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TKR christeen's knee journey 8/11

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Yes I know that feeling!! I still cannot sleep in my bed. I've tried the past few nights and the weight of the covers and just turning in bed, I just can't get comfy. So after an hour or 2 I pick up my pillows and go back downstairs to my trusty couch where for whatever reason I sleep like a baby. I even tried Tylenol pm last night, will never do that again. The Benadryl gave me severe restless legs!
 
So I went to my first appointment at outpatient PT today... DISASTER! My home PT guy was great about the not forcing, gentle stretching, minor strengthening bit was a NO PAIN guy! So this place, they first started by measuring... By SHOVING my knee back into a bend... I was like "what that hurts"! Then I got the "no pain no gain speech" and we believe that aggressive therapy is the best way to regain movement blah blah blah". I said I do not agree and stated my case for what I EXPECTED! And they gave me a whole have to show such and such progress for insurance.

After a couple more uncomfortable knee manipulations during the eval the therapist aske me... " so are you willing to put in the time, effort and pain it will take to get use of your knee back"? I asked "are YOU willing to listen to me the client and NOT push my knee to severe pain" he said "without pain you will NEVER reach your full potential... So I said "BYE-BYE" and I left! I am soooo ticked off.

Btw... My ROM (not pushed to painful levels) is 103 flex and 0 extension at 4 weeks... So they can kiss off!!
 
@Poz222 Wow that's horrible, but good for you for leaving. You ROM is great. You know, I'm not all that sure about PT. Last week was good, did some stretching exercises, little treadmill, felt good, nothing painful. Now this week is another story, was good at first, then he had me lay on my stomach for 'stretches', OMG he bent my leg and made me CRY, it hurt so bad He did apologize for hurting me but followed it up with 'I have to stretch your knee'. The worst part is that my ROM has not improved since starting outpatient and tonight I'm pretty sure it's less since my knee is soooo swollen and painful. I walked in there fine and limped out, not happy right now!! You definitely did the right thing walking out, I'm going to talk to my PT next Tuesday and if he won't work with me, I'm not going to go either. Shame cuz he's a nice guy and I trusted him before today....
 
@bdink21, yikes! You should tell that PT you have abnormal reflexes ... every time your knee is stretched to the point of pain it triggers your fist which makes a beeline for the physical torturist.

@Poz222. Your extension at 4 weeks is better than mine was at 7. I went from 10 at my first outpatient PT appointment to 5 at my second. 103 isn't shabby either. Doesn't your PT know that your ROM gets worse when forced because of the swelling and inflammation which occurs? I hope you get better treatment at your next appointment.
 
No next appointment... I'm gonna do it on my own! Then during the torture the guy says "relax while I bend it" HOW CAN I RELAX WHEN I KNOW YOUR GONNA HURT ME! No thanks! How can PT, people that are supposed to build your confidence, so quickly make you so insecure? Besides I leave next week for a couple weeks at his Company HQ for 2-3 weeks... I know what my knee needs and my old PT showed my husband how to stretch and bend it... I think I will be OK.
 
I think you'll be ok too. I may be doing the same if he and I do not come to an understanding. Sucks to be hurting so much when I was doing so good.
 
So can't you guys get a different pt person?? Tell your GP or OS that you want a different clinic--one with a more modern outlook. NO pain NO gain is old school!! I am fortunate in that I have had good PT people who listen. I remember when my gal put me on the riding bike at about wk. 3 and told me to just pedal back and forth for 5 min.; I did so in a very controlled manner as I was fearful of the pain of going all the way around. Next time I went back, she had me do it again and suddenly I had gone all the way around. (Backwards, which I later learned is usually the way it happens.) Scared the bejebees out of me because I "thought" in was going to hurt (didn't)--she just laughed. After that I pedaled for awhile feeling very proud of myself. Don't think had me on the bike after that as the point had been made--kind of like Josephine says about some of the exercises--once you can actually do them, you no longer need them.
 
Bridget... You are doing sooooo well, sorry they set you back a bit... You are for sure one of the ones that do so much every day that PT might be just a bit too much.

KSsii, unfortunately, right now, that is the PT center that my insurance covers. As it is I have $25 co-pay each visit.. I would have to go through a special request policy and I am leaving town before then.

. I have decided to invest a few visits worth into buying the stretch bands, ankle weights, cold wrap, measure thingy and a few other "PT toys" and DIY. My husband watched a few videos about post knee PT and will help me along... Plus we will have a great pool at the corporate apartments so I will do water therapy...
 
