Can I kneel after a Total Knee Replacement
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- Опубликовано: 20 апр 2023
- Kneeling after a total knee replacement can sometimes be problematic. And it was for us until we came across a fantastic surgeon who showed me the way. Now, many more of our patients can kneel after surgery with this one small change.
For more information, check out this page, or ask your questions in the comments below which will be answered on this page: www.drchienwenliew.com.au/kne... 
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I’ve had both knees replaced… and I can easily kneel in either knee!!! Tried it a couple of months after surgery each time… No Problem!!!
I am 84 years old, weigh 220 lbs, and am 6ft,1inch tall. I have had both knees replaced with the incision down the middle of the knee. I can and often kneel on my concrete shop floor, while woodworking , for short periods with little or no discomfort. I am careful to support myself during the kneeling process so as not to plop down on the concrete but a 3 or 4 minute kneeling period is not uncomfortable.
That is absolutely fantastic! We found that about 15-20% of our patients could kneel with the standard, midline incision that was performed previously.
Kneeling is not the problem. Can I get up is. Lol
I had a operation five years ago and waiting 4 of us started talking 3 of us went to Dartmouth and the doctor made 4 the youngest want to replace his knee to play tennis with his son ,he died on the table heartbreaking,it a serious operation with a long recovery
Wow, if I ever need my knees done I'm coming down to you. This makes such total sense. I had a fancy smancy medial meniscus tear done 6-7 years ago and can't kneel on that knee now. Thank you from this Queenslander I'm saving your video for future reference.
I have had both knees done several years ago ,very pleased with the result but definately cannot kneel.Also if you fall as I have twice it is impossible to get up because you are unable to roll over on to your knees.I have spent hours trying to get up as I live alone.I am really glad to hear things have now improved and I hope that will become the norm in all hospitals.
You could try to desensitise it slowly. For some patients, not being able to kneel also won't bother them a great deal.
I'm able to roll and get onto my hands and feet, bent over, and I am about the most inflexible person you will meet.
I've recently had a full right knee replaced. The Doc. told me to kneel asap to get used to it. I can and do. However it is the weirdest sensation as I've never gained full "feelings" in that knee. I started by kneeling in bed, thinking if it hurts, it's a soft landing.
5:00 PM central time
I just had double knee surgery, September 18 of 2023
My doctors PA said I can get on my knees and do whatever I want as long as I can handle the pain. She told me do not run unless bear is chasing you because you do not want that hard impact on your knees.
My therapist today when I got on my knees for the second time, suggested that I not do that no more.
I’ve watched your video games a lot of information and thank you very much for your videos. Have a good day.
Im a 57 yo male and have both TKR 4 years apart, with recent surgery 6 months ago. Like most on this chat, i can kneel on my first TKR with pain, however surfaces like carpet is easier. Not quite there yet with second surgery however with my experience with first surgery its a much easier recovery as from my waking moment in hospital i straightened, flexed and stood 40% weight on it within hours. First TKR like most i assume, was hesitant to move at first and have no doubt recovery was not as quick as i had been told. Second TKR is awesome for 6 months. Every moment i remembered i would rock toes forward and back, raise knee and extend to establish a flat leg. Physio was very pleased that he could not slide his hand under my knee within 7 days. While not as good as natural knees, im pleased with improvement from severe osteoarthritis i endured for far too long. For any one due for surgery in the future, my advice is move as much as you can when you can, with the goal of stretching any scar tissue to oblivion. Currently working with PT at local gym and am able to leg press my weight (125kg) plus 100kg added weight and knees are great. Thanks to all surgeons, you make a hell of a difference for us all.
Yes, I am making good progress on kneeling following Chien-Wen’s replacement of both knees. Like everything it requires consistent attention to the rehab, moving from very padded through soft through to harder surfaces. It’s especially useful to be able to kneel on exercise mats in Pilates class. It has worked for me1
I can kneel, but it’s way too painful to do so.
You can try to desensitise it, but we have found that the scar on the midline can really play a role in kneeling.
Me too.
It's not about being literally able to kneel; it's about being able to kneel comfortably.
