KNEE REPLACEMENT REHAB – ROCK RUN PHYSICAL THERAPY
Utah’s Best Physical Therapy For Knee Replacement Surgery Post-Op Knee Rehabilitation!
The knee joint is the most commonly replaced joint in the body, with hip replacement a close second.
The decision to have knee replacement surgery is one that you should make in consultation with your orthopedic surgeon and your physical therapist.
Usually, knee replacement surgery is performed when people have:
- Knee joint damage due to osteoarthritis, rheumatoid arthritis, other bone diseases, or fracture that has not responded to more conservative treatment options
- Knee pain, swelling, or alignment problems in the leg that makes it difficult to get out of bed, walk a short distance, climb stairs, and performing a daily routine is difficult.
What is a Total Knee Replacement (TKA)?
What is a Total Knee Replacement (TKA)?
A total knee replacement (TKR), also known as total knee arthroplasty, involves removing the arthritic parts of the bones at the knee joint (the tibia, sometimes called the shin bone; the femur, or thigh bone; and the patella, or kneecap) and replacing them with an artificial knee. This artificial knee consists of a metal cap at the end of the femur and a cemented piece of metal in the tibia with a plastic cap on it to allow the surfaces to move smoothly. When appropriate, the back part of the kneecap also may be replaced with a smooth plastic surface.
How Can The Physical Therapist at Rock Run Physical Therapy Help?
Your physical therapist is an integral part of the team of health care professionals who help people receiving a total knee replacement regain mobility, knee strength, and return to normal activities. Your physical therapist can help you prepare for and recover from knee replacement surgeries, and develop an individualized treatment program to get you moving again in the fastest, safest, and most effective way possible. The recovery period will focus on preventing blood clots, limiting scar tissue, decrease joint pain and post operative pain, reduce inflammation, improve mobility with a walker or crutches at first, before transitioning to full weight bearing.
Before Knee Replacement Surgery
The better physical shape you are in before knee replacement surgery, the better your results will be (especially in the short term). A recent study has shown that even 1 visit with a physical therapist prior to knee replacement surgery can help reduce the need for short-term care after knee replacement surgery, such as a short stay at a skilled nursing facility, or a home health physical therapy program.
Before knee replacement surgery, your physical therapist at Rock Run Physical Therapy will:
- Teach you an exercise program to improve the strength and range of motion of the knee joint and surrounding muscles.
- Pain management techniques
- Demonstrate how you will walk with assistance after your operation, and prepare you for the use of an assistive device, such as a walker.
- Discuss precautions and home adaptations with you, such as removing loose accent rugs that could cause you to “catch” your leg on them when maneuvering with an assistive device, or strategically placing a chair so that you can sit instead of squatting to get something out of a low cabinet. It is always easier to make these modifications before you have knee replacement surgery.
As You Begin to Recover from Knee Replacement Surgery
The initial goals once you begin outpatient physical therapy are to manage pain, decrease swelling, heal the incision, scar tissue prevention, restoring normal walking, and initiate an exercise program.
Usually, our patients at Rock Run Physical Therapy accomplish this in the first 2 weeks if we see them immediately after discharge from the hospital. We then slowly ramp up your range-of-motion exercises, progressive surrounding muscle strengthening exercises, body awareness, and balance training, functional training, and activity-specific training to address your specific goals and get you back to the activities you love!
We tend to follow the orthopedic surgeons post knee replacement protocol with the main focus on preventing infection, helping patients bear weight, bend knee, and manage pain and swelling.
Range Of Motion exercises
Swelling and pain can make you move your knee less. At Rock Run Physical Therapy we will teach you safe and effective range of motion exercises to restore movement (range of motion) to your knee so that you can perform your daily activities. The typical range of motion is 0 degrees (fully extending the knee) to 140 degrees (fully bending the knee)>.
Strengthening exercises
Weakness of the muscles of the thigh and lower leg could make you need to still use a cane when walking, even after you no longer need a walker or crutches. At Rock Run Physical Therapy we will help determine which strengthening exercises are right for you after knee replacement and during your outpatient physical therapy. In addition, we may use Blood Flow Restriction Therapy to accelerate healing using the non-invasive power of Growth Hormones.
Body awareness and balance training
Specialized training exercises help your muscles “learn” to respond to changes following a knee replacement, such as uneven sidewalks or rocky ground. When you are able to put your full weight on your knee without pain, your physical therapist may add agility exercises (such as turning and changing direction when walking, or making quick stops and starts) and activities using a balance board that challenges your balance and knee control. Your program will be based on the physical therapist’s examination of your knee, on your goals, and on your activity level and general health.
