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Best & Worst Sleeping Position after Total Knee Replacement 

Restore Plus Physical Therapy
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We spend a third of the day sleeping. This is a long time for your knee to be in a bad position after your total knee replacement. You want it to be in the best position for it’s healing.
Watch this week's video to know what is the best and worst sleeping position after TKR.
This video will cover the following:
✅ If you like sleeping on your back
✅ If you like sleeping on your belly
✅ If you like sleeping on your side
…and so much more!
Enjoy this week's video!
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1 апр 2023

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Комментарии : 102   
@restorepluspt
@restorepluspt Год назад
Hope you enjoyed this weeks' video! What position do you prefer to sleep in? Comment down below! PS: If you had a Total Knee Replacement and want to speed up your recovery in the comforts of your own home, check out the Total Knee Replacement Blueprint here: bit.ly/3iV7DdP
@user-qx1xt6is1s
@user-qx1xt6is1s Месяц назад
I had heart surgery.was a side & tummy sleeper. Find my best position now is on my back ! Having TKR soon , so I'm ready. I hope! Great vido!!
@restorepluspt
@restorepluspt Месяц назад
@@user-qx1xt6is1s Thank you! Happy to help! I wish you the best in your upcoming surgery!🙏
@geraldarcuri9307
@geraldarcuri9307 6 месяцев назад
No one has physical therapy beds, so a lot of this is not practical. Sleeping is just plain difficult after TKR.
@roberthoward3582
@roberthoward3582 9 месяцев назад
Who sleeps for hours after the surgery ? I can’t.
@restorepluspt
@restorepluspt 9 месяцев назад
I hear you @roberthoward3582. Most people can't sleep well right after surgery for various reasons. It gets better as the body heals.🙏
@sue-annthandy5387
@sue-annthandy5387 8 месяцев назад
@@restorepluspt I couldn’t sleep for 2 months yes two months I got sleeping tablets didn’t talk then awful dark time never again
@restorepluspt
@restorepluspt 8 месяцев назад
@@sue-annthandy5387 I'm sorry to hear this. I have seen that in some of my patients. It usually range from 1-2 months. The 3rd month is significantly better. I hope you are way better now.🙏
@ipebbles7816
@ipebbles7816 6 месяцев назад
Rite, I can’t . I am 3 months post- op TKR. My surgery was 9/18/23 and I fell and sprained my Knee(surgical) on 11/11/23 so I’m going through a lot of pain in my knee and it’s very stressful and frustrating. I can’t sleep good at all I will fall asleep in pain n wake up in pain. When the weather changes I can tell even though I have an TKR very weird anyone experience this also?
@sue-annthandy5387
@sue-annthandy5387 6 месяцев назад
@@ipebbles7816 try a velcrow strap to put a ice pack in it keep changing all night get knee Xrayed checked please & a good Ostepath
@mariajerez410
@mariajerez410 Год назад
Very good recommendation!
@restorepluspt
@restorepluspt Год назад
Thank you Maria. Hope it helps.
@hollycooper7177
@hollycooper7177 27 дней назад
I have forced myself to sleep on my back. Between getting up every 6 hrs for medication and a few times for potty, I'm getting 8 hours total. If I get up to use the potty and feel really stiff, I'll walk around for a few minutes and get an ice pack.
@hollycooper7177
@hollycooper7177 27 дней назад
I'm in my 3rd week after surgery and have excellent extension and hopefully get my staples out tomorrow!
@restorepluspt
@restorepluspt 24 дня назад
Great to hear that you have full extension and it seems like you are doing well @hollycooper7177. Keep up the good work! I wish you a speedy recovery.🙏
@user-ok4ec3ud6c
@user-ok4ec3ud6c 17 дней назад
Potty breaks are my middle name 😂
@restorepluspt
@restorepluspt 11 дней назад
@@user-ok4ec3ud6c 😂
@user-do5xw5zy6c
@user-do5xw5zy6c Месяц назад
I had my surgery on 2/04/2024 thanks for this video now i now the best position to sleep, I've been struggling along
@restorepluspt
@restorepluspt Месяц назад
You're welcome @user-do5xw5zy6c! Pleasure to help. I wish you the best in your recovery🙏
@wtbrn4u
@wtbrn4u Год назад
Thank you.
