Exercises To Improve Knee Flexion After MUA Knee Replacement
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- เผยแพร่เมื่อ 20 มิ.ย. 2024
- This is a detailed discussion about frustration after a manipulation under anesthesia. I also discuss exercises to do after MUA.
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About the author:
Hi, my name is Anthony (Tony) Maritato, PT. I am a licensed physical therapist and owner of Total Therapy Solutions. I have specialized in helping clients recover from total knee replacement surgery since 2002 and have created this video to help YOU.
Total Therapy Solutions
5900 Long Meadow Dr
Middletown, OH 45005
Thank you. So many of us are struggling with flexion.
I'm getting a "guarding response" just listening to Tony describe the flexion manipulation! Ha ha!
Tony I had a my knee replacement surgery on December 14 th after that I was going to pt having a hard time bending a lot of stiffness n swollen I would excerses at home doing everything I can it's very frustrating on February the 8th I had a manipulation done the same day I went to PT my range of motion was 100 for 2 days the 3rd I was range of motion 85 I do my best to bend it back so hard it's painful .what else can I do 😢 thanks Gloria
I had a frozen knee after TKR. Still have it really. But I’m working thru it. I’m extending snd flexing my leg to the point of discomfort holding for 10 seconds and then increasing repeat for 30 minute sessions 4 times a day. I’ve moved from 73 degrees to 103 degrees in a couple of weeks starting 7 weeks after surgery. I use a long rope like heat mat that also vibrates. As I approach the next step I also do deep message in the quad. And finally I’ve learned to relax and that this works best if I’m very distracted. A phone call works wonders or a very engaging tv show. I hope to reach 120 this week. He is very right. I am my own worst enemy by pushing myself into too much pain and then I shut down and can’t get past it. For me more discomfort and no pain with a good distraction and I get more gain. 😊
Thank you very much for this and all your well produced videos. I go in tomorrow for a right TKR. I've been waiting for years to do this. Did four weeks of pre-op exercises. I'm ready. Thank you again.
Thank you, great information and thank you for all the help you give so generously.
Thank you Tony for all the great information. Four months post op left TKR, two months post MUA. I have a lot of tightness stiffness and swelling. . I go to physical therapy three times a week. I just saw a second opinion. OS his recommendation was to stop physical therapy. Limit all my exercises to just a couple extension and flexion., and ALEVE 200 mg in AM. n PM. He said my knee was very angry with me and needed to rest, I’m afraid of losing my ROM. Currently at physical therapy and I’m at 122 and -4 Thanks
I only started watching your channel last October, after my first knee replacement. I’m three days away from my second knee replacement. That’s two replacements in two months. Of all the channels on the subject, yours feels more personal. I had great success on my first TKR, and hope the second is at least as good. I’m a little worried that my first isn’t quite ready to carry the weight, but I want this behind me before spring.
I'm so frustrated that I am dealing with this exact thing. My doctor says "no pain, no gain" I had a mua 2 days ago and am in so much muscle guarding pain. He wants me to do 4 hours of the pt exercises every single day for the next 2 weeks. I don't think that I can make it past today and the 2 hours I have done already. I am so happy to have found this group and know that I am not alone!!!
Excellent video. I am going to explore other options in your video that will help with manual massage and flexion. I have to agree that there was a lot of guarding on my part in the stretch knee fix prone. I can do this on my own and control my pain level.
Thank you! I did not have an MUA possibly due to the fact that I fell an cracked a small bone that was not protected by the knee replacement but was right beside it. So, my replacement was on 9/7/21 and my knee is still swollen and painful. Flexion is very painful. Its so good to hear that it most probably was not my fault that I ended up this way.
Your videos are so helpful! Thank you!
after 2 surgery's from 2019 having problems still in 2020 then had second surgery again DEC 23 2020 now may 2021 my scare tissue bad makes me limp 16 weeks of pt and this may cinco de mayo last day of pt thank you for your videos i have learn more in 2 views i watching your videos
than all the in therapy still trying to get my knee or leg straight love lnfo
I simply love you thank you so much after finding you I know there is hope and I can keep my job. I had knee surgery December 14 I'm only at 110 bend I need at least 5 more degrees to feel comfortable at my job
Thanks so much. What do you do for work?
Thank you. This is me also almost exactly. No ROM and difficulty with standing after sitting in a chair after working for a period of time. Pain around my knee and behind my knee. I had TKR 10/21/20. 90ROM. MUA 1/29/21. 125ROM under anesthesia. Home and barely 90ROM. 7 months post op. Just had MRI on knee showed no tears in tendons or muscles, back of knee looked good, Posterior capsule intact. Patella tendon swollen and inflamed. Some atrophy in my thigh muscle, nothing wrong with implant. No infection and no fluid in joint. Xray of hip and knee. Looking for other issues like arthritis in hip causing me to not be able to stand. Do have little arthritis in hip but not enough to cause my problems. Knee xray showed no signs of loosening. I also quit PT for 4 weeks as I had extensive pain behind my knee and bruising after exercise. It was not worth it having my knee foced to bend. So I remain frustrated because I know what I dont have wrong. I just dont know what I do have wrong. Live in a 3 story with a non op knee that needs a TKR, 5 years bone on bone and its telling me its not going to help me anymore. I am exhausted, have high blood pressure from pain, lower back hurts from walking wonky. Using a cane. I appreciate your response to her question. It helps me understand and not beat myself up so much. I to have a new exercise program for home to increase flexion but not as intense and ride my stationary bike 2x a day. They are looking for slow steady progress. I just watched your ROM video on measuring for improvement which also wont be so stressful for me now. Thank you and good luck everyone. This has been a long long road.
