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Sun, Mar 8 9:10pm · Burning after total knee replacement in Joint Replacements

I had similar issues but 6 months seems a little early (to me) as total recovery is thought to be 9-12 months out. I tried the gel and gabapentine but this was at the 1 1/2 – 2 years out. I also tried Lyracia. For me nothing worked which was disappointing as many co workers got some relief. And I was taking 600 mg 3x day. It takes a period of time to get to the max dose (About 2 weeks) but then you need to taper back down to discontinue. This is important to not stop cold turkey. The biggest issue with these two meds is the drowsiness- which is how they work to calm the pain down. I would wait to take one dose when I got to work as to not be drowsy with driving.
Have you tried other options or any Techniques to desensitize that area, TENS? Massage or other manual techniques? Weight/pressure on your knee- This is one way to desensitize. Acupuncture?
I hope you can get some relief. I plan to follow to see what others suggest. It’s very frustrating to say the least.

Tue, Mar 3 9:35am · Strengthening exercises after total hip replacement in Joint Replacements

This great and thank you for sharing. This is a very long program but one would need to follow in phases. But the pictures and explanations are easy to follow.

Sun, Mar 1 7:05pm · Radiofrequency Ablation for SI joint pain in Bones, Joints & Muscles

Hello,
I have not had ablation to the SI area but did have for issues follow a knee replacement. Unfortunately for me, I didn't have much help but I have talked to other that have. So that tell me that my knee issue is not related to nerve but some other cause, which I am still investigating.
Regarding your atrophy of the glute muscle- do you have a PT or personal trainer to guide you? It is so important to get this strength back as the hips, glute, and back/abdominals (core) are all key to take the load (rather than the SI). It does take time but you need to do much more advanced strengthening and push weights. You can't do this with simple body weight exercises like squats- but need to be in a leg press machine with gradual increase in loads. A PT or trainer should be able to guide you better in person. I am a PT (and yes…I am very compliant with my routine) but still struggle with my knee and atrophy in my thigh. I am working with a trainer myself to help push me. Please feel free to ask any questions.

Dec 24, 2019 · Nocturnal Leg Cramps - Help! in Bones, Joints & Muscles

This concept is great but I am having a hard time visualizing the sock. Can you post a picture? I can’t seem to understand how to sew the tail on it so you can still allow your foot into the sock.

Dec 24, 2019 · Scar Tissue in Joint Replacements

Thank you for this info and link. I love your comment that PT is forever…..maybe not paying someone but one definitely has to be motivated to continue on their own, and it's lifelong like it or not. Your comment about pain is true. I know for me, I was told it would be managed by medications but in all honesty- ice was the only thing that really helped me manage my pain. Maybe the meds took the edge, but I didn't have the normal or usual response like my colleagues after knee surgery.

Dec 24, 2019 · Herniated discs at Levels L4/L5-S1 in Bones, Joints & Muscles

I haven't heard about stem cell for this issue but the jury seems to be out for strong evidence to be used for other conditions. As a PT, I can tell you that most herniated discs do get better in time, on their own and physical therapy can help one learn how to manage their conditions. I don't know all your issue but surgery is not always the answer and many patients have more issues after surgery.

Here is a link of an abstract related to the healing process known as disc resorption. There is also plenty of evidence to support that the majority of the population has a herniated disc but are asymptomatic.

https://www.painphysicianjournal.com/current/pdf?article=NDAwNA%3D%3D&journal=101&fbclid=IwAR2vQ8pptaI2kwkWe-rRx-tq3W9C1fMc68v5fN2w0FX1-geink53njTUOqI

Dec 24, 2019 · Scar tissue after knee replacement in Joint Replacements

There is current evidence that indicates that CPM (continuous passive motion) machines are not effective in more desired outcomes in uncomplicated knee replacements. I haven't see any literature about the use of machines in more problematic knees. The biggest issue is that the machine is passive and active motion is always preferred over passive for lots of reasons.

Dec 24, 2019 · Scar tissue after knee replacement in Joint Replacements

I am now totally against being extremely aggressive- and even in clinic practice, I never saw the value to being over aggressive. It's the patient that leaves the clinic in agony, not the therapist. There is no literature or evidence to say this aggressive approach results in more desired outcomes. I do feel that you have to shove gently- push to your limit but then a bit further. For those that have a low or poor pain tolerance, you have to push through.