• RATE YOUR SURGEON ON OUR NEW JOINT SURGEON LOCATOR

    Your opinion matters so please click on this announcement to find out how to rate the surgeons you have worked with

    You could also go to the Surgeon Locator via the blue nav bar at the top - find the tab "Surgeon Locator"

TKR LTKR September 16

Montana

new member
Joined
Oct 11, 2019
Messages
3
Age
70
Country
United States United States
Hi, I would have posted earlier but could not figure out how! New to online communities. Having visited this site multiple times and learning very valuable information I decided I had to get online and share some of my journey. The revelation that I didn’t have to put up with an approach to physical therapy that didn’t work for me encouraged me to look outside my HMO. I was discouraged and intimidated by the Physical Therapist in the “knee group” with an aggressive one size fits all approach to rehab. Subsequently after calling private clinics and interviewing several physical therapists I found a person who works with me one on one. I felt that I needed to work with a therapist and I feel lucky to have found the support and approach that works. There are good physical therapists out there who don’t bully patients to get results.
 

Pumpkln

MODERATOR
Moderator
Joined
Oct 27, 2011
Messages
21,262
Location
United States, West
Gender
Female
Country
United States United States
@Montana
:welome: to BoneSmart, glad you joined us.

Happy to hear the information on BoneSmart was helpful to you in your search for the right PT.

Here is your copy of the Knee Recovery Guidelines, the articles are short and will not take long to read.

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:
rest
ice
take your pain meds by prescription schedule (not when pain starts!)​

3. Do what you want to do BUT
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 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 a 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 history before providing advice.
 

Pumpkln

MODERATOR
Moderator
Joined
Oct 27, 2011
Messages
21,262
Location
United States, West
Gender
Female
Country
United States United States
I have added your surgery date to your signature, an added you to the September Sapphires recovery group, where you will be able to see your surgery buddies.
 
Last edited:

sistersinhim

MODERATOR
Moderator
Joined
Dec 4, 2015
Messages
18,941
Location
Virginia
Gender
Female
Country
United States United States
There are good physical therapists out there who don’t bully patients to get results.
You are so right. A person just has to search for them. The good therapists can be a huge help to recovering joint replacement patients. But, the bad ones can stall or even set their recovery back.
 
OP
OP
M

Montana

new member
Joined
Oct 11, 2019
Messages
3
Age
70
Country
United States United States
Today was my first visit with the surgeon-two months after my replacement. He said my X-ray looked good however my ROM is poor for being this far along. Last week my PT measured my knee and said I was at 90. I try not to be focused on the numbers but it is hard considering ROM numbers are stressed so much. The surgeon said that he wanted to do a manipulation under anesthesia and that I only had a short window in which to do it. It all seems very confusing to me. I’ve read BoneSmart’s articles on recovery of ROM and I wish I had a surgeon who subscribed to the long range view. I hate to be cynical but I couldn’t help but wonder if the rush to do the MUA is a reimbursement issue.
 

Jockette

FORUM ADVISOR
Forum Advisor
Joined
Aug 29, 2017
Messages
14,889
Age
63
Location
Delaware
Gender
Female
Country
United States United States
We do believe that ROM can come slowly and be fine in the end.

MUAs can be done at any time, so if you want to wait to see what your knee will do, then wait. Your surgeon can’t do it without your consent.

Here is what one of our other members reported about her ROM:
At my six week appointment this is what my OS wrote in my visit summary: "She reads an online website called Bone Smart which states to not push through pain following knee replacement. If she were to follow this direction, she will have to learn to live with a knee that only reaches to 85 degrees of flexion. I believe this website is very misleading."
It has now been 20 weeks and all I do is ADL and this is what my ROM has done:
3.5 wks: 75
6 wks: 85
7 wks: 90
10.5 wks: 95
14 wks: 100
17 wks: 105
20 weeks (where I am today): 110
I am so thrilled it keeps improving and improving and I know now that I will get to my goal of 120 (or even better, dare I say!) :egypdance:
So, if a OS or PT bullies you into thinking your ROM will not improve over time they are wrong. By the way, I haven't been back to see the OS since that horrible appointment at 6 weeks, but I sure am going back when I reach 120 just to say, "Ha! You were wrong, BoneSmart was right!" :yes:
 
OP
OP
M

Montana

new member
Joined
Oct 11, 2019
Messages
3
Age
70
Country
United States United States
Thank you for the encouragement to accept that my knee will gain ROM slower than the average. The prospect of undergoing a procedure that requires general anesthesia and could result in a broken bone or ruptured tendon is unacceptable to me. I see positive changes in my mobility and strength that have occurred naturally over the past 8 weeks. I thought I would never give up my walker but I now walk with a cane or hiking stick(s). Slow changes and I am focusing on those positive signs that healing is happening.
 

BoneSmart #1 Best Blog

Staff online

Forum statistics

Threads
48,908
Messages
1,337,663
BoneSmarties
30,858
Latest member
Supersport
Recent bookmarks
0

Top Bottom