Best Position To Sleep After A Total Knee Replacement

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Total Therapy Solution - Physical Therapy

6 жыл бұрын

The best position to sleep after a total knee replacement is the one that allows you the best night's sleep.
Sleeping after a total knee replacement can be the most frustrating part of recovery. The conventional advice is to sleep flat on your back with the knee in full extension. The problem is many of my clients have not been able to sleep in this position for years. Spinal stenosis, sleep apnea, and other medical conditions make sleeping in this position impossible.
Large bodies of medical research have suggested sleep is a vital component of recovery. This research suggests that one night of interrupted sleep may increase stress hormones, increase blood sugar levels, increase pain sensitivity and more.
If you are working on improving knee extension during the day and you are not experiencing significant loss of knee extension when measured by yourself or your physical therapist then it is reasonable to consider sleeping in any position that affords you the best quality sleep.
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Want more info? Check out our Facebook Group: / kneereplacements
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Пікірлер: 203

@fuzzywoz 4 жыл бұрын

Just had my second knee done, first one had a pillow under the joint, took forever to get it straight. Second knee slept on my back, knee straight, much quicker healing imho. Going on 5 weeks hardly need a cane anymore.

@totaltherapysolutions 4 жыл бұрын

That is great to hear, I always appreciate seeing what works. Thanks for sharing.

@bt9124 3 жыл бұрын

My surgeon told us NEVER to sleep on our back with a pillow under the knee. (There were a group of about 6 of us in the knee rehab place and we worked out that he said the exact same thing to us all!) He told us to sleep on our backs. Some people found that really hard, as normally they'd sleep on their side. . I slept on my back with my heel hanging off the end of the bed as a compromise. It was 3 weeks before i could just sleep on my back with the whole foot also on the bed. I have been having extension issues big time, sure, but there is no way i would have got a wink of sleep had i not slid down the bed a bit, (in 1st 3 weeks)and let my foot hang off the end. Thanks for sharing your story. I hope your extension is reliably equal on both legs now.

@chainshishd9127 8 ай бұрын

I'm 19 days out of the knee replacement and I tell you if it wasn't for watching this video and my pain meds for the other problems in my body I would not be able to sleep. I'm getting better but the past few nights have been horrible. Thank you for the video.

@donnalindsay3731 9 ай бұрын

I’m awaiting my surgery, preparing for any/all difficulties. Retired nurse have to add that in the mix, will keep learning! Thanks

@bonniebruman3086 5 жыл бұрын

awesome information!! Will use this tonight .. THanks🤗😴

@bonnieepps3713 2 жыл бұрын

I’ll try. Nights are my worst time.

@user-iq8xz2yd6x 5 ай бұрын

Thanks Tony u gave me a great idea on sleeping positions .😊

@juniefloyd1278 Жыл бұрын

4 months tNR and still can’t sleep more than 2 hours at most. My knee wakes me up with Hot throbbing pain all night. It’s terrible. I have 105 ROM but pain never goes away.

@thegreypath1777 16 күн бұрын

Thanks.

@arthritisadventure 3 жыл бұрын

Sleep is so important for recovery! Thanks for sharing these tips!

@totaltherapysolutions 3 жыл бұрын

Thanks for the comment.

@totaltherapysolutions 3 жыл бұрын

You channel is looking so great!

@tadbubs 3 жыл бұрын

Incredibly succinct, super-easy to follow, science-based, and no BS. Thank you, sir. I'm 6-days out from MCL + osteotomy and have two questions: (1) Can I use your protocols for my situation? (2) are there videos (in your channel) that I should NOT use or ones that are a MUST? Thanks for changing our paradigm.

@dancingfirefly7761 5 жыл бұрын

Thank you so much for sharing this. I'm 2 weeks post-op and wake up every 1.5 to 2 hours because I'm so uncomfortable. I'll try using more pillows tonight. I am using an ActiveCare calf compression machine, and that adds to my discomfort, what with the wires and noise and squeezing. Stitches come out tomorrow, that should help with comfort. Onward!

@MrPjcrews 2 жыл бұрын

Did you use the X10 ? How do you feel now, 3 years later ?

@laurawojciechowski2939 2 ай бұрын

3 months post surgery. Just keeping things real. Was not able to sleep in my bed til week 10! Slept in a recliner with a heating pad behind my lower back. It'll get better!

@jamesivie5717 2 жыл бұрын

Thanks!

@kimberleyomalley7211 3 жыл бұрын

Thank you for talking about this. I am 12 days S/P left TKR, and sleeping has been my biggest issue.

@totaltherapysolutions 3 жыл бұрын

It is so hard to heal when you can't sleep and it is so hard to sleep when you can't find a comfortable position.

