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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 vaughn physical therapist
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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This was a test. For the last couple of months, I This was a test.

For the last couple of months, I’ve been thoughtful about when I train legs while managing back pain. It’s not a hard rule, it’s just what makes sense in the season I’m in.

But I’ve also been doing a lot of foundational work and I wanted to see if that’s gotten me to a place where I could test my body a little differently.

Today wasn’t about adding weight or reps. It was about seeing if I could handle a familiar workout while actively experiencing some back pain. Could my body tolerate what I already know it can handle?

Turns out, yeah. And that tells me something about the work I’ve been putting in.

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If this week has already felt like too much before If this week has already felt like too much before it even really started, this one is for you.

You are probably actively trying to rest. Rest days, early nights, stepping back when you can. And you are probably still waking up exhausted, still carrying the weight of yesterday into today, still wondering why nothing is fully resetting.

Here is what nobody told you: your body being horizontal and your nervous system being at rest are two completely different things. You can stop moving and still be bracing. Still be running the list. Still be waiting for the next thing to land.

The tools that actually help are not the ones that require perfect conditions. They are the ones small enough to use in the middle of real life: at your desk, and between meetings, while you are already in it.

The full breakdown is on the blog. Link is in bio.

#nervoussystemregulation #chronicpainsupport #restandrecovery #nervoussystemhealth
You might be treating four problems that are actua You might be treating four problems that are actually one.

When you are living with chronic pain, fatigue, poor sleep, and anxiety all at once, it is easy to assume each one needs its own fix. But, when you keep addressing them separately and nothing fully sticks, that is information.

Your nervous system is your body’s control center. It regulates pain signals, sleep cycles, energy levels, and stress responses. When it gets stuck in a prolonged state of threat, all of those systems get pulled into that same dysregulated state. Your body is doing exactly what it was designed to do when it does not feel safe.

The problem is not that you have four things going wrong at once. The problem is that the one thing driving all of them has not gotten the support it actually needs.

That is not a willpower or discipline issue. That is a nervous system that has been running in “threat mode” for a long time and needs a different kind of approach than what you have been trying.

When you start working with your nervous system instead of managing each symptom separately, things shift in a way they never did before. Not overnight, but slowly, overtime, in a way that actually gets to the root of the problem.

Pain level is one data point. It is not the whole story.​​​​​​​​​​​​​​​​

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You’re taking rest days, sleeping more, and saying You’re taking rest days, sleeping more, and saying no to plans.

And you still wake up exhausted, still hurting, and still wondering what you’re doing wrong.

Here’s what nobody is telling you: physical rest and rest for your nervous system are not the same thing.

You can lie on the couch for eight hours while your brain runs a full sprint. Your heart rate stays elevated, your muscles stay braced, your body keeps producing the same stress response it would if you were actually in danger (just at a smaller scale).

You’re horizontal, but your nervous system never got the memo.

And a body that never leaves threat mode cannot repair itself. 

That’s not a discipline problem or a motivation problem. That’s just biology.

Rest days inside a stressed body aren’t rest. They’re just a pause.

Real recovery starts when your nervous system finally gets the signal that it’s safe to come down. That’s a completely different thing and it requires a completely different approach than just stopping movement.

If you’ve been resting and still not recovering, this is probably why you’re not noticing any considerable improvement in your symptoms. 

Tell me in the comments: do you take rest days and still wake up feeling like you didn’t rest at all?

#mindbodyconnection #nervousystemregulation #burnoutrecovery
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