Best Position To Sleep After A Total Knee Replacement

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  • Опубліковано 29 січ 2018
  • The best position to sleep after a total knee replacement is the one that allows you the best night's sleep.
    Sleeping after a total knee replacement can be the most frustrating part of recovery. The conventional advice is to sleep flat on your back with the knee in full extension. The problem is many of my clients have not been able to sleep in this position for years. Spinal stenosis, sleep apnea, and other medical conditions make sleeping in this position impossible.
    Large bodies of medical research have suggested sleep is a vital component of recovery. This research suggests that one night of interrupted sleep may increase stress hormones, increase blood sugar levels, increase pain sensitivity and more.
    If you are working on improving knee extension during the day and you are not experiencing significant loss of knee extension when measured by yourself or your physical therapist then it is reasonable to consider sleeping in any position that affords you the best quality sleep.
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    Want more info? Check out our Facebook Group: / kneereplacements
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КОМЕНТАРІ • 200

  • @fuzzywoz
    @fuzzywoz 4 роки тому +38

    Just had my second knee done, first one had a pillow under the joint, took forever to get it straight. Second knee slept on my back, knee straight, much quicker healing imho. Going on 5 weeks hardly need a cane anymore.

    • @totaltherapysolutions
      @totaltherapysolutions  4 роки тому +3

      That is great to hear, I always appreciate seeing what works. Thanks for sharing.

    • @bt9124
      @bt9124 3 роки тому +7

      My surgeon told us NEVER to sleep on our back with a pillow under the knee. (There were a group of about 6 of us in the knee rehab place and we worked out that he said the exact same thing to us all!) He told us to sleep on our backs. Some people found that really hard, as normally they'd sleep on their side. . I slept on my back with my heel hanging off the end of the bed as a compromise. It was 3 weeks before i could just sleep on my back with the whole foot also on the bed. I have been having extension issues big time, sure, but there is no way i would have got a wink of sleep had i not slid down the bed a bit, (in 1st 3 weeks)and let my foot hang off the end. Thanks for sharing your story. I hope your extension is reliably equal on both legs now.

  • @chainshishd9127
    @chainshishd9127 8 місяців тому +3

    I'm 19 days out of the knee replacement and I tell you if it wasn't for watching this video and my pain meds for the other problems in my body I would not be able to sleep. I'm getting better but the past few nights have been horrible. Thank you for the video.

  • @bonniebruman3086
    @bonniebruman3086 5 років тому +3

    awesome information!! Will use this tonight .. THanks🤗😴

  • @bonnieepps3713
    @bonnieepps3713 2 роки тому +3

    I’ll try. Nights are my worst time.

  • @donnalindsay3731
    @donnalindsay3731 8 місяців тому +1

    I’m awaiting my surgery, preparing for any/all difficulties. Retired nurse have to add that in the mix, will keep learning! Thanks

  • @juniefloyd1278
    @juniefloyd1278 Рік тому +5

    4 months tNR and still can’t sleep more than 2 hours at most. My knee wakes me up with Hot throbbing pain all night. It’s terrible. I have 105 ROM but pain never goes away.

  • @arthritisadventure
    @arthritisadventure 3 роки тому +5

    Sleep is so important for recovery! Thanks for sharing these tips!

  • @tadbubs
    @tadbubs 3 роки тому +3

    Incredibly succinct, super-easy to follow, science-based, and no BS. Thank you, sir. I'm 6-days out from MCL + osteotomy and have two questions: (1) Can I use your protocols for my situation? (2) are there videos (in your channel) that I should NOT use or ones that are a MUST? Thanks for changing our paradigm.

  • @user-iq8xz2yd6x
    @user-iq8xz2yd6x 4 місяці тому

    Thanks Tony u gave me a great idea on sleeping positions .😊

  • @dancingfirefly7761
    @dancingfirefly7761 5 років тому +12

    Thank you so much for sharing this. I'm 2 weeks post-op and wake up every 1.5 to 2 hours because I'm so uncomfortable. I'll try using more pillows tonight. I am using an ActiveCare calf compression machine, and that adds to my discomfort, what with the wires and noise and squeezing. Stitches come out tomorrow, that should help with comfort. Onward!

    • @MrPjcrews
      @MrPjcrews 2 роки тому

      Did you use the X10 ?
      How do you feel now, 3 years later ?

  • @jamesivie5717
    @jamesivie5717 2 роки тому

    Thanks!

  • @dennyjoejared
    @dennyjoejared 2 роки тому +1

    Your the best-great info

  • @debraseguin18
    @debraseguin18 3 роки тому +7

    Week 2 post op and can’t sleep, I’ve tried one pillow but I’ll definitely try 2 tonight. My physiotherapist said not to sleep with a pillow under my knee? I think that might help me sleep though, does that effect being able to straighten the knee? I’m finding your videos very informative thank you for your advice 😀

  • @mariearmstrong7718
    @mariearmstrong7718 Рік тому

    Thanks. I find I just keep moving around!😀

  • @kimberleyomalley7211
    @kimberleyomalley7211 3 роки тому +7

    Thank you for talking about this. I am 12 days S/P left TKR, and sleeping has been my biggest issue.

