This has been THE channel I watched for before and after TKR in May 2020. Tony answered more of my questions post op than anyone else, including my surgeon and PT ( and they were great!). If you read the comments, you’ll realize all of us follow a very similar trajectory. It gets better. Do your PT. By Nov 2020, I was fully functional. Now, Jan 2021, I’m completely back in my life. There’s nothing I cannot do on this knee.
I’m now 10 weeks and doing brilliantly. I want to share this with you, there have been twice when I had a bad knock back. The first time I limped to my doctor in panic thinking something had gone wrong and got an Xray but all looked fine and a few days later it was back to normal. A few weeks later same thing, a couple of days and it cleared up again. It seems this is normal so don’t panic. I’ve had great reassurance from this site thanks a lot
I have now watched a bunch of your videos and I have to say thank you for all your help! You are very educational and very helpful and knowledgeable with this stuff. I was severely bow legged and have been suffering with wicked pain on my inner shins right below the knee implant and this explains why. Keep it up man, all of us going through this recovery could do with watching all your Videos. Nathan
Hi Tony, thank you so much for this video. You have answered all my questions on the pain , tightness,and stiffness in my TKR. Your videos have given me so much hope. I will talk with my surgeon at my upcoming visit. Thank you so much. May
Thank you for every word of explanation about the pain I suffer from, it started to decrease somewhat, especially when going down and going up the stairs. Now things are clear to me.
Well explained. I had my partial knee replacement 26 October 2021. Following your instructions, there's a tremendous improvement. I'm from South Africa. Thank you Tony.
You have been added to my hero list. There were only 2 others so you know it takes a lot be on this list. Thank you so much for sharing your knowledge. You are so amazing to do this.
Tony is easily the best at explaining what's going on in our knees/bodies after TKR. I'm currently 6 weeks PO and 2 days ago started with bone pain & I'm slightly bowed legged and here's another of his videos explaining why and making me feel confident I will get there and that what's happening is normal. Thanks Tony! (Sarah watching from UK) 😊
@@scherali994 I’m ok. Just have sharp pain in front when going downstairs. Dr said the knock knee straightening will make recovery longer. It’s frustrating
I get a pain going up and down the stairs. My physiotherapist says it could be tight ligaments. I have started back physio with ultrasound therapy. I'll let you know how it goes! Have a great day 😀
What a gift you are to us! I just wanted to say thank you so very much - you are a big part of my successful recovery from TKR. I have another one coming up soon. In your experience, have you noticed a quicker recovery or less painful recovery in patients that have had a robotic TKR vs the traditional method?
Thank you so much. There are certainly benefits to the robotic TKR and another bonus is you have already had a knee replacement so you know what to expect. Keep me posted on how it goes.
THANK YOU TONY!!!! 2 months now post TKR. You have explained and help more than my therapist I went to for 2 months. More than anything you help with my anxiety with a positive attitude that I will get better. I can’t thank you enough 🤗👍🏻
Thanks Tony, you're such a wonderful therapist, I almost watched every single video you posted. It's amazing and helpful with your clearly explanation of your professional. I also share your videos with my therapist, he totally agreed what you said. You're so good and I'll keep watching your videos. Thanks Tony
You are so helpful. I couldn't figure out why my shin hurt so bad. It is getting better, I just have to remind myself I'm actually learning to walk all over again
I love your videos. You've answered so many of my questions. I am bowlegged, have rheumatoid arthritis and was dx with osteoarthritis in both knees. My rheumatologist referred me to ortho when my knee pain really impacted my life. My ortho referred me for PT and I used an uploader brace til we decided to go forth w/ a left tkr. Had it done Dec. 4, as an outpatient. Due to covid I was unable to access in home health but started PT again within the first week post op. (My rt knee is really bad also and I was going to have it done in March or April). My surgeon said he "shaved my bone to correct my bowleg(?)" I really struggled with swelling and my range of motion didnt improve . I had a manipulation under anesthesia a week ago and was referred for lymphedema therapy this week. Im using CPM 4 hours or so a day and my range of motion with assitance is between 90-95. Will it improve? I have a lot of pain on the top of my knee and to the right of my scar. Am I at risk for a second round of scarring? Is my RA part of the problem? Are these things indicative of problems if i get my other knee done? Love your opinion. My surgeon has a great reputation but is very busy and I struggle to get my questions answered during visits.
Lots of great info here. I would love to hear what your PT is telling you. Your PT has the most information as s/he is working with you regularly. I have seen patients with severe bowing do really well. I have seen patients with RA do really well. Of course there are always obstacles to overcome, but with the right mindset and patience you will get to your goals. Simply put, your body is always changing. Take advantage of the good days, and let yourself rest during the rough days. Find things that keep you motivated and excited. Don't hesitate to reward yourself even when you maybe don't think you deserve it. That is usually when we need it the most.
Thanks for this very informative video. I am 8 weeks post op and having inner and outer pain and this video explains why. I will discuss with my OS but thanks for the information.
