Modern & measurable results
Physical therapy after knee replacement.
Physio Vital stands for modern physical therapy. In our physical therapy practice, the focus is on orthopedic rehabilitation. This means that we treat injuries to tendons, muscles, bones and/or joints. Sometimes nerves are indirectly involved. We make the treatment plan as transparent as possible so you understand where you stand. Our approach consists of a combination of the latest scientific insights combined with years of expertise in the field of injury treatment. Within these frameworks, we offer an exclusive service and there is always room for personal preference. Our treatment is designed to give people back their autonomy over their bodies. Fysio Fitaal Tilburg consists of a team of experts with a passion for physiotherapy and always goes for a sustainable result.
Currently, we have three locations. Our first physical therapy practice is located in Tilburg Center, at Veldhovenring 57. Our second location is located in Tilburg Reeshof, at Spaubeekstreet 89 at the Basic-Fit gym. Our third location is located in a health center in Tilburg West, at the Professor Verbernelaan 35-D.
A new knee
When various treatments no longer have the desired effect, a total knee replacement is an option. The joint is often replaced in its entirety with a prosthesis. The muscle strength and mobility of the joint is often reduced due to osteoarthritis and surgery. A quick start to rehabilitation is very important for the recovery of these functions. The therapists at Fysio Fitaal will teach you how to strengthen the muscles around the knee and how to regain mobility. They also look at how you can best perform your daily activities. Most people can walk again without crutches after 6 weeks. After that, the pain in the knee will continue to decrease. The condition gradually increases again and walking will become easier and easier. An average rehabilitation of new knee or hip takes 3-9 months.
A knee replacement aims to:
- Reduce the pain
- Improve quality of life
- Increasing mobility in the knee
- Being able to walk normally again
Lifetime knee replacement
With a new knee, you will regain more range of motion and symptoms will decrease. Typically, an artificial knee will last at least 15 years. How long it will last depends on several factors: general physical condition, body weight and activity level. If you put too much strain on the artificial knee, the prosthesis may not last as long. The prosthesis is designed to mimic the function of the original knee joint as closely as possible. However, the material will always be subject to wear and tear. In general, prostheses are already lasting a lot longer than they did a few years ago.
There is usually a choice between general anesthesia and regional anesthesia by means of an epidural. On average, the surgery takes 2 hours. In the vast majority of cases, a total prosthesis is chosen. This means that the entire knee will be replaced. In some cases, a half knee prosthesis also offers a solution. Then only the inner or outer side of the knee is worn out. During surgery, an incision is made on the front of the knee. The orthopedist removes the original ends of the lower leg and upper leg. These ends are replaced with metal pieces. Between these is a disc of plastic that provides smooth movement between the parts of the prosthesis. Osteoarthritis can cause a misalignment of the lower leg in relation to the upper leg. This misalignment can be corrected during surgery on the knee. This is called an osteotomy. The pressure on the knee joint is better distributed again after this correction.
Advice for immediately after surgery
- Keep moving. See if you can already manage to take a little walk with the crutches every hour for 3-10 minutes.
- Place the leg high to allow the swelling to go down.
- Do not sit with the leg down for too long. This can cause a lot of pressure in the knee.
- Practice a lot bending stretching the knee. Getting to 90-degree flexion quickly is necessary for further therapy on an exercise bike, for example.
- You may just take support on the leg with the help of your crutches. Do not be afraid to strain. Unless otherwise directed by the hospital.
- The knee may be reactive for an extended period of time. This means that a reaction to loading is normal. An example is increased swelling because you did a little more in the morning. Get well again!
- For the first 6 weeks it is not usual to drive a car. The wound is still recovering and can reopen with a quick unexpected movement. Also, it is not convenient insurance-wise should you cause damage to yourself or others.
- In case of fever, redness of the knee or irritation of the wound call the hospital to be sure.
- Redness and shining of the calf along with cramping can be a sign of thrombosis. Keep a close eye on this.
- At the dentist, always indicate that you have a joint prosthesis. This is because of the increased risk of infection.
