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What does my Recovery Look like?

Recovery Guide for Patients After Arthroscopic Knee Surgery

Introduction

Arthroscopic knee surgery is a minimally invasive procedure used to diagnose and treat various knee conditions. This guide will provide you with comprehensive information on how to best recover from your surgery, ensuring a smooth and effective healing process.

Immediate Post-Operative Care:

1. Rest and Elevation:
• Keep your leg elevated above heart level for the first 48-72 hours
• Use pillows to support your leg while resting
• Minimize movement to reduce swelling and pain

2. Ice Application:
• Apply ice packs to the knee for 15-20 minutes every 2-3 hours
• Use a thin cloth between the ice pack and skin to prevent frostbite
• Continue ice therapy for the first week or as directed by your surgeon

3. Pain Management:
• Take prescribed pain medications as directed
• Over-the-counter pain relievers may be used if approved by your doctor
• Report any severe or increasing pain to your healthcare provider

4. Wound Care:
• Keep the surgical site clean and dry
• Follow your surgeon’s instructions for dressing changes
• Watch for signs of infection (redness, warmth, increased pain, fever)

5. Weight-Bearing:
• Follow your surgeon’s instructions regarding weight-bearing
• Use crutches or a walker as directed
• Gradually increase weight-bearing as allowed by your doctor

First Week Post-Surgery:

1. Mobility:
• Begin gentle range of motion exercises as instructed by your physical therapist
• Perform ankle pumps to promote circulation and prevent blood clots
• Use a continuous passive motion (CPM) machine if prescribed

2. Physical Therapy:
• Start physical therapy as soon as your surgeon recommends
• Learn and practice prescribed exercises diligently
• Focus on regaining range of motion and reducing swelling

3. Swelling Management:
• Continue ice therapy as directed
• Wear compression stockings if recommended
• Elevate your leg when resting

4. Nutrition:
• Maintain a balanced diet rich in protein, vitamins, and minerals
• Stay hydrated to support healing
• Avoid alcohol and tobacco, which can impair healing

Weeks 2-4 Post-Surgery:

1. Progressive Exercises:
• Gradually increase the intensity and duration of exercises
• Focus on strengthening exercises for the quadriceps and hamstrings
• Begin stationary cycling if approved by your physical therapist

2. Gait Training:
• Work on improving your walking pattern with or without assistive devices
• Practice proper weight-bearing techniques as allowed

3. Pain and Swelling Management:
• Continue using ice as needed
• Massage and gentle compression may help reduce swelling
• Report any persistent or worsening pain to your doctor

4. Activities of Daily Living:
• Gradually resume light household activities as tolerated
• Avoid activities that cause pain or swelling
• Use assistive devices for tasks that put stress on your knee

Weeks 4-8 Post-Surgery:

1. Advanced Exercises:
• Progress to more challenging exercises as directed by your physical therapist
• Begin balance and proprioception training
• Incorporate low-impact cardiovascular exercises (e.g., swimming, elliptical)

2. Functional Training:
• Practice activities specific to your daily life or work
• Focus on proper body mechanics and knee alignment

3. Scar Management:
• Begin scar massage techniques if approved by your surgeon
• Use silicone sheets or gels if recommended for scar healing

4. Return to Work:
• Discuss returning to work with your surgeon and physical therapist
• Consider a gradual return or modified duties if necessary

Months 2-6 Post-Surgery:

1. Sport-Specific Training:
• Begin sport-specific exercises and drills if returning to athletics
• Focus on agility, power, and endurance training

2. Strengthening:
• Continue progressive resistance training for leg muscles
• Incorporate exercises for core strength and overall conditioning

3. Cardiovascular Fitness:
• Gradually increase the intensity and duration of cardio exercises
• Cross-train with low-impact activities to avoid overloading the knee

4. Flexibility:
• Maintain and improve flexibility through stretching exercises
• Practice yoga or Pilates if approved by your healthcare team

Long-Term Recovery (6+ Months):

1. Maintenance Exercises:
• Continue with a regular exercise program to maintain strength and flexibility
• Focus on exercises that promote knee stability and function

2. Return to Sports:
• Follow your surgeon’s guidelines for returning to sports activities
• Gradually increase intensity and duration of sports participation
• Use proper protective equipment and techniques

3. Lifestyle Modifications:
• Maintain a healthy weight to reduce stress on your knee
• Choose low-impact activities for long-term joint health
• Consider ergonomic adjustments at work or home to support knee function

4. Regular Check-ups:
• Attend follow-up appointments with your surgeon as scheduled
• Continue periodic assessments with your physical therapist

Tips for Optimal Recovery:

1. Patience and Consistency:
• Recovery takes time; be patient with your progress
• Consistently follow your rehabilitation program

2. Listen to Your Body:
• Pay attention to pain, swelling, or discomfort
• Adjust activities as needed and communicate with your healthcare team

3. Stay Positive:
• Maintain a positive attitude throughout your recovery
• Set realistic goals and celebrate small achievements

4. Support System:
• Engage family and friends for emotional and practical support
• Consider joining a support group for individuals recovering from knee surgery

5. Sleep and Rest:
• Ensure adequate sleep to support healing
• Balance activity with rest periods throughout the day

6. Stress Management:
• Practice stress-reduction techniques like deep breathing or meditation
• Engage in enjoyable, low-stress activities during recovery

7. Footwear:
• Wear supportive, comfortable shoes
• Consider orthotics if recommended by your healthcare provider

8. Home Modifications:
• Make temporary adjustments to your living space for safety and convenience
• Use assistive devices as needed (e.g., shower chair, raised toilet seat)

9. Driving:
• Follow your surgeon’s guidelines for returning to driving
• Ensure you can safely operate vehicle controls before resuming driving

10. Travel:
• Consult your doctor before planning any travel
• Take precautions to prevent blood clots during long trips

Potential Complications to Watch For:

1. Infection:
• Signs include increased pain, redness, warmth, fever, or discharge
• Seek immediate medical attention if you suspect an infection

2. Blood Clots:
• Watch for calf pain, swelling, or warmth in the leg
• Report any chest pain or shortness of breath immediately

3. Stiffness:
• Persistent stiffness may require additional intervention
• Consistently perform prescribed range of motion exercises

4. Persistent Pain:
• Chronic pain beyond expected recovery time should be evaluated
• Discuss pain management options with your healthcare provider

5. Hardware Issues:
• Report any sensations of loosening or clicking in the knee
• Attend regular follow-ups to assess hardware integrity

Conclusion:

Recovery from arthroscopic knee surgery is a gradual process that requires dedication, patience, and adherence to your rehabilitation program. By following this guide and working closely with your healthcare team, you can optimize your recovery and return to your desired level of activity. Remember that each person’s recovery is unique, and it’s essential to tailor your rehabilitation to your specific needs and goals. Stay committed to your recovery plan, maintain open communication with your healthcare providers, and approach your healing journey with a positive mindset for the best possible outcome.

Book An Appointment

Direct Booking Link for Consumers

Dr. McCormick schedules all virtual consultations through Best In Class MD. This is a separate service from Dr. McCormick’s in-office clinic. BICMD is a virtual platform that facilitates educational and informational sessions and can therefore be conducted for clients anywhere in the world. This comprehensive service includes a thorough review of your medical records and imaging, a 30 minute telehealth visit, as well as written recommendations provided in the form of an Expert Report. Due to the educational and informational nature of the visit, as well as the concierge nature of the booking process, insurance is not accepted for these consultations.
The BICMD care team is available to answer any questions about booking at CareTeam@bicmd.com or by calling
800-650-5907
(phone lines are open M-F 9am-5pm EST).