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Recovery from a Total Knee Replacement (TKR) Overview

Writer's picture: Huw WilliamsHuw Williams

Have you been listed for a TKR and are unsure about the physiotherapy rehabilitation afterwards? Have questions about when back driving? Read on to find answers to your questions! (the following is a guide. Book into the clinic for a more bespoke plan).


Recovery from a total knee replacement (TKR) varies depending on factors like age, overall health, and adherence to rehabilitation.

Immediate Post-Surgery (0–2 Weeks)

Hospital stay: 1–3 days. Some patients may go home the same day.

Pain and swelling: Managed with medications and ice.

Mobility: Begin walking with assistance (walker or crutches) and start physiotherapy exercises.

Wound care: Keep the incision clean and dry to avoid infection.


Early Recovery (2–6 Weeks)

Physiotherapy: Focus on improving range of motion (goal: bend knee to 90–120 degrees) and strengthening muscles.

Mobility: Transition to a stick or no assistance; walking short distances independently.

Daily activities: Gradually return to light activities, but avoid high-impact or strenuous tasks.


Intermediate Recovery (6–12 Weeks)

Strength and function: Continue physical therapy to improve strength and balance.

Driving: Many people can resume driving if they can bend their knee comfortably and are off strong pain killers. This decision often made on discussion with your surgeon or physio around 6-8 weeks.

Work: Return to a desk job is possible in 4–6 weeks; physically demanding jobs may take longer.


Full Recovery (3–12 Months)

Return to normal activities: Most patients can resume normal activities by 3 months, though full healing and optimal knee function may take up to a year.

Exercise: Low-impact activities like swimming, cycling, and walking are encouraged.

Factors Affecting Recovery:

Pre-surgery fitness level: Better pre-surgery fitness often leads to quicker recovery.

Adherence to rehab: Commitment to physical therapy significantly impacts recovery time.

Age and health conditions: Older age or chronic conditions may slow progress.

Always follow your surgeon’s guidance and attend follow-up appointments to ensure proper healing.


At the clinic we also see patients for a course of prehabilitation to help get your body ready for the demands of the surgery. This will also give you a headstart after the surgery to allow you to get back to all of your sport and exercise goals.


Get in touch via the website or book in for a full and comprehensive assessment and



program where we can guide you through from prehabilitation to discharge.



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Huw@williamsphysiotherapy.co.uk

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