Walking correctly after tkr

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has anyone had good advice re walking aafter tkr? positioning of leg, foot etc ?

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  • Posted

    Try to ensure you walk heel to toe and resist temptation to walk on the front of your foot. Wear trainers or soft walking shoes for support and practice walking heel to toe with your crutches / walker. I did lengths of my kitchen diner in the early days. GOOD LUCK

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  • Posted

    I had been knocked knee before my 2 tkrs. MOST of my shoes had to be replaced because of wear on the inside of my soles. CHECK THE WEAR ON your shoes. Get a good arch support shoe or buy insoles. That helped me more anything . Have someone watch you walk and see how it looks . Best if luck Walk on!!!

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  • Posted

    Heal ..toe...as others have said. i find birkenstock sandals give me good support.

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  • Posted

    thank you ill try that

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  • Posted

    It's almost like you have to learn how to walk all over again. My PT taught me to kick the leg with the new knee as far out in front of you as possible so you land on your heel and then roll the foot to your toe as you transition the step to that leg. It's an exaggerated "heel-toe" step that looks funny but has to be done. You have to focus and consciously extend that leg and hit the ground with your heel first. Seems awkward at first but it will take less than a month to get your full stride back and then you never think of it again.

    PS: For walking, it's never the distance or time that counts...it's the number of STEPS you take in a day. That way you can measure the actual load you are putting on the knee. Get a fit bit or smart watch that will act as a pedometer. The software will track and graph your progress. If you do too much on a given day and experience pain and swelling ("balloon knee"), NOTE THE STEP COUNT for that day. Back off, recover and resume by targeting a lower step count. When comfortable, increase gradually. Listen to the knee!!!

    (I got my balloon knee at 5 weeks when I did 8,200+ steps in one day. Payed the price for 3 days...ouch. Ice, elevate, anti-inflammatories. I made sure that it never happened again. By 8 months, I was doing 11,000+ steps a day...over 5 miles...with no problem.)

    Also, you MUST rebuild the atrophied musculature that supports the knee (quads, glutes, core, hip flexors, etc.). This requires strength work as walking and cycling will not do the whole job. The rebuild takes the pressure off the knee and puts it back on the muscles where it belongs. This is very important in not causing more pain in the new knee. Consider...

    Muscle Rebuild

    Good luck...

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    • Posted

      This is how kids are taught to do "drill" in high school band camp. It feels weird at first but it's easy to master quickly. Then, once you are at full stride, you don't even think about it. Watch some DCI competitions on YouTube and see how they do it for 8 solid minutes, forwards and backwards, in bizarre, ever-changing formations, while playing a musical instrument. You'll get the idea... Just remember that the muscle rebuild will help the walking immensely as you get your strength back. I'm 3 1/2 years post-op...the tough work was all worth it.

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  • Posted

    Yes, heel to toe as everyone says. Use walking aids until you can walk without a limp and feel confident. I continued using a stick outside long after I gave it up indoors. Try to walk every day increasing steps gradually. A friend used lamp posts as a guide, walking one further each day. For ages I felt as if I had a wonky wheel and would drift across the path, but as the leg has strengthened it's improved and I don't think about it now.

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    • Posted

      My podiatrist advised me to check all my shoes for wear, as my gait would have changed, and buy new if possible or have them repaired. Most of my old shoes have been thrown out now, but luckily I had about 3 pairs I'd bought not long before and hardly worn.

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