Total Knee Replacement (TKR) physical therapy (PT) management focuses on early mobility, reducing…

Total Knee Replacement (TKR) physical therapy (PT) management focuses on early mobility, reducing swelling, and restoring joint range of motion (ROM) and strength. The process typically involves inpatient exercises within 24 hours of surgery, followed by a consistent home and outpatient rehabilitation routine for 6 to 12 months.Immediate Post-Op Phase (Days 1–14)Pain & Swelling Management: Elevate your leg above heart level and apply ice packs for 15–20 minutes several times a day to control inflammation.Basic Mobility: Start gentle ankle pumps, quadriceps sets, and straight leg raises as guided. Use a walker or crutches to safely bear weight.Key Precautions: Do not place a pillow directly behind the knee, as this can cause a knee flexion contracture (stiffness). Avoid twisting or pivoting.Intermediate Phase (Weeks 2–6)Milestone Goals: Progress to walking short distances with a cane and achieving a 90-degree knee bend.Strengthening: Add light ankle weights (0.5 to 1 kg) for straight leg raises. Begin stationary bicycling and supported squats or lunges.Long-Term Recovery (Weeks 6+)Function: Transition to walking independently without aids and work towards bending the knee 110–120 degrees.Activities: Focus on advanced strengthening like step-ups and single-leg balancing. Most patients can resume driving, light work, and regular daily activities by month three.