Dang miss, it's been a while but how is your knee doing now??🤎
I hope it's 🙏 improved. I'm not too good at the moment
I have the same problem with my knee I have oready 2 surgery and a mua. I have 6 weeks after last surgery and I asked the my terapy and I have not answered. I have 10 months from the accident
I had a total Knee replacement at the end of January, manipulation in February because I was at 120 and should have been at 130 ... After manipulation, I was at 124 and after therapy, and daily home work, I reached 142. In May, I went back on the tennis courts ( I was playing tennis before) but I have problems running or taking off. I continue my exercise 5 to 7 times a week for anywhere between 1 hour and 2 hours, including knee flexion twice a day but I don't think that I am progressing in my knee flexion. Your presentation helped me understand and realize that I am doing OK. Thank you.
By the way Tony, my extension has improved! Major announcement about how far my extension has moved on my Russ Is Right Channel tomorrow (Saturday - 1-23-21) at 7 AM! The JAS unit has really helped me get a better extension and flexion!
What is a JAS unit?
I'm 83. My TKR was May 11. On May 26 my range was 120. I was walking well w/o walker or cane when I returned to my home (was at my daughter's from day of surgery to May 27). The surgeon, 2 physical therapist at daughter's and one at my home on May 29 all said I didn't need p/t. I took it upon myself to make a p/t appointment for evaluation today, June 21. My range is still little over 120 and I passed all tests except one done by p/t today. I was on my side with leg up and flexed a little. I was -4. I was given exercises to do at home and return in a week. Tony, I'm glad you explained sensations of cramps in the quad. I had that yesterday. I am walking with my knee slightly bent. I noticed last week when I got on the floor (using your video to get down and up safely) that my back of knee did not touch the floor when I did the exercises to press knee down. On the bed where I did the exercises, it felt like the knee went flat. So today p/t walked around with me while I made sure I touched heel to floor and straighten knee. Hooray. I walked like a human being.
I get a lot of help from your videos and look forward to walking better soon. Unfortunately my 8 degerated discs in the low back and arthritis in my hip contribute to high level pain which also affects walking and standing. But for the first time in over 10 years I can sleep on my right side with no knee pain.
Tony, yesterday I went back to p/t and my range was 29!!! I get my back injections tomorrow so I hope that will help me walk better. When I step down it feels like a sword goes into my hip joint. That affects my balance. I plan to go to our small gym in my mobile complex and walk on the treadmill to work on my walking balance. Its amazing my thighs etc are very strong considering I'm a couch potato. I just can't stand or walk without severe back pain and spasms that stops me in my tracks. Then I have to ice etc. I do back exercises now my knee is 2 months old. I've asked my doctor to refer me for p/t for my back. The referral for my back didn't go through. With 8 collapsed discs and mild scoliosis its really difficult even to sleep.
Thank you Tony, this is so helpful.
Thank you so much. You have given me great suggestions
You nailed it! I was personal trainer 27 years so doing the exercises was not the issue. Range in first knee 100 degrees aftera fewyears. Second knee was 93 degrees the day after surgery and day 5 after therapy it blewup.Had a MOA that helped quite a bit. Trying to get more range now that all my spine surgeries are done. Fused from L2-S1 so I do have restrictions. Great videos!
limitations not restrictions
You are helping me to understand tk replacement. Thank you
I am in the same boat as Kathy, the exact same situation!!!!
Thanks so much for this video. Lots of ah ha information for me. I have experienced all of this. Especially- vulnerability.
OMG!! This happened to me Wednesday in the same position. I left out of there in so much pain. I decided today not to go I will not go back next week. I’m going to go to the gym, walk , do the exercises that I know and watch your videos
Don't hesitate to call and talk to the therapist. I get these calls. I always appreciate a patient telling me what they are thinking. You are in this together. Your therapist will likely be very receptive and responsive to your wishes.
Tony thank you for taking your precious time from your day to record these videos. I am just 12 days out of R TKR and I do believe God guided me to your channel. I had 4 PT sessions in home & one out. I was given exercises to do at home like everyone! I know you will tell me to consult with my doc but what is your opinion, please. If I'm in tears doing a third set of an exercise, should I back off? I was instructed that my knee needs to be at 90° by 2 weeks post-op. I don't think that will happen!
I have surfed a few videos and just knowing others are going through the same journey really helps. I briefly saw your pup photobomb too! 🐶 I think you said his name is Tucker. Is that correct?
Signing off at almost 2AM (can't sleep well) from the "left" coast!😁
It’s a brain game for me, and I can’t do exercises until it’s desensitized, longer duration with lower intensity, with a flexed hip-kneeling helps. Deep squats on the Squatty-Potty stool:). I have the JAS device - 30 mins/x2 daily. Rub with a dry rag or ice it for 10mins during JAS!! Thanks a million!!
Great information!!!
"Repeated exposure for prolonged duration at a low intensity enough intensity to maintain the position but a high enough intensity that stimulates changes in the soft tissue."
