Activities After Total Knee Replacement
Resuming Normal Activities
Once you get home, you should stay active. The key is to not do too much, too soon. While you can expect some good days and some bad days, you should notice a gradual improvement over time. Generally, the following guidelines will apply:
Driving
In most cases, it is safe to resume driving when you are no longer taking opioid pain medication, and when your strength and reflexes have returned to a more normal state. Your doctor will help you determine when it is safe to resume driving.
Sexual Activity
Please consult your doctor about how soon you can safely resume sexual activity. Depending on your condition, you may be able to resume sexual activity within several weeks after surgery.
Sleeping Positions
You can safely sleep on your back, on either side, or on your stomach.
Return to Work
Depending on the type of activities you do on the job and the speed of your recovery, it may take from several days to several weeks before you are able to return to work. Your doctor will advise you when it is safe to resume your normal work activities.
Sports and Exercise
Continue to do the exercises prescribed by your physical therapist for at least 2 months after surgery. In some cases, your doctor may recommend riding a stationary bicycle to help maintain muscle tone and keep your knee flexible. When riding, try to achieve the maximum degree of bending and straightening possible.
As soon as your doctor gives you the go-ahead, you can return to many of the sports activities you enjoyed before your knee replacement.
- Walk as much as you would like, but remember that walking is not a substitute for the exercises prescribed by your doctor and physical therapist.
- Swimming is an excellent low-impact activity after a total knee replacement; you can begin swimming as soon as the wound is sufficiently healed. Your doctor will let you know when you can begin.
- In general, lower impact fitness activities such as golfing, bicycling, and doubles tennis will help increase the longevity of your knee and are preferable over high-impact activities such as jumping, jogging, and skiing.
Air Travel
Pressure changes and immobility may cause your operated leg to swell, especially if it is just healing. Ask your doctor before you travel on an airplane.
When going through security, be aware that the sensitivity of metal detectors varies and your artificial joint may set off the alarm. Tell the screener about your artificial joint before going through the metal detector.

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