@dennyjoejared 2 жыл бұрын

Your the best-great info

@totaltherapysolutions 2 жыл бұрын

Thanks so much!

@mariearmstrong7718 Жыл бұрын

Thanks. I find I just keep moving around!😀

@DevashNaidoo-c2k 27 күн бұрын

My mum had a knee replacement a month ago and I recommended sleeping with a pillow under knee as it is comforting also because a good sleep aids recovery. However physios and many others have told her this causes the knee to be bent during sleep and can also cause an ongoing limp. As painful as it is the idea is to get that knee as straight as possible soon after op.

@tulipfairy555 5 жыл бұрын

Thank u sir god bless u u gave me such a good relax i can sleep comfortable after watching da video 👍💗❤️❤️❤️❤️💯

@totaltherapysolutions 5 жыл бұрын

tulip fairy this is such an amazing comment. Thanks for sharing. You made my day!

@amyr3285 11 ай бұрын

I was rtolod by my therapist, not to bend the knee when I sleep, so I was always sleeping with the leg extended. Now I am bending it. She had mentioned it might do something to the leg if I did bend it during sleep, as in not being able to extend it while awake.

@grannygrumbles4119 2 жыл бұрын

Thank you for this. I am looking forward to my first knee replacement in 6 weeks. I'm having a terrible time sleeping now because my knee is so out of alignment that my hip is affected horribly. I can't get away from the hip pain no matter what I try. I'm hoping that is resolved pretty soon after surgery. I'm so arthritic I can barely manage to turn over in bed as it is. I hope I can put this information to good use afterwards. Thank you again ❤️

@totaltherapysolutions 2 жыл бұрын

I love the name GrannyGrumbles! Thanks for the comment.

@Scribblescrabbly 8 ай бұрын

How are you feeling now a year after your replacement?

@grannygrumbles4119 8 ай бұрын

@Scribblescrabbly that knee is doing well. I've had to also have a right hip, and just got my second knee replacement 4 days ago. In between I've had many other smaller surgeries, totalling 10 in a year and a half. Hopefully I'm done now lol. What a kindness to ask. God bless you my friend. ❤️🙏❤️

@debraseguin18 3 жыл бұрын

Week 2 post op and can’t sleep, I’ve tried one pillow but I’ll definitely try 2 tonight. My physiotherapist said not to sleep with a pillow under my knee? I think that might help me sleep though, does that effect being able to straighten the knee? I’m finding your videos very informative thank you for your advice 😀

@lindahenderson4642 3 жыл бұрын

How can I tell without having that measuring tool if I am doing better with my bend. Thank you

@stephenkay5135 8 күн бұрын

I'm 5 weeks out of a TKR. Range of motion is 115 but still using a cane. Sleeping has been a nightmare. I average 3-4 hours of broken sleep per night.

@toryberch 11 ай бұрын

Hi, how did you do? How is the arthritis holding up?

@quentinrance8974 5 жыл бұрын

I am 7 days post surgery and trying different pillows seems to helped me a lot.

@totaltherapysolutions 5 жыл бұрын

Quentin Rance thanks for the comment. Is there any one you especially like?

@mitostamang1245 5 жыл бұрын

what would b the right position 4 hip rep. surgery? i just had 11days ago

@paulhughes3961 4 жыл бұрын

I had to sleep on my back for about 10 days before I could sleep in my side. I'm 1 month and 3 weeks out from surgery and now I rarely need a pillow between my legs and it feels awesome to be able to sleep solid through the night.

@totaltherapysolutions 4 жыл бұрын

That is great to hear and will give others inspiration. How is your range of motion now?

@basiliagonsalves6402 3 жыл бұрын

How about the position for bilateral knee replacement

@janetauriemma6410 2 жыл бұрын

I am still having whent my knee whent do I do for it help me janet

@coringtonbaldwin7629 Жыл бұрын

My attempt to sleep on my side after Knee surgery did not happen until my 8 month period after surgery...( A pillow between the legs did not help)..Laying on my back was my savior during 7 plus months...Now that I can lay on my side...I don't require a pillow and I am resting much better.

@timruppenthal8 5 жыл бұрын

Haven’t had pain in my knee and its been 6 days since my ACL surgery. My back is just killing me from laying down. Thank god I can sleep on my side

@kumudhabn9159 5 жыл бұрын

After acl surgery how to sleep left leg

@sanjosejeff Жыл бұрын

I’m 5 weeks out from partial medial right knee replacement. This may not be a popular statement but it it what it is. I take zero pain meds during the day and ice frequently as I’m doing a lot to bend it. At night, I use pillows as he said and vary them but the only way I’m getting solid sleep is norco. 10mg/325. I don’t like taking high doses of Tylenol or advil as it’s hard on your liver. My plan is to take it two more weeks and then switch to 400 or 600 of advil. There I said it. Yes it can be addictive but I had a friend who died of kidney failure as he took too much excedrin every day for years. I JUST WANT SLEEP!!!

