Short answer: gentle lymphatic drainage can sometimes start early if your surgeon recommends it, but massage near the knee usually waits until your incision has closed and your surgeon has cleared you. For many people that is around 6 weeks after surgery, but your surgeon has the final say. Work on the rest of your body, like your back, shoulders and the other leg, is often fine sooner.
Why the wait?
After a knee replacement, the incision needs to close, the swelling needs to start settling, and your care team watches for blood clots. Massage directly on or near the surgical area too early can irritate the incision. If there is a clot, massage can be dangerous.
What massage can help with during recovery
Swelling: manual lymphatic drainage uses light, rhythmic strokes to help move fluid toward the lymph nodes. Many people find it comfortable when the knee is too tender for regular massage.
Tight muscles around the knee: the quads, hamstrings and calf often guard and tighten after surgery.
Compensation: limping and using a walker or cane can leave your low back, hips and shoulders sore.
Rest: a long recovery is tiring, and an hour on your own couch helps.
Signs to call your doctor first, not your massage therapist
New or worsening pain, swelling, warmth or redness in your calf or thigh
Shortness of breath or chest pain (call 911)
Fever, or drainage from the incision
How I work with post-surgical clients
I ask for your surgery date and your surgeon's precautions on the intake form, and I'll ask for your surgeon's sign-off when it's needed. Sessions are in your home, positioned however is comfortable: side-lying, semi-reclined or seated.
This post is general information, not medical advice. Always follow your surgeon's and physical therapist's instructions.
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