How Much Knee Bend After Total Knee Replacement?
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- เผยแพร่เมื่อ 11 เม.ย. 2023
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(Amazon Affiliate links) To subscribe to 3-Tip Friday, Will's free weekly email where he shares his best health tips, new videos and fascinating research, go here: info.ht-physio.co.uk/3tf Welcome to the latest episode of HT Physio Quick Tips!
In this episode, Farnham's leading over-50's physiotherapist, Will Harlow, reveals how much knee bend is normal after a total knee replacement at differing stages of the recovery process.
You'll learn how much knee bend you should have at weeks 1-12 and how long it takes to get full flexion again.
To get a copy of Will's new book, Thriving Beyond Fifty, you can find it on Amazon below:
UK link: amzn.to/3mAISFv
US link: amzn.to/3J1ACGi
(Amazon Affiliate links)
If you're suffering from nagging knee pain that hurts in the morning and stops you from walking as far as you'd like, you can take our free knee pain guide - which will give you 5 expert tips to put a stop to knee pain at home - by visiting here: ht-physio.co.uk/knee-pain-gui...
If you're over-50 with a painful problem in the Farnham, Surrey area, you can learn more about how Will Harlow and HT Physio can help you overcome a painful problem here: ht-physio.co.uk/
*Any information in this video should not be used as a substitute for individual medical advice. Please seek advice from your local healthcare professional before taking action on the information in this video.* Full policy here: ht-physio.co.uk/injury-discla...
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Had surgery 2 1/2 weeks ago and am able to bend to 125 degrees - 70 years old - hopefully get back to full function by 6 weeks!
Had a TKR a week ago. I'm 72. Am mobilising much more quickly than I expected but bed based bending exercises hurting a lot. Think I overdid it ABIT and your video has given me much more detailed guidance and I'll keep the idea of not too much or not too little in mind from now on.amy thanks
Excellent advice. I was doing exercises everyday and taking a day of rest now and then has helped me so much! So glad I came across this video!
Hello and thank you so much for this video. I’m 59 and just had my second TKR ( the opposite knee). Week one post op I was at 113 degrees and my surgeon and I were thrilled. I continue to have great ROM 3 weeks out of surgery but have have weakness and pain which is very discouraging. I do believe I did way too much too early in. Thank you for your explanations on the proper ways to recover and how to give our body the rest it needs when necessary. You were clear and understandable!
Although I feel I have recovered well from my knee replacement it was great to hear your sound advice, reassuring and so calming, thanks so much😊
I had both knee joints replaced within two years, no cartilage in both on one side, I was nearly suicidal with the pain before the replacements. Fortunately for me I was given the proper physio after both opps and it was one of the best things I ever did, The correct physio is very important or you will be wasting your time getting the replacements. Good video.
I just got my second knee replacement - first one was a year ago this past july. I suffered for a decade with knee pain. Prior to last years surgery I had to use a walker. The first replacement was a brief game changer. After a frw months, the bad knee got a lot worse. My new knee took a beating but no pain at all. My issue now is retraining my body to wslk properly. It compensated to the point that I waddle. I don't swing my arms when i walk. Your video was wonderful. You are thorough and extremely knowledgeable. Any pointers for improving my gait? Thank you!!!
I am about 1 month out and yesterday in PT had 135 degrees flexing and extension. But had 120 flexing 1 day after surgery. Have great PT people and surgeon. It’s hard work but I am determined to return to work at 6 weeks.. l did a lot of pre surgery strength and yoga. So glad I did this and plan to have other knee done in September
It'll bend more than you can stand. Get er done.. if you had a knee that really needed replaced, it's a blessing.
You’re a real blessing
thank you :)
Excellent video ,good to hear that it is still possible to gain good flexibility even if you are behind .I am 11 days post surgery,had a problem over the last few days with considerable swelling in my calf and foot which I felt has stopped the progress.Was becoming dispondant...but not now
Just "found" you. I'm 5 days out after total knee replacement. Mine was from a torn POSTERIOR cruciate ligament injury (rare) that just wouldn't stop hurting and continued to lose ROM.
Your video was really helpful. Now I understand the "stiffness" that's set in. I'm manually moving it to get a small bend. I was disappointed because day 1 I had such a greater range. Helps a lot psychologically to know this normal.
It's super helpful to know what to expect in the following weeks and months.
So pleased my video came at the right time for you and that I could shed some light on what you're experiencing - I'm wishing you all the best in your rehabilitation and recovery :)
Thank you. I just had my knee replaced at the 2-week mark. I have a 90-degree motion. I am pleased with the results. I like what you said in your video I am afraid I am doing too much or too little exercise. I had glue instead of stitches. So far so good. Thank you for relieving my mind with this video. I guess I am right on track.
I am 13 days from my second knee replacement. I have also had both hips and spine surgeries with fusions. I believe the amount of pain in knee replacements is shocking for some. I find it much more painful than my hip replacements. Now off to physio having a 100 degree bend which I began working on as soon as possible in my bed after surgery. The pain is difficult but I can move my other replaced knee to touch my butt so the work will always be there. Thank you for your excellent video -we are all different and should not compare ourselves to someone else . It is individual recovery depending on that persons body, health and level of exercise prior and post. Thank you .