@aheartofworship27 2 жыл бұрын

Hi there, great information. Would you recommend one of those specialized pillows for between the knee?

@totaltherapysolutions 2 жыл бұрын

They are great. Use it if you like it and your range of motion is improving.

@timhuffman5311 4 жыл бұрын

I am 12 days post surgery. I have been sleeping in my recliner. I use a pillow under my calf and it keeps my knee fairly strait. This also allows me to make adjustments during the night. I have been a 0 on my extension for a couple of days. My flexion is tough though around 90 to 95 five as the day goes on.

@totaltherapysolutions 4 жыл бұрын

That is amazing extension. Pretty normal flexion. I am glad you found a position that works for you.

@MrPjcrews 2 жыл бұрын

How is your Flexion now a couple years later. I'm going in for Bilateral Knee Replacements on July 14, 2022.

@timhuffman5311 2 жыл бұрын

@@MrPjcrews Hi , thanks for asking. both flexion and extension are good. I need to get in and do the other knee though. My therapy was messed up due to covid. On the whole im happy with the results.

@hanapin8464 Жыл бұрын

@@MrPjcrews how did you manage after your bilateral knee replacement?

@susiecantulermalerma806 2 жыл бұрын

I’m recovering from knee surgery….having a pillow in between leg doesn’t work for a while we have an incision inside the inner side of the knee which for a long time is impossible to sleep I KNOW at least for me now no problem but it took a while. FYI

@120wrc7 5 жыл бұрын

Having mine next Thursday!

@fredherald4236 10 күн бұрын

Timely question please Tony; I am a stomach/side sleeper and in one of your videos on sleeping you said that getting a good stretch of sleep is essential to recovery, so if it negatively affects the knee's extension that is okay; it CAN be worked with. Getting proper sleep (not like pre TKR, but a few good solid hours) is essential. SO, my question is, how soon after TKR can we side/stomach sleep, in the way you instruct?

@nancyjones6428 2 жыл бұрын

Good info, I will have to face the TV.😊

@totaltherapysolutions 2 жыл бұрын

Thanks

@marvinelder3828 2 жыл бұрын

Getting for total knee replacement on right side. This is a concern for me to be able to sleeep. Been looking at wedge pillow made for one leg to keep leg elevated. Not sure what to do at this point.

@starlitblond 5 жыл бұрын

Had my knee replaced 3 weeks ago and it's been a frickin nitemare. Getting comfortable has been almost impossible. I wish I could sleep on my back but I never could. I noticed you put the pillow right under your knee when you were lying on your back. Isn't that what we're NOT suppose to do. You're the expert.. just thought I would double check.

@totaltherapysolutions 5 жыл бұрын

Melanie aka Starlitblond honestly there is no right answer. Getting sleep is the top priority. Many will say don’t sleep with a pillow under your knees because it will limit your extension, but if it helps you sleep and you work on extension during the day it will have little negative effect. What is your preferred sleeping position before your knee replacement?

@starlitblond 5 жыл бұрын

Total Therapy Solution - Physical Therapy Always on my sides with a pillow between legs. I was just thinking about that pillow right underneath the TKR. Would looove to put a pillow there lol. But I agree sleep is crucial. I went 4 days without sleep after surgery.

@totaltherapysolutions 5 жыл бұрын

Melanie aka Starlitblond you gotta get that sleep. Life will be so much better and recovery will happen quicker.

@starlitblond 5 жыл бұрын

Total Therapy Solution - Physical Therapy You are SO right!

@debbiepowers4743 5 жыл бұрын

My surgeon told me never leave the knee bent for any length of time. That includes sleeping at night. I was told To sleep on my back with the leg outstretched and the knee as straight as possible. And that’s how I slept. Did I sleep good? No it was horrible, as I am a side sleeper. The way I managed to get some decent sleep was I made sure I took my regimen of pain pills before bed, my surgeon prescribed a 12 hour morphine tablet and oxycodone every four hours for break out pain. It worked like a charm. But there’s no denying those first couple weeks are a real challenge. I’m happy to report I am almost a year out from my surgery and my knee works wonderfully. One of the best things I ever did for myself!