I'm on my second knee replacement; about three weeks postop currently I had bilateral varus deformities and while my surgeon told me my anterolateral knee pain was due to the new alignment of bones, soft tissues, etc., this really does explain it well. My firstreplacement does have lingering tightness over my IT band as it inserts into Gerde's tubercle, but I manage it with stretching and oddly enough, a patellar strap when hiking. It's not 100% but strong and sturdy. This time, the surgeon was very careful with retraction of the soft tissues and didn't use a tourniquet. I'm hoping this outcome will be even better. I do have the tightness and anterolateral soreness. Trying to be patient. :)
Hello Toni. 8-28-23 I had total right knee replacement. Walking same day. Then I formed scar tissue. Scheduled a MUA. Week before MUA-in ER . Blood clot was found. Put on blood thinners for the next 3 months. MUA was a success. But there’s constant pain, mainly in the middle of my knee. At times it’s the inside of the knee in lots of pain. MUA was a success. Surgeon took picture after MUA, my heel was touching mg butt. Therapy is helping to a degree but I cannot get pass 85 flexion. On the hamstring machine, my left has no issue but my right knee cannot go all the way and the therapist has to push the knee to get it to bend. It’s going onto 4 months of constant painful knee pain and swelling. I can walk around but I’m very limited. Painful. I need your help please. My surgeon constant words are: I don’t understand why you are in so much pain and swelling. We’re at a point where we’re just take his answer any more. He’s the surgeon. Find the solution. I had to go back to work or else I would loose my position. Now my leg and toes are swelling up. Help please
Awesome information. The shin pain and ankle pain is worse for me than the knee itself. Getting better but still not completely healed. At least I know what is going on now. Thanks for the information.
I hear that almost once a week. The shin and ankle pain is worse than knee pain. Or the thigh pain is worse than knee pain. It will definitely get better.
Thank you so much for this info; for all I have seen so far. I just happened to find you!☺ I'm 12 days TKR. I'll ck out your other videos. Thank you and GOD bless you!😇
Thank you very much for all you clear explanations en help...so many questions I had, you answered ...you are a positive and caring person..thanks again for all the help on my recovery path.
You are a wonderful source of information! I haven’t had knee replacement yet, but you make it seem a bit less scary. I am watching so many of your videos. While I wait for scheduling I want to get more fit. You suggested a shoulder pulley system. I looked on Amazon, but there are so many choices. Would you tell me what to look for in a system?
This is the pedal exerciser we use in the clinic and the one I lend to patients after TKR. amzn.to/3aeXCQ8 I have videos showing how patients will use this at home on the ground for their legs and on a countertop for their arms.
Hello Tony I am 4months post RTKR my ROM is 129 flection , my extension is stuck at 2 cannot just go to 0 . There is also swelling/ inflammation in the knee and pain as well . I did private therapy as well . My surgeon is on vacation but it really stresses me out . I don’t know what to do . Kindly help me I love your channel and got introduced to it only 2 months ago . I wish I had seen the videos earlier . Kindly revert
Pain stiffness Sounds familiar even after 2 weeks COM machine PT walking and exercises surgery was April 6 2021 now May 6 2021. I was knocked kneed before.
Tony, my surgeon told me at my 7 week visit that he made my knee “a little tighter”. What does this mean? I have been slightly struggling with getting 0 extension. My PT told me that this explains why I might be having an issue getting to zero extension. I am currently at -3, 127 flexion.
Wow that makes sense because I feel like the lateral side prevents me from full extension but the medial side is where I had partial replacement and it feels fine. I have a question about lower back. After I started to walk my lower back above my buttocks gets extremely tired and burning when I walk and prevents me from walking and standing for more than 5 minutes. I start to hunch over. Any exercise for the lower back or hips?I feel this is preventing me from more activity.
The gluteus medius is a common site of pain. Massaging that area with a tennis ball against a well seems to work well for a lot of people. Are you working with a physical therapist? i2.wp.com/musculoskeletalkey.com/wp-content/uploads/2020/04/Art_P199.jpg?w=960
@@totaltherapysolutions Hi Tony yes I am and he says it because I don’t have full extension/need to work on hamstring stretches and another therapist said I have to work on my abs. Its not painful but its like a burning that happens when you for example light weight lifting and you do too many repetitions. I recover once I rest. I looked for info about heel lifts and I came across your video. I may try that because when I stand my heels don’t seem to be flat on ground its lifted a little. Thanks for your help!
Update : I tried putting a shoe insert on non surgical knee to raise that leg and it feels like my lateral knee pain is less and thigh muscles seems to work more on surgical side. Not sure if its from insert. I will experiment more. Pain in lateral side of surgical knee is not as bad or maybe my its my imagination?
Almost a year ago April 12 total knee replacement. Having shin pain, a longer metal was put in. I have tried heat, then I go with Ice. I do lots of standing and walking on my job, but cut back my hours to only 4 hour days. Hurts to walk. How long will this last?? What do you recommend.
I just want you to know that your channel has been such a blessing. You have helped me understand so much the healing process because I had those pains in my knee after surgery and I was thinking that the surgery didn't work. Now I'm 4 months after surgery and those pains are very rare so now I know surgery was successful and the pain will eventually go away altogether. I also want to know what I need to be doing so that I can go up and down stairs without holding on to the banister? Once again thank you, thank you for giving advice as a therapist that really helps 💕
Excellent explanation - I’m 10 weeks out of double knee replacement and have great flexibility, i am almost at 0*, but still have lots of pain around my knee, tightness, knee cap pain, can’t got down a flight of stairs foot after foot. Everyday seems a little better, but the tightness and pain around the knee seems the same.
My physio recommended "always start off with your good leg" and it works. I can go down stairs although people stand thinking I'm gonna fall and no problem going up steps to plane at the weekend. My good leg is opposite to my leg that was operated on.. Just to make u laugh. I used to sit on the low wall opposite my house and I forgot about my leg and this time couldn't get up as I get painful sciatica so shouted like hell at my neighbour and he heard me and lifted me off the step. Havent done it since.... Yet
3 reasons, it might be some articular effusion due to the surgery, liquid tends to accumulate on the back of the knee. Second reason, similar to what was said here, if the patient had a "flexed knee" before surgery, gaining more extension after surgery overstretches the isquiotibialis tendons on the back of the knee. And the third reason is, after surgery, the body looks for a relaxed and pain free position, this is a flexed or semiflexed knee, so the same isquiotibialis tends to be "tighter". Hope it helps!
