If you feel a discrepancy, do not worry. The body and its muscles take time to adjust to a new joint. In some cases, a shoe lift may be prescribed for a true difference in leg lengths. However, in most cases, no treatment is necessary. A dislocation of the hip occurs when the femoral head ball comes out of the acetabulum socket. While this risk is very small, there are things you can do to prevent dislocation, depending on the approach used for surgery.
In general, you will want to avoid bending too much at the hip. Your surgeon may also give you more specific instructions. Be sure to ask your surgeon about the approach used for your surgery and the precautions that are specific to you.
You should spend some time each day working on straightening your knee extension as well as bending your knee flexion. Avoid using a pillow or towel roll behind the knee for any length of time. Please refer to exercise guidelines given to you by your therapist.
After six weeks, you can try. Touch down with your operative knee or leg first. To get up, use your non-operative leg to take the weight off your operative knee or leg.
Although this may be uncomfortable at first, the knee will not be injured. Most people find the more you kneel, the easier it gets. Again, be sure to talk with your therapist or surgeon if you are worried about this. Your doctor will let you know when it is okay to shower. The dressing on your incision is waterproof and does not need to be covered. Once that dressing is removed, you will receive additional instructions on showering and wound care.
Do not soak in a bath or hot tub. You will be taught to walk stairs during your hospital stay. Initially, you will lead with your non-operated leg when going up stairs and lead with your operated leg when going down stairs.
You will need to use crutches or a cane in one hand and hold the handrail with the other. You may return to most activities when you feel up to it. Your surgeon may have specific restrictions that will be discussed with you. Your weight-bearing status will be explained to you before you leave the hospital. Most patients are allowed to bear as much weight on their operative leg as is comfortable. You will be instructed by your physical therapist on appropriate exercises and given a list to follow.
Be sure to talk with your surgeon and your therapists about when you can begin new activities. Generally, we do not advise using weights for at least the first two months. Talk with your doctor about when would be the right time to start using weights. For the most part, you can gradually resume sexual activity when you are comfortable. You should not drive until you are no longer taking narcotics and have good strength and leg control.
Safety is the main priority. This depends on the type of work you do. You may be able to return to a sedentary work after about 3 to 4 weeks. If your work is more rigorous, you may need up to 3 months before you can return to full work.
In some cases, more time may be needed. You may travel as soon as you feel comfortable, but avoid long-distance travel for 4 to 6 weeks or until after seeing your surgeon. We advise you to get up to stretch or walk at least once an hour when taking long trips. This is important to help prevent blood clots. Select basic ads. Create a personalised ads profile. Select personalised ads. Apply market research to generate audience insights. Measure content performance.
Develop and improve products. List of Partners vendors. If you have severe arthritis in your knee or knees, you may benefit from physical therapy to help improve your knee range of motion ROM and strength.
Sometimes the pain, limited motion, and joint degeneration are too severe, and surgery is necessary to restore optimal function of your knee. A total knee replacement TKR surgery is typically done when severe arthritis causes knee pain, limited motion, and extreme difficulty with walking.
If you have had a TKR or are expecting to have one, you may benefit from physical therapy after surgery to help you regain your normal mobility. A knee post-operative protocol is a general guideline that your surgeon and physical therapist may follow to ensure that you are progressing properly after your surgery.
The TKR protocol provides you and your physical therapist PT a framework on which to build your rehabilitation program. If you are expecting to have a TKR surgery, ask your surgeon if they have a specific post-operative protocol that you should follow.
If not, your physical therapist may have one that can help you understand what to expect during your rehabilitation after your TKR surgery.
This machine helps to gently and slowly bend and straighten your knee while you are lying in bed. There are settings on this machine to adjust the amount of motion that occurs at your knee joint. Your healthcare provider and physical therapist can work with you to make sure the CPM machine is set properly. On your first day after your TKR surgery, you may be visited by a physical therapist in the hospital. They will help you sit up in bed, get out of bed, and start to walk.
Usually, a standard walker or a wheeled walker is used after surgery to help provide extra support while you are walking. Your acute care physical therapist will also instruct you to perform knee exercises while you are in the hospital. These exercises are designed to help improve your knee ROM and strength and can help keep your ankles and hips moving to make walking easier. Simple exercises like pumping your ankles and squeezing your buttocks can prevent blood from pooling in your body.
