mua experiences
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Josephine
NURSE DIRECTOR EMERITA
Re: mua expericiences
Have you searched the older threads? There's lots of experiences related in them and many who had MUAs have long since moved on from here. I think there may only be one or two who've had MUAs still posting in here.
Have you searched the older threads? There's lots of experiences related in them and many who had MUAs have long since moved on from here. I think there may only be one or two who've had MUAs still posting in here.
Nana55
member
Re: mua expericiences
I had surgery 12/11/08 came into PT 10 days later with 40 and went to 75 over the next 6 weeks and had MUA on 2/11/09 and went to 90 in five sessions and am now at 105.
PT feels I can get to 110-115 by end of March.
There was a tread as Jo said that discusses her talk about manipulation that was very beneficial to me. It describes how scar tissue forms etc in detail and that's one of the major reasons we need manuipulation.
I had surgery 12/11/08 came into PT 10 days later with 40 and went to 75 over the next 6 weeks and had MUA on 2/11/09 and went to 90 in five sessions and am now at 105.
PT feels I can get to 110-115 by end of March.
There was a tread as Jo said that discusses her talk about manipulation that was very beneficial to me. It describes how scar tissue forms etc in detail and that's one of the major reasons we need manuipulation.
Josephine
NURSE DIRECTOR EMERITA
Ah yes - here tis!
So let me first put your mind at rest - this is quite probably nothing to do with not having done enough PT or been 'good enough' in what you did.
Here is my standard mini-lecture on the subject so read and absorb ...
All the structures in the body, muscles, tendons, ligaments, even gut and lungs, need to be able to glide over one another smoothly to let our bodies work. To do this, the body produces a special viscous fluid that acts like the oil in your car engine and lubricates everything with great efficiency.
Now when the surgeon opens up any part of our body, the internal stuff gets exposed to the air which is, by comparison to the inside of the body, cool and dry. The natural reaction is that fluids evaporate and tissues cool. This makes the organs and structures dry so when the wound is closed, part of the healing process is for the body to go into overdrive, producing extra fluid to replace what is lost. This is one reason why you need IV fluids during and after an operation.
Now as a general rule, 95% of people manage to make up this fluid loss and normality is restored quite quickly. But in the other 5%, for a variety of reasons some known, most unknown, their bodies are deficient in making up this loss and lacking the necessary lubrication, the ligaments and muscles lose their 'glide-ability' and begin to stick or adhere to one another. This is why they are often refered to as 'adhesions'.
NB: Some people (and surgeons!) often refer to this as scar tissue which is a bit of a misnomer. Scar tissue is abnormal or fibrous tissue that's grown in a place as a result of trauma like an incision. Adhesions are just normal tissues stuck together.
Anyway, if this occurs and the function of the joint is affected, the answer is to work the joint with some force, thereby freeing the structures from their locked-in state. Much as you would if you got a sticky or rusty lock and put some oil in it, you'd work it back and forth to free it up. That's all a manipulation is.
So let me first put your mind at rest - this is quite probably nothing to do with not having done enough PT or been 'good enough' in what you did.
Here is my standard mini-lecture on the subject so read and absorb ...
All the structures in the body, muscles, tendons, ligaments, even gut and lungs, need to be able to glide over one another smoothly to let our bodies work. To do this, the body produces a special viscous fluid that acts like the oil in your car engine and lubricates everything with great efficiency.
Now when the surgeon opens up any part of our body, the internal stuff gets exposed to the air which is, by comparison to the inside of the body, cool and dry. The natural reaction is that fluids evaporate and tissues cool. This makes the organs and structures dry so when the wound is closed, part of the healing process is for the body to go into overdrive, producing extra fluid to replace what is lost. This is one reason why you need IV fluids during and after an operation.
Now as a general rule, 95% of people manage to make up this fluid loss and normality is restored quite quickly. But in the other 5%, for a variety of reasons some known, most unknown, their bodies are deficient in making up this loss and lacking the necessary lubrication, the ligaments and muscles lose their 'glide-ability' and begin to stick or adhere to one another. This is why they are often refered to as 'adhesions'.
NB: Some people (and surgeons!) often refer to this as scar tissue which is a bit of a misnomer. Scar tissue is abnormal or fibrous tissue that's grown in a place as a result of trauma like an incision. Adhesions are just normal tissues stuck together.
Anyway, if this occurs and the function of the joint is affected, the answer is to work the joint with some force, thereby freeing the structures from their locked-in state. Much as you would if you got a sticky or rusty lock and put some oil in it, you'd work it back and forth to free it up. That's all a manipulation is.
Josephine
NURSE DIRECTOR EMERITA
What's up with it? Because it's mostly a theoretical risk, that's why! For one thing, as I said before, it takes some doing for a man to break a human femur with his bare hands and for another, surgeons have skill which tells them how much pressure to put on a flexion before it goes beyond the desired effect into something undesirable. He's spent his life training in that sphere and countless years of experience working with bones and knows what is safe and what is risky. Like anything else, MUA is an operation requiring that skill. That's why you wouldn't go to your local farrier and ask him to force flex your knee!
Josephine
NURSE DIRECTOR EMERITA
Watched your vid - my good man, you must have had some bad experiences in your past young life! You seem to have little faith or confidence in any health care professional to keep commenting so often about being treated like a person instead of a number!
And I don't know where you got all your information from (though I can guess!) but everything you said about the Genesis is just general praticalities and applies to every other knee replacement on the market. There's nothing exceptional or specific to the Genesis in anyway whatsoever and anyone who told you different is spinning you a real tale! You need the same parameters and should get the same results. It's the surgeon's skill that makes the difference, not the implant. And furthermore, Genesis II is not age specific (I am having one myself next week).
And I don't know where you got all your information from (though I can guess!) but everything you said about the Genesis is just general praticalities and applies to every other knee replacement on the market. There's nothing exceptional or specific to the Genesis in anyway whatsoever and anyone who told you different is spinning you a real tale! You need the same parameters and should get the same results. It's the surgeon's skill that makes the difference, not the implant. And furthermore, Genesis II is not age specific (I am having one myself next week).
STP, If you read Josephine's thread about her surgery you will see that SHE did not choose the Genesis, her surgeon did. Jo chose an excellent surgeon and he is trained in and most comfortable with the Genesis knee replacements.
Also, on Nana's post, she is saying she had her surgery on December 11, 2008 and a manipulation several months later on February 11, 2009.
Josephine
NURSE DIRECTOR EMERITA
Nonsense! They are all good and have all been in use for years including the Gensis. If one product was so much better than the others why would a surgeon risk his hard won career using something substandard! Don't believe all the hype you hear.
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