Rehabilitation

Rehabilitation Stages And Physiotherapy

Knee Replacement Exercises Program

Overview

The recovery and rehabilitation process plays an important role in getting you back on your feet and to lead an active lifestyle. It helps you recover from surgery faster and enhance your chances for long-term success. It’s important that you follow a plan and push yourself to do as much each day.

Day 1
Rehabilitation begins almost immediately after your surgery. Within the first 24 hours you will start standing and walking using an assistive device with the help of a physiotherapist.
Physiotherapist guide you exercise that will help your muscles strengthening every day. He/She will also demonstrate how to get in and out of your bed and move around with the aid of an assistive device. They help you to sit at the side of the bed, walk a few steps, and transfer yourself to a bedside commode. A nurse will help you with tasks such as changing the bandage, dressing, bathing, and using the toilet.

Day 2
Your Physiotherapist may ask you to walk for small intervals using an assistive device. They may also ask you to use a regular toilet instead of bedpan and ask you to try to climb a few steps at a time. As you recover from surgery your activity level should increase.

At the time of Discharge
Your knee should be getting stronger and you should be able to increase your exercise and activity level. Your doctor will be shifting you from prescription-strength painkillers to lower dose pain medication. He may ask you to go on longer, climb up and down a flight of stairs, move onto a chair or a toilet without assistance, and reduce the use of a walker, crutches. At discharge, you should be able to:

  • Bend your knee well, preferably to a minimum of a 90-degree angle
  • Dress and bathe on your own
  • minimally rely on an assistive device

Discharge Through Week 3
Now, you are able to move around more freely with reduced pain by the time. You’re supposed to rely less on an assistive device. For example, if you needed a walker at the hospital you’ll probably be able to walk by on crutches. Bathing and dressing should be easier, and you may be able to go outside for longer walks.

Weeks 4 Through 6
If you’ve stayed on your exercise, you should notice improvement in your knee. It should display improved flexion (bending) and strength. Your physiotherapist may ask you to go on longer walks with reduced yourself use of assistive device. Toward the end of this period, you may be able to go for longer walks. Ideally, you will feel as you’re regaining your independence. Activities such as cooking, cleaning, and other household work should be much easier to perform.

You should consult with your physiotherapist and surgeon to determine when you will be able to return to work and regular activities. Some TKR patients start driving within four to six weeks of surgery — but don’t just go for it. Talk it through with your surgeon before you get behind the wheel.

Weeks 7 Through 11
At this point you should be well on the way to recovery. You may be able to walk a couple of miles without any type of assistive device and engage in other basic activities that require physical exertion, including driving, housekeeping, and shopping. Your physiotherapist will be monitoring your exercises and perhaps modifying them as your knee improves. These might include:
You should consult with your physiotherapist and surgeon to determine when you will be able to return to work and regular activities. Some TKR patients start driving within four to six weeks of surgery — but don’t just go for it. Talk it through with your surgeon before you get behind the wheel.

  • Toe and heel raises, which involve alternating between rising up on your toes and heels while in a standing position
  • Partial knee bends that require you to bend your knees and move upward and downward while standing
  • Hip abductions, which require you to move your leg to one side while standing
  • Leg balances that involve standing on one foot at a time for as long as possible
  • Step-ups that involve raising alternating feet up and down on a single step
  • Bicycling on a stationary bike

Week 12
If you’ve been committed to rehab, it’s likely that you are beginning to enjoy activities like walking, swimming, golf, dancing, and bicycling. It’s important to continue with the exercises prescribed by your physiotherapist and avoid to engage in high impact activities that could damage your implant or cause damage to surrounding tissue. These include:

  • Running
  • Aerobics
  • Skiing
  • High-intensity cycling
  • Basketball
  • Football




At this point you should be experiencing a drastic decrease in pain. It’s critical to stay in touch with your medical team throughout this period and begin activities only after receiving clearance from them.

Week 13 and Beyond
You should notice gradual and continuing improvement in your knee during this period. As time goes on, pain should subside. However, it’s important to stay in touch with your medical team and have regular check-ups. Do not wait to consult your surgeon if at any point you feel pain, swelling, stiffness in your knee.

Of course, every person is different and recovery periods can vary, depending on a various factors. A full recovery from a total knee replacement is three to 12 months. However, harder you work rehabbing; the more likely you are to enjoy a faster recovery.