    • @totaltherapysolutions
      @totaltherapysolutions  3 роки тому +1

      It is so hard to heal when you can't sleep and it is so hard to sleep when you can't find a comfortable position.

  • @laurawojciechowski2939
    @laurawojciechowski2939 Місяць тому

    3 months post surgery. Just keeping things real. Was not able to sleep in my bed til week 10! Slept in a recliner with a heating pad behind my lower back. It'll get better!

  • @tulipfairy555
    @tulipfairy555 5 років тому +1

    Thank u sir god bless u u gave me such a good relax i can sleep comfortable after watching da video 👍💗❤️❤️❤️❤️💯

    • @totaltherapysolutions
      @totaltherapysolutions  5 років тому

      tulip fairy this is such an amazing comment. Thanks for sharing. You made my day!

  • @DevashNaidoo-c2k
    @DevashNaidoo-c2k День тому

    My mum had a knee replacement a month ago and I recommended sleeping with a pillow under knee as it is comforting also because a good sleep aids recovery. However physios and many others have told her this causes the knee to be bent during sleep and can also cause an ongoing limp. As painful as it is the idea is to get that knee as straight as possible soon after op.

  • @mitostamang1245
    @mitostamang1245 5 років тому +1

    what would b the right position 4 hip rep. surgery? i just had 11days ago

  • @lindahenderson4642
    @lindahenderson4642 3 роки тому +1

    How can I tell without having that measuring tool if I am doing better with my bend. Thank you

  • @marvinelder3828
    @marvinelder3828 2 роки тому

    Getting for total knee replacement on right side. This is a concern for me to be able to sleeep. Been looking at wedge pillow made for one leg to keep leg elevated. Not sure what to do at this point.

  • @aheartofworship27
    @aheartofworship27 2 роки тому +1

    Hi there, great information. Would you recommend one of those specialized pillows for between the knee?

    • @totaltherapysolutions
      @totaltherapysolutions  2 роки тому

      They are great. Use it if you like it and your range of motion is improving.

  • @class87srule
    @class87srule 2 роки тому

    (From U. K.) 8 weeks postop right tkr. On waking from the "pillows between knees'arrangemenf, lying on leftside, my operated knee goes into a 3 or 4 second painful spasm until I manage to roll onto my back. Is there te any way around this, please?

  • @120wrc7
    @120wrc7 5 років тому +2

    Having mine next Thursday!

  • @toryberch
    @toryberch 10 місяців тому

    Hi, how did you do? How is the arthritis holding up?

  • @nancyjones6428
    @nancyjones6428 2 роки тому +1

    Good info, I will have to face the TV.😊

  • @grannygrumbles4119
    @grannygrumbles4119 2 роки тому +2

    Thank you for this. I am looking forward to my first knee replacement in 6 weeks. I'm having a terrible time sleeping now because my knee is so out of alignment that my hip is affected horribly. I can't get away from the hip pain no matter what I try. I'm hoping that is resolved pretty soon after surgery. I'm so arthritic I can barely manage to turn over in bed as it is. I hope I can put this information to good use afterwards. Thank you again ❤️

    • @totaltherapysolutions
      @totaltherapysolutions  2 роки тому +1

      I love the name GrannyGrumbles! Thanks for the comment.

    • @Scribblescrabbly
      @Scribblescrabbly 7 місяців тому +1

      How are you feeling now a year after your replacement?

    • @grannygrumbles4119
      @grannygrumbles4119 7 місяців тому

      @Scribblescrabbly that knee is doing well. I've had to also have a right hip, and just got my second knee replacement 4 days ago. In between I've had many other smaller surgeries, totalling 10 in a year and a half. Hopefully I'm done now lol. What a kindness to ask. God bless you my friend. ❤️🙏❤️

  • @tracygirllive
    @tracygirllive 3 роки тому +1

    I had 2 knee replacement in right and 2 left.I was never able to sleep on either side, is it a bad thing to be a back sleeper? I know patients heal and recover differently, but for me who has fibromyalgia, RA, Htn, poor sleep habits due to pain. I just want my life back, but expressed my issues to my doctors, however I try PT, and use my lymphdema machine as they recommend, But its getting nowhere fast. Very frustrated!

  • @amyr3285
    @amyr3285 10 місяців тому

    I was rtolod by my therapist, not to bend the knee when I sleep, so I was always sleeping with the leg extended. Now I am bending it. She had mentioned it might do something to the leg if I did bend it during sleep, as in not being able to extend it while awake.

  • @nickibearder3979
    @nickibearder3979 2 роки тому

    I'm 3 wks tkr post opand I'm in psin still, can't sleep, getting alot of cramp in calf, what do I do x

  • @timhuffman5311
    @timhuffman5311 4 роки тому +5

    I am 12 days post surgery. I have been sleeping in my recliner. I use a pillow under my calf and it keeps my knee fairly strait. This also allows me to make adjustments during the night. I have been a 0 on my extension for a couple of days. My flexion is tough though around 90 to 95 five as the day goes on.

    • @totaltherapysolutions
      @totaltherapysolutions  4 роки тому +1

      That is amazing extension. Pretty normal flexion. I am glad you found a position that works for you.

