Total Knee Replacement Rehabilitation

Rehabilitation after a total knee replacement (TKR) is crucial for restoring function, strength, and mobility. Here’s an overview of what to expect during the rehabilitation process:

Phases of Rehabilitation

1. Immediate Post-Operative Phase (Days 1-3)

• Goals: Manage pain, reduce swelling, and begin gentle movement.
• Activities:
  • Ankle pumps and gentle knee flexion/extension (as tolerated).
  • Use of ice packs to manage swelling.
  • Begin weight-bearing as tolerated, often with a walker or crutches.

2. Early Rehabilitation (Weeks 1-2)

• Goals: Improve range of motion (ROM) and start strengthening exercises.
• Activities:
  • Gradual increase in walking distance.
  • Physical therapy sessions focusing on exercises like:
    • Straight leg raises
    • Heel slides
    • Quadriceps sets
  • Continuing to manage swelling and pain.

3. Intermediate Rehabilitation (Weeks 3-6)

• Goals: Increase strength, enhance functional mobility, and improve balance.
• Activities:
  • More advanced strengthening exercises (e.g., mini squats, step-ups).
  • Gait training to improve walking pattern.
  • Continued focus on achieving full range of motion.

4. Advanced Rehabilitation (Weeks 6-12)

• Goals: Restore functional independence and prepare for return to normal activities.
• Activities:
  • More challenging exercises, including low-impact activities (like cycling or swimming).
  • Focus on balance and proprioception exercises.
  • Gradual return to everyday activities and low-impact sports.

Long-Term Considerations

• Continued Exercise: Maintaining a regular exercise routine to strengthen the knee and improve overall fitness is essential.
• Activity Modifications: Avoid high-impact activities (like running) that can stress the knee.
• Follow-Up: Regular check-ins with your orthopedic surgeon and physical therapist to monitor progress and make necessary adjustments to your rehab plan.

Tips for Success

• Consistency: Adhere to your prescribed rehabilitation program.
• Listen to Your Body: Pain is normal, but sharp pain may indicate you’re overdoing it.
• Stay Positive: Recovery can take time, and progress may be gradual.