Doctor insights on:
Exercises To Increase Range Of Motion After Total Knee Replacement
ROM exercises: Common range of motion (rom) exercises are heel slides, cycling, and wall slides. These are started early in physical therapy. More vigorous rom exercises would be things like stair lunges. Most importantly, you should consult with a licensed physical therapist for a full evaluation to address your specific rom limitations and they will prescribe appropriate exercises for your particular case. ...Read moreSee 1 more doctor answer
Strength and motion: Patients lose 30-50% of muscle strength after tka and have to exercise to regain that strength. Leg raising, walking, and progressive exercises to improve the quadriceps function will help. Motion exercises include bending the knee to regain flexion and full extension (straightening). These should be done 3-4 times/day. Bending, biking, and pulling on the leg in flexion will help. ...Read more
Is there any type of revision surgery following a hemiarthroplasty of the shoulder to improve range of motion and strength?
Depends: Causes of stiffness following knee replacement include scar tissue formation, component size and position among many factors. However, the most important factor is the patient's preoperative motion (i.e. Preoperative stiffness is likely going to lead to less than optimal postoperative motions). ...Read moreSee 2 more doctor answers
Your PT should be --: Able to help you, as he/she'll be able to determine which (or all )muscles need to be strengthened in your thigh (both quads ; hamstrings). They'll be gauging your response to the pt and giving you a home exercise program, all in an effort to rehabilitate you, to attain the best function you can achieve after rev surgery. Do them religiously ; you'll enjoy the results of the surgery. Good luck. ...Read more
Strengthening, etc: The cornerstone of therapy protocols following hip and knee replacement centers on gait training and strengthening. Hip replacement patients should focus on walking, abductor and gluteal strengthening, while knee replacement patients should focus on range of motion of the knee, quadriceps strengthening program. ...Read moreSee 2 more doctor answers
14 yrs after total hip replacement and bone grafting of the pelvis still in low/high levels of discomfort every day .Exercise is not helping , ?
Many factors: Contributors to outcomes following joint replacement include patient and surgeon factors. While a technically well performed replacement will help the eventual outcome, the patient controls most of the factors; such as preoperative fitness, range of motion, and postoperative drive to rehabilitate. ...Read moreSee 4 more doctor answers
Variable: The potential range of motion of each implant design is based on the diameter of the head ball, the length of the head ball, the shape and thickness of the neck section, the design of the acetabular socket and bearing. The position the surgeon places the components makes a difference. Patient factors reducing range are fat thighs and stiff and tight muscles and lack of preop range of motion. ...Read more
What are the chances of the surgery changing from a partial knee replacement to a full knee replacement?
Uncommon, age: If the partial knee replacement is performed correctly, one should expect it to last for many years. At the age of 38, you still need to avoid running for excercise, just as for a full knee replacement. If indicated, much better option for you at your very young age. ...Read moreSee 2 more doctor answers
Activity progression: Recovery from hip replacement is straight forward. The pain is easily managed with medications and rapidly eases. Most patients can walk with a walker or crutches within hours of the surgery. The muscles in the hip will rapidly regain their function. Specific exercises strengthen the abductor and flexor muscles and can be done at home or with pt. Gait will improve over the next few weeks. ...Read moreSee 1 more doctor answer
It depends: The range of motion following hip replacement depends on the patient (host factors) and the surgeon (technique). Patients with good preoperative range of motion usually have better postoperative range of motion. However, component position, and offset, and residual soft tissue tension can also affect postoperative postion. ...Read moreSee 1 more doctor answer
Please explain why is relaxation of the quadriceps muscle critical to obtaining 90 degrees of flexion from lightly restricted 50 to 60 degrees of flexion?
It's because the--: -quad contracts as U try to Flex.U need 2 block it out of the equation. My trick was 2 have U sit on a couch cushion that U pull out so when U flex, U squeeze the cushion with Ur hams. Do this & U will see the quad doesn't contract. Another way is 2 sit on the couch and drag Ur heel toward U with hard downward force as if trying 2 make a trench. This also will stop the quad from contracting, ...Read more
Is it possible to have full use and range of motion after knee replacement? Will my knee be just as good as new after knee replacement, or will there be less range of motion or other limitations?
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