can you travel 2 months after knee replacement

How soon can you travel after a total knee replacement?

After any major surgery, your healthcare provider may caution you against flying for a certain amount of time to reduce your risk of blood clots. For a total knee replacement , this time is about four to six weeks. In this post, we’ll go over what you should know about traveling after your total knee replacement, from reducing your risk of blood clots to going through airport security.

Why is flying restricted after major surgery?

Flying after major surgery, especially hip or leg surgery, may increase your risk of deep vein thrombosis (DVT). This is why doctors often recommend waiting up to six weeks after your surgery before doing any long-distance travel. DVT is a condition in which a blood clot occurs in one of the deep veins in your body, typically in one of the legs.

You may be at a higher risk for DVT if you:

• Have experienced DVT or blood clots before
• Have a family history of blood clots or DVT
• Are pregnant, overweight, or obese

DVT can cause pain, redness, swelling, and tenderness in the affected part of the body. If a part of the blood clot breaks off, it may travel through the bloodstream and cause a blockage in the lungs. This is called a pulmonary embolism, and it can be life-threatening if left untreated. DVT can also lead to long-term complications, such as swelling, pain, discoloration, and ulcers near the site of the clot.

Long-distance travel, whether by plane or car, prevents you from moving around after your surgery. Anytime you sit in one position for hours at a time, you may experience an increased risk of blood clots , including DVT.

How can you lower your risk of DVT during long-distance travel?

The Centers for Disease Control and Prevention (CDC) recommends the following tips to help prevent DVT :

• Start moving around as soon as possible after your surgery
• Talk to your healthcare about compression stockings and anticoagulants (blood thinners)
• Get up and walk around every 1 to 2 hours during long-distance travel (anything over four hours) 
• Wear loose-fitting clothes
• Maintain or get to a healthy weight
• Tightening and releasing your leg muscles
• Lifting and lowering your toes, keeping your heels on the floor
• Lifting and lowering your heels, keeping your toes on the floor
• Ask your doctor for any other recommendations to help reduce your risk of DVT

What should you consider when traveling after your total knee replacement?

Many people travel to different cities or states to find the best price for their knee replacement surgery . However, this option can get complicated when you cannot fly in the first days or weeks after your procedure. Your surgeon may recommend avoiding long-distance travel for a month or more after your total knee replacement. Make sure to account for that when planning for your surgery.

Note: If you’re traveling for your knee replacement surgery , check that you have all the necessary documentation, such as x-rays, bloodwork, negative nicotine tests, and surgical clearance, before leaving your home. This way, you can avoid extending your out-of-town stay due to missing paperwork. 

Major orthopedic surgeries, such as knee and hip replacements, have a higher risk of blood clotting than other orthopedic surgeries. When a bone is cut, your body responds by ramping up its blood clotting system, just as it does when you’re injured. A knee replacement involves cutting into two of the biggest bones in your body. So, your body’s clotting response will be especially strong after the surgery.

When is long-distance travel safe after a total knee replacement?

Generally, the most significant clotting risk goes away around four to six weeks after your surgery. Your doctor may recommend not flying or going on long car rides until after this time. Let them know if you plan on doing any long-distance travel in the first couple of months after your surgery . This may influence the type of blood thinners they prescribe.

Even after you’re past the six-week mark, you should still talk to your healthcare provider before flying for the first time after your total knee replacement. They will help you assess your risk of blood clots and recommend any preventative measures you should take during your trip.

What should you know about going through airport security with your knee replacement?

The metal in your knee replacement may set off airport security alarms. To make your trip through airport security go more smoothly, inform the Transportation Security Administration (TSA) officer about your implant before you go through the metal detector. 

Your surgeon may give you a certificate that can act as proof of your artificial joint when you travel. You can bring this joint replacement card with you when you fly to help explain why the metal detector may go off. However, you will not be asked for proof of your implant most of the time.

Preparing to travel for your knee replacement surgery

Depending on where you live, traveling for your knee replacement may be a great way to save money on the procedure. If you’re considering this option, your surgeon will give you guidelines for travel before and after surgery to help reduce your risk of complications. 

When scheduling your surgery, make sure to ask about how long you’ll need to stay in one location before you can travel long distances again. Each person is unique, and your post-surgery flying restrictions will depend on your specific situation.

Our Care Coordinators can help you explore your different surgery options and weigh the distance you may travel with the potential to save money on your procedure. However, no matter where you have your total knee replacement surgery, you can be assured that your surgeon meets our strict standards for education, experience, and certification. 

Click here to learn more about booking your knee replacement surgery through New Choice Health’s Orthopedic Surgery Assistance program .

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Travel after knee replacement

After several years of unrelenting pain, I finally pulled the trigger and had my right knee replaced 2 1/2 weeks ago. I'm recovering well, though with another couple of months or so until I'm supposed to be back to near normal. I'm wondering how many others on the forum have been through the same procedure and how it's affected them when it comes to traveling. Are you "better" than new and can enjoy things more than you did before? Do you find the new knee limits you in any way (stairs, hiking, walking and museum standing)? Is airport security more of a hassle now (I know I'll set off the metal detectors forever)?

Who's had one knee replaced? Two? I did the right one, but the left will probably need to be replaced, as well.

Just looking for a little guidance on what to expect in the future, understanding my mileage may vary.

My experience is with my hips so it is not the same, but may be helpful none-the-less. I had a double replacement the end of 2001. AT that time I gave in not because of pain but because my motion and abilities were severely diminished.This was with the older technique with the 12-inch incision, so my recovery time was longer. I as only 49 then, worked hard at my p.t., and after 7 weeks was able to take a 3+ mile walk at almost my regular pace. Within 4 months I had resumed my recreational bicycling. In fact I spent several years at over 8,000 miles per year. As far as traveling, we began touring in 2009, and it was not an impediment. Airports that still used metal detectors did pull me over for a wanding, as did federal buildings. The body scanners have no issue with the implants. Two years ago I has a double revision of both ball and joint pieces. This was almost minimal surgery, and inside two weeks I was taking long walks without any support and also driving. Other than being aware of it and knowing I should not take a hard fall, it has no effect on my activity.

My understanding is that there are differences with the knee because of what is cut, but with the newer non-invasive technique involving a small incision and not cutting any of the major muscles recovery should be very quick with much less pain. Your quality of life should be greatly improved.

I will be having knee replacement surgery in the fall and I have the same question. I am looking forward to reading the responses of those who have been there done that.

I had a left total knee replacement in 2001 - had gotten to where normally-active me was afraid to cross a street (might not make it across). Best decision I ever made, health-wise: it gave me back my life! And certainly made traveling fun again. I even took a motorcycling class in 2013! Had thought I’d need the right knee replaced, but so far it’s holding up just fine. I’m now almost 76 and notice some reduction in my traveling stamina, but that’s not knee-related. If your experience is anything like mine, you have good traveling days ahead!

Your questions would be best answered by your othroptdic and physical therapist. That said, you should be good to go by plus two months. At plus two months, you should continue working at regaining muscle strength and endurance.

While traveling (car or air) care needs to be taken to prevent/avoid blood clots. We were advised that long car travel was allowed afer 8 weeks but we needed to stop and walk about every hour or so. (Not allowed to be the car driver even for the left knee for the first 8 weeks because of delayed reflex concerns.)

Check with your Doc.

PS I would add that we have joined the crowd of saying, "wish we did it sooner". That said, a friend who had the first done 5 years ago was scheduled for the second. The second knee was canceled a week before surgury because the insurance company said it wasn't bad enough for them to pay.

Just adding a little more info. I'll be 64 next month. Both my knees seemingly suddenly went bad about three years ago. It wasn't really sudden, of course, just the arthritis finally hitting the tipping point. I've been getting shots similar to cortisone in both knees for the past two years, which were becoming less effective over time. I've also been taking more painkillers than I'd like. My doctors felt an arthroscopic "clean out" surgery probably wouldn't help much, so I met with a replacement specialist, who confirmed that was likely the best route for me. I dithered for a week or so, but what finally convinced me was the fact that the doctor said the implants are lasting around 30 years these days.

My surgery was "robot-assisted" and less invasive than prior techniques, though I've still got a pretty long incision. With the joint being totally replaced, cutting muscle is unavoidable, and restoring that strength and flexibility is the focus of the physical therapy I'm undergoing.

My son's getting married in Tacoma in October and we're looking at a trip next year to Scotland, where our youngest son plans to spend a semester at the University of Edinburgh, so I wanted to get this surgery out of the way and hope to be fully recovered for these trips. And, of course, I'll have to see how the left knee behaves once I'm past rehab on the right one.

Congrats on the new knee. The recovery time with knee replacements is longer than many other joints, but it will be worth it in the end. Just keep diligent with the physio. It really makes a difference in the outcome. True story: I had my right TKA a couple of months before my neighbor had his. I was fanatical about doing my exercises several times a day and going to physio. My neighbor quit doing them after a month or so.

It's now 3 years later. I've done long trips to New Zealand, Japan, and Europe since then and not only could I keep up with the others, I could do it pain free. I could tackle flights if stairs without a twinge. Before the surgery I'd have to sit and rest my knee after half a mile. After a day of walking I'd be in agony and the knee would be swollen. That's a thing of the past now. Ive also got a significantly better range of motion in the knee than I did pre op. Oh, and that neighbor who didn't do his exercises? Still walks with a limp, has trouble with stairs, and only has 100 degrees of flexion. Don't be that guy.

Yes, you'll likely set off the metal detectors at security check points. I just warn them before I go thru, get a quick wanding and pat down and I'm good to go. It's not an issue with body scanners.

PS I'm 66.

