Managing Post-Operative Pain After Total Knee Replacement with the Breg Glacier
A practical guide from Supply Physical Therapy on using the Breg Polar Care Glacier Cold Therapy System to ease pain, reduce swelling, and support faster recovery after total knee replacement.
Definition & Core Concept
Managing post-operative pain after total knee replacement with the Breg Glacier involves using a continuous cold therapy device designed to deliver consistent, targeted cooling to the surgical site. The goal is to reduce inflammation, minimize swelling, and decrease pain signals during early recovery.
Cold therapy—also known as cryotherapy—works by constricting blood vessels, slowing nerve conduction, and reducing metabolic activity in tissues. Research from the National Center for Biotechnology Information (NCBI) shows that consistent cryotherapy can reduce pain and blood loss while improving range of motion after total knee arthroplasty (TKA).
Benefits & Risks
Benefits
- Effective pain control: Continuous cooling reduces nerve sensitivity, decreasing pain and reliance on medication.
- Lower swelling: Cold constricts blood vessels and helps limit post-surgical fluid buildup.
- Improved mobility: Reduced swelling allows for earlier participation in physical therapy and better range of motion.
- Convenient use: The Glacier runs up to 13 hours per fill, allowing extended relief without frequent refilling.
Risks
- Frostbite or skin irritation if used without a barrier layer.
- Should be avoided in individuals with vascular disease, neuropathy, or cold hypersensitivity (e.g., Raynaud’s).
- Overuse without monitoring can cause tissue injury; always follow physician guidance.
How It Works / How to Use
The Breg Glacier works by circulating ice-cold water through a specialized knee pad, maintaining a consistent temperature for hours. Follow these steps for safe and effective use:
- Set up: Fill the cooler with ice and water per instructions. Attach the knee pad tubing securely.
- Position: Wrap the knee pad comfortably over your surgical site using the provided straps. Always use a thin cloth or sterile dressing between the pad and your skin.
- Start therapy: Plug in the unit and turn it on. You should feel a gentle, cool sensation—never burning or stinging cold.
- Monitor: Check the skin every 30–60 minutes for redness or numbness. Stop immediately if discomfort occurs.
- After each session: Dry the pad and tubing, and replace ice as needed for the next session.
Cold therapy can be used several times per day, especially after activity or therapy sessions, to reduce inflammation and discomfort.
How Long / How Often
Most patients begin using the Glacier within 24 hours of surgery. Typical recommendations include 1–2 hour sessions, 2–4 times per day during the first 3–5 days, then tapering as swelling decreases. Continuous use is possible, but short breaks between sessions allow the skin to recover. Follow your surgeon’s recovery plan for best results.
Who Should / Shouldn’t Use
Ideal for:
- Patients recovering from total knee replacement or other orthopedic knee surgeries.
- Those cleared by a medical professional to use motorized cold therapy.
- Individuals seeking to reduce pain, swelling, and inflammation during early recovery.
Use with caution or avoid if:
- You have circulation issues, diabetes-related neuropathy, or cold intolerance.
- You are unable to monitor skin condition or communicate discomfort.
Product Options & Compatibility
The Breg Glacier is one of several advanced cold therapy systems available at Supply Physical Therapy. Below is a comparison of top options:
| Product | Key Features | Best For |
|---|---|---|
| Breg Polar Care Glacier | Up to 13 hours continuous cooling; motorized; quiet pump. | Comprehensive recovery after major knee surgery. |
| Breg Polar Care Wave | Combines cold therapy and active compression for swelling control. | Patients needing extra compression and fluid drainage support. |
| Breg Polar Care Cube | Compact, affordable design with 6–8 hour run time. | Everyday home use and moderate recovery support. |
Each system uses Breg’s Polar Pads, available in multiple sizes to ensure proper fit around the knee.
Comparisons
| Method | Pros | Cons |
|---|---|---|
| Breg Glacier / Wave (motorized) | Consistent cooling, longer duration, hands-free comfort. | Requires electricity; higher upfront cost. |
| Reusable gel wraps | Low cost and portable. | Short duration, uneven cooling, frequent refreezing. |
| Traditional ice packs | Accessible and simple. | Less effective for deep joint recovery; messy and inconsistent. |
If budget allows, a motorized device like the Breg Glacier offers superior comfort and recovery outcomes compared to standard wraps.
FAQs
When can I start using the Glacier after surgery?
Usually within 24 hours, or as soon as your surgeon approves. Early application can help reduce pain and swelling significantly.
Can I use it while sleeping?
It’s not recommended to use unattended while sleeping. Limit sessions to waking hours and check skin frequently for safety.
How long should I continue therapy?
Most patients use cold therapy for 2–4 weeks post-surgery, tapering as recovery progresses. Always follow your care team’s plan.