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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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Meet Tera

Meet Tera
hi, i'm tera!

I'm a licensed Doctor of Physical Therapy and the founder of PT Complete. I built the Regulate and Rebuild Method because most people trying to get back into their body after chronic pain are told to either push through it or rest completely, and neither one actually works. I write from the clinic and from my own body, since I'm working through my own chronic pain story right now, too. When I'm not working, you'll probably find me managing the regular chaos of life or curled up with coffee and a dessert I can't seem to quit.

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On a good day, it’s tempting to do everything you’ On a good day, it’s tempting to do everything you’ve been saving up, and that’s usually when the crash comes.

A good day can be a test, just a small one. Add a little more than your usual (a few extra minutes, one more set), then notice how you feel that night and the next morning. If you’re steady, you have information about what your body can take. If you’re not, you have that information too, and it points to a smaller step next time.

Everything on this list comes from the same idea: strength gets built at the speed your body can absorb.

Save this for your next good day, or send it to the friend who goes all out when she finally feels good, then pays for it later.

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When you’ve been hurting long enough, your body ge When you’ve been hurting long enough, your body gets very good at saying stop, and it doesn’t always say it because something is being damaged. Sometimes it’s the pain and sometimes it’s the fear the pain left behind (both are real, and they can feel identical from the inside).

For years you may have moved around one movement, avoiding the exact position that causes pain, and sometimes you’re still doing it after the movement has stopped hurting (I still catch myself doing it too).

That makes sense because your body learned the pattern while the pain was real. It can keep bracing before you’ve even started moving. Sometimes you recheck and the pain isn’t there.

What I see clinically is that stop signals get treated as pain by default, when some of them can be learned protection that’s outlasted the pain. The two can feel identical from the inside. Both deserve respect.

Sometimes the useful move is a small, careful test: try the movement once, slow and small, see what’s there. If the pain isn’t there, keep going. Stop if the pain is there and sharp or progressively getting worse.

Telling them apart is a skill (and a slow one for most people).

Save this for the next time you catch yourself moving around something that used to hurt.

#chronicpainlife #nervoussystemsupport #painscience
I’ve taken three weeks off working out between tra I’ve taken three weeks off working out between travel and getting sick, and then life just picked back up again before I felt ready for it.

The whole time, my body has been stressed in a way sleep hasn’t fixed, wired and on edge, snapping at small things that shouldn’t be a big deal.

I kept telling myself I’d feel better if I just sat down and worked instead. Sitting still felt like the safer choice.

It wasn’t. It was just a different kind of stress with nowhere to go.

Exercise is technically a stressor too, but the right amount of it can help a nervous system come back down instead of staying stuck in high alert. Too much too fast just adds another demand on a system that’s already maxed out.

This is something I watch play out constantly. Someone’s system is already maxed out and the instinct is to either push through anyway or stop moving completely. Neither one actually gives the nervous system what it needs.

So today I did something easy instead: an arm workout, kept light, with nothing that leaves me flattened afterward.

It’s still real strength work. I’m still showing up. It just doesn’t have to be all or nothing to count.

Starting is usually the hardest part and you’re allowed to start in the messy middle instead of going all in or not at all.

If you’ve ever put off the small version of a workout because part of you decided it didn’t count unless it was the hard one, tell me. I want to know I’m not the only one.

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