Can You Run After a Knee Replacement?

Before we do anything else, let's put your mind at ease and address what probably concerns you the most: can you run after knee replacement? The answer is yes, there’s a good chance you will be able to run after a knee replacement. 

Phew, right? But it's important to approach running after knee replacement with caution and patience. Everyone's recovery journey is unique, and what works for one person might not be suitable for another. 

Let's dive into the factors that influence your ability to run post-surgery and provide a much more detailed response to the “can you run after knee replacement” question. 

What does a knee replacement involve?

Let's break down what knee joint replacement is all about.

Understanding the procedure

Imagine your knee as a hinge. When it's working well, it's smooth and easy to bend. But when it's damaged, it can feel like a rusty gate. That's where knee replacement comes in. It's often a lifesaver for those suffering from severe knee pain, stiffness and limited mobility.

A knee replacement, also known as knee arthroplasty, is a surgical procedure typically performed by knee surgeons to replace damaged knee joints with artificial components.

Why is knee replacement necessary?

The most common reason for knee replacement is osteoarthritis, a degenerative condition also referred to as knee arthritis that wears away the cartilage cushioning the knee joint. Other causes may include rheumatoid arthritis, injuries, or deformities.

What to expect during the procedure

During a knee replacement, your orthopedic surgeon removes the damaged parts of your knee joint and replaces them with an artificial knee made of metal and plastic. This implant is then securely attached to your thighbone, shinbone and kneecap.

Recovery and rehabilitation

While recovery time varies, most people can expect to spend a few days in the hospital following surgery. Physical therapy plays a crucial role in helping you regain knee function, and you’ll likely be encouraged to start walking and doing gentle exercises soon after surgery.

We’ll dive deeper into the rehabilitation stage later in the article.

Long term mobility

With proper rehabilitation and care, many of those who undergo knee joint replacement surgery can enjoy a significant improvement in their quality of life. But can you run after knee replacement? Post-surgery,  you will often be able to resume many of their favorite activities, including running, walking, hiking and dancing.

Remember, every person's experience is unique. It's essential to discuss your specific situation with your orthopedic surgeon to get personalized advice and expectations. Understanding the differences between running shoes vs walking shoes is also crucial, as it helps you select the right type of shoe based on your activity levels and specific needs post-surgery.

What does research say about running post-knee replacement?

Now it’s time to address the core issue we’re all here to discuss: can you run after knee replacement, and can running even be part of your recovery? According to studies, the short answer is yes, it can. But like any physical activity after surgery, there are also risks.

Research findings on running after knee replacement

Several studies have explored the feasibility and benefits of running after knee replacement. Here's a summary of what they've found:

• Return to sports

Many knee replacement patients are able to return to sports once they get their new knee, including running, but the level of activity may vary [1, 2, 3].

• Low-impact activities

Running is generally considered a low-impact sport compared to activities like basketball or football. This means it's often more suitable for people with knee replacements [1].

• Individual factors

Your ability to run after knee replacement depends on several factors, including the type of surgery you had, your overall health, and your rehabilitation progress [1, 2, 3].

Potential benefits of running

• Improved strength and flexibility

Running can help strengthen the muscles around your knee and improve your overall flexibility [4].

• Weight management

Regular exercise like running, can help you maintain a healthy weight, which can reduce stress on your knee joint [4].

• Mental health

Running can be a great way to boost your mood and reduce stress [4].

Potential Risks

• Increased wear and tear

While running is generally considered low-impact, it can still put stress on your knee joint. Over time, this could lead to increased wear and tear on your artificial knee [5].

• Risk of injury

Running can increase the risk of injuries, such as strains, sprains [5], or even a repeat knee injury.

Other research-based insights

• Pre-surgery activity

Studies have shown that individuals who were active before surgery are more likely to return to their previous level of activity or even increase it after knee replacement [4].

• Risk of revision

While some research has suggested that physically demanding activities may not significantly increase the risk of revision surgery after knee replacement, more studies are needed to confirm this [5].

• Listen to your body

It's very important to pay attention to any knee pain or discomfort during or after running. If you experience pain, it's a sign to slow down or stop [1, 2].

• European Knee Association Recommendations

The European Knee Association recommends various sports activities, including jogging and weightlifting, for patients after total knee replacement surgery. However, they suggest waiting 12 weeks to 6 months before starting higher-impact sports [6].

Will I be able to run after a knee replacement?

