@drkerbel: As a knee surgeon, I can usually predict who’s going to end up regretting their knee replacement. After thousands of these, the people who are unhappy at follow-up almost always share the same six things: 1. They rushed into it before their knee was bone on bone. They did it to get it over with, or because someone told them to, instead of waiting until the pain was ruining their life. If your knee isn’t the thing standing between you and the life you want, it isn’t time yet. 2. They expected the knee they had at 25…thinking they’d wake up perfect and in no pain. It’s metal and plastic, NOT the knee you were born with. The people who don’t know that in advance feel let down by a result that was actually very good. 3. They thought surgery was the finish line. That hour in the operating room is ONE HOUR in a recovery made of THOUSANDS. I can replace the joint. Only YOU can rebuild the body around it. 4. They tried to do it alone. They didn’t have enough help at home, and didn’t want to ask anyone for it. Recovery is REALLY HARD on your own, and the people who lean on others come through it better every single time. 5. They waited until surgery day to start looking after themselves. The strongest recoveries begin MONTHS before the operation. Keeping your muscles strong, eating well, sleeping properly, and getting your mind ready. You’re not just planning for surgery, you’re preparing for the comeback. 6. They compared themselves to everyone else…The neighbor who was walking at two weeks, the person online running at three months…Comparison will convince you a perfectly normal recovery is a failure. But here’s the good news... You DON’T have to be one of these people. Everything on this list is in YOUR control, and you can work on all of it before you reach the operating room. Take care of these things, and you’ll be in the group that recovers WELL and never regrets it. Which of these six is hardest to get right? Let me know in the comments. And if you want more evidence-based insights to help you get a better outcome after your knee or hip replacement, sign up for my weekly joint health newsletter, link is in bio.
Dr. Yudi Kerbel, MD
Region: US
Saturday 08 August 2026 13:00:36 GMT
Music
Download
Comments
FinePairMetalsmiths :
My knee pain is from the patella not the joint which has some arthritis but not at all bone on bone. I was advised that the only treatment is total knee as they don’t replace the patella because it doesn’t last.
2026-08-09 14:15:31
0
Jarvis Head :
I had mine done in 2022 and best thing i ever done!
2026-08-09 14:00:07
0
Jules :
It is a very hard surgery, one I don’t regret but my body had other ideas, I developed lymphedema and it has caused problems with my recovery.
2026-08-09 00:10:40
0
user91231614067 :
I’m interested in your newsletter. Thank you
2026-08-09 13:51:11
0
Jaime. :
Good news here, I grew from 6’3 to 6’4 as I used to be bow legged, now my legs are straight. I’m 71, I did them 6 months apart, made transition easier. Glad I did it but pain in healing wasn’t fun
2026-08-09 13:32:28
0
living.life727 :
I had no problems with either knee replacement. You have to be mentally prepared.
2026-08-08 15:25:07
46
s.w.living :
My husband is bone on bone with bone spurs. His knee cannot straighten and bends inward toward his other knee. He’s been trying for about 8 years for a replacement and still waiting….welcome to Canada. Now his hip is messed up along with his back because he can’t stand straight, walks with a limp and leans forward.
2026-08-08 23:16:08
6
Randy :
I had both knees replaced 3 months apart. I was bone on bone and had a lot of pain. It was hard to get around, but I was ready to get it done. I knew I was going to be walking better. The first knee went great. Doctor told me it looked like a bomb went off. An hour after surgery here came the physical therapist wanting me to go for a walk, and off to the races I went! Walked up and down to the nurses station and then climbed steps! Couldn’t believe what was happening, I guess I was fortunate because I didn’t have any pain, didn’t even take any pain medication, crazy but that’s the way it was! Had a walker and ditched it the next day and went home. Started therapy in 3 days, walked in with no walker or cane. I had two young ladies that helped me and I told the to work me like a set of twins and they did. There was pain in therapy but I knew I had to go through it to get the best results! What helped me the most was my mindset, you have to go into this with a positive attitude. I’ve had my replacements now for 16 years and haven’t had any problems whatsoever. There are things I can’t do because they are not natural knees but that’s ok because having the ability to walk pain free is worth it all!
2026-08-09 04:27:16
8
Jude :
The hardest for me was underestimating the pain, I knew it would be bad but jeez not as bad as that & the lack of help I had at home basically zero, I did a deep clean before I went in prepared all meals so life would be easier, now 5 weeks, yes I still need help, still in pain, walking around the house with no crutches & being the tortoise & not the hare,
2026-08-08 19:57:57
12
Sammi :
I had double tkr 3 years ago now my hubby took a month off work to look after me - best thing I ever did !!
