- Aug 14, 2014
Stiffness/Tightness is a normal occurrence after this kind of major surgery. Your surgeon did major carpentry work and disturbed every millimeter of soft tissue in this area. You aren't tight because your muscle is underused and needs to be stretched and rehabbed. You're tight because your tissue has been disturbed and is healing...and full healing takes a full year or more.The PT focus is to stretch these tight muscles and the tight hip joint to make them relax and enable movement.
I want to be able to walk and bike; that means 0 to 115 degrees, so I have to improve ROM. I would love to experience some of your advanced bodywork. I have now tried chiropractic, massage therapy, physical therapy, and nothing (my own exercises under my control). It seems nothing has worked the best.
See if reading current member, JusticeRider’s, post at ten months post op makes an impression. I find it inspirational and her expectations realistic. Our bodies will not heal from the controlled trauma of joint replacement any faster by working harder. As you’ve discovered, it’s stolen time / days from you as you’ve had to recuperate from over activity.I just want a slower pace, one that does not kill ROM progress. I want to be able to walk and bike; that means 0 to 115 degrees, so I have to improve ROM.
Many of us have experienced this -- in fact, lots of members have reported that their range of motion continued to improve well into their second year. It's certainly been the case for me.PT for 3 months was unable to get my first knee ROM to 0 degrees or to 120, but I stopped doing anything and noticed that at a year it was straight and bending well.
Since every knee is different I am fairly ignorant about this one causing "rough recovery". My physical therapist defines pain as something above level 1 or 2. I rarely have that and have been backing off at the slightest bit of pain, thinking I have over done it if I feel anything.Stand your ground with PT! You're not a novice at TKR recovery!
Here are my modified (=manageable) home PT Exercises to be done 3x/day or until the target range of motion for the day is met.
* Seated Heel Slide 20 reps
* Stationary Upright Bike
* Prone Knee Extension Stretch on bed hold 1.5 min
* Bridging hold as long as possible
LOL My "real activity" at 6 weeks is... cooking dinner three or four days a week, sweeping one room, scooping cat litter, watering plants, a few minutes of weeding... and happy to be able to do them!!! My walking limit with a walking stick is under a half mile but am hoping to achieve a half mile sometime next week.@mendogal
Thanks! Yes, it is 1-2 out of 10. I like the idea of doing more things. There is probably no substitute for real activity rather than sitting or laying around trying to rest or worse, trying to bend and straighten, so I hope this opens up the chance to hike, bike, swim and dive, unlike my highly restricted past world.
Here’s a tip -I am working on an even gait, focusing really hard on it, and find a stick is distracting.
I find that the assymmetry of one cane does this to me as well. Do you have access to two trekking poles? Old ski poles work well and you can often find them at yard sales etc. for cheap. Using two poles is symmetric and I find easier than one cane, when I'm able to walk that is.Incidentally I ditched the walking stick because it was causing me to have an uneven gait.
Please don't get discouraged! You aren't even two months into this year-long recovery.I have made no progress on range of motion for over a month.