    • @MrPjcrews
      @MrPjcrews 2 роки тому

      How is your Flexion now a couple years later.
      I'm going in for Bilateral Knee Replacements on July 14, 2022.

    • @timhuffman5311
      @timhuffman5311 2 роки тому

      @@MrPjcrews Hi , thanks for asking.
      both flexion and extension are good. I need to get in and do the other knee though. My therapy was messed up due to covid. On the whole im happy with the results.

    • @hanapin8464
      @hanapin8464 Рік тому

      @@MrPjcrews how did you manage after your bilateral knee replacement?

  • @kumudhabn9159
    @kumudhabn9159 5 років тому +1

    After acl surgery how to sleep left leg

  • @quentinrance8974
    @quentinrance8974 5 років тому +2

    I am 7 days post surgery and trying different pillows seems to helped me a lot.

    • @totaltherapysolutions
      @totaltherapysolutions  5 років тому

      Quentin Rance thanks for the comment. Is there any one you especially like?

  • @basiliagonsalves6402
    @basiliagonsalves6402 3 роки тому

    How about the position for bilateral knee replacement

  • @barbaracooper-6269
    @barbaracooper-6269 Рік тому

    My surgeon said to sleep with immobilizer for 2 weeks. But so painful, I can’t stay asleep. Then I let my heel fall off the edge of the bed and now my hip hurts. How straight does my knee need to be? When is enough enough?

  • @cynthiakyle6248
    @cynthiakyle6248 Рік тому

    Where is your clinic? I really need you. I live in Ft. Lauderdale. Can you refer me to a therapist here?? I am post tkr almost 2 years now and having a tough time with nerve damage. Have seen alot of Dr's and now acupuncture. Am at a loss and living on ice. Help.

  • @davidspriggs1945
    @davidspriggs1945 3 роки тому +1

    Go one better. Give advice for double knee replacements! Thanks for your help.

    • @totaltherapysolutions
      @totaltherapysolutions  3 роки тому

      I have had so many request for that topic. I will get it done. Stay tuned.

  • @paulhughes3961
    @paulhughes3961 4 роки тому +5

    I had to sleep on my back for about 10 days before I could sleep in my side. I'm 1 month and 3 weeks out from surgery and now I rarely need a pillow between my legs and it feels awesome to be able to sleep solid through the night.

    • @totaltherapysolutions
      @totaltherapysolutions  4 роки тому

      That is great to hear and will give others inspiration.
      How is your range of motion now?

  • @northwestfamilyenrichmenta3756
    @northwestfamilyenrichmenta3756 4 роки тому +5

    Thank you for addressing sleep after tkr. I am 5 weeks post op and it's my hip/glutes and lower back that keeping me awake. I NEED HELP! my pt can release these muscles in therapy but by the end of the day there is no position I am am comfortable in. Is this normal? I am told it is due to the extreme misalignment i was in prior to surgery and my body is adjusting. Im going okn a week with very little sleep.

    • @carolphillips6415
      @carolphillips6415 4 роки тому +5

      I’m 2 weeks post op and that’s what’s keeping me awake as well ...

    • @jabah126
      @jabah126 2 роки тому

      For me in my left buttock following left TKR. It's just so numb.

  • @viveenchulan8756
    @viveenchulan8756 3 роки тому +2

    Thanks for teaching...what can you do if you keep pulling the knees and feel a pain at the back of the knee?

    • @totaltherapysolutions
      @totaltherapysolutions  3 роки тому

      Viveen Chulan how long ago wasn’t your surgery? What is your extension now?

    • @viveenchulan8756
      @viveenchulan8756 3 роки тому

      @@totaltherapysolutions seven weeks....Tuesday coming will be 8 weeks...

  • @janetwills8522
    @janetwills8522 2 роки тому +3

    I am waiting for a total knee replacement in both knees (not at the same time). I have heard about sleeping on my back and keeping the leg straight. I can have a pillow going lengthwise, just not under the knee

    • @totaltherapysolutions
      @totaltherapysolutions  2 роки тому +1

      Wedge pillows work well too. It really all depends on your knee extension and swelling after surgery. People who are gaining extension normally do not need to be so strict about sleeping on their back with their knee straight.

  • @waynemoses3473
    @waynemoses3473 2 роки тому +2

    Afternoon Tony, great vids.
    I’m 3 months post patella tear surgery. When trying to build quad strength the knee swells. How much is too much

    • @totaltherapysolutions
      @totaltherapysolutions  2 роки тому +1

      Hi Wayne, this video might help ua-cam.com/video/eixhvWpgbrc/v-deo.html

    • @waynemoses3473
      @waynemoses3473 2 роки тому

      Hi Tony thanks for the link. Just wondered on advice for rebuilding quads following surgery. Keep up the great work

  • @janetauriemma6410
    @janetauriemma6410 2 роки тому

    I am still having whent my knee whent do I do for it help me janet

  • @rosemarymoreo6943
    @rosemarymoreo6943 5 років тому +10

    My orthopedic surgeon says don't sleep with knee bent. Sleep on your back with knee straight, even with pillow under the foot to allow the knee to drop down.

    • @IANRPARKER
      @IANRPARKER 4 роки тому +4

      Your surgeon is a sadist. I couldn't suffer that in the day for more than 10 min.