@restorepluspt
@restorepluspt Год назад
You're welcome @wtbrn4u! Hope it helps.
@dixiebrantnerdereus3416
@dixiebrantnerdereus3416 2 месяца назад
Thank you, I haven't been sleeping on my tummy but look forward to trying it!
@restorepluspt
@restorepluspt 2 месяца назад
You're welcome @dixiebrantnerdereus3416. I hope it helps.🙏
@alkakochhar7817
@alkakochhar7817 4 месяца назад
Thank you 🙏🏽
@restorepluspt
@restorepluspt 4 месяца назад
You're welcome @alkakochhar7817! Happy to help.♥
@naomis.sharif
@naomis.sharif 5 месяцев назад
Thank you. You are CORRECT. I APPRECIATE YOU.
@restorepluspt
@restorepluspt 5 месяцев назад
You're welcome @naomis.sharif! Happy to help!🙏
@sundarggurung13
@sundarggurung13 Месяц назад
Nice one thanks
@restorepluspt
@restorepluspt Месяц назад
You're welcome @sundarggurung13!♥
@shashiramdaursingh8866
@shashiramdaursingh8866 2 месяца назад
It s not easy at all to find sleep even if it is kept straight.
@restorepluspt
@restorepluspt 2 месяца назад
I know what you mean @shashiramdaursingh8866. In my experience, it is even more difficulty sleeping with the knee straight. Sometimes taking pain meds is acceptable in this situation. You need to rest to recover. I wish you the best.🙏
@shashiramdaursingh8866
@shashiramdaursingh8866 2 дня назад
@@restorepluspt Now I m fine, thanks. The pain has subsided.
@marystokes4436
@marystokes4436 2 месяца назад
I am 8 weeks post op. Maybe 1 hour sleep at a time. Who sleeps 8 hours Postoperative?
@restorepluspt
@restorepluspt 2 месяца назад
I understand how you are feeling @marystokes4436. I see this in a lot of patients. In this situation, I suggest taking the meds that your surgeon prescribed. They may help a little. I wish you the best in your recovery🙏
@pinco40
@pinco40 2 дня назад
7 weeks post op. I'm lucky if I get 4 hours sleep. 😢 My Fitbit watch shows during the 4 hours I wake up on average 15 times!!
@sadielaurentiwhitley3762
@sadielaurentiwhitley3762 4 месяца назад
Thank you so much for this video mom Two days post op and I thought I should sleep with leg raised.
@restorepluspt
@restorepluspt 4 месяца назад
You're welcome @sadielaurentiwhitley3762!♥
@lindahughes5781
@lindahughes5781 3 месяца назад
Well it's 7 weeks to late for this information. All the things you said can go wrong have gone wrong for me. I even had a manipulation and my knee still won't straighten and PT bootcamp is no kidding matter. I asked my therapist how to sleep and they said whatever I tell you you are going to move while you are asleep so it doesn't matter. Now I'm crying thru every session with my knee being preesed down and bent. I don't know what to do. I'm so depressed.
@restorepluspt
@restorepluspt 2 месяца назад
I'm sorry to hear this @lindahughes5781. I understand what your PT is saying. Yes you will move when you sleep but my thought is when you start in a good position, at least you will spend a part of the time in that position. This is better than nothing. We have different opinions on matters. Have you tried taking pain meds an hour before PT? That can help with the pain. Using heat on the quads and hamstrings before stretching can help as well as doing soft tissue work on those muscles if the are in spasm. Just some possible options. I wish you the best.🙏
@virginiaanderson9695
@virginiaanderson9695 5 месяцев назад
These are good recommendations to get the best ROM from your knee replacement. However, I have found that there has to be compromise. Lying on your back with the knee totally straight is too uncomfortable to sleep. You have to be sleep to get the rest needed for recovery
@restorepluspt
@restorepluspt 5 месяцев назад
I agree @virginiaanderson9695. I tell my patients that they have to get good sleep. This is where the medications can be helpful. Some people need them, some do not. If you cannot sleep with the knee straight like some of my patients, I suggest making that up during the day time when you are awake. Do exercises to straighten your knee as much as you can. This way you can sleep better without losing the range. I hope this helps.🙏
@obscurelyvague
@obscurelyvague 4 месяца назад
@@restorepluspt The medication has been making me very very sick. I was told that of all the meds I was given the one I have to make sure I take regularly is the Aspirin to prevent blood clots. I have to tolerate the pain because the pain meds make me dizzy, extremely nauseated, and on the verge of passing out.