@@orthopaedics360 too
I had 2nd knee replaced in Jan 2020, (1st one 18 months before). because of Covid I was not able to finish my PT or resume water walking and swimming right away. I did some of my suggested therapy at home but not as much as was recommended. 6 months after my surgery I could not kneel, I would hold on to my walker and slide down onto a thick pad and then sit to do my gardening. I have about 200 ft of roses and other perenials around the edge of my yard which need to be cut and weeded in early spring and mid summer. I have kept working at it, I am now 76 and after 3 years i can just kneel down and get back up with no problem. last winter I had to kneel on concrete to clear my snow blower before putting it away, a little uncomfortable, but doable, I am in US,
That’s really useful tip @Dr Liew 😊👍
Glad to hear! The lateral skin incision is in my view, and absolute must if possible. If there are other incisions around the knee, then it becomes less beneficial
I had a knee replacement 12 years ago and I cannot kneel on that knee. I've tried everything . I always thought it was probably my fault. Thank you!
I felt the same way.
Ues. Thst us very imporyant. I workef very hard to maximide thevrange of movement.
I’ve had both knees done. I can’t use my knees at all. No cleaning the bathtub, getting something that’s fallen under the bed or even getting on the floor for an exercise because I can’t use my knees to get back up.
My surgeon was amazing but he used a midline incision on my right full knee replacement. Now, through time and much practice, I can put some light weight on the scar tissue. After thinking about it I wondered why the incision wasn't to one side of the knee. Now I know that it can be! Eventually, I'll need my left knee done, and when I do, I'll request a surgeon who does the side cut. Thank you for this informative video!
Im glad to help - its a small change that adds to the benefit of kneeling far easier, whether or not that is beneficial for some patients - its up to them to decide!
Oh my, I didn’t know about not kneeling after knee replacement - - when I had one done ten years ago. I fell a couple of years ago and tried to get up by kneeling, the excruciating pain was so severe that I screamed. I would not get the other knee done because of this, yet it too is so painful that I can not kneel at all now! I always wondered why it is so dreadfully painful to kneel after a replacement - - WOW, I’m glad that I clicked onto this site!!!
I use a pad to kneel now on hard surfaces
I have zero issues when I kneel on my replacement knee. I started kneeling on it about a month after my replacement surgery. My Dr is excellent.
Well done!
Was this due to the placement of the incision? I got a total knee replacement with a Mako robot yesterday, and I'm pretty sure that mine goes straight down the middle. Op was at 8am. I was on the way home at 3pm. Modern medicine is crazy.
I had my left knee replaced 3 months ago by Dr. Liew from orthopadeics 360. I am very happy with the results so far and apart from some minor swelling and some minor heat, I have no ongoing issues. I can kneel on my left knee on hard surfaces no problems at all, although I probably use my right knee to support a greater portion of the total weight at the moment.
Well done!
I had a total knee replacement - right knee. I have the usual scar down the front of the knee. Not bring able to kneel is very limiting so I was worried but determined to try. It was very uncomfortable at first but I kept practising and it became much easier. Now after three years I have no trouble at all. My advice would be to persevere starting with soft surfaces and progressing to harder ones.
Absolutely - desensitising the skin is the name of the game. With an anterior incision, I would say that only about 10-20% of my patients could knee. This is very different now with the curved incision around the knee.
Show a picture of the lateral incision after it is healed….
I have both knee replacements very successfully but I can’t kneel, the pain is dreadful. Grateful for small mercies though.
The standard midline incision can make kneeling more difficult, but you can try to desensitise it.
Interesting. I've had bil knees done. Kneeling is very uncomfortable. I do it in my reformer pilates cláss, but, the discomfort is always there and on my mind. Would have liked to have this option. You really need your knees, planting, weeding, getting up from floor exercises or falls! No more kneeling in church, I think God understands
Yes, kneeling for many people is very important. I feel it's good to try to restore this function in as many people as we can.
Joint replacements designed in the Civil War world war 2 function of Hitlerism Doctor Frankenstein-ism should've never never never been allowed to occur to 1st time just like males delivering babies in the 1800s review CIA paperclip recognize we never shut down the Holocaust.