I will be 60 in a couple of months. I will have to have one too! I do two mono visc shots a year to get me by also.

I think you will be fine on the Scotland tour

I had both knees done 2 1/2 years ago, at age 52. At the surgeon's recommendation, they were done 6 weeks apart. Doing the second one so soon means that you don't baby that first one. I had a lot of pain before, and even worse than the pain was the instability. Just standing sometimes a knee would feel like it was going backwards. I had reduced my activity quite a bit. I'd really think about it if I needed to go upstairs or not.

The instability and pain during walking or standing are gone, and I have complete flexion and extension of both knees. I do have a small amount of pain on the top of each knee when I go up steps. But not much. And, bonus, my feet and back feel better, because I'm not walking crooked. I love my new knees.

I can't comfortably kneel. Too much pressure on the incision. So another bonus- an excuse not to weed the flower beds.

I tell people that you'll never have knees that are 100% as good as when you were 25. But 70-80% is pretty good. That physical therapy is very important. And with an actual therapist, not just at home. They'll make you do things that hurt at first but benefit you. Like pushing down on it so you get full extension. One therapist said that if all you're going to do after surgery is sit in a chair and take Vicodin, why have the surgery at all?

Less than 3 months after the final surgery, we went to New Orleans. It's a flat city and I had no problem walking around. I had a hotel room on the ground floor, and an aisle seat on the plane. It was fine. I took a TheraBand to work out any swelling after the flight. In fact, it has a permanent place in my suitcase now.

I'm a small business owner, and I went back to work part time 10 days after each surgery. I would not recommend that, but that's what needed done.

At airports I usually go through the scanner. Sometimes I have to wait for a woman to run it in case I need patted down. You might learn "new knees" in the local language. Or just point and they'll figure it out.

I'm always asking because I have a sports injury of some sort almost everywhere. Of the people I know, the hip replacement seems to be more consistently good. On knee replacements, some have told me they wish they had had their knee done years ago while others have said it's just as bad now as before. If I had to guess, rehab makes all the difference. Do exactly what your Dr./PT tells you to do at exactly the pace. Don't try to rush it or play volleyball/tennis because it seemed to be doing really well.

Good luck, I hope you have a great recovery. The ones who were happy with their knee replacements were really happy.

another bonus- an excuse not to weed the flower beds.

Karen: just in case you want to get back to gardening: I love spending time doing just that. One thing recommended to me that really worked was knee pads. The heavy duty type worn by contractors like flooring installers. Mine have gel on the inside and are really comfortable. Got them at Home Depot.

I had both my knees replaced 14 years ago and since then have made 15 trips to Europe and many hiking trips in the US. I have had no problems except setting off the alarms at the airport and anywhere else that has scanners. The best advice is to do the physical therapy as long as you need to. If needed I would definitely do the replacements again. Go and enjoy

CJean- I love to plan a garden, buy the plants, and even put them in the ground. Maintaining and weeding, not so much. So it's saving me money and the embarrassment of a disgraceful garden in August.

I'm 64 now, and had a partial knee replacement 9 years ago on one knee. Right away I felt better, and still travel and walk a lot. At this point in your recovery, you should be having physio 2 or 3 times a week, or have been given daily exercises to do. I'm a retired nurse. It's vital to do the exercises, as if not you will be back to your pre op state. People who say they felt worse after joint replacement are more than likely the ones who did not do the exercises, because "it was painful". The only thing I can't do is kneel , and I also stopped skiing. Travel, though....never going to stop!

I will reiterate about the p.t. aspect. Recovery from any serious injury (and having a chunk of bone cut out and replaced is an "injury") is always going to be as good as the effort you put in to rehab. And this begins before the operation. Again, I know my experience is hips, but I advised several friends who needed hip replacements on the rehab and prep work to do before then, By working hard at the necessary exercises beginning at least a month beforehand they flew through their recoveries.

Thanks to all. I can attest that I’m totally a believer in doing the therapy. I knew full well going in that rehab would hurt and I was prepared for it. I’m going three times weekly, doing the exercises at home and being as active as tolerable. Hey, I just fixed a Saturday night washing machine crisis! 😁

I’m very glad to hear those with experience have continued to enjoy travel as much or more than before their surgeries. I’m hoping to be back in the saddle shortly.

My 72 yr. old husband is 6 years into his second replacement on the same knee. He opted for a hemi the first time around and it only lasted 8 years. We didn't do any pleasure travel for a year after the latest replacement, but he continued to fly regularly for work after 2 months. He wears compression socks and always has to go through the body scanner at the airport. We're back to traveling and he can walk most golf course. When we travel overseas, he carrys a cane with a seat because the standing can bother him. When I walk behind him, if he's wearing shorts, I can tell if the knee is swelling and that doesn't happen as much anymore.

I have had both of my knees replaced within the past year and a half, the first in January 2017 and the second the following October. I will agree with everyone so far that the pre-op and post-op physical therapy is key to a good recovery. In my experience, the pain and hard work pays off in the end. I know that may not be the case for everyone, but I've been fortunate with a good outcome. I will also say that while my first knee replacement and recovery went well, the second was even easier (although for others I hear the opposite was true). I think that was due to knowing what to expect and working with a different physical therapist who was a little more forward thinking with my exercise program. As others mentioned, the main limitation I now have is with kneeling. It isn't painful, just uncomfortable.

While we've not been back to Europe since I've had my knees replaced (going to Ireland in the Fall), I've been to outdoor concerts, museums, theme parks, festivals and done some short hikes all of which require walking and standing and have had no problems. All of these activities would have given me trouble in the past. I live in a very flat area of the country so I don't have much experience with hills though I suppose Ireland will be a good test of that. I've been through various security protocols and sometimes the metal detectors react and sometimes they don't. I just go into it expecting to be "wanded" and/or asked about it.

Finally, I also agree with what at least one other person has mentioned and that is the improvement in stability. In the years prior to my knee replacements I was finding myself becoming more and more tentative as I felt like either knee could go out at any moment. The improvement in stability was remarkable and has helped with navigation of stairs, curbs, and uneven terrain.

As you mention, your mileage may vary, and I hope you are able to enjoy a good outcome and an improvement in your quality of life. I know I did, and echoing others, I wish I had done it earlier.

I'd just like to add that if your doctor tells you that you need a joint replacement, but "You are too young, and let's just wait"; then you need a new doctor as fast as possible. This is extremely outdated thinking, and shouldn't still be bandied about. What do they think you are waiting for?!?! You want to be more mobile NOW, not in 15 years after 15 more years of pain! New strides are being made constantly with joint replacement, and you should not be told to wait, and get left behind and in pain.

Agreed. It was one thing when artificial knees were only good for 10 or 15 years and you'd likely face having to replace it again. But as I said earlier, when my doctor told me the implants are lasting 30 years now, it became close to a no-brainer.

I've taken a couple bad tumbles since my surgeries. Apparently they didn't fix clumsy. Once I parked my car, got out, and found that my feet were no longer under the rest of me. There was a parking bumper parallel to my car that I hadn't noticed. Down I went, right onto my 6 month old knees. I had a moment of panic, thinking I'd cracked them or torn things. But I had no problem at all, and no pain, aside from the gravel embedded in my skin. And, I could easily get UP, which had been difficult with the old knees.

Congratulations stoutfella. The Tacoma trip should be a good warm up for Edinburgh, as my gross generalization would be that U. S. Locations are more mobility prepared than " the old world" I went on a cruise w my mother after she got a new hip . She brought her quad cane along basically as security for long walks. When the announcement came for the life boat drill on the 1st day, she took off down the hall w her life jacket in one hand and her purse in the other. I said, what about yr cane? She said You bring it. :) may yr recovery go as well.

I have had both done, one in 2012, the other in 2015. I travel to Europe annually, and have never had a problem with either (particularly compared to the pain I had before). If you tell them as you walk up to the machines, you won't be directed through the metal detectors but through the full body scanner, which is no big deal. Some airports might also scan you secondarily. At two weeks out, you can't imagine how your life will change once you are healed. I often forget that I even had anything done. Contrary to what stoutfella said, cutting muscle is not unavoidable. My surgeon did not cut any muscle with either of mine. I was driving quickly (within three weeks). Everyone is different, every procedure is different, every doctor is different.

At two weeks out, you can't imagine how your life will change once you are healed. I often forget that I even had anything done. Contrary to what stoutfella said, cutting muscle is not unavoidable. My surgeon did not cut any muscle with either of mine. I was driving quickly (within three weeks). Everyone is different, every procedure is different, every doctor is different.

Nancy: Thanks for your testimonial. That's the sort of ultimate outcome I'm hoping for.

I'm doing much better at just over four weeks than when I wrote my initial post. Honestly, I was making an assumption about cutting the muscle. I see my surgeon in a couple more weeks and I'll ask for more info about exactly what he did.

Though I get impatient and bored with the recovery, I know I'm doing extremely well and will continue to be diligent with the rest of my therapy and beyond. I also was cleared to drive after just more than two weeks, as long as I'm not whacked out on pain meds. It's been nice to get some independence back and not have to rely on my son to drive me around. Though he'll never see this, I'm eternally grateful for his help. I can't imagine getting through the first couple of weeks without his assistance, both with the driving and helping with so many little favors and household tasks. He's a pretty good kid! :-)

RE: Contrary to what stoutfella said, cutting muscle is not unavoidable.