@lowmanwilson2341 2 жыл бұрын

I have two knees replaced at the same time sleeping is horrific pain is horrific sleeping at night it’s just terrible help me please

@janetwills8522 2 жыл бұрын

I am waiting for a total knee replacement in both knees (not at the same time). I have heard about sleeping on my back and keeping the leg straight. I can have a pillow going lengthwise, just not under the knee

@totaltherapysolutions 2 жыл бұрын

Wedge pillows work well too. It really all depends on your knee extension and swelling after surgery. People who are gaining extension normally do not need to be so strict about sleeping on their back with their knee straight.

@davidspriggs1945 3 жыл бұрын

Go one better. Give advice for double knee replacements! Thanks for your help.

@totaltherapysolutions 3 жыл бұрын

I have had so many request for that topic. I will get it done. Stay tuned.

@MrPjcrews 2 жыл бұрын

How about Bilateral Replacements ?

@tmactable Жыл бұрын

I’m two weeks out from my second TKR in the last six weeks, invest $30-40 in a memory foam wedge sleep on your back, it will help with swelling big time, well worth it

@nickibearder3979 2 жыл бұрын

I'm 3 wks tkr post opand I'm in psin still, can't sleep, getting alot of cramp in calf, what do I do x

@class87srule 3 жыл бұрын

(From U. K.) 8 weeks postop right tkr. On waking from the "pillows between knees'arrangemenf, lying on leftside, my operated knee goes into a 3 or 4 second painful spasm until I manage to roll onto my back. Is there te any way around this, please?

@kokilaramakrishnan1988 Жыл бұрын

What if both the knees are replaced at the same time ?

@barbaracooper-6269 Жыл бұрын

My surgeon said to sleep with immobilizer for 2 weeks. But so painful, I can’t stay asleep. Then I let my heel fall off the edge of the bed and now my hip hurts. How straight does my knee need to be? When is enough enough?

@tracygirllive 3 жыл бұрын

I had 2 knee replacement in right and 2 left.I was never able to sleep on either side, is it a bad thing to be a back sleeper? I know patients heal and recover differently, but for me who has fibromyalgia, RA, Htn, poor sleep habits due to pain. I just want my life back, but expressed my issues to my doctors, however I try PT, and use my lymphdema machine as they recommend, But its getting nowhere fast. Very frustrated!

@rosemarymoreo6943 5 жыл бұрын

My orthopedic surgeon says don't sleep with knee bent. Sleep on your back with knee straight, even with pillow under the foot to allow the knee to drop down.

@IANRPARKER 4 жыл бұрын

Your surgeon is a sadist. I couldn't suffer that in the day for more than 10 min.

@bt9124 3 жыл бұрын

@@IANRPARKER same but my surgeon said exactly the same.

@viveenchulan8756 3 жыл бұрын

Thanks for teaching...what can you do if you keep pulling the knees and feel a pain at the back of the knee?

@totaltherapysolutions 3 жыл бұрын

Viveen Chulan how long ago wasn’t your surgery? What is your extension now?

@viveenchulan8756 3 жыл бұрын

@@totaltherapysolutions seven weeks....Tuesday coming will be 8 weeks...

@cynthiakyle6248 Жыл бұрын

Where is your clinic? I really need you. I live in Ft. Lauderdale. Can you refer me to a therapist here?? I am post tkr almost 2 years now and having a tough time with nerve damage. Have seen alot of Dr's and now acupuncture. Am at a loss and living on ice. Help.

@carolpachniak1401 2 жыл бұрын

The nurse told me not to have a pillow higher than my calf and not under my knee. Was that just in the hospital, can I sleep with a pillow under my knee now that I'm home?

@kimmisoo777 Жыл бұрын

I use my dog's leash to wrap around my toes and then I just swing my leg while I'm swinging myself onto the bed😊

@carolwatkins8377 Жыл бұрын

Great idea !

@romansroad2007 6 жыл бұрын

I sleep with my leg up flat on my back in pain with ice packs day in night 2 to 3 weeks

@rol123321 4 жыл бұрын

When did it stop

@elizabethlinton1913 5 ай бұрын

My physio said to keep knee str at nite to lie on bk and not to use pillows under knee or in between and then knee locks as it bent and will n hard to str out again..like who do u believe

@debraseguin18 5 жыл бұрын

I was told by my PT not to sleep with a pillow under the knee because they want it straight... I tried the pillow last night and hit a solid 5 hours! I don't want to do any damage that could cause a set back . Not getting sleep though is just exhausting. Thank you for this video

@totaltherapysolutions 5 жыл бұрын

Sleep is the priority. As long as you work on range of motion during the day, getting a decent night sleep will do more to help you get to your goals than being miserable and awake all night.