@bettycoffin4206
@bettycoffin4206 6 дней назад
My TKR was 3 weeks ago. Walking without walker/cane now. Slept in a lift chair all this time & my sleep apnea got WORSE. I just got into my bed 2 nights ago and flat on my back, pillow under my calves/feet & apnea not an issue now. But can only sleep 4 hrs at best.But PT has been the best to get knee moving.
@restorepluspt
@restorepluspt 4 дня назад
Hi @bettycoffin4206. Good to hear that you are getting better. Sleep is affected at the beginning of the recovery phase. It gets better as time goes on. Usually in 2-3 months my patients get more comfortable sleeping. I wish you a speedy recovery.🙏
@jss27560
@jss27560 Месяц назад
I knew you were gonna say side Sleep was the worst because that’s how I sleep. Probably can sleep on my back but then I have an issue with sleep apnea and the CPAP. No one semi lucky thing is I tend to get up 2 to 3 times a night to go to the bathroom so I can straighten my leg and bend it and do my exercises.
@restorepluspt
@restorepluspt Месяц назад
That is a good strategy @jss27560. Keep repositioning your knee and keep up with the exercises. That will pay off in the long run.👍
@kylady124
@kylady124 Год назад
Thank you again. My knee replacement was on April 12th 2023. I still have been sleeping with my leg on pillows no one told me any different. I will be removing them immediately. 💖
@restorepluspt
@restorepluspt Год назад
You're welcome. I hope you find a comfortable position to sleep in. Your body needs that to recover faster.
@sue-annthandy5387
@sue-annthandy5387 Год назад
May 15/ one month 25!days good luck future Good Health
@janetmacdonald9209
@janetmacdonald9209 9 месяцев назад
Sleeping on my back...can I raise up my head and shoulders with pillows?
@janetmacdonald9209
@janetmacdonald9209 9 месяцев назад
I can sleep well in a recliner. Is that okay as long as I keep my hips down to my feet on a firm pad, so that my legs are straight?
@slundgr
@slundgr 11 месяцев назад
What about using the wedge pillow? Sleeping is the big challenge after my knee replacement surgery. Sometimes I end up on my side by accident.
@restorepluspt
@restorepluspt 10 месяцев назад
Good question @slundgr. It depends on how you position the wedge. If you use it under your legs to elevate your legs with the knee straight, this will be good. If you place the wedge under your knees in such a way that your hips and knees are bent, this will not be a good position after TKR. Hope this helps.🙏
@MeasureCutSew850-ss3pz
@MeasureCutSew850-ss3pz 26 дней назад
Thanks, I'm 48 hours out of TKR.
@restorepluspt
@restorepluspt 24 дня назад
You're welcome @MeasureCutSew850-ss3pz. I wish you the best.🙏
@miteypen52
@miteypen52 19 дней назад
I slept on my back on the couch for the first week. (Our bedroom is upstairs and I wasn’t ready to tackle the stairs yet.) I was taking a low dose of oxycodone during that time which pretty much knocked me out. Fortunately, I was able to make it upstairs by the end of that week and I slept in my own bed, on my back at first, but then I switched from side to side and tried to move my legs as much as possible. I’m eleven days post op and my flexion is 90 degrees already. Of course, I had a partial knee replacement, but I’m 72 years old, so there’s that.
@restorepluspt
@restorepluspt 17 дней назад
Good to hear this @miteypen52. I think you are off to a good start. Keep up the good work. I wish you a speedy recovery.🙏
@SamanthaRoach-wl8lm
@SamanthaRoach-wl8lm Месяц назад
Hi, I'm 47 and 26 days after TKR, I slept on my back and occasionally with a pillow under my knee at nighttime but not during the day when I slept, I was also able to do various exercises quite early on, my issue is that I am unable to bend my leg to 90° and that is hindering my walking, what ever I try I am physically unable to bend this leg further. I must say due to communication issues I have also not had any physio at all.