Here's our Orthopedic's web page: Total Knee Replacement video from Paragon Orthopedic Center http://www.paragonorthopedic.com/total-knee-replacement.php

A total knee replacement, also known as total knee arthroplasty, involves removing damaged portions of the knee, and capping the bony surfaces with man-made prosthetic implants. A total knee replacement repositions the knee into proper alignment and replicates the original function, allowing for a near-normal range of motion. Common reasons for undergoing a total knee replacement include severe pain, stiffness, chronic inflammation or degeneration that limits everyday activities; pain that interferes with sleep; and mild knee deformity such as bowing inward (varus) or outward (valgus). Although knee replacements provide excellent results and patient satisfaction, they are typically reserved for patients who have exhausted other options in order to minimize the need for future revision procedures to repair or replace worn components.

The absolute key is the PT -- do it 120%. Our dil is a PT and she can tell who is doing the exercises and who is cheating. You don't have a choice and you need to be motivated. It will not be easy but the pay off is great.

Just thought I'd offer a quick update on my progress. I will hit the 8-week post-surgery mark tomorrow (as I write this).

I saw my surgeon again after six weeks. He's not a warm and fuzzy guy, but he was practically beaming at how well I was doing and the range of motion I had regained. Pulling and manipulating my leg, he was extremely pleased by how solid the joint was. In short, he was both congratulating me for putting in the work and, I think, himself for a job well-done.

All of this is not to say it's been easy. It has been anything but. However, with each passing week I grow a bit more confident that the final outcome will be a good one. While I still take a (fairly low-dose) pain pill or two most days, that's due as much to pain in the other knee as the new one. I've been bothered more by stiffness and swelling far more than actual pain in the new joint. The answer to that is simply time. I have to be patient as fluid, inflammation and stiffness resolve themselves, and patience isn't my strongest virtue right now.

I'm in the home stretch for physical therapy, with three more sessions over the next couple of weeks. Good therapists are clearly worth their weight in gold and I'm very, very happy with those I've been working with. They're always pushing me to do more while being totally positive and encouraging at every turn. And I think I've been a diligent patient. ;-)

I'm confident I'll be more than ready for the trip to my son's wedding in Tacoma in October. And I'm also pretty certain I'll then have the other knee replaced in November, looking ahead to a trip to Scotland and likely RS tour the following May.

Thanks again to everyone who's offered advice and encouragement here. Just as appreciated were the private messages from a couple of those who posted.

Once I get past all of this, I'm ever hopeful to keep on travelin' pain-free for years to come. Cheers!

That is great to hear! For your Scotland tour, I'd advise preparing by doing a lot of stairs and hills. In general it's rated as moderate for activity but Edinburgh has hills and steps as do all the castles!

If you don't live in an area where you can do hills outside, I'd put that on the list of things to talk over with your PT before your last visit. Tell them you plan to visit Scotland and need suggestions for gaining stability on stairs and cobblestones!

I don't have knee issues but I use a BOSU (piece of equipment that can be worked BOth Sides Up) to work on foot strength and stability for my trips to cobblestone-y places! They may or may not recommend that to you!

Glad your recovering !. I broke down and went to another dr for a 4th opinion on my L Knee. I made it thru my RS Scotland trip April-2018. I have been getting those monovisc (sp) shots. But now it has worn off and my next shot is August (only 6 month apart). Even tho I am younger that most folks (60 next month), my knees are full of arthritis, torn meniscus and no ACL. Well I am set up for knee replacement 8-27. It should be a nice time frame for me (hopefully ) for my next 2 RS tour in May (London and France). Right now, my knees hurt everyday. Aarrggh.

So glad to hear your rehab is going so well. And a well-deserved pat on the back for being so diligent with your exercises. It's a very long road for knee replacements, but SO worth it in the end. I'm 2 years post op, and the only time I even think of my new knee is when I set off the metal detectors at the airport.

Kim: I'm 64, so not much older than you, and I've been battling the knee pain for about three years. The arthritis has been the killer, but I also have various tears and other damage. While not bone-on-bone yet, the cartilage was (is) deteriorating.

I've been getting shots of kenalog (similar to cortisone) every three months. I tried one of the viscous treatments and, sadly, it was totally ineffective for me. I got a much-needed kenalog shot in my left one only a couple of weeks ago and it's already starting to wear off, though at least the knee doesn't ache constantly (which I'm sure you're all too familiar with).

In the way of encouragement that you're making the right choice:

-- We went to a movie the week before I got the last shot, and within 30 minutes of sitting, my left knee was throbbing miserably (I'm sure you know all about that one, as well). Meanwhile, the new right knee was fine.

-- At the gym recently, I tried out my favorite elliptical machine for the first time since surgery. The motion felt a little weird with the new right knee, though not painful. However, on every cycle, I had a sharp, stabbing pain in the joint of the left knee.

Best of luck with your surgery and let us know how you do.

Stoutfella-Thank you for starting this thread! I too am in need of a double knee replacement. I have severe arthritis in both knees and the only way I survive my trips to Europe is with Cortisone injections given about a week before the trip, this allows me to walk (reasonable request right?). I take heavy duty anti-inflammatories daily just to keep the pain to a minimum. The Cortisone has stopped working and I am now getting Euflexxa shots (series of 3 injections, one a week) which I can get 2x a year. Knee replacement sounds so scary and I am only 52! I have actually gotten stuck in the middle of the street unable to move, thinking, do I crawl? Do I wave cars to go around me? Fortunately no cars came and I was able to limp across after about 3 min, tears streaming down my face from the pain and frustration at the situation. I can't stand for long periods (walking tours were you stop and listen are becoming something I don't think I can do anymore). All the comments are very encouraging and right now I am working on losing some weight to make my recovery easier. I can no longer Zumba or take long walks. I can only walk about a mile before my knees are in extreme pain or start locking, then I come home and ice both knees so I can function for the rest of the day. During our trip to Europe last year I really do not know how I did it, maybe it was because I was exercising daily with all the walking and that helped, we did stop and rest often (I think we did four Spritz/beer stops a day!) but I really am go-go-go on trips.

Stoutfella,

Knee replacements are good and life can continue as before. I've had both knees replaced and both hips. My knees were replaced 17 years ago when I was 48 and my hips 4 and 6 years ago. My wife and I have been on 5 RS tours and I have not been hampered at all. In fact I would have been unable to take his tours prior to my knee replacements. As far as airports, most have full body scanners which eliminates the hand wands. The only issue I have with my replacements at all is that I am bothered with a museum pace. Long periods of standing bother me. I have no issues walking long distances or walking fast. Just look for a bench or wall to lean on while in the museums. Knee replacements are more difficult than the hips and make sure you do your physical therapy. I was in Hawaii 3 weeks after my first hip replacement. We are planning our 6th RS tour. I am happy to offer any advice if necessary. Keep on Traveling

Thanks Stoutfella for your kind words. I had to work all week with our store event. 60 hours of standing and walking and helping our customers. My legs/knees were barking at me at the end of the day.

Glad this will be done next month. Ready to start feeling better.

Will let you know how it goes!

Thanks for checking in Stoutfella. I am encouraged by your progress and hope to do as well with my surgery in October.

Stoutfella- just checking I on you to see how you are doing. I reread most of these replies. It sure was reassuring I am doing the right thing. Liked someone’s comments about dr saying your to young etc. that was my first dr. Monday is the day.

Mary- hope you do well on yours in October

Stoutfella- just checking I on you to see how you are doing. I reread most of these replies. It sure was reassuring I am doing the right thing. Liked someone’s comments about dr saying your to young etc. that was my first dr. Monday is the day. Mary- hope you do well on yours in October Kim

Hi Kim. I'm continuing to do well, though I confess I've had to be a little more realistic in my expectations. Despite what anyone said, I figured I'd be good as new after two or three months. But the therapists and doctors have said it can take as long as nine to 12 months to truly feel normal again. I still think I'll beat that. I'm just shy of four months now and have been playing golf for several weeks, mowing grass, doing household chores, walking, etc.

I continue to work at my exercise routine, including leg presses and other weight training to build strength back. I can do most everything I want or need to do at this point, but still have good days and bad. The bad is mostly stiffness in the new knee and a hard-to-describe feeling of weirdness, for lack of a better word. I'm assured that will all pass and I still expect to have an excellent ultimate outcome.

It's still a bit hard going up and down stairs normally and I can't trundle up and down steep inclines very quickly or confidently yet. But I'm getting there. Despite my occasional impatience and frustration, I realize every week or two that I'm better than I was a week or two ago.

All this to say that you need to be realistic about your recovery time and, as so many others here have counseled, you must keep up with your therapy and exercise long after the surgery. I still expect to be fine on my upcoming trip to Seattle in October and remain confident that I'll only continue to improve. I'm confident enough that I've scheduled the other knee replacement for early November -- Election Day, in fact. I'm expecting to be able to handle our planned Scotland trip next April/May. And I'm looking forward to many years of pain-free walking once this is all over with.

My very best wishes to you (and Mary) on your upcoming surgery. The procedure is quick, but the recovery is a long process. Just stick with everything you need to do and don't let the tough days get you down.

Stoutfella, thanks for the update. All of us in the Bad Joints Club appreciate the honest information. I am so glad you are seeing progress. Hope it continues and that thinking about dancing at that wedding is a strong light at the end of the recovery tunnel for you.

All of us in the Bad Joints Club ...

TravelingMom: We should get patches made. :-)

Joint replacements are certainly a subject close to so many travelers. My wife had a knee go out on her earlier this year, we had already scheduled a trip to France, England and Ireland. We were fortunate that I am very mobile and.strong enough to push her wheelchair and tow a carryon bag through airports. She was treated so well and we went to the first of every line. Upon our return, my wife was scheduled for a knee replacement. Her ortho. surgeon performs 3-4 knee replacements two days a week and he is exceptional. On our follow-up visit this week, my wife asked why she is.still hurting @ 3 months so bad? He said it really takes 6 months to appreciably get over such a major reconstruction. And he told her she will eventually have the other knee replaced--as he gave her an injection in it. All we have to say is when you are miserable, it is time to solve the problem. And don't think you can be back to normal in 2 months. Although you have the desire to but the road slow down and take it easy. Your desired location will be there in a year. My wife says her wheelchair trip went so smooth that she might make it a permanent part of travel. I don't think so. But 2019 will be an off travel year for us. We might go to Montreal by auto and pretend it is Paris.

