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Fluid Retention In Leg After Knee Surgery

How To Minimize The Risk Of Swelling

How to Reduce Leg Swelling After Knee Surgery – By a Physical Therapist

Minimizing the risk of swelling begins long before you go under the knife. Being in good physical health is important for any surgery. Your surgeon will likely have asked for several pre-op tests to make sure you are fit and healthy enough for the procedure, but staying in shape will help with your recovery, too. Some surgeons may also advise taking certain vitamins and supplements ahead of the procedure to reduce swelling. Bromelain is one popular option, as are vitamin A and vitamin C. Anti-inflammatory diets rich in whole grains, plant-based fats and proteins, fruits and vegetables, and fresh herbs and spices and low in sodium can help combat post-surgical inflammation.

Leg Swelling After Surgery

Dependent edema.

This is an article for patients, their families and their care-takers. It will focus on leg swelling after surgery. First, we will discuss prevention. Later, you will find a list of the common causes for leg swelling after surgery. Let us know if you need any information that you cannot find here.

Dangers Of Doing Certain Exercises Too Soon

Performing movements or exercises that are too intense can increase the chances of loosening or fracturing the bones around the implant.

Pushing too much can also lead to increased pain and swelling around the knee, slowing down the rehabilitation process and making it more difficult to exercise.

Symptoms of pushing too hard during the recovery program might include:

  • swelling of the knee or lower leg
  • warmth around your knee

If you experience any of these symptoms, its best to back off of the activity and ice your knee for 15 to 20 minutes.

If the symptom persists, call your healthcare provider.

In most cases, leg length discrepancies do not require treatment.

However, if the leg length discrepancy is severe, surgery may be required to correct it.

Surgery may include:

  • Reconstruction of the medial collateral ligament
  • Reconstruction of the lateral collateral ligament

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How To Relieve Water Retention In Legs

Water retention that occurs after sitting or standing for long periods of time or after taking a long drive or airplane ride might not be that serious. You can probably alleviate it with a little exercise and increased consumption of fluids. Here are some ways that you can relieve water retention in the legs:

What to Do

How To Reduce Swelling After Knee Surgery

Pin on health uses.

This article was medically reviewed by Erik Kramer, DO, MPH. Dr. Erik Kramer is a Primary Care Physician at the University of Colorado, specializing in internal medicine, diabetes, and weight management. He received his Doctorate in Osteopathic Medicine from the Touro University Nevada College of Osteopathic Medicine in 2012. Dr. Kramer is a Diplomate of the American Board of Obesity Medicine and is board certified.There are 11 references cited in this article, which can be found at the bottom of the page. This article has been viewed 49,337 times.

Swelling may be moderate to severe in the first few days after knee replacement surgery, but it will gradually subside as you recover. Still, you might experience some mild to moderate swelling in the weeks and months following your recovery. Luckily, there are several strategies you can try to reduce swelling, such as following your doctors instructions after surgery and trying out exercises meant to reduce swelling. If you experience an increase in swelling, tell your doctor right away.

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How Do You Sleep After A Knee Replacement

Not well is the most common answer I hear in the clinic. Some clients will sleep in short episodes of 1-2 hours while others sleep in blocks of 4 hours. The best advice is to find a position of comfort and sleep as long as the position will allow. If you are unable to sleep in a bed, it is common to sleep in a recliner or on a couch for the first couple days or couple weeks. Some patients find sleeping in a recliner or couch allows them to maintain the best knee position while not worrying about waking a spouse.

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You Had Your Knee Replacement Surgery Eight Weeks Ago Yet The Knee Is Still Pretty Swollen And Hurts How Normal Or Abnormal Is This

I would find it unusual if the knee was NOT swollen eight weeks out, and, in fact, most knees stay swollen for months, says Barbara Bergin, MD, board certified orthopedic surgeon at and co-founder of Texas Orthopedics, Sports & Rehabilitation Associates.

Many patients note that the knee does not achieve a state of normalcy for nine months to a year!

The knee is a very superficial joint. You can see its shape between the femur and the tibia, where you cannot see the shape of your hip because it is buried deep within the muscles of the thigh.

The knee does not have much collateral circulation, and it simply takes a long time for the post-operative edema to dissipate.

The venous and lymphatic channels have to be re-established following the trauma of the surgery.

This is a slow process. The hip has more soft tissue and collateral circulation around it, and it is higher up in the body, closer to the large blood vessels which drain the lower extremities.

The skin around a knee is tight, where it is not as tight around the hip.

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When To Contact A Medical Professional

  • You feel short of breath.
  • You have chest pain, especially if it feels like pressure or tightness.
  • You have heart disease or kidney disease and the swelling gets worse.
  • You have a history of liver disease and now have swelling in your legs or abdomen.
  • Your swollen foot or leg is red or warm to the touch.
  • You have a fever.
  • You are pregnant and have more than just mild swelling or have a sudden increase in swelling.

