Doctor insights on:
Exercises To Increase Range Of Motion After Total Knee Replacement
How soon after a total knee replacement could someone use a continuous passive motion (cpm) exercise machine?
1 hours: Ideally you should be placed on it in the recovery room whole still sedated. Once you are able to move the knee on your own, the benefit of continuous passive motion is less apparent. ...Read more
Six weeks ago I had a total knee replacement. At this point, what degree or motion should my knee be bending at?
90 degrees or more: Can vary with each patient.Get a more detailed answer ›
You will do many: Different exercises. However, there are two main areas that a pt will work with you. First, you will need to work on stretching your hamstrings, making sure you get your knee in full extension. The second, which is very close to this, is quadriceps strengthening. Overall gait stabilization is also important. Pre-surgery exercises programs have demonstrated success in better post-surgery outcomes. ...Read more
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
See below please:
1-quadriceps sets tighten your thigh muscle. Try to straighten your knee. Hold for 5 to 10 seconds.
2-straight leg raises
4-knee straightening exercises 5-bed-supported knee bends 6-sitting supported knee bends
7-sitting unsupported knee bends 7-walking
8-stair climbing and descending
9-standing knee bends
10-sted knee bends
11-exercycling you could find detail on this website. ...Read more
With advise: You can exercise after knee replacement, and it is a good idea. The best exercise is that which avoids stress across the knee. Although you want to strengthen the muscles around the knee, you do not want to place undue stresses across the replaced knee. Your orthopedist and your physical therapist can best advise you. ...Read more
Exercise with total : The only major restriction on exercise for total knees is to avoid jogging or running as your aerobic exercise. Jumping and landing exercise are also not great because like jogging, you can cause loosening of the implant from the bone or cement fixation. This also can speed the wear down of the plastic bearings. Bicycles, tai chi, walking, swimming, dancing, golf, tennis, ellipticals are all good. ...Read more
1st week is okay: As most therapists don't need any machines to perform proper therapy. Manual therapy can achieve excellent results without machines. However, machines can be used as an adjunct to good manual stretching and strengthening programs. Stationary bikes can start early in the first week as the swelling reduces. Weights should be avoided until full extension is gained from your stretching program. ...Read more
I am 3 mos. Post op from total knee replacement. I have pain in knee and It's hot and slightly swollen. Could this be from excessive exercise?
@ 3 mos it should: B quieting down. Red, warm & swollen would worry me. is there pain also? Get in to see your surgeon, a low grade smoldering infection is possible. Loosening is a possibility, but pretty early for that. I would want to r/o infection first. That means aspiration & culturing the aspirate. ...Read more
Yes: Rheumatoid arthritis is a disabling disease that can cause severe joint destruction. Treatment should be via non-operative options first- nsaid's, cortisone injections, and other disease modifying agents (e.g. Methotrexate or humira). If the pain from the RA in the knee is no longer adequately treated by the conservative options, total knee replacement is an excellent option. ...Read more
Hi doctor, 3 weeks back my mother has undergone total knee replacement surgery. after that the platelet count has increased to 6.5*10^4/cmm. Is this normal?
Could be ok:
Depends on the lab
should ask doctor who ordered test ...Read more
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 more
Many things: There are a number of things that can cause pain. Infection should be ruled out first. If it is not infected, xrays should be done to verify the components are not getting loose, a bone scan is also a possiblity. A rare cause is metal sensitivity, but this is controversial. Sometimes impinging scar tissue in the knee can cause it, or it can be refered pain from the hip. ...Read more
It depends: Full recovery after knee replacement usually takes more than a year. Most patients reduce their use of pain medicines within two weeks of the replacement, by 6 weeks they are comfortable and usually by 3 months the knee is fading into the background, and life doesn't revolve around the new knee. Everyone is different and this is a general time line. If you are concerned tell your doctor. ...Read more
Not sure what....: Not sure what "extreme crunching" is, but if that knee was operated on nine months ago, you need to see your surgeon for an evaluation. ...Read more
Pillow: There is no physical reason preventing you from sleeping on your side. You might try a pillow between your legs if you find it uncomfortable while your knee recovers. ...Read more
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
Hemiglobin lost post op. 2 days after total knee replacement my wife hemiglobin level dropped 1 point in 6 hrs from 8.7 to 7.7 is this normal?
Yes, but not often: Knee replacements can feel like "seizing" or "locking up" on rare occasions and they are usually not due to the device. The most likely phenomena you are experiencing is either "crepitus" or "clunk" which is when scar tissue surrounding the front of the knee gets trapped within the device creating a sensation of locking up. When severe enough, it can be alleviated by removing that scar tissue. ...Read more
May not be complete: Some are fortunate to have the surgery and shortly thereafter once the wounds healed, they have no pain at all. Many will have great improvement of pain, but never completely resolved after the replacement surgery. It is a big surgical procedure with significant risks/benefits, so do your research and discuss with doc thoroughly. Good luck to you. ...Read more
Recovery: typically, is about 2-3 months. It is an inpatient surgery you are in the hospital 2-3 days and then either go home with PT or to Rehab. You are up walking either the day of or after surgery. Stitches out at two weeks. Typically, off crutches in 3 weeks once you can stand walk with good quad strength. ...Read more
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