Thanks, Kim. Wishing you the best as well.

Stoutfella, I am glad you are doing so well. I went for a preop class this week and was told at 90 days you are at 90%. That seems to be the case. It took another friend to the fourth month mark to do stairs. Thanks for your postings.

I thought I'd share my experience from this past weekend as another update to my progress after knee replacement May 8.

My wife and I were in southern Illinois to see old friends and decided to do a little hiking in a state park. This was my first try at any kind of trail hiking since my surgery. Most of my walking has been on fairly level pavement and a few hills on the golf course.

We set out on a 1.5-mile, marked trail, which was rated as "moderate" in difficulty. It was pretty uphill to start, and I handled that fairly well, with just a little discomfort. Some sections were also fairly steep downhill, which is still a little more difficult for me. I had to pick my way through some rocky, downhill descents. My wife held her breath a bit on those sections, but I was very careful, watched every step and managed fine. When we got to the end of the trail, we elected to reverse course and go back the way we came. And that's when the fun started!

Somehow, we very quickly got off the trail and became disoriented. We knew we were never very far from anything, but every direction we headed seemed to lead to one impasse or another, and not a trail in sight anywhere. This went on for a good hour or so. The terrain we were traversing was far more challenging than I had planned on that day. It certainly wasn't the Appalachian Trail, but it was way more rocky, steep ground and obstacles than I'd signed up for.

Eventually, my wife spotted a car flashing by on a park road in the distance through some trees, and we headed that way. Finally, we were out of the woods! We got our bearings and walked another mile or so on the roads back to our car.

During all of this, my new knee mostly felt fine. I could feel a little stress climbing up and down, but walking that last mile back to the car felt easy and almost normal. I was pretty sore that night, but I felt this had been a great test for the knee, and it passed with flying colors.

The right knee should be totally healed by our Scotland tour next year. I'm having the left one done in November and if it feels as good next April/May as the right one feels now after four months, I'm going to be in great shape for Scotland.

I hope Mary from Reno (who has surgery scheduled soon) and Kim from Oklahoma (who just had hers done) take some encouragement from this recovery tale. The rehab is a long, tough haul, but I'm not regretting it at all and feeling even more confident about having the other knee done.

Thank you, Kelly, for all your encouragement. It is very much appreciated.

Stoutfella - that is awesome news. Probably a bit uneasy not knowing your whereabouts. Don’t blame your wife for felling a little nervous but glad y’all over came!

8 my 8 days post surgery. My hospital is pretty much on doing new things! Forgot to mention I am zip tied! Lol.

I thought Monday was a down day but I gave muttled thru! My pt said I am doing great. Yes yes yes everyone do exercises ice and torture machine if your doctor prescribes one. Three weeks of doing this will help later down the road! Pain level is 2.5/ /3.5 doing my stuff after pill kicks in it relieves some pain. Had to take a stroll around my house yesterday cause I got tired of lying in bed/recliner. Still hard to sleep at night. But I can report that I know I will survive!

Mary - will be thinking of you in November. Please keep us informed

PS - still no 2019 RS tour catalog yet in my mailbox

My 2019 tour book came today. I tour (Freudian slip-tore) out pages and put in 2 piles: short list and would like to do list. Six in the first pile, seven in the second pile. Hmmm...that will last me until I am 66 years old....unless I start doing 2 per year?

Oh, more on topic, I got my very first steroid injection in my left knee today. Both knees lit up with arthritis (not as young as I thought) and I will need an MRI for possible meniscus tear. Oh well, just as long as that injection gets me through Italy in 2 weeks. That and a bottle of ibuprofen.

Best wishes for all of our knee recoveries.

Just an update. I had my tkr on Tuesday and am now home. The first two days were a bit rocky with the nausea and some pain. I am happy to report that the nausea is now gone and the pain is at a very low level. Now the rehab begins. I am keeping my next year’s travel in mind as a motivation to do those exercises.

Yeah - Mary

Me too. Working hard on rehab seeing myself walk up those steps at Mont St Michel. Pt said with my hard work, it should not be an issue. This is my third week post surgery. Dr appt is next Wednesday

This topic has been automatically closed due to a period of inactivity.

Tips For Traveling By Car After Knee Replacement Surgery

by Anthony Maritato PT | Jun 12, 2022 | Total Knee Replacement

When is it safe to traveling by car after knee replacement surgery as a passenger?

Most patients return to driving after total knee replacement surgery in 6 weeks. Here in the United States some patients will return to driving sooner if the replacement was on the left knee.

Surgeon’s often have 3 criteria for return to driving:

• Patients must be off the narcotic pain medication.
• Patients must be off a walker and walking independently.
• Patients must feel safe and comfortable driving again.

Click the link for more information about driving after a total knee replacement .

Best Way to Ride Home After Surgery

The easiest way to ride home in a car following total knee replacement surgery is to slide into the back seat.

I recommend getting in backside first with your surgical leg staying closes to the back of the car. In some cars you may decide to keep your leg elevated and resting on the seat. In larger vehicles you might be able to place your foot on the car’s floorboard.

In most cases the local anesthesia will manage pain for several hours after surgery so the car ride should not be too painful.

* Tip – placing a plastic garbage bag on the seat before sitting will make sliding your body into position easier.

Going on a 2 Hour Car Ride After Total Knee Replacement Surgery

For a 2 hour car ride as the passenger, most post surgical patients will do well with the following list of supplies:

• Chattanooga ColPak
• 6 Inch Wide Ace Elastic Compression Bandage
• Leg Lift Assist Strap

If possible, taking time to elevate the foot and pump the ankle will help to reduce lower extremity swelling and risk of blood clots. [ 1 ]

Using a cold pack after the first hour could help make the second hour more enjoyable.

The compression wrap may help to provide warmth and security to the knee while minimizing fluid accumulation during the drive.

As the driver you will not be able to elevate the leg, but you have control over when you choose to stop and “stretch your legs.”

The best advice for drivers who recently had a total knee replacement is to stop for a rest break before you need to stop. Drinking adequate levels of water will ensure that you can’t drive too far without a restroom break. These short and frequent breaks will make the drive far more enjoyable.

References:

1. Stringer MD, Steadman CA, Hedges AR, Thomas EM, Morley TR, Kakkar VV. Deep vein thrombosis after elective knee surgery. An incidence study in 312 patients. J Bone Joint Surg Br. 1989 May;71(3):492-7. doi: 10.1302/0301-620X.71B3.2785998. PMID: 2785998.

About The Author: Anthony Maritato, Physical Therapist

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Knee Replacement Aftercare: Tips for Patients and Caregivers

Get tips for knee replacement aftercare. Whether you're a patient or caregiver, find out how to sleep, walk and recover after joint surgery.

• Be their reminder. Your loved one may come home after surgery with a number of medications — such as pain relievers, anti-inflammatories and blood thinners. Make sure they remember to take them at their designated times. Also remind them to do ankle pumps, get up and move around frequently, put on their TED hose, if prescribed, and follow any instructions their medical team provides. 
• Keep two or more ice packs in the freezer and switch them out as needed. Help them apply ice packs, but also remind them to take breaks. Ice should not be used for more than 20 minutes at a time unless their doctor advises otherwise. 
• If your loved one experiences worsening pain, swelling or other troublesome symptoms, have them call the doctor — or call their doctor for them.
• Look for and remove obstacles — throw rugs, knickknacks, toys — that could cause a fall. Move furniture to allow a path wide enough to navigate with a walker 
• Help them set up room to sleep downstairs if their bedroom is upstairs. If that is not possible, accompany them up and down to help prevent falls. 
• Help them find temporary accommodations for a pet that jumps or is constantly underfoot or keep the pet contained while they are up and moving about.
• Help your loved one determine if there are any adaptive devices they need but did not get before the surgery. Many can be ordered online for next-day delivery.
• Unless a physical therapist or occupational therapist comes to the house, you can help by driving your loved one to and from therapy appointments.
• Sit in on therapy appointments if your loved one and the PT and OT agree. Learn what activities they can do and which ones they should avoid. At home, encourage them to do their therapy.
• Remind them to walk. A short walk once an hour is ideal, increasing the distance a little bit daily. Offer to walk around the house with them and later on, outside, for companionship and safety. 
• If dressings need to be changed, learn how to help with this task. Observe the wound for increased redness or drainage, which could be signs of infections.
• Offer to help with meal preparation and/or shopping. If your loved one feels up to and want to cook a simple meal, place cooking utensils and ingredients on a countertop where they are easy to reach. A desk chair on wheels will allow them to move around the kitchen without having to stand. 
• Stay close by while the person showers in case they call for help. Help them with getting in and out of the shower, drying off and getting dressed. 
• Encourage them to get rest. At bedtime or nap time try to minimize sounds that would disturb their sleep — noisy children, barking dogs or TVs with the volume turned up.  
• Keep bedding clean and help them get comfortable at bedtime, arranging pillows or blankets. If they use a pillow or wedge to elevate the knee, make sure their leg is straight. Make sure they have one dose of pain medicine and water bottle or glass of water on a bedside table if they need to take dose during the night.  
• Spend time with your loved one. Watch a favorite movie or show together or discuss a book. If you have a streaming service that your loved one doesn’t, share your login information so they can find shows and movies they might not otherwise have access to. 
• Help them identify activities they can do that aren’t strenuous and don’t require a lot of time on their feet — such as baking cookies or caring for pets. 
• Help them set up a computer or craft station. Collect needed supplies and put them together in an area that doesn’t require bending or reaching to access. 
• Bring them books, puzzle books and magazines or anything they request to help pass the time during their recovery. 

