Advanced Orthopedics

5 Signs You Might Need a Knee Replacement

Chronic pain is often invisible, but that doesn’t make it any less debilitating, especially when it comes to your knees. Daily functions like walking around your workplace or home can begin to feel like a painful summit. If exercise is how you decompress from daily stress, knee pain can take you right out of your routine and into bed, destroying your quality of life. If any of this rings true, it might be time to consider a knee replacement. However, since there is so much to consider, such as your age, recovery time, and other alternatives, how do you know when it’s the right time to commit? Here are some factors to consider if you’re wondering how to know if you need a knee replacement.

How Long Do Knee Replacements Last?

First, it’s essential to know that artificial replacements generally last 15-20 years. People in their 40s and 50s are generally advised to delay knee replacement surgery until their 60s so that they will not need a second surgery to replace it. Of course, it’s important to speak with your doctor to decide the best route for you, regardless of age.

(714) 538-8549

Contact us today to learn more about how we can help you.

What to Expect From Knee Replacement Surgery

If you and your doctor decide knee replacement surgery is the best course of action, here’s what you can expect. The procedure involves removing the damaged portions of the knee joint and replacing them with artificial components designed to mimic natural joint function.

Knee replacement surgery typically takes a few hours. Although it’s possible to go home the same day, a doctor might advise you to stay in the hospital for a day or two before beginning rehabilitation. Physical therapy plays a crucial role in recovery, helping patients regain strength, flexibility, and range of motion. You should be able to return to daily activities within six to twelve weeks after surgery, but full recovery may take several months to a year.

Advances in technology, including robotic-assisted surgery and minimally invasive techniques, have improved outcomes for patients undergoing knee replacement. These methods may result in less tissue damage, reduced post-operative pain, and quicker recovery times. Now, let’s look at 5 signs you need a knee replacement. 

Signs you might need a knee replacement

1. Persistent Knee Pain That Limits Daily Activities

One of the most common knee replacement symptoms to look out for is persistent pain that doesn’t go away with rest or medication. If your knee pain makes it difficult to perform everyday activities—such as walking, climbing stairs, or getting in and out of chairs—this can drastically alter your quality of life. Chronic pain often signals advanced arthritis or severe joint damage that cannot be managed with conservative treatments. If you are planning your day around how much pain you might experience, a knee replacement could be the solution.

2. Severe Stiffness and Limited Range of Motion

Stiff knees could be a sign of arthritis. As knee arthritis progresses, the surrounding muscles and ligaments can weaken, making everyday movement even more difficult. You may even experience “morning stiffness” that, with time, can take longer to resolve. This type of stiffness would mean long periods of stretching just to regain mobility. If physical therapy, medications, and other treatments no longer provide relief, knee replacement surgery may be the best option to restore mobility.

3. Chronic Inflammation and Swelling That Doesn’t Improve

Chronic inflammation and swelling could be signs that knee replacement surgery is the next step. Knee swelling occurs when excess fluid builds up around the joint, often due to chronic inflammation. This can create a feeling of tightness, warmth, and redness in the affected knee. Over time, the persistent swelling may contribute to further cartilage breakdown, increasing the need for surgical intervention. If anti-inflammatory medications, ice therapy, and compression methods no longer provide relief, a knee replacement may be necessary to address the underlying joint deterioration.

4. Knee Deformity or Changes in Alignment

Over time, knee conditions like osteoarthritis can cause visible changes in the joint’s shape or alignment. If you notice that your knee is bowing inward or outward, this could indicate significant cartilage loss. Changes in knee alignment can cause an uneven gait, placing added pressure on your lower back, hips, and other weight-bearing joints. This can result in pain and discomfort beyond just the knee. Individuals with severe knee deformities may notice a limp or uneven weight distribution, making walking difficult without support. If you have tried orthotics, braces, or physical therapy without success, it’s probably a sign you need knee replacement surgery.

5. Dependence on Pain Medications and Assistive Devices

If you rely on pain medications, knee braces, or assistive devices like canes or walkers to move around, it may be a sign that non-surgical treatments are no longer effective. Additionally, relying on assistive devices can limit your independence and make simple tasks more challenging. Knee replacement surgery can provide long-term pain relief and restore function, allowing you to move more freely and reduce dependence on medications. If you are constantly adjusting your lifestyle due to knee pain, you can start to discuss surgical options with an orthopedic specialist.

Is It Time to See a Specialist?

If your quality of life has been affected, you’ve been experiencing a high level of pain for an extended period of time, and you’re around 60, it might be time to consult with an orthopedic specialist. Ayaz A. Biviji, MD, a board-certified orthopedic surgeon with extensive experience in joint replacement, can help determine whether knee surgery is the right option for you. With expertise in less invasive joint replacements and robotic-assisted surgeries, he works to ensure the best possible outcomes for his patients and will help you understand your options.

Understanding the signs you need a knee replacement is the first step toward regaining an active, pain-free life. If you’re struggling with knee pain, schedule a consultation today to explore your treatment options and return to living on your terms.

About the Author
Author image

Dr. Ayaz Biviji

Dr. Ayaz Biviji is a board-certified orthopedic surgeon focused on minimally invasive joint replacement and complex reconstructions.

With over 20 years of experience and a strong commitment to advancing orthopedic care, he is dedicated to providing compassionate, innovative treatments for patients in Southern California.