Strange isn’t it. I had a knee revision, old artificial knee replaced after 23 years with new artificial knee, 4 months ago. I had mild pain for 1 week then no pain at all. The knee is recovering very well I have 130 deg flexion
Fantastic! I wondered if knee replacement version was easier since they didn’t cut the bone again. Your recovery is terrific! You inspire others !
My surgeon's Physician's Assistant basically said that at 3 weeks a person should have normal or nearly-normal range of motion and not being able to bend past 90 degrees means a person is not trying hard enough, but that sounds too ambitious and unusual. I read that a majority of people may not be able to bend their knees normally until 6 months.
I could not bend my leg at all for some 3 weeks after surgery but now after some 5 weeks I am bending my knee slightly past 90 degrees in a sitting position and can sit comfortably (basically) at that range.
Of course pain can vary by day or by certain times of the day.
But it is comforting to hear in this video that my progress is actually not abnormal.
I actually find if I push that mush past pain (and I have been doing so) my leg feels worse and I cannot walk without pain or stiffness for hours afterward. A workout in which I listen to my body, has better results.
I'm trying not to get depressed or anxious worrying that other people (who have had TKR) make better progress sooner than I have done or am doing.
At physical therapy I have been lucky so far to work with one therapist who tells me to do as much as I can definitely but without going that far past my pain threshold as that can do harm too. In some three PT sessions ( separated by a few days) I have done better even though progress is not overnight. The PT also says I have done a good job of massaging much of my scar tissue and "Breaking it up."
There is still a long way to go and I have to hope all goes well but it seems that for me, I may take a bit more time than others.
How are you doing now?
It is so refreshing to read this , my mother is on day 12 and she can probably bend about 50-60 degrees , I was worried reading all the comments that we are being or if we missed the bus , thank you for this comment
There is info
But I think what everyone wants to know is what day/time immediately after a TKR do you start practising bending.
the next day,day3,day4???????
not what happens 1,2,3 weeks after TKR.
Will Person having 30 degree fixed flexion deformity with further flexion up to 120 degree after tkr walk with out pain and limp in future?
Excellent story and advice.
I have always been dismayed by the development of scar tissue during my second day after surgery. It seemed as though the doctor felt his work was done, and that recovery would just magically happen. During day 2 I went from being able to support my weight with a handrail and go up and down a stair before they released me from the hospital, to hardly being able to bend it at all as you described. In hindsight I've assumed that I'd been too eager to get off drugs, let the swelling and pain go down, and been overly concerned with my surgeon's story of an athletic doctor patient of his that overdid the PT too soon after knee replacement and had to go back in for surgery within the first three months. I've always wondered if I'd moved it for 5 minutes every 30 minutes to an hour for first 24-48 hours or so, that perhaps I could have prevented the scar tissue from forming. So then I wouldn't have had to fight so hard and worry so much about getting the range of motion and functionality back.
I guess I could look it up, but other's might be interested
p.s. I had my knee replaced 5 years ago and it's great now: I can use it and exercise and strengthen my quads 10 times easier than before with arthritis. I don't quite have the range of motion of the other leg - that heel comes within 3" of my buttocks, whereas the other is 5-6" away. But my doctor advised against trying to get anymore orange of motion to prevent the joint from becoming too loose and allowing the joint to hyperextend.
@KermitCyrus
@KermitCyrus
Wow that is quite a story. It goes to show we all heal differently.
Had my left knee done in 2010. 53 years old. It is 14 years old and I had improvement until 18 months post op. Bend 110 degrees and full extension. 110 degrees was good because my knee was swollen for a long time. I was also told that the best I could get the first time around would be the best I could expect with my next replacement.
Hi! And how do you walk? Can you do all the stuff in your daily life?
Within 2 1/2 months I was at 134. I was at 110 degrees at 2 weeks. But I worked it hard 10 times an hour from the moment I was brought back to my room. Put leg on a foot stool and pushed it as straight as I could stand for 10 seconds 10 reps every hr then put foot on ground threw a towel around ankle and pulled it as far as I could stand bending it 10 seconds and 10 reps every hour for two first two weeks. Everyone was freaked out how much mobility I had when they seen me. My advice is start bending it as much as your pain level will allow you to from the moment your out of surgery.
Is it possible to bend more than indicated in the properties of a particular implant? The reason why I ask is that you mentioned your preference around 140 degrees instead of 120. Does this mean at the same time that it's advisable to choose an implant which is capable for this?
Everyone is different I know several people who have had successful knee replacements (one person had a double knee and doing very well) But if I had to do it over again I would give myself 6 months to a year of everyday physio before surgery. Chances are you might not even need an operation but even if you do you will have strengthened the muscles around the knee and recovery and movement will be so much easier. In fact, what HT described is exactly what happened to me but eventually, I got to over 120 degrees of bend when I did more intensive physio. But the big bonus was my other knee is so much better now and in fact is almost as good as the knee that was replaced. Motion is definitely lotion.