@w.patterson4413 10 ай бұрын

@@totaltherapysolutionsThanks. I'm 8 days post TKR and off meds so only getting 5-6 hours a night - interrupted. I'll fix my pillows for comfort tonight and hope things work out. Now if only the swelling my calf would dissipate!

@waynemoses3473 2 жыл бұрын

Afternoon Tony, great vids. I’m 3 months post patella tear surgery. When trying to build quad strength the knee swells. How much is too much

@totaltherapysolutions 2 жыл бұрын

Hi Wayne, this video might help kzfaq.info/get/bejne/m8-om9mI1c3Gopc.html

@waynemoses3473 2 жыл бұрын

Hi Tony thanks for the link. Just wondered on advice for rebuilding quads following surgery. Keep up the great work

@kathyclark3168 Жыл бұрын

Sleep, what's that? Lol thanks I'll give some of this a try 😄👌

@victoriacabrales2538 Жыл бұрын

I'm already 8 wks post-op , but until now I still can't have a comfortable position in bed. I already tried so many ways but each position gives ne so much discomfort that makes my sleep deprived. Please advise. Thank you.

@prymtym2112 Жыл бұрын

My Dr. said not to place any pillows behind the knee cause I would be more susceptible to blood clots

@violagentsch 6 жыл бұрын

Now past 2.5 weeks past surgery. Yes things don't seem to improve. But they are. Knee goes thru what i refer to a metamorphosis and pains are in different places. Sleeping and good meds seems like only thing working.

@totaltherapysolutions 6 жыл бұрын

Viola Warde glad to hear things are improving. Slow and steady wins the race.

@violagentsch 6 жыл бұрын

Total Therapy Solution - Physical Therapy thank you and today is xtra special. Was able for 1st time to lift my leg of the ground without assistance from the good leg. Yeah🎉

@JuanDiaz-mv1lg 5 жыл бұрын

How are you feeling now? I had mine just over a week ago and trying to get a good night's sleep is difficult. Heck, I slept better the three nights I spent at the hospital

@rogergrote2546 2 жыл бұрын

So true my knee is still a nightmare and I am into my 4th week post op

@totaltherapysolutions 2 жыл бұрын

Sorry to hear that.

@juniefloyd1278 Жыл бұрын

So sorry for you. I am 4 months from TKR and my knee hurts every day and especially at nigh. Might get 4 hours occasionally but knee still hot and achy and sore. Terrible painful recovery. Good Luck

@juniefloyd1278 Жыл бұрын

5 months and finally able to sleep on my side. Still wake up nightly with hot achy pain but it’s getting better.

@deesplace8084 4 жыл бұрын

I’m exactly 2 weeks post surgery and I have a long body pillow which I fold in half so, it’s like having 2 fluffy pillows. If my pain medicine works, I can usually get about 3.5-4 hours of decent sleep! But that rarely happens. Thanks for the tips tho!

@totaltherapysolutions 4 жыл бұрын

It has been a week. Any better now?

@deesplace8084 4 жыл бұрын

Total Therapy Solution - Physical Therapy So, next Wed is my 4th week! I’ve been experiencing a lot of spasms in my surgical knee. They wake me up and I’m yelling and crying! I’ve tried muscle relaxers, ice packs and I’m about to try heat! Of course, no one else has experienced these spasms (none that’s had the knee surgery anyway)! I’m at my wits end and need some kind of relief! Have you had anyone experience this or what advice can you give me? Thank you in advance

@totaltherapysolutions 4 жыл бұрын

Dee's Place are they different than cramps? Are you staying hydrated? Eating bananas (if allowed?)

@deesplace8084 4 жыл бұрын

Total Therapy Solution - Physical Therapy I’ll try more bananas and water! I was told they were spasms. Are those the same as a charley horse? What it does is, hits in my calf and makes my whole leg contracts. It makes it hurt more because, it contracts on its on even though I couldn’t lift my leg that far if I was trying to do it by myself!

@klarson9243 Жыл бұрын

@@totaltherapysolutions The

@northwestfamilyenrichmenta3756 4 жыл бұрын

Thank you for addressing sleep after tkr. I am 5 weeks post op and it's my hip/glutes and lower back that keeping me awake. I NEED HELP! my pt can release these muscles in therapy but by the end of the day there is no position I am am comfortable in. Is this normal? I am told it is due to the extreme misalignment i was in prior to surgery and my body is adjusting. Im going okn a week with very little sleep.

@carolphillips6415 4 жыл бұрын

I’m 2 weeks post op and that’s what’s keeping me awake as well ...

@jabah126 2 жыл бұрын

For me in my left buttock following left TKR. It's just so numb.

@gaylehawthorne1547 2 жыл бұрын

I was told to avoid resting the back of my knee on a pillow. In other words nothing under the knee.

