Post-Surgery Concerns: How Long Will Knee Swelling Last? - Surgery

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Postoperative issues?


Hello, doctor.
I had my knee scar sutured this morning, and due to the anesthesia, it still feels a bit swollen until midnight.
How long is it normal for the swelling sensation to last?

Zhang, 20~29 year old female. Ask Date: 2022/05/17

Dr. Ke Fangxu reply Surgery


Local anesthesia generally wears off in 2 to 4 hours, although some patients may experience a longer or shorter duration.
By the time you read this response, you should have already returned to normal.

Reply Date: 2022/05/17

More Info


After knee surgery, it is quite common to experience swelling, which can be attributed to several factors, including the surgical trauma, inflammation, and the body's natural healing response. The duration and intensity of swelling can vary significantly from person to person, depending on the type of surgery performed, the individual’s overall health, and adherence to post-operative care instructions.

In general, swelling after knee surgery can last anywhere from a few days to several weeks. For most patients, swelling tends to peak within the first few days post-surgery and then gradually decreases over time. However, it is important to note that some degree of swelling may persist for several weeks, especially if the surgery was extensive or if there were complications during the procedure.

Here are some key points to consider regarding post-surgery swelling:
1. Normal Healing Process: Swelling is a normal part of the healing process. After surgery, the body sends fluids to the affected area to help with healing, which can lead to swelling. This is typically accompanied by some pain and stiffness.

2. Duration of Swelling: While some swelling may resolve within a week or two, it can take up to six weeks or longer for swelling to completely subside, particularly after more invasive procedures like ACL reconstruction or total knee replacement.
3. Management of Swelling: To help manage swelling, it is advisable to follow the R.I.C.E. method: Rest, Ice, Compression, and Elevation. Applying ice packs to the knee for 15-20 minutes several times a day can help reduce swelling. Keeping the leg elevated above the level of the heart can also facilitate fluid drainage and minimize swelling.

4. Physical Therapy: Engaging in physical therapy as recommended by your healthcare provider can help improve circulation and reduce swelling. Gentle range-of-motion exercises can promote fluid movement and prevent stiffness.

5. Signs of Complications: While some swelling is normal, it is crucial to monitor for signs of complications. If the swelling is accompanied by severe pain, redness, warmth, or fever, it could indicate an infection or other issues that require immediate medical attention.

6. Follow-Up Care: Regular follow-up appointments with your orthopedic surgeon are essential for monitoring your recovery. They can assess the swelling and provide personalized recommendations based on your specific situation.

In conclusion, while some swelling after knee surgery is expected and typically resolves within a few weeks, it is essential to manage it properly and stay vigilant for any signs of complications. If you have concerns about the duration or severity of your swelling, it is always best to consult with your healthcare provider for tailored advice and reassurance. They can provide you with a clearer timeline based on your individual recovery process and surgical details.

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