    • @bt9124
      @bt9124 3 роки тому

      @@IANRPARKER same but my surgeon said exactly the same.

  • @victoriacabrales2538
    @victoriacabrales2538 Рік тому

    I'm already 8 wks post-op , but until now I still can't have a comfortable position in bed. I already tried so many ways but each position gives ne so much discomfort that makes my sleep deprived. Please advise. Thank you.

  • @sanjosejeff
    @sanjosejeff Рік тому

    I’m 5 weeks out from partial medial right knee replacement.
    This may not be a popular statement but it it what it is.
    I take zero pain meds during the day and ice frequently as I’m doing a lot to bend it.
    At night, I use pillows as he said and vary them but the only way I’m getting solid sleep is norco. 10mg/325. I don’t like taking high doses of Tylenol or advil as it’s hard on your liver. My plan is to take it two more weeks and then switch to 400 or 600 of advil.
    There I said it.
    Yes it can be addictive but I had a friend who died of kidney failure as he took too much excedrin every day for years.
    I JUST WANT SLEEP!!!

  • @kathyclark3168
    @kathyclark3168 Рік тому

    Sleep, what's that? Lol thanks I'll give some of this a try 😄👌

  • @coringtonbaldwin7629
    @coringtonbaldwin7629 Рік тому

    My attempt to sleep on my side after Knee surgery did not happen until my 8 month period after surgery...( A pillow between the legs did not help)..Laying on my back was my savior during 7 plus months...Now that I can lay on my side...I don't require a pillow and I am resting much better.

  • @kokilaramakrishnan1988
    @kokilaramakrishnan1988 Рік тому

    What if both the knees are replaced at the same time ?

  • @susiecantulermalerma806
    @susiecantulermalerma806 2 роки тому

    I’m recovering from knee surgery….having a pillow in between leg doesn’t work for a while we have an incision inside the inner side of the knee which for a long time is impossible to sleep I KNOW at least for me now no problem but it took a while. FYI

  • @carolpachniak1401
    @carolpachniak1401 2 роки тому

    The nurse told me not to have a pillow higher than my calf and not under my knee. Was that just in the hospital, can I sleep with a pillow under my knee now that I'm home?

  • @kimmisoo777
    @kimmisoo777 Рік тому +1

    I use my dog's leash to wrap around my toes and then I just swing my leg while I'm swinging myself onto the bed😊

  • @starlitblond
    @starlitblond 5 років тому +8

    Had my knee replaced 3 weeks ago and it's been a frickin nitemare. Getting comfortable has been almost impossible. I wish I could sleep on my back but I never could. I noticed you put the pillow right under your knee when you were lying on your back. Isn't that what we're NOT suppose to do. You're the expert.. just thought I would double check.

    • @totaltherapysolutions
      @totaltherapysolutions  5 років тому +3

      Melanie aka Starlitblond honestly there is no right answer. Getting sleep is the top priority. Many will say don’t sleep with a pillow under your knees because it will limit your extension, but if it helps you sleep and you work on extension during the day it will have little negative effect.
      What is your preferred sleeping position before your knee replacement?

    • @starlitblond
      @starlitblond 5 років тому +2

      Total Therapy Solution - Physical Therapy Always on my sides with a pillow between legs. I was just thinking about that pillow right underneath the TKR. Would looove to put a pillow there lol. But I agree sleep is crucial. I went 4 days without sleep after surgery.

    • @totaltherapysolutions
      @totaltherapysolutions  5 років тому +2

      Melanie aka Starlitblond you gotta get that sleep. Life will be so much better and recovery will happen quicker.

    • @starlitblond
      @starlitblond 5 років тому +1

      Total Therapy Solution - Physical Therapy You are SO right!

    • @debbiepowers4743
      @debbiepowers4743 5 років тому +7

      My surgeon told me never leave the knee bent for any length of time. That includes sleeping at night. I was told To sleep on my back with the leg outstretched and the knee as straight as possible. And that’s how I slept. Did I sleep good? No it was horrible, as I am a side sleeper. The way I managed to get some decent sleep was I made sure I took my regimen of pain pills before bed, my surgeon prescribed a 12 hour morphine tablet and oxycodone every four hours for break out pain. It worked like a charm. But there’s no denying those first couple weeks are a real challenge. I’m happy to report I am almost a year out from my surgery and my knee works wonderfully. One of the best things I ever did for myself!

  • @SpokaneValleyPT
    @SpokaneValleyPT 4 роки тому +3

    Thanks for those ideas! What do you recommend to people having a hard time with full knee extension? Should they keep sleeping with a bent knee or try to endure the pain and keep the knee straighter?

    • @totaltherapysolutions
      @totaltherapysolutions  4 роки тому +1

      If extension doesn’t improve in the 8-12 hours of daily activity then depriving yourself of sleep isn’t going to help.
      We know poor sleep increases pain sensitivity. Also causes elevated stress response and blood sugar levels.
      Sleep is more important than nearly anything else.
      I think that recommendation may be appropriate for someone who is bed bound, but that person isn’t likely getting a knee replacement.
      What do you think?