Yes, the fluid tends to push to the back of the knee while extending the knee and toward the front of the knee when flexing the knee. A Baker's Cyst may be causing the pain. There are also occasions when the soft tissue behind the knee is pinched during flexion exercises. This will irritate those structures. Since so much of your time is spent trying to increase and maintain range of motion, those structures are constantly being irritated. Talk to your therapist. Sometimes you may be advised to take a day or two break from certain exercises to give that tissue a chance to recover.
@@totaltherapysolutions Not at all! Thank you! This is a wonderful channel and an invaluable resource for both patients and physicians. Please keep up the amazing work!
ive had both knees replaced and i feel like i have a band across the front of my knee and the outside of my knees get sore feeling after i set awhile.knees dont bother me walking i can walk for miles.at night my knees get stiff im constantly having to move them to get comfortable
Everything you said sounds very common. Some people said they like the rolling pin massage before bed. Others find that a little exercises or an Epson salts soak helps before bed. If you find something that helps let us know.
Is there a possible difference in pain when the stem used is long rather than shorter? Had a break on outside of tibial plateau in November. Surgeon says his solution is to use an extra long stem and that will stabilize break. Original pain and arthritis is on inside. I’m 5’3” female 72 years. Trying to find out If longer stem makes a difference in after pain and recovery. Thanks
Thanks for your videos - is it common for my knee to turn inwards after replacement how can i correct this - is it important to get new shoes - its been a month since replacement
New shoes after a knee replacement are important. Depending on why the knee is turned in it could be coming from the hip or the ankle. Once you or your therapist can figure out what is causing it you can work on those areas to correct it.
This could be attributed to several factors. Perhaps a stress response in the bone due to the new alignment. Perhaps an undiagnosed fracture. Shin splints is very common. I would recommend a new assessment by an orthopedic physician or physical therapist to see if they can find an answer.
Thanks so much for explaining..I'm 3 months po but pain is there at the head of tibial bone while walking & it persists throughout the day...in how many days it will go approx
Tony 15 months post op and I can’t bowl, I have pain in the area you talk about here on the video, what can I expect time wise to get back to bowling, Also I don’t do strength exercises which I feel I need to do I’m 6’3” 250 and I think my knee isn’t strong enough Thanks for your help on this great channel
Hi William, thanks for the comment. What is it specifically that limits your ability to bowl? Does it hurt from the first ball to the last? Sometimes it can be one of those things that the first couple hurt, you get warmed up and feel decent for the next few, then it starts hurting again as you fatigue. It would also be interesting to know if you tried modifying your technique. I am not a bowler, but I know patients that didn't have the range of motion to bowl the way the used to, so now they have modified their approach and release and are back to the league. In regards to strengthening, I agree, strength is important. You are a tall guy, the worst thing would be to fall and not be able to get back up. If you returned to physical therapy specifically to work on lower extremity strength and your ability to get up/down from the ground, you could also get that therapist to help with your return to bowling.
I wish everyone see how amazing he is . Explaining all so we can understand. Better even dumb surgeon disnt explained it to ke he just said i cant do anything for you. God bless you Toney .
Hi Tony, I’ve had a lot of problems with this. One of the extension exercises I did was to lie on my stomach on the bed with my surgical leg extended and unsupported. I had strong bone pain just below the knee joint in that position. My OS thought that this might be from attachment of the hamstrings. What do you think?
Hamstring doesn't usually present as "bone pain." I use the exercise you described for some patients. Here is a short playlist with other positions th-cam.com/play/PLVcY1xxDTSfy3Vi5-wX4TQMGy_uazZwTe.html
Dear Tony, I'm saying thank you at 04.00 in the morning. I've had very little sleep for a couple of weeks (7.5 weeks PO) and no matter what i take these bones pains and general restlessness won't let me sleep. I'm so exhausted that i can't do my physio and, of course, lack of sleep is debilitating in many ways😢. I call the bone pain 'growing pains' because its exactly what i remember from childhood. I had a bilateral tkr and they found quite an abnormal femur positioning in both legs so that's been corrected. I feel a bit like the little mermaid who had all that pain when she got legs!
Honestly, once you figure out what is causing the pain, the next step is usually trying different things to resolve it. Sometimes this is walking differently or wearing different shoes. Sometimes cupping or taping helps. Sometimes it just takes time for your body to get used to the new knee and alignment.
i stopped physio as too painful, had 4 sessions and never went back Found Tony site and used it throughout and told all friends to use his site instead of going to referred physio. Tony merhod makes such a difference.
Tony I have a question I'm p.o.4mths knee replacement I was planning to travel next month my issue is stiffness on my knee I dnt myself think I shouldn't travel right now wait for couple of mths until I'm better any suggestions 😊
It has been 4 years since my TKR on my left. The right knee is bad as well but my chin bone on the left is causing me a lot of pain now. So now I have pain on my right knee n also pain on my left chin bone. Almost unbearable
90-degrees at 5 weeks honestly isn't bad. There are so many other factors to consider. Your body will usually do what is best for you despite what your brain may want. Slow and steady. You will get there.
Hi Tony in continuation to my previous message , can you now help me to bring my extension to 0 pls . During the day I do all exercises for extension but at night I sleep in fetal position .now at 4 months PO how do I sleep at night to bring it to 0 .kindly let me know . Thank you
Today is 7/30/21 and had a partial knee (inside) replacement on 5/20/21 and still feel like the rubber bands around my knee. Also have this pain at times shooting down the front/side of the leg to the ankle on the surgical leg. Very frustrated! Doing therapy multiple times a day and still not where I want to be.
Have you posted about complex regional pain syndrome? I was just diagnosed after my 90 day checkup for TKR. Any suggestions would be greatly appreciated.
