Best Range of Motion after Total Knee Replacement

You get one good chance after total knee replacement to get it right and get the best motion to achieve a great total knee.

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What to watch next:

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00:00 Intro
03:45 activities of daily living
04:00 expectations for range of motion
06:22 picture
08:30 Two important exercises

Here I will let you know the information that I share with my patients about how important early range of motion is after surgery. I think that to get the best range of motion after a total knee you need to put in the time and know what to do to achieve your goals. In total knee replacements you really only get one chance to get a good outcome, there are no do-overs. Commonly, once your knee is stiff or you develop scar tissue you will be stiff for life.

I will show you the two exercises I share with every single one of my patients. I believe that it is these two exercises that help them achieve their goals. I commonly hear from therapists about how my patients recover so much faster than most total knee replacement patients that they care for. Although the pre-op preparation, the surgery and pain control protocols play a part in that outcome, a major factor is patient participation in therapy.

Always check with your doctor before starting any exercise program.

WWW.DRADAMROSEN.COM

Disclaimer: The information found in this media presentation represents my own views and opinions. This has been produced for educational and informational purposes only. This does not qualify as medical advice. This in no way should take the place of professional medical advice. You should always talk with your physician, doctor, surgeon, therapist or other health care provider regarding your specific questions, complaints, diagnosis, and treatment. Do not delay seeking care based on what you find in these informational videos. Use this information at your own risk. No doctor-patient relationship is formed through watching these videos.

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[dradamrosen]

Please subscribe and like and share my channel with your friends with knee pain

[jimpowell]

When I had a total knee replacement I slept in a recliner. Get yourself comfortable with a pillow under your knee and on top of your knee. Use ice, ice and more ice along with pain meds. Do your rehab like you are suppose to. Fight through the pain, but whatever you do do not skip your rehab at all. In fact I did a little more than prescribed. This use ice for 20 minutes at a time is not what I did. For the first 10-15 days I had ice on unless I was rehabbing. The most important thing is do not let scar tissue build up.
My end results were terrific. I was 70 when I had my knee done. I played 18 holes of golf 6 weeks after surgery. I will be 78 in 3 weeks. Going strong, playing golf 3 times a week plus other mild exercises.

[AmazeVictoria]

I've had TWO knee replacements this year and no way were my knees even close to bending at these degrees within these timeframes 😳 & that was with physical therapy 2-3 times a week. Did I get there eventually ...YES, but for sure it took time. Please don't be discouraged if you're not at these markers just keep going to physical therapy & exercising...everybody is different.

[joannaba]

Very good talk. I live alone. Had my son first week. After that alone. I made every cup of tea and meal in recovery. I cried I laughed at myself. After 2 weeks I didn’t use the crutches. I was up and down the stairs all the time. And did my washing in small batches. Exercised when I could. I sit with my heal on a stool, to keep it straight. This was agonizing at first. Now I don’t even think about it. At 13 weeks post op. My leg is straight and my bend is 120. I’m now at a gym. Work and you will get there. I’m 69 years old. Thank you for your talk😊

[tassie]

I had both knees replaced last year. I worked really hard at range of motion. I sat in a warm bath and really benefitted by bending and straightening my knees. Today, 15 months on I have the best bend. I can actually bend my knee to the point where I am almost touching my buttocks with my heels. I'm thrilled.

[gbounder]

I used Dr Rosen's video as my Bible. Did a LOT of work in the gym 8-months prior to surgery which was March 21st 2024 - my 70th birthday. Exactly 14 days after surgery I has my 1st appointment with the PT. My bend was measured at 132 degrees, straightening was a 0 degree gap. It was hard the first few days but after 3 days I was walking without a walker and off prescription meds entirely after 5 days. This advice is genius.... Still have sleep issues hopefully it improves over time. Thank you Dr Rosen.

[stavebmb]

The best knee extension range of motion exercise is the heel prop. Lay on your couch, put your heel on the arm rest and lay there for 10-15 minutes at least 4 times a day. No need to activate your quad during this exercise. Just let gravity stretch it. I am a PT. Hope it helps.

[davidandetson]

I am now four months post TKR. I had my surgery in the public health system of Costa Rica. Prior to surgery the only preparation I had was a booklet of exercises in Spanish. I did not meet with my surgeon prior to entering the hospital and I did not see him in the hospital before or after my surgery. I had one physical therapy in the hospital and one outside the hospital about three weeks after surgery. They told me I was doing so well no further therapy was needed. In the absence of virtually any information or therapy I relied on videos, primarily yours, to guide me in my preparation and recovery. Your video on "How to Get The Best Motion From Your TKR" was invaluable to me as I religiously do these two exercises three times every day. I also have a stationary bicycle which I use regularly. I saw my surgeon after one month and he said I was doing great. Your videos gave me the information I needed to know what to expect before and after surgery and to set the proper goals.
I thank you greatly and extend my profound appreciation for your efforts in making these important videos available to TKR patients.

