Hi and Welcome!
I‘m very sorry to read that you broke a piece of your patella during a PT session. What were you doing when that happened?
Try not to worry about being in an immobilizer, we’ve had other members like this and their ROM came out fine when they healed. Try not to worry about ROM at all, seriously. Our medical teams sometimes over emphasize the ROM.
Regaining our ROM does not
require forceful bending or painful exercises.
Regaining our ROM is more about Time than repetitions of a list of exercises.
Time to recover.
Time for pain and swelling to settle.
Time to heal.
Our range of motion is right there all along just waiting for that to happen so it can show itself.
In the general run of things, it doesn't need to be fought for, worked hard for or worried about. It will happen. Normal activity is the key to success.
I will leave you our Recovery Guidelines. Each article is short but very informative. Following these guidelines will help you have a less painful recovery.
Just keep in mind all people are different, as are the approaches to this recovery and rehab. The key is, “Find what works for you
.“ Your doctors, PTs and BoneSmart are available to help, but you are the final judge as to the recovery approach you choose.
Knee Recovery: The Guidelines
1. Don’t worry:
Your body will heal all by itself. Relax, let it, don't try and hurry it, don’t worry about any symptoms now, they are almost certainly temporary
2. Control discomfort
If you want to use something to help heal the incision,
BoneSmart recommends hypochlorous solution. Members in the US can purchase ACTIVE Antimicrobial Hydrogel
through BoneSmart at a discount. Similar products should be available in the UK and other countries.
3. Do what you want to do
a. If it hurts, don't do it and don't allow anyone - especially a physical therapist - to do it to you
b. If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again.
4. PT or exercise can be useful BUT take note of these
5. At week 4 and after you should follow this
6. Access to these pages on the website
The Recovery articles:
The importance of managing pain after a TKR and the pain chart
Swollen and stiff knee: what causes it?
Energy drain for TKRs
Elevation is the key
Ice to control pain and swelling
Heel slides and how to do them properly
Chart representation of TKR recovery
Healing: how long does it take?
Post op blues is a reality - be prepared for it
Sleep deprivation is pretty much inevitable - but what causes it?
There are also some cautionary articles here
Myth busting: no pain, no gain
Myth busting: the "window of opportunity" in TKR
Myth busting: on getting addicted to pain meds
We try to keep the forum a positive and safe place for our members to talk about their questions or concerns and to report successes with their joint replacement surgery.
While members may create as many threads as they like in the majority of BoneSmart’s forums, we ask that each member have only One Recovery Thread. This policy makes it easier to go back and review the member’s history before providing advice, so please post any updates or questions you have right here in this thread.