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PT for TKR - Pain from stretching & Other rehab questions

Posted by ssbionicknee @ssbionicknee, Jul 11, 2018

I had a TKR on May 14. PT has been going well. I can bend to 125. My leg does not completely straighten. I can get my fingers under my knee. I really started pushing myself to get my hamstring straight. After PT 2 days ago the back of me knee began hurting really bad. I have shooting pain in the back of my knee when I stand on it now. I was doing well and walking pretty well until this happened. I also was having very little pain. Now I am in severe pain and am having trouble walking. Has anyone else had this issue? I am afraid I have injured the hamstring and have undone all the progress I had been making.

sleepy0 | @sleepy0 | Oct 3, 2018
In reply to @kded4009 "5 months ago had Right knee TKR, was stiff legging it for 6 to 7 years..." + (show)
@kded4009

5 months ago had Right knee TKR, was stiff legging it for 6 to 7 years prior due to not having the right time or insurance available. This year (2018) I finally did it. IT was bad. The knee had NO menisus and it was bone on bone with pieces of bone floating around the knee. I had 3 prior ACLs done on the right knee, last one 8 years ago, so very familiar with knee recovery. 54 years of age now and got a TKR. After the first month, I was only getting a ROM 10 to 60 degrees, so we did a MUA (1st). Then I gotten 5 to 90. Physical Therapy (everyday) for 4 more weeks, and it was not getting any better nor retaining any new ROM. So a 2nd MUA in August, got 0 to 100, but not retaining it through PT (everyday). Thus another 5 weeks and another MUA (3rd), well no improvements still 0 to 102 and thru PT it is just awful painful to try to get beyond 102 ROM. Doctor and PT thinks that I will get it, but they are not sharing with me HOW? nor WHEN? I loss my job due to this and now Im not sure what to do next? Another MUA? let time tell? leave it be it will get better? I just cant continue with this everyday PT drill and the amount of knee pain I have to endured. Im done with the pill scene it just not right to keep taking pills (heck at one point I was taking up to 5-6 oxy per day) now I take only 1-2 alieve per day. ANY THOUGHTS/SUGGESTIONS on what someone else experience at this point as they were going through this, please share… One simple question to any professional – how is it that during a MUA I can get -10 to 120 ROM (normal knee ROM) but when I leave the MUA procedure directly over to the PT office (~15 mins later) I can only get 0 to 101ROM? how is the retention not there? Is there something else besides scar tissue buildup that can not allow ROM? should I look to be tested some other way? (reaching for straws here). THANKS for reading and if so replying.

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Left Knee replaced 6/15/18, PT every day and no progress, 7/12/18 aspiration revealed staph infection, 7/13/18 debridement to wash out infection, 7/14/18 started two weeks of daily antibiotic IVs, 8/19/18 MUA since I could not get past 90' bend, no change after MUA, continued with PT until Medicare coverage expired, still no improvement in bending. Swelling, pain, and immobility continue. Fired my doctor. Trying to get well on my own, but still very little progress. Good Luck.

REPLY
1 reply
mari | @mari | Oct 3, 2018

OMG, where r u? let people know so they don't go thru this hell? So Sorry for your pain.

REPLY
1 reply
lioness | @lioness | Oct 3, 2018
In reply to @sleepy0 "Left Knee replaced 6/15/18, PT every day and no progress, 7/12/18 aspiration revealed staph infection, 7/13/18..." + (show)
@sleepy0

Left Knee replaced 6/15/18, PT every day and no progress, 7/12/18 aspiration revealed staph infection, 7/13/18 debridement to wash out infection, 7/14/18 started two weeks of daily antibiotic IVs, 8/19/18 MUA since I could not get past 90' bend, no change after MUA, continued with PT until Medicare coverage expired, still no improvement in bending. Swelling, pain, and immobility continue. Fired my doctor. Trying to get well on my own, but still very little progress. Good Luck.

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@kded4009 sorry to hear of your pain with knee my Mother had infection after her knee surgery but first bout on antibiotics cleared it up do you feel you need more antibiotics? If you can get in the water and do knee exercises its easier water takes the pressure of our joints. As long as there no open areas. Best of luck

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sleepy0 | @sleepy0 | Oct 9, 2018
In reply to @mari "OMG, where r u? let people know so they don't go thru this hell? So Sorry..." + (show)
@mari

OMG, where r u? let people know so they don't go thru this hell? So Sorry for your pain.

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Dr Moor, Doctor’s Hospital, Sarasota FL

REPLY
gator1965 | @gator1965 | Oct 15, 2018
In reply to @kded4009 "5 months ago had Right knee TKR, was stiff legging it for 6 to 7 years..." + (show)
@kded4009

5 months ago had Right knee TKR, was stiff legging it for 6 to 7 years prior due to not having the right time or insurance available. This year (2018) I finally did it. IT was bad. The knee had NO menisus and it was bone on bone with pieces of bone floating around the knee. I had 3 prior ACLs done on the right knee, last one 8 years ago, so very familiar with knee recovery. 54 years of age now and got a TKR. After the first month, I was only getting a ROM 10 to 60 degrees, so we did a MUA (1st). Then I gotten 5 to 90. Physical Therapy (everyday) for 4 more weeks, and it was not getting any better nor retaining any new ROM. So a 2nd MUA in August, got 0 to 100, but not retaining it through PT (everyday). Thus another 5 weeks and another MUA (3rd), well no improvements still 0 to 102 and thru PT it is just awful painful to try to get beyond 102 ROM. Doctor and PT thinks that I will get it, but they are not sharing with me HOW? nor WHEN? I loss my job due to this and now Im not sure what to do next? Another MUA? let time tell? leave it be it will get better? I just cant continue with this everyday PT drill and the amount of knee pain I have to endured. Im done with the pill scene it just not right to keep taking pills (heck at one point I was taking up to 5-6 oxy per day) now I take only 1-2 alieve per day. ANY THOUGHTS/SUGGESTIONS on what someone else experience at this point as they were going through this, please share… One simple question to any professional – how is it that during a MUA I can get -10 to 120 ROM (normal knee ROM) but when I leave the MUA procedure directly over to the PT office (~15 mins later) I can only get 0 to 101ROM? how is the retention not there? Is there something else besides scar tissue buildup that can not allow ROM? should I look to be tested some other way? (reaching for straws here). THANKS for reading and if so replying.

Jump to this post

I had a knee replacement just over 6 months ago, at the age of 52. After 3 weeks I was not able to flex my knee more than 60 degrees. I started a course of twice weekly physio for 4 weeks. I ended up having a manipulation at the end of June , the diagnosis was made of arthrofibrosis. I underwent a further course of twice weekly physio, there was no improvement, just more pain and swelling. The surgeon then decided to perform more surgery , I had arthroscopic arthrolysis and debridment of the knee, I had extensive fibrosis in the knee. Following this surgery just over 2 weeks ago I was unable bend my knee initially , due to neuropathic pain, my GP increased my dose of amitriptyline. Within a day of starting this increased dose my knee flexion has improved to 90 degrees, the most it has been since the knee replacement. I am also taking baclofen three times a day , paracetamol, brufen and as required oramorph.
I have to get back to work as I will be in no pay next month, but not sure how long it will take for the knee flexion to improve fully, the surgeon suggested 8 weeks.

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