Thank you for offering hope!
Left TKR 8/23/21 I could straighten my leg completely from 8/26/21 to about 9/11/21
and bend my knee to 100. I started having violent cramps (some during the day and every night every couple of hours). One of these caused me to fall, I swelled up and had a lot of pain.
The cramps kept my knee swollen. MUA on 10/25/21 I think dr said he achieved 5/105. Cramps got worse & woke me every hour in extreme pain after MUA. Now I’m stuck at 30/90.
FYI - I had left THR in 2000. left hernia repair 1994. Meshoma - infected hernia mesh remove 2/2011. So neurologist & I think the cramps are due to so many surgeries in the same area.
I am doing PT 3 days a week & just started at a therapy pool.
The pool will be really great. I hope you love it.
I wish I knew to watch you before my TKR L knee almost 8weeks.
You speak with calm & clarity
My R leg is 1" + shorter than my L leg.
I had my 6 week check up with doctor of the orthopaedic team last week
I cannot get my L knee flat or walk probably (Without realising) I suggested to the doctor of the team I may have walked this way before my op? He also queried why I walk bent.
I'm under a well known Spinal team .Had 2 lower back ops:
2012
2013
Also a Spinal cord stimulater implanted implanted: 2018.
The doctor is referring me backnto the surgeon
I felt so deflated & confused as to why I am walking bent & why hasn't the Spinal team done anything to help me walk upright?
Re my knee replacement: I'm always active & have been doing the exercises as demonstrated. My knee bend is quite good & physio suggested I may have got to my peak. It is at the top spec. My walking without straight knee is really concerning me
Positive note.
While in hospital the physio team have got me an appointment with Orthotic department to have an shoe implant sorted. No one has ever bothered before
I think my shorter leg isn't helping my Left knee re walking?
Thank you again I'm seeking to join your face book page.
Thanks for ur valuable information 😊
Tony, this os Nancy Santiago from Puerto Rico. I had a total TKR back in July 27, 2021. I was on rehab center for 10 days. The pain was horrible. Still had the therapy, passive motion machine, waking, strength exercises, the works. I went home with “at home therapies” 3 times a week. I tried exercise myself. My knee stiffed completely. Went through a revision surgery on October 26,2021. Back to rehab therapy another 10 days and back home with therapy 3 times a week again.
I am regaining ROM but the pain when my knee is forced is very hard to take. I still take it. I am having horrible deppression and anxiety after 6 months of these nightmare. You just said there is nothing else you guys can do about after that pain ensues. Then MUA is recommended? I am freaking out about any more procedures, specially after knowing it may not work. I just turn 60 before my revision surgery. I was in good shape, no overweight. The tightness never goes away. Even 4 days after my revision surgery I was feeling the same. Please help!
After 2 MUAs and most recently an open arthrolysis I am still struggling to get my active flexion to 90. Passively, it's only 90. It was better than this 2 years ago pre-TKR. I am one of those who did everything advised. If I could achieve 105, I would be so happy! I can relate to all those struggling. I have not yet found anyone in as bad a situation as I am with knee flexion after TKR. I am a keen walker and cyclist but fear I will never ride a bike again!
I know exactly how you feel… It seems like everything that can go wrong. Has go wrong with me… I had a manipulation under anesthesia that brought back more flexion in my knee to 90° plus… But the swelling continues… The clicking noises in my knee and the inability to go up and downstairs or even walk normal is so annoying at four months!I am so frustrated!
Getting ready for an MUA. If I didn’t have the knowledge I get from the replies to Tony’s videos, I think I’d be 6’ under. Your experiences are so helpful in getting me to continue working at it, even if progress is very slow. Thank you.
I’m so sorry to hear of your struggles… If it’s any consolation, please know that things could change in a matter of a week… Just keep doing your exercises and have faith in your body… If you were in good shape before this happened then your body will remember that, and it will fight hard to heal!but I’ve been there with you and it’s getting better! And I just can’t believe it… Thank goodness I found Tony’s website on TH-cam. It’s so supportive and educational!
Thanks for all the info. Nov 2022 first knee, second knee Jan 2023. When I go walking example at the supermarket my knees stiffen up and sore when I get home. I’m going to increase my time on the recumbent bike to 20 min then 30. I’ve been doing ten min every other day. Thought my knees would be doing better by now. My rom seems to be where it is suppose to be at 124.
I had tkr on Jan 30th, 6 weeks after my rom was stuck at 100. Dr. Wanted to do mua, I'm active and need rom. I agreed, so he did it, March 20th.. He said my rom during mua was 120. The day after at PT my rom was 115, today, 3 days after mua, I was at 122! It was beneficial for me to have the mua. BUT, you HAVE to do the PT after, you have to push yourself.
Great Great information
Thank you for this video Tony. I had TKR on Jan. 6, 2022. Stiff from the beginning. At 6 weeks, I was only at 90 degrees. I had a MUA on Feb. 25, 2022. Two weeks after manipulation, I reached 116. I continued daily physical therapy for another month and only increased to 120 degrees with extreme stretching by the physical therapist in a month's time. Just went to the doctor on April 8, 2022 and saw his PA. He just told me to keep going to physical therapy for another 4-6 weeks. My extension is 0 but I want to be able to ride a bike again, hike and walk stairs normally. I am off the pain meds and am just taking extra strength Tylenol which doesn't kick the pain and makes it more difficult to stretch. Feel discouraged and am wondering what else I can do. I'm 3 months post op, and 6 weeks post MUA. Are there other things I should do? Can I still make progress?
