After knee joints replacement surgery, my father keeps falling. Is this normal?

My father had both knee joints replaced in the last year. He walks much better now and can even climb stairs. But I notice he still falls a lot. Is this normal? What can be done about it?

Total knee replacement (TKR) often gives patients good pain relief. With less pain they can walk better and farther. Function improves and they can start doing things they haven’t done in years (like stair climbing or even dancing).

But studies show there are other problems that aren’t solved with a joint replacement. In fact, the surgery may make things worse. For example, loss of quadriceps muscle strength (the large muscle along the front of the knee) makes balance more difficult.

Patients who have both knees replaced are more likely to trip and fall. This is especially true if and when they have to get around objects or obstacles. A program of balance training and exercises to improve joint position sense may be to good place to start.

But first, make sure there isn’t a medical reason for your father’s loss of balance. Have him see his doctor for a check-up. If there are no medical problems, then give rehab a try.

For more information on this subject, call The Zehr Center for Orthopaedics at 239-596-0100 or visit www.zehrcenter.com. The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of a visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.

Can a stretching program lower the chances that my elderly mother will fall?

There is evidence that limitations in hip flexibility could impair walking ability in the elderly. This increases the risk of falling. As you walk, the hip extends in the back leg. A new study showed that the hip joint doesn’t extend as far back in the elderly as in younger people. Elderly people at a high risk for falls showed even less hip extension.

So a stretching program that helps improve hip extension could potentially help elderly people avoid falling–and the pain and hospital stays that falling can cause. Before starting any form of treatment, your mother should talk to her doctor. She also needs to address any other problems that may put her at risk for falling. These can include balance, strength, or vision problems.

The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic. For more information on this subject, visit www.zehrcenter.com