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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 suggestion—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. It’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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Tera Sandona
Tera Sandona

Tera Sandona is a licensed Doctor of Physical Therapy (DPT) and the founder of PT Complete. She helps high-achieving women break out of cycles of chronic pain, stress, and burnout through her Regulate and Rebuild Method, a sequenced approach that addresses the nervous system first and builds strength second. Her work focuses on helping women finally understand their bodies, rebuild strength, and create lasting resilience that fits real life.

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By: Tera Sandona · In: Injuries and Surgeries, Science-Backed Education · 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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Somewhere along the way, gentle movement became a Somewhere along the way, gentle movement became a genre instead of a description. A category of things, restorative yoga, gentle stretching, slow walks, that you’re supposed to do when you’re not up for a “real” workout. This means most days you either skip movement completely because nothing on that approved list sounds appealing or you push straight past it into something your body wasn’t actually ready for because gentle felt like admitting defeat.

Here’s the part nobody explains. Gentle was never supposed to be a fixed list of activities. It’s a match between whatever movement you’re choosing and where your nervous system actually is that day. On a Green Light day, a hike can be gentle. On a Red Light day, five minutes of walking around your kitchen can be more than enough. Calling it gentle isn’t you being soft, it’s you reading the room your body is actually in.

That’s the piece the standard advice skips. You can’t match movement to capacity if nobody’s taught you how to read your own capacity in the first place. That’s what the Traffic Light System is for. Not a chart to memorize, but a way to actually check where you are before you decide what “gentle” looks like today.

So the next time someone tells you to “just do something gentle,” ask yourself what your system needs today, not what the label says gentle should look like. Some days that’s a walk. Some days that’s getting down onto the floor and back up. Both count.

Comment “red” or “green,” whichever one today actually is. There’s no wrong answer.
It’s been sitting there for months. Maybe it was a It’s been sitting there for months. Maybe it was a gift or maybe you bought it yourself in a burst of “this year I’m going to actually rest.” Then, work picked up or one of the kids got sick, and the book stayed closed...same bookmark, same page, for weeks.

Every productivity hack tells you to schedule yourself in like an appointment. To block the time and treat it as non-negotiable. That misses the real problem. You can put an hour on the calendar and still not open the book because the block was never the missing piece. What’s missing is a nervous system that has to believe stopping is actually safe before any schedule works.

You’ve told yourself it’s because you’re busy. And if you’re honest, it’s quieter than that. Every time you chose between something for yourself and one more thing for someone else, someone else won. Not because you’re weak, but because somewhere along the way, your body learned that stopping wasn’t safe, so it stopped asking to be prioritized at all.

That’s not poor time management. That’s the sign. The women who are just busy find the five minutes. The ones who take care of everyone else first, don’t. Their own needs stopped registering as needs a long time ago and “later” became the answer to everything that was actually about them. And right now, with school starting back up in a few weeks and every calendar about to fill in again, this is exactly the season it gets worse, not better.

You are not broken. You are dysregulated. The order matters and the fix isn’t a better system. It’s teaching your nervous system that it’s allowed to stop before it’s forced to.

Open the book tonight, even for two minutes. Not to finish it, just to prove to your body that stopping doesn’t cost you anything. Then, save this for the next time you need the reminder.
Everyone treats the moment pain stops as the finis Everyone treats the moment pain stops as the finish line. It’s not. I’m currently two weeks into the longest pain-free stretch I’ve had in a long time, and this afternoon, I still braced myself to load the dishwasher. I had hands on the counter and on my thighs doing everything I could to avoid just bending forward. Then I stepped back and stood there and nothing hurt. So I bent down again, without any support, and it still didn’t hurt! My brain and movements are still anticipating what I’ve grown accustomed to.

So if you’re still bracing for a pain that already left, try this: next time you catch yourself hesitating, stop and ask, “is this pain or is this the memory or anticipation of pain?” That’s the whole gal. You’re not imagining it and you’re not behind. You’re just not caught up yet.

Save this for next time you catch yourself doing it. And follow along if you want to hear me talk more about this topic.
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