@isaacperez6535 5 жыл бұрын

Its 4am and i cant take it a lot of pain but just at this hours im tired!!!!!!! Almost a week

@terriesa9883 3 жыл бұрын

Maybe you can use some Tylenol PM, or try melatonin.

@BlueOx2277 Жыл бұрын

Had my left knee replaced this past November 30th. All was well till a week & a half later- I got a blood clot and a staph infection- knee had to be opened and cleaned out & had some parts replaced. Still cannot get comfortable no matter how I lay and it’s really messing up the sleep patterns that I don’t have, not to mentions all the antibiotics I’m on, they make me feel like imma blow lunch and shit every pair of pants I own at the same time..

@nirmalanair1981 3 жыл бұрын

What’s the sleeping position if both knees are done at the same time? I m having both done at one go, next week.

@totaltherapysolutions 3 жыл бұрын

Pick the position that feels best at the time. There is no bad position. As long as your range is improving you can sleep in what ever position is most comfortable. If you are dealing with limited knee extension you may want to sleep with the knee(s) in extension but that could be on your stomach or back.

@MrPjcrews 2 жыл бұрын

How'd it go. Having both mine done July 14, 2022. How'd the sleeping part go. ?

@hannaj6935 3 жыл бұрын

Hi there, I need advice pls 🙏.. I have a surgery with plates & screws due to tibia plateau fractures.. I also suffered 2 compression fractures on my spine - L1 & coccyx... I need to move around, up & down when doing basic washing & toileting etc.. I do not hv a flat area leading to toilet orkitchen. All theses r so strain to me resulting in a lot of back pain... How could I sleep ？ I hv a leg Brace on to secure the knee- can bend much yet.. Lie down flat to sleep is very painful.. Wat position can I sleep with。?

@totaltherapysolutions 3 жыл бұрын

What does your therapist suggest? Are you currently working with someone?

@hannaj6935 3 жыл бұрын

@@totaltherapysolutions not yet.. When I was in hospital, nurses move me ard with a commode chair when doing toileting. I don't have so much of the back pain but only the butt pain frm tailbone. They hv give me a set of exercise to do after I discharged. Now waiting for outpatient physio vacancy.. When I got home, there r so many transferring, standing up & down, many movement just to doa simple thing... At the end of the day & next morning my back hurt so much that I can't move or get up frm bed.. Could u pls advise how shld I sleep with this prob. Thank you 🙏

@stephenbragg8953 3 жыл бұрын

What if your Dr. has you wear a stabilizer split at night?

@totaltherapysolutions 3 жыл бұрын

This is a great question. I have never had a surgeon recommend this until recently. I would say it depends on what the splint is intended to accomplish and if you are accomplishing that goal. We have had a couple patients locally who for the first time have been told to wear these extension braces. I think it is a great idea, but once they have full extension there is no need to continue wearing the brace. But they were never told when to stop wearing the brace. What are you using?

@gnohn9366 11 ай бұрын

My ortho doc and pt guy said sleeping on your back with a pillow directly order your knee is not recommended.

@SpokaneValleyPT 4 жыл бұрын

Thanks for those ideas! What do you recommend to people having a hard time with full knee extension? Should they keep sleeping with a bent knee or try to endure the pain and keep the knee straighter?

@totaltherapysolutions 4 жыл бұрын

If extension doesn’t improve in the 8-12 hours of daily activity then depriving yourself of sleep isn’t going to help. We know poor sleep increases pain sensitivity. Also causes elevated stress response and blood sugar levels. Sleep is more important than nearly anything else. I think that recommendation may be appropriate for someone who is bed bound, but that person isn’t likely getting a knee replacement. What do you think?

@SpokaneValleyPT 4 жыл бұрын

@@totaltherapysolutions I really like that approach! Like you said in the video, sleep is so vital to the recovery process. Thanks again!

@tomw3141 2 жыл бұрын

My surgeon, PA and entire physio-therapy staff tell me to sleep with operated knee's foot on thick pillow and thin pillow under calf, facing up. That advice, they say is very important to get the knee to zero degrees (and mqybe a smidge more}. So far it seems to work, but I wake up a lot, so i take an hour or two nap in the afternoon. Im going to start the rolling pin massage from one of these videos right away.. Boy, I'm glad I found this video series.

@MrPjcrews 2 жыл бұрын

How are you doing two years post op?

