Knee Replacement Rehab - What to Expect After Your Surgery
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- Опубликовано: 1 ноя 2022
- Allison, PT DPT from our StoneFit Physical Therapy team walks through what to expect after your knee replacement surgery at The Stone Clinic. The knee replacement surgery patient experience has changed dramatically thanks to innovations in robotic knee replacement techniques. From day one, the knee and implants are stable which allows us to get to work right away to begin the rehab process to get you back to activities that conventional, non-robotic knee replacements do not permit.
PLEASE NOTE: THIS GUIDANCE IS SPECIFIC TO PATIENTS HAVING THEIR KNEE REPLACED BY DR. STONE USING THE STRYKER MAKO ROBOTIC-ARM ASSISTED ORTHOPAEDIC SYSTEM. RECOVERY TIMES & ACTIVITY MILESTONES MAY BE LONGER WITH OTHER FORMS OF KNEE REPLACEMENT.
www.stoneclinic.com/robotic-j...
Dr. Stone is biased toward replacing injured knee tissues biologically with a BioKnee, but for those patients with true bone-on-bone, worn-out knees, The Stone Clinic helps return athletes to sports with a robotically-assisted total knee joint replacement.
For unparalleled accuracy in placement, we use the MAKO Surgical Corp Robotic Arm Interactive Orthopaedic System. The system robotically guides the surgeon to precisely replace the joint with an advanced knee implant that fuses directly with bone, resulting in a more natural feeling knee that allows a return to high-level and impact sports.
This process of knee joint replacement is minimally invasive and provides rapid pain relief with a return to an active lifestyle within weeks for most patients.
Call The Stone Clinic at +1 (415) 563-3110 for an appointment. You may learn more about robotically-assisted knee replacement program and other treatment information at:
www.stoneclinic.com/knee-repl...
www.stoneclinic.com/blog/what...
Complimentary Phone Consultations are available for patients outside the San Francisco Bay Area.
www.stoneclinic.com/consult 
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You may learn more about robotic knee replacement program at www.stoneclinic.com/robotic-joint-center. Call The Stone Clinic at +1 (415) 563-3110 for an appointment or Complimentary Virtual/Phone Consultations are available for patients outside the San Francisco Bay Area: www.stoneclinic.com/consult
I have had 2 total knee replacements. #1 Get the nerve block with the surgery. My first one I did not have it, and I was miserable. For the 2nd one I had the nerve block, and it bought me 24 hrs with virtually no pain. #2 Do the rehab, expect pain, and take your pain meds before rehab. #3 Do not get discouraged at progress in rehab. Every surgery is different, so you may be at 90 at 1 week or it may be week 3.
#4 After rehab (6-8 weeks) is over, the bend can still improve. When I left rehab on first knee at week 7, I had 120 degree bend; however, this was after full warmup, exercise, and gritting my teeth. By doing exercise with repetitive motion, like bending and picking up limbs, etc., bike riding, or squatting, the knee bend will improve. Two years after my first knee replacement, I had them check my knee bend walking in cold--with no heat, stretches, or exercise--and I had 120. Hence, I had improved AFTER rehab. In fact, the knee will continue to improve for a year.
Hope this helps someone. I agree with your video based upon my experience.
Fantastic advice! Thanks so much for sharing your experience and tips you've discovered. Spot on. Rehab is absolutely crucial to optimizing your outcome and getting back maximum functionality after surgery. The more you put in, the more you get out.
@@stoneclinic Thank you. 3 more weeks to go on this knee.
@@Nephthys-ness Yes, I had a small one at home, and it worked well for me before and after surgery. However, after 6 weeks or so post-surgery, it was no longer necessary. Rehab can use them also. Their version is superior to my home one.
Keep up the good work
Thanks, will do!
Recommended exercise ball size?
I am a relatively active and young adult with years of abuse to my knees as a firefighter I was told recently I will need knee surgery in the near future I’m not stoked about it but it would be nice to do the things I was doing in my 20s without knee pain but I am also a little nervous about the recovery and how much down time I will need to plan for.
Hi there, we definitely encourage you to see an orthopaedist sooner than later. The more you know about the state of your knees now, the better equipped you are to preserve them for the long haul of a full life. There are a lot of non-operative interventions that can help you today. We use injections of platelet-rich plasma (PRP) and hyaluronic acid (HA) which provide pain relief and lubrication to the joints. When combined with physical therapy, you can knees can feel much "younger" than they may today.
If surgery is required, you can better understand and plan around it. What's important to note about our video is that we are talking about the recovery time for the way we perform knee replacements at The Stone Clinic. With robotic surgery, the procedure is much less invasive and removes less tissue. This means the recovery time is shorter perhaps than you may find with more traditional forms of knee replacement. Also, the sooner you are diagnosed, you may be eligible for a partial knee replacement vs a total knee replacement. You can learn about partial knee replacement here on our website, where you will also find estimates on recovery times from our procedure www.stoneclinic.com/partial-knee-replacement
We wish you the best!
My consultant told me as I was doing the exercises before surgery & had a good ROM ( range of movement )he said the operation should work fine 🫰🏼
Thank you for the informative video. Quick question. I've had both knees replaced recently (3 months ago and 7 weeks ago). Strength, range of motion, straightening the knee - all good. Been riding my bicycle and working out. The problem I'm having is extreme pain across the front of both knees when standing up from a low couch or chair.
I have to use my hands for assistance or it's like lightening roughly following the incisions. Perhaps I'm just rushing things too much. When do you think this pain will subside? Many thanks!
Hello, Marshall. Pleased to hear of your post-op progress and return to activities. We cannot provide insight into what is occurring within your knee as every knee is different and your full medical background would be required to give you safe advice. So we would need you to make an appointment to offer real help. What we would suggest is getting in touch with your orthopaedist and/or your post-op physical therapy team. They should help you identify the cause of your pain and advise on the appropriate way to address it. Otherwise, please come to San Francisco and we can help (415) 563-3110.
