By David Tepera, June 10, 2020
Research shows there were approximately 1.6 million hip and knee arthroplasties performed in the United States in 2017, of which more than 966,000 were knee replacements.
Just know, most knee reconstructions are categorized by total, partial or revision. In the knee reconstruction business, the knee is considered by three compartments. To keep it simple, this is the inside (medial), outside (lateral), and middle (patella femoral) parts of the knee.
A partial knee replacement is only replacing the compartment that is damaged, which could be any one of those compartments. Your orthopedist will replace one compartment if the other compartments are intact.
A total knee replacement consists of all three compartments of the femur and the entire tibia.
A revision is performed if a partial or total knee fails. This could be from a variety of reasons too long to explain in this column, but it happens.
At Ageless Muscle Fitness Center, we have nearly a dozen clients weight training post-knee replacement and physical therapy. Most of these clients come to us because they’re still having issues with flexion, extension and muscle atrophy. They are required to bring me their X-rays to understand the alignment, type of replacement and potential problem areas.
We have a special weight training formula that helps build muscle and resolve other issues. We’ve even been able to prolong knee surgery for others because of strengthening the muscles around the joints.
Now, before I continue, you must speak with your surgeon before starting any weight training program. If utilizing a personal trainer, make sure they are experienced in knee replacement therapy before lifting any lower extremity weights.
So, if you’re ready to get started and get those legs strong again, here are some do’s and don’ts.
Some of the most popular leg strengthening machines typically at every gym are a leg press, leg extension and leg curl.
Leg press machines are in a sitting position pressing both feet against a platform. It’s important to keep your feet high on the platform, so you don’t overstress the patella tendon. Also, don’t go into a deep flexion, keeping the knees no deeper than 90 to 100 degrees. This is the one machine you can test the weight.
A leg extension is concentrating on the quad muscles. Since your feet are not compressing against a platform and pulling the weight from the front of your ankles, you must keep the weight relatively light. Heavy weight could cause stress on the knee implant and ligament stability.
This is the same situation for a leg curl, which concentrates on the hamstring muscles. It’s good for strength training, but it’s another must to keep the weights light. Remember, your pulling the weight from the back of your ankles.
There’s much more detail to all of this. I just wanted to give some insight to know it’s still possible to strengthen legs after recovering from knee replacements.
If you need additional information or have questions, please email me.