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4 Mistakes You Don’t Want to Make After Knee Replacement Surgery

March 12, 2024 · In: Injuries and Surgeries, Science-Backed Education

Embarking on the journey to recovery after knee replacement surgery requires more than just physical healing; it involves a keen awareness of the potential pitfalls that could derail your progress. There are specific actions you, as a patient, must steer clear of to ensure a smoother and quicker heal. There are common missteps that can complicate your recovery process. It’s crucial to embrace the recovery guidelines, from managing pain with the help of your healthcare providers to adhering to your post-op rehabilitation and exercise regimen, to navigate this journey with confidence and ease.

**This is not medical advice. Please consult your medical provider for more information.

what not to do after knee replacement

Overlooking the Need for Assistive Devices

The first thing you need to know about what not to do after knee replacement surgery is to avoid using an assistive device. After knee surgery, embracing the use of assistive devices such as canes and walkers isn’t merely a suggestionโ€”it’s a cornerstone of safe recovery. The inclination to set aside these aids too quickly can put you at a heightened risk of falls.

The quad muscle becomes very weak after surgery. This is the muscle that extends your knee and keeps the knee from buckling when you’re walking. If your knee buckles or you misstep and aren’t using an assistive device like you should be, a fall could potentially compromise the integrity of your new knee.

This is not just about getting from point A to point B. It’s about ensuring that every step taken doesn’t undo the meticulous work your surgeon has performed. Whether it’s navigating the hallway or crossing the living room, using a cane or walker ensures you maintain balance and stability IF something were to happen. Ignoring this advice might not only set back your recovery but in severe cases, could lead to another surgery.

Ignoring Pain and Not Using Pain Management Techniques

After going through knee replacement surgery, one might feel inclined to adopt a ‘tough it out’ mentality towards post-surgery pain and discomfort. This approach can be detrimental to your recovery process. Ignoring pain and not communicating effectively with your healthcare providers about managing it can lead to complications.

Pain is your body’s way of signaling that something isn’t right. Now pain after this type of surgery is normal. However, it is important to know that pain management is a crucial step in the recovery process. And, pain levels are important indicators for how much activity or if the intensity of an activity is too much.

By neglecting this crucial feedback, you are not only prolonging your recovery period but also risking further injury. Very high pain levels, especially during physical therapy, can hinder how much physical activity can be performed. This makes adhering to prescribed pain management strategies pivotal. It could look like ice therapy, adjusting your physical therapy regimen, or adjusting pain medication based on your doctor’s discretion. Either way, addressing pain promptly ensures a smoother and quicker healing trajectory.

Resuming Intense Activities Prematurely

After knee surgery, you might feel eager to jump back into your usual routine. It is possible to do too much and you must give your body time to heal. High-impact activities exert significant stress on your newly replaced joint, which can derail your recovery journey.

Your knee, in its healing phase, is vulnerable. Doing too much too quickly can place you in a chronic inflamed state and delay recovery. Excessive pain and swelling are signs you are doing too much. Going out and spending 2 hours at Costco paired with lifting heavy bulky items would be a lot in the first couple weeks after surgery. It’s essential, therefore, to resist the temptation and prioritize your long-term orthopedic care.

Adhering to a properly structured exercise and physical therapy regime, under the guidance of your healthcare provider, will ensure that your recovery remains on track and minimizes the risk of further injury or discomfort.

Neglecting Post-Op Rehabilitation and Exercise

Post-operative recovery from knee surgery demands a well-structured rehabilitation and exercise regimen. Remaining sedentary after surgery leads to a multitude of problems, including joint stiffness. You need your new knee to regain it’s range of motion as quickly as possible. Following the guidance of your physical therapist will help you achieve these goals.

Now, as physical therapists, we are not trying to have you run marathons right after surgery. But we will provide exercises that will help keep you from being sedentary. Emphasis will be placed on improving blood flow, increasing range of motion, and improving strength so you can walk around Costco for 2 hours! Moving and walking frequently will also help with pain levels.

Here’s a list of other crucial activities you shouldn’t overlook if you aim for a quick and effective heal:

  1. Ice Therapy: Regular application of ice helps reduce swelling and pain. Itโ€™s an easy yet often overlooked practice that supports your path to recovery.
  2. Incorporating Movement After Knee Replacement: While it might seem counterintuitive, gradual and guided movement is key to regaining mobility. Avoiding movement and walking can result in stiffness and loss of muscle mass.
  3. Wound Care: Properly attending to your surgical wound prevents infection and promotes healing. Ignoring this vital aspect of post-surgery care can have serious consequences.
  4. Maintaining a Healthy Diet After Surgery: Nutrition plays a critical role in healing. A balanced diet rich in vital nutrients supports tissue repair and overall well-being.

Final Thoughts: Navigating Recovery with Confidence

As you navigate the road to recovery after knee replacement surgery, it’s essential to remember the importance of minimizing actions that could delay the healing process. It’s not just about the physical therapy or the wound care. It’s about the holistic approach towards managing pain, avoiding injury, and ensuring a diet that supports recovery.

Moreover, the decision to undertake knee replacement is a step towards regaining a life free from pain and immobility. Let’s honor that decision by closely following the post-operative instructions, engaging in rehabilitation exercises, and being mindful of the activities you choose to partake in. Embracing these recovery tips and following up with your surgeon as scheduled can ensure that the journey towards recovery is successful.

