Doctor insights on:
What Type Of Exercise Bike Is Recommended For Knee Replacement Therapy
How much physical therapy is needed after knee replacement? How long should I expect to be in physical therapy after my knee replacement, and how often? .
Depends on progress: Most patients receive physical therapy twice per day while in hospital and then usually 2-3 times per week after discharge from the hospital. Most patients have therapy for approximately 6-8 weeks and the frequency during that time depends on how they are progressing and how devoted they are to home exercise. All patients progress at different rates so some may need a little more or a little less. ...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
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 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 more
I had a total knee replacement of the left knee and I did not have any physical therapy until a month after. Is that normal?
Discuss with surgeon: Reasons for this delay in physical therapy. While you may have had medical issues that delayed pt, usually it starts soon after surgery, first post operative day to work on strengthening and avoid issues like knee flexion contractures. Starting this late can cause some functional issues but medical issues would be the priority. Discuss with your surgeon. ...Read more
What to do if I had a total knee replacement of the left knee jan of 2012 I did not have any physical therapy until a month?
Likely: Your range of motion may be limited. Speak with the surgeon regarding your options. ...Read more
I had a total right knee replacement on 11/17/15 after 12wks of healing and therapy numbness from my knee down to my toes told tibial @ pop was nicked?
Varies: Numbness is typically a neurological complaint. After a knee replacement, numbness can be related to an aggravation of a nerve in the back, or it can be something more near the knee replacement itself; which is what you are implying when you say the nerve may have been "nicked". A nerve conduction test can usually tell the cause or at least location of the problem. ...Read more
I had a meniscus repair one yr ago wear a knee brace for instability had physical therapy 3 times constant pain what about knee replacement?
Unlikely: Knee replacement is done to treat arthritis of the knee. If you are 33 years old, it is unlikely that you have severe arthritis in your knee unless you had a major trauma in the past or have had multiple surgeries. Knee arthritis is easily diagnosed with a plain x-ray. This is where you should begin to see if you have evidence of arthritis. ...Read more
Wife having total knee replacement done in a month and will be on ASA versus something like Coumadin, she is an RN and is aware of the risks of Coumadin therapy, but she is unsure if aspirin will reduce the risk of clots as efficiently? Thanks!
Anticoagulation: People at low risk for blood clots usually receive anticoagulation therapy post surgery for 1-2 days. The choice of anticoagulation therapy is usually the ortho surgeon's choice. Individuals are not discharged on anticoagulation medications, so that is probably why aspirin was the chosen protective medication. However, confer with the surgeon to be sure. ...Read more
Total knee replacement surgery 11/7/15. First post-op visit showed knee bends 60 degrees. Mom worked hard in physical therapy but extreme pain prevented her from pushing more. Knee manipulation scheduled for 12/16. Success rate of manipulation/risk?
Knee pain. Knocked, hyperextended n arthritic knees. 56. Too young for knee replacement. Other treatment options?
What is the best treatment for severe nerve pain that pain meds do not work on? I have had two back surgeries, and knee replacement and still have excruciating stabbing knee pain that I have been told is nerve pain coming from my back. Pain medication an
Up to 3 months:
Everybody recovers differently after a total knee replacement. The amount of physical therapy is therefore, variable. A usual pt course is anywhere from 4-12 weeks.
The more dedicated the patient is to his/her recovery, the more successful the end result of the surgery will be. ...Read more
Depends: If the knee is severly arthritic and deformed with constant pain no question the knee replacement is by far a better option. Pt does not correct the arthritis, it help to srengh the muscles around the knee, improve the rom and muscles contractures. One is not subtitute for the other, they complement each other. ...Read more
Extremely important: Physical therapy is crucial for full functional recovery after a total knee replacement. I believe that therapy should start as soon as possible, ideally the day after your surgery. Physical therapy should include soft tissue mobilization, joint mobilization, and strengthening exercises. Finding a skilled physical therapist is key to a complete recovery after receiving your new knee joint. ...Read more
Stem cells for knee: It is still an experimental treatment, where the stem cells from another joint like hip are concentrated in a centrifuge and then injected into knee. Only a hand full of doctors are administering this treatment around us. So far the results have been pretty good. Two third of patients report more than 50% relief, and 40% reported 75% relief. The complete result will be published later this year. ...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
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
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
Depends: It all depends on your symptoms and your response to conservative treatments such as over-the-counter pain meds, icing, low-impact exercise, weight loss, and knee injections. If all these have failed, you have severe knee pain aggravated by walking, and you have severe arthritis, then your only other option is to live with the pain. ...Read more
No either or: Remain active and do either one or both. One is not necessarily better than the other. ...Read more
Possibly.: If your exercise consists of non-impact activities, such as swimming, biking or walking. Keeping your muscles strong and your body weight down, may delay the need for a knee replacement. You should check with your orthopedic doctor, to make sure these activities are ok for you. ...Read more
Is it normal for your knee replacement to snap when you put your leg into a frog leg type position?
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