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Still sore after MUA

Discussion in 'Knee Replacement Recovery Area' started by KrisNewportBeachCa, Aug 7, 2009.

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  1. KrisNewportBeachCa

    KrisNewportBeachCa New Member

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    1 am 5 weeks out of TKR & 4TH WEEK I had Manipulation & was so stiff & sore for 2 1/2 days I had to use a bed pan as I couldn't even get up to go to the bathroom...I am hoping it will make recovery faster, but I don't know...Stayed in a RE HAB center & it was wonderful to be totally taken care of..They keep changing pain meds on me & I am in constant pain (about a 7 1/2) On percacet & ms codine (spelling )..Has anyone had a Manipulation & how did it go ?
    Thanks, Kris from Ca
  2. Josephine

    Josephine Administrator

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    Kris, I moved your post out of ouch's "Stiff knee" thread as I thought you deserved answers on your own.

    4 weeks seems awfully early to be having an MUA. A lot of surgeons don't even start PT until week 3. What occurred?
  3. FrogFeathers

    FrogFeathers Post-Grad

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    I had my manipulation five weeks after my surgery. I started PT on the fifth day (then had a day and a half off because I needed blood). I had daily PT while I was in the hospital (the rehab was in the hospital for me, so I spent two weeks in the hospital). I had PT three times a week after I was released.

    Before my manipulation, I could barely bend my knee to 65. With extreme help/massage/electrode-thingy, I could get to 70, but before the hour was up, I'd go back to 55 to 65. I could straighten it with no problem.

    After the manipulation, I was bending to 70 easily and with PT, it would only get better. I'm now past 100, even when I'm stiffened up (from long sitting sessions or whatever).

    Following my manipulation, I had a problem with stiffness. Before, I could stand up (with a walker) and simply walk. But afterwards, I'd have to stand up, pause, move my leg a bit as if I needed an oil can for my knee. I also had more difficulty straightening, but I could still do it.

    My pain was pretty intense for a week or two following the manipulation, but I was able to walk (with a walker or crutches). And after the manipulation, my PT progressed quite well and at an even pace.

    As for the pain, I had to go back to ice and elevation, as if I were at the start again. My doctor gave me percocet, but it made me queasy. He switched me to Vicodin (which I've taken for years- only at night, for other arthritis pain). It didn't relieve the pain so much as it just took the edge off and I was able to function (but again, that's mostly because I've taken Vicodin for years).
  4. Motherofmany

    Motherofmany Graduate

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    Hi Kris,

    Just thought I'd add my 2 cents here. I've had problems with my ROM, had a MUA and am still struggling to increase. I am trying several things:

    1. Pool therapy (helping improve my gait and ROM also feels great and fun)

    2. Physical Therapy for 4 weeks, using gentle stretching.

    3. Massage Therapy using this technique http://mrtherapy.com/ My massage therapist gave me the book below and I'm trying their method, holding the stretches for only 2 seconds. Read the article to follow with the link on #4 to answer questions.

    4. The Whartons' Stretch Book with Active-Isolated Stretching. http://www.npr.org/templates/story/story.php?storyId=5601280

    I am motivated to get this knee moving and on with life. With the pending LTKR, I need more ROM faster than I'm getting it on my own, so I'm open for resonable suggestions and trying multiple treatments hoping for the best.

    Maybe one of these will work for you too! Hope you are doing better and the pain and stiffness subside quickly. I am having pain and stiffness after overdoing it. Finding it hard to achieve balance in life without regressing.

    Blessings,
  5. KrisNewportBeachCa

    KrisNewportBeachCa New Member

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    Thank you so much for all the great advice !!! It has been 3 1/2 weeks after my manipulation and after 2 weeks of physical therapy at home I can move my knee to 120 range of motion...When he started coming I could only do about 70 range of motion...I am still EXTREMELY STIFF in the mornings & after sitting for awhile...I still take percacet (spelling) for the pain...but only about 3 times a day now, as before I was taking it every 4 hours as the pain was TERRIBLE !!!
    Went into the pool yesterday & it did feel really good on my knee...Am doing a lot of stretching & bending my knee through out the day..I even started walking my golden retriever again..(but not very far) I can walk up & down the stairs without my crutches and started driving just a little & staying VERY CLOSE to home as I know I should not drive while taking any meds...I will only drive after I had taken a pill at least 5 hours before I drive...Hopefully I CAN get OFF MEDS SOON !!
    How long did any of you take your pain pills after manipulation ?
    I am really really tired & can sleep during the day for 2 hours at a time...Did any of you suffer from being tired all the time...By the way...I had my knee replacement July 1st & my manipulation Aug 1st (4 weeks afterwards) I was thinking that having two surgeries in a 4 week period could make me this tired...Any advice or thoughts ?
    I love this site...You are all so helpful & hope I can help some of you !!!
    Thanks so much !!
    Kris from Newport Beach California
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