10 Must-Have Items After Knee Replacement Surgery Recovery

Utilizing solutions that address swelling and soreness—especially in the knee—can be a game-changer. With that in mind, let’s explore which items truly support progress and comfort after knee replacement surgery.

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Recovering from knee replacement surgery can be transformative but also challenging. A successful outcome hinges on smart preparation, proper tools, and consistent follow-through during the rehabilitation phase. In the United States alone, surgeons perform hundreds of thousands of knee replacement procedures each year, highlighting the importance of accessible and effective recovery strategies. This article details 10 must-have items to ensure a smoother, more comfortable journey through knee replacement surgery recovery. From cold and compression therapy to everyday essentials for mobility, these items can help reduce pain, lower swelling, and restore confidence in daily activities.

1. Cold + Compression Therapy Device

Why It’s Essential
Swelling and pain are the most immediate and persistent challenges after knee replacement surgery. Effective management of post-surgical inflammation directly correlates with better range of motion, reduced stiffness, and a faster return to normal activities. Cold + compression therapy is one of the most effective methods for managing these issues, and the NICE1 cold therapy system is a top-tier solution.

Unlike traditional ice packs, the NICE1 system delivers precise, continuous cooling without the mess and inconvenience of melting ice. The programmable pneumatic compression further enhances the effectiveness of cold therapy by reducing fluid buildup, improving circulation, and promoting faster healing. By addressing swelling at its source, NICE1 allows patients to move more comfortably, participate in physical therapy sessions with less pain, and minimize reliance on medication.

Key Benefits

  • Consistent, iceless cold therapy
  • Precisely adjustable compression settings
  • Reduced reliance on pain medication due to effective swelling management

Learn more about the NICE1 iceless cold and compression solution and how it can streamline recovery from knee replacement surgery.

2. Comfortable Compression Stockings

Why It’s Essential
One of the most overlooked but critical risks after knee replacement surgery is deep vein thrombosis (DVT), a condition where blood clots form due to prolonged immobility. Compression stockings significantly reduce this risk by applying gentle pressure to the lower legs, which promotes blood circulation and prevents fluid buildup.

In addition to reducing DVT risk, compression stockings help minimize post-operative swelling that extends beyond the knee and into the lower legs and feet. Many patients experience tightness and discomfort in their lower limbs after surgery, and wearing properly fitted compression stockings can alleviate these symptoms. They also reduce leg fatigue, support healing tissues, and help prevent varicose veins—making them a valuable tool in post-surgical recovery.

Tips for Use

  • Follow your doctor’s advice on duration: Some recommend wearing them both day and night initially.
  • Opt for medical-grade stockings that fit snugly without overly constricting.

3. Supportive Knee Brace (If Recommended)

Why It’s Essential
A knee brace provides additional stability, support, and protection for the healing joint, which can be particularly helpful in the first few weeks after surgery. It helps prevent excessive movement that could strain the new implant while still allowing controlled mobility to promote recovery.

For many patients, knee bracing provides a sense of security and confidence when transitioning from a walker to a cane or walking independently. If you experience muscle weakness or instability, wearing a brace can help reduce the risk of falls and enhance proprioception—your body’s ability to sense joint position and movement. Some patients also use knee braces during physical therapy sessions to maintain proper alignment and reduce stress on surrounding muscles and ligaments.

How to Choose

  • Seek a lightweight brace with adjustable straps.
  • Look for breathable fabric to prevent excess perspiration.

Note: Not everyone needs a knee brace. Always consult your surgeon or physical therapist for personalized guidance.

4. Raised Toilet Seat or Toilet Safety Rails

Why It’s Essential
Daily activities like using the bathroom become unexpected challenges after knee replacement surgery. Getting up from a low toilet seat puts significant strain on the knee joint, causing discomfort and potential stress on healing tissues. A raised toilet seat or toilet safety rails provide much-needed support by reducing the amount of knee flexion required to sit and stand.

Patients recovering from knee surgery may struggle with balance, weakness, and pain when transitioning from a seated position, increasing the risk of falls. Installing a raised toilet seat or safety rails ensures independence, safety, and comfort while minimizing unnecessary strain on the knee.

Installation Tips

  • Secure rails to ensure they can handle your full body weight.
  • Consider a commode chair for additional versatility and support in the first few weeks.

5. Walker, Crutches, or Cane

Why It’s Essential
Regaining mobility is a key goal in knee replacement recovery, but walking unassisted too soon can put stress on the new joint and lead to setbacks. Using a walker, crutches, or cane helps ensure a safe, gradual transition as strength and balance improve.

In the first few weeks, most patients rely on a walker to provide maximum stability while reducing pressure on the knee. As healing progresses, they may switch to crutches for increased mobility or transition to a cane for additional support. These mobility aids prevent falls, reduce strain on the surgical knee, and encourage proper weight distribution as walking ability improves.