While many people can successfully return to running after a partial knee replacement - a type of minimally invasive surgery - or after a total knee replacement, it's important to understand that several factors can influence your ability to do so.

• Type of prosthetic

The type of prosthetic used in your surgery can play a role. Modern implants are generally more durable and designed to withstand greater levels of activity.

• Individual health

Your overall health and fitness level before surgery can also impact your ability to run. Those who were active before surgery are often more likely to return to running after recovery.

• Quality of rehabilitation

A comprehensive rehabilitation program is crucial for a successful recovery. Physical therapy can help you regain strength, flexibility, and proper gait mechanics, which are essential for running.

H3: Risks of running with a knee replacement

While running after knee replacement can be beneficial, it's important to be aware of the potential risks:

• Increased wear on the prosthetic

Running can put additional strain on your knee replacement, potentially leading to increased wear and tear on the prosthetic.

• Joint pain

Some individuals may experience increased joint pain or discomfort when running on a knee replacement.

• Risk of injury

Running can increase your risk of falls or other injuries, especially if you have poor balance or gait mechanics.

How to increase your chances of running after surgery

Although the ability to run after knee surgery varies from person to person, there are a few ways to improve your odds of getting back to running.

Don't rush back into running

Patience is key when it comes to returning to running after knee replacement. It's important to follow your doctor and physical therapist's advice regarding the timeline for gradually increasing your activity level. 

Rushing back into running too soon can increase your risk of complications or setbacks. 

Balance and control

Improving your balance and proprioception (the sense of where your body is in space) can help reduce the risk of falls and injuries. To achieve this, it’s recommended that you add exercises like single-leg stands, balance board exercises, and tandem walking to your rehabilitation routine.

Minimize the load on your new knee

• Running technique

Focus on maintaining good running form to minimize stress on your replaced knee. Avoid overstriding or overpronation.

• Running surfaces

Choose running surfaces that are softer and provide better shock absorption, such as treadmills with good cushioning or soft tracks or grass.

Useful tips

• Start pre-surgery

If you're considering knee replacement surgery, it's a good idea to start preparing your body before the procedure. This might include strengthening your leg muscles and improving your flexibility.

• Consistency is key

Stick to your rehabilitation program and follow your physical therapist's guidance. Consistency is essential for a successful recovery.

• Pay attention

To avoid recurring knee damage, it’s important to be mindful of how your body responds to exercise. As mentioned earlier, if you experience any discomfort or pain, slow down or stop your run.

Safe alternatives to running

If running isn’t suitable or comfortable for you after knee replacement, there are other alternatives you can consider.

Low-impact exercise options post knee replacement surgery

• Swimming

This is a great option for people with knee problems as it provides a low-impact workout while still providing a cardiovascular challenge.

• Cycling

Whether you prefer indoor cycling or outdoor biking, cycling is a low-impact exercise that can help you improve your cardiovascular fitness and lower body strength.

• Elliptical training

This machine provides a full-body workout with minimal impact on your joints.

• Walking

Walking is a simple yet effective way to stay active and improve your cardiovascular health. Start slowly and gradually increase your pace and distance as you get stronger.

• Water aerobics

This type of physical activity combines water-based exercises with resistance training, providing a low-impact workout that is gentle on your joints.

• Yoga and pilates

These practices are a form of flexibility and strength training that help improve your flexibility, balance, and core strength, all of which are important for knee function and health.

Remember, it's important to listen to your body and choose activities that are comfortable and enjoyable for you. Consult with your doctor or physical therapist to determine the best exercise options for your individual needs.

Explore running with arch support running shoes

The importance of arch support

For those recovering from knee surgery, running shoes with extra arch support can really help make your return to running safer and more comfortable. As Dr. Steven Gershman, MDP, points out, "stability sneakers provide cushioning and help control overpronation. They also ease pressure on the ball of the foot, which can help with arthritic pain in the hip, knee, foot, or ankle." So, good arch support isn't just for knee recovery - it's also important for things like hip replacement. 

Benefits of arch support running shoes

• Improved gait

Arch support helps ensure proper foot alignment, which can positively impact your gait and reduce stress on your knees. 

• Enhanced stability

Well-designed arch support running shoes can significantly improve your balance, helping to prevent falls and injuries.

• Reduced pain

By supporting your feet and ankles, shoes that offer good arch support can help alleviate pain in your knees and other joints.