TLCs HELP .. Help your body .. Eliminate ... Long-term chronic pain help heal cure PTSD; PTSD resolves with enough TLC works perfectly 100% of the time when you understand pregnancy muscles and acupuncture. PTSD 2 types pregnancy related war related
⦁ Painfulness.
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⦁ Decomposing metastatic malignant Neuro-muscle tattered worn muscle fibers = cancer cells = tattered chromosomal telomeres, depleted brain neurotransmitters degrading process.
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I have been very inventive in finding ways to clean low kitchen cupboards but I wish ai could kneel.
I lean on my left TKR all the time. It doesn't feel natural, but I do it all the time. I do use a thick gardening pad however.
I had partial knee replacement done in 2019 and I can kneel on it providing I use knee pads or a cushion but if I forget and kneel without some form of cushioning the pain is like an electric shock. I was a carpenter so kneeling was a given thing especially doing flooring and skirting boards but now I’m semi retired @69 yrs old so kneeling isn’t so vital but I do have lots of trouble getting up out of low chairs especially without arm rests
Why ex had knee replacement she wouldn't kneel 😂
Had first knee replacement at 50. Didn't go well pain bent over walking
. Eleven years later same knee replaced but a Stryker was used. At 75 I will not do another.
1) I definitely can’t kneel after bilateral replacements with midline incision
2) for those who can’t my PT helped me figure out a way to do it ( need to know in case you trip and fall)
3) when on the ground, lay on your tummy.
Place a bulky rolled up towel of lap blanket so that it’s firm enough not to squish all the way flat.
Place that horizontally across your shins ( between your knees and ankles) closer to the knees though not directly on your knees.
Doing this gives your knees enough elevation from the ground so you are not directly kneeling on the ground itself. As you go to get up all the weight and pressure is directed to your shins and your knees ride free because they are neither on the ground or the rolled up towel or blanket. That’s why it’s important to have a firm roll or pillow so your knees don’t end on the floor as you get up.
Hope that makes sense. It was brilliant and was the first time I could get down and up from the floor in years !
Going to tell my surgeon about this new lateral approach though - brilliant!
Absolutely, some patients can kneel with a standard incision
Trouble is i have fallen out twice and there is no access to rolled up towels.Good idea though
Outside
For those of use who have had knee replacement/s (2005 on left 2010 on right), is it possible to have the surgery done over so that one can kneel? Am I correct in thinking that would involve removing the original appliance and then have the knee replacement done again using the cutting method described? I am also thinking insurance would not cover the expense. Comments please!
I have bilateral knee replacement. I wish my orthopedic surgeon knew about this. Because I have my incisions mid knee and kneeling hurts. I used to be a competitive shooter, but I can no longer assume the kneeling position.
Try to desensitise it if you can - it will help.
How would I do that? I'd love to be able to kneel again.
I can kneel but it is excruciating. I've done it only in desperation to get up after a fall. Had my knee surgery 10 years ago.
Had my new knee just over 3years ago, I am lucky too get it to bend passed 78 degrees..
James
I wouldn’t recommend it I’ve had both knees done. Working on the Ramp for SouthWest in BOS I learned not to do that again after crawling around in the AFT compartment after the first TKR
I can knell on my rt knee, not my left.
I have both knees replaced. I have a 2 inch thick pad l use to get on my knees! Hurts and my right knee will swell if l get down on it!
Can you replace a replacement knee that's gone wrong
Instead of practicing on a bed or couch, try it on a well-stuffed armchair or recliner. That way, your arms can support your weight easily as you gradually let yourself down on your knees. My incisions, by the way, are just to the medial side of the knee, not the lateral.
Medial incisions in general will have larger numb spots to the lateral aspect of the wound. They are still good. We used to use them many years ago until changing to full lateral incisions..
Ah, one of mine does have a large area of numbness laterally, the other does not.
I have no issues nealing on my total knee replacements. Insisions are over the top.
Well done, some patients can still kneel with a standard incision
It's just much too painful, even with cushions.
My surgeon just gave me three don’ts after my double knee replacements. No running, no jumping and no kneeling.
Depends if your tie rod breaks.
I can’t kneel on my knee replacement feels like I’m kneeling on shards of glass
Where is your incision placed?
