Preparing for a Knee Replacement the EASY Way

by | Dec 8, 2020 | Total Knee Replacement

The best way to prepare for a total knee replacement surgery is to follow these three steps:

Step 1 – Take a pre-operative knee replacement class.

Step 2 – Schedule a pre-operative physical therapy evaluation.

Step 3 – Create a battle plan for your recovery. 

Step 1 – Take a pre-operative knee replacement class. 

Cleveland Clinic’s A Patient’s Guide To Total Joint Replacement and Complete Care is a great resource with comprehensive checklists from one of the leading joint replacement programs in the country.

A total knee replacement class will teach you everything you need to do before surgery, the day of surgery, and after surgery.

 

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What if my surgeon doesn’t offer a class? 

If your surgeon doesn’t offer a class then consider taking my class or find one online or in person.

Much of the material is the same regardless of surgeon or surgical procedure.

Step 2 – Schedule a pre-operative physical therapy evaluation. 

Physical therapy is widely recommended after a joint replacement. Clients may also choose to start physical therapy before a joint replacement.

As a physical therapist myself, I can tell you that some of the most important parts of a pre-surgical physical therapy evaluation is the time spent answering questions, taking measurements, practicing with your walker, and preparing you for the best possible outcome.

 

What can I expect from a pre-surgical physical therapy evaluation?

Since your physical therapist has most likely worked with several hundred patients who have already had a hip or knee replacement you will be able to learn from all of that experience.

Your therapist has seen the good and the bad and will provide you with great advice for your before surgery.

Your therapist will also be able to help you fit your walker, cane, or crutches to your body and teach you how to use these devices with enough time for you to get some practice.

You will develop a pre-surgical strength and conditioning program that will not make your knee pain worse, but will help you improve the muscle health and improve your body’s ability to recover from surgery.

I recommend having a pre-operative physical therapy evaluation approximately 6-weeks prior to surgery. This will allow you enough time to learn everything you need and practice the exercises you have been shown.

Step 3 – Create A Battle Plan

Joint replacement surgery is major surgery. You should hope for the best while planning for the worst.

This means you want to start with a list of all the daily chores and responsibilities you perform in a day. Then decided who will be performing these activities while you are recovering.

In the best case scenario you should plan to be unavailable for 2 weeks, but this could be as long as 12 weeks depending on your body’s response to surgery.

Determine who will buy groceries, who will prepare meals, who will wash laundry, clean the bathrooms, take out the trash, feed the pets.

The less you have to worry about after surgery the better your recovery will go.

 

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Calf pain after a total knee replacement or other knee surgery if very common. Part of the problem is the swelling, part is weakness in the muscle and part is the dramatic change in activity level.

In this video I explain these three causes of calf pain as well as some solutions we usually recommend in the clinic. After watching this video I will share recommended exercises you can ask your therapist about.

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