2026-08-09 13:05:31
0
Janet Morris-Modrich :
Pushed the pain until it drastically affected my quality of life. Very grateful for my new knee.
2026-08-08 15:13:39
42
MiaBurn123 :
I’m interested in the point you should wait until you are in bad pain. I had both knees bone on bone on my inner knees. In actual fact I was not in terrible pain all the time but it restricted the distance I could walk comfortably and sitting any length of time seized my knees up. temporarily. I wasn’t on regular pain killers so I guess from this post not at the point I should have gone through with it yet. I just think if I had waited for the crippling pain I would have then gone on a waiting list for goodness knows how long. Also I had just turned 70 and I didn’t fancy going through it any later.
2026-08-08 16:25:26
8
jasmine72 :
My knee replacement is the best thing ...it was painful yes ! BUT the relief afterwards that i could walk again was so worth it ...I PRAISE GOD Everytime I think about it !
I made sure to do all the exercises & stretches even if it hurt ...yea I'd do it all over again
cause when you've been in excruciating pain
& couldn't walk you'd do anything to make it stop.
2026-08-08 18:31:47
16
Rox K :
Do everything your Dr tells you!! I am a year out doing really well! I still do all my physical therapy!
2026-08-08 16:53:46
7
pambibadobous :
I agree prep should start months before, but docs don’t tell you that.
2026-08-08 14:53:49
19
paul chetwynd :
i dont regret mine i pushed the pain till i couldnt stand it anymore im naturally active and good muscular condition but i learned some vital information about building knee strength (hard when bone on bone) on my second i worked through pain with weights im 8 months after my second and knee pain as it was is 99% better the first knee is 18 months post op better day by day
2026-08-08 13:56:20
5
abq8441 :
I have had both knees done and it was awesome. I am once again hiking and taking walks. I have regained my life. Best decision ever, do PT before and Immediately after the surgery. Do your homework exercises, it is work but so very very worth it.
2026-08-08 18:28:01
7
@mikesullivans :
Double knee replacement. Lost weight. Did my research. Excellent surgeon. Did my physio etc afterwards.
Excellent recovery.
2026-08-08 23:19:54
15
pamelagreen610 :
It wasn’t the pain for me. My leg would buckle when walking and if I slept on my back with my leg straight, it would not bend without massaging and manually pushing it.
2026-08-08 17:27:13
5
lunamia114 :
I’m not bone on bone and I am second guessing things because my knee buckles and catches with pain and sometimes I can’t extend my knee unless I twist it to release
2026-08-09 09:29:35
0
WestieKat :
I had my tkr on my right knee 3.5 weeks ago. I still need the walker. My bend is at 120, but my extension is terrible at 12. It’s all I can think about and worry about. I prehabbed for 2 months and I do all my PT and do extra on the extension exercise. But it remains at 12.
2026-08-09 05:32:11
0
Helena Handbasket 🇨🇦 :
I'm one of the freaks that was walking without aid, not even a cane, no painkillers, driving, and pretty much back to normal at 2 weeks. but I will say that I got through it as easily as I did because I had him full time at home. my husband took a month off work but he ended up going back almost 2 weeks early because I didn't need him. but those first two weeks his help was invaluable.
2026-08-09 04:20:00
0
Kerrilee Halligan ( kezza) :
I needed it at 41, i struggled with determination till 52! The surgeon said it was the worst case he's seen! Got my own physio, did my exercises every day, back to work at 4 weeks
2026-08-08 21:52:27
4
JMoore379 :
Thanks for posting, this really great. Two TKR in and have not regretted either of them. I would add, a couple of things to your list. Have an honest conversation with your knee surgeon. I would say the moment you need to start thinking about a knee replacement is when you can’t comfortably for 1 mile/1 km, then you need to talk with your GP or Knee surgeon for a prescription for physio before to build up the muscle mass around the knee. It definitely helps with recovery after surgery.
2026-08-08 19:54:43
1
D14ne :
16 years on from bilateral replacements at 42. ‘walking’ with two sticks. I was bone on bone and it changed my life for the better and all my family’s too. Never looked back.
2026-08-08 21:28:06
3
To see more videos from user @drkerbel, please go to the Tikwm
homepage.