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Robin and Jan have both mentioned that leg muscles can be weak before TKR so need to be built up after. Some say weights are a good idea and some say not. My own view is that since obesity raises the chance of wearing out knee joints early, then squats with weights do too, and I've read studies about deep squats frequently done, being a reason for knees wearing out BUT I do appreciate that legs have got to be strong to support those knees. My hospital gave me exercises to do BEFORE the TKR to strengthen legs. As Robin said, many people don't lead an active lifestyle before TKR because pain has limited them, so there is a weakness and it does sound a very good idea to reduce that weakness before the op. I'm wondering if this is what helped me so much - as well as the hospital exercises I'd been doing the exercise bike for years, so legs were pretty strong at the time of the op. Are all other hospitals stressing this point, or is pre-op condition something that gets neglected?
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