Physical Therapy (PT): How long? Where did you do it?

Posted by emb123 @emb123, Apr 23, 2019

Quick question…..How long did you all do PT, either at home or at a PT center post op? I am 13 weeks out and do none…..or very little, but do walk 2.2 miles usually a day.

@katclub

Thank you for this inf!
My ROM was 126 this week, I did some stretching today and plan on talking to the pt too!

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@katclub, a flexion of 126 at one month is pretty good from what I remember and understand. I had a horrid recovery due to scar tissue that needed two manipulations. It took me a good 12-18 months to get to my final ROM which is now somewhere around 0-105. I would have liked to get to that 120-130 range, but the scar tissue was just so aggressive that I was not able to push through any further. I had mine in 2006, so it has been a while, but I do remember the pain subsiding at a steady pace. My experience was a bit different though because of the manipulations post replacement. The pain was far more intense awaking from those manipulations that it was from the actual replacement. I've learned a lot from all of the members in this thread about just how different we all are in our recovery.

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I have what I'm hoping is not too dumb of a question. How do you know what your range of motion is after a TKR and working on rehab? It's fairly easy for me to figure out 0 degrees and 90 degrees and then interpolate something more or less than that. Is there a gauge? Right now I can bend my knee to what I think is around 120+ degrees based on something between 90 degrees and another 45 degrees from their. Psst…I'm all in on guestimates but was wondering how others figure out what their flexion is.

Happy Friday – John

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@johnbishop

I have what I'm hoping is not too dumb of a question. How do you know what your range of motion is after a TKR and working on rehab? It's fairly easy for me to figure out 0 degrees and 90 degrees and then interpolate something more or less than that. Is there a gauge? Right now I can bend my knee to what I think is around 120+ degrees based on something between 90 degrees and another 45 degrees from their. Psst…I'm all in on guestimates but was wondering how others figure out what their flexion is.

Happy Friday – John

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I never measured on my own. I just went off of what the PT people were telling me when they used their little measuring tool (goniometer?). Admittedly, it never felt too accurate but had to be close, right?

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@JustinMcClanahan

I never measured on my own. I just went off of what the PT people were telling me when they used their little measuring tool (goniometer?). Admittedly, it never felt too accurate but had to be close, right?

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Thanks Justin @JustinMcClanahan! — I didn't know the term/name but figured there was a tool out there. Saw one on Amazon for <$7 but may look into this one if I want to know.

Medigauge Electronic Digital Goniometer for Orthopaedics, Orthopedics, Chiropractic, Sports Medicine, Animal Science, Occupational Therapy OT, Physical Therapy PT, Research by Medigauge
https://amzn.to/2E2fa2u

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@johnbishop

I have what I'm hoping is not too dumb of a question. How do you know what your range of motion is after a TKR and working on rehab? It's fairly easy for me to figure out 0 degrees and 90 degrees and then interpolate something more or less than that. Is there a gauge? Right now I can bend my knee to what I think is around 120+ degrees based on something between 90 degrees and another 45 degrees from their. Psst…I'm all in on guestimates but was wondering how others figure out what their flexion is.

Happy Friday – John

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Hi @johnbishop – both of my physical therapists (in-home and outpatient) measured my ROM with a special little tool on our first appointment and our last. They put it in my chart. I bet if you ask for your records you will see it there. I think it is one of the metrics they use to measure progress.

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@debbraw

Hi @johnbishop – both of my physical therapists (in-home and outpatient) measured my ROM with a special little tool on our first appointment and our last. They put it in my chart. I bet if you ask for your records you will see it there. I think it is one of the metrics they use to measure progress.

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Hi @debbraw, My next appointment with the surgeon and team is July 15th when I go in for an MRI and then a follow up exam. I'm guessing I may see that special little tool. I don't have any therapy related charts. I saw two different therapists the day after the surgery before I was released. One in the morning that went over what they wanted me to do at home for the recovery and one late morning to go through going up and down stairs and walking to make sure I was OK to be release into the wild ☺ I did tell them I was rehabbing at home and spend most of my time in the lower level – 14 steps up and down which I actually think helped me along with my recovery.

Argh…now it's time to take the compression socks off. This little piggy went to market…this little piggy – well he just needs to let go of the blank sock.

Another first for me today. Got on and off the lawn tractor multiple times without the cane and walked around picking up sticks from the winter storms while I was mowing the yard for the first time. Have a great weekend!

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@katclub

I’m one month after tkr and the pt is intense. I come home in lots of pain, laying on those tables has messed up my neck a lot also. I’m there 90 plus minutes. The 5 pound weight on leg is hard. I was able to use bike today got all the way around. Is more pain normal? I’m really feeling down about the process!

