Doctor insights on:
Recumbent Or Upright Exercise Bike For Knee Rehab
I have purchased a Recumbent Exercise Bike. I have OA in my knees n back n neck. Did I make the right choice. For strengthening. THANKS.
Yes: Start slowly. Non weight bearing exercise is less damaging to you ...Read more
Exercise Or Physical Activity (Definition)
Exercise is a physical activity that is completed to maintain or improve health. Benefits of exercise include weight maintenance, improving mood, increasing energy, preventing or controlling chronic diseases, promoting better sleeping, and improving sex life and libido. ...Read more
Had knee surgery to repair torn meniscus. It was recommended to ride stationary bike as part of recovery. Is an upright or recumbent bike better?
Start recumbent: Using an upright bike will put more pressure on your knee while it is healing and is not recommended, while a recumbent bike has less pressure and helps to keep range of motion of joint and maintain muscle tone. So, start with recumbent bike after surgery. When the knee is feeling better and stronger, then you can shift to an upright bike. ...Read more
I ride a diamond frame mountain bike for outdoor riding it has been suggested that a recumbent would be easier on my knees beat up in football age61?
Have naturally loose knee caps and occasional pain no arthritis. I read stationary/recumbent bikes low impact, but can constant motion hurt knees?
See details: It is likely to be chondromalacia patellae. See an orthopedist. Specific exercises can help. ...Read more
Ok: It should be fine as long as you start with low or even no resistance on the bike and exercise with comfort. If your knees are screaming at you during the exercise or if you have prolonged (greater than an hour) soreness after exercise, you are doing too much. Do not increase the resistance or the duration by more than 10% every couple of weeks and you should be fine. If not talk with pt or doc. ...Read more
As long as no: Instability, and pain is improving, you usually can start rehabbing it as when you can tolerate it. If pain gets worse again with activity, see a physician to be sure there is not more damage. Nsaids may help. In rehabbing, strengthen quads and hamstrings with closed kinetic chain exercises. See a physician if not continued improvement to be safe. ...Read more
Careful: Depends on the ligament. It is very important to get your motion back first after a ligament injury. Range of motion exercises (wall slides, etc.) and biking without resistance can accomplish this. Then if you are treating the ligament nonop, strengthening exercises are begun. For example- PCL injury, the quad is very important. Ask your doctor for specific goals for your specific ligament injury. ...Read more
Couple different: Types of boards. One is a balance board which can help knee stabilizers. Another board used is a knee extension board which helps get the knee back to full extension. This is especially important when rehabbing knee replacements as knee flexion contractures can be a very difficult thing to correct once they set in. Hope this helps! ...Read more
Impossible to know:
Without more detail, it's not possible to tell you why your knee is not improving. Knee conditions arise from a variety of reasons, and we would need an understanding of the cause of your knee issue, an examination of your knee, and possibly an x-ray.
It is best to make an appointment with your primary care provider for further evaluation, treatment or referral to a specialist. ...Read more
Quad and hamstrings: Typically, the quadriceps and hamstrings which are the secondary stabilizers of the knee are strengthened following acl reconstruction. Depending on the time from surgery and what type of graft and protocol your surgeon follows, an exercise program focused on these muscle groups as well as riding a stationary bike form the cornerstone of treatment. ...Read more
Low impact: Generally, it is a good idea to keep the knee moving with as little impact as possible. Provided it is just a strain, and there are no fractures, torn meniscus or ligaments, a low impact exercise program including riding a stationary bike or elliptical machine would be advisable. If it hurts, don't do it and make sure you check with a physician. ...Read more
Inflammation: When a jont is injured, the lining of the joing is inflammed and the tendons, ligaments and muscles also get stressed and inflammed. When restoration of function is attempted and motion is induced and stretching occurs, there is activation of pain fibers. That is why a therapist is needed to guide you through this. Medications and pain alleviating measures may be needed to accomplish end goal. ...Read more
Runner's knee: At least 3 times a week, but daily would be better. ...Read more
See orthopedist: You cannot just rehab a dislocated knee. If the knee is truly dislocated, it needs immediate treatment by an orthopedic surgeon. If you mean that your kneecap or patella subluxs, meaning it has a tendency to slide out of it's groove, usually to the outside of the knee, there are taping techniques as well as certain physical therapy exercises that can be of help for that although sometimes surgery. ...Read more
Ostioarthritus in knee, recently fell, over stretched it, had swelling& 2days ago hyperextended just walking. Hurts to bend or straighten. How to rehab?
See an Orthopedist: Swelling and hyperextension could indicate a ligament tear, most likely the acl. You could have also torn cartilage (meniscus) which could also cause your symptoms. See an orthopedic surgeon who can examine the knee and determine if you need x-ray, MRI or are ok to treat conservatively (rest, compression, ice, therapy). Many orthopedic offices have a same day clinic for acute injuries. ...Read more
Not necessarily: It depends on what injury you are trying to rehabilitate. The use of knee braces is controversial, with no solid evidence regarding their use. Most surgeons will use a post-op brace to protect the knee during the early post-op period, but rehabilitation exercises are designed to restore motion and strength with a low risk of injury, even without a brace. ...Read more
Strengthening: Most rehab protocols for knees involve stretching an strengthening of the quad muscles (front of thigh). These muscles combine to form the thick band of ligaments that go over the kneecap and stabilize the joints. ...Read more
Not necessarily: After a total knee replacement, you will definitely need physical therapy. The setting will depend on your general health and other medical co-morbidities. The different settings could include home with outpatient therapy, home with home health therapy, at a skilled nursing facility, or at an inpatient rehabilitation facility. Your doctors will help determine the most appropriate rehab setting. ...Read more
No: After leaving hospital either home PT or outpatient PT should be adequate ...Read more
Hi Dr, I had ACL surgery in April 2015. I have done all the rehab. However my knee continues to have effusion. What do I do?
NO: After knee replacement surgery, you typically have 4 weeks to work on the motion of your new knee. I recommend my patients focus on rom for 4 weeks after surgery to optimize their results and give their new knees the best chance of a 'normal' range of motion. Following a knee replacement, my patients have one year to get fully better. Issues along the way are dealt with individually. ...Read more
RICE: And I don't mean the white kind in a bowl with soy sauce. Rest-ice-compression-elevation, especially if it's tender, hard to bend, and hurts at the end of the day. This can help relieve the swelling and pain, along with nsaid's. Keep the knee active, limit high impact activity on it though. ...Read more
Motion/strength: You cannot really speed up the healing of the mcl. It will take 2-3 months to heal regardless of how it is treated. However, knee motion and quad strength can easily worsen as a result of mcl tears. If you work on motion and work on quad strengthening, this will not happen and you will be much faster on your road to recovery back onto the court. ...Read more
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