Hi Tony, I found your site a few weeks ago and find it the most useful. I fractured my kneecap over five months ago but still cannot get past about 75 degrees on a good day. Are your exercises the same for a fracture as a replacement? Me fracture was a simple fracture with no displacement, but I feel the brace which was put on too tight and very close to the bottom of my kneecap could have caused some of my problems. I am 73 but up to my fall was fairly fit and walked 7 to 10 miles nearly every day. Now I can bear
walk around the house without my knee swelling and becoming quite painful. I still take at least 6 paracetamols a day. Have you any ideas you could share on your site.
Thank you so much for your easy to understand approach to knee surgery and the journey afterwards. I am in Australia and nearly 3 months post BKRS. You have been so helpful but especially you have been so encouraging with your expertise. Many many thanks.
Had TKR 9 weeks ago and only have 105 degrees flexion so my orthopedic surgeon ordered a MUA due to my stiffness in my knee. Hanging in there and facing some more pain but better than suffering the arthritis I had in that knee area for years.
I can’t believe they didn’t see 105° flexion as good… I wouldn’t of thought you had enough scar tissue to require a manipulation… They did mine because I was only reaching 80°… I still haven’t gotten to 105 after manipulation so you’re very lucky!
@@kbbowman8654 Hi Well a year later as of March 15th and a MUA done my knee is still not at 105 degrees but around 40 degrees.Knee is still a little swollen and my doctor doesn’t have an answer why. No MUA again for me that hurt more due to the low pain meds. . I walk about 2 1/2 miles when I can and it feels good and I am now a weatherman for I feel the change in the weather here in New England. Keep up with the exercises and know “ Tough times don’t last but tough people do “ Times does fly by. Have a Speedy Recovery 👍
Thank you
Wow, this is exactly my story. Seven weeks post TKR (2/22) and one week post MUA (3/7). Reached 125 flexion during MUA but only 85 flexion (with difficulty) in PT that same afternoon. Going to PT every afternoon and doing home exercises every morning, only at 90 degrees flexion/2 degrees extension as of 3/13 limited by a great deal of pain on the inside of my knee. Dr. is disappointed in my lack of progress and is referring to pain mgmt. for nerve ablation. Is that the next best step or is there something else I should consider?
I have binged your channel since the issue I am having day 13 is knee flexion and my quad is a mess. Similar to Russ' story.
Thanks for watching!
Hi toney thanks for encouraging me there are times I give up on this stiffness on my left knee placement on Oct 10th 2023 ill be a month soon I bought me a ball at home to practice like I do outside physical therapy it's bending a little better the swelling is going down a little better I go this morning I know Dr Patel will have me on the bike this morning I hope she cracks back my knee like she did my right 7 years ago it felt so good my knee wasn't stiff no more im walking a little better without the cane I go for my 6 week check up nov 21st I hope I'll be able to take a bath what other exercise can I do that will help me thank you 😊
Great explanation, thank you! I’m 16 days in after a TKR, & had a huge breakthrough today.....I finally managed to raise my leg while laying down!!!! I’ve been so stressed worrying it would never happen.
As for flexing, getting there slowly but surely. Will definitely try some of your suggestions.....thank you!🙏
🙌 YAY to raising your leg! That is a huge achievement!🎉
@@barbigoschen8692 15 months since op now......soooo happy with my new knee! The physical therapy was brutal but worth it 👍
Oh Lynn, how we all want that microwave healing, right?! 😉 BUT God has His own time table; I'm hanging in here! How blessed you are to now look back and say "YAY" I did it!😇🙏
I'm sitting in a different sofa right now to receive a big dose of bright sunshine! I lifted my leg up to the coffee table (a no no in my youth😃) with a "scream" from my knee cap. I had to start singing😂😂 as my puppies were getting upset. I bet your pup is protective of you☺too! In 24 hours, I'll be 14 days post-op! I must give over my "fear" of not bending & straightening my knee over to Jesus everyday.
Thanks for your words; they encourage me. I'm happy I found this group. Months from now, I'll encourage others!
@@barbigoschen8692 aww it’s so worth going thru, honestly. Take one day at a time, & don’t put too much pressure on yourself, just do what is advised & you will get there.
Sending healing vibes your way......good luck! 😉
Thank you so much for sharing these helpful videos. I had a TKR on August 30 and I have been having 3 days a week oof therapy since September 7th. I only got to 92 degrees flexion after six weeks, so I had an MUA last Tuesday and my doctor said he got125 degrees of flexion under anesthesia. I went back to therapy right away every day after that but can only get to 102 degrees of flexion. My knee is a bit swollen and stiff. I do very well in therapy sessions, but I still cannot get more knee flexion. I have had 6 weeks of therapy already and it's costly. Any advice will be appreciated.
I still have pain, stiffness and swelling post MUA 3- weeks. A lot of bruising. OS showed me photo of my knee at full flexion under anesthesia
In PT, I'm screaming for them to stop bending my knee!
Taking pain meds, lots of ice, lidocaine.
