Your Guide to Knee Replacement Recovery

Knee replacement surgery is one of the most common orthopedic surgeries in the United States.
Hundreds of thousands of patients receive surgery every year and that number is expected to continue to grow.
Even though it is a common surgery, if you do not know what to expect, the uncertainty can cause anxiety.
As you are considering
knee replacement surgery,
this article will help you understand the timeline of recovery and what to expect:
- How long will recovery take?
- What will the first few weeks feel like?
- Are there side effects you should watch for?
Everyone’s journey is different but knowing what’s ahead can help you feel prepared and confident.
What is Knee Replacement Surgery?
Knee replacement surgery replaces damaged or worn knee structures with artificial parts, often metal or plastic.
It helps reduce pain and restore movement for people with arthritis, injury, or joint damage that no longer responds to other treatments.
Find an orthopedic clinic near you.
What to Expect After Knee Replacement Surgery

Depending on your needs, you could stay in the hospital for 1–3 days. However, modern medicine, physicians like to get you moving as soon as possible. In many cases, you will go home after knee replacement surgery the same day. Right after surgery, you will begin walking and might even climb stairs.
You’ll begin physical therapy early, sometimes within 24 hours.
Pain will be strongest in the first 2–3 days and gradually improve.
Typical post-op milestones:
- Standing with assistance as soon as possible or at least within 24 hours
- First walk with a walker or crutches
- Opioid pain relievers for 2–4 weeks, then transition to NSAIDs/acetaminophen
- Swelling, bruising, and stiffness around the knee
- Beginning simple physical therapy exercises (ankle pumps, heel slides)
- Hospital discharge once safe mobility is demonstrated
What happens during knee replace surgery:
When knee pain makes it hard to walk, rest or enjoy daily life, knee replacement surgery can offer a fresh start. During the procedure, your surgeon carefully removes the damaged parts of your knee joint and replaces them with smooth, durable surfaces that help your knee move with less pain.
Most patients receive anesthesia to stay comfortable, and the care team stays close by to guide you through every step — from preparation to recovery.
Once the new joint is in place, your surgeon checks its alignment and movement before closing the incision. After surgery, your team will help you take your first steps, show you how to protect your new knee, and teach you simple exercises that support healing.
Week-by-Week Knee Replacement Recovery Timeline
Recovery happens in phases. This timeline shows common patterns, but your care team will personalize your plan.
Early Recovery (0–6 Weeks)
- Pain & meds: Most intense pain in first 2–3 days; opioid use tapers by week 3–4.
- Mobility: Short, frequent walks with walker/cane; able to walk short distances unaided by end of this phase.
- Range of motion: 90° knee bend by 2 weeks, 110° by 6 weeks is common.
- Other notes: Some numbness near incision is expected; stiffness at night is common.
Intermediate Recovery (6–12 Weeks)
- Mobility: Cane or no assistive device; able to walk longer distances comfortably.
- Range of motion: Often reaches 120°+.
- Activities: Return to light daily routines (driving, desk work, errands).
- Therapy: Focus on strengthening quadriceps, hamstrings, and balance.
Advanced Recovery (12 Weeks–1 Year)
- Function: Low impact exercise (walking, cycling, swimming) encouraged.
- Strength: Muscles continue to rebuild; swelling/stiffness may linger after activity.
- Full recovery: By 6–12 months, most patients achieve stable strength and motion.
Factors Affecting Recovery
- Age & health: Diabetes or heart conditions may slow recovery.
- Weight: Added stress can extend timelines.
- Pre-surgery fitness: Stronger muscles pre-op help speed recovery.
- Consistency with PT: Patients who follow physical therapy plans recover faster.
- Support at home: Safety prep and caregiver help reduce complications.
Knee Replacement Side Effects: What’s Normal & When to Call a Doctor
Common, expected side effects:
- Swelling, bruising, or warmth around the knee
- Skin numbness near incision
- Stiffness or soreness, especially at night
- Fatigue after physical therapy
- Constipation (often from pain meds and low activity)
Concerning side effects (call your doctor):
- Fever, spreading redness, or drainage from incision
- Severe calf pain or swelling (possible clot)
- Numbness or tingling that worsens
- Pain that increases instead of decreases over time
For more detail on pain patterns, see when you should worry about pain after knee surgery.
Tips for a Smooth Recovery
- Take medications exactly as prescribed; taper safely with your provider.
- Set a realistic daily pain goal with your care team.
- Use ice/cryotherapy and elevate your leg to reduce swelling.
- Prepare your home with clear walkways, grab bars, and seating at the right height.
- Keep moving—short walks are better than long periods of rest.
- Eat protein-rich meals (meat, beans, dairy, soy) at every meal to support healing.
- Stay hydrated with at least 8 cups of fluid daily; limit sugary drinks.
- Include high-fiber foods to help prevent constipation.
- Ask your doctor if supplements like multivitamins, calcium, or vitamin D are right for you.
- Stay consistent with physical therapy. Key exercises include ankle pumps, quad sets, straight leg raises, and gentle knee bends.
- Practice breathing exercises (incentive spirometer) to lower pneumonia risk.
- Don’t ignore mental health—support groups and journaling can help.
Benefits of Knee Replacement Surgery
Many people choose knee replacement because they want life to feel easier again. With healing and physical therapy, you may notice:
- Relief from the deep, constant pain that made it hard to move
- A steadier, more dependable knee joint
- The ability to walk longer distances with greater comfort
- More freedom to enjoy everyday activities, work and time with loved ones