Selecting the Right Aid

  • Ensure the height is correctly adjusted so you don’t hunch over.
  • Grip handles should be comfortable and slip-resistant.

Proper use can prevent falls and protect the healing knee from undue stress.

6. Ice Packs or Gel Packs (As a Supplement)

Why It’s Essential
While a dedicated cold therapy device like NICE1 is the best option for consistent cold therapy, having gel packs or ice packs on hand as a supplement can be helpful for quick relief. These are particularly useful for on-the-go situations, short-term pain relief, or while traveling.

Gel packs provide a flexible, convenient solution for reducing localized swelling, especially after physical therapy sessions or prolonged activity. They are lightweight, reusable, and easy to store in the freezer, making them a useful backup option for maintaining cold therapy benefits throughout recovery.

Usage Tips

  • Always wrap packs in a thin towel to protect your skin.
  • Limit each session to around 15–20 minutes, followed by a short break.

Remember that frequent temperature fluctuations from melting ice can be less effective than a consistent, iceless system like NICE1.

7. Comfortable, Supportive Footwear

Why It’s Essential
Wearing unsupportive shoes can increase strain on the knees, hips, and back—compromising post-surgery recovery. Proper supportive footwear ensures even weight distribution, improves balance and stability, and reduces stress on the healing knee.

Look for shoes with non-slip soles, cushioned insoles, and firm arch support to promote proper gait mechanics and help prevent falls. Avoid wearing flip-flops, high heels, or loose-fitting slippers, as these can increase the risk of tripping and instability.

Choosing Footwear

  • Select shoes with firm heel counters and well-cushioned insoles.
  • Avoid high heels or flip-flops, which can increase the risk of tripping and ankle instability.

8. Pillows for Elevation

Why It’s Essential
Keeping the surgical leg elevated reduces swelling, enhances circulation, and minimizes discomfort after knee replacement surgery. A wedge pillow or standard pillows placed under the leg help maintain proper positioning and relieve pressure buildup in the knee joint.

Elevating the leg at or above heart level encourages fluid drainage from the knee while preventing blood from pooling in the lower extremities. Proper elevation can speed up recovery, reduce pain, and improve sleep quality—all crucial factors for a successful rehabilitation.

Guidelines

  • Position the pillow so your leg is slightly above heart level.
  • Ensure adequate support without hyperextending the joint.

Elevation combined with cold + compression further accelerates healing.

9. Reacher or Grabber Tool

Why It’s Essential
Simple tasks like picking up dropped items, reaching for objects on high shelves, or dressing become more difficult after knee replacement surgery. A reacher or grabber tool eliminates the need to bend or stretch the knee unnecessarily, preventing pain and potential strain on healing tissues.

These tools are lightweight, easy to use, and help maintain independence during the recovery process. They also prevent unnecessary twisting and awkward movements, reducing the risk of falls or accidental injuries.

Usage Notes

  • Choose a lightweight tool with a rubberized grip.
  • Practice using it before surgery to familiarize yourself with the mechanism.

10. Physical Therapy Aids

Why They’re Essential
Rehabilitation exercises are the foundation of successful knee replacement recovery. Physical therapy aids—such as resistance bands, pedal exercisers, and foam rollers—help strengthen muscles, improve range of motion, and enhance joint flexibility.

Having these tools at home allows for consistent, structured rehabilitation, ensuring that progress continues outside of clinical physical therapy sessions. Patients who remain active and engaged in their recovery exercises tend to regain function and independence faster than those who are sedentary.

Exercise Considerations

  • Follow your physical therapist’s instructions to avoid overexertion.
  • Keep track of any discomfort and use supportive therapies, including cold + compression, to reduce soreness.

Frequently Asked Questions

Q: How can cold and compression therapy help during knee replacement surgery recovery?
Cold and compression work hand in hand to minimize swelling and pain, which are common after surgery. Consistent use can improve mobility, reduce reliance on medication, and promote faster tissue healing.

Q: Are there studies supporting temperature management in recovery?
Yes. Recent research within the last decade, including articles in The Journal of Arthroplasty, indicates that properly managing joint temperature and swelling significantly improves functional outcomes for knee replacement patients.

Q: How soon after surgery should I start using cold therapy?
Many surgeons recommend initiating cold therapy immediately or within the first 24 hours post-surgery. Always follow your healthcare provider’s timeline for best results.

Q: Do I need all these items even if I feel strong after surgery?
Individuals vary in recovery speed and comfort levels. While some items—like cold + compression therapy and supportive footwear—are almost universally helpful, other tools (e.g., raised toilet seats or knee braces) may depend on your specific needs and physician’s advice.

Moving Forward with Confidence

Taking the right steps to prepare for knee replacement surgery recovery is half the battle. By stocking up on these must-have items and following medical guidance, you can significantly reduce discomfort and regain mobility faster. If you need a user-friendly, iceless solution to manage pain and swelling, consider incorporating NICE1 cold + compression therapy into your routine. Embracing proven strategies and effective tools sets the stage for a more confident, comfortable return to daily life.