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The do's and don'ts after knee replacement

If you’ve just had a knee replacement or are considering taking the plunge, the healing process may seem a daunting prospect. However, there are plenty of ways to ensure a smooth recovery.

Our list of do’s and don’ts after knee replacement explores what you can do to give yourself the best chance of a full and speedy recovery.

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Recovering from total knee replacement surgery

Congratulations! If you’re reading this, it’s likely you’ve either just had your knee replaced or have decided to have surgery. You’re probably wondering about knee replacement surgery timings and what the healing process looks like. So, let’s take a look!

The day after your surgery A few hours after your joint replacement surgery, you will probably feel some pain and swelling. Don’t worry, you will be given some pain relief to help get you more comfortable.

When you’re feeling ready, a physiotherapist will come and help you stand up. You’ll be encouraged to walk a short distance using a supportive device. They will also show you how to safely perform some everyday tasks and movements.

It may seem a little early, but moving around can help to reduce the risk of blood clots and infections.

At this early stage, while it’s important to work on bending and straightening your knee, rest is equally crucial. Make sure to stop your exercises if you feel too much pain, and get plenty of sleep.

Days after surgery Over the next few days, you’ll be encouraged to step up your mobilisation. This will incorporate walking and practising your everyday activities.

With support and mobilisation, you should be able to return home two to four days after your surgical procedure. Please note that if you are specifically having day surgery knee replacement , you will usually be discharged on the same day. You will be given some exercises to do at home and care instructions to take with you.

At this stage, you should be able to stand unassisted, start to walk without the help of crutches or a frame, dress and bathe yourself and go on longer assisted walks.

Weeks after surgery Your recovery continues from the comfort of your home. Here you should continue the exercises given to you by your physiotherapist.

As the weeks go by you should notice your pain lessens and your range of movement improves. By the second or third week after surgery, you may be able to get around with just a walking stick or nothing at all.

Months after surgery As you continue your rehabilitation exercises over the following months you will notice a big improvement in your pain levels and mobility. Your swelling and stiffness should go down and you will gain more strength to do your favourite activities.

This is the point where you may want to introduce some new exercises. Swimming, walking or cycling after a knee replacement can be very beneficial. Just be sure to check with your physiotherapist or medical professional first.

You should be able to drive again around six-eight weeks after surgery.

How long is recovery?

The time it takes for you to recover depends on a number of different factors. For example, your age, fitness and activity levels should be taken into account, along with how closely you follow the rehabilitation plan set for you by your physiotherapist.

With that said, most patients will be able to start resuming some normal activities within six weeks of surgery. Full recovery from knee surgery isn’t normally achieved until around 18 months after surgery.

What is the fastest way to recover from a knee replacement?

At Practice Plus Group, we follow the Enhanced Recovery Pathway (ERP). This is a modern, evidence-based approach that helps people speed up their recovery following major surgery. The ERP champions the many advantages of day surgery knee replacement . With this support you will be mobile enough to go home either on the day of surgery, or soon after. Painkillers in the form of anti-inflammatories are administered upon discharge from hospital. This is to help with pain relief and to manage pain and swelling.

Getting up on your feet earlier can help to speed up the recovery process, as long as it’s done carefully and safely. Your physiotherapist will give you safe exercises to practise at home in the weeks and months after surgery.

Our top tips for a quick recovery are:

• Keep mobile and stick to your recommended exercise programme
• Attend your physio appointments regularly
• Use mobility aids and supportive braces if recommended by your medical professional
• Try to maintain a healthy weight to reduce stress on your new joint.

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If you’re experiencing knee pain, try our knee suitability quiz. It will give you an idea of whether you’d benefit from booking a consultation with one of our knee specialists.

What do to after a knee replacement

There are plenty of things you can do to help yourself achieve a full recovery. Here are a few tips that will help you get back on your feet.

Prioritise rehabilitation and recovery

Getting back to your favourite activities should be your number one goal. This means doing your exercises, taking medical advice and focusing on rebuilding your strength and mobility.

Make time for rest

Rest is just as important as exercise when it comes to your recovery. This is particularly important immediately after your surgery.

You are likely to feel more tired than usual in the first six weeks at home. Maintaining a healthy balance between rehabilitation and rest is essential for a full recovery.

This may mean booking time off work, asking a friend or family member for some help around the house. Don’t be afraid to say no if you have too much on your plate.

Have patience in the process

Remember that healing takes time and everyone progresses at a different rate. Trying to do too much, too soon could result in your recovery taking longer and cause unnecessary pain or discomfort.

If you’re worried about progressing too slowly, talk to your doctor for advice.

Use ice packs to reduce swelling

You may want to try using ice packs or heat packs in the days or weeks after your surgery. This can help to ease swelling and pain. Apply the cold pack for around 20 minutes a few times a day until the swelling goes down. Your consultant should be able to offer more tailored advice.

Improve your overall health

Maintaining a balanced and varied diet that contains all the vitamins, minerals and proteins you need for recovery will encourage your body to heal.

Minimising alcohol consumption while maintaining a healthy body weight will reduce the stress placed on the new joint.

Smoking narrows your blood vessels and will likely prolong your recovery. Ask your doctor for resources aimed at helping you quit. He or she can also provide you with help and support to maintain a healthy lifestyle.

Take your prescribed medication

It’s very important to take any prescribed medication during your recovery. This can be for pain relief or to manage an existing health issue. Talk to your doctor if you are having any issues taking it or are experiencing any adverse side effects.

Use walking aids or assistive devices

Assistive devices such as walking frames, crutches and walking sticks are designed to support you during your recovery. We understand it may take a little while to get used to, but the benefits are worth it.

Assistive devices take some of the pressure off your knee, helping you to balance. You may also want to consider investing in a ‘reacher’ or ‘grabber’. These enable you to pick things up off the floor without bending or squatting.

Keep up regular, gentle exercise

The rehabilitation exercises provided to you will play a key part in your recovery.

You may not feel like moving when your knee feels uncomfortable but it’s important not to give up! Staying mobile will help you to recover faster and improve mobility in the affected joint.

As your knee starts to heal, you may want to introduce more gentle exercises. You should consult your doctor before attempting these.

Low impact exercises such as swimming, walking, cycling (on a stationary bike) and gentle strength training can be very beneficial in your recovery.

Wear supportive shoes

Correctly fitting shoes that support your feet will aid your progress when out and about. Avoid flimsy footwear or flip-flops that come with a higher risk of slipping or tripping over.

Follow the advice of your medical professional

Whether it’s your orthopaedic surgeon, your physiotherapist or your GP – these professionals have your best interests in mind. Be sure to follow their advice for the best chance of a full recovery.

What not to do after knee replacement

While your body is healing, it’s important to look after yourself and stay away from activities that could hinder your recovery. The following are activities you should avoid.

Don’t put too much pressure on your knee

Whether it’s lifting a heavy shopping bag or overdoing it on the golf course – physical activities that place excess pressure on your knee should be avoided while you’re still in recovery. Ensure your rehabilitation is a gradual process to avoid injury and unnecessary discomfort.

Don’t forget proper wound care

Proper wound care is essential to avoid infection and complications that could delay recovery. You will be given instructions when leaving the hospital or medical centre on how to care for your wound and how to keep it clean.

Don’t use a pillow directly under your knee in bed

While placing a pillow under your calf might feel comfortable, if you put the pillow directly under your knee it will cause it to bend. To avoid excessive stress on the new joint, you ideally want to keep your knee as straight as possible while sleeping.

Don’t kneel straight away

Talk to your doctor and physiotherapist to see when it’s safe to kneel.

Don’t sit with your legs crossed

Sitting in a crossed-legged position too soon after surgery can put excess pressure on your knee joint. When sitting down, you should try to keep your knees and feet pointing straight ahead.

Don’t sit in low chairs

Sitting on a low seat or sofa can make it tricky to get up again without putting undue stress on your knee. If possible, sit in firm chairs with back support and armrests until you are fully recovered.

Don’t sit in the same position for long periods

Sitting still in the same position for more than 45 minutes can increase stiffness in your knee. Instead, try to keep mobile and go for a short walk. You should also try to stretch regularly.

Don’t attempt any high-impact sports

High-impact activities or contact sports such as football, skiing or lifting heavy weights are best avoided throughout your knee replacement recovery period . They carry a high risk of falling which can damage your new joint. Any activity that requires twisting, jumping or running could place too much strain on your new knee.

When turning, rather than twisting, try to take small steps, move your whole body and keep your knees pointing forward.

Don’t partake in activities with a high risk of falling

During your recovery, avoiding ladders should extend to more than just walking under them. You shouldn’t try to climb them as a fall during your recovery stage could cause serious damage.

Don’t ignore pain

Ignoring severe pain when exercising or doing any activity could result in strain and delay in your recovery. If you are finding the pain hard to manage, talk to your doctor. He or she may be able to prescribe further pain relief options and check if anything is wrong.

What should I avoid after knee replacement FAQs

We’ve covered a lot of ground so far, but if you’ve still got questions about knee replacement surgery , our dedicated FAQs can help!

You may feel a little stiff and uncomfortable immediately after your surgery. Working with your physiotherapist will help to regain your mobility and strengthen the affected area.

