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Knee & Hip Problems Message Board


Knee & Hip Problems Board Index


Thank you all for the feed back & good wishes.

My appt with my surgeon is next week, so I will wait until then - have a list of questions to ask him...rather do it face to face than over the phone.....

Two Physical Therapists said to me when I questioned my pain... their reply was ""No pain no gain. The pain you are experiencing is normal and nothing worry about."
Due to the fact my knee was in really bad shape and deformed before surgery and will take longer to recover....
I understand this, recovery from knee replacement can be quite painful, however, I am in more pain now than before surgery.....So right now I am a little discouraged...

Yesterday was my first out patient physical therapy. (I was in rehab for over 2 wks)
Last night was a killer....my leg was very, very stiff from being bent during the night and had a difficult time straighten it out. Had to force my knee into a straight position.......OUCH!!! Pain was overwhelming. Left me in tears.....

Should I wear a knee brace while sleeping?
Hello again. I'm sorry you are feeling so miserable at the moment. No one but you really knows how you feel. I go back to what I said before and that is, if it doesn't feel right, then maybe it's not. There are two schools of thought in the "no pain, no gain" philosophy. The old school is that you are not doing enough if you don't feel pain. The more moderate, and more modern approach to physical therapy is that if you feel worse when you're finished, then something is wrong with the therapy approach. Some aching is okay but pain is definitely not. The goal of therapy is to try to gain ground every time, not make things worse.

I have had many, many surgeries and therapists over the years. From those experiences, I find the best therapists to be those who ask what your pain level is before you start and when you are about to leave, all because their goal for you is to make you feel better, not make you feel worse. I would not hesitate to question the therapists' approach if you feel as if you are losing ground or being made to hurt more. Again, you might feel some aching during and after - within reason - but your pain should not be made worse.

On the flip side, a knee replacement really needs to be kept moving as much as possible. People who do not work at improving their range of motion end up back in the operating room, or live with a mostly-straight leg or a wheelchair glued to their backside. You don't want that either. But biking, gentle stretching, and quad sets, ball squeezes, leg raises and so on are very, very important in your recovery.

As for the question about sleeping with a brace at night, my thought on that is go ahead. If the brace helps you get a better night's sleep, you will feel better in the morning, and most likely as a result, will feel less pain. That's not to say that you should necessarily keep the brace on all the time. That's definitely not for me to say one way or another. But sleep is very important in being able to regain your strength, mobility, and general good state of mind.

As an alternative, or in addition to the brace, take an ice pack or two to bed with you, prop your knee and foot on a pillow, and put the ice on either side of your knee. (Make sure you don't have the ice right on your skin.) Turn on some relaxing music, breathe deeply, and try to relax. You could try this once or twice during the day, too. Heck, you're recovering, so do your home therapy and then take it easy! Use ice often, even if no one tells you to use it anymore. It's not just for immediately after surgery. It helps, but if you get to the point where it doesn't, try heat. What didn't help yesterday might help today or tomorrow.

Good luck, and feel better!





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