Six FAQ: Physical Therapy for Total Knee Replacement

1. When should I start physical therapy after total knee replacement surgery?

   • You should start physical therapy after total knee replacement surgery as soon as possible. In most cases, patients begin physical therapy three days after surgery. The timing may vary depending on your surgeon's recommendations and your overall health status.

2. What types of exercises will I do during physical therapy for total knee replacement?

   • Physical therapy for total knee replacement typically includes a range of exercises and activities that are designed to help you regain strength, mobility, and function in your knee. Your physical therapist will work with you to develop an individualized treatment plan based on your specific needs and abilities. Your physical therapist will also use various techniques such as manual therapy, massage, and stretching to help reduce pain and stiffness in your knee joint.

3. How long does physical therapy for total knee replacement usually last?

   • The duration of physical therapy for total knee replacement can vary depending on several factors, including your age, overall health, the extent of the surgery, and the type of rehabilitation program you are following. In general, most people require physical therapy for about 3 months following total knee replacement surgery.

4. Will physical therapy be painful after total knee replacement surgery?

   • Physical therapy after total knee replacement surgery may cause some discomfort or pain, particularly during the first few sessions as your knee joint is still healing and recovering. However, your physical therapist will work with you to ensure that the exercises and activities are done safely and comfortably, and will adjust the intensity and duration of the exercises as needed based on your individual needs and comfort level. It is also important to take your pain medication as prescribed by your surgeon.

5. What can I expect from my first physical therapy session for total knee replacement?

   • During your first session, your physical therapist will likely perform a comprehensive evaluation to assess your range of motion, strength, balance, and overall functional ability. They may also review your medical history and discuss your goals for recovery. Based on this assessment, your therapist will develop a personalized treatment plan tailored to your individual needs and goals.

     Your therapist will then guide you through a series of exercises and activities designed to reduce pain and swelling, improve circulation, and begin to restore function to your knee joint. This may include massage, gentle stretches, range-of-motion exercises, and strengthening exercises for the muscles around your knee joint.

   • It's important to attend all of your scheduled physical therapy sessions and follow your therapist's instructions carefully to ensure the best possible outcome from your total knee replacement surgery.

6. How often will I need to attend physical therapy for total knee replacement?

   • Initially, you will need to attend physical therapy sessions three times per week, especially during the first few weeks following surgery to decrease swelling and improve range of motion. As your recovery progresses, the frequency of your sessions may decrease to twice per week, with a focus on strength and balance.

     Your physical therapist will work with you to develop a personalized treatment plan and schedule that meets your specific needs and goals. They may also adjust the frequency of your sessions as needed based on your progress and any changes in your condition.