Also call your provider if self-care measures do not help or swelling gets worse.

Knee Swelling And Pain: When To Seek Medical Attention

Swollen Legs, Is That Normal After Surgery?

You should seek medical attention as soon as you notice swelling and pain in your knee. If there is no swelling within a few days of starting R.I.C.E., or if swelling and pain worsen, consult a physician. If you have knee swelling or pain, over-the-counter medications may be effective. It is impossible to have fluid on the knee indefinitely.

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To Help You Balance Your Fluids After Heart Surgery Your Doctor May Ask You To:

  • Avoid adding salt when cooking.
  • Avoid processed foods.
  • Read food labels for sodium content.
  • Eat a low-salt diet .
  • Walk daily as advised.
  • Take a medication to remove excess fluid if needed.

Other symptoms of increased fluid include decrease in energy level and dizziness.

It is important to notify your doctor or nurse as soon as possible to prevent any problems related to excess fluid.

For more information: See your Guide to Cardiac Surgery binder. If you have any questions or concerns, please call the Heart, Vascular & Thoracic Institute Post Discharge Phone Line at the number you were provided or your doctors office.

This information is about care at Cleveland Clinic and may include instructions specific to Cleveland Clinic Heart, Vascular & Thoracic Institute patients only. Please consult your physician for information pertaining to your care.

Journal Of Medical Cases


Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors Journal compilation copyright, J Med Cases and Elmer Press Inc
Journal website

Case Report

Volume 7, Number 3, March 2016, pages 90-93

Diagnosis and Treatment of Joint Fluid Accumulation After Total Knee Arthroplasty in Rheumatoid Arthrosis Patients: A Report of Four Patients

Hiroyuki Tsuchiea, b, d, Seiya Miyamotoa, b, Seietsu Senmaa, Yuichiro Naritaa, Yuji Hatakeyamaa, Kana Sasakia, Yoichi Shimadac

aDivision of Orthopedic Surgery, Nakadori General Hospital, 3-15, Misono-cho, Minami-dori, Akita 010-8577, JapanbAkita Orthopedic Group on Rheumatoid Arthritis , Akita, JapancDepartment of Orthopedic Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, JapandCorresponding Author: Hiroyuki Tsuchie, Department of Orthopedic Surgery, Nakadori General Hospital, 3-15, Misono-cho, Minami-dori, Akita 010-8577, Japan

Manuscript accepted for publication January 29, 2016Short title: Joint Fluid After TKAdoi:


Keywords: Joint fluid Rheumatoid arthrosis Synovectomy Total knee arthroplasty

Introduction Top

We herein describe four cases of joint fluid after TKA in RA patients, and review the literature.

Case Reports Top

Case 1

Case 2

Case 3

Case 4

Discussion Top

Conflict of Interest

We do not have any conflict of interest.


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Restorology Elevating Leg Rest Pillow

The Restorology pillow wedge is a customer favorite and works perfectly for people recovering from knee replacement surgery. Its marketed as a way to reduce discomfort from leg and back pain, restless leg syndrome, and injuries or surgeries.

This knee replacement wedge pillow uses memory foam that keeps its shape under the heaviest of loads. Because it uses foam it wont wear out for a long time.

The leg pillow for TKR has a microfiber cover that can be washed if your wound leaks or if theres excessive sweating.

The leg wedge pillow measures 24 x 16 x 8 inches and weighs 7.5 pounds. The slope stops at 12 inches. It can be used to support 1 leg or both while sleeping

They offer a money back guarantee for 30-days. Try it out and if its not up to your expectations then send it back.

Most reviewers like the product for its effect on the legs. Whether after surgery or for just resting the feet and legs after a long day of work, people are using it for various reasons.

There is some confusion with this product on the word memory foam. While its advertised as memory foam, some customers think its just common foam filler.

Either way, the majority of customers like it and I really like the price .

Keep A Snack Handy By The Bedside

Pin on Health

Blood sugar dysregulation a fancy name for glucose levels that are out of wack post surgically is common. It is possible that you are walking up because your blood sugar is dropping. When that happens cortisol is secreted to bring it back up. Cortisol is the hormone that wakes you up in the morning. Melatonin helps you go to sleep, they work in opposite cycles.

Having a snack will get the blood sugar back where it should be and reduce the cortisol letting you fall back asleep. It is worth a try if you are staying at the ceiling tiles at 2 am in the morning.

You could also try taking melatonin tablets as a sleep aid before you go to bed. Melatonin is a better option than a sleeping pill.