No, sorry. I don't have any good information on that. Do you have a physical therapist you are working with? One of my favorite websites that might have information for you is www.painscience.com/
Complex Regional Pain Syndrome, formally known as Reflex Sympathetic Dystrophy is where the body still perceives pain after the source of pain has been removed. It is a rare unique response to injury. I’m fifteen months post Uni-Knee Replacement and have burning, tightness and stiffness in my knee, that I had treated with nerve ablation. I’m amazed they have made this diagnosis in ninety days. My knee felt great from three to five months, then it became stiffer and I developed pain. It’s nothing like my pre-op pain. It’s more of a fun-sucking pain, than a debilitating pain. One of my fears has always been of developing RSI because it’s so capricious. I think I just have a lot of scar tissue, my doctor hasn’t even considered the RSI diagnosis. Fifteen percent of all TKR surgeries even when done right are less than perfect. Good Luck.
I am 12 wks post TKR surgery and have great flexion ROM but not extension. At 9 wks I started using a mechanical JAS splint 3 times a day for 30 min. each session. How long does it take to achieve full extension? My PT is working on the fascia and stretching the muscles but has told me that b/c I haven't had full extension for 10+ yrs that I might not be able to achieve that goal. We took a measurement before I started using the JAS splint--11 so we can objectively track my improvement. At 3 weeks we are going to take another measurement. What say you?
Thank you for the info. This is my main problem only the sensation goes all the way down to my ankle. I had bilateral total knee replacement and it is the worst pain I've ever had. I'm 7 weeks in and I still have a lot of pain. How much longer do I have to suffer ?
I am 8 weeks out from my tkr and I would like to know also because it has been the worst pain in my life. I hope you have good luck with your pain and it goes away soon.
Do most people in the UK now have a non plastic knee? What's the difference between a plastic one and whatever the NHS uses. I'm in pain most of the time but try to carry on. Mine was private (because of covid) and I can't contact my surgeon again because I've run out of savings. It's 12 months since my op and yes it was a full knee and plastic.
I should say I have more equip than the man in the moon. I have a revitive, a 'thing' that has plastic legs where your legs go in and the machine blows them up (you will know what I mean) I've a bike and a physio as a friend 2 doors away 😍 we did Tulouse at the weekend. Yes i did walk all the time but I was in a lot of pain.
Hello sir am from India 🇮🇳 a big fan of you sir I follow your videos. Plz help me out with my knee flexion. I am a hemophilic my knee had 60 degree flexion from before so gone for TKR B4 3 MONTHS. Now am getting 70 degree. Am not getting 90 or 100. Am doing all exercises for knee
Hi my surgery knee is now 7 weeks a go still painful and swelling after walking it is normal or not I can bend like 60 .70. digress it is possible or withings 7 weeks need more? please thank you
Am at 125 range of motion…my issue is mild pain on side of knee and often times down around the front of leg, also when can I expect swelling to go away? Am 3 months out from my TKR
To the question below ... I was very active even with knee pain before revision ... I would love to go back to cooking, baking canning n cleaning my home ... I don't know how to do this now with so much pain ...
It’s so helpful to watch these videos that Tony explains in simple layperson language with patience and professionalism. Thanks so much for this one!
Thanks so much for the kind words Mary!
This has been THE channel I watched for before and after TKR in May 2020. Tony answered more of my questions post op than anyone else, including my surgeon and PT ( and they were great!). If you read the comments, you’ll realize all of us follow a very similar trajectory. It gets better. Do your PT. By Nov 2020, I was fully functional. Now, Jan 2021, I’m completely back in my life. There’s nothing I cannot do on this knee.
This is such a wonderful comment. Not just because of your kind words to me but because of your inspirational words to others. Thanks for sharing.
I’m now 10 weeks and doing brilliantly. I want to share this with you, there have been twice when I had a bad knock back. The first time I limped to my doctor in panic thinking something had gone wrong and got an Xray but all looked fine and a few days later it was back to normal. A few weeks later same thing, a couple of days and it cleared up again. It seems this is normal so don’t panic. I’ve had great reassurance from this site thanks a lot
I am grateful for your comment thank you
This makes absolute sense and is exactly what I am going through ... makes me feel much better.
Thanks! Glad you found it helpful.
You are so valued, love your professionalism and thank you for being here. You make me feel so “not alone” in my pain.
Three months into recovery and this is so true for me .Thank you for this channels support.
I have now watched a bunch of your videos and I have to say thank you for all your help! You are very educational and very helpful and knowledgeable with this stuff.
I was severely bow legged and have been suffering with wicked pain on my inner shins right below the knee implant and this explains why.
Keep it up man, all of us going through this recovery could do with watching all your Videos.
Nathan
Thanks Nathan for the kind words and support.
Fantastic .. I am 10 weeks post op and watching all your videos help so much explaining everything so well
Thanks so much. This feedback is helpful.
Hi Tony, thank you so much for this video. You have answered all my questions on the pain , tightness,and stiffness in my TKR. Your videos have given me so much hope. I will talk with my surgeon at my upcoming visit. Thank you so much.
May
Thanks so much for your kind words.
Thank you for every word of explanation about the pain I suffer from, it started to decrease somewhat, especially when going down and going up the stairs. Now things are clear to me.
You explain everything so clearly. Thank you 🙏🏼
Well explained. I had my partial knee replacement 26 October 2021. Following your instructions, there's a tremendous improvement. I'm from South Africa. Thank you Tony.
Thanks for watching and thanks for the feedback. Glad you are doing well.
You have been added to my hero list. There were only 2 others so you know it takes a lot be on this list. Thank you so much for sharing your knowledge. You are so amazing to do this.
