What To Expect One Week After Knee Replacement Surgery

July 4, 2024

Navigate the first week after knee replacement surgery with our clear guide, from expected pain to recovery steps.

Recovery Timeline After Knee Replacement Surgery

The journey to recovery following knee replacement surgery varies from person to person, but a general timeline can provide a guideline of what to expect. This section will cover the immediate post-surgery phase, the first week after surgery, and the progress in the second to third week following the procedure.

Immediate Post-Surgery Phase

In the immediate hours following knee replacement surgery, patients can expect to experience pain and swelling in the knee area. It's crucial to manage these symptoms effectively for comfort and to kickstart the healing process. During this period, patients will be encouraged to mobilize and start walking with the help of supportive devices. However, rest is also a key component of this stage to allow the body to heal.

First Week After Surgery

By the end of the first week, patients can usually expect to return home. At this point, their mobility should have improved significantly, and they should be able to stand unassisted, walk without crutches or a frame, and perform daily activities with relative ease. However, everyone's recovery journey is unique, and progress will depend on several factors, including the individual's health status before surgery, the complexity of the operation, and adherence to post-surgery care guidelines [1].

Second to Third Week Progress

As recovery continues into the second and third weeks post-surgery, patients may find that they can get around with just a walking stick or without any aid at all. The need for prescription medication to manage postsurgical pain typically decreases, and many people no longer require it by week three.

By this stage, many people can also begin driving again, typically around 4–6 weeks following total knee replacement surgery, further enhancing their independence and mobility.

Week	Progress
1	Stand unassisted, walk without crutches or a frame, perform daily activities
2-3	Get around with a walking stick or without aid, decrease in need for prescription pain medication
4-6	Begin driving

This timeline provides a general overview of what to expect in the weeks following knee replacement surgery. However, individual experiences may vary, and it's important to follow the advice of your healthcare provider and listen to your body throughout the recovery process.

Physical Therapy and Rehabilitation

One week after knee replacement surgery, patients typically find themselves in the early stages of physical therapy and rehabilitation. This phase is a crucial aspect of recovery, as it aids in regaining strength and range of motion in the new knee.

Importance of Physical Therapy

Physical therapy is a critical component of recovery after knee replacement surgery. As noted by IMPACT Physical Therapy, it helps counter some of the effects of immobility before the surgery, such as muscle weakness and joint stiffness. Moreover, patients are usually advised to start physical therapy on the same day of the knee replacement surgery once the pain is under control, emphasizing the importance of early movement in a controlled environment.

Duration and Progression

Physical therapy after knee replacement surgery typically involves about three months of meeting with a physical therapist, with the first few weeks focusing on reducing pain and building strength and flexibility Health Partners. However, the duration and type of physical therapy post knee replacement surgery can vary based on individual factors such as overall health, age, and the progress of the recovery from the surgery IMPACT Physical Therapy.

Beyond the initial outpatient program, therapy may continue for some time, with exercise programs provided to maintain and build upon the progress made during therapy IMPACT Physical Therapy.

Exercises and Activities

Physical therapy exercises during this phase are tailored to the patient's needs and designed to improve strength, flexibility, and range of motion in the new knee joint. Some common exercises may include:

Leg Lifts: Lying flat on your back, slowly lift the operated leg about 10 inches off the floor and hold for a count of 5-10.
Knee Bends: Sitting on a chair, slowly bend the knee as far back as possible while keeping the foot on the floor.
Walking Exercise: With the support of a walker or crutches, start walking short distances, gradually increasing the distance as strength and mobility improve.

It's essential to follow the physical therapist's instructions closely and to perform exercises regularly for optimal recovery. In addition, patients should avoid activities that could put undue strain on the new knee joint, such as jumping, high-impact sports, and heavy lifting.

Remember, recovery from knee replacement surgery is a gradual process, and progress may vary from person to person. Patience, perseverance, and a positive attitude can greatly contribute to a successful recovery and return to daily activities.

Long-Term Recovery Expectations

Understanding the long-term recovery process after knee replacement surgery can help set realistic expectations and contribute to a smoother recovery journey.

Months 1-3 After Surgery

During the first month after surgery, the focus is on reducing pain and building strength and flexibility. Physical therapy is essential during this period, with the first few weeks focusing on these areas. Physical therapy usually involves about three months of meeting with a physical therapist, with exercises tailored to your needs.

From the second month onward, patients can expect to resume some normal activities. However, full recovery from knee surgery is typically achieved around 18 months after the surgery.

Beyond 3 Months Post-Surgery

By week 13 and beyond, the knee will continue to improve gradually, with a reduction in pain; it may take up to 3 months to return to most activities and 6 months to a year to reach the maximum strength and resilience of the knee post-surgery.

