Flexibility and Range of Motion after TKR

Posted by 4russcoll @4russcoll, May 16 9:42am

75 y/o and a month after TKR healing well. Extension good but flexibility only 85 degrees. Looking for suggestions for exercises to improve. Dr set goal of 110 degrees in 3 weeks

Hello @4russcoll, You will notice we changed the title of your discussion a little to hopeful better describe your question so that members can find it and share their experience with you. I think what helped me the most at home was having an exercise bike that I could adjust the seat so that I didn't stress the knee too much and I would ride it for 15 to 20 minutes a couple of times a day and then ice and elevate the leg to help prevent any swelling. @ellerbracke @contentandwell @artscaping and others may also have some suggestions for you. Here is a video from my favorite PT guys on YouTube on Guidelines to Achieve Maximal Knee Flexion (Bending) Range of Motion – Total Knee Replacement

What kind of exercises have you been doing at home for your TKR?

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@johnbishop

Hello @4russcoll, You will notice we changed the title of your discussion a little to hopeful better describe your question so that members can find it and share their experience with you. I think what helped me the most at home was having an exercise bike that I could adjust the seat so that I didn't stress the knee too much and I would ride it for 15 to 20 minutes a couple of times a day and then ice and elevate the leg to help prevent any swelling. @ellerbracke @contentandwell @artscaping and others may also have some suggestions for you. Here is a video from my favorite PT guys on YouTube on Guidelines to Achieve Maximal Knee Flexion (Bending) Range of Motion – Total Knee Replacement

What kind of exercises have you been doing at home for your TKR?

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Thank you for the advice John. I found the video very helpful.
At home have been doing some short sessions on exercise “bike” (set of pedals on floor), knee glide, step stretch, walking and dangling leg w 4 pound weight to bend knee.
Most progress fm Outpatient PT has come from using heat + hamstring weight machine to alternate weighted flexing and hamstring curls.
Restarting daily Outpatient PT for next 2 weeks.
Swelling and bruising was a problem earlier but has largely abated. Dr prescribed prednisone to further reduce and encouraged continued use of tramadol and/or oxycodone to assist w PT.

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Question? Do they cut into the muscle right below the kneecap on TKR?

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@izfrankd

Question? Do they cut into the muscle right below the kneecap on TKR?

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Hello @izfrankd, Thank you for the private message. I thought I would answer it in the same discussion where you posted your question after your first post.

I don't believe they cut into the muscle but I'm not sure. Here is the step by step procedure for doing a knee replacement for more information – Knee Replacement Surgery Procedure: https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/knee-replacement-surgery-procedure

Your first post was about the knee buckling and you mentioned going back to your doctor who ordered more physical therapy but that hasn't helped and you still have pain and swelling. Here is an article you might find helpful — The unstable knee: wobble and buckle: https://pubmed.ncbi.nlm.nih.gov/25381421/

Have you thought about getting a second opinion

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