Tony is easily the best at explaining what's going on in our knees/bodies after TKR. I'm currently 6 weeks PO and 2 days ago started with bone pain & I'm slightly bowed legged and here's another of his videos explaining why and making me feel confident I will get there and that what's happening is normal. Thanks Tony! (Sarah watching from UK) 😊
I have learned so much from your videos. Thank you for the continuing education. You have eased my mind many times.
Thanks so much for watching and supporting the channel.
You have put my mind to rest! Thank you so much Tony. I am knock knee with RA. Surgery 26 May 2022. There is hope 🤗
How are you doing now? I have the same problem
Still the same after 1 year and 3 months! And you?? How are you?
@@scherali994 I’m ok. Just have sharp pain in front when going downstairs. Dr said the knock knee straightening will make recovery longer. It’s frustrating
I get a pain going up and down the stairs. My physiotherapist says it could be tight ligaments. I have started back physio with ultrasound therapy. I'll let you know how it goes! Have a great day 😀
Tony, I'm 3 weeks out from TKR and this video and the others I have watched have been a big help. Keep up the good work. Big East Texas fan, Thanks
Hello Crappieman! We are planning on fishing this weekend. Thanks for the comment and supporting the channel.
This is helping me a lot
Especially for the understanding of the day to day activities and the pain of it all.
Thanks
THANK YOU, For all this information. I am 7 weeks post op. T.K.R. I am having pain. Pain when sitting or laying in bed. This explains alot.
Excellent presentation, keep them coming. Tony you explain in a way it is so easy to understand.
Thanks for watching and commenting.
Thanks so much for your explanation. My leg was bowed and I’m experiencing pain on the outside, this explains why.
What a gift you are to us! I just wanted to say thank you so very much - you are a big part of my successful recovery from TKR. I have another one coming up soon. In your experience, have you noticed a quicker recovery or less painful recovery in patients that have had a robotic TKR vs the traditional method?
Thank you so much. There are certainly benefits to the robotic TKR and another bonus is you have already had a knee replacement so you know what to expect.
Keep me posted on how it goes.
THANK YOU TONY!!!! 2 months now post TKR. You have explained and help more than my therapist I went to for 2 months. More than anything you help with my anxiety with a positive attitude that I will get better. I can’t thank you enough 🤗👍🏻
Thanks Tony, you're such a wonderful therapist, I almost watched every single video you posted. It's amazing and helpful with your clearly explanation of your professional. I also share your videos with my therapist, he totally agreed what you said. You're so good and I'll keep watching your videos. Thanks Tony
Better information than I've ever seen ❤
2 am and I am listening to you. Thank you, great relief.
Thanks so much you’ve eased my fears, I was getting very worried all makes sense now.
You are so helpful. I couldn't figure out why my shin hurt so bad. It is getting better, I just have to remind myself I'm actually learning to walk all over again
This answers so many questions, thank you.
Wow that was so informative and make all the sense in the world. You are a huge peace of mind for so many people thank you
I love your videos. You've answered so many of my questions. I am bowlegged, have rheumatoid arthritis and was dx with osteoarthritis in both knees. My rheumatologist referred me to ortho when my knee pain really impacted my life. My ortho referred me for PT and I used an uploader brace til we decided to go forth w/ a left tkr. Had it done Dec. 4, as an outpatient. Due to covid I was unable to access in home health but started PT again within the first week post op. (My rt knee is really bad also and I was going to have it done in March or April). My surgeon said he "shaved my bone to correct my bowleg(?)" I really struggled with swelling and my range of motion didnt improve . I had a manipulation under anesthesia a week ago and was referred for lymphedema therapy this week. Im using CPM 4 hours or so a day and my range of motion with assitance is between 90-95. Will it improve? I have a lot of pain on the top of my knee and to the right of my scar. Am I at risk for a second round of scarring? Is my RA part of the problem? Are these things indicative of problems if i get my other knee done? Love your opinion. My surgeon has a great reputation but is very busy and I struggle to get my questions answered during visits.
Lots of great info here. I would love to hear what your PT is telling you. Your PT has the most information as s/he is working with you regularly. I have seen patients with severe bowing do really well. I have seen patients with RA do really well. Of course there are always obstacles to overcome, but with the right mindset and patience you will get to your goals.
Simply put, your body is always changing. Take advantage of the good days, and let yourself rest during the rough days. Find things that keep you motivated and excited. Don't hesitate to reward yourself even when you maybe don't think you deserve it. That is usually when we need it the most.
Thank you so much for your site, you answer ALL my post surgical questions.......oh the bone pain at 8 weeks PO!
Very reassuring information. Thank you for video!
Thanks for this very informative video. I am 8 weeks post op and having inner and outer pain and this video explains why. I will discuss with my OS but thanks for the information.
I'm on my second knee replacement; about three weeks postop currently I had bilateral varus deformities and while my surgeon told me my anterolateral knee pain was due to the new alignment of bones, soft tissues, etc., this really does explain it well. My firstreplacement does have lingering tightness over my IT band as it inserts into Gerde's tubercle, but I manage it with stretching and oddly enough, a patellar strap when hiking. It's not 100% but strong and sturdy. This time, the surgeon was very careful with retraction of the soft tissues and didn't use a tourniquet. I'm hoping this outcome will be even better. I do have the tightness and anterolateral soreness. Trying to be patient. :)
Thank you. You just explained my concerns about sudden soreness on the side of my leg.