My OS recommended a Dynaspint to use at home to gently flex my knee everyday for 1- hr/2x day.
Just got mine today.
I’m at week number 4 aftrr having complete knee replacement surgery. I’m 71 years old. I do my home exercises 2x’s a day. PT three times a week. I’m feeling frustrated because I’m only at 100 flexion. I feel like I should be doing better. My knee is still swollen and sore and still feels very stiff. I also walk thru my house s lot. I’m trying to keep moving. But by 8-8:30 at night I’m exhausted! Any advice is welcome!!! Thank you!
I had bi-lateral knee replacement surgery 15 days ago. I was surprised how painful it was, however, each day has been better and better. After 15 days, my left knee bends to 112 degrees and my right knee bends to 103. Why some of the physical therapy has been very difficult I just do it, knowing that I’ll improve and get better.
Wow, I didn't think they still did both at the same time. Good for you. I'm struggling with just one.
@@lueellis2914 Yes some doctors will. However, I’m pretty fit and in great health at 60 years old. I also have a seasonal business and have my winters off so my doctor was comfortable doing both knees at once.
I had total knee replacement surgery Aug 23, 2022. At approximately 4+ weeks, the physical therapist measured me at 110 deg. after my session. I continued with my home PT, and my next in office PT session, another therapist introduced some different exercises - standing and sliding each leg forward, back, and out to the side. Only mild discomfort during the exercise. The next morning, I woke up, my knee was extremely painful (before only very mild discomfort) and I lost a lot of range of motion. I could not get my knee to bend 90 degrees. I focused on the stretching PT exercises that day. The following day, I had in office PT, and told the therapist what had happened. He focused more on stretching exercises. At the end I had 90 deg. I am now at 8 weeks post surgery. Range of motion is 102 deg. I feel my progress is moving forward, but at a snail's pace. Should I be concerned at this point? I walk about 8,000-9,0000 steps/day (this includes normal activity, not a deliberate attempt to get that many steps. I am actively moving every hour (at least 250 steps). I am able to ride my exercise bike if I keep the heel of my surgery leg on the pedal. Then I can get full revolutions. My surgeon thinks I am doing fine. I am worried about scar tissue building faster than I can gain range of motion. Thank you for your very informative videos. Wish I had found these much sooner post surgery. Pre-surgery, I was a bicycle commuter, so I was in excellent shape prior to my replacement.
I had total knee replacement on September 28th 2022, I been to PT 3 times so far. what's frustrating for me is the swelling on the outside of my knee which prevents further movement. My concern is scar tissue building up to make it even more difficult. Should I just take what my knee gives me or push through it to a point?
2 weeks today had Mya. My flexion barely at 80. Was 130 at time of mua. I can get it to 95 with use of cpm. Using this machine 3x a days for 45 min. I only have 5 pt visits left. Plan is to Go to gym 3 days a week to ride bike. Only have been once and trying to make a full rotation. Hot springs 2x a week. Walking every day along with various exercises. Doc told me my brain is stopping the bend because of the pain. Well how do I get past the pain? Do I need to go to therapist for hypnosis? I bought a tens unit and will learn tomorrow how to use it. I am so at my with end. You are right there are folks that breezed through the surgery and get full motion back. 2 months ago. Thank you for your advise
Hello how is it now
Hay, i did not been through knee replacement surgery but i had a surgery of displaced femur fracture and pattilar retinaculum repair i had my surgery in October itself but still my flection is 60 degrees working way to hard to get flection
Question?
Have PKR Bilateral
Hate them
Stiff ( full) tight pain
Patella femoral chondroplasty
Any experience
i had a tkr 6 mo ago.now i had a mua 10 days ago.now its starting to get tight what can i do.plus i was on the cane but had to go back on the walker due to muscle spsasms in calf and behind knee.
One week off of two years, barely at 90 degrees of flexion, very frustrated by the lack of bend. I did have a breakthrough a couple of months ago, constant pain, but suddenly a ‘ping’ in my knee. I had obviously snapped a piece of scar tissue. A few days later, pain gone, but no more movement unfortunately. I keep trying to accept this is what it is, but…….
I had my surgery on April 17 now it turns out sometimes I’m up on my feet too much during the day I try to elevate and ice at times and I took a ride in the car today. Went to a birthday party for two hours. Saturday table had a dinner, and then elevated my leg a little bit and then drove all the way home I had severe swelling I would say I’m not ever exercising as much as I should but my knee gets so swollen and numb. I’m just scared of the swelling swelling. Is this normal after I do a little bit of activity and also from sitting in a chair just regularly sitting in the chair like normal my my knee, blues up with swelling is this normal?
I put the gait belts around my ankle lay on my bed on my stomach and Pull It Forward over my shoulder it's much better for me to be in control of the pull and I will do much better than if someone is pushing on me
I got mine 05.14.2021 left i can do 112 to 105 back at gym, learning how to walk and not limp.i swell bad getting venigram possible clots? ? Needing stent? Will find out 07.13.2021
I am going on five months. Total knee replacement been manipulated showed that I got 130 at manipulation. Went to therapy within a day or so got 84 been going to therapy every day for 2 1/2 weeks not getting much results insurance maxed out, so we’ve been doing therapy at home. We seem to get a little bit better reading. We bought a Measure off of Amazon but still a lot of pain can’t bend my knee. Not sure what to do now.?
