Biking After TKR?
whitpet posted:
I'm in my mid-60's and had knee replacement surgery 9 weeks ago. Although there is still a good bit of pain, PT has gone reasonably well. I'm measuring an unassisted rom of 116 degrees.
Prior to surgery, my husband and I enjoyed recreational bicycling, nothing involving extended distances or high speeds. The area we live has flat terrain, and although many activities bothered my knee prior to surgery, biking was always very comfortable.
Unfortunately, any attempts to resume riding are still very uncomfortable and painful with the surgical knee. I would appreciate any feedback from those who have gone thru this surgery and eventually resumed bike riding. How long did it take to get there? Anything you do differently regarding biking after surgery, as compared to pre-surgery? What else? Thanks for your help.
Prior to surgery, my husband and I enjoyed recreational bicycling, nothing involving extended distances or high speeds. The area we live has flat terrain, and although many activities bothered my knee prior to surgery, biking was always very comfortable.
Unfortunately, any attempts to resume riding are still very uncomfortable and painful with the surgical knee. I would appreciate any feedback from those who have gone thru this surgery and eventually resumed bike riding. How long did it take to get there? Anything you do differently regarding biking after surgery, as compared to pre-surgery? What else? Thanks for your help.
7 Replies |Watch This Discussion | Report This| Share this:Biking After TKR?I'm in my mid-60's and had knee replacement surgery 9 weeks ago. Although there is still a good bit of pain, PT has gone reasonably well. I'm measuring an unassisted rom of 116 degrees.<br /> <br />Prior to surgery, my husband and I enjoyed recreational bicycling, nothing involving extended distances or high speeds. The area we live has flat terrain, and although many activities bothered my knee prior to surgery, biking was always very comfortable.<br /> <br />Unfortunately, any attempts to resume riding are still very uncomfortable and painful with the surgical knee. I would appreciate any feedback from those who have gone thru this surgery and eventually resumed bike riding. How long did it take to get there? Anything you do differently regarding biking after surgery, as compared to pre-surgery? What else? Thanks for your help.
_swank_ responded:
It took me a while to get back on my bike but only because I couldn't bend my knee far enough. Biking on a stationary helped with that. I don't do a lot of mountain biking anymore but I can putt around now with no problems. I don't do anything different other than try not to fall.
Report This| Share this:Biking After TKR?It took me a while to get back on my bike but only because I couldn't bend my knee far enough. Biking on a stationary helped with that. I don't do a lot of mountain biking anymore but I can putt around now with no problems. I don't do anything different other than try not to fall.
Thanks for your reply, that's encouraging. My husband is a more energetic rider, but putting around pretty well describes my style. I don't mean to pry, but do you recall a rough estimate of how long after surgery you resumed riding, and maybe how much bend you had in your knee? After sitting on my bike today and trying to pedal, I feel like I'm a long way away and that's discouraging. Thanks again!
Report This| Share this:Biking After TKR?Thanks for your reply, that's encouraging. My husband is a more energetic rider, but putting around pretty well describes my style. I don't mean to pry, but do you recall a rough estimate of how long after surgery you resumed riding, and maybe how much bend you had in your knee? After sitting on my bike today and trying to pedal, I feel like I'm a long way away and that's discouraging. Thanks again!
I think it was close to 6 months before I could ride comfortably. I'm almost a year post-op and still don't have 120 degrees. Maybe 115 or so. some days I can just barely get my pedals turned all the way but after warming up a bit it gets easier. This was my 8th surgery on my knee so perfection will never be attained. You are only 9 weeks out from surgery and you do have a long way to go, but you will get there.
Report This| Share this:Biking After TKR?I think it was close to 6 months before I could ride comfortably. I'm almost a year post-op and still don't have 120 degrees. Maybe 115 or so. some days I can just barely get my pedals turned all the way but after warming up a bit it gets easier. This was my 8th surgery on my knee so perfection will never be attained. You are only 9 weeks out from surgery and you do have a long way to go, but you will get there.
Thanks very much for your help and info. I know you're right - 9 weeks seems like a long time, but I realize there's quite a ways to go. Patience is not my strong suit! Thanks again and good luck to you.
Report This| Share this:Biking After TKR?Thanks very much for your help and info. I know you're right - 9 weeks seems like a long time, but I realize there's quite a ways to go. Patience is not my strong suit! Thanks again and good luck to you.
carlstrong responded:
Hello; I'm an advid cyclist. TKR; 2/17/04. Things did not go well. Doctors gave up. Took matters into my own hands. A German company called Hase makes a device called a crank shortener. It fits unto your bicycle crank. It's designed for people with limited range of motion. It can be adjusted as you progress. Cycling is what saved my knee and broke up the scar tissue.You may have to have a bicycle shop install it for you. Today I ride 175-200 miles a week. This, after I only had about 60 degrees of motion.My knee had atrophied and two manipulations did nothing. Medieval PT did very little.The crank shortener allowed me to ride my bike making very small circles with the crank, and gradually increasing the length of the crank to the point I no longer needed it to ride my bike. It's not for everybody but if you want low impact exercise for your knee,bicycling is hard to beat. I have more information if you're interested
Report This| Share this:Biking After TKR?Hello; I'm an advid cyclist. TKR; 2/17/04. Things did not go well. Doctors gave up. Took matters into my own hands. A German company called Hase makes a device called a crank shortener. It fits unto your bicycle crank. It's designed for people with limited range of motion. It can be adjusted as you progress. Cycling is what saved my knee and broke up the scar tissue.You may have to have a bicycle shop install it for you. Today I ride 175-200 miles a week. This, after I only had about 60 degrees of motion.My knee had atrophied and two manipulations did nothing. Medieval PT did very little.The crank shortener allowed me to ride my bike making very small circles with the crank, and gradually increasing the length of the crank to the point I no longer needed it to ride my bike. It's not for everybody but if you want low impact exercise for your knee,bicycling is hard to beat. I have more information if you're interested
whitpet replied to carlstrong's response:
carlstrong - Thank you very much for your response. Our local bike shop didn't seem to know much about the shorteners, but my husband found a set online, and I'm excited about trying them. He's struggling to get the pedal broken loose from the crank, but the shop has offered to help when the shorteners are delivered. They confirmed he's trying to turn the proper direction! 