The first phase
In the first 6 weeks, the prosthesis should begin to grow in. High-speed movements should be avoided. The scar may remain somewhat sensitive for the next few weeks to months. A blue discoloration of the leg, swelling and pain may be present. Pain relief is therefore recommended. Because you move less along with the side effects of surgery is you will be given medication to prevent thrombosis.
The next steps
Successful rehabilitation consists of several stages and steps. Good strength, stability and control of the knee is necessary to safely perform your daily activities again. During rehabilitation, you will visit the physical therapist an average of 2-3 times a week. The first phase of rehabilitation will focus on restoring knee mobility and gait. After that, the focus will be on the strength of the muscles around the knee. How long the rehabilitation will take often depends on several factors and therefore cannot be said in advance. However, there are guidelines available on the goals to be achieved:
- Within 4 weeks with 1 crutch
- Within 6 weeks without crutches
- Driving again after 6 weeks
- Cycling outside again after 4 months
Physio Vital x Vief Living
With Vief Living we want to provide people with symptoms of osteoarthritis with strength and knowledge to regain control of their own health and freedom in life.
We focus entirely on the treatment of knee and hip osteoarthritis in Tilburg along with rehabilitation after knee or hip replacement surgery. Vive life believes in a better approach in Physical Therapy treatment of osteoarthritis related complaints. With our unique method we want to provide people with strength and knowledge to regain control of your situation this way.
View here the website of vief life.
Rehabilitation from a knee replacement takes an average of 6-9 months. During rehabilitation, there will always be small and sometimes large setbacks coming your way. Especially in certain phases, things will go slower than you thought beforehand. Patience is necessary. Our specialists will guide and motivate you as much as possible during this process. Fysio Fitaal works with specialists in the field of rehabilitation after surgery and osteoarthritis related complaints. Through this combination of expertise, extensive facilities and passion for physiotherapy you have come to the right place.
Frequently Asked Questions
How can I manage pain after surgery?
Your doctor will prescribe medications to control pain. In addition, physical therapy is essential to improve knee function and thereby control pain. Furthermore, cooling the knee should not be missed to control pain. 3-4x a day, sessions of 10-15 minutes.
How long is the recovery period?
The recovery period after total knee replacement surgery can take several weeks to several months. Full recovery may take several months to a year.
How long will it take before I can walk again after surgery?
The time it takes to return to walking varies from person to person. Usually patients can begin walking the day after surgery using elbow crutches and under the supervision of the physical therapist.
How long will the prosthesis last?
The lifespan of a knee replacement can vary, but many prostheses last 15-20 years or even longer, depending on factors such as activity level and care of the prosthesis.
Can I drive a car again after surgery?
Driving a car after total knee replacement surgery may vary depending on your recovery and the approval of your doctor and/or physical therapist. It is important to wait until you regain full control of your knee before driving a car. It is often held for this purpose that driving is allowed again once elbow crutches are no longer used.
Can I ride a bike again after surgery?
Cycling is a very good activity for the knee. Yet, especially outdoor cycling will often not work at first. The knee must first gain sufficient mobility before you can start cycling on an exercise bike. In most cases, outdoor cycling can be resumed when elbow crutches are no longer used.
What activities can and cannot I do after surgery?
Both the treating specialist and your own physical therapist will give you information about post-surgery guidelines. Assume that for the first period you will be able to be less active and cannot engage in strenuous activities such as running or dynamic sports such as tennis.
Will I need physical therapy after surgery?
Yes, physical therapy is an essential part of the recovery process after knee replacement surgery. It helps you strengthen your knee, restore your mobility and improve your function. Also, the physical therapist is the first point of contact for questions and concerns during rehabilitation.
Will my knee be as good again as it was before surgery?
Although total knee replacement can significantly reduce pain and limitations, your knee may never be quite the same as it was before surgery. This may depend on several factors, including your age, the severity of the condition before surgery and rehabilitation.
Are there any complications to watch out for?
Complications after knee replacement surgery are rare, but they can occur. Some possible complications include infection, blood clots, dislocation of the prosthesis and loosening of the implants. It is important to monitor any changes in your knee and body and report them to your doctor immediately.