02/17/2026
Chiropractic Care AFTER Knee Replacement
Total knee arthroplasty (TKA) is the most performed operating room procedure in the United States, and the number of surgeries is projected to increase by 400% (to 3.5 million a year) in the next twenty years due to prolonged longevity, the rise in obesity, and increasing rates of osteoarthritis. The surgery itself traumatizes the surrounding tissues resulting in significant whole leg swelling that increases by 10% per day for the first three days after surgery, reaching an average peak increase of 35% within six-to-eight days. The swelling overloads the lymphatic system, and the increase in pressure results in joint and soft tissue tightness, tension, and pain, which restricts venous blood return to the heart. Post-operative swelling after TKA may persist for six months or longer causing multiple functional deficits including (but not limited to) reduced strength, decreased range of motion (ROM), and slower walking speeds. Can chiropractic care play a role in a TKA patient’s post-surgical care plan?
Total knee arthroplasty (TKA) is the most performed operating room procedure in the United States, and the number of surgeries is projected to increase by 400% (to 3.5 million a year) in the next twenty years due to prolonged longevity, the rise in obesity, and increasing rates of osteoarthritis.