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TKR Tykey's second knee replacement

Sara61

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@Tykey WISHING you a VERY HAPPY 1 year knee anniversary :yes!: :cheers: Hoping you are now able to achieve all your dreams xx :happydance:
 
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Tykey

Tykey

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Thankyou Sara, I had totally forgotten! I shall bake a cake
I rarely think about my new knee anymore, it's almost identical to the other 11 year old knee. It's a bit of a bother when I'm up a ladder, steep steps etc and I need to decide which leg to lead with. When I had an original (but worn) knee I always had a safe option to go to. So I sometimes dither about as I try each one in turn. Dithering makes me look my age
The stretching and silly walk have been highly successful in getting rid of the charley horses () at the back and tight band at the front of the knee.
So I've proved that it really is a 12 month journey, no amount of worry and analysis makes one jot of difference, does it.

I think I should blow out the one candle on the cake, and have my wish.
I wish "all physiotherapists should go back to school and learn that there is no 6 week target"

Thanks again
 

Mrs. Ciz

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@Tykey
Can you tell me more about how to silly walk please? I read about how your two tendons (I’m assuming these 2 tendons are behind the knee?) used to spasm. I had bilateral TKR on July 6th. The left knee is doing really well. The right knee is plagued by behind the knee pain that sometimes radiates down to my calf, shin, and foot, which my therapist says is due to a super tight right hamstring. He’s given me stretches and exercises to do. They are helping some, but I’m still having the pain.

I was at the beach this weekend and walked for a little bit on the firm wet sand. I noticed that other people’s footprints had a lighter heal impression and a deeper pad with toes impression than my footprints did. My footprints were light throughout my whole foot. When I showed my husband the difference, he said it was because those folks were pushing off with their toes and I was not. I’ve been really careful to walk heel/toe but I’m not pushing off with my toes apparently. Then I remembered your silly walk. So I stepped heel/toe but then pressed down with my toes and kicked my foot back from the knee. When I did this, my footprint looked like everyone else’s. Is that what you are talking about when you say you kick your foot back? I am desperate to get the behind the knee hamstring pain to go away!!!!
 
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Tykey

Tykey

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Hi Ciz. Yes, I found that the big tendons behind the knee went into painful cramps when I reached the limit of my ROM, plus the regular tight band in front just below the kneecap. Seeing as it was painful, I just avoided bending too much. My wife pointed out I was walking a bit stiff legged, which I didn't realise. I was just planting my foot flat on the floor, and to keep an even keel (ie not looking drunk) I was doing the same with the other foot. I was walking in a shuffle, like the geisha ladies on platform shoes.
An earlier issue with shin splints was caused by not putting my heel on the floor first, so I already realised how important gait was.
I took the dogs for a walk in a remote place, and made sure I put my heel down first and rolled forward so all my weight went onto the big toe (that's why it's big). That makes the knee bend much more, if it doesn't, you fall over. Very quickly, my knee loosened up, but I wasn't reaching enough bend to stretch the tendons and make them hurt. So I then did the silly walk, where I made sure I kicked my heels out and up at of each step at the back, ie trying to kick my own backside. Of course I had to start gently, only kicking up until it hurt a bit. Very soon, after about 100 yards, the knee became much looser, I could kick harder, and the pain virtually disappeared.
After a long rest, it came back a bit, but after a week I never felt it any more.
I suspect the tendons and other bits just don't get any work, so they just shorten up. Evolution has developed how we should walk, so we have to try to walk how nature intended.
I wouldn't suggest this in any way whilst we are still healing, I was virtually a year out, so everything was healed and was asking for training.

It's odd that we need physios at this end of the process, but we actually only see them at the start where they are often less use than a chocolate fireguard.

Good luck, I hope it works for you as well.
 
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Tykey

Tykey

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You are very welcome, but please be cautious because your knees are much newer than mine. Firstly concentrate on walking smoothly, ie heel down first, then rolling onto your toes.
 

Mrs. Ciz

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I will. Believe me when I tell you there is no earthly way I could even kick my leg back and up enough to hit my own butt! But even with a tiny kick, I can feel a difference because it forces me to plant my heel and then push off from my toes. The push off part was missing before.
 

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