Functional training
When you can walk freely without pain, your physical therapist may begin to add activities that you were doing before your knee pain started to limit you. These might include community-based actions, such as bowling or golfing. Your program will be based on the physical therapist’s examination of your knee, on your goals, and on your activity level and general health.
The timeline for returning to leisure or sports activities varies from person to person; At Rock Run Physical Therapy we will be able to estimate your unique timeline based on your specific condition.
Activity-specific training
Depending on the requirements of your job or the type of sports you play, you might need additional rehabilitation that is tailored to your job activities (such as climbing a ladder) or sports activities (such as swinging a golf club) and the demands that they place on your knee after knee replacement surgery. Your outpatient physical therapist at Rock Run Physical Therapy can develop an individualized rehabilitation program for you that takes all of these demands into account.
Further Reading
At Rock Run Physical Therapy we believe that you should have access to information that could help you make health care decisions and also prepare you for your visit with your surgeon.
The following articles provide some of the best scientific evidence about physical therapist treatment of TKR. The articles report recent research and give an overview of the standards of practice for treatment both in the United States and internationally. The article titles are linked either to a PubMed abstract (summary) of the article or to free access to the entire article so that you can read it or print out a copy to bring with you when you see your health care provider.
Patients with TKA Who Receive Outpatient Physical Therapy Soon After Knee Replacement Surgery Recover More Quickly Than Patients Who Receive Home Physical Therapy First
http://www.apta.org/PTinMotion/News/2017/1/23/TKAHomePTVSOutpatientPT
Bade MJ, Kohrt WM, Stevens-Lapsley JE. Outcomes before and after total knee arthroplasty compared to healthy adults. J Ortho Sports Phys Ther. 2010;40:559–567. Free Article.
Topp R, Swank AM, Quesada PM, et al. The effect of prehabilitation exercise on strength and functioning after total knee arthroplasty. PM R. 2009;1:729–735. Article Summary on PubMed.
Kirkley A, Birmingham TB, Litchfield RB, et al. A randomized trial of arthroscopic surgery for osteoarthritis of the knee [published correction appears in: N Engl J Med. 2009;361:2004]. N Engl J Med. 2008;359:1097–1107. Free Article.
Moffet H, Collet JP, Shapiro SH, et al. Effectiveness of intensive rehabilitation on functional ability and quality of life after first total knee arthroplasty: a single-blind randomized controlled trial. Arch Phys Med Rehabil. 2004;85:546–556. Free Article.
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Rock Run Physical Therapy is committed to offering top-quality care. We have clinicians on staff that underwent the intensive training and education to become Astym-certified.
At Rock Run Therapy, your physical therapy and physical rehabilitation needs will be solved.
Immediately Following Surgery
The goal of the first 2 weeks of recovery is to manage pain, decrease swelling, heal the incision, restore normal walking, and initiate exercise. Following those 2 weeks, your physical therapist will tailor your range-of-motion exercises, progressive muscle-strengthening exercises, body awareness and balance training, functional training, and activity-specific training to address your specific goals and get you back to the activities you love!
Range-of-motion exercises. Swelling and pain can make you move your knee less. Your physical therapist can teach you safe and effective exercises to restore movement (range of motion) to your knee, so that you can perform your daily activities.
Strengthening exercises. Weakness of the muscles of the thigh and lower leg could make you need to still use a cane when walking, even after you no longer need a walker or crutches. Your physical therapist can determine which strengthening exercises are right for you.
Body awareness and balance training. Specialized training exercises help your muscles “learn” to respond to changes in your world, such as uneven sidewalks or rocky ground. When you are able to put your full weight on your knee without pain, your physical therapist may add agility exercises (such as turning and changing direction when walking, or making quick stops and starts) and activities using a balance board that challenge your balance and knee control. Your program will be based on the physical therapist’s examination of your knee, on your goals, and on your activity level and general health.
Functional training. When you can walk freely without pain, your physical therapist may begin to add activities that you were doing before your knee pain started to limit you. These might include community-based actions, such as crossing a busy street or getting on and off an escalator. Your program will be based on the physical therapist’s examination of your knee, on your goals, and on your activity level and general health.
Activity-specific training. Depending on the requirements of your job or the type of sports you play, you might need additional physical rehabilitation in Utah that is tailored to your job activities (such as climbing a ladder) or sport activities (such as swinging a golf club) and the demands that they place on your knee. Your physical therapist can develop an individualized rehabilitation program for you that takes all of these demands into account.
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