You should also practise bending your knee – by the time you leave hospital, you should be able to bend your knee between 70 – 90 degrees.

It’s important not to overextend yourself during the recovery process. If you experience persistent or increased knee pain, discomfort or swelling while doing any physical activity, it’s best to ease off and seek medical advice.

Walking is a relatively safe and accessible exercise during your recovery period. However, it’s best to start with shorter distances and gradually build up as your strength and mobility improve. Rest is just as important as regaining your strength.

For the first couple of days after surgery it may be difficult to climb stairs. However, by the time you leave hospital (usually 2 to 4 days after surgery), you should be able to climb stairs using an assistive device or supporting yourself with your upper body. While you’re still in hospital, your nursing team will practise navigating stairs with you.

Ideally, you should be exercising your knee a little every day. While you recover, you shouldn’t be afraid to push yourself, but you will need to find a balance to avoid injury. Your physiotherapist will provide you with a personalised recovery plan which will detail how often you should exercise. If you’re unsure, they should be able to advise how frequently you need to exercise, or if you are struggling to stick to your plan.

Are you ready to relieve pain and get back to the activities you love? Talk to us about knee replacement surgery to see if it could be an option for you.

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Mayo Clinic Q and A: Pain after knee replacement surgery

Liza Torborg

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DEAR MAYO CLINIC: It has been months since I had knee replacement surgery, but my knee is still hurting. Can anything be done at this point, or does the surgery just not eliminate pain in some patients?

ANSWER: Although it’s uncommon, a small percentage of patients continue to have chronic knee pain after knee replacement surgery. But when that happens, you don’t have to just put up with the pain. Have your situation evaluated. Several additional treatment options may ease chronic knee pain after knee replacement.

Knee replacement surgery, also known as knee arthroplasty, is one of the most common orthopedic surgeries performed today. It is most often used to repair joint damage caused by osteoarthritis or rheumatoid arthritis that causes severe knee pain and makes it hard to perform daily activities.

During knee replacement, a surgeon cuts away the damaged bone and cartilage from your thighbone, shinbone and kneecap, and replaces it with an artificial joint. For most people, knee replacement significantly improves mobility and relieves knee pain. But in some patients, the pain persists after surgery.

Your first step in dealing with ongoing knee pain in this situation is to make an appointment to see the surgeon who performed your knee replacement. He or she can evaluate your knee and check for possible complications from the surgery, such as an infection or a problem with the artificial joint.

In the past, if a surgeon didn’t uncover potential issues that could cause the ongoing pain at that point, patients were left with few treatment options to reduce the pain, other than taking pain medication. Over the past several years, however, there have been some new developments to treat pain after knee replacement surgery.

The first is a minimally invasive procedure where the nerves that carry pain information away from the knee are ablated, or destroyed, with the use of a special needle. Studies of this approach are showing promising results for pain reduction in people with chronic knee pain who are not good candidates for surgery. This approach also is helping those who have had surgery, but knee pain remains a problem, as in your case.

Another minimally invasive procedure that has shown some benefit for chronic knee pain after surgery is the use of dorsal root ganglion, or DRG, stimulation. The dorsal root ganglion is a collection of nerves near the spinal canal that can be stimulated to provide pain relief in certain conditions.

Results of multiple research studies published in medical literature have shown this to be a promising approach for the relief of chronic pain. The DRG stimulator is a device that’s implanted beneath the skin that connects to multiple leads. Those leads conduct electricity to the area that requires the stimulation. The electrical signals interfere with the transmission of pain signals to the brain, and that results in a decrease in chronic pain.

Although these new interventions show promise in reducing chronic knee pain after knee replacement surgery, they do not work for everyone. If you’re interested in learning more, ask your surgeon for a referral to a pain clinic for a full evaluation and consultation. A pain medicine specialist can review your condition and discuss what options might work best in your individual situation. — Dr. Markus Bendel , Pain Clinic, Mayo Clinic, Rochester, Minnesota

****************************

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Travel after Joint Replacement Surgery

You may be worried about traveling in the first months following surgery. One concern is sitting in a car or airplane seat for long stretches of time and the risk of forming a blood clot in your leg – also known as deep vein thrombosis (DVT). Several studies have shown that, if appropriate measures are taken , it is safe to travel soon after your joint replacement without an increased risk of developing a blood clot for most patients.

If you have a higher than normal risk factors for blood clots, it is important to have a discussion about post-surgery travel plans with your primary care physician and surgeon prior to joint replacement because DVT is a serious condition that can be life threatening. This may potentially affect your surgeon’s choice of medication to prevent blood clots after surgery.

Most people will feel safe to travel within a few weeks of surgery; however, keep in mind that your comfort level may also play an important role in determining when you are ready to take a long trip. Anticipate that you may be more sore, stiff or swollen when traveling within a few weeks of surgery. This increase in discomfort will likely be short-lived, but you may experience a slight setback in recovery and should have a plan in place to address any increase in pain. Depending on the progress of your recovery, you may find it easier to use a cane, crutches or a walker (or at least have one available) when traveling even if you were not using them prior to the trip.

What precautions should I take when traveling with my joint replacement?

In general, there is an increased risk of developing a blood clot immediately after surgery whether or not you plan to travel long distance. If appropriate measures are followed, these risks can be minimized and make it possible to travel soon after surgery. These precautions include using compression stockings , and/or mobile compression devices and taking medication that can range from aspirin to prescription blood thinners to prevent a blood clot. We recommend continuing the use of these preventive methods when traveling. These are other precautions that can be beneficial and are recommended:

• Walk and move around frequently. This can consist of basic stretching and getting up to walk the aisle of the plane or stopping the car to walk every one to two hours.
• Do calf squeezes and ankle pumps to keep the circulation in your legs moving.
• Pull your knees to your chest to stretch your legs.
• Stay well hydrated by drinking plenty of fluids like water and juice. Avoid dehydrating beverages like coffee and alcohol.

If you are planning to travel after your joint replacement, please discuss this with your surgeon before your surgery so you can both work together in developing a customized plan for a safe journey.

More information concerning travel and the risk of blood clot along with the symptoms of DVT and pulmonary embolism can be found on the US Centers for Disease Control website .

See also “ Will my artificial joint set off airport security metal detectors? ”

• Ball ST, Pinsorsnak P, Amstutz HC, Schmalzried TP. Extended travel after hip arthroplasty surgery. Is it safe? J Arthroplasty 22(6 Suppl 2): 29, 2007
• Cooper HJ, Sanders SA, Berger RA. Risk of symptomatic venous thromboembolism associated with flying in the early postoperative period following elective total hip and knee arthroplasty. J Arthroplasty 29(6): 1119, 2014
• Nwachukwu BU, Dy CJ, Burket JC, Padgett DE, Lyman S. Risk for Complication after Total Joint Arthroplasty at a Center of Excellence: The Impact of Patient Travel Distance. J Arthroplasty 30(6): 1058, 2015

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This article has been written and peer reviewed by the AAHKS Patient and Public Relations Committee and the AAHKS Evidence Based Medicine Committee. Links to these pages or content used from the articles must be given proper citation to the American Association of Hip and Knee Surgeons.

Recovering from a knee replacement

How to recover from a knee replacement.

It may take several months or longer to fully recover from a knee replacement. This can vary depending on your age and general health.

Recovery for a partial knee replacement should be shorter than a total knee replacement.

It's important to follow the advice the hospital gives you on looking after your knee to have a good recovery.

Recovering in hospital

After the operation, you'll spend some time in a recovery room where you may be given medicines to help with the pain.

You'll continue to have painkillers in the days after the operation as your knee will be sore.

You'll have help from nurses and physiotherapists to start walking soon after the operation so you can go home as soon as possible. You'll need crutches or a walking frame at first.

Recovering at home

You can usually go home if your wound is healing well and you can safely get around. Most people can leave hospital 1 to 3 days after the operation.

Before you leave, a physiotherapist or occupational therapist will talk to you about managing daily activities and home exercise programmes. Following the exercises early on in your recovery will help with the long-term strength and movement in your knee.

A nurse will take out your stitches or clips after about 10 days. You'll also have a follow-up appointment about 6 weeks after the operation to check you're recovering well.

Do use crutches or walking sticks at first – go down to 1 crutch then a walking stick when you feel confident try walking without an aid after about 6 weeks if you feel ready get up and walk around for 5 minutes every hour to prevent blood clots wait at least 6 weeks to drive again if you've had a total knee replacement or 3 weeks if you've had a partial knee replacement – check with your doctor that you're fit to drive avoid twisting your knee, bending down and reaching up as much as possible follow the exercises your physiotherapist has recommended keep your leg raised as much as possible to reduce swelling return to work when you feel ready – this is usually after about 6 to 12 weeks but will depend on the type of work you do Don’t

do not sit with your legs crossed for the first 6 weeks

do not sleep with a pillow under your knee (you do not need to sleep in a special position after the operation)

do not kneel on your new knee until your doctor says you can

do not stand for long periods of time as this could cause swelling in your ankles

do not do household tasks that involve lifting or moving anything heavy (like vacuuming) for the first 3 months

Page last reviewed: 9 March 2023 Next review due: 9 March 2026

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• 5 Essential Tips for Regaining Mobility and Reducing Pain After Knee Replacement

Undergoing knee replacement surgery can be a life-changing experience, offering relief from chronic pain and improving mobility. However, the journey to full recovery doesn't end with the operation itself. It requires dedication, patience, and a commitment to post-operative care. Let’s explore five essential tips to help you regain mobility and reduce pain after knee replacement surgery, focusing on post-knee replacement exercises, caring for your knee post-op, and preventing post-surgery pain.