    • @SpokaneValleyPT
      @SpokaneValleyPT 4 роки тому +1

      @@totaltherapysolutions I really like that approach! Like you said in the video, sleep is so vital to the recovery process. Thanks again!

    • @tomw3141
      @tomw3141 2 роки тому

      My surgeon, PA and entire physio-therapy staff tell me to sleep with operated knee's foot on thick pillow and thin pillow under calf, facing up. That advice, they say is very important to get the knee to zero degrees (and mqybe a smidge more}. So far it seems to work, but I wake up a lot, so i take an hour or two nap in the afternoon. Im going to start the rolling pin massage from one of these videos right away.. Boy, I'm glad I found this video series.

    • @MrPjcrews
      @MrPjcrews 2 роки тому

      How are you doing two years post op?

  • @romansroad2007
    @romansroad2007 6 років тому +3

    I sleep with my leg up flat on my back in pain with ice packs day in night 2 to 3 weeks

  • @elizabethlinton1913
    @elizabethlinton1913 4 місяці тому

    My physio said to keep knee str at nite to lie on bk and not to use pillows under knee or in between and then knee locks as it bent and will n hard to str out again..like who do u believe

  • @MrPjcrews
    @MrPjcrews 2 роки тому

    How about Bilateral Replacements ?

  • @lowmanwilson2341
    @lowmanwilson2341 2 роки тому

    I have two knees replaced at the same time sleeping is horrific pain is horrific sleeping at night it’s just terrible help me please

  • @tmactable
    @tmactable 11 місяців тому

    I’m two weeks out from my second TKR in the last six weeks, invest $30-40 in a memory foam wedge sleep on your back, it will help with swelling big time, well worth it

  • @violagentsch
    @violagentsch 6 років тому +1

    Now past 2.5 weeks past surgery. Yes things don't seem to improve. But they are. Knee goes thru what i refer to a metamorphosis and pains are in different places. Sleeping and good meds seems like only thing working.

    • @totaltherapysolutions
      @totaltherapysolutions  6 років тому +2

      Viola Warde glad to hear things are improving. Slow and steady wins the race.

    • @violagentsch
      @violagentsch 6 років тому

      Total Therapy Solution - Physical Therapy thank you and today is xtra special. Was able for 1st time to lift my leg of the ground without assistance from the good leg. Yeah🎉

    • @JuanDiaz-mv1lg
      @JuanDiaz-mv1lg 5 років тому

      How are you feeling now? I had mine just over a week ago and trying to get a good night's sleep is difficult. Heck, I slept better the three nights I spent at the hospital

  • @deesplace8084
    @deesplace8084 4 роки тому +1

    I’m exactly 2 weeks post surgery and I have a long body pillow which I fold in half so, it’s like having 2 fluffy pillows. If my pain medicine works, I can usually get about 3.5-4 hours of decent sleep! But that rarely happens. Thanks for the tips tho!

    • @totaltherapysolutions
      @totaltherapysolutions  4 роки тому +1

      It has been a week. Any better now?

    • @deesplace8084
      @deesplace8084 4 роки тому +1

      Total Therapy Solution - Physical Therapy So, next Wed is my 4th week! I’ve been experiencing a lot of spasms in my surgical knee. They wake me up and I’m yelling and crying! I’ve tried muscle relaxers, ice packs and I’m about to try heat! Of course, no one else has experienced these spasms (none that’s had the knee surgery anyway)! I’m at my wits end and need some kind of relief! Have you had anyone experience this or what advice can you give me? Thank you in advance

    • @totaltherapysolutions
      @totaltherapysolutions  4 роки тому +1

      Dee's Place are they different than cramps? Are you staying hydrated? Eating bananas (if allowed?)

    • @deesplace8084
      @deesplace8084 4 роки тому

      Total Therapy Solution - Physical Therapy I’ll try more bananas and water! I was told they were spasms. Are those the same as a charley horse? What it does is, hits in my calf and makes my whole leg contracts. It makes it hurt more because, it contracts on its on even though I couldn’t lift my leg that far if I was trying to do it by myself!

    • @klarson9243
      @klarson9243 Рік тому

      @@totaltherapysolutions The

  • @rogergrote2546
    @rogergrote2546 2 роки тому +2

    So true my knee is still a nightmare and I am into my 4th week post op

    • @totaltherapysolutions
      @totaltherapysolutions  2 роки тому

      Sorry to hear that.

    • @juniefloyd1278
      @juniefloyd1278 Рік тому

      So sorry for you. I am 4 months from TKR and my knee hurts every day and especially at nigh. Might get 4 hours occasionally but knee still hot and achy and sore. Terrible painful recovery. Good Luck

    • @juniefloyd1278
      @juniefloyd1278 Рік тому

      5 months and finally able to sleep on my side. Still wake up nightly with hot achy pain but it’s getting better.

  • @nirmalanair1981
    @nirmalanair1981 3 роки тому +2

    What’s the sleeping position if both knees are done at the same time? I m having both done at one go, next week.

    • @totaltherapysolutions
      @totaltherapysolutions  3 роки тому +1

      Pick the position that feels best at the time. There is no bad position. As long as your range is improving you can sleep in what ever position is most comfortable. If you are dealing with limited knee extension you may want to sleep with the knee(s) in extension but that could be on your stomach or back.