I had tibial plateau fracture surgery. I was immobilized for 6 weeks. I didn't start rom until week 7. When I went to outpatient PT, they told me I was immobilized way to long and should have started rom much earlier. After 4 weeks of PT I have 120 deg of flexion and 7 degrees extension. My normal is 148 deg flexion and -10 extension. I am an athlete and want all my ROM back to normal. Would I benefit from manipulation? What can I do to regain my ROM at this point? Thanks
My MUA got to 120 was put on cpm for 18?hrs after l was off l only reached 50??? I had it June 21 physio 3 times a week l exercise 3 times a day and walk 4 km every night with my dog physio therapist thinks something not right surgeon seems unconcerned. I am very concerned lm more crippled now then before do l need a second opinion?
hi im carlos. had an acl repair. and a mua . and they cleaned the scar tissue and I can't straighten mi knee or bend my knee wy can't straightening my knee after 3 procedures. Every time I move my knee is popping that more I move mor the pain increase and swelling
Hello....Just thought I'd drop by and give an update since I have received so much encouragement from this channel. I am now 2 years + 5 months post TKR. I am now 1 year and 10 month post MUA. I decided to revisit my surgeon on my 2 year TKR anniversary date just for a "wellness check". The surgeon took X-rays and said everything looks perfect. He measured my flexibility and was SHOCKED 😮 I can bend up to 120° which is only 5° short of how far I could bend before surgery. He was so shocked that he thought he had his measuring tool upside down. LOL. He says he has NEVER had a patient regain that much bend after TKR surgery & MUA! He asked me what I was doing to gain and maintain such an incredible bending range! 😁(pilates, treadmill, elliptical, recumbent bike, walking....)
Great news. I'm 5 months in after my tkr and have an mua on Friday. Any tips ?
Like your old self, i can barely hit 90° and the flexibility is rubbish.
Nervous too after having the tkr was so painful, dreading this.
Well done again
How was the pain after MUA?
@@MsWendy1021 I didn't have any pain at all. Turns out they gave me some king of local pain killer that purposely did not wear off for days, so that I could bend, etc...at PT with maximum results and minimum pain. How are you doing?
I had a ruptured patella tendon i am 6 months post op but i was on the waiting list for surgery for 7 months so alot of muscle wasted away! Things are going ok although definitely my biggest problem is the knee EXTENSION i can extend it with no weight although not fully as theres so much pain in the kneecap
Thank you Tony. Have you seen patients with "traditional surgery vs "minimal invasive muscle sparing" tkr? And if so, which one have develope better results as a PT?
Everytime I do stretching and PT I hurt for days. I'm ok where I am because I'm exausted running to PT, working, going to water classes, taking care of home. At 9 weeks my flexion is still 110-115. I'm frustrated as
h. MUA is out of the question.
In the pool I do squats. I was told no kneeling for 4 months at least. Online it says 6+ months. Any thoughts?
Hi i had mua 4 days ago after tkr last june 2022..yesterday i reached 101° but today am in a lot of pain am i doing too much too fast i have a cpm machine im using from hospital and am doing other excercises too
I am 3 weeks after surgery i had complications after surgery and not much physio at the hospital because my hemoglobin was so low and i keep bleeding , not i start PT my therapist is good but she does some manipulation that's really have me screaming and suffering. I have so many health problems including mix connective tissue disease. I decided not to return i am doing home exercises i am so traumatized 😭 😫 because these manipulations were made when i least expected I'm icing and doing my best.
Is 105 degrees exceptable??
Unfortunately, I have neither extension or flexion. I am stuck in the middle. I am 4 1/2 months post surgery. I do all the exercises and more but nothing seems to help. My right knee replacement took a year or so to normalize and that was 5 years ago. My left knee I’m hoping will do the same.😒😒
I am six months post op....I’m barely at 90 degrees. I stopped going to PT because they were bending my leg to my butt and I was screaming, crying and humiliated in front of everyone else in the facility!!! I have no idea how to get my knee to bend further. I still do my home exercises, but I really wish I had NEVER gotten this surgery! I’m not old but I feel like my “normal” life is over. I will never be able to bend my leg or move normally. It’s depressing. 😢
Hello how are you how is your knee now
@@bertrinamitchell5423 Hi! Thanks for checking on me! At six months post TKR I had a MUA done. Best Decision EVER!!!! I’m now about 8 weeks post MUA and doing so well! I gained about 20 degrees of bend and I have no pain, no more swelling, etc….I’m back to my normal life functions, my normal exercise routines (Pilates, bike, treadmill, elliptical, the gym, etc…) I’ve also lost at least 10 of the pounds that I’d gained in the 6 months post TKR. I’m ecstatic with my progress!!!!
Thats great what state are you in? Am in new york. I did Acl and meniscus in october 2021. I did a mua with incision in february 2022 but still stuck at 90 am so fustrated and lost for hope.
@@bertrinamitchell5423 I'm in NJ. I had my meniscus repaired years ago. I was up walking that same day...no problems at all. I didn't know that there was such thing as an MUA with incision!!! Wow! Feel better soon!
Thank you. Yes i did a atheroscopy and also a mua at the same time. But knee still so difficult to bend. Am so hopeless its gonna make a year in may since i fell. And am so fustrated i still cant walk properly
Ice is your friend!!!!!!!!
