TKR Knee stiffness...Does it get better?

wappazappa

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I started looking for a forum for some wisdom on total knee replacement recovery. I had my right knee replaced on October 6th 2022 and it went well.I was back at work full timw in two weeks and easily met pt goals along the way. Since it went so well, I had my left knee replaced on December 6th 2022. This time it was a different story. The surgery went well, but I was in pain from the time I came out of recovery. This slowed things down and placed more pressure on my right knee than expected. So now it's three months from the left knee replacement and five months for the right knee and I am still having a lot of stiffness, especially in the left knee. I guess I'm looking to hear about others that have dealt with the lingering stiffness and wondering if it will ever get better. I have been back at work and able to function within three weeks post op. The biggest issue that I have questions about is the increased stiffness after I exercise. I have a full exercise program which includes riding a stationary bike and stretches. It seems that no matter how much I exercise or how little, the stiffness still persists. Extended periods of non activity also will increase the stiffness. Is this considered "normal" or am I just jumping the gun on a fater recovery?
Thank you for any insight!
 

trinket

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We're at the same point in our knee recovery. I still have lingering swelling and tightness in my knee. My ROM is just fine, I have no pain, but I believe the continued swelling is causing the tightness in the tissues around my knee. My OS said it could take six months or more for the swelling to go away (apparently, I'm a sweller). I've come to terms with the fact that this tightness is not going away overnight. It's not prohibiting me from doing any of the activities I was doing before my replacement. I'm back to my normal activities and enjoying my pain-free knee. Best of luck with your recovery. Hard to do, but try to be patient and know it's slow.
 

Roy Gardiner

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"Knee stiffness...Does it get better?" Yes it most emphatically does!

I have a full exercise program which includes riding a stationary bike and stretches. It seems that no matter how much I exercise or how little, the stiffness still persists.
It's easy to exercise too much, and too strenuously. Both these will cause stiffness.
am I just jumping the gun on a fater recovery?
:idea: very probably, it's easy to do.
Extended periods of non activity also will increase the stiffness
It's a comedy isn't it? You're right. Idleness will cause stiffness as well as doing too much. You must move, but without pain. It's a balancing act.

Stretching must be done gently, without pain, only discomfort. You can do a lot of it, as long as it's pain free.

If you are training on your static bike (sweating?) you are probably going too hard. You are stretching, not training.
  • Set the bike to zero resistance
  • Set the saddle low enough so that a single rotation is a challenge; difficult but not painful. When a rotation becomes easy right from the start, lower the saddle a max of 1cm.
  • Gently turn the pedals, through discomfort but without pain.
  • Continue until the knee is 'warmed up' and the rotation is now easy, or for 2 minutes, whichever is the shorter time.
  • Repeat several/many times a day, but don't go mad. Diminishing returns will apply; my guess is that half a dozen reps would be enough
  • Do not pedal fast or for more than 2 minutes, this is a stretching exercise, not training.
  • And if you get any pain or swelling in the 24 hours after doing this, cut it down until you don't
Here is a bit more chat and some pix and how 'healing' and 'training' are different

and our general info:

Knee Recovery: The Guidelines

We are all different, as are the approaches to recovery. The key is, “Find what works for YOU.“ Your doctor(s), physiotherapist(s) and BoneSmart will offer advice and are there to help. The advice may vary, but YOU are the final judge as to the recovery approach you choose.

1. Don’t worry: Your body will heal all by itself. Relax, let it, don't try and hurry it, don’t worry about any symptoms now, they are almost certainly temporary

2. Control discomfort:
rest
ice
take your pain meds by prescription schedule (not when pain starts!)​

3. Do what you want to do BUT
a. If it hurts, don't do it and don't allow anyone - especially a physical therapist - to do it to you​
b. If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again.​

4. PT or exercise can be useful BUT take note of these

5. At week 4 and after you should follow this

6. Access these pages on the website

The Recovery articles:

There are also some cautionary articles here


We try to keep the forum a positive and safe place for our members to talk about their questions or concerns and to report successes with their joint replacement surgery.

While members may create as many threads as they like in a majority of BoneSmart's forums, we ask that each member have only one recovery thread. This policy makes it easier to go back and review history before providing advice.
 
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Flashlight

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It's a comedy isn't it? You're right. Idleness will cause stiffness as well as doing too much. You must move, but without pain. It's a balancing act.
Isn't this the truth! I'm going on 7-months and the swelling and stiffness on most days have pretty much resolved. Today, I haven't done much, and my knee is starting to feel a little tight. It is telling me I better get on that stationary bike and do a few rotations! You will get there just don't overdo it. You are probably using your right knee/leg much more than you realize and it is too early yet for your left knee not to feel stiff.
 

Cjackso21

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I found that icing and elevating with a 0 gravity chair helped the swelling thus the stiffness. I think I will always have stiffness but I stretch every morning and evening still. Also, I found passive stretching and moving by sitting and bend knee with a belt then moving knee back out multiple times helps. Good luck!
 

Peter Mac

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It's a comedy isn't it? You're right. Idleness will cause stiffness as well as doing too much. You must move, but without pain. It's a balancing act.
Sounds like a paradox. A CPM machine can be your best friend for the first 6 months post surgery.
 

Roy Gardiner

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It's not really paradoxical, it's just a case of listening to one's body. It is of course necessary to move to keep the new joints working, but pain is a bad thing, BoneSmart asserts.
 

Layla

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Hello and Happy Friday!
How are you doing? We'd love to read about your progress in regard to both knees. Your right TKR which is approaching six months and, Lefty, which is four months to date. Happy Four Month Anniversary!
We hope to hear from you soon. Wishing you a wonderful weekend and if you celebrate,
a beautiful Easter. :)
@wappazappa
 

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