Knee pain has a way of shrinking life. What starts as “just a little discomfort” while climbing stairs can slowly become pain during short walks, stiffness after sitting, and sleepless nights because you can’t find a comfortable position. For many people, the root cause is knee arthritis, the gradual wearing out of cartilage that normally allows smooth, pain-free movement.
When treatments like physiotherapy, medication, injections, and lifestyle changes no longer provide meaningful relief, Total Knee Replacement (TKR) may be recommended. The goal of surgery isn’t to make you an athlete overnight, it’s to help you return to daily life with less pain, better mobility, and improved confidence.
What is Total Knee Replacement (TKR)?
Total Knee Replacement is a surgery in which the damaged surfaces of the knee joint are carefully removed and replaced with durable, medical-grade implants. These implants are designed to mimic the natural shape and motion of the knee and reduce the “bone-on-bone” friction that causes pain in advanced arthritis.
In simple terms:
We replace the worn-out parts of the knee so you can move more comfortably again.
Who might need a knee replacement?
You may be a candidate for Total Knee Replacement if you have:
Persistent knee pain that affects daily activities (walking, stairs, standing, chores)
Stiffness that doesn’t improve even after movement or physiotherapy
Swelling and recurring inflammation
Knee deformity (bow legs/knock knees) that’s worsening over time
Difficulty sleeping due to pain
Limited benefit from non-surgical treatments such as physiotherapy, medicines, braces, or injections
A key point: Not everyone with knee pain needs surgery. A proper clinical evaluation and imaging help decide the right next step.
Most knee replacements are done because of:
Osteoarthritis (age-related wear and tear)
Rheumatoid arthritis or inflammatory arthritis
Post-traumatic arthritis (after an old injury or fracture)
Degeneration after long-standing ligament or meniscus problems
Before surgery: evaluation and planning
At OrthoSport Clinic, the approach is to first understand your knee pain thoroughly and confirm whether surgery is truly the best option.
Your consultation typically includes:
A detailed history of symptoms and limitations
Physical examination (alignment, movement, stability, tenderness)
X-rays and, if needed, additional imaging
Discussion of non-surgical options (if they’re still likely to help)
What happens during Total Knee Replacement?
While the exact steps can vary, the overall idea remains consistent:
Damaged cartilage and worn joint surfaces are removed
The bone surfaces are shaped precisely
The knee is fitted with implants that replace the worn surfaces
The joint is tested for stability and smooth movement
The incision is closed and recovery begins
Modern techniques focus on accuracy, stability, and early mobilization, which helps patients start walking safely soon after surgery (as advised by the surgeon and physiotherapy team).
Recovery after knee replacement: what to expect
Recovery is a journey, but it’s a structured one, and progress is usually steady when you follow the plan.
In the first few days:
Pain control and swelling reduction are prioritized
Walking begins with support (walker/cane) as advised
Gentle range-of-motion exercises start early
In the first few weeks:
Physiotherapy becomes the backbone of recovery
You’ll work on bending, straightening, strength, and balance
Most people can manage basic daily activities with improving comfort
Over the next 6–12 weeks:
Walking becomes easier and more confident
Stairs and longer standing gradually improve
Strength and endurance build steadily
It’s normal to have ups and downs. Swelling, tightness, and occasional discomfort can happen during rehab. The key is consistency and proper follow-up.
Benefits of Total Knee Replacement
For the right candidate, TKR can offer:
Significant pain relief
Better ability to walk, climb stairs, and stand
Improved joint stability
Better sleep and mood (because chronic pain reduces)
Higher overall quality of life
Frequently asked questions
1) How long does a knee replacement last?
Many implants last for years, especially with good activity habits, healthy weight management, and regular follow-ups.
2) Will I be able to sit cross-legged or squat?
This varies based on knee flexibility, anatomy, and implant type. Many patients can sit comfortably, but deep squatting/cross-legged sitting may not be advised or may remain difficult for some.
3) Is age a barrier?
Not necessarily. The decision is based on overall health, severity of arthritis, and daily limitations, not only age.
4) Is physiotherapy really that important?
Yes. Surgery fixes the joint surfaces, but physiotherapy restores movement, strength, and function.
Thinking about knee replacement in Koramangala?
If knee pain is limiting your life, don’t ignore it or “push through” for months hoping it will magically improve. The earlier you understand the cause, the more options you may have surgical or non-surgical.
At OrthoSport Clinic, Koramangala, Dr. Belliappa (Orthopaedic Consultant) provides patient-focused guidance from diagnosis and second opinions to structured recovery planning so you can choose the right treatment with confidence.
Book a consultation to evaluate your knee, review your X-rays, and understand the best next step for long-term relief.
Disclaimer: This blog is for general awareness and does not replace a personal medical consultation.
