In short, a structured rehabilitation plan is the most effective way to regain full function of your knee.
- Early movement is vital. You will likely begin standing and walking with assistance within the first twenty-four hours after surgery.
- Consistency builds mobility. Performing specific exercises several times a day prevents scar tissue buildup and improves range of motion.
- Expert guidance is necessary. A physical therapist can create a safe environment for you to strengthen your leg without risking injury.
The success of your procedure depends heavily on what you do after you leave the operating room. Engaging in effective physical therapy is the most critical step you can take to ensure your surgery is a success.
What Is Physical Therapy for Knee Replacement?
Physical therapy is a medical treatment that uses movement and exercise to heal the body. In the context of a knee replacement, it focuses on strengthening the muscles around your new joint. It also aims to improve flexibility and balance.
Your regimen will likely include a mix of strengthening exercises and stretching. You will also practice functional movements like walking, sitting, and climbing stairs. The goal is to return you to your daily activities as safely as possible.
Why Is Post-Surgery Therapy Crucial?
You might wonder if you can simply rest and let the knee heal on its own. However, resting too much can actually be detrimental to your recovery. Without physical therapy for knee replacement, your new joint may become stiff.
Scar tissue forms naturally after any surgery. If you do not move the joint, that scar tissue can limit how far you can bend or straighten your knee. Regular movement keeps the tissue pliable and ensures the joint functions correctly.
Furthermore, the muscles around your knee often weaken before surgery because pain limits your activity. Therapy rebuilds this lost strength. Strong muscles support the implant and reduce the stress placed on the bone.
The Phases of Your Recovery
Rehabilitation usually occurs in distinct stages. Each phase has specific goals and intensity levels.
Phase One: In the Hospital
Your therapy begins almost immediately. A physical therapist will likely visit your bedside on the day of or the day after your surgery. They will help you sit up and stand with a walker or crutches.
You will perform simple exercises in bed. These help promote blood flow and prevent blood clots. Common movements include ankle pumps and tightening your thigh muscles.
Phase Two: Early Home Recovery
Once you leave the hospital, you will continue your physical therapy at home. This period usually lasts for the first few weeks. You may have a therapist come to your house, or you may practice on your own.
The focus here is on achieving full extension of the knee. You must be able to straighten your leg completely. You will also work on bending the knee to at least ninety degrees.
Phase Three: Outpatient Therapy
As you gain strength, you will transition to an outpatient clinic. This allows you to use specialized equipment that you do not have at home. You might use stationary bikes or step machines.
This phase is more intense. The therapist will add resistance to your exercises. You will work on balance and walking without an assistive device.
Does Muscle-Sparing Knee Replacement Change Therapy?
Surgical techniques have advanced significantly in recent years. One such advancement is muscle-sparing knee replacement. In traditional surgery, the surgeon cuts through the quadriceps tendon to access the knee joint.
In a muscle-sparing knee replacement, the surgeon works around the muscle and tendon. They do not cut them. This difference can have a profound impact on your physical therapy.
Patients who undergo muscle-sparing knee replacement often experience less pain. Because the muscle remains intact, they may regain leg control faster. This can allow you to progress through the early stages of physical therapy for knee replacement more quickly.
Common Exercises You Will Perform
While every patient is different, there are standard exercises used in almost every recovery plan. Your therapist will teach you the proper form for each.
Quadriceps Sets
This exercise strengthens the large muscle on the front of your thigh. You lie on your back with your leg straight. You then tighten the muscle and push the back of your knee into the bed.
Straight Leg Raises
This builds significant strength in the hip and thigh. You lie on your back with one leg bent and the other straight. You lift the straight leg up about a foot and hold it before lowering it slowly.
Ankle Pumps
This is a simple movement that improves circulation. You lie down and move your foot up and down as if pressing a gas pedal. This is crucial for preventing clots in the lower leg.
Knee Bends
You sit in a chair and slowly bend your knee back as far as comfortable. You hold the position to stretch the joint. This helps improve your range of motion.
Frequently Asked Questions About Knee Therapy
Patients often have concerns about the rehabilitation process. Here are answers to common questions regarding physical therapy for knee replacement.
How long does therapy last?
Most patients attend outpatient therapy for four to eight weeks. However, you should continue your exercises at home for several months. Full recovery can take up to a year.
Is the therapy painful?
You will experience some discomfort. This is normal as you stretch tissues and work muscles. However, you should not feel sharp or excruciating pain.
If you do feel severe pain, tell your therapist immediately. They can adjust the exercises. Taking over-the-counter pain relief like acetaminophen (Tylenol) before a session can help.
Can I skip formal therapy and just walk?
Walking is excellent, but it is not enough. Walking does not move the knee through its full range of motion. You need specific exercises to regain the ability to fully bend and straighten the leg.
When can I drive again?
You can usually drive when you are no longer taking narcotic pain medication. You must also have enough reflex time to brake suddenly. Your physical therapist will help determine when you are ready.
Physical Therapy for Knee Replacement in Bismarck, ND
Your journey to a pain-free life requires a team effort. At The Bone & Joint Center, we specialize in comprehensive orthopedic care. From advanced surgical options like muscle-sparing knee replacement to postoperative rehabilitation, we are with you every step of the way.
Do not let knee pain dictate your life any longer. We provide the expertise and the encouragement you need to recover fully.
If you are considering surgery or need physical therapy for knee replacement, contact us today at (701) 946-7400 or request an appointment online. Let us help you get back to the activities you love.