Sure now find out that I could have knelt, I have tried and the pain is so high can only last about 2 sec. Wish I knew this then. Will pass on to my knee surgeon tho.
Yes you can!
1, Kneel on the ground, preferably a hard surface, and wonder at the eclectic mix of pain and numbness.
2, Have your therapist insist on kneeling down, apparently it’s good for you.
3, And my personal favourite, falling over. See item 1.
4, Sex, still being under the misapprehension that you’ve got it.
You haven’t.
See item 1.
Worst thing I ever did to my body. Had a doctor who treated me as if I was insane . Can’t kneel and always in pain.
I have had both knees replaced, however, because of bad back & rt side of neck, cannot kneel in pew at church because of narrowness of kneeler & too close to.pewin front of me. However, if kneeler is very wide & cushioned, such as at our parish Communion rail, I can kneel.🙏Thank you for sharing info.
Sorry to hear that. May I ask where your incision was placed?
Become your own physician 6-year-old common sense simple TLC 1-2-3
1. Self-careTake 5 TLCs per day helps mother nature cure PTSD. HELP = help eliminate long-term pain of life PTSD deadliest and females postpartum traumatization stress decompensation deadly deprivations of TLCs will cause females to fall victim to combat stress shellshocked sleep deprivation malnutrition combat stress no place to rest psychosis neurosis fall over cooking Sleep attacks or MVA Lose their minds become homicidal.
2. Poisons NSAIDs Tylenol painkillers fentanyl
3. Butchery Doctor Frankenstein-ism amputations mutilations permanent no reversals.
Got knee replacement seven years ago on my left knee first class job if I have to kneel on hard surfaces I use knee pads keeps knee safe
Kneeling will not damage the knee - it is only uncomfortable for the underlying soft tissue
Thanks for the infor, but do you have any suggestions for someone who has both knees TKR? I find it hard to keep my balance when I knee. I’m always pitched forward and if there’s nothing for support I fall on my face,lol.
I can kneel on both replacement knees now, without pain. It took a long while before it was possible. The problem is getting up again!
I was never told that I couldn't kneel, just found out that it's very painful so I don't. I also didn't realize it was because of the incision. I might try desensitizing, see if that works.
I must apologize I graduated medical school in 1983 if you would've told me 40 years would go by status quo joint replacements will be the 1st choice for pain cured with TLCs I would've said no yet here we are!
I can’t!
I can and do kneel. It feels weird but it's not painful.
I can perfectly no issue at all and can raise myself. I am 77 years old and my knee was replaced 10 years ago,
Found this very interesting- especially as I’m getting a total knee replacement in 3 weeks.
But, if I may offer a suggestion ?
The background music was unnecessary and distracted me from your message. (ADHD issues)
Thankyou for your comments! We'll try to continue to improve.
I was told by my surgeon when i had my right knee replaced that i wouldnt be able to kneel or squat or climb ladders anymore. I can kneel on it but it is painful but i cannot squat. I was the poster child for rehabilitation but actually started regressing asfter 10 weeks with no reason why,both my surgeon and the therapy staff were puzzled
Hopefully things return back to your good rehab! Every knee is different!
I connect stand on my knee at all. About 12cyears ago. In stead of having relief I have NEVER been without pain and even my foot sole has no feeling.
A no no if only Dr was honest about possible problems I would never have had this painful and now taking me into pain EVERY DAY of my life, operation. Some drs just do not care. I could not even get his reports out of him when I realised I have a bigger problem. By the time I got all my records from other sources together this Dr left South Africa.
Sad but true.
Become your own physician 6-year-old common sense simple TLC 1-2-3
1. Self-careTake 5 TLCs per day helps mother nature cure PTSD. HELP = help eliminate long-term pain of life PTSD deadliest and females postpartum traumatization stress decompensation deadly deprivations of TLCs will cause females to fall victim to combat stress shellshocked sleep deprivation malnutrition combat stress no place to rest psychosis neurosis fall over cooking Sleep attacks or MVA Lose their minds become homicidal.