    • @MrPjcrews
      @MrPjcrews 2 роки тому

      How'd it go. Having both mine done July 14, 2022. How'd the sleeping part go. ?

  • @hannaj6935
    @hannaj6935 3 роки тому +1

    Hi there, I need advice pls 🙏.. I have a surgery with plates & screws due to tibia plateau fractures.. I also suffered 2 compression fractures on my spine - L1 & coccyx... I need to move around, up & down when doing basic washing & toileting etc.. I do not hv a flat area leading to toilet orkitchen. All theses r so strain to me resulting in a lot of back pain... How could I sleep ? I hv a leg Brace on to secure the knee- can bend much yet.. Lie down flat to sleep is very painful.. Wat position can I sleep with。?

    • @totaltherapysolutions
      @totaltherapysolutions  3 роки тому

      What does your therapist suggest? Are you currently working with someone?

    • @hannaj6935
      @hannaj6935 3 роки тому

      @@totaltherapysolutions not yet.. When I was in hospital, nurses move me ard with a commode chair when doing toileting. I don't have so much of the back pain but only the butt pain frm tailbone. They hv give me a set of exercise to do after I discharged. Now waiting for outpatient physio vacancy.. When I got home, there r so many transferring, standing up & down, many movement just to doa simple thing... At the end of the day & next morning my back hurt so much that I can't move or get up frm bed.. Could u pls advise how shld I sleep with this prob. Thank you 🙏

  • @debraseguin18
    @debraseguin18 5 років тому +2

    I was told by my PT not to sleep with a pillow under the knee because they want it straight...
    I tried the pillow last night and hit a solid 5 hours! I don't want to do any damage that could cause a set back . Not getting sleep though is just exhausting. Thank you for this video

    • @totaltherapysolutions
      @totaltherapysolutions  5 років тому +3

      Sleep is the priority. As long as you work on range of motion during the day, getting a decent night sleep will do more to help you get to your goals than being miserable and awake all night.

    • @w.patterson4413
      @w.patterson4413 9 місяців тому

      ​@@totaltherapysolutionsThanks. I'm 8 days post TKR and off meds so only getting 5-6 hours a night - interrupted.
      I'll fix my pillows for comfort tonight and hope things work out.
      Now if only the swelling my calf would dissipate!

  • @debbiewilliams3363
    @debbiewilliams3363 6 років тому +14

    I have a wedge pillow that I use. I am currently at 7 weeks post surgery and honestly wonder if I am ever going to get right again.

    • @totaltherapysolutions
      @totaltherapysolutions  6 років тому +4

      Debbie Williams it can definitely be frustrating. But I usually tell my patients it takes 12 weeks just to recover from the surgery, then 13 to 24 weeks to get back to normal.
      Keep up the good fight. You will win in the end.

    • @debbiewilliams3363
      @debbiewilliams3363 6 років тому

      Total Therapy Solution - Physical Therapy thank-you so much for replying. Having problems with cramp in my calf muscle. Same time every night.

    • @totaltherapysolutions
      @totaltherapysolutions  6 років тому +3

      Debbie Williams have you tried using a rolling pin for self massage? That has helped a lot of patients. Separately, tonic water has small amounts of quinine which has been suggested to reduce cramping.

    • @totaltherapysolutions
      @totaltherapysolutions  6 років тому

      We are starting a Facebook group called “knee replacement support group 2018”
      You can find more advice there from a variety of therapists.

    • @richardfowler3254
      @richardfowler3254 6 років тому +3

      I am now 4 days past knee replacement surgery and I am not sleeping, my leg is extremely swollen and my ice machine does not seem like it it doing anything. I am getting frustrated and tired (from not sleeping). When I played football in college we would just pack whatever was hurt in ice. I am about ready to have several hundred pounds of ice delivered and start doing my "old school" ice treatments with about 10+ ice packs all around my knee and thigh to see if that will help. Very frustrated right now...

  • @stephenbragg8953
    @stephenbragg8953 3 роки тому +1

    What if your Dr. has you wear a stabilizer split at night?

    • @totaltherapysolutions
      @totaltherapysolutions  3 роки тому

      This is a great question. I have never had a surgeon recommend this until recently. I would say it depends on what the splint is intended to accomplish and if you are accomplishing that goal.
      We have had a couple patients locally who for the first time have been told to wear these extension braces. I think it is a great idea, but once they have full extension there is no need to continue wearing the brace. But they were never told when to stop wearing the brace.
      What are you using?

  • @patriciajonesgray7157
    @patriciajonesgray7157 3 роки тому +4

    I bought sleeping pills, I cant take it, I look like a raccoon

  • @steviechat
    @steviechat 7 днів тому +1

    Physio told me not to put a pillow under your knee when laying on your back.

    • @totaltherapysolutions
      @totaltherapysolutions  7 днів тому

      That would only be an issue for patients who aren’t getting full knee extension. Or not working on extension during the day.

  • @isaacperez6535
    @isaacperez6535 5 років тому +4

    Its 4am and i cant take it a lot of pain but just at this hours im tired!!!!!!! Almost a week

    • @terriesa9883
      @terriesa9883 3 роки тому

      Maybe you can use some Tylenol PM, or try melatonin.