Hello Toni. 8-28-23 I had total right knee replacement. Walking same day. Then I formed scar tissue. Scheduled a MUA. Week before MUA-in ER . Blood clot was found. Put on blood thinners for the next 3 months. MUA was a success. But there’s constant pain, mainly in the middle of my knee. At times it’s the inside of the knee in lots of pain. MUA was a success. Surgeon took picture after MUA, my heel was touching mg butt. Therapy is helping to a degree but I cannot get pass 85 flexion. On the hamstring machine, my left has no issue but my right knee cannot go all the way and the therapist has to push the knee to get it to bend. It’s going onto 4 months of constant painful knee pain and swelling. I can walk around but I’m very limited. Painful. I need your help please. My surgeon constant words are: I don’t understand why you are in so much pain and swelling. We’re at a point where we’re just take his answer any more. He’s the surgeon. Find the solution. I had to go back to work or else I would loose my position. Now my leg and toes are swelling up. Help please
Thank you so much. Your videos have helped me incredibly in my recovery.
Awesome information. The shin pain and ankle pain is worse for me than the knee itself. Getting better but still not completely healed. At least I know what is going on now. Thanks for the information.
I hear that almost once a week. The shin and ankle pain is worse than knee pain. Or the thigh pain is worse than knee pain. It will definitely get better.
Thank you so much for this info; for all I have seen so far. I just happened to find you!☺ I'm 12 days TKR. I'll ck out your other videos.
Thank you and GOD bless you!😇
Thank you very much for all you clear explanations en help...so many questions I had, you answered ...you are a positive and caring person..thanks again for all the help on my recovery path.
Thanks for the tell us the reason for the pain after 8 months of tkr
Thanks so much for the video answering all my questions
Your videos are very important. I been doing every single informations. Thankes.That helpe a lot
You are a wonderful source of information! I haven’t had knee replacement yet, but you make it seem a bit less scary. I am watching so many of your videos. While I wait for scheduling I want to get more fit. You suggested a shoulder pulley system. I looked on Amazon, but there are so many choices. Would you tell me what to look for in a system?
Thanks so much. This is my favorite. It is the one we use in the clinic: amzn.to/39x0YPo
This is the pedal exerciser we use in the clinic and the one I lend to patients after TKR. amzn.to/3aeXCQ8
I have videos showing how patients will use this at home on the ground for their legs and on a countertop for their arms.
Hello Tony I am 4months post RTKR my ROM is 129 flection , my extension is stuck at 2 cannot just go to 0 . There is also swelling/ inflammation in the knee and pain as well . I did private therapy as well . My surgeon is on vacation but it really stresses me out . I don’t know what to do . Kindly help me I love your channel and got introduced to it only 2 months ago . I wish I had seen the videos earlier . Kindly revert
Pain stiffness Sounds familiar even after 2 weeks COM machine PT walking and exercises surgery was April 6 2021 now May 6 2021. I was knocked kneed before.
Tony, my surgeon told me at my 7 week visit that he made my knee “a little tighter”. What does this mean? I have been slightly struggling with getting 0 extension. My PT told me that this explains why I might be having an issue getting to zero extension. I am currently at -3, 127 flexion.
Wow that makes sense because I feel like the lateral side prevents me from full extension but the medial side is where I had partial replacement and it feels fine. I have a question about lower back. After I started to walk my lower back above my buttocks gets extremely tired and burning when I walk and prevents me from walking and standing for more than 5 minutes. I start to hunch over. Any exercise for the lower back or hips?I feel this is preventing me from more activity.
The gluteus medius is a common site of pain. Massaging that area with a tennis ball against a well seems to work well for a lot of people. Are you working with a physical therapist? i2.wp.com/musculoskeletalkey.com/wp-content/uploads/2020/04/Art_P199.jpg?w=960
@@totaltherapysolutions Hi Tony yes I am and he says it because I don’t have full extension/need to work on hamstring stretches and another therapist said I have to work on my abs. Its not painful but its like a burning that happens when you for example light weight lifting and you do too many repetitions. I recover once I rest. I looked for info about heel lifts and I came across your video. I may try that because when I stand my heels don’t seem to be flat on ground its lifted a little. Thanks for your help!
Update : I tried putting a shoe insert on non surgical knee to raise that leg and it feels like my lateral knee pain is less and thigh muscles seems to work more on surgical side. Not sure if its from insert. I will experiment more. Pain in lateral side of surgical knee is not as bad or maybe my its my imagination?
Almost a year ago April 12 total knee replacement. Having shin pain, a longer metal was put in. I have tried heat, then I go with Ice. I do lots of standing and walking on my job, but cut back my hours to only 4 hour days. Hurts to walk. How long will this last?? What do you recommend.
Thanks for this vedio. Explans a lot of what is going on with my knee. Sure wish i had a pt like you, that takes time to explain things. Jack
Thank you Tony you video make lots of since.
Thanks so much for watching.
I just want you to know that your channel has been such a blessing. You have helped me understand so much the healing process because I had those pains in my knee after surgery and I was thinking that the surgery didn't work. Now I'm 4 months after surgery and those pains are very rare so now I know surgery was successful and the pain will eventually go away altogether.
I also want to know what I need to be doing so that I can go up and down stairs without holding on to the banister?
Once again thank you, thank you for giving advice as a therapist that really helps 💕
Excellent explanation - I’m 10 weeks out of double knee replacement and have great flexibility, i am almost at 0*, but still have lots of pain around my knee, tightness, knee cap pain, can’t got down a flight of stairs foot after foot. Everyday seems a little better, but the tightness and pain around the knee seems the same.
My physio recommended "always start off with your good leg" and it works. I can go down stairs although people stand thinking I'm gonna fall and no problem going up steps to plane at the weekend. My good leg is opposite to my leg that was operated on.. Just to make u laugh. I used to sit on the low wall opposite my house and I forgot about my leg and this time couldn't get up as I get painful sciatica so shouted like hell at my neighbour and he heard me and lifted me off the step. Havent done it since.... Yet
I am having this pain also.It is very difficult.
Hi, Post op why is their pain in the back of the knee?
3 reasons, it might be some articular effusion due to the surgery, liquid tends to accumulate on the back of the knee. Second reason, similar to what was said here, if the patient had a "flexed knee" before surgery, gaining more extension after surgery overstretches the isquiotibialis tendons on the back of the knee.