2. Poisons NSAIDs Tylenol painkillers fentanyl
3. Butchery Doctor Frankenstein-ism amputations mutilations permanent no reversals.
TLCs helps cure PTSD Posttraumatic stress neuromuscular decompensation chronic pain misery fibromyalgia hypochondria perfectly no failures BYOP TLC 123 Take 5 per day to live, Poison, Doctor Frankenstein
1. Sleep
2. Intake - Diet Minerals Magnesium Copper Zinc etc.
3. Mind-Mental-Emotional-Spirit Balance. Family, Social, Teams of Support Members.
54 Muscle damages so maintaining Maintenance and Balance to keep up maximum peak power vitality and optimizing miraculous healing capacity.
5. Time to Heal; retreat, restore, rehab, refresh, regenerate repair heal by forces from within. aka Mother Nature!
I'm wondering why my surgeon didn't put the suture line lateral to the knee. Since she did not will I ever be able to kneel?
Never say never! This little tip just helps our patients kneel better
I tried to get my surgeon to do the side incisions, but he would not. I can kneel as long as there is some kind of padding between my knee and the hard surface.
The curved lateral incision (I have a video on that) is something that has made a lot of difference in my patients. But it is not the normal incision to do.
I had typical vertical incision on both knees. I can kneel on pads. My Dr said the risk is shattering the kneecap 2:31 that is supposedly glued to a plastic piece. I have spoken to several athletic people who kneel on new knees. This is confusing.
My main issue is I want to bend knee and so I can see bottom of foot.
Your individual situation may be different, but in general, there are no limitations from a prosthetic perspective on kneeling.
Just had my "bad" one done in November. Doing the second one next month, June. Can't kneel on either one, currently.
Can a patient request the surgeon do a curved incision? I am in the US and need bilateral TKR.
It's best to let a surgeon perform the method that they are most comfortable with.
How long after the total knee replacement can I commence kneeling, please?
In general, we start trying about 1 month after the surgery
My doctor told me that I can't kneel anymore.
What was the reason behind it?
That’s not the question at all , we want to know does kneeling damage the parts or the changes that the operation causes . Of course we can kneel but should we ? Are we risking damage to the artificial items in our knee ? I have one unipolar and one full replacement. The incision is 15 years old on the unipolar and 5 on the full . So yes we can but should we ??!!
Hi Robert - no, kneeling does not damage the underlying implant - Dr Chien-Wen Liew
The question for me is, Can I kneel *without* a knee replacement??
Often patients find it hard to kneel even before their knee replacement. We hope to enhance that with the curved incision and removing the underlying inflammation through their total knee replacement
Both knees and hips replaced. I have fallen, and struggled to get up. Kneeling causes such excruciating pain that I almost pass out. Having said all that... I am so very grateful for all my surgeries and th doctors that did them!
If you're happy, then I am sure your surgeon is happy!
I am able to roll over and get up on my hands and feet, and I am as inflexible as they come.
I had bilateral knee replacement years ago and still feels like I am on razor blades when I try and kneel. However, I can do squats without pain.
Not everyone requires kneeling, but we like to push to increase the ability for kneeling in every way we can.
Can you do squats? I need both knees replaced and would love to go back to regular exercise and gardening.
Yes of course. Squats and leg presses are highly recommended for maintaining muscle bulk and bone density post total knee replacement surgery
@@orthopaedics360,I loved the leg press machine at PT!Wish I had one at home.
No. It's like I can feel the edge of the device sharply pressing the patellar tendon.
you shouldn't be able to really feel the edge of the prosthesis that easily, unless you are extremely thin. Either way, it should not result in any limitation in kneeling - it is the soft tissue on top of the prosthesis that causes the issue.
I had both knees done and it's very uncomfortable
So sorry to hear that John. It's best to speak to your surgeon if you are still having discomfort.
Too late she cried - Pity when two have been done the old way. Would have hope your profession had addressed this many years ago!
I am sure the best options were chosen for your surgery. This is only an option that we choose for our own patients.
@@orthopaedics360 Just making the point that with a little more care and consideration, this could have been done years ago..... Do find the medical profession (in general) today is more like a large cash slot machine.
I can’t even after 8 years
It is very uncomfortable, not painful
It’s the only negative
Be quick with the answer, the met police need to know.
