That's much better - thank you so much!
Resting 0-1 up walking 4-6
Eeeh - that's quite an increase!
Hydrocodone 5/325 x1 6hrs normally at night
Hydrocodone 5/325 x1 a day unless needed
Extra strength Tylenol 500 2 every 4hrs
I think your medication schedule is a little bit out of kilter. Most meds only stay effective in the body for about 4-5 hours so taking the Hydrocodone 'as needed' isn't really helpful. I think you need to take it 3-4 times a day.
As for the Tylenol, you need to take that every 6hrs rather than 4 because you risk being overdosed to a degree during the day. Plus spread it out and you get better pain management.
Okay
Can you post a picture of your leg and I can measure it for you. It has to be like this
You could also look at this
Extension: how to estimate it for your extension.
Icing and elevating every 3-4 hours 3 to four times a day post exercise up to two hours if I fall asleep.
Not bad!
I can get preprepped to microwave, make sandwiches, pbjs, today I cooked eggs and toast but was too tired to eat it all.
Aaww! There is nothing sadder than wasted chuckie eggs! I often hard boil eggs so I can eat them at my leisure!
My comments in
bold
2-3 x per day as tolerated -
you'd be better doing these once a day and none at all on weekends
Quad sets
x10 throughout the day as tolerated -
considering quad sets have 5 elements which I imagine are about 10 reps a time, that's 500 reps a day! Even an Olympic athlete doesn't do that much!
Short arch quads x 50 2/day,
Straight leg raise x 10 2/day -
these are both part of quad sets
sitting heel slides 10 reps _
apart from being part of the quads set, these are awfully easy to do badly. I suggest you read this BoneSmart philosophy for sensible post op therapy
Knee flexion seated x 10 2/day
Knee bends x10 2/day
These are all flexion exercises and you don't really even need one so I suggest two are dispensed with
Ankle pumps x10 throughout the day -
these are anti-clot exercises and no longer necessary if you are even moderately mobile.
Hip abduction x 10 2/day
Heel lift x10 2/ day both legs
Hip side kick x10 2/day
Knee lift x10 2/day
These are all more suitable for THR surgery so I suggest you stop doing them!
Pt x 2 walking -
good
stationary bike stretching 10 min -
good!
Short arch quads
- see above
Leg raise
- see above
Quad sets
- see above
Walks between exercises -
good!
I summing up brings me to the point that you are doing far too much exercising. I suggest you cut it back as per my suggestions earlier. Do remember that it's not the exercising that gets you your ROM, it's time. Time to recover, time for swelling and pain to settle and time to heal. One thing that seems to be missing from all the PT's protocols is that all your ROM is there right from the start, just waiting for all 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. Exercise as in strength training is counter-productive and does more harm than good. Normal activity is the key to success.
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