How painful is a total knee replacement
Andrew White
Published Apr 16, 2026
Typically, knee replacement surgery hurts more than hip replacement surgery (sorry, knee people). After surgery, pain is no longer achy and arthritic but stems from wound healing, swelling and inflammation. Hip replacement patients often report little to no pain around the 2-6 week mark.
Is knee replacement really painful?
Pain is to be expected after the initial knee replacement, but it should not be severe. The first few days after surgery should include the highest level of pain, but your doctor will send you home with pain medication adequate for your pain level.
What does a total knee replacement feel like?
After knee replacement, it’s common to experience new sensations and feelings around your knee. You may have skin numbness on the outer part of your knee and have a sensation of “pins and needles” around the incision. In some cases, bumps may also appear on the skin surrounding the incision.
How long does it take for pain to go away from knee replacement surgery?
General pain may occur for up to several weeks following a total knee replacement. Swelling typically lasts for 2 to 3 weeks after surgery, but may persist for as long as 3 to 6 months. Bruising may last for 1 to 2 weeks following surgery.How long does pain and stiffness last after knee replacement?
By 6 weeks, pain and stiffness should continue to resolve, and isokinetic quadriceps and hamstrings strengthening exercises can be incorporated. By 3 months, most TKA patients should have achieved greater than 90% of their ultimate knee motion and pain control.
What is the fastest way to recover from knee surgery?
- Keep the Knee Straight. While it may not be incredibly comfortable, it’s important that you keep your knee joint completely straight immediately after your surgery. …
- Wear Your Knee Brace. …
- Appropriate Exercise. …
- Physical Therapy.
How long does it take to walk after a full knee replacement?
You will probably be able to walk on your own in 4 to 8 weeks. You will need to do months of physical rehabilitation (rehab) after a knee replacement. Rehab will help you strengthen the muscles of the knee and help you regain movement.
What is the best painkiller after a knee replacement?
Acetaminophen: Normal Tylenol taken at doses recommended by your doctor can help with pain relief and have a much lower risk of future addiction. Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): NSAIDs are a great option for non-narcotic pain medications, such as ibuprofen (Motrin) and naproxen (Aleve).How should I sleep after knee surgery?
The best sleeping position just after your surgery is sleeping on your back. You should make sure that your operative leg stays as straight as possible to avoid hypertension of the knee and keep proper blood flow to the surgery site. If you are sleeping on your back, put the pillow under your calf and knee.
What is the most commonly reported problem after knee replacement surgery?Pain and Other Physical Complications. Knee replacement surgery can result in physical complications ranging from pain and swelling to implant rejection, infection and bone fractures. Pain may be the most common complication following knee replacement surgery.
Article first time published onWhat percentage of patients are happy with knee replacement?
The majority of studies reported more than 80% patient satisfaction, while a small number reported overall satisfaction in the 60-to-80% range. Therefore, although the reported satisfaction is generally high, around one in five patients may be dissatisfied with their elective TKR.
Do you weigh more after a knee replacement?
Most patients actually gain weight following joint replacement surgery. Of 106 adults who had knee replacements, two-thirds gained an average 14 pounds within two years after the operation, according to a 2010 study at the University of Delaware.
Why does knee replacement hurt more at night?
After you hit the 2-3 week mark in recovery, your narcotic pain medication may be cut down or eliminated entirely. At the same time, your activity level has likely increased due to the demands of your ReHab program. This can cause even more physical pain that can spike during bedtime.
How much should you walk after knee replacement?
Your orthopaedic surgeon and physical therapist may recommend that you exercise for 20 to 30 minutes, 2 or 3 times a day and walk for 30 minutes, 2 or 3 times a day during your early recovery. They may suggest some of the exercises shown below.
What causes stabbing pains in knees after TKR?
A Baker’s cyst is a fluid-filled cyst that develops at the back of the knee. It’s often the result of a problem within the knee joint such as osteoarthritis. “The pain is like a stabbing, someone taking a knife and just stabbing it in your knee and twisting it,” Jasper says. “You can’t straighten your leg out. …
Can you be left alone after knee replacement?