PRE-SURGERY

What to expect night before

01
Follow the checklist procedure (protocol) given to you by the doctor.
02
DO NOT eat or drink anything after midnight.
03
Decide if you want a nerve block, in addition to anesthesia prior to the start of surgery

Upon arrival

01
Get Checked in (paperwork).
02
Change into Hospital Outfit.
03
Get IV (intravenous).
04
Get Nerve Block (optional).
05
Ask for a Blanket if you’re cold.
06
Head into Surgery.

*Once you are wheeled into the operating room, you are put under anesthesia right away!

day of surgery

What to expect

01
Review: What To Expect (Upon Arrival) The nurse will insert the IV and hopefully talk the whole time to distract you. It’s not painful so don’t worry.
02
On the day of surgery the nursing staff will ask “100 times” whichshoulder, right or left, that they'll be doing surgery on!
03
The procedure to repair a torn labrum lasts about 1 hour and you 
will be under anesthesia with the option of a nerve block.
04
Wake up! Enjoy a popsicle, sports drink, and/or crackers (to helpreduce nausea). Staff will make sure you're good to go with writteninstructions before they let you leave.
05
You may experience motion sickness on the car ride home. A fruit smoothie is nice when you get home.

Anesthesia

Anesthesia is a drug or agent that produces a complete or partial loss  of feeling or consciousness. It is administered through the patient's IV line. It causes their body to go to sleep. The Anesthesiologist may insert a breathing tube which also helps administer other medicine. This makes the patient remain absolutely still so the surgeon can operate on their shoulder.

biggest side effect: nausea

  1. Lasts 6 to 8 hours
  2. Motion Sickness in the car
  3. Best thing you can do is go to bed!
PRO TIP
An option to relieve nausea is a patch behind the ear (lasts about 3 days).

nerve block

A nerve block numbs the nerves to the shoulder. Ultrasound shows the anesthesiologist where to inject the medicine without hurting other structures. It lasts 6 to 12 hours. The nerve block helps to keep the area numb during and after surgery.


post-surgery

The recovery process

01
Wear a sling for 4-6 weeks (Some patients feel good after 4 weeks and try to do a bit too much too soon).
02
Teen athletes are overall healthier and should recover more quickly.
03
With patience and dedication you’ll be back to your sport in a few months!
04
Rehabilitation is an individual process.
05
Lean on family and friends. “Can you help me with this?”

Physical challenges

You may experience irritation when you move your arm. You may need help with your daily activities. Sleep and overall comfort may be challenging but will gradually improve. Don’t get hooked on pain meds. Only take if absolutely necessary to limit your pain. Listen to your body and take the recovery seriously!

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mental challenges

Try to stay positive and rest. You may become frustrated because you cannot resume normal daily activities. Lower your expectations about how quickly you will resume playing your sport. Don’t stress about ‘not working out. Feel encouraged because you have taken this important step to get well. You will make it through!

PRO TIP
Consider talking to a therapist or counselor about your situation. This helps to lessen feelings of loneliness, “I’m the only one,” and isolation. Also, your goals may have changed. A professional can help you sort through your thoughts and feelings.

Rehabilitation

01
You'll start Physical Therapy sometime between 2 days and 2 weeks.
02
Expect a slow recovery process that requires patience and time, but it will be worth the return to your sport.
03
Follow the physical therapist’s guidance. Do your exercises at home, not just at the clinic.
04
A physical therapist will often make your exercises more relevant for your sport or goals. This will keep you motivated.
05
Remember everyone's experience is different.
PRO TIP
Don't get discouraged if you're not progressing quickly. An arm has to relearn how to do things so be patient.
Teen TIP
Consider talking to a therapist or counselor about your situation. This helps to lessen feelings of loneliness, “I’m the only one,” and isolation. Also, your goals may have changed. A professional can help you sort through your thoughts and feelings.

COLD THERAPY

Nice1 Shoulder Wrap
An ice-less machine that boosts recovery by providing cool comfort and mild pressure to the affected shoulder. You can eat, be on the computer, work out and even sleep with the wrap in place.
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Download a PDF Guide
Click the link below to download the original guide Claire created, with the help of teen athletes and medical professionals who shared their expertise.
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ABOUT THE AUTHOR

Claire Castellon has been a Girl Scout since kindergarten.She graduated from high school and has begun studying to become a nurse.

In addition to this booklet to help teen athletes navigate the challenges of surgery, she is an advocate for healthy relationships through the One Love Foundation. Claire and her teen colleagues facilitated a workshop, ‘Seeing the Signs of Healthy and Unhealthy Relationships’ at the United Nations Commission on the Status of Women (CSW68) in New York City in March 2024.

Claire had successful surgery to repair a labral tear followed by rehabilitative physical therapy in 2023. She is reachable at TeenShoulderSurgery@gmail.com