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@katclub : It sounds to me as if your PT people are way too agressive. Can’t argue with 126 ROM at this early stage, but I got there in about twice the time frame (132 at 4 months). My sessions lasted roughly 45 minutes, starting with a 5 to 6 minute bike warm-up, then GENTLE exercises, maximum weight on leg 2 to 3 lbs. Never needed pain pills before or after, never had exceptional pain during or after PT. Mostly, I went shopping to some specialty stores nearby after my sessions. Each PT group has their own methods, but yours sound unpleasant.
Of course I did 3 sets of exercises at home, every day, for about 8 weeks, then tapered off to 2 sets. That seemed to be more beneficial than screaming-pain workouts with the therapists.
My apologies – meant to hit (and did) the edit button, must have accidentally touched the “like” button as well. Ignore!

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@ellerbracke

JK: I am really glad that you, too, hate the gym. I used to go to different type gyms for on and off perhaps 7 years, and I had a big smile on my face every time I got out of there. As one of my PT’s said: he never came out of the gym, regretting to have gone. But liking to go is something else altogether!

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@ellerbracke When I go to water fitness classes I generally go at 9:00 in the morning but on the days when I do not do that I end up going in the late afternoon — it takes me that long to get myself motivated! Yes, afterward, I am glad I went, but going there is the pits.

@katclub Your ROM sounds great, congratulations on that. Your PT does sound very intense. My ortho does not want his patients to be in a lot of pain from PT, but they are all different.

@johnbishop I only knew my flex from what the PT measured it at but you can purchase that tool from Amazon for a fairly reasonable cost if you want to be able to measure on your own. I thought about it but didn't end up buying one.
JK

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@contentandwell

@ellerbracke When I go to water fitness classes I generally go at 9:00 in the morning but on the days when I do not do that I end up going in the late afternoon — it takes me that long to get myself motivated! Yes, afterward, I am glad I went, but going there is the pits.

@katclub Your ROM sounds great, congratulations on that. Your PT does sound very intense. My ortho does not want his patients to be in a lot of pain from PT, but they are all different.

@johnbishop I only knew my flex from what the PT measured it at but you can purchase that tool from Amazon for a fairly reasonable cost if you want to be able to measure on your own. I thought about it but didn't end up buying one.
JK

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I thought about buying one of the tools to measure the flexion but I just look at my other knee and compare the amount I can bend each one. I'll let them tell me when I go in for the MRI and follow up in July. Not that I'm cheap ☺

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@ellerbracke

@katclub : It sounds to me as if your PT people are way too agressive. Can’t argue with 126 ROM at this early stage, but I got there in about twice the time frame (132 at 4 months). My sessions lasted roughly 45 minutes, starting with a 5 to 6 minute bike warm-up, then GENTLE exercises, maximum weight on leg 2 to 3 lbs. Never needed pain pills before or after, never had exceptional pain during or after PT. Mostly, I went shopping to some specialty stores nearby after my sessions. Each PT group has their own methods, but yours sound unpleasant.
Of course I did 3 sets of exercises at home, every day, for about 8 weeks, then tapered off to 2 sets. That seemed to be more beneficial than screaming-pain workouts with the therapists.
My apologies – meant to hit (and did) the edit button, must have accidentally touched the “like” button as well. Ignore!

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Friday I skipped one excercise, just said no. The most painful part is when pt bends my knee and deep massages my soft tissue area. I had 15 minutes of heat and tens unit and 15 of ice machine but the rest is exercise. I’m liking the bike a lot, I’m doing one session at home most of the time since I try to walk a lot.
I do feel they are agressive😐 will just Jeep saying no to what hurts!

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How are you progressing with no PT?
Do you have swelling and any numbness?

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@johnbishop

I thought about buying one of the tools to measure the flexion but I just look at my other knee and compare the amount I can bend each one. I'll let them tell me when I go in for the MRI and follow up in July. Not that I'm cheap ☺

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@johnbishop: 🙂… not that I’m cheap either, but I was curious. Did sort of the same: compared bend/angle of knees between good one and new one. Then, once in a while, lined up non-tkr knee exactly with angle of tkr knee, took protractor (we’re both old enough to know what that is, and to have one), measured angle of good knee, and calculated from there. Simple question of math and angles. Not perfect, but close enough. Basically, I did it to bolster my ego, and keep me motivated. PT people did focus more on function than ROM in the beginning. Me, being type A personality, needed the pat on the back for doing good.

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