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19 hours ago · Mako Robotic Arm TKR Week Six in Joint Replacements

PS, i.e. not focus on strength building until down the line, when the bending/extension is in good shape. This doctor argued that walking in the early stages of recovery should not be the focus, since it does not help with bending/extension; what he means, I think, is to not imagine that you can substitute walking/activity for the bending/extension exercises. I still walked but for up to 4-5 months, my knee would swell if I walked too much.

19 hours ago · Mako Robotic Arm TKR Week Six in Joint Replacements

@clbs I think I posted this in another thread, but during my search on all things TKR, I eventually came across the site of a doctor who believes that one should not focus on strength building, but push harder on bending in particular, and extension as well. He recommends thinking in terms of hours rather than minutes. That seemed extreme to me but I did push harder to hold a bend longer, push more at the margin, then release after 10 min or so and repeat. I think that improved my bending. Also, when PT told me that my leg was not completely straight when I walked on his magic testing treadmill that took video and tested how hard my legs hit the flat surface, I added more of this exercise: lay on stomach on bed with legs off bottom, attach a weight to surgery leg, try to relax and let the weight pull it down. Rest, repeat, etc. That did it for me. I will try to find the website on bending but I remember it was deep into my search. I think it is a matter of doing it three times a day for half an hour or more, very tedious…

5 days ago · 5 months post TKR: Stopped doing exercises and dealing with pain in Joint Replacements

@marbowl I also had swelling when I picked up the walking, so it is not surprising, considering how much you have to be on your feet. If there is any way during lunch or break to put your leg up and get some ice on the knee, that would also help. As @ellerbracke mentioned, I stopped being so serious about the specific knee exercises at around 5-6 months, but now I will have to pick it up again, especially the bending. I found a doctor's website, which of course I can't find again, in which he advised a much longer time on bending and extension–i.e. when you sit down to watch TV (if one has that luxury), bend the knee up and keep it there, pulled in hard and with pressure, for 30-60 minutes. I have never done that, but I have held it for 10 minutes, let it go, then do it again, and I think that helped me with gaining flexion. Best of luck!

5 days ago · Mako Robotic Arm TKR Six Months in Joint Replacements

Sorry those files are so huge – I shrunk them but obviously not enough!

5 days ago · Mako Robotic Arm TKR Six Months in Joint Replacements

I took a couple pics of the legs bending like that woman does – you can see there is still some distance to go for the surgery knee on the left. Once I see this in the shot, I think I had better keep at it. Also there is quite a strain getting the leg up there so I would not say it is natural and easy as is the non-surgery leg.

6 days ago · Mako Robotic Arm TKR Six Months in Joint Replacements

PS, @johnbishop your flexion looks great!

6 days ago · Mako Robotic Arm TKR Six Months in Joint Replacements

@contentandwell @ellerbracke @johnbishop Thank you for the comments and encouragement. I also don't think the flex is shown in the lunge, because if you look at the young man in the first picture, his knee is not even at 90 degrees, or a right angle. I can get my knee to the ground easily but have to hold something or I will topple – I think that is a strength problem (some years ago one physical therapist told me I wasn't strong enough to walk. When I said but I do walk, she said I was "compensating." So I don't think I am very strong). However, I was very flexible before surgery so it probably makes a difference in things that take overall body flexibility (I could always bend from the waist straight knees and put my hands flat on the ground–so can my sister so it must be genetic! No credit to us, but it did surprise the "lifestyle therapist" that I could put my shoes on easily the day after knee surgery). The "catch" that I referred to is actually a moment of discomfort, I can't feel any real catch or hear anything. It has improved. I continue to exercise with my recumbent bike at home, doing 45 minutes and working up a big sweat 5 times a week. I also do weights and bands but that is now and then – when our YMCA reopens I'll eventually go back to machines for weights, which I vastly prefer. I also have road bikes, all some sort of recumbent, and ride now and then. They are great when going fast on flat ground, but now I feel I should go slower. Last thing I want is to fall on the ground and hit my knee. When I do the exercise @ellerbracke describes–lie on the back and bring the legs down as far as they go, then sit up and look at the distance between where the feet fall–I also have 2-3" difference. I can pull the surgery leg back so they are identical, but it won't stay there on its own. I hope your bone spur or whatever it is gets taken care of; you're right, lets not have two bad knees!

Wed, May 27 10:53pm · Mako Robotic Arm TKR Six Months in Joint Replacements

Long break here without much going on, but I thought I should check in at the six month mark, which was yesterday. Before I left therapy a few months ago, I got to 145 degrees, which is only 4 degrees less than my non-surgery knee. I don't think things have changed much, maybe a little. I still do my knee exercises three times a week; not very hard anymore. Mostly riding on the bike at home, sometimes outside, and doing light weights and bands. If you were to watch me walk, you would not see any knee issues, I'm pretty sure of that. I don't try to run! And kneeling is still not comfortable, although I can use my non-surgery knee to get up and down. Other than that, if I lie on my back with my leg straight up at a 90 deg angle, and then slowly bend it, I can feel a slight catch as it gets toward the bottom. This has been improving so I have hope it will go away. I still massage my knee and the scar; I still have a small amount of numbness, but that too has improved a lot. I have long had left-body pain (after a rib cartilage inflammation almost 40 years ago, which caused a tight knot in the back that only goes away with dry needling, but reappears after three days); the knee surgery has exacerbated that tightness and pain. It took me a while to associate it all, but it has been true that any "injury" to the left side causes systemic pain on that side. I supposed knee surgery is an injury. So now I stretch two or three times a day, and take muscle relaxants at night. That has worked pretty well.

Overall I am happy with my knee, and think it will continue to improve. I read some of the questions and comments here and realize I have been very fortunate. I hope everyone finds relief from pain from their surgeries.