This is important to help prevent a serious condition called deep vein thrombosis DVT. Your main goal in the hospital after TKR is to become independent in with functional mobility so you can leave the hospital and go home.
This includes being able to move in bed, get out of bed, and walk. If you have stairs in your home, it is important to be able to navigate those stairs, and your PT in the hospital can help you master this task. After two to three days in the hospital, you should have improved functional mobility and may be discharged to your home or a sub-acute rehabilitation facility. Read on to learn what to expect during the 12 weeks after surgery and how to set goals for your healing.
Rehabilitation begins right after you wake up from surgery. Within the first 24 hours, your physical therapist PT will help you to stand up and walk using an assistive device.
Assistive devices include walkers, crutches, and canes. A nurse or occupational therapist will help you with tasks such as changing the bandage, dressing, bathing, and using the toilet. Your PT will show you how to get in and out of bed and how to move around using an assistive device. They may ask you to sit at the side of the bed, walk a few steps, and transfer yourself to a bedside commode.
They will also help you use a continuous passive motion CPM machine, which is a device that moves the joint slowly and gently after surgery. It helps prevent a buildup of scar tissue and joint stiffness. Some people leave the operating room with their leg already in the device. Some pain, swelling, and bruising are normal after TKR surgery.
Try to use your knee as soon as possible, but avoid pushing yourself too far too soon. Your healthcare team will help you set realistic goals. Get plenty of rest. Your PT will help you get out of bed and walk a short distance. Work on bending and straightening your knee and use a CPM machine if you need one. On the second day, you might walk for brief periods using an assistive device. As you recover from surgery, your activity level will increase gradually.
If the surgeon used waterproof dressings, you can shower the day after surgery. Your PT might ask you to use a regular toilet rather than a bedpan.
They might ask you to try to climb a few steps at a time. You might still need to use the CPM machine. Work on achieving full knee extension at this stage. Increase knee flexion bending by at least 10 degrees if possible. On day two you can stand up, sit, change locations, and use a toilet instead of a bedpan. You can walk a little further and climb a few steps with help from your PT.
If you have waterproof dressings, you can shower the day after surgery. You will likely stay in the hospital for 1 to 3 days after surgery, but this can be a lot longer. But you will need someone to help you at home for the next few weeks or until you have more energy and can move around better. You will go home with a bandage and stitches, staples, skin glue, or tape strips. Change the bandage as your doctor tells you to. If you have stitches or staples, your doctor will remove them 10 to 21 days after your surgery.
Glue or tape strips will fall off on their own over time. You may still have some mild pain, and the area may be swollen for 3 to 6 months after surgery. Your knee will continue to improve for 6 to 12 months.
You will probably use a walker for 1 to 3 weeks and then use crutches. When you are ready, you can use a cane. You will probably be able to walk on your own in 4 to 8 weeks. You will need to do months of physical rehabilitation rehab after a knee replacement. Rehab will help you strengthen the muscles of the knee and help you regain movement. After you recover, your artificial knee will allow you to do normal daily activities with less pain or no pain at all.
You may be able to hike, dance, ride a bike, and play golf. Talk to your doctor about whether you can do more strenuous activities. Always tell your caregivers that you have an artificial knee. How long it will take to walk on your own, return to normal activities, and go back to work depends on your health and how well your rehabilitation rehab program goes.
The better you do with your rehab exercises, the quicker you will get your strength and movement back. This care sheet gives you a general idea about how long it will take for you to recover.
But each person recovers at a different pace. Follow the steps below to get better as quickly as possible. Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if you are having problems.
It's also a good idea to know your test results and keep a list of the medicines you take. Call anytime you think you may need emergency care. For example, call if:. Call your doctor or nurse call line now or seek immediate medical care if:. Watch closely for changes in your health, and be sure to contact your doctor or nurse call line if:. Author: Healthwise Staff. Care instructions adapted under license by your healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional.
Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. It looks like your browser does not have JavaScript enabled. Please turn on JavaScript and try again.
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