Follow Your Rehabilitation Program Diligently

One of the most crucial aspects of your recovery is adhering to a structured rehabilitation program prescribed by your orthopedic surgeon or physical therapist . This program typically includes a series of exercises aimed at improving flexibility, strength, and range of motion in your knee. These exercises may include gentle knee bends, straight leg raises, and heel slides. Consistence is key, so commit to performing your exercises regularly, even when you're feeling discomfort.

Gradually Increase Activity Levels

While it's important to rest and allow your knee to heal properly in the initial weeks following surgery, it's equally essential to gradually increase your activity levels as you progress through recovery. Start with short walks using a walker or crutches, and gradually transition to longer walks as your strength improves. Avoid high-impact activities and lifting heavy objects until cleared by your healthcare provider.

Practice Proper Pain Management Techniques

Pain management is a critical component of your recovery journey. Work closely with your healthcare team to develop a pain management plan that suits your individual needs. This may include a combination of prescription medications, over-the-counter pain relievers, ice therapy, and elevation techniques. Additionally, mindfulness practices such as deep breathing exercises and guided imagery can help alleviate discomfort and promote relaxation.

Prioritize Rest and Recovery

While it's important to stay active during your recovery, it's equally crucial to prioritize rest and allow your body ample time to heal. Listen to your body's signals, and don't hesitate to take breaks when needed. Incorporate periods of rest throughout your day and elevate your leg to reduce swelling and promote circulation. Adequate rest is essential for tissue repair and overall healing.

Maintain a Healthy Lifestyle

In addition to following your rehabilitation program and prioritizing rest, maintaining a healthy lifestyle can significantly support your recovery efforts. Eat a balanced diet rich in nutrients to promote tissue healing and strengthen your immune system. Stay hydrated by drinking plenty of water throughout the day. Quit smoking if you're a smoker, as smoking can impair healing and increase the risk of complications. Finally, try to maintain a healthy weight to reduce stress on your knee joint and improve overall mobility.

Recovering from knee replacement surgery requires patience, commitment, and a comprehensive approach to post-operative care. By following these five essential tips—adhering to your rehabilitation program, gradually increasing activity levels, practicing proper pain management techniques, prioritizing rest and recovery, and maintaining a healthy lifestyle—you can maximize your chances of regaining mobility and reducing pain after knee replacement. Remember to consult with your healthcare provider before starting any new exercise regimen or pain management plan, and always listen to your body's needs throughout the recovery process. With dedication and perseverance, you can embark on a journey toward a more active and pain-free life post-surgery.

If you have any questions or would like to schedule a consultation with one of Rothman’s orthopedic specialists, please don't hesitate to contact us . We're here to support you every step of the way on your journey to recovery.

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Managing Stiffness After Knee Replacement

Risks, Causes, and Current Treatment Options

Even when knee replacement surgery is successful, stiffness in the knee joint can remain. People with a stiff knee after surgery may be unable to fully straighten the leg, to bend the knee, or both. Fortunately, there are ways to get rid of knee stiffness.

This article explains the causes of stiffness after knee replacement surgery and the treatments that are used to relieve it and restore normal range of motion in the knee.

Hero Images / Getty Images

Click Play to Learn All About Stiff Knees After Surgery

This video has been medically reviewed by Laura Campedelli, PT, DPT .

Causes of Stiffness

In some people, knee motion can be difficult to regain after surgery. Lack of normal motion after knee replacement can be due to one of several causes, or a combination of causes. Lack of normal motion may be caused by:

• Inadequate pain control
• Poor motion before surgery
• Excessive scar formation
• Improper positioning of the implants
• Other surgical complications

Inadequate Pain Control

Pain control after joint replacement is usually a manageable problem. But in some people, this can be quite difficult. Some patients find the side effects of pain medication impossible to tolerate. But a lack of adequate pain control can lead to difficulty increasing the motion of the newly replaced joint.

It is important to partner with your healthcare provider to develop a pain treatment plan that works for you.

Poor Motion Before Surgery

When trying to predict the likelihood of stiffness after a knee replacement, the most important thing to consider is how well you can move your knee before having surgery. People who have stiff knees heading into knee replacement surgery are more likely to have stiff knees after the operation.

There are steps that can be taken at the time of surgery to help release tight ligaments and tissues around the joint. These methods can also help remove any damaged pieces of cartilage or bone that are interfering with movement. But sometimes the flexibility of the tissues is limited to a point that cannot be fully corrected.

Those who can easily move the knee before having surgery are less likely to have stiffness after surgery.

Excessive Scar Formation

Some people seem to naturally make more scar tissue than others, a condition known as arthrofibrosis. Some situations may also cause more scar formation. Arthrofibrosis affects 3% to 10% of patients who have undergone total knee replacement.

Improper Positioning of the Implants

Surgeons make an effort to balance the knee at the time of surgery. This means finding the proper size and alignment of the knee replacement so that the knee joint is not too tight and not too loose. The goal is to make this balancing the same whether the knee is straight or bent.

This is precisely why a knee replacement is a difficult procedure. In fact, the art of perfecting this takes many years. Errors in the positioning of an implant may not be apparent on the operating table and may only become noticeable when the patient is slow to recover from surgery.

Other Surgical Complications

Complications of surgery often lead to other problems. Patients who experience joint replacement infections, complex regional pain syndrome , or other complications have a higher chance of developing stiffness.

After knee replacement surgery, it is important to work with a physical therapist to restore as much range of motion as possible. Typically, the range of motion will progress quickly during the first three months. It can continue to increase for up to two years following surgery.

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. Most knee replacements have movement ranging from 0 degrees to 110 degrees or more.

The range of motion of the replaced knee can be improved with a combination of stretches, exercises, and gradual resumption of normal activities. Some surgeons will recommend the use of a machine to bend the knee, called a CPM (continuous passive motion).

Treatment of stiffness after knee replacement depends on how long it's been since surgery and the cause of the stiffness. The usual treatments for stiffness include the following approaches.

Aggressive Physical Therapy

Physical therapy is a useful treatment for a stiff knee, especially within the first three months after knee replacement. Physical therapy can also be considered after this time, but the results are not as good as early physical therapy.

You will be prescribed exercises that target different muscle groups, encourage aid in maintaining joint mobility. These may include such as quadriceps sets , heel slides, leg raises , and various knee-straightening exercises.

A type of splint called a dynamic splint has also shown some encouraging results when used in conjunction with physical therapy.

Manipulation Under Anesthesia

In a manipulation, a patient is given general anesthesia , usually through an IV. A surgeon forcibly moves the knee to break up scar tissue. This procedure is most beneficial in the six to 12 weeks after surgery.

The primary concern with a manipulation is the risk of bone breakage. This is a real issue because most patients who have a manipulation treatment are older and at greater risk of osteoporosis . Breakage is also more likely if the manipulation is performed more than a year after the replacement.

Surgical Removal of Scar Tissue

Surgical removal of scar tissue after knee replacement is seldom performed but may be helpful in some rare circumstances. The results of removing scar tissue have not been particularly good at improving motion. Healthcare providers usually consider other treatments first.​

Revision Knee Replacement

When all other options fail or the knee replacement parts are not positioned well and can't be repositioned, it may be necessary to perform a revision knee replacement. The bone cuts and the size of the new replacement can be modified to help allow for better knee motion.

Surgeons perform knee replacement surgeries to repair worn-out knee joints that are causing severe arthritis. Even if a surgery is successful, however, you can still end up with complications, including knee stiffness.

Treatment options include aggressive physical therapy, manipulation under anesthesia, surgical removal of scar tissue, and revision knee replacement. Your surgeon will decide which treatment is best for your unique needs.

Rodríguez-Merchán EC. The stiff total knee arthroplasty: causes, treatment modalities and results . EFORT Open Rev . 2019 Oct 7;4(10):602-610. doi:10.1302/2058-5241.4.180105

Cochrane. Continuous passive motion after knee replacement surgery .

Abdul N, Dixon D, Walker A, et.al. Fibrosis is a common outcome following total knee arthroplasty . Sci Rep . 2015 Nov 10;5:16469. doi: 10.1038/srep16469

Scott AM. Total knee replacement and imaging . Radiol Technol . 2015;87(1):65-86.

National Institute of Neurological Disorders and Stroke.  Complex regional pain syndrome fact sheet .

Kittelson, AJ, Elings J, Colborn K, et.al.  Reference chart for knee flexion following total knee arthroplasty: a novel tool for monitoring postoperative recovery .  BMC Musculoskelet Disord  21, 482 (2020). doi:10.1186/s12891-020-03493-x

OrthoInfo. Total knee replacement exercise guide .

Issa K, Pierce TP, Brothers A, et al. What is the efficacy of repeat manipulations under anesthesia to treat stiffness following primary total knee arthroplasty? Surg Technol Int . 2016 Apr;28:236-41

HSS. Hospital for Special Surgery. Revision knee replacement frequently asked questions .

By Jonathan Cluett, MD Dr. Cluett is board-certified in orthopedic surgery. He served as assistant team physician to Chivas USA (Major League Soccer) and the U.S. national soccer teams.

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‘Don’t push into pain!’ How to rescue your knees from everything from torn ligaments to injured tendons

From runner’s knee to fraying cartilage, knees are involved in 40% of sports injuries. But it can be hard to pin down what’s wrong, or what to do about it. Here’s what the physios say

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“I could talk for days about knees,” says physiotherapist Patricia Collins . “After backs, they are the most common area we treat.” According to a recent paper in the British Medical Journal, 41% of sports injuries are knee-related.

