How to delay Total Knee Replacement (TKR)?

Reviewed by Dr Mayank VijayvargiyaSeptember 5,2023 | 07:37 AM
How to delay Total Knee Replacement (TKR)?

How to delay Total Knee Replacement (TKR)?

One of the main concerns for those who have knee osteoarthritis is its progression, which is a major source of worry for sufferers. Continuous pain, decreased functional activity, joint deformation and malalignment of the legs are all symptoms that worsen over time and leave individuals with little choice but to consider a total knee replacement (TKR).

While knee replacement is an option, it may not be immediately necessary for everyone. Not all individuals require Total knee replacement surgery. Some individuals with knee discomfort are too young for the procedure, as the artificial knee typically lasts for 20 to 30 years, after which they would require additional surgery. Knee replacement should only be considered when all other options have been exhausted.

There are various measures that can be taken to relieve knee pain, delay the need for replacement and promote healthy knees, keeping knee replacement as a last resort.


How To Maintain Healthy Knees As You Age

Lose Weight

One of the most effective approaches to managing osteoarthritis is weight management. Carrying excess weight places strain on the knees and joints increases the likelihood of developing knee arthritis and speeds up the breakdown of the joint cartilage. For every 10-pound weight decrease, the strain on the knees is reduced by 30 pounds per step. Having excess weight

Regardless of whether arthritis affects one or both knees, weight reduction can be beneficial. However, it is not a simple task. Seeking consultation with a nutritionist or bariatric expert at Hinduja Hospital can provide assistance in getting started, particularly if one is overweight or obese.


Make sure to exercise correctly

The knee joints can be effectively protected by engaging in moderate physical activity. Engaging in moderate exercise does not increase the likelihood of developing osteoarthritis; in fact, it can reduce the risk by helping you maintain a healthy weight. Incorporating low-impact exercises such as swimming, treadmill walking, or using an elliptical machine can be beneficial. Strengthening the quadriceps and hamstring muscles in the leg can improve flexibility and reduce discomfort or impaired mobility. Exercises that include resistance, such as weightlifting or lunges, help develop the calf and quadriceps muscles that surround the knee, reducing injuries and keeping the joint stable. Additionally, strengthening the core muscles is beneficial for the knees. A physical therapy program can be very beneficial. Patients can collaborate with a physical therapist to create a custom treatment plan.


Wear the Right Shoes

Without a solid foundation to stand on, it's impossible to take proper care of your knees, thus it's important to get the appropriate footwear. Women may start to feel pain in their knees after years of wearing high heels. Our quadriceps muscles work hard to maintain alignment of the knees when our heel is raised as opposed to flat. Doctors advise patients to wear flat sandals or shoes.


Improve Your Posture

Posture and knees may seem unrelated, yet they are closely linked. Slouching or hunching over can alter the body's center of gravity, placing more strain on the knees and hips. Start by standing tall to relieve the knees of extra stress. After that, position your body so that the head is over the shoulders, the hips are over the knees, and the feet are directly beneath the knees. Engaging in core-strengthening and balance-enhancing activities like yoga, Pilates and tai chi can also help enhance posture.


Eat an Anti-Inflammatory Diet

The body's level of inflammation is significantly impacted by our everyday diet, which can harm the joints. Processed foods, frequently made with white flour and sugar, are a key contributor to inflammation. Inflammation can also result from a diet rich in dairy, eggs, and meat. Consider adopting an anti-inflammatory, plant-based diet that includes eight glasses of water each day, plenty of fruits and vegetables, whole grains, some fish, and many other healthy foods. Onions, garlic, turmeric, and nuts are a few foods that are extremely anti-inflammatory. Pomegranate juice contains ellagic acid, a naturally occurring anti-inflammatory. Some research has shown that consuming a small amount of pomegranate juice every day for three months can reduce joint pain by more than 60% and inflammation by 18%.


Consider having supplements

Both female, especially, post menopause and male tend to get Osteoporosis as Calcium and Vitamin D deficiency as age sets in, hence, Calcium and Vitamin D supplements need to be added in the diet. A 1000 mg of Calcium supplement and 2000 IU of Vitamin D supplement per day, in case the ideal requirements are not met through regular diet.


When to Have Knee Replacement Surgery?

Despite undergoing medical treatment, knee arthritis can deteriorate. If a patient has tried all the aforementioned methods but continues to experience persistent pain, it may be advisable to consult with an expert orthopedic surgeon to discuss the possibility of knee replacement.


Total Knee Replacement at Hinduja Hospitals

Hinduja Hospital boasts a state-of-the-art Orthopedic Operating Suite, accompanied by the best orthopedic surgeon for knee replacement in Mumbai. For surgeries, including knee replacement, our hospital offers comprehensive diagnostic services. Throughout their rehabilitation, patients receive undivided attention and support from our experienced team. The modern hospital facilities promote quick healing and enhance patients' quality of life.



Q1. How can I make my knees stronger to avoid surgery?

Ans. Priority should be given to exercises that target the quadriceps, hamstrings, and glutes. These strong muscles are crucial in supporting the knees. Additionally, engaging in exercises that increase heart rate, such as swimming and cycling, can help protect knee cartilage from harm.

Q2. Can physical activity prevent the need for knee surgery?

Ans. Leading a healthy lifestyle, which includes maintaining a weight within recommended ranges and regularly participating in physical activity to keep muscles strong and joints flexible, can significantly reduce the likelihood of joint, cartilage, or ligament injuries that may require surgery.

Q3. What are some non-surgical options to delay knee replacement?

Ans. Before considering knee replacement surgery to alleviate knee pain, it is worth exploring non-surgical options such as weight loss, engaging in low-impact exercises, using specific footwear or shoes, and utilizing walking aids.

Submit your query

Most Viewed Articles