  • @timruppenthal8
    @timruppenthal8 5 років тому

    Haven’t had pain in my knee and its been 6 days since my ACL surgery. My back is just killing me from laying down. Thank god I can sleep on my side

  • @BlueOx2277
    @BlueOx2277 Рік тому

    Had my left knee replaced this past November 30th.
    All was well till a week & a half later- I got a blood clot and a staph infection- knee had to be opened and cleaned out & had some parts replaced. Still cannot get comfortable no matter how I lay and it’s really messing up the sleep patterns that I don’t have, not to mentions all the antibiotics I’m on, they make me feel like imma blow lunch and shit every pair of pants I own at the same time..

  • @alfamale9555
    @alfamale9555 2 роки тому +2

    I’m in day 8, my knee doesn’t hurt but tension in my hip and aching there is awful

    • @rogergrote2546
      @rogergrote2546 2 роки тому

      My knee is actually good but it's all the swelling and redness that stops movement more than 95 ° it goes straight and I have never needed crutches. Its my hamstring that is hurting a great deal and am told its because my quadracep is weak

    • @alfamale9555
      @alfamale9555 2 роки тому +1

      @@rogergrote2546 yep I’ve had lots of physio mainly massaging tight quads and hamstrings, thankfully massively helped. Think all the muscles freak out and tighten causing all sorts of symptoms

    • @rogergrote2546
      @rogergrote2546 2 роки тому

      Many thanks for that

  • @gnohn9366
    @gnohn9366 10 місяців тому

    My ortho doc and pt guy said sleeping on your back with a pillow directly order your knee is not recommended.

  • @prymtym2112
    @prymtym2112 Рік тому

    My Dr. said not to place any pillows behind the knee cause I would be more susceptible to blood clots

  • @ndfan6398
    @ndfan6398 3 роки тому +1

    But the docs don't want you putting pillows directly under your knee

  • @farrukh7356
    @farrukh7356 5 років тому +2

    What if both knees have been replaced? What position should one be taking while trying to get some comfortable sleep?

    • @totaltherapysolutions
      @totaltherapysolutions  5 років тому

      farrukh waris great question. In my experience there is no good answer. You try different positions to see what works. As you heal don’t think because 1 position felt good last night it will be good tonight.
      You are welcome to join our Facebook group. We have several members who are going through a double TKR right now.

    • @terryporche8745
      @terryporche8745 5 років тому

      farrukh waris a smart person will not have both knees done at same time.

  • @gaylehawthorne1547
    @gaylehawthorne1547 2 роки тому

    I was told to avoid resting the back of my knee on a pillow. In other words nothing under the knee.

  • @vrajku
    @vrajku 7 місяців тому

    We are told a big NO NO to put a pillow under the TRK knee

  • @mdhalam6662
    @mdhalam6662 5 років тому +1

    I just completed two staged surgery to fix the infection of primary knee replacement. Extremely painful and can't find the right position to sleep. Today is the sixth day. Wondering how long it will to get back to somewhat normalcy of life?

    • @totaltherapysolutions
      @totaltherapysolutions  5 років тому

      Md H Alam are you on iv antibiotics?

    • @mdhalam6662
      @mdhalam6662 5 років тому

      @@totaltherapysolutions ক

    • @mdhalam6662
      @mdhalam6662 5 років тому +1

      @@totaltherapysolutions yes, i was on PICC line for 10 weeks. New joint installed last week.

  • @elizabethlinton1913
    @elizabethlinton1913 4 місяці тому

    Like nite time is horrendous more pain since getting knee done.all painkillers,morphine and sleeping tablets r not worth a shit.hrs sleep max

  • @ellenrosser8429
    @ellenrosser8429 5 років тому +1

    How long can you go out after knee surgery

    • @totaltherapysolutions
      @totaltherapysolutions  5 років тому +3

      Ellen Rosser I am not sure I understand. But I will try to answer.
      I saw a new patient today following a TKR. She went shopping yesterday and was worried she over did it.
      I usually say you may be sore and the knee may be more swollen but it is safe to do what you need and want to do.
      I have had patients out shopping this time of year for several hours. The knee will hurt but it won’t be damaged.
      As long as you recover in a day or two keep doing what you are doing.

    • @ellenrosser8429
      @ellenrosser8429 5 років тому +2

      @@totaltherapysolutions I meant to say how long before you can go out agan that's what I meant to say

  • @susanrobinson3340
    @susanrobinson3340 5 років тому +1

    I put a hot water bottle wrapped in a pillow case on top of a pillow under my bad knee , this gives me a few hours of sleep , 4 weeks after op for full knee replacement

    • @totaltherapysolutions
      @totaltherapysolutions  5 років тому +1

      Great idea. Thanks so much for sharing. I am going to add that to our Facebook Group @Knee Replacement Support Group 2018

    • @incrediblesulk555
      @incrediblesulk555 5 років тому +1

      Susan Robinson Susan putting it directly under your knee that was operated on is the worst thing you can do. The leg will be bent and you don’t want that. Good luck.

  • @wowpets9457
    @wowpets9457 3 роки тому +1

    Just the way to sleep....lots and lots of pillows...

