Poor range of motion after TKR and manipulation: What to do?

Posted by ffpm1381 @ffpm1381, Mar 25, 2023

I had a TKR 3months ago and had manual manipulation 4 days ago. My ROM was great while on the nerve block but as soon as that wore off my ROM went from 110 to 70 degrees. I do have a lot of pain in the quadricep and the muscle are very tight. I am taking a muscle relaxer with no relief. I am thinking of going for a second opinion. I had a comformis knee replacement and I am going to PT 5 days a week without much success . Does anyone have any recommendations or have had the same problem.

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@cathymw

7 weeks post-op, I can get to 120s & 0 now at therapy, after 5 mg oxycodone 1 hour before and 2 therapists working on me, 3x/wk. I do my therapy at home as best as I can too.

But every day is like starting over. Terribly tight, slow to warm up. Still taking Motrin and Tylenol to move. Very tight to bend. Anterior pain that’s moderate with walking. I feel I am walking crooked and now my back is starting to be sore. I am to do the other knee but am reluctant until I see some light at the end of this first one.

Am I going through normal tightness or is this an issue with size?

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I don’t think so when I had wrong size I could not gain any flexion …. I was stuck at 65 -70…with revision I am sore and stiff all the time like I said I just got tested to see if my body rejecting it …. Just trying to rule out things …. I was going to gym 5 days a week had to back off my other knee is getting bad …

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It's been almost 2 years for me....knee still gets really sore and stiff. I do have a ROM of 115 or thereabouts and my flexion is like 1 but....I have found if I exercise more it really bothers me. I do ride a bike a few miles a day and I do leg lifts to strengthen my hamstring and thigh muscles. It's a process for sure. Have had a genicular nerve block (insurance didn't cover), CT scan, no infection anyplace or fluid...it's a major surgery and it takes some people way longer and I feel I am one of those people sadly.

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@cindymattern

It's been almost 2 years for me....knee still gets really sore and stiff. I do have a ROM of 115 or thereabouts and my flexion is like 1 but....I have found if I exercise more it really bothers me. I do ride a bike a few miles a day and I do leg lifts to strengthen my hamstring and thigh muscles. It's a process for sure. Have had a genicular nerve block (insurance didn't cover), CT scan, no infection anyplace or fluid...it's a major surgery and it takes some people way longer and I feel I am one of those people sadly.

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Hi Cindy sorry to hear you are still hurting we had tkr around same time …. I am with you except I only got to 100 flexion …I went Saturday for Ltt blood test check for metal allergy see if that is cause if irritation… so we will see …..good luck to you me still looking for answers lol …

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Hi.
I was reading some of the history of this chat and someone mentioned myofascial release. Don't know if there was any follow-up on that might be worth trying. I learned to teach Yin Yoga. It is a methodology that allows the body's fascia to slowly open up by first supporting the active range of motion and then allowing it to increase by removing supporting structures. It is practiced from anywhere from two to 30 minutes for each pose. You start out with supports and slowly remove them as the body opens up (fascia release). It is very gentle but does demand mental discipline.

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My doctor just suggested water therapy for me. I haven’t had my appt yet but may be worth a try.

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@ralaske

My doctor just suggested water therapy for me. I haven’t had my appt yet but may be worth a try.

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Both my pt and doctor have suggested water therapy. I will be starting my therapy soon.

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@tawnjun23

I think I probably should have had an MUA. Got a notice from insurance that the genicular ablation is considered "experimental ," something that was NOT conveyed to me. But, pain management is covering.
I have a friend who had something similar to your situation. Took a very long time for recovery and additional surgery. I wouldn't have had it if it wasn't the only option. Some days are better than others. I'm glad I found support. ☺️ Please feel free to reach out if you need to.

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I got a MUA and it did not help me one bit! My surgeon said it bent back to 120 easily and that meant I did not have any scar tissue. When I got home from the hospital a PT came to my house immediately and my ROM was back to 70!! I have had PT for 6 months and still only 90 ROM with knee and thigh pain. I walk with a limp. My knee is much worse than before my surgery. I wish I would have never had it done!!! I have had water therapy too. I am going to get a second opinion as all my surgeon says is more PT and PT is not helping one bit!

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I had my TKR on November 19th. The doctor arranged for home physical therapy which didn't even start for 8 days after my discharge from the hospital. I wish my doctor had arranged therapy at the Physical Therapy Center where his office is located. Home therapy didn't help and 2 months later, I asked my doctor to do a MUA. The furthest ROM I got was to 80. When I saw the doctor before the MUA, he measured me at 75 ROM. I had the procedure on February 10th and my doctor said he got me to 110! Yesterday, my PT measured me at 103. I am in excruciating pain every time my PT tries to get that next measurement. I'm so tired and I actually become frightened entering the PT office because I know the pain that is coming, It's only been almost 3 months since the TKR. I'm just so tired and no one seems to understand how I'm feeling. I'm not a "quitter", but I thought i'd be doing better! My spouse thinks I'm not trying hard enough, but believe me, I'm giving it everything I've got. I have to go to PT every day last week and next since the MUA, and it's affecting my mood and sleep. Any support much appreciated!

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@djn1954

I got a MUA and it did not help me one bit! My surgeon said it bent back to 120 easily and that meant I did not have any scar tissue. When I got home from the hospital a PT came to my house immediately and my ROM was back to 70!! I have had PT for 6 months and still only 90 ROM with knee and thigh pain. I walk with a limp. My knee is much worse than before my surgery. I wish I would have never had it done!!! I have had water therapy too. I am going to get a second opinion as all my surgeon says is more PT and PT is not helping one bit!

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I totally understand how you feel! I also have been wishing I hadn't done the replacement either! Stay strong!💗

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I had a failed knee replacement dec of 22. Then a manipulation jan of 23, then a scope july of 23. Then after finding a revision specialist i had a revision Sept of 24. I a now back to where I was before my first replacement. My knee is twice the size of my other. I can only bend it 65 degrees and I have constant pain and swelling. I can no longer do daily activities safely. I'm unable to walk down a step safely or get in and out of my car without the risk of falling. My quality of life is poor, I went from being a very active person to not being able to participate in anythinh

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