Total Knee Replacement With Precision Performance and Therapy in Meridian, Idaho

At Precision Performance & Therapy in Meridian, ID, we specialize in helping patients recover after total knee replacement (total knee arthroplasty)—from early mobility all the way to full return to activity. Understanding the process helps you prepare, heal faster, and regain confidence in your new knee.

What Is a Total Knee Replacement (TKA)?

A total knee replacement, or total knee arthroplasty (TKA), is a surgical procedure that replaces the damaged joint surfaces of your knee with metal and medical-grade plastic components. The goal is to reduce pain, correct alignment, and restore function when arthritis or injury has severely damaged the knee joint.

During the operation, the surgeon removes the worn cartilage and bone from the femur (thigh bone) and tibia (shin bone) and resurfaces them with smooth artificial implants. A plastic spacer between the components allows the knee to move freely again without grinding or stiffness.

Why People Get a Total Knee Replacement

Common reasons for knee replacement include:

• Osteoarthritis – cartilage wear from age or overuse causing pain and stiffness
• Rheumatoid arthritis – autoimmune inflammation destroying joint surfaces
• Post-traumatic arthritis or joint degeneration – cartilage damage following injury or fracture
• Avascular necrosis – loss of blood supply to bone leading to collapse
• Severe deformity or instability – when knee alignment affects mobility or safety

When conservative treatments like physical therapy, bracing, medication, or injections no longer control symptoms, TKA can provide lasting pain relief and improved mobility.

Key Questions to Ask Before Surgery

Preparing well for surgery sets the stage for a smoother recovery. Common pre-surgery questions include:

• Do I truly need a TKA now, or can it wait?
• What are the risks and benefits of surgery for my specific health condition?
• How many knee replacements does my surgeon perform each year?
• What type of implant and surgical technique will be used?
• How should I prepare physically—should I start “prehab” exercises?
• What home modifications should I make for safety (e.g., grab bars, shower chair)?

At Precision Performance, we believe in the value in going into the surgery as prepared as possible. We consistently see faster and smoother recoveries when individuals are able to perform their post-surgery exercises for a few weeks prior to having the total knee replacement. Because of this, we want to help you start your recovery process before your surgery… FOR FREE. During your consult we will:

1) Answer any questions we can about your total knee replacement

2) Do a quick assessment and discuss areas you can focus on to improve your recovery

3) Review common early post-surgery exercises so you can practice them before the surgery

After Surgery: Common Questions About Early Recovery

• How much pain and swelling should I expect?
• Pain and swelling vary from individual to individual
• Pain control is managed through medication, ice, compression, and gentle motion.
• When can I start walking?
• Usually within 24 hours, using a walker or crutches at first.
• How long will I stay in the hospital?
• Many patients go home the same day or the next day.
• What activities should I avoid early on?
• Avoid kneeling, twisting, or high-impact movements until cleared by your surgeon or physical therapist.

Questions About Returning to Activity and Long-Term Function

• When can I drive? Usually 2–6 weeks after surgery once pain is controlled, narcotic pain medications are no longer being taken, and strength allows safe braking and vehicle control.
• When can I go back to work? Light jobs may resume in 3–6 weeks; heavy labor can require up to 3 months or more.
• Will I be able to kneel or squat? Some individuals find kneeling uncomfortable even after full healing, though it’s usually safe once strength and flexibility return.
• Can I return to sports? Low-impact activities like swimming, biking, and golf are encouraged. Running, jumping, and high-impact sports are typically not recommended.

How Rehabilitation Supports Recovery

Rehabilitation is the most important factor influencing outcomes after TKA.
At Precision Performance & Therapy, your rehab plan includes:

• Early activation: Walking and gentle motion progression as soon as your outpatient therapy program is initiated after surgery
• Quadriceps and hip strengthening: To reduce joint stress and improve gait stability
• Range of motion training: Aiming for 0° extension and at least 120°+ flexion
• Neuromuscular re-education and balance training: To restore normal movement and postural control
• Functional strength progression: To improve daily activity
• Gradual return to daily activities and sport-specific exercise

Most patients regain independence with walking, stairs, and household tasks within 4–8 weeks and continue building endurance over 3–6 months.

Frequently Asked Questions

1. How long does it take to fully recover after a total knee replacement?
   Most patients reach 80–90% of recovery by 3 months and continue to gain strength up to 12 months as long as they remain consistent with the therapy and exercise program.
2. Will I have pain after surgery?
   Pain is common early on but typically improves steadily with medication, movement, and swelling control.
3. When can I return to driving?
   Typically between 2–6 weeks, depending on leg strength and comfort.
4. Is outpatient or home-based physical therapy better?
   Studies show home-based programs and clinic-based rehab are equally effective as clinic-based rehab when home-based programs are supervised properly. Clinic- or home-based programs can be utilized based on each individual’s personal preferences.
5. Will my knee ever feel “normal” again?
   Many patients report their knee feels natural and pain-free within several months, though sensations like clicking, numbness, or stiffness can occasionally persist.

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