[owenthorsen]

This guy knows his stuff.

I just listened to this guy today. I did 5 sets of both exercises. I beginning week 4 tomorrow and I expect big increases when they measure my numbers tomorrow.

I feel more movement after just the one day of exercises.

It hurts but if it gets me “cured” quicker that’s OK.

[mikefallen]

At 57 years i had a double knee replacement on the same day.
At 11 years on I can raise both foot heals too 7 inches to my butt.
I started with a exercise bike pedalling backyards at first then the normal way very slowly and building up.
And every thing they told me to do.
Iam still a happy chappy.

[kathycruz]

I had bilateral total knee replacement 8 weeks ago and everything said here is spot on, I had good range of motion before surgery and after it was easier to get range of motion but I had to work at it, I went through the sleepless nights the first 3 weeks but as I exercised more I eventually started to get better and better sleep, I’m pretty much back to normal and getting around great, but each person is different however doing the work really does make a big difference.

[ReneeBannon-kf]

This is definitely not for everybody right out of the gate. I was on OxyContin, and the pain was so excruciating I couldn’t even stand up without passing out for six days until they took me off the OxyContin so my physical therapy digressed but there was absolutely no way in that first week. I was going to be able to get on a bicycle and do a full rotation. The 90° after surgery is because you have a full block and that’s the only reason you can drive home in a regular car but after that it doesn’t stay at 90° you have to work back to that.

[Plumeria]

I’m on week 8 and my bend is nowhere near this timeline. I go to PT three times a week and work hard. Take these timelines with a grain of salt. It can make you feel like a total failure if you compare yourself to some guideline. I find that it’s a very personal journey and has a huge emotional component. Talk to your PT, if he’s satisfied then continue on your journey. You’ll get there.

[offpiste]

I’m 56, 12 months out left tkr. I can say as soon as I got of surgery and home I started range of motion exercises. I did them as often as I could tolerate. Immediately had better range than pre-op. Within weeks I wished I had surgery many many years earlier. I can ski again, my golf handicap has been cut in half, I can run, and hike but most awesome is I can now sleep because my knee never hurts.

[ralphh.]

I did pre-TKR exercises-to the extent possible through the pain- which helped, I'd say...I'm 76, 5 months out of surgery. The PT twice a week was very hard but I knew it had to be done.The two-a-days at home were just as important and effective.Iced up and rested, put away the walker at 10th day and the cane at 2 months...Did total of 12 weeks PT, never any swelling.Still a little tight but good.
Did lose a week when I pulled an outside knee muscle on the leg press. I walk half mile every other day, going to increase that soon.
Can flatten back of knee to zero and ROM to 120 degrees.Dr. Rosens advice is 10 out of ten.

[julieshaw]

Thank you for your video. I'm a month in and found these two exercises really helpful. I went to physio today and had improved my bend by 10° and changed my straight degree to 5° . Much improved from last week. I also managed to do full rotation on a recumbent bike which was less painful than the upright. So keep going all of you who have had TKR. You will get there 🤞

[karenmays]

I had R TKR 14 days ago. I live alone and am independent in my adl’s. I’m using a cane now as a mobility aid and my PT says I will probably not need it in another week. I have 120 degree flexion and complete extension.

Sleeping still is challenging. I lost 100 pounds and worked out with a private trainer and PT with focus on knee strength prior to surgery. All of that helped with my recovery.

[stevehendrickson]

Thank you for this video. I was stuck at 110° after 7weeks. I started the next day I saw this video and my range is 116° In one week. My PT asked me to show him the exercises. 8 weeks and I couldn't be happier with the results.

[scahall]

Dr. Rosen - Thank you for the excellent talk. I am at a week and a half of recovery from a full knee replacement. You got straight to the issues I'm experiencing right now and spoke from the perspective of the patient. It really is about facing the fear of the pain and pushing through to achieve an optimal outcome.

[irenemuench]

Great information. However, it’s not true that slow or lack of progress achieving ROM is always related to patient’s lack of commitment to rehab exercises. I am one of those people that at 8 weeks out have not reached 120 degrees. It is not for lack of trying. I probably spend at least 2 hours daily working thru the pain on ROM. I use a pedal bike for 10 minutes 3 times daily. PT has requested I limit my walking to 4 blocks at a time to avoid a possible cause of inflammation.
I say bravo to those lucky souls who are progressing well. But do not assume that the blame for poor progress lies with the patient.