In my experience as a physical therapist, 10 weeks after knee replacement surgery, patients are generally able to ascend stairs normally.
Normal stair climbing entails placing one foot on each step and moving in a step-over-step fashion. Before this, patients are instructed to employ an "up with the good, down with the bad" stepping pattern.
Typically, walking upstairs is easier than walking downstairs because walking downstairs places more stress on the knee.
If, after 10 weeks of physical therapy, you are still experiencing significant pain when descending stairs, please consult your surgeon or physical therapist to ensure that you are progressing normally.
Why is walking downstairs more painful than walking upstairs?
Descending stairs increases the shear force on the knee, resulting in increased pressure at the incision site.
As seen in the image, the individual's knee is extended over the heel, increasing anterior shear force and patellar compression when descending stairs.
What is the meaning of "Up with the good and down with the bad"?
When you first learn how to ascend or descend stairs after knee surgery, you will hear the phrase "up with the good and down with the bad."
Essentially, your surgical leg will serve as your support leg when ascending stairs. The non-surgical leg will lead you up the stairs with each step. The surgical leg will subsequently lag behind the non-surgical leg.
When descending stairs, you will do the opposite. Your non-surgical leg will serve as your primary support leg, while your surgical leg will be the leading leg.
How do I use a walker to climb stairs after knee replacement surgery?
While using a walker to ascend or descend a staircase, it is recommended to turn the walker on its side and place it on the opposite side of the handrail.
If there is a handrail on both sides of the staircase, it is best to ascend the stairs with the handrail on the side opposite your surgical leg. If you only have a handrail on one side of the staircase, the walker should be placed on the opposite side.
Should I purchase a second walker to help me ascend stairs following knee surgery?
A great tip is to have a second walker upstairs, so you do not have to carry your walker up and down the stairs on each trip.
Local consignment shops and used medical supply depots are typically the best places to find an affordable second-hand walker. Additionally, Goodwill or the Salvation Army may have donated walkers.
After a knee transplant, is it preferable to use a walker, cane, or crutches on stairs?
A walker provides the most support and stability immediately following surgery. Blood loss and iron deficiency are common causes of rapid postoperative fatigue during the first ten days.
Crutches require a significant amount of upper body strength and are typically not recommended for patients who are overweight or elderly.
A cane is an excellent option after 10 days when you have regained strength and confidence in the surgical leg.