At my three-month visit to the doctor, I measured 121 in street clothes and without prior exercise to loosen the joint. It’s important to keep active during this period to avoid stiffness, decrease swelling, and reduce inflammation. Read on, mate. After knee replacement surgery, you and your care team will likely zero-in on one crucial measurement during ReHab: range of motion. 3-12 weeks 125 degrees is great, 135 degrees is excellent (whether you have had TKR or not). This website is part of the Amazon Associates Affiliate Program, a program designed to provide commissions through advertising that link to Amazon.com. For the first time ever, you can measure your range of motion at home! You should be able to move around normally, bend down to pick things up, sit comfortably, stand for longer periods of time and be able to tie your shoelaces. There are some approximate knee bend measurements that you can shoot for, and I will share them with you. Dr. Frisch adds to the conversation on pain, "One problem I often encounter in patients who are struggle to achieve their range of motion is that their pain is not well controlled. Do you have access to a stationary bike? Your acute care physical therapist will also instruct you to perform knee exercises while you are in the hospital. My surgeon encouraged me to strengthen my knee and work on “range of motion” exercises before my knee replacement. According to my literature review (study 1 and 2), the range of flexion required to do daily activities is as follows: 0-2 weeks 65 to 90 degrees – This amount of flexion allows you to walk without assistance, stand, and do some stair climbing. • SLEEP DISTURBANCE It is still common for patients to complain of difficulty with sleep at this point after knee replacement … This means that you should be able to go up and down stairs with just one (or no) crutch, walk normally without an assisted device, and should be able to sit and stand more comfortably. My straight-leg extension was 7 degrees, which meant I could not fully straighten my leg. A completely straight, unflexed knee joint will measure 0° of flexion. Use the below range of motion milestones as a general guide but stay focused on your own personal goal-setting and ReHab. There’s something to be said about being able to check-in on your goal more regularly, on your own time. Here are some of the top things you should be doing to improve your ROM after surgery: The couple of hours of physical therapy you will do each week with your physical therapist isn’t going to cut it. Be patient, your maximum knee bend after surgery will return, and may even improve. How much you can bend it before knee surgery, and following, it will be different for everyone. Hi, I'm Grace. As a general rule, a knee flexion of about 125° … 90 degrees is the same thing as a right angle. After knee replacement surgery, you and your care team will likely zero-in on one crucial measurement during ReHab: range of motion. Once your total knee arthroplasty has recovered enough, it’s time to do stairs. From day one after knee surgery, it is important that you exercise your surgical knee. 10 days, 98 degrees. The first few weeks and months of your recovery are the most important for gaining back flexibility, bending, extension, and overall movement. It was not easy but the results were amazing. Consider a pre-surgery exercise program before your surgery. A fully bent knee will max out at about (full range of motion) at approximately 135 degrees. Some people will hit certain milestones sooner than others. Bend your surgical knee by sliding your heel towards your butt. Knee push-downs. He said that one of the best indicators of your range of motion after knee surgery would be the range of motion before surgery. You shouldn’t be experiencing any extensor lag and should have noticeably improved range of motion. Hitting range of motion (ROM) milestones indicates that your stiffness has gotten better, swelling has gone down, you are able to … Twenty-seven days post-surgery I measured 115 degrees. During my first offsite physical therapy session I measured 113 degrees. Wahoo! Gorczynski explains knee anatomy and wound healing after total knee replacement. GOAL: 115 degree flexion or greater. I cover all topics for your hip & knee replacement needs. Dr. Frisch completed his residency at Henry Ford Hospital in Detroit and his Adult Reconstruction Fellowship at Rush University Medical Center in Chicago. Like hopping on the scale frequently during a weight loss program, measuring your flexion regularly helps to keep your eye on the prize. This does not mean you need more opioid pain medication! However, difficulty with squatting or sitting on one’s heels can remain a challenge for knee replacement recipients. He focuses on minimally invasive joint replacement surgery and complex revisions. You should still be keeping up with range of motion exercises, walking longer distance, and most importantly, challenging yourself to do more and more. It’s also around this time that your physical therapist will increase the intensity and frequency of your exercises and movements. Regaining full motion and getting back to your new and improved normal typically takes a full calendar year. Become part of the PeerWell community on social media. If you have severe arthritis in your knee or knees, you may benefit from physical therapy to help improve your knee range of motion (ROM) and strength. As I mentioned earlier the critical time for improving flexion is the first few weeks and months after TKR. After my knee surgery it was time to get to work. 2-6 weeks 115 degrees – now you should be able to move around normally. Haven't had surgery yet? We love telling people about what we're doing! Starting … Regaining the bend in your knee is critical after knee replacement surgery. If you are considering TKR, speak with your doctor about preparation, exercise, recovery, and equipment. Much of the success of knee replacement surgery for knee osteoarthritis depends on timing, but a team at Northwestern University's Feinberg School of Medicine in Chicago found that 90% … And then in the max position of bend… A lack of full knee flexion is a problem that can linger forever after a knee surgery if not solved somewhat quickly after surgery. I decided to share all the details of my surgery with you. If you achieve 90 degrees by one week, and continue to push forward after this, you will end up with excellent range of motion of your knee … I was impressed by my maximum bend after knee replacement surgery. You need to remain under total hip precautions for about 12 weeks. My doctor was very encouraging and told me that after knee replacement surgery I might improve the