Connect
← Return to Limited ROM after total knee replacement.
Discussion
Limited ROM after total knee replacement.
Joint Replacements | Last Active: May 26, 2019 | Replies (51)Comment receiving replies
Hi Ozziegee.
Sounds like you're stuck in a frustrating place. My TKA was 1-5-17. The swelling has never gone away completely. My knee, entire leg and ankle remain swollen. I've tried ice, compression socks (they helped a little) etc. but still swollen. My surgeon's assistant just keeps telling me it is normal for up to a year. How encouraging. The scarier part is when something in there moves and then it pokes and hurts, but we'd better not go there.
Anyway, this is about you, not me. As gailfaith pointed out above, movement, bending, stretching, all of those exercises PT gave you are what make the difference. When i would go into PT my ROM would be like 94, coming out 104.
You indicated that you are doing all of the exercises and stretches (i was not very consistent with this) so i just wonder if they need to change which exercises you should do. Over the five months of PT, mine changed every week. I go back to PT next week to see if i kept the ROM and can quit therapy.l
My PTs used some stick thing to rub out the scar tissue. OUCH. Not sure if that works on previous scar tissue though. What is a MUA?
I'm not happy with the exercises the last PT gave me. The student PT i had gave more exercises---may resume those. He has moved on.
Sorry i don't have better info for you. I guess at this point we need to just keep doing the exercises and walking. Or maybe check with a different PT to see what else can be done. And as always ask the guy upstairs to heal it.
Nancy
Replies to "Hi Ozziegee. Sounds like you're stuck in a frustrating place. My TKA was 1-5-17. The swelling..."
Hi, @niazumbanut. I'm wondering if you would mind posting the link to the particular video you saw and liked on post-knee replacement exercises? I think it might be of interest to various members who've been talking about knee replacement, and it would be great to be sure of finding the right one.
Connect
Just to clarify, i was in no way was i making a negative assessment of the Mayo. Sometimes the continuity of a discussion gets lost. I think i remember mentioning about my morbid obesity in a previous post. However, just to clarify so that no one gets confused here is some information about medically complicated morbid obesity and TKAs.
There are risks that go with medically complicated morbid obesity. Some physicians won’t do over BMI 40. Some do 40-45
and some 45-50. Comes with the territory. The following paragraph explains why physicians decline to do the surgery on morbidly obese people.
Restricted access
Because of the increased risks of complications, it is common practice for some surgeons to restrict the use of TKA in patients with a BMI of 40 or higher. Based on the current available data, many surgeons and surgeon groups across the country withhold surgical intervention in morbidly obese patients until body weight is optimized and associated medical comorbidities are better controlled.3 There may always be exceptions to this type of policy, and opponents to this position do exist. Nevertheless, the medical and societal implications of withholding TKA in morbidly obese patients are unknown.