Knee pain can gradually affect a person’s daily life, making even simple tasks like walking, climbing stairs, or standing for long periods uncomfortable and exhausting. For those with severe arthritis or extensive knee damage, surgery is often the most effective solution to restore mobility and improve quality of life. In Islamabad, orthopedic care has advanced significantly, offering modern surgical techniques, experienced surgeons, and structured rehabilitation programs designed to support patients through recovery.
Total knee replacement in Islamabad has become a widely trusted procedure for patients with chronic knee issues. With professional orthopedic care, high-quality hospital facilities, and dedicated post-operative physiotherapy, patients can regain independence, reduce pain, and enjoy an active lifestyle again. This article provides a detailed overview of the procedure, recovery process, physiotherapy, balance exercises, and cost considerations.
Understanding Total Knee Replacement
Total knee replacement is a surgical procedure where a damaged knee joint is replaced with an artificial implant. It is typically recommended for patients suffering from severe osteoarthritis, rheumatoid arthritis, post-traumatic arthritis, chronic stiffness, or persistent knee pain that does not respond to medication or conservative therapy. During the procedure, the surgeon removes the worn-out cartilage and bone from the knee joint and replaces it with metal and high-quality plastic components designed to restore natural knee movement. This surgery aims to reduce pain, improve mobility, and enhance the patient’s overall quality of life.
Who Can Benefit from Knee Replacement Surgery?
Not all knee pain requires surgery. Total knee replacement is generally considered when pain persists despite medications, injections, or physical therapy, and when daily activities become difficult. Patients with knee deformity, instability, or severely restricted mobility may also benefit from surgery. Although most patients are above 50, younger individuals with significant joint damage may qualify after proper medical evaluation.
Bilateral Total Knee Replacement
Some patients experience severe arthritis in both knees. In such cases, bilateral total knee replacement may be recommended, where both knees are replaced either in a single surgical session or two separate procedures.
Advantages of Bilateral Knee Surgery
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One hospitalization for simultaneous replacement
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Single rehabilitation period
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Faster overall recovery and reduced cumulative downtime
Not all patients are candidates for bilateral surgery. Surgeons carefully assess overall health, cardiovascular condition, and physical strength before recommending this approach.
The Surgical Procedure
Total knee replacement typically takes 1.5 to 2 hours under anesthesia. The surgery involves making an incision over the knee, removing damaged cartilage and bone, fitting the artificial implant, and closing the incision. Most patients remain in the hospital for 2 to 4 days, depending on recovery speed and medical condition. Pain management, wound monitoring, and early mobility exercises are critical during this period.
Total Knee Replacement Physiotherapy
Recovery after surgery is closely linked to total knee replacement physiotherapy. Physiotherapy is essential for regaining movement, strengthening surrounding muscles, and preventing stiffness. Rehabilitation often begins within 24 hours after surgery, with patients encouraged to stand and take short steps with support to promote circulation and joint function.
Rehabilitation Stages
Phase 1 (Weeks 1–2): Gentle knee bending, ankle pumps, and assisted walking.
Phase 2 (Weeks 3–6): Muscle strengthening exercises, stationary cycling, and gradual walking extension.
Phase 3 (After 6 Weeks): Advanced strengthening, stair climbing, and balance training.
Consistent physiotherapy ensures improved outcomes and helps patients return to normal daily activities effectively.
Balance Exercises After Total Knee Replacement
After surgery, some patients may experience reduced balance due to muscle weakness and adaptation to the new joint. Balance exercises after total knee replacement help retrain muscles and restore coordination. Common exercises include standing on one leg with support, heel-to-toe walking, mini squats, side leg raises, and stability ball exercises. Supervision by a physiotherapist is recommended to ensure correct technique and prevent injury.
Recovery Timeline
Recovery may vary by patient, but a general timeline is as follows:
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Weeks 1–2: Walking with crutches or a walker and performing gentle exercises.
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Weeks 3–6: Improved knee bending and reduced swelling.
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Week 6: Resuming light daily activities.
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3 Months: Significant improvement in mobility and strength.
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6–12 Months: Full recovery and optimal benefits from surgery.
Strict adherence to post-operative instructions and physiotherapy schedules accelerates recovery and ensures long-lasting results.
Risks and Complications
Like any major surgery, total knee replacement carries some risks. While complications are rare, they can include infection, blood clots, implant loosening, nerve injury, and knee stiffness. Choosing a reputable hospital and following medical advice reduces these risks significantly.
Total Knee Replacement Cost in Islamabad
One of the most important considerations for patients is the cost of surgery. The total knee replacement cost varies based on the hospital, surgeon’s experience, type of implant, and whether one or both knees are being replaced. In Islamabad, the cost ranges from PKR 500,000 to PKR 1,500,000. Factors influencing the price include the quality of the implant, hospital facilities, length of stay, physiotherapy sessions, and whether the procedure is unilateral or bilateral. While the cost may seem high, many patients consider it a valuable investment for long-term pain relief and improved mobility.
Preparing for Surgery
Proper preparation improves recovery and minimizes complications. Patients are advised to maintain a healthy weight, manage blood pressure and blood sugar levels, quit smoking, engage in pre-surgery strengthening exercises, and arrange home support for post-surgery care. Being well-prepared ensures smoother recovery and fewer challenges after surgery.
Life After Knee Replacement
Most patients experience significant pain relief, enhanced mobility, and improved quality of life after recovery. Daily tasks become easier, sleep improves, and independence is restored. High-impact activities like running or jumping are discouraged, but walking, swimming, and cycling are safe and beneficial. Modern knee implants typically last 15–20 years or longer depending on the patient’s lifestyle and weight management.
Why Islamabad Is a Preferred Destination
Islamabad has emerged as a hub for high-quality orthopedic care, offering experienced surgeons, modern surgical techniques, advanced implants, and structured rehabilitation programs. Hospitals in the city are equipped to handle complex cases, making it a preferred choice for patients across Pakistan seeking reliable knee replacement procedures.
Conclusion
Total knee replacement is a life-changing procedure for patients suffering from chronic knee pain. From understanding bilateral total knee replacement to committing to physiotherapy and balance exercises after total knee replacement, every step plays a vital role in long-term success. With the total knee replacement cost in Islamabad ranging from PKR 500,000 to PKR 1,500,000, the benefits of pain-free mobility, independence, and improved quality of life make it a worthwhile investment. Consulting a qualified orthopedic specialist in Islamabad is the first step toward regaining an active and comfortable lifestyle.