range of motion in my knee. @ ozziegee Sorry to hear that after so long you haven’t progressed beyond 90 degrees. Use a continuous passive motion (CPM) machine every day for the first several days following surgery. Stairs are a difficult … This is when you will be under the watchful eye of your care team, physical therapist, and will require the most support of your family friends. My replaced knee seems to be fine as long as I do not bend it more than 90 degrees. You and your physical therapist will be meeting 2 or more times a week to work on your motion. During my first in-home physical therapy session, just 3 days after surgery, I was at 70 degrees. Sit in a chair with arms to support your upper body. A knee flexion of 125° and over is typically the end goal set for total and partial knee replacement patients. With my first TKR , I lowered the seat so the knee would get flexed. Normal motion after knee replacement is defined as the ability to get within 5 degrees of a straight knee and the ability to bend the knee back to 90 degrees. PreHab gets you mentally, physically and environmentally prepared for surgery, putting YOU to greater control your outcome and recovery. The first 90 days are definitive in your recovery. A well-rounded ReHab program includes daily exercises like heel slides and single leg stances, gets you up and moving, and encourages lifestyle changes that promote better healing. Getting The Most Knee Bend – A General Schedule. This website is not a substitute for medical advice nor should it be interpreted as medical advice. This knee replacement blog details my experience preparing for and recovering from knee replacement surgery. We define ‘good flexion’ as a minimum of 110º bend. Watch this short video … Try and build strength and movement in your joint before surgery. 2-6 weeks 115 degrees – … I was in pain and trying to do my exercises (read more about my physical therapy after surgery). Before knee replacement, I was measured between 120-125 degrees of flexion. In addition, you should be working through an at-home, low-impact ReHab routine. He told me a good goal was to aim for a minimum of 110 degrees of flexion six weeks after TKR. It feels very stiff there as well when I bend it to walk and catches at about 30 degrees … To go from having ~120 degrees knee flexion (roughly heel to butt) to only ~90 … Six days after surgery, again during exercise, I measured 88 degrees. These exercises are designed to help impro… As a general rule, having knee flexion, or a knee bend, of 125 degrees will allow you to carry out most normal activities. Georgetown University Hospital's total knee replacement protocol suggests using CPM for 4 hours a day, increasing the amount of flexion 10 degrees at a time until you can easily attain 90 degrees of knee … The floor should have a smooth surface (you can also use a plastic bag under your foot to help your foot slide on the surface). Before my total knee replacement surgery, my knee was bone-on-bone with no cartilage left in the joint. A fully bent knee will maximum out at about a full range of motion of 135° degrees of flexion. Gorczynski defines extension, flexion, tissue planes, and make recommendations to regain … You can use a bathrobe belt to pull your foot towards you for extra bend (and pain). Hello: I'm a 52 year old male and had TKR on my right knee Jan 8, 2020. It’s much more difficult than it sounds. The increase in your range of motion not only indicates that you’re progressing throughout your recovery, but tells your physical therapist and surgeon a number of things. If you give up or are inconsistent during your rehab, and if you are not fully committed to gaining back range of motion, you may end up with a stiff knee. Impress your physical therapist and care team by knowing some of the basic terms and important measures surrounding your range of motion. This allowed me to work on my range of motion before my surgery. With this, the PeerWell app has an exciting announcement! Data suggests that patients return to the ROM they had before surgery within this timeframe. The best thing you can do to avoid stiffness is to improve your range of motion by keeping up the good work. At the knee joint, most functional activities require up to … At this range of motion, most people can carry out almost all normal activities. Functional range of motion is how much movement is needed for typically daily activities such as walking, climbing stairs and squatting down. The most common advice is to place a large enough pillow between the knees that the surgical knee … Each person will have knee surgery for different reasons and experience successes and challenges during each person’s recovery. With your new artificial joint you have the ability to gain far more movement. Passing into the 3 month mark and beyond, you’ve hopefully made leaps and bounds, have little pain, and are able to do everyday activities with ease. Make sure you keep all your follow-up appointments … Get matched with a top orthopaedic surgeon near you who offers PeerWell PreHab and ReHab for free. Lie on your back with a rolled towel supporting the back of your knee. Within a week, your knee will technically be able to bend 90 degrees, though it may be difficult due to pain and swelling. (I may earn a small commission from the products mentioned in this post.). I have tried every exercise and … Get matched (for free) to a top surgeon who has the tools to improve your ROM before surgery, predict who will have an easier recovery (such as doing PreHab before surgery, Get matched with a top orthopaedic surgeon near you who offers PeerWell PreHab and ReHab for free, 115° (or greater) to squat or sit cross-legged. Be optimistic and be prepared to work hard during recovery. 12 days 100 degrees. During this period, don’t turn your toes in or out. The information and reviews presented on this website are my opinions and personal experience. Get matched (for free) to a top surgeon who has the tools to improve your ROM before surgery. Dr. Nicholas Frisch, M.D., OS, MBA is an award-winning orthopedic surgeon based out of Rochester, Michigan. GOAL: 65-90 degree flexion or greater. It was painful to walk and put weight on the knee. As a general rule, 120 Degree Knee Flexion will … Always remember, that everyone’s recovery is different. Their hope is that you achieve 115º ROM within three months… Measuring the maximum bend is not an easy task. Don’t forget to check out my eBook! Even after 11 months, it is still a bit swollen on the anterior side, and I have pain if I try to bend the leg beyond 90 degrees… A completely straight, unflexed knee joint will measure 0° of flexion. 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