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Relieving Stiffness After Knee Replacement
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- čas přidán 14. 08. 2024
- Relieving Stiffness After Knee Replacement
Physical therapist Dr. Luke shares his top tips and demonstrates all the exercises, strategies, and other activities to do.
Physical Therapist Luke
Knee to Know
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Hello and thank you for the videos and for taking comments. I am 10 weeks post TKR and my rehab has gone well (I have an excellent therapist) and yesterday was my last therapy session that insurance will cover. I reached 140 degrees on range of motion and my extension is 0. The problem or issue I am having is pain. I still have pain on the sides of my knee and along the incision, especially in the area at the top of the incision. I can also feel popping and it feels “rough” when I lift and lower my leg below the knee. There is also pain along the area of the incision whenever I do heal slides. The surgeon has literally spent 5 minutes with me before the surgery and hasn’t spent 1 second talking to me or examining my knee since. The PA came in the room for the 6 week follow up and looked at the incision and said it looks great, never touched my knee, and that was it. My therapist said to tell the surgeon and the earliest I can be seen was 3 weeks out. There is a “lump” to the right of the top of the incision and is inflamed, puffy, below that on the outside of the knee. I’m worried that there is a problem and it is going to get worse before I can be seen. And , there is no guarantee the surgeon will even lay a finger on my knee… yes, I am extremely frustrated and disappointed with the physician who did the surgery, incase you couldn’t tell.
Thank you,
Sammy
Hi Sammy, I'm sorry to hear about the challenges you're facing post TKR. It sounds incredibly frustrating to not receive the thorough care and attention you deserve from your surgeon. Your concerns about pain, popping sensations, and the lump near your incision definitely warrant attention.
It's good that your therapist suggested bringing these issues up to your surgeon. In the meantime, if the pain or any symptoms worsen, it might be worth contacting your surgeon's office again to see if they can offer any interim advice or move up your appointment.
Hang in there, and I hope you get the answers and relief you're looking for soon. Take care!
Will you do a video on how to get off the floor at some point as had both knees replaced and worried if I fall Thank you 🙏
Here is a video for you that I've done previously:
czcams.com/video/KZp8lqS77Pk/video.html
I will say that with bilateral replacements it can be difficult especially if you have difficulty tolerating kneeling on either knee, but hopefully you can use on of the examples shown to get up in a worst case scenario. Thanks for watching and best wishes to you!
Thank you for this video. I do have a bicycle under the desk style.
I did have an MUA done.
Flamingo stand is hard but I will push more.
You are very welcome, best wishes with your continued recovery!
Very informative. Are these exercises also appropriate for those after ORIF of the knee?
Thank you for watching, most of these exercises are probably appropriate but I would check with your personal healthcare provider as you may have certain limitations of weight bearing and amount of range of motion of the knee joint.
My surgery was yesterday
Hope you are doing well best wishes with your rehab and recovery!
I'm a week out of surgery. The calf is so painful even to do ankle flexing, even to tou h is extremely painful. I am also still having spasms in the calf as well as in the quads. What can i do to elevate the pain so i can do my exercise more?
I recommend consulting for your doctor just to be sure you are not showing symptoms of a potential blood clot. If that has been ruled out, some things you can try include icing the knee and calf; massaging the muscles of the calf with your hands, a ball, or a rolling pin or dowel works well; electrical stimulation (TENS), compression such as with an ACE wrap, and gentle stretches and exercises such as ankle pumps. Best wishes to you, the first weeks are the toughest!
June 4 2024 I had Total Knee Replacement. Horrible pain. I had same issue my calf so painful and swollen. I had go to ER. They took xray make sure I had no blood clot. I put heating pad on calf. Elevated lot. I also have leg compression sleeves. That pain horrible
Thank you for your clear instruction! I’m in weeks 3-4, coming up to a month post-surgery. I’m progressing well. I tried the leg up in the air exercise and found out I can’t bend my foot 90 degrees with the leg up, whereas when I do the same with the good leg, I can bend my ankle more than 90 degrees. Is the difference due to the extra tightness in the TKR leg? Is that normal? Thank you!
Thanks for your question. This is potentially due to some increased tightness of the nerves and soft tissue in the surgical leg. It may also be due to swelling in the knee and leg. As you heal and recover this probably will improve to a similar level of mobility as the other side.
Thank you for your response! I appreciate the suggestions in this video, too.
Hi Just wanted to know if I am allowed on a cross trainer and also I allowed to wear heels about 1or 2 inches high Would this affect my knee ? Many Thanks for all your advice on your videos which have been a Godsend as I’m 6wks Post Op
Hello and thanks for watching. You can definitely use a cross trainer I just recommend starting with low duration and intensity to determine tolerance and slowly build up from there. You can wear heels although I wouldn’t recommend it, at least not very often. It will not damage your knee per se but may cause increased pain in the knee or other parts of the knee and leg because the changes to the stresses through your feet and legs. If you absolutely must wear heels I would try to limit how long and how frequently you are wearing them. Thanks and best wishes to you!
Thank you so much I shall sell my heeled shoes 😊
Great
🙏🙏🙏
I am 6months out, what causes you knee to hurt right across your knee cap were it bends
Although there are many potential causes of this type of pain, often it is related to increased stress on the kneecap from arthritis, inflammation, alignment issues and / or muscle weakness. Generally speaking, I recommend focusing on continuing to build muscle strength in your quadriceps and hip musculature and also focusing on good coordination and alignment with walking and movements.
I am in my 8th week after TKR. How long will this stiffness last?
Stiffness tends to decline in frequency and intensity slowly over time over a number of months. On average, knee replacement recipients may say it takes up to 6 months and sometimes longer to feel fully recovered after surgery. However, this varies and each person will have a slightly different timeline for symptom recovery and relief.
Thank you.