  • @rajnimelwani8184
    @rajnimelwani8184 4 роки тому +1

    After knee replacement sleeping on side too difficult no matter what I am doing I think need enough time

    • @totaltherapysolutions
      @totaltherapysolutions  4 роки тому

      Rajni Melwani this video offers more options ua-cam.com/video/teOz3p82dSY/v-deo.html

    • @totaltherapysolutions
      @totaltherapysolutions  4 роки тому

      It is definitely challenging to sleep after this procedure.

    • @junelafleur3835
      @junelafleur3835 4 роки тому

      I have to sleep on my back. I am 7weeks post TKR. Still uncomfortable but lil better. I can lay on my side with pillow for bout 30 minutes.

  • @venutiabarlow468
    @venutiabarlow468 2 роки тому +1

    Nothing scared me more in my life than when they said I needed an artificial knee. The more I read about the percentage of recovery the worse I felt about it. I am so happy with my stem cells going on seven years now. I know they don't grow cartilage but whatever they do, I am pain free although I don't garden anymore. Who cares at 70 years old?
    My first thought when I found out about knee replacement was that it sounded like something from Nazi Germany and I wondered how could we be in the Dark Ages still? If I ever needed more done I would save the money for the grafting. But my holistic doctor was right on when he told me ahead of time he could almost guarantee me I was going to be just fine and he was right. Just something to think about before you let them cut your kneel apart.💖
    P.S. I was 80% better in 10 hours!

    • @nancyjones6428
      @nancyjones6428 2 роки тому +1

      I agree with your rendition of knee replacement surgery, it sounds barbaric and it is, however after all is said and done it is so worth it. Even though we can't kneel down I plan on rigging something up so I can garden, it's my nirvana.

    • @MrPjcrews
      @MrPjcrews 2 роки тому +1

      @@nancyjones6428 you should be able to kneel down. Many do. It just may take a year or two before it's most comfortable. Many use knee pads too. That will be my plan. I have both mine done July 14th. 2022

  • @ellenrosser8429
    @ellenrosser8429 5 років тому

    So you will be able to go out shopping but I thought you couldn't leave the house for 2 months after having knee replacement surgery

    • @totaltherapysolutions
      @totaltherapysolutions  5 років тому +4

      Ellen Rosser I would say the faster you can get out of the house and doing what you enjoy the better.
      I have never had a surgeon recommend any limits on activity following knee replacement.
      Please join our free Facebook group “Total Knee Replacement Support Group 2018/19” and see what others have done after surgery.

    • @junelafleur3835
      @junelafleur3835 4 роки тому

      I was told by my surgeon that I would be down for 2-21/2 months this is including physical therapy. I am one month down. Started moving around about 4weeks post TKR not too much just visiting.

    • @olatundeolaribigbe1207
      @olatundeolaribigbe1207 4 роки тому +1

      I think it's based on individuals and know your limits, my wife was anxious to get back to normality asap, but everyone heals differently and she just ventured outside at 8 weeks and almost passed out from the pain..

  • @philhewitt5069
    @philhewitt5069 5 років тому +6

    have been told by my doctor not to lay on my back with a pillows under my knee.

    • @totaltherapysolutions
      @totaltherapysolutions  5 років тому

      Phil Hewitt if that is comfortable for you and doesn’t cause your knee extension to suffer then use that position.
      Some clients can’t sleep on the backs because of sinus or other breathing issues.

  • @Vivaldilover
    @Vivaldilover 2 роки тому

    Never put a pillow under your surgery knee!!

  • @fennie00
    @fennie00 2 роки тому

    I love these videos from people that never had a knee replacement… you shouldn’t sleep on your side nor will you bare to do it. The only way is to sleep on your back and have to elevate leg above heart. Pillow below your ankle or calf. Never under your knee. #1 priority is to always have your leg straighten. #2 is to bend it.

  • @ithirstyforknowledge
    @ithirstyforknowledge 2 роки тому

    What you dont understand is with right after surgery when slerping is not easy ill give you $1000 if you can open this big gap between legs to fit in a pillow!!!!

  • @cooldog60
    @cooldog60 4 роки тому +5

    You are giving bad advice. They tell you to never put a pillow under your knee!

    • @totaltherapysolutions
      @totaltherapysolutions  4 роки тому +4

      cooldog60 I appreciate your perspective. I would never go against any advice you have been given. But it important to understand everyone is different. Not everyone has difficulty gaining extension. If you are able to gain extension and work on it during the day it may be safe to sleep in a comfortable position at night.
      Always consult your medical team.

    • @bt9124
      @bt9124 3 роки тому

      @@totaltherapysolutions from what i can gather most people have flexion issues not extension. For me sleeping on my back has been a big milestone. Maybe Tony this video needs redoing explaining the reason why back is best but that no sleep is worst. And also if you have zero extension then a pillow under the knee at night is going to be fine?

  • @barbaracooper-6269
    @barbaracooper-6269 Рік тому

    My surgeon said to sleep with immobilizer for 2 weeks. But so painful, I can’t stay asleep. Then I let my heel fall off the edge of the bed and now my hip hurts. How straight does my knee need to be? When is enough enough?