I also used a yoga strap, laying on my stomach, pulling the operative knee over my shoulder amongst other things. Flexion will come. For some it is slow. Take pain medication 30 minutes prior to exercise. Use your ice packs. It's going to hurt. Expect it to hurt. Don't be stupid and accept bad pain that is redicuclous.
Great feedback. Thanks for sharing.
Unless you make clots
In the first two weeks, I did great after that scar tissue came in and I am losing range. My Dr. Said after 6 weeks it's not going to get any better.😔Is that true.
Im doing cpm machine 3hrs a day 1hr at a time
I can't do 90 degree until now. I am now in 2 months post operation still hard time to get 90 degree.what will i do?
What do you mean by manipulation?
Hi Im glad I found your site. Im 69 yr old. I had a TKR June 15 2023 Im at 97° ROM and very frustrated. My PT has informed me that Medicare will no longer cover me unless I have MUA. I do not want to go through this procedure for fear I will go back to what I experienced after surgery. I took oxycodone for 3 weeks and became dependent on it and didn't like how I felt. I couldn't sleep or eat. I stopped cold turkey and it took well over a month to recover. I was weak and didn't feel well at all. I did PT during this time but not successful. I just started Aqua therapy. Not sure if this will help but im stretching and doing bending with bands and holding for 3 to 5 minutes during commercials while watching tv. I do this several times a day and during the night when i get stiff which is maybe once or twice during the night. My question to you... can I accomplish gaining ROM over time without MUA? Im.trying all your exercises and appreciate your time you spend with your expert advice.
Great question. I have several MUA videos on the channel. You can ALWAYS continue to improve ROM with time and no MUA.
It just takes longer. Could be much longer.
Please stop the Oxy. Use plenty of ice to reduce swelling. Ask your doctor about a Dynasplint. Good luck !
I have a few opinions on differences in ROM. I think pain tolerance plays a huge role, as much as how bad was the structure of that knee prior to TKR. Did the patient let their knee go longer than it should have vs getting it done sooner? Are they taking their pain meds as instructed, or are they trying to ween themselves off too soon? Way too many times the pain is tolerable when sitting or light walking, so they feel they dont require the pain meds as much, but forget to realize those meds help with reducing swelling and to tolerate knee flexion. How many reps and frequency? I've seen some therapist give 2 x 10 at 3 times per day. IMHO, that is too much stress on the knee causing increased inflammation. I feel the perfect amount is 1 x 10 at 3 times per day, followed by ice application and elevtion immediately to reduce swelling. Are they performing heelslides with belt assist in supine or sitting? Sitting disrupts knee flexion as our stomachs can get in the way, as well as sitting puts you in a poor angle for pulling. There are so many reasons for the results some people have. Early education and consistency is the key. We have too many therapist who approach this differently, and can cause setbacks.
I think you are on the money! I am 58 and had a TKR 6 weeks ago. I saw a lot of older folk in Hospital that put off the inevitable of replacing knees and hips and really struggled post operative. I have experienced several physiotherapists from my 2 week stay in hospital/rehab and my local physio and they are all different in amount of exercise you should do. To much is definitely counter-productive as I have experienced this myself firsthand. It is a balancing act to know how much medication to take prior to doing the exercise to assist in pain management and then applying preventative swelling techniques e.g. elevation and ice packs. I have been told to try and wean myself off pain medication which I have but there are days where you definitely just need to take it. There is no need to be in pain for the sake of it.
I’m 4 months in- still at 90 degrees. My doc is seeing me again on Feb 5. Prob going to want to do a MUA... should I do it? Or just keep up with PT and home exercises?
I've had the worst experience!! A nurse pushed a wheelchair while my foot was still planted on the floor one day after total knee procedure. which caused a force bend. My incision tore open more and swelled up to the point had to be hospitalized. it's been two months so far, had a manipulation and been doing p.t multiple hours per day and still only 75 degrees... I'm so exhausted and the team doesn't give a flying fffcckk! They said I have a swelling problem.. I'm so worried because I'm under 36 yrs old.
How about proteolytic enzymes? Can they help with softening the facia until we get to full ROM?
Do not the Germans and Japanese use these for this application?
Hello! I'm so thankful to have found this channel. I am currently 2 months PO and I'm at 0-100 ROM...can make it to 115 with a push. In thr last 2 weeks....my knee made a large improvement..bc I was stuck at 85 for a while.
Saw the doc today. Still says my knee is stiff even tho progress has been made. He's going to give me a few more weeks before we consider MUA. Is 3 months PO a normal timing before MUA is considered or am I just prolonging the process?
Also...my injury was pretty bad. ACL, PCL, PLC and Meniscus.
What degree should I reach before MUA is necessary?
Hello how is your knee now
I had a thigh knee and not straight I'm in pain now am in two monts
I’m 57 athletic... I had tkr 9/24/20 still radiating heat cannot get bend! Cannot straighten when walking , but can when I stretch my quad above knee has a lag! Go to pt 2 days weekly for half hour. My walk has a limp, now my big toe hurts. I am doing my excersize
still lagging. It’s Jan 22 almost 4 months, is this normal?!!
No sals it is not normal my knee is the same way I cannot flex or extend I am left with a limp. It is not normal in anyway. Had mua and made it worse. Three yrs now left with limp.
