Hello
I had a TKR in my right knee on August 15th. Surgeon had me start PT a week after, and things were very smooth for the first 3 weeks of recovery. Last week, I was very excited for how things were, I could take long strides when walking around the house - even if only for a few minutes at a time before it wore out. Swelling was very minimal. I even got a few items at the grocery store, and was only mildly uncomfortable by the time I got back to the car. I could go all the way around on bicycle after a minute of rocking to warm up.
At the start of my PT appointment on 9/7 I had 120 flexion, and 2-3 from zero on extension.
Then came "we need to get those last few degrees straight right away" They had me prone hang for 2 minutes, which was getting things agitated. Then was another straightening exercise on the floor. My heel in a band attached to something, then I pull back so there is a slight tug on the leg. Grab the shin and tilt laterally, then quad set and push down on shin. Repeat 20x.
After this day the knee was far more agitated than it had been, and I did not even want to walk around the house. On Sunday I was feeling that I had recovered from the extra soreness.
PT appointment 9/10 I told them it was too much last time and they said that we would not do the prone hang as it was the most aggressive thing. The on floor tilt, quad set, press down they suggested helping me with the tilt/push-down to make it easier. We got to 10x and I had to call it off as it was very agitated.
My knee swelled considerably after this. So much for going to straightening as with the swelling I am far less straight! No more long strides with my steps either. I started icing again (had stopped because it was so good) and called in to surgeon's office. The return call after them checking with doc was to continue ice/elevation and to stop other therapy and try the stationary bicycle for 30 minutes 2x a day to get rid of the swelling.
I did a few blinks at that and asked if they were sure. They said yes, it would pump out the fluid. This just seems a bit much. I've done 8 minutes in PT - I actually can't go fast enough to even make the bike turn on. I know with that short if I lose track and start going a bit faster that I get sore.
So now it's 2 days after that PT appointment, and the swelling is still a good 50% worse than usual. I did a little of the stationary, but around 12 minutes it just doesn't feel good, it certainly didn't get rid of any swelling.
Any thoughts?
I had a TKR in my right knee on August 15th. Surgeon had me start PT a week after, and things were very smooth for the first 3 weeks of recovery. Last week, I was very excited for how things were, I could take long strides when walking around the house - even if only for a few minutes at a time before it wore out. Swelling was very minimal. I even got a few items at the grocery store, and was only mildly uncomfortable by the time I got back to the car. I could go all the way around on bicycle after a minute of rocking to warm up.
At the start of my PT appointment on 9/7 I had 120 flexion, and 2-3 from zero on extension.
Then came "we need to get those last few degrees straight right away" They had me prone hang for 2 minutes, which was getting things agitated. Then was another straightening exercise on the floor. My heel in a band attached to something, then I pull back so there is a slight tug on the leg. Grab the shin and tilt laterally, then quad set and push down on shin. Repeat 20x.
After this day the knee was far more agitated than it had been, and I did not even want to walk around the house. On Sunday I was feeling that I had recovered from the extra soreness.
PT appointment 9/10 I told them it was too much last time and they said that we would not do the prone hang as it was the most aggressive thing. The on floor tilt, quad set, press down they suggested helping me with the tilt/push-down to make it easier. We got to 10x and I had to call it off as it was very agitated.
My knee swelled considerably after this. So much for going to straightening as with the swelling I am far less straight! No more long strides with my steps either. I started icing again (had stopped because it was so good) and called in to surgeon's office. The return call after them checking with doc was to continue ice/elevation and to stop other therapy and try the stationary bicycle for 30 minutes 2x a day to get rid of the swelling.
I did a few blinks at that and asked if they were sure. They said yes, it would pump out the fluid. This just seems a bit much. I've done 8 minutes in PT - I actually can't go fast enough to even make the bike turn on. I know with that short if I lose track and start going a bit faster that I get sore.
So now it's 2 days after that PT appointment, and the swelling is still a good 50% worse than usual. I did a little of the stationary, but around 12 minutes it just doesn't feel good, it certainly didn't get rid of any swelling.
Any thoughts?