sectac
junior member
I've had Psoriatic Arthritis which caused the cartilage in my knees to deteriorate. I started using steroid and gel injections until my knees were bone on bone. At that point, the surgeons recommended bilateral knee replacements. I had them done July 2 and have had nothing but issues since.
I am almost three months post op and when I went to my first therapy appointment the therapist was extremely rough on my knees forcing them to go straight. I begged him (after screaming and crying) to stop and he said this is what was necessary to prevent a Manipulation.
After a few visits with him he emailed my Ortho Surgeon (at this time I was only 6 weeks post op) and said I wasn't able to obtain 70 degrees on a bend on my right knee and 60 degrees bend on my left knee and was only at 6 degrees for straightening on my right knee and 12 degrees on my left knee. He recommended a Manipulation Under Anesthesia.
After meeting with my surgeon, she thought this would be best and I would only benefit from this procedure. The day after the manipulation the surgeon wanted me to go to therapy for 10 straight days.
Well the torture began once again. My knees swelled up, I wasn't going forward in my ROM and was getting very disappointed as well as depressed thinking this was all my fault.
I had requested a new therapist and he was very gentle but effective and he was able to get me to 90 degrees on my right knee and 75 on my left and straightening was 4 degrees on my right and 9 degrees on my left.
The problem is I keep swelling and my knees are very hot all the time. I elevate and ice them when possible but I feel like I've hit a wall.
My three months of time off was officially over on September 23 and I had to go back to work where I work in an ER setting with a lot of walking.
Any idea why I'm having a hard time with my ROM. I do my exercises three times a day and still ice and elevate when I can. Thanks for any advice you can give and sorry for the long story.
I am almost three months post op and when I went to my first therapy appointment the therapist was extremely rough on my knees forcing them to go straight. I begged him (after screaming and crying) to stop and he said this is what was necessary to prevent a Manipulation.
After a few visits with him he emailed my Ortho Surgeon (at this time I was only 6 weeks post op) and said I wasn't able to obtain 70 degrees on a bend on my right knee and 60 degrees bend on my left knee and was only at 6 degrees for straightening on my right knee and 12 degrees on my left knee. He recommended a Manipulation Under Anesthesia.
After meeting with my surgeon, she thought this would be best and I would only benefit from this procedure. The day after the manipulation the surgeon wanted me to go to therapy for 10 straight days.
Well the torture began once again. My knees swelled up, I wasn't going forward in my ROM and was getting very disappointed as well as depressed thinking this was all my fault.
I had requested a new therapist and he was very gentle but effective and he was able to get me to 90 degrees on my right knee and 75 on my left and straightening was 4 degrees on my right and 9 degrees on my left.
The problem is I keep swelling and my knees are very hot all the time. I elevate and ice them when possible but I feel like I've hit a wall.
My three months of time off was officially over on September 23 and I had to go back to work where I work in an ER setting with a lot of walking.
Any idea why I'm having a hard time with my ROM. I do my exercises three times a day and still ice and elevate when I can. Thanks for any advice you can give and sorry for the long story.