How about Tibia fracture exercise for 120•
7 months after surgery and still at 117 degrees with help from PT and it's a painful 117. Still wakes me up at night hurting on the outside of the knee. Not really better off yet.
I can bend 120 pre surgery. does that help ?
HI I just found you! Is physiotherapy different than physical therapy? My PT was excellent but they did not do any hands on to help me bend. I had my tkr 2+ years ago and did well with recovery but am frustrated with the remaining issues. I think I have about 130 or 135 degrees but cannot do butt to heels, child's pose , or deep squats despite being very active. It is this bit of lump and pain behind my knee toward the outer edge. I would even go back into surgery to get this problem to go away and noone has any answers.I"m young 56 now and am very active wanting this to go away. I am doing some knees over toes work (youtube) and some tens unit. Do you think those will help? Thank you so much if you are able to respond and if there is a physiotherapist (if different than pt) in my area maybe I should see one.
@susannesacco1721 I get the feeling that that is possibly my situation. I got the surgery so as to better bend my knee as it hurt a lot to do butt to heel and the knee felt swollen. But now AFTER the surgery it is no better regarding that. I must emphasize I could have as much as a year until I am able to do butt to heel as my surgery was only 5 weeks ago and I am making slow progress but I can understand that you need answers and no medical professional can or would give you any.
I am used to squatting but now I can't. Is it possible to fold my leg completely / sit on my haunches like I used to be able to do? I wasn't thinking and went down to squat today and it hurt like hell. If it is possible I will work to get there, but if it is not possible and/or if I can damage it then I won't. Doctors and PTs never give me a direct answer.
@user-ej8iq9jz1g The surgery may not have been done right. But also it could take you more time. I think with me there is a pretty good chance the surgery was not done exactly right but medical professionals tell me that it is I who am not trying hard enough.
Can you ever get enough bend that you can kneel and sit back on your heels. Before I injured the knee and required surgery I could do that. Will I ever be able to do that again?
140%? Really? Never happened for me.
Why
You need to check with your surgeon. The knee replacement I have has a maximum of 130° of flexion, meaning before the surgeon even placed the components in, right out of the box that is the maximum it can bend because of the metal plate in the back that takes the place of the ACL. I live in New England, and all the major joint replacement centers around here aim for 90 degrees by the end of the first week, not 3 to 4 weeks. I wonder if this information is different because it is a different country?
6:18 I think you get more bend on your legs if the seat is lower.
Going on 5 weeks post-op and PT measures 105 degrees, I still have some odd feeling in the thigh muscle and skin around the knee. Worst pain in my 71 years for the first 3 weeks
I am going into 6 weeks after TKR and knee is only at 105 with a lot of pain during PT. My other leg only flexes to 107 and is not a candidate for TKR due to past trauma and poor vascular issues. I have never experienced pain like this and I have had 2 external fixation devices on my right leg and my bone lengthened by an inch. I am trying my best. PT 3x wk. still using walker, too unstable with cane. I am 59 yrs. Old.
@@amyfountain2849 it’s been 4 more weeks and the pain has only subsided a very tiny bit. The pain at night builds from the daytime activities. Doctor said this is normal and the swelling means more blood flow for healing to the are. IF I KNEW THIS… I would not have had this surgery
I'm between 6 and 7 weeks and I'm so much better than I was before surgery it's great. I'm already doing more than I did before my surgery but I probably waited about 7 or 8 years to long.
How are you feeling now a few weeks later? I hope your pain and bend is better. It’s the most difficult surgery I’ve had! But I know we will get stronger -I have already completely recovered from my other knee replacement. .
@@christineinverarity5109 thank you…the bend is better but the outer side of the knee joint still sore, feels tight and aches….definable better but I am so surprised it has taken this long
I lost a weeks worth of exercise due to a ridiculous amount of swelling of my whole leg. I felt my whole leg and incision were going to pop open if I stretched it too much. The rest of my body wants to bend it to like 120* but my incision and muscles say no way. And does anyone still have massive bruising at the 3 week mark? And I mean the whole leg.
After three years, I am at 85 degrees
My week old total knee replacement knee over bent I screamed it was so painfull. I made it back to bed scared I did something wrong . The incision is ok but I can’t lift my leg now. 😢
Then that means the stiffness does not come from bone on bone.
Going on 7 weeks and at 6 weeks after excersizes I could get to 100. My Dr. had seen me at 2 weeks when I was at 70 and told me he doubted I would be able to get to 115 by my self . So I came back at 6 weeks and like I said before barely 100 degrees. So last week I went under anesthesia for a manipulation
A n d truly I dont think it helped much. My knee feels weaker and is back to hurting and having to ice it all the time. The PT bootcamp for 12 days straight is alot. Have you ever seen anyone get to 120 with these problems?
Please shows practically not only seeach
Sorry about typos!
I lost a weeks worth of exercise due to a ridiculous amount of swelling of my whole leg. I felt my whole leg and incision were going to pop open if I stretched it too much. The rest of my body wants to bend it to like 120* but my incision and muscles say no way. And does anyone still have massive bruising at the 3 week mark? And I mean the whole leg.