't know why
.

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@contentandwell

@cobweb That's great that you are getting relief from PRP. I have actually never known anyone who had that, is it covered by insurance?
I think when you go to sites such as this and read about knee replacements you have to keep in mind that most often the people who are looking for information are the ones who have had problems. Those of us who have had great TKRs are much less apt to have a need to seek out information.
If at some point you do decide to have a second TKR just make sure you research and get the possible surgeon who you can. In my opinion, that is what makes the biggest difference in the success or failure of the surgery. I have never regretted having the TKRs. I was limited in how far I could walk before and now I can walk forever — well, almost.
JK

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Some peoples insurance covers it. Mine does not. I will gladly pay $1000 not to go thru TKR again.

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@cobweb

Some peoples insurance covers it. Mine does not. I will gladly pay $1000 not to go thru TKR again.

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@cobweb: I thought I remembered you mentioning PRP at some point, and I’m glad it worked for you. As I mentioned, not that my second knee is about to go bad – based on time progression between shoulder surgeries (right-left),
I have about 3 years left – but I’m with you to not want another TKR, even though mine was average in pain, above average in mobility. And compared to permanent limited artificial knee functions, the money seems worth it if one can keep the old knee in working order without too much pain.

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You sound like me! I'm not gardening much, except for weeding, because I had my second knee replaced at 4 months. I have briefly knelt to look under my bed, using a pad, but its really uncomfortable. But doable when necessary

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@johnbishop

Here’s a link for them on Home Depot
https://www.homedepot.com/p/Husky-Gel-Soft-Cap-Knee-Pad-HD00148/304021291
Probably others similar would work

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I need a pair also. I love to kneel down w my grandchildren but can not stand the "feeling" of kneeling on these knees!! Both are done. I know this is a year ago but wanted to chime in.

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@curlsnj

I need a pair also. I love to kneel down w my grandchildren but can not stand the "feeling" of kneeling on these knees!! Both are done. I know this is a year ago but wanted to chime in.

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@curlsnj I can’t kneel without a pad, and with my flex not being quite 120 it’s difficult to do. That is the only thing that the flex affects though. I’m told it can be improved with a “lysis” procedure but I think I’ll just live with it.
JK

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I had both knees replaced in 2010. Kneeling to this day is something that I only due with knee pads (have found foam inexpensive work the best for me), or padding of some sort indoors (pillow, carpet). Just an odd feeling I don't care for. Will never be as stable, but I accomplish what I need to.

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Just a short response on the stem cells. I had it done with the cells taken from fat, it worked very well–not total relief but enough–but then I fell on my knee and that was the end of it. I would have tried it again if my insurance covered it but it does not. I know for some people it works for a while then stops, maybe longer or forever for others. I'm now at 6 weeks post-TKR and about to post an update. It certainly is far from normal now!

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I am a retired Physical Therapist. Perhaps I can shed some light, Squat walking is no longer part of football protocol. The reason is the amount of compression and twisting that damaged semi-lunar discs, cruciate ( femur to tibia) ligaments and ligaments on the sides of the knee, and fracture of the bone surfaces of the articular joint. A total knee, if subjected to off balance in the squat position, can still challenge the T-K replacement. The replacements are glued in, not screwed or nailed (Most generally) The tibia replacement has a part that fits into the shaft. This is occasionally subject to Hydrolitic Hyrolisis. (Melting). Sitting quadriceps exercises at home with padded weights is done (usually) sitting with the starting point 90 degrees. Other quariceps exercise, besides re-ed, can be squats. However, I had my patient and myself hold onto the sink. I put my castered walker seat in back of me. The squat was limited to just below the waist. Others might use a stool behind them to limit and control the squat. I have fallen and have had to knee, get one knee semiflex, while holding onto s chair (in front of me) and standing. It is a very hard position to get from the floor to standing. I used a mat table a lot. This puts you prone and on a soft surface. I would progress to going to my hands and knees for some exercises. And from hand and knees to a push to a double knee balance. This really challenges the knee rectus( 2 joint muscle and hip flexor thightness. Still, pressure on the knees was not pleasant. I did this as a method of enough strength and knowledge to enable me to get up in case I fell. The squats can also be done safely at the ballet or parallel bars in the gym. I would not suggest a lot of kneeling activity. Like a regular knee, you are subjected to injury, I would also suggest a lot of one leg balance control and use of the ballet bar if you are going back to Ti Chai. Balance and changes of position over the knees needs to be activated to and getco-ordinated control. Have a professional with you and make this part of your medicare or insurance paid activity during rehab. You have guessed by now that Core (pelvic) control and general arm and trunk strengthening is essential to your safe activity with total knees. Good recovery with lack of pain is stage I. Stage two is being aware that you still can injure the knee and you need to be prudent, Some of my friends ski on total knees. But all of them customize supportive knee braces to take up sudden challenges. I was a gymnast and diver. I can not use the spring board for a dive. The femur moves forward on the tibia going down hill. I avoid inclines without my cuff canes or a walker. I avoid kneeling and full squat except practice in how to get to the standing position from a fall. Wear your phone with a loop around your neck. Put your house key and store tabs on it. Avoid cramped sitting in a car. Avoid fast agility( changes of direction) activity. Yogi involves a lot of unusual ranges of motion. Some can be done. But sitting in a crossed knee motion is not one of them. Your Total knee is a gift. Use them wisely.

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I had both of my knees replaced in 2011 and 2012. Although they seem to work fine, I do not have the same range of motion as I did before TKR and my doctor advised me to not kneel. I wondered if there was anyone that knew of a way to get up off the floor if you happen to fall… I fell while trying to sit on a low kitchen step stool and if it wasn't for my husband lifting me up, I'd still be down there!! My husband has an old back injury and I was so guilty over his having to lift me to the point that I could get my feet under me. Does anyone have any suggestions? I am now 73 y.o., get around fine while on my feet but it was a wake up call falling flat like that!

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@lorrainecb

I had both of my knees replaced in 2011 and 2012. Although they seem to work fine, I do not have the same range of motion as I did before TKR and my doctor advised me to not kneel. I wondered if there was anyone that knew of a way to get up off the floor if you happen to fall… I fell while trying to sit on a low kitchen step stool and if it wasn't for my husband lifting me up, I'd still be down there!! My husband has an old back injury and I was so guilty over his having to lift me to the point that I could get my feet under me. Does anyone have any suggestions? I am now 73 y.o., get around fine while on my feet but it was a wake up call falling flat like that!

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@lorrainecb Hi there and welcome to Mayo Clinic Connect. Glad you could join the group. You will see that I moved your post to a discussion about kneeling after a knee replacement. This is so you can connect with other people in the conversation like @bill54321, @bill54321, and @contentandwell.
Have you considered keeping a pad for your knees handy that you husband could assist with if you fall?

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@amandaburnett

@lorrainecb Hi there and welcome to Mayo Clinic Connect. Glad you could join the group. You will see that I moved your post to a discussion about kneeling after a knee replacement. This is so you can connect with other people in the conversation like @bill54321, @bill54321, and @contentandwell.
Have you considered keeping a pad for your knees handy that you husband could assist with if you fall?

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A pad? Like to be able to get traction with my feet or kneel on? Since having my knees replaced, I’ve never tried kneeling and really, am afraid to, since my Ortho doctor said “no”… I actually “walked” from the kitchen to the living room, on my fanny… raising one hip at a time! Whew…

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