@ndfan6398 3 жыл бұрын

But the docs don't want you putting pillows directly under your knee

@alfamale9555 2 жыл бұрын

I’m in day 8, my knee doesn’t hurt but tension in my hip and aching there is awful

@rogergrote2546 2 жыл бұрын

My knee is actually good but it's all the swelling and redness that stops movement more than 95 ° it goes straight and I have never needed crutches. Its my hamstring that is hurting a great deal and am told its because my quadracep is weak

@alfamale9555 2 жыл бұрын

@@rogergrote2546 yep I’ve had lots of physio mainly massaging tight quads and hamstrings, thankfully massively helped. Think all the muscles freak out and tighten causing all sorts of symptoms

@rogergrote2546 2 жыл бұрын

Many thanks for that

@elizabethlinton1913 5 ай бұрын

Like nite time is horrendous more pain since getting knee done.all painkillers,morphine and sleeping tablets r not worth a shit.hrs sleep max

@farrukh7356 5 жыл бұрын

What if both knees have been replaced? What position should one be taking while trying to get some comfortable sleep?

@totaltherapysolutions 5 жыл бұрын

farrukh waris great question. In my experience there is no good answer. You try different positions to see what works. As you heal don’t think because 1 position felt good last night it will be good tonight. You are welcome to join our Facebook group. We have several members who are going through a double TKR right now.

@terryporche8745 5 жыл бұрын

farrukh waris a smart person will not have both knees done at same time.

@debbiewilliams3363 6 жыл бұрын

I have a wedge pillow that I use. I am currently at 7 weeks post surgery and honestly wonder if I am ever going to get right again.

@totaltherapysolutions 6 жыл бұрын

Debbie Williams it can definitely be frustrating. But I usually tell my patients it takes 12 weeks just to recover from the surgery, then 13 to 24 weeks to get back to normal. Keep up the good fight. You will win in the end.

@debbiewilliams3363 6 жыл бұрын

Total Therapy Solution - Physical Therapy thank-you so much for replying. Having problems with cramp in my calf muscle. Same time every night.

@totaltherapysolutions 6 жыл бұрын

Debbie Williams have you tried using a rolling pin for self massage? That has helped a lot of patients. Separately, tonic water has small amounts of quinine which has been suggested to reduce cramping.

@totaltherapysolutions 6 жыл бұрын

We are starting a Facebook group called “knee replacement support group 2018” You can find more advice there from a variety of therapists.

@richardfowler3254 6 жыл бұрын

I am now 4 days past knee replacement surgery and I am not sleeping, my leg is extremely swollen and my ice machine does not seem like it it doing anything. I am getting frustrated and tired (from not sleeping). When I played football in college we would just pack whatever was hurt in ice. I am about ready to have several hundred pounds of ice delivered and start doing my "old school" ice treatments with about 10+ ice packs all around my knee and thigh to see if that will help. Very frustrated right now...

@vrajku 8 ай бұрын

We are told a big NO NO to put a pillow under the TRK knee

@mdhalam6662 5 жыл бұрын

I just completed two staged surgery to fix the infection of primary knee replacement. Extremely painful and can't find the right position to sleep. Today is the sixth day. Wondering how long it will to get back to somewhat normalcy of life?

@totaltherapysolutions 5 жыл бұрын

Md H Alam are you on iv antibiotics?

@mdhalam6662 5 жыл бұрын

@@totaltherapysolutions ক

@mdhalam6662 5 жыл бұрын

@@totaltherapysolutions yes, i was on PICC line for 10 weeks. New joint installed last week.

@steviechat Ай бұрын

Physio told me not to put a pillow under your knee when laying on your back.

@totaltherapysolutions Ай бұрын

That would only be an issue for patients who aren’t getting full knee extension. Or not working on extension during the day.

@ellenrosser8429 5 жыл бұрын

How long can you go out after knee surgery

@totaltherapysolutions 5 жыл бұрын

Ellen Rosser I am not sure I understand. But I will try to answer. I saw a new patient today following a TKR. She went shopping yesterday and was worried she over did it. I usually say you may be sore and the knee may be more swollen but it is safe to do what you need and want to do. I have had patients out shopping this time of year for several hours. The knee will hurt but it won’t be damaged. As long as you recover in a day or two keep doing what you are doing.

@ellenrosser8429 5 жыл бұрын

@@totaltherapysolutions I meant to say how long before you can go out agan that's what I meant to say

@patriciajonesgray7157 3 жыл бұрын

I bought sleeping pills, I cant take it, I look like a raccoon

@rajnimelwani8184 5 жыл бұрын

After knee replacement sleeping on side too difficult no matter what I am doing I think need enough time

@totaltherapysolutions 5 жыл бұрын

Rajni Melwani this video offers more options kzfaq.info/get/bejne/qst_rZahnZjIg40.html

@totaltherapysolutions 5 жыл бұрын

It is definitely challenging to sleep after this procedure.