@The Stone Clinic thanks for the reply. So I'm not sure if you're saying that my symptom is not a normal part of the healing process or something unusual.
We really don't know if that pain is normal for you. Our clinicians would need to personally review your medical history, surgical reports, MRIs, x-rays, etc. to make that assessment. We can't safely guide you on what is normal for your knee here in the comments section. However, any pain you experience should always be communicated to your care team and they can help you understand if it's normal or not. For example, we offer 1-month, 3-month, 6-month, 1-year post-op follow-up appointments for free to ALL of our surgical patients because we want every opportunity to ensure a patient's progress stays on track and to identify any issues a patient may be experiencing early on in their recovery. This way any deficiencies can be addressed and our patient's can have peace of mind in understanding the expectations of their recovery.
@The Stone Clinic thanks again. I find it a little curious that you do this all day everyday and you video is titled "What to expect after knee surgery" and you can't say whether or not this symptom is a typical part of the healing process.
I realize everyone is different, but certainly there are common recovery issues amongst patients.
@@marshallgerston4809 we hear ya. However, these videos are to help give an overall view of what to expect. But we can't have Communications majors giving you surgical recovery advice over the internet about a surgery/injury for which we don't have the details. It's simply impossible for us to know if you're pain is normal or not. Responsible care comes from well-informed, trained providers with degrees in Physical Therapy & Orthopaedic science that know your full medical history and the specifics of your particular surgery. If you arrange for an appointment with Dr. Stone or a virtual rehab exam with our StoneFit physical therapy team and become our actual patient, our team can help immensely providing specific understanding of your injury and effective methods to recover and strengthen to meet your personal goals. Please contact us if you would like some assistance www.stoneclinic.com/contact-us and we would be happy to help.
I had a TKR three days ago and have had the worst heartburn since. It’s apparently due to the anaesthetic.
Thanks for sharing your experience. We have all people with all sorts of questions about the what to expect.
@@stoneclinic - you’re welcome. The more we are all aware the better we can deal with it 🙋🏻♀️👍🏻🇬🇧
Do the joints weight much?
Can't speak to the exact weight of the joint. However, there is a ton of information on the MAKO partial and total implants on their website. You may find some answers there patients.stryker.com/knee-replacement/options/mako-robotic-arm-assisted-total-knee
I am 5 weeks post opp. Had to be admitted due to cellulitis, and I am still in pain. What should I do?
Sorry to hear that you're having post op issues. We cannot offer specific clinical advice on our RUclips channel. We suggest to contact your operative team or you can call to arrange an appointment with Dr. Stone for to review your injury and advise on your issue. You may make an appt by calling us at 415.563.3110.
I had acl surgery when I was 18 am 26 that means when I get older am have knee replacement surgery?
It depends. If the knee, through surgery, is properly repaired and restored back to normal function, then you may not develop arthritis. However, if their is an abnormality in the knee that causes extra wear on your articular cartilage, then it may develop into arthritis later in life.
What about bleeding afterwards?
All incisions are sutured upon completion of the surgery. Afterwards, the wound is carefully cleaned and observed until it is time to the remove the sutures. Hope that answers your question.
Not Me...
One day maybe 🥹
You’d do it if you had severe arthritis pain
Why does one tire easily after TKR
Not quite sure what you mean by tiring more easily after a TKR. Recovery from any surgery can take some time, but with physical therapy, we have patients running marathons, skiing, and engaging in other high-intensity sports. So a TKR doesn't cause any increased fatigue.
@@stoneclinic you make it sound like the recovery is easy, your misleading people, it's a long healing process, takes a year to a year and a half til you get a full recovery, it's very painful but absolutely doable with good, hard physical therapy and commitment but you definitely make it sound like everybody is going to be doing good after a short time when in fact it's not, some of you PT make yourselves out to be more qualified than the orthopedic surgeons
Hi, @@Gregory-sm9pf . Not looking to imply that any recovery from a surgery is easy or discount anyone's challenging personal recovery experiences. However, a majority of our patients are back to full activity 4-8 months after surgery. We actually had a patient run 3200 miles across the United States 11.5 months after partial knee replacement performed at our clinic. With robotic knee replacement, recovery times are much shorter than traditional knee replacement. You can see our typical recovery times with MAKO robotic-assited surgery at the bottom of the page here www.stoneclinic.com/knee-replacement. You can also hear directly from our knee replacement patients in the next link. We include how many months post-op in each of their stories www.stoneclinic.com/patient-stories/treatments/mako-robotic-knee-replacement.
@@stoneclinic first off TKR surgery is a painful one, the first 2, 3 weeks are uncomfortable, at about six weeks you start feeling it getting better as far as pain diminishing, 3 to 6 months you can start feeling some decent mobility and overall it's one year to 18 months before it's healed as good as it can, I can't really comment on the robotic side of TKR surgery because I didn't have that so I have to go by what your saying where 4 to eight months your patients are back to doing their thing which is pretty impressive, I just tread the waters carefully on social media about TKR surgery because alot of it is (the information) greatly exaggerated and I can tell by watching some videos or reading people's personal experiences are false, their just trolling which ticks me off because it's misleading to people who are going to have TKR surgery, I just had my 2nd TKR surgery done two weeks ago from today at New England Baptist hospital in Boston, everything went well, saw my surgeons assistant today , they took X-rays and he said everything looks good and to continue PT, I just now wish I had gotten robotic surgery done because of your success rate of 4 to 8 months recovery time because that is awesome, thank you for replying back and best wishes to you
Most likely its from fighting pain , fighting pain is tiring .