Orthopedics. Most patients, even if they live alone, can safely go directly home from the hospital after hip or knee replacement surgery, according to a recent study.
Can you climb stairs after knee replacement?
For the first several weeks after TKR, you will likely go up/down stairs one foot at a time (non-reciprocally). The pattern to follow is: “Up with the good leg, Down with the bad (operated)”. As you get stronger, I encourage you to try to climb stairs alternating one foot per step; holding on to the banister will help.
What happens at 4 weeks post op knee replacement?
Knee pain and function greatly improve during the first few weeks after knee replacement surgery. Significant improvements continue during weeks 4 through 6. By week 6, the majority of patients are off pain medications and have resumed their day-to-day routines.
Can you use a heating pad after total knee replacement?
Should I use a heating pad or ice packs? Ice can be used to help relieve pain, but can be harmful if left on too long (more than 20 minutes). The use of heat is not recommended for six weeks after surgery.
Is it OK to sleep in a recliner after knee replacement?
Designate a recovery area (usually the living room) with a sturdy chair to relax in. The chair should be high enough that it is easy to sit down and get up from. It should have arms and a solid back so you don’t fall. A recliner is a good choice because you can elevate your legs.
Is it OK to sleep on side after knee replacement?
Can you sleep on your side after knee replacement surgery? You can, but it’s wise not to do so until at least a few weeks after surgery, when you can start bending your knee. Make sure you lay on your non-operative side. Sleeping this way makes sure no pressure falls on the knee you had surgery on.
What happens at 5 months after knee replacement?
The conventional wisdom, and most clinical literature, agree that at five months after knee replacement it is unlikely to see much gain in flexion (bending the knee back). It is understood that knee replacement patients have until three months to improve their flexion, and six months to finish off their knee extension.
Do you have a catheter during knee replacement surgery?
The knee will be well bandaged and leg will be propped up or elevated. The patient may have a urinary catheter, a drain at the incision site, and an IV delivering fluids. The catheter, if present, is often removed in the first few hours. The incision drain and IV may remain for the duration of the hospital stay.
How long do you take oxycodone after knee replacement?
Continue for 5 days and then as needed. Oxycodone 5 mg 1-2 every 4 hours as needed. This is the narcotic and should be used sparingly. However, if pain is severe and uncontrolled with other methods, you may take 3 pills at a time for the first 24 hours.
Why do I pee so much after knee surgery?
Urinary tract infection: Infection to your urinary tract can occur after having surgery. Symptoms include burning and frequent urination, as well as blood in your urine. Fever and weakness may also occur.
When can u shower after knee surgery?
Showering/Bathing: ________ You may shower 2 days after surgery. You may shower if there is no drainage from your incisions. Your dressing may be removed for showering. You may get your incisions wet in the shower.
What should I wear home after knee surgery?
loose-fitting tops and bottoms (shorts with an elastic waistband, generous sweat pants). You will get dressed each morning in your own clothes.
What is the most painful joint surgery?
ACL surgery is the reconstruction or replacement of a torn anterior cruciate ligament (ACL) in the knee. Doctors perform ACL surgery when the damage to the ACL ligament is causing severe pain or significantly limiting your ability to move the knee, which hinders participation in sports or an otherwise active lifestyle.
What is the best age to have a knee replacement?
In summary, TKA performed between the ages of 70 and 80 years has the best outcome. With respect to mortality, it would be better to perform TKA when the patients are younger. Therefore, the authors of these studies believe that from 70 to 80 years of age is the optimal range for undergoing TKA.
What can you not do after knee replacement?
- using the handrail when going up and down the stairs.
- using a rubber mat or shower chair when showering.
- sitting down when putting on shorts or pants.
- keeping the floor clear of stray toys, slippery rugs, and other objects that pose a tripping hazard.
Do replacement knees come in different sizes?
Knee implants come in different sizes to accommodate various body sizes, types and needs. Several manufacturers make joint implants. Your knee replacement surgeon will select the implant that best fits your needs.