@junelafleur3835 4 жыл бұрын

I have to sleep on my back. I am 7weeks post TKR. Still uncomfortable but lil better. I can lay on my side with pillow for bout 30 minutes.

@susanrobinson3340 6 жыл бұрын

I put a hot water bottle wrapped in a pillow case on top of a pillow under my bad knee , this gives me a few hours of sleep , 4 weeks after op for full knee replacement

@totaltherapysolutions 6 жыл бұрын

Great idea. Thanks so much for sharing. I am going to add that to our Facebook Group @Knee Replacement Support Group 2018

@incrediblesulk555 5 жыл бұрын

Susan Robinson Susan putting it directly under your knee that was operated on is the worst thing you can do. The leg will be bent and you don’t want that. Good luck.

@wowpets9457 3 жыл бұрын

Just the way to sleep....lots and lots of pillows...

@totaltherapysolutions 3 жыл бұрын

Sleeping in a cloud.

@venutiabarlow468 2 жыл бұрын

Nothing scared me more in my life than when they said I needed an artificial knee. The more I read about the percentage of recovery the worse I felt about it. I am so happy with my stem cells going on seven years now. I know they don't grow cartilage but whatever they do, I am pain free although I don't garden anymore. Who cares at 70 years old? My first thought when I found out about knee replacement was that it sounded like something from Nazi Germany and I wondered how could we be in the Dark Ages still? If I ever needed more done I would save the money for the grafting. But my holistic doctor was right on when he told me ahead of time he could almost guarantee me I was going to be just fine and he was right. Just something to think about before you let them cut your kneel apart.💖 P.S. I was 80% better in 10 hours!

@nancyjones6428 2 жыл бұрын

I agree with your rendition of knee replacement surgery, it sounds barbaric and it is, however after all is said and done it is so worth it. Even though we can't kneel down I plan on rigging something up so I can garden, it's my nirvana.

@MrPjcrews 2 жыл бұрын

@@nancyjones6428 you should be able to kneel down. Many do. It just may take a year or two before it's most comfortable. Many use knee pads too. That will be my plan. I have both mine done July 14th. 2022

@philhewitt5069 5 жыл бұрын

have been told by my doctor not to lay on my back with a pillows under my knee.

@totaltherapysolutions 5 жыл бұрын

Phil Hewitt if that is comfortable for you and doesn’t cause your knee extension to suffer then use that position. Some clients can’t sleep on the backs because of sinus or other breathing issues.

@ellenrosser8429 5 жыл бұрын

So you will be able to go out shopping but I thought you couldn't leave the house for 2 months after having knee replacement surgery

@totaltherapysolutions 5 жыл бұрын

Ellen Rosser I would say the faster you can get out of the house and doing what you enjoy the better. I have never had a surgeon recommend any limits on activity following knee replacement. Please join our free Facebook group “Total Knee Replacement Support Group 2018/19” and see what others have done after surgery.

@junelafleur3835 4 жыл бұрын

I was told by my surgeon that I would be down for 2-21/2 months this is including physical therapy. I am one month down. Started moving around about 4weeks post TKR not too much just visiting.

@olatundeolaribigbe1207 4 жыл бұрын

I think it's based on individuals and know your limits, my wife was anxious to get back to normality asap, but everyone heals differently and she just ventured outside at 8 weeks and almost passed out from the pain..

@Vivaldilover 2 жыл бұрын

Never put a pillow under your surgery knee!!

@fennie00 2 жыл бұрын

I love these videos from people that never had a knee replacement… you shouldn’t sleep on your side nor will you bare to do it. The only way is to sleep on your back and have to elevate leg above heart. Pillow below your ankle or calf. Never under your knee. #1 priority is to always have your leg straighten. #2 is to bend it.

@ithirstyforknowledge 2 жыл бұрын

What you dont understand is with right after surgery when slerping is not easy ill give you $1000 if you can open this big gap between legs to fit in a pillow!!!!

@cooldog60 4 жыл бұрын

You are giving bad advice. They tell you to never put a pillow under your knee!

@totaltherapysolutions 4 жыл бұрын

cooldog60 I appreciate your perspective. I would never go against any advice you have been given. But it important to understand everyone is different. Not everyone has difficulty gaining extension. If you are able to gain extension and work on it during the day it may be safe to sleep in a comfortable position at night. Always consult your medical team.

@bt9124 3 жыл бұрын

@@totaltherapysolutions from what i can gather most people have flexion issues not extension. For me sleeping on my back has been a big milestone. Maybe Tony this video needs redoing explaining the reason why back is best but that no sleep is worst. And also if you have zero extension then a pillow under the knee at night is going to be fine?

@barbaracooper-6269 Жыл бұрын