Very good points Tony! Kathy's degree of flexion after the MUA sounds like mine. I hit 130 degrees in the OR at my two MUA's but only got in the low 90's after the first MUA and the low 100's after the second MUA. Also, I would not allow a vulnerable position for my pushes during my therapy. I'd be too guarded if I was placed on my stomach and have the therapist push like that. So, I agree that a trust must be there between the patient and the therapist and that the patient cannot be put in a vulnerable position if we hope for a good session.
Hi how is your knee now
@@bertrinamitchell5423 I am doing well. 120 degrees on flexion and 0 degrees on extension. It has been 2.5 years now since my TKR. How are you doing?
Hi Tony. Had a TKR on the right knee on December 8th. Was doing somewhat ok and had a manipulation January 19th. I am having nothing but tightness and pain in the quads. Most of the pain is at say ten o'clock on the inner right leg. I can't seam to get this tightness and pain to ease. Any ideas? I am at -3 on straightness and 107 degrees flexion. The knee feels good just the pain in the quad.
Thanks,
Tony O
I was wondering when you said you had frozen knee did you mean like frozen shoulder? Because frozen shoulder is directly related to sugar in the blood. If you have excess sugar in the blood, it mixes with the collagen in the weakest joint and turns into a thick, stiff, crunchy mess. I like it too thick, raw honey, that is already crystallized. When I had my surgery, I made sure I did not do any sugar whatsoever. I’ve had frozen shoulder and I can’t imagine having it in my knee. I just wanted to put it out there for all of you that are experienced. What seems like frozen me
Is she taking into considering there is swelling and that’s normal?
I had my knee replacement on November 9,2021 I'm 4months i have a 115degress angle and I'm still working hard to get to 125. I decided to stop going to PT and do my exercises at home 3times a week and do my bending by pulling my knee back with a strep around my ankle every day,i just hopefully i did the right thing by stopping PT. Is there more that i can do to reach 125 ? Cause i feel the pain on the back of my leg when i get on my knee with a pillow on the sofa to try to bend more but it hurts so much...
Hello how is your knee now
@@bertrinamitchell5423 Hi didn't see this message till now I've been having some pains but still working on it,I really wish it would stop hurting,feels so different and uncomfortable at times.... Thanks for asking how are you??
Am still stuck at 90 degrees and am 2 months in after surgery in february so fustrating i cry every time cause i been through so much.😭😭😭
My knee Flection is 126 in 20 days after acl surgery is that a good progress??
That is really great. 90 decrees by 4 weeks is good. You are doing great.
Is getting flexion back is pose to be fast or it’s a slow process
It is a slow process. I think extension typically comes faster.
The more I watch your videos, the light gets brighter and brighter.
Can CPM help?
I have seen CPM really help the right people. I have several videos on the channel discussing CPM if you are interested.
Where is the modelling?
I’ve been crying a lot. I have the problem of bursitis in my hip, the nerve thing running down the right side of my leg (my surgery), blood clots in my left side of that leg. I was doing great I was to 98 degrees , my leg swelled up so tight in the back of my leg, now I can’t bend my knee . It feels like a knife being run up under that “knee cap” . I’m doing great with most the my exercises except certain ones with deep bends with my knee.
Is the blood clot causing the swelling? Unfortunately the blood clot takes priority. Have you tried elevating the leg above the heart? I have some videos on this channel showing you how to get the leg up on the back of a couch or on a stack of pillows. If you get reduce the swelling without compromising the blood clot you might improve the pain and ROM.
@@totaltherapysolutions I put my leg up but it ends causing a lot of pain due to bursitis in my hip and top of my leg. I can’t get the vascular doctor to see me. The orthopedic doctor won’t give me a steroid shot in that area. I’m So scared of having that forced thing. I was at 98 and my therapist thought I was progressing so well then I started regressing! I’ve gotten worse. Yes I feel like I’ve done something wrong. Then again when the swelling got real bad that weekend then now I can’t bend my knee. It’s like my new knee cap isn’t wanting to work. I’m so frustrated because now I’m waiting to see if a pain clinic will take my case and give a shot in the bursa area.
My knee at a 50 keeps bending it on my stomach
Can you repost this video. There is no sound with it.
It might be a problem on your end. I replayed the video and the audio is working.
Had a M U A 2 days ago and in therapy the next day. The pain from the M U A is like “Why did I have that TKR” The pain medication was not as strong as I expected and with the therapy sessions are painful but I bear it and know it’s going to better. I wish I had a piece of wood so I can chomp on it like in the movies when they removed bullets from someone !!! 😮
What do you think about using a rocking chair?
Love it. Great option.
Thank you
Yes, rocking it good, I did it sitting on a wooden carved box slightly higher than my comfortable sitting height, got my flexion back in both my knees and following my Posterior Cruciate Ligament. Even placing the other foot/ankle over your operated knee, forcing the lower leg back. I hope that makes sense.
Lyn R so do you just rock? Did you have a rocking chair?
Oh my gosh. I was doing that also. Wasn't sure it was a good thing, but it felt great. I also propped my feet on a foot stool while rocking or sitting on porch swing. I just kept going back a little further each time, nothing drastic
Is it ok to do MUA more than once to improve Knee Flexion?
If your OS thinks it's appropriate