What You Need to Do to Prepare for Knee Replacement Surgery
Deciding to move forward with knee replacement surgery is a big step. After managing pain and limited mobility, surgery offers you the chance to enjoy the activities that matter most. But how well the procedure goes and how smoothly you recover depend on the preparation that happens beforehand.
Taking time to get ready for knee surgery reduces your risk of complications, which can give you a sense of control heading into the operating room.
Talk with Your Doctor
Open communication with both a primary care physician and an orthopedic surgeon is one of the most important things to do before knee replacement surgery. Those conversations lay the groundwork for a safe procedure by ensuring the surgical team has a complete picture of your health.
It’s essential to disclose all medications, vitamins and supplements you take, as some may need to be adjusted or paused before surgery. The same goes for chronic conditions like diabetes, heart disease, high blood pressure and others that may affect anesthesia choices and recovery.
Pre-surgery appointments are also an opportunity to ease anxiety and ask questions, such as:
• What are the anesthesia options, and which will be used?
• Which medications should be stopped before surgery, and when?
• What are the most common complications, and how do I manage them?
• How long is the hospital stay?
• What does physical therapy look like after surgery?
• Are there any health improvements that could make the procedure safer?
Prioritize a Healthy Lifestyle
Physical health before surgery directly impacts how well the body heals. Patients who arrive in better overall condition tend to experience faster recovery and fewer complications. For those who are overweight, losing even a modest amount of weight before the procedure can ease strain on the joint and surgical site.
Managing chronic conditions like diabetes and high blood pressure also reduces anesthesia and recovery risks. A diet rich in protein, Vitamins C and D, iron and calcium supports tissue and bone health. Smoking cessation is strongly recommended, as nicotine impairs circulation and wound healing. You should limit alcohol consumption in the weeks leading up to surgery, too.
Complete Pre-Surgery Tests
Before you schedule surgery, the care team will require a series of screenings to confirm you’re cleared for the procedure. Common pre-op evaluations include:
• Blood work: A complete blood count and metabolic panel identify issues such as anemia, kidney function concerns and clotting problems.
• Cardiac clearance: An EKG or cardiology evaluation may be required for older patients or those with heart conditions.
• Chest X-ray: This evaluates lung health and can detect respiratory issues that influence anesthesia management.
• Urinalysis: You’re screened for urinary tract infections and kidney issues that could increase post-surgical infection risk.
• Medication review: The care team will review all prescriptions and supplements to identify potential adjustments before surgery.
Build Your Strength
Exercise before surgery is one of the most effective ways to support a faster recovery. Daniel Trumbull, PA-C, who’s worked alongside Carlos E. Gomez, M.D., at Wood County Hospital for six years, noted that “even small things that we can do to work on our strength and our mobility before surgery can make a big difference.”
Because everyone loses some muscle strength after surgery, the more strength going in, the better the starting point for rebuilding it.
Wood County Hospital’s therapy department offers a pre-rehab course where patients can meet with a therapy assistant to learn exercises ahead of surgery. Movements that strengthen the quadriceps and surrounding muscles are especially beneficial.
Low-impact options include:
• Straight leg raises and quad sets
• Short arc quads and seated knee extensions
• Stationary cycling
• Swimming and water aerobics
• Walking on flat surfaces
Prep Your Home and Support System
Setting up a safe living environment before you have knee surgery can prevent falls and reduce unnecessary strain during your recovery.
Here are some helpful tips:
• Remove rugs, loose cords and other tripping hazards.
• Install grab bars near the toilet and shower.
• Stock up on groceries, medications and household supplies in advance.
• Set up a recovery area on the main level to minimize stair use.
• Place frequently used items within reach.
Having a reliable support system is equally important. Trumbull recommends that patients “have somebody with you for that first week after surgery.” You’ll need assistance preparing meals and managing daily tasks. Arranging transportation for follow-up appointments and physical therapy is also essential, since you’ll have driving restrictions for several weeks post-surgery.
Organize Paperwork and Logistics
Getting administrative tasks done ahead of time reduces stress and prevents last-minute scrambling. Pre-register at the hospital or surgery center to submit insurance information and complete consent forms in advance. Review insurance coverage carefully, including pre-authorization requirements for the procedure, physical therapy and equipment rentals. Fill your prescriptions so medications are available once you’re home. If a walker, shower chair or other mobility equipment is needed, buy or rent it before surgery.
Orthopedic Surgery and Care at Wood County Hospital
At Wood County Hospital, patients preparing for knee replacement surgery can access comprehensive orthopedic care and rehabilitation all in one place. Our experienced surgeons and physician assistants, like Daniel Trumbull, PA-C, guide patients through every phase of the process. A pre-rehab program through therapy will give you a head start on the strength and mobility needed for a successful recovery.
Learn more about orthopedic services at Wood County Hospital or sign up for a joint replacement seminar to take the next step toward a better quality of life.