Watch 2019 JRAD Videos

TKR Stiff Knee after 12 Weeks

Bob Stiff Knee

new member
Joined
Mar 29, 2020
Messages
1
Age
75
Gender
Male
Country
United States United States
TKR 12 weeks ago. After 21 PT visits and 2 times a day exercises the knee muscles becomes very stiff after the suggested knee exercises. PT was shut down due to the corona virus. Should I keep up the exercises or take a few days off to see if the muscles become relaxed? If so, how many days should I suspend the suggested exercises?
 

Roy Gardiner

MODERATOR
Moderator
Joined
Jul 23, 2011
Messages
6,968
Age
68
Location
Essex and London
Gender
Male
Country
United Kingdom United Kingdom
:welome: to BoneSmart.

You don't need lots of exercise. Imagine 'working hard' to recover a broken leg or a sprained muscle; you can't, and walking on a broken leg or exercising a sprained muscle are counter-productive, obviously. It's much the same with TKR, you have damage needing healing, not unfitness needing training.

All you need is to help retain mobility (not fitness or strength) until healing is complete. This is done with gentle stretching exercises, without pain.

So I suggest indeed taking the time off, and predict you will improve.

Knee Recovery: The Guidelines

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.
 

Sara61

Forum Advisor
Joined
Oct 1, 2019
Messages
862
Gender
Female
Country
Portugal Portugal
As your PT sessions have ceased I would suggest giving your knees time off and rest them a bit and you might just surprise yourself. My knees were very stiff in the early days and I now look back and can relate the stiffness to too much exercise as I now only do mainly DLA and a gentle walk each day I have very little stiffness.
Stay safe xxx
 

TimeBuster

member
Joined
Apr 30, 2019
Messages
120
Age
65
Location
New Jersey
Gender
Male
Country
United States United States
Should I keep up the exercises or take a few days off to see if the muscles become relaxed? If so, how many days should I suspend the suggested exercises?
Two weeks.

Take two weeks off with just daily life routine and you're going to thank me.

The YMCA canceled all exercise classes 3 weeks ago because of the virus giving my knee a well deserve rest has been a blessing in disguise.

Though I miss my exercise classes my knee hasn't felt any better.
 

Jockette

SENIOR FORUM ADVISOR
Senior Forum Advisor
Joined
Aug 29, 2017
Messages
17,605
Age
64
Location
Delaware
Gender
Female
Country
United States United States
I agree with the others about “the exercises.” It’s time to just get on with your life. At 3 months post op your knee still needs gentler treatment because it’s only 25% healed, in this year long recovery. Gentle bends, which will happen on their own as you move around doing your daily activities, and comfortable walks are all you really need for recovery.

Regaining our ROM is more about Time than repetitions of a list of exercises.

Time to recover.
Time for pain and swelling to settle.
Time to heal.

Our range of motion is right there all
along just waiting for that to happen so it can show itself.

In the general run of things, it doesn't need to be fought for, worked hard for or worried about. It will happen. Normal activity is the key to success.
 

Qdogpa

member
Joined
Jan 26, 2020
Messages
179
Age
59
Location
Philly burbs
Gender
Male
Country
United States United States
after my PT stopped, I went,in hindsight, to a overly aggressive walking regiment..making sure I walked more then 10,000 steps per day..Knee did not approve, and swelled and aches and pains resulted...Last Monday , I stoppe, and only did ADL’s ...today, 1 week later, my knee is back before the ill advised walking plan....No need for PT or being overly aggressive , time is your friend , more then PT...good luck
 

Peaches0000

junior member
Joined
Feb 13, 2020
Messages
32
Age
68
Gender
Female
Country
United States United States
Such good advice from everyone- I will be at 12 weeks this Thursday and it still is making me aware of how new it really is- I really like what Roy said about not going back to work to soon- I resent that the Dr. wrote a note at 6 weeks saying that I had to go to work the next day! -He wrote light duty and that doesn't exist where I work- it has really hurt my recovery- I am way to exhausted to do everything that PT wants me to do- My ROM is 105, which the PT said is not good-he said he thinks I need a MUA , because my extension seems to be stuck at 6 -he worked with it and it didn't really hurt, and got it to -8, I told him that was good enough for now-the last thing I want is more terror on my knee-my April 9 surgery was cancelled because of the virus and when I do get it , I am going to keep cancelling the follow up visit for a few weeks, so he can't send me back to work before my knee is ready.
 

doodlebug60

junior member
Joined
Feb 25, 2020
Messages
25
Age
59
Gender
Male
Country
United States United States
Such good advice from everyone- I will be at 12 weeks this Thursday and it still is making me aware of how new it really is- I really like what Roy said about not going back to work to soon- I resent that the Dr. wrote a note at 6 weeks saying that I had to go to work the next day! -He wrote light duty and that doesn't exist where I work- it has really hurt my recovery- I am way to exhausted to do everything that PT wants me to do- My ROM is 105, which the PT said is not good-he said he thinks I need a MUA , because my extension seems to be stuck at 6 -he worked with it and it didn't really hurt, and got it to -8, I told him that was good enough for now-the last thing I want is more terror on my knee-my April 9 surgery was cancelled because of the virus and when I do get it , I am going to keep cancelling the follow up visit for a few weeks, so he can't send me back to work before my knee is ready.
Bob; welcome; I am at 6.5 weeks ltkr. I have approximately 125 ROM and straightness in my leg. my incision is almost completely healed. I am doing well I think at 6.5weeks. I have not taken any PT since surgery on February 13. I listen to bonesmart moderators and to my knee. ice, rest, and elevation are the keys. do activities around the house as your knee dictates. as the swelling goes down the ROM will come. walking is best healer. work to discomfort but not to pain. when knee starts swelling and tightness, it's time to rest, ice, and elevation. that's all you need. your knee will rehab itself. hope you have a great recovery
 

New

Active Antibacterial

BoneSmart #1 Best Blog

Staff online

Forum statistics

Threads
51,076
Messages
1,376,233
BoneSmarties
32,016
Latest member
ladyk
Recent bookmarks
0

Top Bottom