How Long After Knee Replacement Can You Climb Stairs? Find Out Here

Knee replacement is a life-altering surgery that restores mobility and alleviates chronic pain caused by arthritis or injury. However, its recovery takes patience and time, particularly when climbing stairs. Most patients ask when it's okay to begin climbing stairs again without risking injury or pain.

So, the editorial team of Onlymyhealth reached out to Dr Bhumesh Tyagi, General Physician and Senior Consultant at Sharda Hospital, Noida, and he explained, "Stair climbing is one of the most challenging activities after knee replacement, involving strength, stability, and a good range of motion in the knee joint. The principle is gradual development under professional guidance." Read ahead to know everything he shared with us.

When Can Patients Start Climbing Stairs After Surgery?

Dr Tyagi noted that usually patients can start climbing a few stairs four to six weeks after knee replacement surgery; however, the timing can depend on overall health, muscle strength, and the nature of the surgery. At first, one might have to use handrails or the support of a caregiver.

"Patients are typically taught to go upstairs during the rehabilitation process itself. Physiotherapists in the hospital also instruct a step-up and step-down method so that one does not put undue stress on the operated knee. But, doing stairs a little too early without proper guidance might strain the joint or even result in falls," Dr Tyagi added.

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By the 8th to 12th week, most patients gain sufficient strength and balance to climb stairs independently, though they may have persistent stiffness or weakness. Complete comfort with stair climbing can take three to six months, depending upon compliance with rehabilitation.

How to Climb Stairs Safely After Knee Replacement

Climbing the stairs safely after knee replacement depends to a great extent on following the correct technique, which should not put any strain on the new joint. Dr Tyagi advised:

In early recovery (first few weeks)

• Support by using a strong handrail.
• Step up with the non-operated leg first, but leave the operated leg on the lower step.
• On descending, step down first with the operated leg.
• Walk slowly and do not twist the knee.

As the strength becomes greater:

• Alternate steps (one foot per step) only when the balance and stability of the knee are restored.
• Resume physiotherapy exercises aimed at quadriceps and hamstring strengthening.
• Use walking aids like a cane if necessary, until otherwise instructed by your doctor.

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Role of Physiotherapy in Stair Recovery

Physiotherapy is the cornerstone of knee replacement recovery. Gentle strengthening and range-of-motion exercises improve flexibility and endurance, such that climbing stairs becomes easier with time.

Dr Tyagi pointed out that skipping physiotherapy or going back to stairs too early are two of the most common mistakes patients make post-surgery. A proper rehab program ensures an easy transition to normal mobility without any complications.

Straight leg raises, heel slides, and mini squats can be done early on. Step-ups and resistance band exercises are eventually added with progression for hardening the knee for stair climbing.

When to Be Cautious

Patients must refrain from ascending stairs if they feel:

• Persistent swelling or pain around the knee
• Instability or as if the knee will give way
• Infection or inflammation within the incision region

Consult the surgeon if one is planning any major change in activity, advises Dr Tyagi. "Each patient heals uniquely. Paying heed to what the body is telling us and adhering to the surgeon's schedule is more crucial than hurrying the recovery process," he says.

Bottomline

Stair climbing following knee replacement is not just possible in a few weeks, but also when done gradually, in conjunction with proper physiotherapy and technique. Patience coupled with guided rehabilitation makes all the difference in assuring a safe and confident return to daily mobility.