@restorepluspt
@restorepluspt Месяц назад
I'm sorry to hear this @SamanthaRoach-wl8lm. Having 90 deg of flexion is an issue not only with walking but also with sitting and stairs just to name a couple. I suggest checking out my other videos on how to improve your knee flexion and doing them as often as you can. Also using heat on your quads and massaging it can help make the stretching more effective. I hope this helps.🙏
@janetshappard4461
@janetshappard4461 24 дня назад
I had a total right knee replacement plus I have 2 fused ankles it was rough my surgery was March 18th I'm doing great just can't get in the floor and back up could be because of my fused ankles
@restorepluspt
@restorepluspt 17 дней назад
I'm sorry to hear this @janetshappard4461. Your fused ankles will make getting up from the floor trickier. But it is doable.
@juliekelderman4041
@juliekelderman4041 2 месяца назад
I wish I would have been told this after my tkr. I have always slept in fetal position. I'm 16 months out and still in pain.
@restorepluspt
@restorepluspt 2 месяца назад
I'm sorry to hear that you are still in pain this far out. Check out my other videos on knee replacement and see if they can help you feel better.🙏
@lebognkono5380
@lebognkono5380 8 месяцев назад
Thank you Sir for advice, good thing is that I never use pillows to balance my knees, instead I used pillows to support my back,,,am I wrong
@restorepluspt
@restorepluspt 8 месяцев назад
Hi @lebognkono5380. Using pillows under your knees when you have back pain helps a lot. I don't recommend it if you have knee replacement though.
@obscurelyvague
@obscurelyvague 4 месяца назад
Almost 2 weeks after my knee replacement. When I sleep on my side I cannot bend my surgery leg. There isn't much of a problem with me "Curling' both legs and in fact I wish I could bend the surgery leg.
@restorepluspt
@restorepluspt 4 месяца назад
I suggest checking out my other videos on how to bend your knee after a knee replacement. I hope it can help you. 🙏
@nothannsmum
@nothannsmum 6 месяцев назад
I can only sleep on my side due to a very bad back. Can I side sleep with my tkr straight and other leg bent? Having my leg locked at straight for 14 months prior to my surgery this week.
@restorepluspt
@restorepluspt 6 месяцев назад
I'm sorry to hear this @Cath75. If you can only sleep on your side because of your back, you can do what you mentioned. Monitor the knee. You want to make sure you are not getting any contractures flexion or extension. That is the important part. The position is not as important. Hope this helps.🙏
@cherylcalvin1341
@cherylcalvin1341 Месяц назад
Im into my 4th week of TKR P.T. never explained how to sleep.
@restorepluspt
@restorepluspt Месяц назад
I'm sorry to hear this @cherylcalvin1341. I hope this video helps.🙏
@Clarkson350
@Clarkson350 11 месяцев назад
How do you lay flat on your back for hours and days? Please give it a try and see! How would you sleep face down with your legs off the bed?
@kathyclark3168
@kathyclark3168 10 месяцев назад
I cannot do that. Never have been able to sleep that way; maybe as a baby but that's it
@LydiaJames-ub8kj
@LydiaJames-ub8kj 7 месяцев назад
I had surgery on my right femur and left tibia and fibula. Please what's the best sleeping position?
@restorepluspt
@restorepluspt 7 месяцев назад
I'm sorry to hear this @LydiaJames-ub8kj. It depends on what the surgery is on the femur and tibia/fibula. If it is ORIF, I will still recommend sleeping with the legs straight. Your surgeon will be able to guide you with this as well.🙏
@shahmudinkarim4910
@shahmudinkarim4910 5 месяцев назад
i sleep only 4 hrs daily
@marymwangi7061
@marymwangi7061 Месяц назад
If you have knee stif what do i do is one month now
@restorepluspt
@restorepluspt Месяц назад
I understand what you are saying @marymwangi7061. One month is not a long time in TKR recovery. Stiffness is still expected at this point. I suggest keeping up with your stretching and exercises to help with the stiffness. I wish you a speedy recovery.🙏
@sarahriley2332
@sarahriley2332 Месяц назад
What if I wear a brace that keeps my leg straight?
