Your experience is very similar to patients in a recent study from Spain. Surgeons in Spain evaluated 306 patients with knee osteoarthritis receiving a knee replacement. Two groups of patients were compared. The first group received physical therapy and started a rehab program within 24 hours of the knee replacement surgery. The second group (with an equal number of patients) began the same rehab program 48 to 72 hours after the replacement procedure.
Patients in both groups were treated in the same hospital by the same physical therapist following the same exercise program. The therapist used a mobilization program, exercises, breathing, and posture instruction. The program was advanced as quickly as possible based on each patient’s performance and tolerance.
Outcomes were measured in terms of knee motion, level of pain, and muscle strength (quadriceps muscles along the front of the thigh and hamstring muscles along the back of the thigh). Function was also assessed using activities of daily living, balance, and walking as the benchmarks.
Patients who started therapy right away stayed in the hospital (on average) of two fewer days compared to the group who received delayed physical therapy. The early group also got their balance and normal walking pattern back faster compared with the group who started rehab later.
According to this study, getting patients up and moving after total knee replacement is the best medicine. The longer the delays and the more days in the hospital, the slower the recovery and the greater the costs associated with the procedure. Physical therapy to initiate therapy as early as possible is recommended — both for the patient’s benefit and for a cost-savings measure.
Congratulations! Your experience certainly sounds like it mimicked what was reported in this study. Not everyone can do this but for those who can, it is well worth the effort!