One year after knee replacement surgery, patients should be fully recovered in terms of function, range of motion, and pain. However, the incision may have some numbness on the outer side, and clicking in the knee is normal. The knee may still be uncomfortable with certain positions or actions [4].

Expected Functionality and Pain Levels

Most people can expect an outpatient therapy program that lasts between four and eight weeks after knee replacement surgery. These sessions are crucial for regaining strength and functionality in the knee.

As for pain levels, most patients experience a significant reduction in pain after the initial recovery period. However, it's normal to have some residual discomfort, especially when engaging in certain activities or movements.

In summary, the recovery process after knee replacement surgery is a gradual one. Patience, consistent physical therapy, and adherence to your healthcare provider's advice are key to a successful recovery and return to normal activities.

Dealing with Complications

While knee replacement surgery is generally safe and successful, there may be certain complications that patients need to be aware of. This includes infections, swelling, and the need for weight management and activity resumption.

Infections After Knee Replacement

Infections after knee replacement surgery are quite rare, occurring in about 1 out of every 100 people who undergo the procedure. Most infections develop in the first two years after surgery, with 60 to 70 percent of prosthetic joint infections happening during this period. However, deep infections can appear weeks or even years after the knee replacement surgery.

Symptoms of a superficial infection include redness, swelling, warmth around the incision, and drainage. For deep infections, additional symptoms may include fever, chills, and increasing pain over time. If one experiences worsening pain, it could be a sign of infection and should be addressed promptly [6].

A knee infection can be diagnosed by observing redness and drainage around the surgical incision. Further tests may be used to locate the infection or identify the bacteria causing it. Treatment varies depending on the type of infection and its severity. Antibiotics are typically used for superficial infections, while major infections often require surgery [6].

Steps can be taken before and after knee replacement surgery to reduce the chances of infection. Before surgery, it is recommended to see a dentist to address any potential oral infections and follow specific pre-operative instructions. Post-surgery, it is crucial to keep the incision clean, avoid contact with potentially infected areas, and promptly address any signs of infection.

Swelling and Pain Management

Swelling is a common occurrence after knee replacement surgery. Patients may experience moderate to severe swelling in the first few days or weeks post-operation, with mild to moderate swelling persisting for about 3 to 6 months. Elevation of the leg, applying ice, and wearing compression stockings can help reduce swelling. Severe or new swelling could be a sign of a blood clot, and patients should inform their doctor immediately if this occurs.

Weight Management and Activity Resumption

Maintaining a healthy weight is important after knee replacement surgery to avoid placing additional stress on the artificial joint. By the time of discharge, patients should resume a normal diet and continue monitoring their weight.

Patients are also advised to continue with prescribed exercises for at least 2 months after surgery. The doctor may recommend using a stationary bicycle to maintain muscle tone and knee flexibility. As recovery progresses, individuals can gradually return to sports activities that were enjoyed prior to the knee replacement surgery [7]. Proper weight management and a gradual return to physical activities can greatly aid in the recovery process after knee replacement surgery.

Returning to Daily Life

After undergoing knee replacement surgery, transitioning back to daily activities is a gradual process. This phase involves not only physical recovery but also adapting to the new knee's functionality.

Driving and Work Resumption

Resuming regular activities such as driving and returning to work depends on the pace of recovery and the nature of the individual's occupation. According to OrthoInfo by AAOS, patients can generally resume driving when they have stopped taking opioid pain medications and their strength and reflexes have returned to a normal state. It's always recommended to consult with the doctor to determine when it is safe to resume driving.

As for returning to work, the timeline can vary from several days to weeks, depending on the activities involved in one's occupation. It's crucial to seek guidance from the doctor regarding the appropriate timing to resume regular work activities.

Daily Activities and Mobility

Navigating daily activities post knee replacement surgery requires some degree of assistance initially. Patients may need to use assistive devices like walkers, crutches, or canes for at least a few weeks during recovery.

Walking with a cane or a walker will be possible a few days post-surgery. However, assistance with daily activities may still be required, and preparing the home environment for recovery is crucial for a smoother recuperation process.

Maintaining Knee Health

After knee replacement surgery, maintaining knee health is paramount. Physical therapy plays a key role in this process. Most people can expect an outpatient therapy program that lasts between four and eight weeks after surgery [5].

The therapy may continue for some time after the initial outpatient program, with exercise programs provided to maintain and build upon the progress made during therapy.

These exercises are tailored to individual needs and focus on reducing pain and building strength and flexibility.

By sticking to the physical therapy plan and taking care of the new knee, patients can expect a gradual return to daily activities and a successful recovery from knee replacement surgery.