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Leg Swelling Years After Surgery

It is possible that swelling may occur up to six months after knee replacement. However, if it occurs longer than that, it might be a medical emergency. So you should visit your surgeon right away. Post-operative swelling years after surgery may indicate the following medical conditions:

  • Prosthetic joint infection
  • Deep vein thrombosis

Prosthetic joint infections can occur immediately after surgery, weeks/months later, or even years later. Prosthetic joints that are infected require radiological and blood examinations, as well as revision surgery.

Following are the symptoms that indicate swelling is due to prosthetic joint infection.

  • Fluid discharge

Besides infection, deep vein thrombosis may also result in a swollen foot. A blood clot forms in the veins of the legs, causing this condition. Vein thrombosis is a significant side effect after knee replacement. To avoid this condition, doctors advise you to do ankle pumps frequently and start moving asap.

These symptoms suggest thrombosis is the cause of your swelling:

  • Pain that throbs or cramps
  • Warmth around the affected area
  • Discoloration or redness

Patients are usually prescribed certain medicines and drugs to avoid these conditions. For instance, blood-thinning medicines such as enoxaparin or aspirin are used to reduce the chance of blood clotting. Moreover, compression stockings are also used to prevent the chances of clot formation and fluid retention.

Fluid Retention After Surgery

The term ‘edema’ refers to the visible swelling that is caused by accumulation of excess fluid in the body tissues. There have been instances of edema in individuals who have undergone a surgery. This write-up will throw some light on the possible causes of fluid retention after surgery.

The term edema refers to the visible swelling that is caused by accumulation of excess fluid in the body tissues. There have been instances of edema in individuals who have undergone a surgery. This write-up will throw some light on the possible causes of fluid retention after surgery.

Accumulation of fluid in the interstitial spaces of bodys organs could be caused due to a wide range of reasons. It could be a symptom of serious medical conditions such as heart failure, kidney problems, thyroid problems, diabetes, metabolic disorders or chronic venous insufficiency. Lymphatic obstruction, which is a medical condition that is characterized by the inability of the lymphatic vessels to drain lymph fluid from the body tissues due to a blockage in lymphatic vessels, could also cause lymphedema. Lymphedema could be caused due to injuries or infections. It could even develop as a post-surgery complication owing to the damage caused to lymphatic vessels during surgery.

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Leg Swelling After Surgery From Too Much Fluid In The Body

During surgery, patients often receive fluids. Also, many patients retain fluid during surgery. So, sometimes the legs are swollen because there is too much fluid in the body. The reason for that is a bit complicated, but has to do with the fact surgery is like an injury to the body. Luckily, most patients will just pee the excess fluid out. Once that happens, the swelling goes down as well. But, some patients need help, so making the diagnosis is useful.

What To Expect At Your Office Visit

Can you do TOO MUCH after Total Knee Replacement Surgery? Physical Therapy, Pain and Swelling

Your provider will take a medical history and do a thorough physical examination, paying special attention to your heart, lungs, abdomen, lymph nodes, legs, and feet.

Your provider will ask questions such as:

  • What body parts swell? Your ankles, feet, legs? Above the knee or below?
  • Do you have swelling at all times or is it worse in the morning or evening?
  • What makes your swelling better?
  • What makes your swelling worse?
  • Does the swelling get better when you raise your legs?
  • Have you had blood clots in your legs or lungs?
  • Have you had varicose veins?
  • What other symptoms do you have?

Diagnostic tests that may be done include:

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Allowing The Body To Prevent Edema For Us

Another common reason for leg swelling after surgery is dependent edema. Patients after surgery often do not move as much as they would otherwise. In fact, many of them sit around for hours with their legs dangling. So there is at least some overlap with the causes for swollen feet after sitting. Getting up, when possible, and encouraging movement should address this as well.

Ways To Reduce Swelling From An Injury

Did you throw too many passes and hurt your shoulder? Did you twist your ankle working in the yard? Did you lift too much weight and injure your knees? If your answer is yes to any of these or other injuries, youve probably experienced swelling and inflammation.

The excess fluid produced by the body helps protect damaged tissues from further injury. Although a certain amount of swelling is unavoidable, its important to do what you can to help control the process for these important reasons:

  • Too much swelling may slow down healing.
  • Untreated inflammation may lead to even more swelling.
  • Excess swelling can be uncomfortable and sometimes limit your range of motion.2

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How To Reduce Swelling After Surgery

Compression stockings

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Keep your leg up and elevated. The higher the better. This will help to drain fluid out of your leg.


Ice your knee. This can be done with ice packs, or with a ice machine a special pad and a pump that circulates cold water through the pad like the one shown here. The cold helps to reduce inflammation which will decrease the swelling and effusion.

Ibuprofen / Naproxen or other anti-inflammatory medicine

Ive put a number of products that Ive seen help patients with knee swelling on my related products page. I dont sell these but refer you to amazon to find them. .

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