4 years since left knee done. Absolutely NO, I can not kneel. Flesh and metal pinch, while bone and flesh do not pinch. Small sacrifice for a good functional knee. My new knee is my second favorite body part.
Only to the queen of dragons
I tried and there is no way I can kneel
ABSOLUTELY NOT.....both knees are replaced and I can not knell at all. My knees wqill no longer get me up from the floor
Work on quad strength.
@@chuckthomas7758 This will always be a good start, but may not improve kneeing.
But you're absolutely right with respect to getting up off the floor.
A good pair of knee pads will do the trick. I used knee pads for years before the surgery, I tried without after the surgery, but very quickly got my knee pads back out!
Sorry, doesn't work. I can't even kneel on the bed or pillows or blankets or cushions. Horrible pain, and I have a high tolerance for pain.
@@helenm6543 - I didn’t say it was comfortable, I just said it was possible. I am two years away from my replacement and just left the constant pain stage.
No way! I dont kneel because of the pain.😢
No. Hurts like heck.
No.
If you cant, your clients will be disappointed.
I have two knee replacements and do farm work everyday. It is somewhat uncomfortable but if you wear knee pads no problem. I wear Duluth trading company fire hose pants with built in knee pads. Awesome
Only if your name is Starmer.
I can kneel but
it's such a funny sensation, I don't do it. Not painful, just weird
From my experience no.
Nope no way
Since I was a kid, we Catholics always joked that Lutheran masses were for Catholics with bad knees. Because Luterans don't kneel during their masses. 😄😉
So, until about 5 years ago, the unknown surgical incision, resulted in patients unable to kneel! Why didn't your education teach you this?!#...
Absolutely not!
At no point can you get on your knees. I've had both mine replaced. It's more than painful to try to get on your knees. Sit or stoop
Only.
No you cant
Are you gonna break
Martha's knee or Elon's knee?
They did this, not me.
You get to pay
the consequences, though.
For being dirt.
Only if you supported BLM.
I don't know about this guy. I had both of my knees done and I can't kneel down. Pain, maybe. The main reason is loss of range of motion and the knee won't bend like before. I just been at my doctor Dr. Sah in Fremont ca. My last Opp was exactly 5 years back. 130 degrees of bending. The one before 125 degrees only. If your knee bends only that much one can't kneel. By the way Dr. Sah thinks that I am doing very well. Never had any kind of pain.
TLCs helps cure PTSD Posttraumatic stress neuromuscular decompensation chronic pain misery fibromyalgia hypochondria perfectly no failures BYOP TLC 123 Take 5 per day to live, Poison, Doctor Frankenstein
1. Sleep
2. Intake - Diet Minerals Magnesium Copper Zinc etc.
3. Mind-Mental-Emotional-Spirit Balance. Family, Social, Teams of Support Members.
54 Muscle damages so maintaining Maintenance and Balance to keep up maximum peak power vitality and optimizing miraculous healing capacity. Stretching, flexing, range of motion, muscles have a built-in mandatory need to be kneaded unlocking Tight bands knots Kings soreness spasms blood flow Flushing poisons CO2 acids putrid waste products replenishing Oxygen red blood cells platelets progenitor Cells stem cell macrophages
5. Time to Heal; retreat, restore, rehab, refresh, regenerate repair heal by forces from within. aka Mother Nature!
Become your own physician 6-year-old common sense simple TLC 1-2-3
1. Self-careTake 5 TLCs per day helps mother nature cure PTSD. HELP = help eliminate long-term pain of life PTSD deadliest in females postpartum traumatization stress decompensation deadly deprivations of TLCs will cause females to fall victim to combat stress shellshocked sleep deprivation malnutrition combat stress no place to rest psychosis neurosis fall over cooking Sleep attacks or MVA Lose their minds become homicidal.
2. Poisons painkillers fentanyl
3. Butchery Doctor Frankenstein-ism amputations mutilations permanent no reversals.
You have to keep the knee bending and unbending, repeatidly straight after the operation (with attached machine if available, otherwise by own efforts,), in order to preserve a full range of movement. If this isn't done, you lose bending ability.