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MUA 10 weeks after TKRS and not yet happy

I can't advise you on extension because I never had that issue. I can tell you that as far as not being able to walk long distances at 12 weeks, that's probably normal. My experience was that it took a couple of months more to stand or walk for a long time comfortably. The healing process continues over many months. My OS said I wouldn't feel completely "normal" for about a year and that was pretty accurate.
 
Thanks for all the positive feedback.
The rest of this message is for Pontoon who had surgery on the same day as I did,October 19. How is your recovery going? Any issues that you are concerned with? What are your ROM measurements? Do you have trouble getting a good nights sleep? Anything else?
 
Hi Barbri, here's my .02 : I've had two knees replaced since August. Essentially no PT for either despite my surgeon's objections. He threatened that if I didn't bend it, he would! Ha! He instructed me to bring a bullet to bite on and he was gonna put me in the soundproof exam room at the end of the hall. He was kind of kidding! We have a great humorous relationship and he's a hellion on wheels. He said fine, no PT. I'm almost 9 weeks out from the second one and both are doing fine. They are both still a little sore if I overdo. But thankfully I didn't have to suffer any injuries due to vigorous PT. Listen to these very knowledgeable mods. They know what they're talking about!!


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BARBRI said:
Thank you very much for your helpful feedback.
My surgery was on my right knee on October 19,2016.
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My LTRK was 2 days before yours. I'm still taking norco for pain and my bend is just barely 90°.

Granted I suffered a torn quad muscle the day after surgery, but I pushed my knee and pushed my knee until I was screaming in pain. I even had a MUA at 6 weeks because I could barely bend my knee.

Then I came here and these good folks talked some sense into me. I backed waaaaay off on PT and activity. I allowed the quad to start healing. The swelling came down a bit and the bend went up.

I'm still not even close to where I want to be but I'm smarter about it. I embrace the "if it hurts......stop" fully and it's helping.


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BARBRI said:
T
The rest of this message is for Pontoon who had surgery on the same day as I did,October 19.
Click to expand...
You can find Pontoon's recovery thread and post your questions there. That way each recovery thread stays on track.
 
In Pontoons thread you mentioned that you might talk to your OS about an MUA as your extension is 10 and flexion 110..

Why? Would your OS even do that MUA at that ROM?

Time will make it better. It might come as a big jump as it did for me last week.. Just do extension resting foot on ottoman. knee unsupported for as long as you can tolerate a few times a day.
 
This article suggests some ways in which you canhelp your extension to improve.
Extension: how to estimate it and ways to improve it
Just choose one or two methods that you like, and do them gently - stop before it hurts. Don't use weight yet.
Extension often takes longer to achieve than flexion does.
 
Well I sit here in the middle of the night having been wakened up by a stiff and very sore knee. I am really concerned about my lack of progress after over 12 weeks post surgery. Concerned that I will continue to have this stiff and painful knee with limited ROM [100 degrees of knee flexation and 10 degrees short of full extension. I cannot be on my feet very long and cannot ride a stationary bike without a great deal of difficulty. I have reduced the level of my physio as suggested and I ice a lot. Do aqua physio a couple of times a week as well and I still feel that things are getting worse rather than better. My PT has suggested MUA and I am going to discuss that with my OS this week. And yes,I am feeling pretty sorry for myself right now and that is not a good thing so if there are any words of encouragement I would appreciate hearing them. Am I fretting needlessly or do I have genuine reasons to be concerned? Thank you
 
You and I are only 4 days apart and seem to be in a similar position recovery-wise. It is disheartening. It`s also disconcerting not to know whether we should be concerned or not; should we seek advice or should we ride it out and accept it as par for the course? I don`t know. I do know that it`s a hard and lonely place to be so perhaps we should encourage each other, lift each other up and say yeah, it will get better.

I`m having a down day too - another one! I posted as much on my own recovery thread. Someone was kind enough to post the following this morning:

baclectic said:
today is a new day. Perhaps I can be hopeful today and live only in Today and stay out of the (undetermined)) future
Click to expand...

I`m going to go with that because the alternative means a long day ahead and the potential to miss whatever joy and good things the day may hold for me.

BARBRI, I do feel for you. I do know it`s miserable being where we are. All I can offer is this reply and a very big cyber hug from across the pond and the very big hope - carried for us by others - that things will get a lot better yet. :console2:
 
@BARBRI you're not alone. I don't understand why a PT would suggest MUA if you're at 110. Try not to be too down. Do you keep even a tiny note of progress? I bet that you really have come further than you think. Alternatively, be like me and have low expectations. That way you're seldom disappointed! I was absolutely dreading my MUA and now I can't think why. I can do 90 degrees if I try (and I don't want to push it). That seems awful to some but is unbelievably marvellous to me.
Of course if you're in pain that's a different matter. I have been just plain lucky there.
 
Aqua physio may be a bit early for you. I was in the pool for an hour two days ago and my knee feels that it was hard work though its not painful and limbers up quick it is stiff in the am.. I wasn't in an aqua physio class so not trying to keep up with anyone, I thought about aqua physio and am waiting for 20 weeks at least. Of course I will go back to the pool
Sometimes we try things and the knee says too early and the head or other people say "I should...". The knee will always rule.
 
Thank you for the words of hope and encouragement. I do feel a little more optimistic that better days are ahead.
 
@BARBRI have you considered stopping all therapy for a week or two? You've been working at therapy both regular and aqua with no relief in pain. Your ROM isn't bad and extention can take a while but if you're patient and try the methods Celle left it'll improve. But what you've been doing isn't working, so my advice is to give your leg a break. Just rest it, ice, elevate and see what happens to your pain levels.
 
BARBRI said:
Thanks for all the positive feedback.
The rest of this message is for Pontoon who had surgery on the same day as I did,October 19. How is your recovery going? Any issues that you are concerned with? What are your ROM measurements? Do you have trouble getting a good nights sleep? Anything else?
Click to expand...


Hi Barbra. My extension is perfect. My flexion is 110 with assistance 120. I have a severe banding issue that wraps around my whole knee that Os says will eventually go away. I sleep good, but I do take a sleeping pill to help. I'm depress Ed for the first time in my life and had to go on anti depressants. I'm hoping by six months we'll be back to normal.
 
@Cratchit Hope you had a much better day today. If not, then it'll come soon. I'm starting to have hope that there's an end to all this and a wonderful new beginning in store for all of us.


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I'm with you on that @baclectic! I'm feeling ridiculously optimistic after my MUA. Hope I don't come down to earth with a bang.
Its an up and down business this TKR!
 
I think it would be helpful for you to think of your new knee as a "baby" so that you don't expect so much or press it too hard. You would never be angry at a new baby for it's limitations. You wouldn't force it to move beyond its capacity. You would take good care of it and give it lots of encouragement. And anyone that would hold an abused baby in anger for its inabilities is just totally unreasonable! Your new knee will provide you with many years of service if you will only nurture it and allow it what it needs to "get well." :console2:
 
Thank you to all for your kind support and words of encouragement. It has made me feel better and more positive. I will report on my discussion this week with my OS re an MUA.
 
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