• Cushioning

Cushioned soles can absorb shock and reduce the impact on your knees, making running more comfortable.

Choosing the right running shoes for your post-knee replacement feet

To help you find the right running shoes, here are some key features that will help you get back to running while supporting your knees.

• Fit

Ensure the shoes fit properly and provide adequate support without being too tight or too loose.

• Cushioning

Look for shoes with ample cushioning in the heel and forefoot to absorb shock.

• Stability

The best shoes have a stable design to help prevent overpronation or supination.

• Arch support

As mentioned earlier, it’s best to wear shoes with built-in arch support or to consider using orthotic insoles. For more detailed guidance on finding the right fit and features, check out our guide on how to choose running shoes tailored to meet the needs of post-knee replacement patients. It's also essential to know how often you should replace running shoes to ensure your footwear continues to provide the necessary support and cushioning as you increase your activity levels.

 

Step confidently into your running routine post-knee replacement with Orthofeet

Recovering from knee replacement surgery is a journey, and running can be a part of that journey if approached wisely. With the right footwear, you can enhance your chances of returning to running more comfortably and safely. Orthofeet offers specialized footwear designed to support your recovery and running endeavors. Our orthopedic running shoes for men and orthopedic running shoes for women provide the necessary stability and cushioning to protect your new knee during your runs.

Additionally, our arch support running shoes are engineered to ensure proper foot alignment, which is crucial as you regain your running form. These shoes feature advanced arch support and cushioning systems that help minimize the impact on your knee, enhancing comfort and reducing the risk of further injury. For those who prefer a more gentle approach, our comfortable orthopedic walking shoes offer a great alternative, providing the support and ease needed for long walks or gradual return to more intense activities.

By choosing Orthofeet’s specialized running and walking shoes, you are not just choosing a shoe, but a partner in your rehabilitation and return to active life. Embrace the path to recovery with the confidence that comes from having the right support underfoot.

 

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References

[1] David Lester, Colby Barber, Christopher B. Sowers, John W. Cyrus, Alexander R. Vap, Gregory J. Golladay, Nirav K. Patel. Return to Sport Post-Knee Arthroplasty - an Umbrella Review for Consensus Guidelines. Bone and Joint. March 16, 2022. Accessed August 20, 2024. 
https://boneandjoint.org.uk/article/10.1302/2633-1462.33.BJO-2021-0187.R2

 

[2] Michaël Rochoy, Julien Six, Jonathan Favre, Nicolas Lagrange, Jean-Marc Lefebvre, Jean-Charles Rollier, Julien Girard. Does Hip or Knee Joint Replacement Decrease Chances to Complete an Ultra-Trail Race? Study in Participants at the Ultra-Trail du Mont Blanc®. ScienceDirect. December 2020. Accessed August 20, 2024. 
https://www.sciencedirect.com/science/article/pii/S1877056820302930

 

[3] Wenzel Waldstein, Paul Kolbitsch, Ulrich Koller, Friedrich Boettner, Reinhard Windhager. Sport and physical activity following unicompartmental knee arthroplasty: a systematic review. Knee Surgery, Sports Traumatology, Arthroscopy. May 21, 2016. Accessed August 20, 2024.  
https://esskajournals.onlinelibrary.wiley.com/doi/full/10.1007/s00167-016-4167-1

 

[4] Schneider BL, Ling DI, Kleebad LJ, Strickland S, Pearle A. Comparing Return to Sports After Patellofemoral and Knee Arthroplasty in an Age- and Sex-Matched Cohort. PubMed. October 2020. Accessed August 20, 2024.  
https://pubmed.ncbi.nlm.nih.gov/33088840/

 

[5] Zaballa E, Harris EC, Cooper C, Linaker CH, Walker-Bone K. Risk of revision arthroplasty surgery after exposure to physically demanding occupational or leisure activities: A systematic review. PLoS One. 28 February, 2022. Accessed August 20, 2024. 
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0264487

 

[6] Martin Thaler, Ismail Khosravi, David Putzer, Michael T. Hirschmann, Nanne Kort, Reha N. Tandogan, Michael Liebensteiner. Twenty-one sports activities are recommended by the European Knee Associates (EKA) six months after total knee arthroplasty. Knee Surgery, Sports Traumatology, Arthroscopy. January 6, 2021. Accessed August 20, 2024. 
https://link.springer.com/article/10.1007/s00167-020-06400-y