Circle Rehabilitation offers care following full or partial knee replacement (knee osteoarthritis, rheumatoid arthritis, knee injuries) and treatment for Iliotibial Band Syndrome, Patellofemoral Pain Syndrome, knee ligament injury, knee meniscal tear etc.
Our rehabilitation programmes are medically-led - your care and rehabilitation is overseen by one of our specialist rehabilitation consultants and physicians.
The knee joint is the largest weight-bearing joint in the body. This fact, and the complexity of the design of the knee joint, mean that it is one of the most commonly injured joints. Injuries can affect the ligaments, bursae (small fluid-filled sacs) and tendons surrounding the joint, and also the ligaments, cartilage and bones that form the joint itself. Knee replacement surgery – arthroplasty – is most common as a result of osteoarthritis, whereby the cartilage in the knee joint between the thigh and shin bone breaks down. Other reasons for total or partial knee replacement are as a result of rheumatoid arthritis, deformities, loss of blood flow to the knee or injury to the knee resulting in arthritis.
Circle offers care for patients who have undergone full or partial knee replacement following knee osteoarthritis, a knee arthroscopy, or treatment for a knee ligament injury, meniscal tear or another knee condition.
Adjustment and full recovery from a knee operation can take time. If you have had a full or partial knee replacement or are suffering from pain in your knee, the last thing you need is a poor or rushed rehabilitation experience. The team of medics and therapists at Circle Rehabilitation will assess your needs to create an individual therapy plan for your stay. This includes up to three hours of therapy per day, and as your recovery progresses, the plan will be adjusted day by day.
Exercises to maintain flexibility and strength in the affected knee joint, following treatment for knee osteoarthritis, a knee ligament injury or a knee meniscal tear:
5×30 second holds, 2x per day 3-4 sets of 10 reps, 3-4x per week 3-4 sets of 10 reps, 3-4x per week
Some useful tips to continue your recovery at home:
- A small amount of daily exercise is very helpful. It is normal, however, to feel frustrated at not being able to do all the things you want to do. It may help to make a plan to increase your activity gradually over a number of weeks. We also recommend you set aside time each day for total relaxation.
- For washing, follow the advice given by physiotherapy staff. A rubber mat will reduce your risk of slipping in the bath or shower. If you need to use a bath seat, it can be reassuring to have somebody else in the house to help you, should the need arise.
- In bed, you can lie and move your knee however you like. Changes in routine and restricted movement can cause difficulty sleeping.
- When climbing stairs, use a handrail if there is one. Going up, lead with the unoperated leg followed by the operated leg and your stick/walking aid. Going down, lead with the stick and your operated leg followed by the unoperated leg (the aide-memoir “the good go up to heaven and bad go down to hell” may be useful).
- You’re advised not to drive for the first six weeks after an operation, unless you have an automatic and your left leg has been operated on.
- To dress: collect the clothes you intend to wear; sit on the side of the bed or a chair to help your balance; dress your operated leg first and undress it last. To put on pants or trousers, hold the waistband and lower the garment to your feet, insert your operated leg, then your unoperated leg before pulling up; avoid tight garments; if you use a shoehorn, always use it on the inside of the operated leg.
- To get into bed: back up to the bed, close to the pillows or halfway down; reach back with your hands, sit on the edge of the bed and slide your operated leg forward; move your stick or walking aid out of the way, but keep it within reach; move your bottom around so you are facing the foot of the bed; lift your leg onto the bed while sliding around; keep sliding and lift your other leg onto the bed; slide your hips towards the centre of the bed.
- To get out of bed: slide your hips to the edge of the bed; sit up while lowering your unoperated leg onto the floor; use both hands to push yourself off the bed; balance yourself before reaching for your stick or walking aid.
- Six weeks after your operation, you should be able to climb stairs normally (going downstairs can take a little longer); resume driving; and kneel down. When gardening, to get close to the ground use a kneeler instead of squatting. Resume sports gradually – if you a golfer, avoid full swing until three months after the operation.