Remember, every step taken in adherence to your recovery plan, avoiding post-surgery pitfalls, like excessive sitting, is a stride towards reclaiming your mobility and quality of life. With resilience, the right orthopedic care, and a commitment to your recovery, navigating the path to healing after knee surgery can be a transformative experience.

You can expect, that with normal healing, you should be able to return to almost all activities of daily living. For those individuals interested in returning to high impact activities, consult with your surgeon if this is a possibility for you. See this article to review which sports are safe to return to after knee replacement surgery.

Related Articles for Before/after Knee Replacement Surgery

  • What is the Recovery Time for Knee Replacement?
  • Physical Therapy Exercises for Knee Pain: How to Reduce Arthritic Pain
  • How to Strengthen Knees for Function and Performance
  • Knee Pain When Walking? How to Walk with Pain Free Knees
  • Knee Pain Walking Down Stairs? This Can Help!

TL;DR

This article reviews what not to do after knee replacement and goes over 4 common mistakes. Make sure you use an assistive device as needed for pain and safety. Pain management is paramount immediately after surgery. Not only can it make going through your day challenging, but it can hinder your rehabilitation process. Which leads to the next topic: don’t skip out on physical therapy! Exercising and gaining your strength and range of motion back is what ensures your new knee performs at optimal levels for everything you want to get back to doing.

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By: Tera ยท In: Injuries and Surgeries, Science-Backed Education ยท Tagged: healing over time, injury recovery, knee, load intolerance, post surgical recovery

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I'm a practicing physical therapist based out of sunny SoCal who loves to educate others and share information and knowledge. You can typically find me hard at work trying to manage normal life or cuddled up under a blanket enjoying coffee or desserts I can never seem to get away from!

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I help high-achieving women stuck in pain & burnout
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If you sit most of the day and still work out, you If you sit most of the day and still work out, you might feel confused.

You are doing โ€œall the right things.โ€ But by 4PM, your hips feel tight and your neck aches.

Here is the part no one talks about.

A single workout does not offset prolonged static positioning. Your body adapts to what it experiences most. If eight to ten hours of your day are spent sitting, that becomes the dominant input.

This does not mean you are damaged. It means you need movement variability.

Mobility is not about aggressive stretching, or even long spurts of stretching. It is about restoring range and control in the areas that do not move much during the day. You have to be intentional about it. Work on the areas that are prone to tightness from the sitting position.

I put together a realistic 10 minute mobility routine for desk workers that:

- Restores hip extension
- Improves upper back mobility
- Reactivates circulation
- Supports postural endurance
- Can be broken into 60 to 90 second pieces, sprinkled throughout your day

If you work at a desk and feel stiff by the end of the day, this will help.

Full breakdown is live on the blog. Link in bio or comment โ€œDESK WORKERโ€ for the direct link.

#deskwork #mobilityroutine #neckandshoulderpain #lowbackstiffness
Just when I started feeling better after my very b Just when I started feeling better after my very bold 15 minute jog, I decided to try a simple bodyweight leg workout.

And when I say simple, I mean squats and stationary lunges.

Two sets in, my left hamstring cramped so hard I could not fully straighten my knee. The next day, I also realized I had strained my quad.

FROM BODYWEIGHT LUNGES.

It would be funny if it were not so informative.

What this actually shows me is that my left side is still significantly behind my right after my major back flare two years ago. I never fully rebuilt it. I would start, flare, lose consistency, then life would happen. And I would stop completely. The cycle only repeats.

And this is how deconditioning quietly accumulates.

Not because you are lazy or because you donโ€™t care. But because healing is rarely linear and inconsistency compounds just as much as consistency does.

This was not a catastrophic setback. It was feedback.

My body is showing me exactly where my current baseline is. And apparently that baseline still requires patience, even with bodyweight work.

Rebuilding strength after pain is not about what you used to be able to do. It is about what your system can tolerate today.

So for now, bodyweight it is.

Humbling, necessary, and temporary.

More to come.

#chronicpainjourney #returntostrength #muscleimbalance #stronglooksdifferentnow
I really did start this series off by doing exactl I really did start this series off by doing exactly what I tell my clients not to do.

A 15 minute jog on a body that was already irritated, all because I felt good that morning.

And this is the nuance of chronic pain that people do not talk about enough. Motivation does not override tissue tolerance. Energy does not cancel out load capacity. And feeling good for one day does not mean your system is ready for more.

This is especially hard when you have been waiting years to feel motivated again. That is the part that caught me off guard.

For so long, I did not have the drive to strength train the way I used to. Now, I finally feel ready. And my body still needs gradual rebuilding.

If you live with chronic pain, you know this tension:
Mentally ready. Physically limited. Emotionally frustrated.

Instead here is the reframe I am sitting with:
A flare is information..not failure. It tells me my baseline is lower than my motivation. It reminds me that strength is not built on one good day. It is built on consistency that my nervous system can tolerate.

So this series is not about getting back to where I was. It is about rebuilding in a way that lasts. Strong looks different now. And that is okay.

If this resonates, you are not behind. You are adapting.

I will soon share how I am adjusting my training accordingly.

#stronglooksdifferentnow #returntostrength #strengthtrainingjourney #chronicpain
February ๐Ÿ’•๐ŸŒฎ๐Ÿช๐ŸŸ๐Ÿณ๐Ÿ“๐Ÿ““ February ๐Ÿ’•๐ŸŒฎ๐Ÿช๐ŸŸ๐Ÿณ๐Ÿ“๐Ÿ““
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