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Discussion in 'Knee Replacement Recovery Area' started by Greatday6, May 26, 2019.
Thank you, I wished I would have known about Bonesmart earlier, but I’m glad that I’m here today.
@Greatday6 I needed a nap after reading your exercises. When do you have time for anything else?
Moderate swelling adds about 4 points to your pain score, since it is also a manifestation of pain. Thus I rate your pain as 8 which is high.
Oxycodone 'as needed'? How often is that?
Celebrex is an NSAID and a pretty poor painkiller. Really no point in taking it.
Tylenol: take 1,000mg 3-4 times a day at 6hrly intervals. I know the FDA has ruled that 3,000mg acetaminophen is a safe maximum but that would be assuming that the patient is taking another medication that also contained it and thereby inadvertently take an overdose. Assuming that this is not the case, the maximum safe dosage per 24hrs 4,000mgs.
That's okay for 7 weeks out.
You accomplish little or nothing in 20 minutes. Ice for at least 40-60mins and more than 4 times a day.
Same as icing - elevate when you ice.
Exercises at home 3 times a day
Seated static chair scoot 10 x3 set - same as heels slides but your ROM is good so you don't need them
Seated gastroc stretch 15 x1 set - same here
Long sitting quad set on couch 15 x1 set - and here
Standing bilateral calf raises 15 x1 set - and here
Supine straight leg raise 15 x1 set - tip: once you can do these you don't need to do them any more
Supine ankle pumps 10 x1 set - these are only required for the first day or so after surgery. You certainly don't need them now!
Hook lying glute sets 10 x1 set - these are not necessary either
Side lying hip abduction 20 x1 set - this is a hip exercise so you don't need it
PT 3 times a week
Stationary bike 10 min - okay provided there is no resistance
Stretching hamstring - 5 x3 sets - not necessary
Stretching calf- 5 x3 sets - not necessary
Strengthening quadriceps sets 10 x3 sets - not necessary
Knee slides 5 x3 sets - not necessary
Straight leg raises 10 x2 sets - not necessary
Step board 2 x10 - not necessary
Slant board standing in place 30 sec - not necessary
Leg press 45lbs 30 x1 set - most definitely NO weights!
Leg curl 45lbs 30 x1 set - most definitely NO weights!
Hip abduction and adduction 45lbs 30x1 set - most definitely NO weights!
1. adjust your pain meds
2. adjust your routine of icing/elevating
3. stop ALL your exercises. They are all of a wrong type anyway and all responsible for your pain and lack of progress. Read this BoneSmart philosophy for sensible post op therapy. Remember that you don't need exercises (or PT) to rehab from your knee surgery. There are many on this forum who recovered from their surgery but did NO exercises or PT whatsoever. However, they did their normal ADLs and it served them well. I was one of them. I recommend you read my recovery thread to see how little exercising I did for either knee! Knee recoveries UK style Parts I & II (Josephine)
If you are concerned about refusing to do therapy, you need to read this Saying no to therapy - am I allowed to?
@winemama I'm exhausted by the end of the day.
@Josephine Thank you, I am definitely going to follow your recommendations. I can't wait to make these changes, especially after seeing that some of the exercises that I was doing are not necessary.
Many of us never took formal PT or did exercises. I am one of them. I had 11 knee surgeries, 2 of them kneecap removals and 1 tkr. Even after those I never took PT. But, I didn't just sit around and do nothing. I took care of myself, my house and yard as my knee allowed me to do. As I healed, I did more. But, my knee was always in control. This was enough therapy for me and would be for any tkr patient. All the awful pain of PT is so unnecessary.
All you have to do is use it in your daily living. Your knee knows how to rehab itself and doesn't need anyone telling it how. Just use it and it will come back like new. You have to be patient, though, it doesn't happen quickly. ADL,(activities of daily living), going to the bathroom, brushing your teeth and bathing, fixing a light meal, getting something to drink and or a snack, those kinds of things will be all the exercise your knee needs. If you just use it daily in your living, you can have a less painful recovery. We know what works, we've been there.
@sistersinhim - Thank you for the advice.
@Greatday6 How have you been doing today????
Much better thank you, I’m following Josephine’s instructions completely.