But just because knee issues are common, that doesn’t mean we should ignore them and soldier on. These knobbly little joints bear a heavy load, and problems and solutions can take some untangling. “Not only does the knee have the two major leg bones, the femur and the tibia,” says Bhanu Ramaswamy, physio and visiting fellow at Sheffield Hallam University, “but you’ve got the kneecap, cartilage, tendons and ligaments, and any changes in those will make a knee prone to becoming more stiff or inflamed.”

Here are some of the most common problems – and ways to tackle them.

Tendon issues

Tendons usually attach muscle to bone but the most commonly pranged one in the knee is the stretch of patellar tendon that connects the shin bone (AKA tibia) to the kneecap on its way to the quad muscles at the front of your thighs. “You hear of jumper’s knee,” says Collins, “which is usually seen in sports like basketball, running or football.” (Basically, any high-impact sport where there’s jumping and landing on hard surfaces, and the patellar is working with the quad to extend the leg to jump or kick.) The lower area behind the kneecap will feel tender, and it can be painful walking, running, jumping and straightening and bending the leg. To treat the problem, says Collins, “we keep people working through recovery, because tendons don’t like rest”. She often sees clients who have completely rested their knee until the pain subsided, only to return to running to find it is even worse.

Runner’s knee

It is often assumed that running wears out the knees and raises arthritis risk, but Collins says: “There is no evidence to prove this whatsoever.” Runners tend to be lighter, therefore reducing the lifetime loads on their knees, but it is still important to warm up properly and heed any twinges. Collins’s motto is: “Don’t push into pain,” and this is certainly the case for runner’s knee , perhaps the best-known tendon injury. Otherwise known as iliotibial (IT) band friction syndrome, this affects the tendon to the outer side of the knee, resulting in a sharp pain in the kneecap. “This is one where we say: ‘Don’t run,’” says Collins.

Symptoms usually appear after running or even hiking downhill, or with longer runs – in the last month or so of marathon training perhaps – that increase friction in the area. “The IT band is like a leathery tissue that attaches into the side of the femur and there’s a bursa there – a fluid-filled sack that helps reduce friction.” But overuse can inflame the bursa.

“It does go away eventually,” Collins says, “but it can be a horrible pain and take people out of running for months.” First-line treatment is physio-prescribed exercise, and rest from running.

Torn ligaments

Ligaments attach bone to bone and there are four big ones at the knee joint – two “cruciates” and two “collaterals”, all connecting the thigh bone to the shin bone. “Some of those, if they tear, need surgery,” says Collins, “but some will heal on their own. Others will need bracing and medical management.” But you’re unlikely to have torn a ligament unless your knee has had an obvious trauma from an accident such as a bad fall, or your foot has got stuck and the leg has twisted. To identify a torn ligament, Collins would first ask: “Was there a big swelling, because that may indicate a big injury, bleeding into the joint [called a haemarthrosis] and so on. And is the knee giving way or not supporting your weight? That’s telling us you quite possibly need to see a consultant, and imaging.”

Cartilage injuries

Cartilage is a smooth connective tissue that protects joints. “You’ve got cartilage that covers the bones,” says Collins, “but then you’ve got the semilunar-shaped fibrocartilage called the meniscus that sits in between the thigh and shin bones for shock absorption.” This can get sore from heavy usage, and might feel a bit tender getting out of the car, or stop you squatting and kneeling, and needs time with less heavy usage to recover. “Then it’ll be fine,” says Collins.

If your knee joint is locking, says Collins, and you’re having to physically move it with your hands, that could imply a torn meniscus. To check, Collins would have a client squat down to the floor (heels up). “If they’re lopsided and can’t fully bend at the end-of-range section, that’ll be the cartilage – but you can do things to improve that.” On the spectrum of cartilage injury, a tear would again be from a twisting or trauma that you might see if you do motocross, play rugby, or ski, as opposed to a nagging pain that slowly emerges over time.

As with most knee issues, rehab involves what Collins calls “a graded return to activity, getting things mobile, getting them strong, and, if you’re a runner, lengthening and strengthening the calves.

“The calf attaches above the femur, so it’s above the knee joint,” she says. Standing on the edge of a step and lowering your heels is a key remedial move, sometimes with weights – “we call it heavy-slow training,” says Collins.

Plyometrics work is also crucial in managing cartilage injury, which means reviewing how we jump and land. One exercise to improve this is called the pogo. “Your feet are flat, at 90 degrees [from the legs], and you’re jumping. If you look at the Instagram account for @TheIrishPhysio , he has lots of great exercises like this for runners.”

In some milder cases of cartilage injury, a thinning occurs that makes it more fragile and prone to micro-tears. Collins visualises it as fraying carpet. “Just listen to the symptoms,” she says. “Respond to them, don’t aggravate them any more than necessary, but get your strength back up, and it can and should settle down. It can take months, though.”

Fat pad irritation

This is a common culprit in anterior, or front-of-knee, pain, affecting soft tissue under the kneecap. “You may see a puffiness below the kneecap,” says Collins. This is often caused by the load on the joint being more than it can handle (or a direct blow to the knee). “Maybe someone sits at a desk and their muscles are weak and they are overweight. They will get the same kind of pain as someone who is lighter and a long-distance runner but hasn’t done strength work.”

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Preventing injury

And what about preventing all these injuries? Collins says we should instead be talking about reducing risk, “because you often can’t prevent injuries – they can just be bad luck. Your shoes are suddenly a bit worn, and you just push it that last 500 metres or mile or whatever.” Here’s how to reduce that risk, then.

Strength and conditioning The recommendation is usually some variety of squats, lunges and deadlifts. “With all those movements,” Collins says, “if we can do them well, and perform them regularly, we’re less likely to get injured.” These tackle the glutes, hamstrings, quads, calves, hip flexors and abdominals to boost “stability, power and endurance”. Women experience more anterior knee pain and are eight times more likely to tear their cruciate ligament, says Collins. “Female knees are not great at absorbing shock, so when we jump and land when we run, we are a lot more at risk of knee pain than men.” This makes strengthening exercises even more important. “It always comes back to looking at how someone moves, and giving them exercises, and the tools to try to get themselves strong and maintain that.”

Rather than starting with deep squats, Ramaswamy says, intensity can be built, “gently, over time, lowering your body, eventually adding weights or holding the squat position for longer. Then change into lunges, so it’s one leg taking all your weight, instead of two.”

Rest “Listen to pain,” says Collins. “If you overdo it one day, that’s OK if it’s grumbling,” as long as the next day you take it easier. Pay attention to your fatigue, how well you slept and your stress levels, as well as how much you are hurting. All of these can increase injury risk or slow recovery. As far as pain goes, try rating it out of 10. “Beyond a three, you shouldn’t be pushing into pain,” she says. “If you’re getting sore and not recovering, give yourself a 48-hour break.” The NHS Couch to 5k programme can help ease overeager runners back gently.

Avoid aggravating moves If your knees aren’t happy, “breaststroke is probably one of the most irritating things because of the rotation to the knee and pressure pushing through the water,” says Collins. Ditto running, or long steep walks, downhill, “because you are controlling your body weight against gravity. The quad muscles are working in a lengthened way, which is just harder,” she says.

Maintain a healthy weight “If you lose half a stone of weight, that’s equivalent to losing two and a half stone of pressure through your knees when you go up and down stairs because of the angles and the point of impact,” says Collins.

Seek professional help “If a pain builds steadily over time, then there is something wrong that you need to get checked,” says Ramaswamy. “It doesn’t always need an X-ray, because they don’t always show the problem, but it does need a musculoskeletal specialist.” The NHS has boosted its physio workforce, with many attached to GP surgeries. “The knee is a little at the behest of what’s happening at the hip and the ankle, like if you’ve got flat feet and your ankle pulls in, that affects how your knee operates.” Only a specialist can spot these root causes.

Stretch and lubricate If your knees are stiff and sore at the end of a day’s activities, Ramaswamy recommends gentle stretching, as well as “sitting down and straightening and bending the leg with no weight on it”. This helps the synovial fluid, which lubricates and cushions the joint, to work through the knee.

Use pain relief Nagging pain and the anticipation of it exacerbates the situation. “There is no reason that you shouldn’t take painkillers over a couple of days, unless you’re allergic to them,” says Ramaswamy. “You want your brain to stop being on alert for the pain, which beds down the pathways that might make you more cautious about moving. The problem with cautious movement is that you’re then altering your natural movement mechanism.” She’s talking about over-the-counter products such as paracetamol and ibuprofen. The latter, in the NSAID category, is anti-inflammatory as well as painkilling, although, says Ramaswamy, “not everyone has swelling and the issue is not always inflammation”. NSAIDs aren’t recommended for those with health conditions such as kidney disease or who have had stomach ulcers, so it’s not one size fits all. The charity Versus Arthritis has more information .

Protect your kneecaps Kneeling pads are a necessity rather than a luxury for activities such as gardening, says Ramaswamy, “where you’re putting pressure directly on the point of the knee”. She has been pleased to see that trousers for plumbers and manual labourers have inbuilt knee pads these days, “so your kneecap isn’t bearing the brunt of your weight, because that in itself can lead to arthritic changes”.

Genetics play a large part, too, in developing arthritic changes. You can’t reverse these, says Ramaswamy, “but you can manage them, which is why we’re trying to get people to stay fit and active and catch it quickly”. Less weight-bearing exercise such as cycling and exercising in water can be good (avoiding breaststroke kicks if they trigger pain). Walking is fantastic, too. “You’ve just got to watch that when you’re tired that you don’t sag from the hips,” says Ramaswamy. “That will affect weight going through the knees. Draw yourself up tall and take long, confident strides, even if you’re in company and talking.”

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