And the third reason is, after surgery, the body looks for a relaxed and pain free position, this is a flexed or semiflexed knee, so the same isquiotibialis tends to be "tighter".
Hope it helps!
@Dani Marko, thanks so much for taking the time to respond. I greatly appreciate it.
Yes, the fluid tends to push to the back of the knee while extending the knee and toward the front of the knee when flexing the knee. A Baker's Cyst may be causing the pain. There are also occasions when the soft tissue behind the knee is pinched during flexion exercises. This will irritate those structures. Since so much of your time is spent trying to increase and maintain range of motion, those structures are constantly being irritated.
Talk to your therapist. Sometimes you may be advised to take a day or two break from certain exercises to give that tissue a chance to recover.
@@totaltherapysolutions Not at all! Thank you! This is a wonderful channel and an invaluable resource for both patients and physicians. Please keep up the amazing work!
excellent video!!! very helpful
Glad it was helpful!
4 months PO and still struggling with walking properly. My ROM is excellent. 130/0. Feeling stuck.
ive had both knees replaced and i feel like i have a band across the front of my knee and the outside of my knees get sore feeling after i set awhile.knees dont bother me walking i can walk for miles.at night my knees get stiff im constantly having to move them to get comfortable
Everything you said sounds very common. Some people said they like the rolling pin massage before bed. Others find that a little exercises or an Epson salts soak helps before bed. If you find something that helps let us know.
What is the rolling pin. Massage?
Thanks for the excellent explanation.
I’ve had sciatic pain in my back as well as this bone pain in the joint. I’m hoping this improves. Now at 8 weeks.
SAME HERE ITS HELL THE PAIN KILLS ME TATA BERLINE SOUTH AFRICA
Tony, could you address ankle strength and the impact of pronation/ supination on the knee replacement? I’m wondering if this is one of my problems.
I read this comment and took some photos of ankles. I will try to get this published soon.
Just had my second TKA last week. I seem to have pain and light bruising in the thigh, shin, ankle… trying to be patient (I start PT next week)
Is there a possible difference in pain when the stem used is long rather than shorter? Had a break on outside of tibial plateau in November. Surgeon says his solution is to use an extra long stem and that will stabilize break. Original pain and arthritis is on inside. I’m 5’3” female 72 years. Trying to find out If longer stem makes a difference in after pain and recovery. Thanks
Honestly, I don't know. My best guess would be the different lengths would place different stress on different parts of the bone.
1 year after knee revision, 6 months after hip replacement, now having sever pain in knee after walking 8 or 10 steps . Some days no pain at all...
Thanks for your videos - is it common for my knee to turn inwards after replacement how can i correct this - is it important to get new shoes - its been a month since replacement
New shoes after a knee replacement are important. Depending on why the knee is turned in it could be coming from the hip or the ankle. Once you or your therapist can figure out what is causing it you can work on those areas to correct it.
2 years AFTER FKR entire left tibia constantly in pain, why might this be?
This could be attributed to several factors. Perhaps a stress response in the bone due to the new alignment. Perhaps an undiagnosed fracture. Shin splints is very common. I would recommend a new assessment by an orthopedic physician or physical therapist to see if they can find an answer.
Thanks so much for explaining..I'm 3 months po but pain is there at the head of tibial bone while walking & it persists throughout the day...in how many days it will go approx
Thanks. You answered exactly what I needed. Is that the same to partial knee replacement? I had knee cap replacement
So I'm knocked knee, I had a feeling that was going to be a problem..
Your body will adapt, but it will just take a bit of time.
How is your knee now? I have the same problem.
Tony
15 months post op and I can’t bowl, I have pain in the area you talk about here on the video, what can I expect time wise to get back to bowling,
Also I don’t do strength exercises which I feel I need to do I’m 6’3” 250 and I think my knee isn’t strong enough
Thanks for your help on this great channel
Hi William, thanks for the comment.
What is it specifically that limits your ability to bowl? Does it hurt from the first ball to the last? Sometimes it can be one of those things that the first couple hurt, you get warmed up and feel decent for the next few, then it starts hurting again as you fatigue.
It would also be interesting to know if you tried modifying your technique. I am not a bowler, but I know patients that didn't have the range of motion to bowl the way the used to, so now they have modified their approach and release and are back to the league.
In regards to strengthening, I agree, strength is important. You are a tall guy, the worst thing would be to fall and not be able to get back up. If you returned to physical therapy specifically to work on lower extremity strength and your ability to get up/down from the ground, you could also get that therapist to help with your return to bowling.
I wish everyone see how amazing he is . Explaining all so we can understand. Better even dumb surgeon disnt explained it to ke he just said i cant do anything for you. God bless you Toney .
Hi Tony, I’ve had a lot of problems with this. One of the extension exercises I did was to lie on my stomach on the bed with my surgical leg extended and unsupported. I had strong bone pain just below the knee joint in that position. My OS thought that this might be from attachment of the hamstrings. What do you think?
Hamstring doesn't usually present as "bone pain." I use the exercise you described for some patients. Here is a short playlist with other positions th-cam.com/play/PLVcY1xxDTSfy3Vi5-wX4TQMGy_uazZwTe.html
@@totaltherapysolutions Thanks!
Dear Tony, I'm saying thank you at 04.00 in the morning. I've had very little sleep for a couple of weeks (7.5 weeks PO) and no matter what i take these bones pains and general restlessness won't let me sleep. I'm so exhausted that i can't do my physio and, of course, lack of sleep is debilitating in many ways😢. I call the bone pain 'growing pains' because its exactly what i remember from childhood. I had a bilateral tkr and they found quite an abnormal femur positioning in both legs so that's been corrected. I feel a bit like the little mermaid who had all that pain when she got legs!