@restorepluspt
@restorepluspt Месяц назад
Good question @sarahriley2332. That can help keep your leg straight if you really need it although I recommend trying without using a brace. As soon as you gain full extension, I suggest discontinuing that. You want to make sure that you get good flexion as well. I hope this helps.🙏
@nancyo241
@nancyo241 Год назад
I slept with my knees up on pillows so they were elevated, but they were the long way (I was told this by my PT) so my knees were either straight at an angle up on the pillows or they were bent at 90 degrees. I've got good extension and flexion, but at 9 months now, I still have a fair amount of swelling and have to ice after being on my feet for even just a 1/2 hour (going for a walk or doing my exercises). I've been told the swelling can last a year or even two years. Do you have any ideas for helping the swelling to stop?
@restorepluspt
@restorepluspt Год назад
Swelling after TKR can last up to a year or so Nancy. I suggest keeping up with the elevation and icing although I prefer to have the knee straight so the fluid in the knee can freely flow back to the system and not get stuck at the knee which happens when it is bent. 1 thing you can try is compression. If it is a lot of swelling, use compression stockings. If it is just a little and you don't want to use compression stockings, you can use regular stockings which has some compression but are more comfortable. Also doing centripetal massage on that leg can help mobilize the fluid more. Hope these help.
@linadimech7866
@linadimech7866 3 месяца назад
​.a@@restorepluspt
@dariannyrodriguez8838
@dariannyrodriguez8838 Год назад
You can’t sleep on your side forever after surgery or just for the healing process?
@restorepluspt
@restorepluspt Год назад
Good question @dariannyrodriguez8838. I recommend this just for the healing process. This is because when we sleep on our side, we tend to bend our knees and this can cause extension lag. Hope this helps.
@americantangsoodokarate
@americantangsoodokarate 9 месяцев назад
Unless your child you're not sleeping on your belly everybody almost everybody sleeps on their side what is the best side position?
@kmsy200
@kmsy200 2 месяца назад
You kneed to elevate your knee , not straight . I couldn’t sleep without it . People side sleeper can’t sleep , in the begging after 4 or 5 weeks yes . Any ways after six weeks still can’t sleep during night so much of movement ,my knee get hard and painful
@kokilaramakrishnan1988
@kokilaramakrishnan1988 Год назад
What when both the knees are operated ?
@restorepluspt
@restorepluspt Год назад
Great question @kokilaramakrishnan1988. The same principle applies. My recommendation is the same for 1 or 2 TKR. IN both cases, you want to promote full extension and avoid flexion contracture.
@cynthialambe4239
@cynthialambe4239 10 месяцев назад
Can you ever sleep again in the fetal position after TKR?
@sue-annthandy5387
@sue-annthandy5387 8 месяцев назад
@@cynthialambe4239 u can after 5 months or longer 🤢🤮🤞😱😂🤣⁉️
@angelabolton4478
@angelabolton4478 10 месяцев назад
Semi-reclined sleeping worked for me. Lots of pillows. It was much better after I could take a hot bath before bed. I did use pillows under my knee, but I was diligent with my exercises and the amount of assistance I needed decreased steadily. I was at full extension by 5 months out, but 95% of that happened by three months post-op.
@restorepluspt
@restorepluspt 10 месяцев назад
Thank you for sharing this @angelabolton4478. The height of the back rest is not as important compared to the position of the knee. As long as the knee is straight, you have a better chance of getting full extension. You may have used a pillow under your knee a little but I am sure you did your stretches a lot and that helped you get to full extension. Great job!👍
@bamatractor
@bamatractor 5 месяцев назад
Hell nah to the nah nah nah! On number 2! Go 4 or 5 days without sleep and do this video over!
@phillipware9681
@phillipware9681 6 месяцев назад
I CAN'T sleep on either of these positions. I choke?
@restorepluspt
@restorepluspt 6 месяцев назад
I'm sorry to hear this @phillipware9681. Sidelying will be better in your situation. Try to keep your knee as straight as you can so you don't develop flexion contracture. I hope this helps.🙏
@karenquinn8640
@karenquinn8640 Месяц назад
Can you have a pillow under your head while sleeping on your back?
@restorepluspt
@restorepluspt Месяц назад
Good question @karenquinn8640. Yes you can have a pillow under your head.
@lebognkono5380
@lebognkono5380 8 месяцев назад
Thank you Sir for advice, good thing is that I never use pillows to balance my knees, instead I used pillows to support my back,,,am I wrong
@restorepluspt
@restorepluspt 8 месяцев назад
Hi @lebognkono5380. Using pillows under your knees when you have back pain helps a lot. I don't recommend it if you have knee replacement though.
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