So the PT place called and said "you left yesterday and forgot to make any appointments" :rotfl::rotfl::loll:I asked if she (the scheduler) had spoken to the PT? She said no and I told her maybe she should... I politely told her thanks, but no thanks, I would not be making and appointments at their little "house of torture".
 
I was debating leaving PT that way (slinking out and not making any more appointments) but instead I told the PT I'm "either quitting or graduating". She let me graduate. :)
 
. I have decided to invest a few visits worth into buying the stretch bands, ankle weights, cold wrap, measure thingy and a few other "PT toys" and DIY. My husband watched a few videos about post knee PT and will help me along... Plus we will have a great pool at the corporate apartments so I will do water therapy...

You really don't need the bands and weights for improvement--in fact I think they can work against you. I have all that stuff (from other PT sessions) and hardly ever use it. At this point you are mostly after mobility, not strength. Walking, getting up and down from sitting position (hands free when possible) and doing stairs correctly are the best "exercises" there are. If you want to do some gentle strengthening exercises, do more reps if you feel up to it--forget the weights. At week 15 my surgeon told me--walk 1 mile every other day. Yes, at this point I do a few strengthen exercises, (without weights) but I very carefully listen to my knee as I still have some swelling/soreness at the back and down the outside. I loved my knee PT gal, but the thing is, they have to justify to the insurance companies what they are doing so they can get paid--you MUST improve and it must be by their standards!! I have serious shoulder problems (bone on bone--will probably need a replacement) and am going to a manual therapist who helps me a lot; he told me, "Do the exercises if you feel like it, but we aren't going to 'make you well' by 'buffing' you up." However, I must continue to show "improvement" for the insurance to keep covering me--catch 22.
 
KSSII I have bi-lateral shoulder replacements too and they work wonderful! I love them and I have NO pain rom them whatsoever! However, They were a long and difficult rehab as well. The hips were the easiest as they are a BIG pain but also they just kinda "work".. The shoulders on the other hand need to be nursed and baby steps with rehab and like the knee are sensitive to overdoing it. But since the knee you need to walk, it is WAY easier to overdo it. But wow, it was so amazing to have the bone on bone pain and I had lots of " traveling" pains down the arm that it caused. Good luck!

For the TKR Someone else told me to forget the weights too, so I think I will skip them. It is so unfair of insurance (what IS fair about the current insurance system? ) that THEY get to decide the pace by which people must heal when each one of us is an individual with varying underlying conditions that might limit our progress...

So bottom line, I will be my own PT by using the info I have learned here and other sites and my own extensive experience with joint replacements... I feel good in my decision. Seems that the majority of complaints I read here regarding pain Come from overdoing it at rehab and ultimately, in the end, everyone seems to end up at the same place, it is just a matter of how difficult they made their recovery and perhaps how fast they expected results. In my experience my body eventually snaps back and does Well... We will see
 
Totally respect your decision and from the way I am still hurting today, I'm likely to follow you. I just can't believe how much better I felt yesterday and how much soreness I have today.
 
For the TKR Someone else told me to forget the weights too, so I think I will skip them.
I agree. Weights aren't necessary for recovery from a TKR. I'm sure you'll manage fine on your own. Just keep the exercise gentle and beware of overdoing it.
 
Question... Does anyone know of an App or good site for TKR home PT? I saw somewhere a kindle link, wondering if there is an App (for that)? Hahaha get it... Need rehab? There's an app for that!! :rotfl:
 
Hey there @Poz222!! Just checking in on you. Hope everything is going well and that you have simply gotten on with life.
 
Hey.. doing OK here. I had issues with my Internet which I FINALLY got fixed. I started packing for my trip. I found I have your do it in short spurts but then when I get back to it, I question why I packed what I did before? ? Leaving Saturday. Iv been doing Pat on my own and feel ok. My flex is coming easier and my extension is good. I am finally able to sleep comfortable on my side most of the night which is great. Today I am having a bad rhaumatiod flare so j am resting most of today till it passes. Hopefully tomorrow will be better.

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Great to hear that you're doing good. Hope that RA flare up passes quickly. I find that I can only do things in short spurts too. Didn't feel like doing dinner dishes last night (there weren't many) so I did them at 330am when I was awake for awhile and I thought 'whew got one thing done for tomorrow' lol. I always find myself packing in a frenzy the night before a trip. I know it's going to stress me out but do it anyways. Have you been in your pool? Is it helping?
 
Yes! Went in the pool for the first time the other day. It felt soooo free to float around. But kicking did not come naturally as I thought it would. I had to concentrate to make my knee move. I did a lot of pool walking which felt so good without the stress of gravity. But I really enjoyed just floating!

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