I like listening to you, my problem is how can I overcome the pain on the right side of my knee after total tkr
Honestly, once you figure out what is causing the pain, the next step is usually trying different things to resolve it. Sometimes this is walking differently or wearing different shoes. Sometimes cupping or taping helps. Sometimes it just takes time for your body to get used to the new knee and alignment.
i stopped physio as too painful, had 4 sessions and never went back
Found Tony site and used it throughout and told all friends to use his site instead of going to referred physio. Tony merhod makes such a difference.
Tony I have a question I'm p.o.4mths knee replacement I was planning to travel next month my issue is stiffness on my knee I dnt myself think I shouldn't travel right now wait for couple of mths until I'm better any suggestions 😊
Guess I will get used to it..i pray soon..21/2 weeks and work in hard..but the agony
I just got a cementless total knee replacement should I be taken my exercises more cautious not pushing it as hard true or false ?
It has been 4 years since my TKR on my left. The right knee is bad as well but my chin bone on the left is causing me a lot of pain now. So now I have pain on my right knee n also pain on my left chin bone. Almost unbearable
Great explanation....thank you very much !
I had felt very down because of only 90 degree bend in my left knee post operative 5 weeks. I got some hope on viewing your videos.
Glad it was helpful!
90-degrees at 5 weeks honestly isn't bad. There are so many other factors to consider. Your body will usually do what is best for you despite what your brain may want. Slow and steady. You will get there.
@@totaltherapysolutions Thanks Sir
Hi Tony in continuation to my previous message , can you now help me to bring my extension to 0 pls . During the day I do all exercises for extension but at night I sleep in fetal position .now at 4 months PO how do I sleep at night to bring it to 0 .kindly let me know . Thank you
Today is 7/30/21 and had a partial knee (inside) replacement on 5/20/21 and still feel like the rubber bands around my knee. Also have this pain at times shooting down the front/side of the leg to the ankle on the surgical leg. Very frustrated! Doing therapy multiple times a day and still not where I want to be.
Have you posted about complex regional pain syndrome? I was just diagnosed after my 90 day checkup for TKR. Any suggestions would be greatly appreciated.
No, sorry. I don't have any good information on that. Do you have a physical therapist you are working with? One of my favorite websites that might have information for you is www.painscience.com/
Complex Regional Pain Syndrome, formally known as Reflex Sympathetic Dystrophy is where the body still perceives pain after the source of pain has been removed. It is a rare unique response to injury. I’m fifteen months post Uni-Knee Replacement and have burning, tightness and stiffness in my knee, that I had treated with nerve ablation. I’m amazed they have made this diagnosis in ninety days. My knee felt great from three to five months, then it became stiffer and I developed pain. It’s nothing like my pre-op pain. It’s more of a fun-sucking pain, than a debilitating pain. One of my fears has always been of developing RSI because it’s so capricious. I think I just have a lot of scar tissue, my doctor hasn’t even considered the RSI diagnosis. Fifteen percent of all TKR surgeries even when done right are less than perfect. Good Luck.
Thank you for the information.
Thanks so much for the video over 3?weeks using ice
👍
3 1/2 months still have pains and no full extension 😢
I am 12 wks post TKR surgery and have great flexion ROM but not extension. At 9 wks I started using a mechanical JAS splint 3 times a day for 30 min. each session. How long does it take to achieve full extension? My PT is working on the fascia and stretching the muscles but has told me that b/c I haven't had full extension for 10+ yrs that I might not be able to achieve that goal. We took a measurement before I started using the JAS splint--11 so we can objectively track my improvement. At 3 weeks we are going to take another measurement. What say you?
Thank you for the info. This is my main problem only the sensation goes all the way down to my ankle. I had bilateral total knee replacement and it is the worst pain I've ever had. I'm 7 weeks in and I still have a lot of pain. How much longer do I have to suffer ?
I am 8 weeks out from my tkr and I would like to know also because it has been the worst pain in my life. I hope you have good luck with your pain and it goes away soon.
Thank you for the information...
Thanks for watching!
I only have pain going down stairs. I’m 12 weeks out of tkr. Is that normal?
Do most people in the UK now have a non plastic knee? What's the difference between a plastic one and whatever the NHS uses. I'm in pain most of the time but try to carry on. Mine was private (because of covid) and I can't contact my surgeon again because I've run out of savings. It's 12 months since my op and yes it was a full knee and plastic.
I should say I have more equip than the man in the moon. I have a revitive, a 'thing' that has plastic legs where your legs go in and the machine blows them up (you will know what I mean) I've a bike and a physio as a friend 2 doors away 😍 we did Tulouse at the weekend. Yes i did walk all the time but I was in a lot of pain.
Are there any excersizes that we can do before surgery to help with this?
Hello sir am from India 🇮🇳 a big fan of you sir I follow your videos. Plz help me out with my knee flexion. I am a hemophilic my knee had 60 degree flexion from before so gone for TKR B4 3 MONTHS. Now am getting 70 degree. Am not getting 90 or 100. Am doing all exercises for knee
Hi my surgery knee is now 7 weeks a go still painful and swelling after walking it is normal or not I can bend like 60 .70. digress it is possible or withings 7 weeks need more? please thank you
Great info .. thx a lot
Is there still a Facebook group connected to Dr. Tony?
Great video, very helpful information. I get out!
Am at 125 range of motion…my issue is mild pain on side of knee and often times down around the front of leg, also when can I expect swelling to go away? Am 3 months out from my TKR
Thanks!!!🥰
To the question below ... I was very active even with knee pain before revision ... I would love to go back to cooking, baking canning n cleaning my home ... I don't know how to do this now with so much pain ...