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

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Meet Tera

Meet Tera
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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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@teravaughn22

teravaughn22

I help high-achieving women stuck in pain & burnout
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If you sit most of the day and still work out, the If you sit most of the day and still work out, then we need to talk about something...

You are doing all the “right” things. But let me guess... 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 stillness. Your body adapts to what it experiences most. If 8 to 10 hours of your day are spent in the same position, that becomes the dominant input. Your body reflects it.

This does not mean you are damaged or injured. It means your body needs more variety throughout the day, not more exercise at the end of it.

The full breakdown is on the blog this week. Link in bio or comment “SITTING” and I’ll send you the direct link.

#deskwork #movementismedicine #movementvariability #chronicpain #painscience
6 months married to my best friend! And cheers to 6 months married to my best friend!

And cheers to finally booking our honeymoon!! 🌴☀️🌊🏖️
For most of my twenties, my approach to nutrition For most of my twenties, my approach to nutrition came from my bodybuilding background.

The focus was always the same:

✔️ very high protein
✔️ very low fat
✔️ very low carbs
✔️ low calories overall

Training was heavy strength workouts and a lot of cardio to stay as lean as possible. Over time, that mindset stuck with me. I thought “healthy” eating meant a plate with protein and maybe a small serving of greens and not much else.

What I didn’t realize was that this way of eating was slowly creating more stress on my body than support.

Over the years I started dealing with more and more symptoms. The biggest one eventually became severe, painful bloating that would come and go unpredictably. Eventually, it just wouldn’t go away. It was present 24/7 regardless if I ate or not.

Last year, I finally decided to approach nutrition differently. I discovered @beingbrigid and went through her 10 week program, “My Food is Health.”

It completely shifted the way I think about building meals. I do not count calories anymore. My focus is much simpler: high protein, fiber-rich, and very colorful plates. While I learned so much more in that program, these are the main things I have found that help me the most.

These are meals that support digestion, stabilize my blood sugar, lower inflammation, and support recovery.

When I build my plate now, I am thinking about things like:

- protein for tissue repair and satiety
- fiber for digestion, satiety, and blood sugar balance
- healthy fats to keep energy stable and support my hormones
- bitters to support digestion
- and a colorful plate for micronutrients and to support gut health

These small shifts made such a big difference for me. My digestion improved, my energy became more stable throughout the day, my brain fog disappeared, cravings decreased. I actually feel full after meals now. And I even sleep more deeply now.

Just like movement can support healing, food can too.

I am not chasing “perfect” nutrition anymore. I focus on building meals that actually support my body. The meals in this carousel are some of the simple ways I do that most days.

#nutritionforhealth #guthealth #wholefoodnutrition #nutritionandwellness
Two weeks of high stress and my body has been lett Two weeks of high stress and my body has been letting me know.

Not through pain this time…through everything else. Disrupted sleep. Constant exhaustion. Brain fog. Zero motivation. That heavy feeling where the couch is the only thing that makes sense.

And I know exactly what was happening. I know the science. I know what my nervous system needed. I even know what would have helped.

I just couldn’t do it.

That’s the part nobody talks about. Understanding your body doesn’t automatically make it easier to respond to it. Sometimes the load is just high and your system is going to feel it regardless of how much you know.

So I gave myself permission to be in it. Without making it mean something was wrong.

And now that I’m starting to come out the other side, I’m not overhauling everything at once. I’m choosing small things, slowly, without adding more pressure to an already taxed system.

A little cleaning. It calms me and a clean environment helps me feel more settled.

Nutritious meals prepped and ready to go. Not because I’m being perfect about food, but because having something ready removes a decision I don’t have the bandwidth to make. Less decision fatigue, more support for my body without even thinking about it.

A short meditation before bed on the nights my brain won’t shut off. I don’t do it every night. But the nights I have, it’s helped.

None of these things are dramatic. That’s the point.

With the nervous system, the sum of everything you’re doing matters more than the one big thing you choose to do. Small, repeatable actions over time add up to something real. If you try to overhaul everything at once, the overwhelm becomes its own stressor.

Choose one small thing. Do it a few times. If you’re feeling up to it, add something else.

Two weeks of running on empty won’t be fixed in a day. Give yourself grace, and find the balance of actually sticking with it.

#nervoussystemregulation #bodyawareness #restandrecovery #nervoussystemsupport
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