- Oct 31, 2019
- United States
Can someone please change my thread title to Valgus after surgery... May need revision?
If it is truly valgus to an inappropriate angle, you’re right, it won’t improve on its own. This is why I believe you should be very gentle with it in this recovery. Don’t try to make it do anything it’s not ready for.Unfortunately I am finding it difficult to believe that in 8 months my valgus misalignment will improve much.
I hope your healing has continued to improve. I had a question for you about yoga. I am enjoying yoga as one of the last forms of exercise I can still do before my TKR in March 2020. I do notice that we spend a lot of time on our knees (cat/cow and other positions). I am wondering if it is possible to kneel after TKR. I have read that people say they can't do it any longer. I didn't know why. I was wondering if it may be due to the risk of breaking your knee cap. Any info you have on this and whether you think I can get back to yoga after TKR would be so helpful. Thanks!@Jockette I saw my surgeon 1/2/20, he was not concerned about my extension or the valgus. He feels my knee will straighten over time. I hope that he is correct, I am trying not to worry about it, the thought of a possible revision is not pleasant. My extension is not good, I believe that I am at +10.
My last PT was January 3rd and I plan to return if I do not make progress on my own. My PT felt we should work towards getting full extension before we started to worry about the valgus angle. My PT had suggested possibly using braces to my OS, such as an extensionator or a dynamic splint, in my last progress report. Stopping PT was my decision because I felt they were too numbers oriented, but my surgeon agreed.
At 10 weeks post op I am/was basically happy with my knees function. I can go up and down stairs, get in and out of my pickup truck and can walk around the house and run errands without pain. I started back with gentle mat pilates and gentle yoga classes and found that I could put weight on my bent knee as long as I have a nice cushion. I continue to ice and elevate.
This week I started taking longer walks around the neighborhood and noticed that while striding forward with my left leg, my left knee brushes against my weight bearing right knee ( My knees don't hit while striding forward with my right leg). This made me worried about the valgus alignment again. Yesterday I made some phone calls to TKR revision specialists and was told to wait a year to schedule an appointment.
I am trying to stay positive but it isn't easy. Thank you for asking Jockette.
Thank you so much for this! I will be very patient with recovery. I subscribe to the Bonesmart way. I have done that with my last three knee surgeries and it has been very positive. Good to know about the scar tissue on the knee cap. I hadn't thought of that. I wish I could find a surgeon in my network and area who does the minimally invasive surgery with robotic assist. I have a friend who had that done and she has a smaller scar along the side of her knee like a smiley face so she doesn't have the scar tissue on the knee cap.Hi @winedunce
MY RTKR was 11/08/2019. My surgeon cleared me to do normal activity on 1/02/2020. The following week I went to gentle yoga and mat pilates classes. I used a thick cushion / bolster for kneeling or cat/cow positions. My knee was positioned in front of the bolster so no weight was on my knee joint.
I didn't attempt positions that required more than 100 degrees of flexion. I took it easy and I was a little sore the next day. I believe that I was very fortunate to heal that quickly and was able to go back to the gym for GENTLE exercise ~ 9 weeks post op.
It is uncomfortable to put weight directly on my bent new surgical knee. I won't crawl across my bed on my hands and knees. I think the knee is too sensitive due to all of the scar tissue inside and out.
It took me about 2-3 years after my left partial before I was brave enough to kneel on lefty and to attempt childs' pose. I do use a bolster but I can now put weight directly on my bent left knee.
I am not worried about breaking my knee cap at all. I think after your surgery you should not try to rush your recovery. Follow Bonesmart guidelines and listen to your knee. You will know when you can resume your usual activities. Make sure you get your surgeon's blessing when the time comes.
Good luck to you! Karen
You don't have adhesions, you have the normal scaring it takes to close us your tissues. Yes, the number-obsessed PTs will rattle on about it as if the big. bad "scar tissue" is just sitting there, waiting to pounce if you don't do enough exercise.I won't crawl across my bed on my hands and knees. I think the knee is too sensitive due to all of the scar tissue inside and out.
Scar tissue has gotten a really bad name over time. It is blamed for just about everything bad in this recovery. Sistersinhim has explained it well.I think the knee is too sensitive due to all of the scar tissue inside and out.
It's that all right, but it's not only that.I think Jockette's response above, regarding all of the soft tissue that was damaged during the surgery
that takes time to heal, is why folks on this forum avoid kneeling following their knee surgeries.