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MUA Tigz's Lessons in Patience

Oh my too big of a knee, @KarriB? That doesn't sound good!

sent from my Galaxy 4
 
No, not good, @tigz , shes going to need a revision. This was before I had mine done, but a year later she was still limping and had little ROM so I suggested she go back to see her OS. He told her some TKRs never live pain free, she was getting older (52) and would have to live with the pain. I suggested a second opinion, she went to an OS in a different group (the group I use now), he saw that something wasn't right and sent her across the hall to their revision specialist (who did my 2nd surgery). The revision guy told her the knee was too big for her bone, was loose, slipping in and out. He told her it was up to her, but she'd need a revision. That was three years ago, she wears a brace to keep it in place right now.
 
@KarriB your poor friend! Guess she's not ready for a revision yet? That's a long time to suffer with that.

sent from my Galaxy 4
 
'NOTHER ONE...

Jamie said:
when your pain is well controlled, do this pre-stair exercise. Stand with both feet on one stair tread and hold onto the railing facing down the stairs. Gently lower your good knee and bend your TKR knee like you're going to take a step, but don't touch the lower stair tread. Just bend until you feel slight discomfort, then move your foot back up beside your stationary foot. Do this no more than 10 times in a day....less if you feel pain. Work up to the 10. Once you can do this bend fairly well, then do the exercise but allow yourself to toe-touch the lower tread, then go back up. Once you get to where you can toe touch the lower tread 10 times without pain and swelling following the exercise, you are ready to slowly work on the foot over foot stair descent.

Taking it slowly and progressing through these movements will be a lot easier on your knee and you should not have as much pain and swelling as if you immediately try to do stairs normally. Your knee just is not ready for that yet.
Click to expand...

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Oh! Hubby hadn't helped with with the short quad arcs in about a week. He was passing through the bedroom while I was 'exercising' on the bed, and told him to pick up my heel and hold it while I concentrated on tightening those darn quads... he let go and I slowly lowered the bottom portion of my leg and proceeded to do five short quad arcs all by my lonesome. Little steps...

When I went downstairs I tried Jamie's step exercise I quoted above, and although I don't have the bend (argh) I do feel more strength and control in the quad to step down. and more little steps... :)
 
That's great progress. We have to celebrate all steps forward.!!


Sent from my iPhone using BoneSmart Forum
 
Yay! You're getting there! Just keep doing the leg raises the same way and you'll build up! Looks like everyone's been having a good day!
 
Father's Day kudos to my husband. He's been amazing through all this, being my spotter, running to the store or the OS office to get a script for pain meds, listening to me whining, complaining, and crying. Today he vacuumed, cleaned bathrooms, and discarded a dead mouse on a glue board. Ewwwww!

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Kudos indeed! Thinking I probably shouldn't have picked a fight with mine. Oops!


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Starting the day with icing, which I haven't done in a while, but...
I
I'm very stiff today at eight weeks out definitely overdid it yesterday with some shopping and out to dinner to celebrate Father's Day. Didn't feel like I was overdoing it at the time though. Isn't that always the way?
 
Googling about manipulation I found

broken link removed: https://www.perthortho.com.au/resources/keith-holt/MUA-knee.pdf


...will also be worse when there has been a moderate amount of
bleeding and bruising, not only because this restricts motion,
but also because it inflames the tissues and makes them
more likely to adhere to each other. For this reason, patients
on anti-coagulation, particularly warfaren and the like, are
more likely to have this problem. Indeed, we know that these
patients, even if they do not obviously bleed excessively, are
more likely to end up with a stiff knee.
Click to expand...

I was put on Xarelto for twelve days post-op due to history of a superficial clot (take a 325mg aspirin in a daily basis). Wonder if that's what did this to me? Who knows.

The OS thought my ROM was less (didn't actually measure it) last Friday at almost 8 weeks than it was at 4 weeks, but the 4 week visit was right after PT.

While I'm nervous about the manipulation I'd just like to get it over with. The "normal" recuperation of a TKR is enough to deal with...this extra bit is really wearing on my patience.

Found another link:

broken link removed: https://www.bjjprocs.boneandjoint.org.uk/content/94-B/SUPP_XXIX/104.abstract
 
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@tigz

So sorry to read you're going to have to suffer a Manual Manipulation, i've heard & read about this procedure & all I can say is i'm glad they do it under a general, but hopefully it will solve your flexion problem & you can then move forward pardon the pun!!). Interesting you should mention about the blood thinners tho', I had to self inject (yuk!!) with Fragmin for 5 wks after my LTKR (I can't take NSAIDS), & I noticed that my knee came on in leaps & bounds after I stopped them, I thought at the time it was purely coincidental, but maybe not?!! :chinstroke:

All the best
Sue xxx :flwrysmile:
 
@Heyblondie58 I cringed watching a manipulation on YouTube and it's nothing like knee replacement surgery!

That's interesting your flexion got better when you quit the drug. Am assuming that's an injectable form of heparin? I did that for a week after my clot was discovered... Yuck!
 
@tigz , I'm so sorry you're facing this but it may just be the answer you are looking for and we are all pulling for you. Interesting about the blood thinners….

Roxie
 
Hi @tigz & @Kansas Teacher ,

Yes, Fragmin is a generic name for Heparin, injected daily into my stomach (which looked like i'd gone 9 rounds with Mike Tyson at the finish!!) :yikes: to prevent thrombotic clots, so it would follow logically that if the blood surrounding the bruised tissues inside the knee were thinned down that it would exacerbate the swelling at least (i.e.more blood flow to the tissues?) & that would definitely impede bending. Just seems funny that my own LTKR has come on in leaps & bounds in the last 3 weeks since I stopped treatment?!! :scratch:

I haven't watched a manipulation online, but did watch a TKR on YouTube a couple of weeks ago now, & my god it was brutal, like a piece of old bone on a slab being drilled, hammered & screwed-ouch & yukky boos!! :holysheep:
I can honestly say that I would NOT advise anyone to watch this before having their TKR, as it would definitely put more than a few off!! :censored: I wouldn't have had any choice anyway whether i'd watched it before or not, it was either that or a wheelchair within 12-18 months (my OS was that brutally honest!!) :sos: & i'm in a bit Catch 22 now as to whether to go ahead & have the RTKR done in the next few weeks & get it over & done with or wait until next year & endure the pain in my right knee (& my shattered ankle) geting worse to the point where it gives up completely!! HELP!! :xmark:


Best wishes
Sue xxx :meow:
 
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Thanks @Kansas Teacher! What did you teach BTW?

@Heyblondie58 glad to hear the last couple of weeks have shown improvement for you! That's a really hard call....but I think I'd want to just do it! My knee gave up the ghost two weeks prior to my surgery and I could barely walk. Ironically I didn't have much pain, just major instability issues that were affecting everything!
 
@tigz and @Heyblondie58 , I didn't watch it on YouTube either -- I just couldn't bring myself to do it and I'm glad I made that choice. I'm pretty sure it would have freaked me out!!

During my career in education, I taught 4th and 1st grade classrooms before getting my master's degree and becoming the administrator of an early childhood program in the public school system I worked in. I miss the kids and people I worked with but am glad not to have to be rushing back to work after this surgery.

Roxie
 
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