I really appreciate your comments - I haven't seen anything else that looks like it might help. I've got my bike set up on a trainer with the seat jacked up high, but it's a struggle to make revolutions.
I cannot imagine how you started working out with only 60 degrees of motion. With the pain I still have trying to ride @ 115 degrees, I know that must have taken courage. If you don't mind my asking, have much rotation have you been able to develop with your current riding schedule?
The doctor thing has been a frustration. My surgeon says I'm doing "fine" and PT has discharged me, but I cannot begin to do all the things I think I should be able to do. If I'm going to get there, I guess it will be by myself. Thanks again for the info and the encouragement!
I really appreciate your comments - I haven't seen anything else that looks like it might help. I've got my bike set up on a trainer with the seat jacked up high, but it's a struggle to make revolutions.I cannot imagine how you started working out with only 60 degrees of motion. With the pain I still have trying to ride @ 115 degrees, I know that must have taken courage. If you don't mind my asking, have much rotation have you been able to develop with your current riding schedule?
The doctor thing has been a frustration. My surgeon says I'm doing "fine" and PT has discharged me, but I cannot begin to do all the things I think I should be able to do. If I'm going to get there, I guess it will be by myself. Thanks again for the info and the encouragement!
Report This| Share this:Biking After TKR?carlstrong - Thank you very much for your response. Our local bike shop didn't seem to know much about the shorteners, but my husband found a set online, and I'm excited about trying them. He's struggling to get the pedal broken loose from the crank, but the shop has offered to help when the shorteners are delivered. They confirmed he's trying to turn the proper direction! <img src="http://img.webmd.com/community/images/smile.gif" align="top" border="0"> I really appreciate your comments - I haven't seen anything else that looks like it might help. I've got my bike set up on a trainer with the seat jacked up high, but it's a struggle to make revolutions.<br /> <br />I cannot imagine how you started working out with only 60 degrees of motion. With the pain I still have trying to ride @ 115 degrees, I know that must have taken courage. If you don't mind my asking, have much rotation have you been able to develop with your current riding schedule?<br /> <br />The doctor thing has been a frustration. My surgeon says I'm doing "fine" and PT has discharged me, but I cannot begin to do all the things I think I should be able to do. If I'm going to get there, I guess it will be by myself. Thanks again for the info and the encouragement!
carlstrong replied to whitpet's response:
I'm sorry not to post in a timely fashion.
In answer to your question, I don't think about how much range of motion I have. I can do what makes me happy which is hiking in the mountains and cycling. Currently, I'm riding about 175 miles a week. Now I can tell you that I ride a "fancy" bike $$$. I've found it much better to ride with 170 mm cranks than say 175mm cranks. 5 milimeters is a very small amout but it makes a big difference.
I found the crank shortners at the Hostel Shoppe In Stevens Point Wis. They are a very large recumbent dealer. They are online.
Your last paragraph is reminiscent of my visits to the doctor. My doctor was mad at me because things didn't work out,and the PT just gave up.
These crank shortners are not something a regular bike shop is used to dealing with. But, they should be able to pull your pedals off and install the crank shortners for you. Believe me when I tell you,you will not think that they work,but they do. It will make a workd of difference to you to get your knee working properly,getting exercise and keeping your weight down. Being overweight is the worst thing for a tkr.
In answer to your question, I don't think about how much range of motion I have. I can do what makes me happy which is hiking in the mountains and cycling. Currently, I'm riding about 175 miles a week. Now I can tell you that I ride a "fancy" bike $$$. I've found it much better to ride with 170 mm cranks than say 175mm cranks. 5 milimeters is a very small amout but it makes a big difference.
I found the crank shortners at the Hostel Shoppe In Stevens Point Wis. They are a very large recumbent dealer. They are online.
Your last paragraph is reminiscent of my visits to the doctor. My doctor was mad at me because things didn't work out,and the PT just gave up.
These crank shortners are not something a regular bike shop is used to dealing with. But, they should be able to pull your pedals off and install the crank shortners for you. Believe me when I tell you,you will not think that they work,but they do. It will make a workd of difference to you to get your knee working properly,getting exercise and keeping your weight down. Being overweight is the worst thing for a tkr.
Report This| Share this:Biking After TKR?I'm sorry not to post in a timely fashion.<br /> In answer to your question, I don't think about how much range of motion I have. I can do what makes me happy which is hiking in the mountains and cycling. Currently, I'm riding about 175 miles a week. Now I can tell you that I ride a "fancy" bike $$$. I've found it much better to ride with 170 mm cranks than say 175mm cranks. 5 milimeters is a very small amout but it makes a big difference.<br /> I found the crank shortners at the Hostel Shoppe In Stevens Point Wis. They are a very large recumbent dealer. They are online.<br /> Your last paragraph is reminiscent of my visits to the doctor. My doctor was mad at me because things didn't work out,and the PT just gave up.<br /> These crank shortners are not something a regular bike shop is used to dealing with. But, they should be able to pull your pedals off and install the crank shortners for you. Believe me when I tell you,you will not think that they work,but they do. It will make a workd of difference to you to get your knee working properly,getting exercise and keeping your weight down. Being overweight is the worst thing for a tkr.
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