Just hit 8 weeks after TKR and manage to bend my knee at 125 degrees thus far . It wasn’t easy, I did all the exercises at home plus PT 2-3 times a week.
That's fantastic progress at 8 weeks post TKR! Achieving a knee bend of 125 degrees is impressive, and it's clear that your dedication to doing exercises both at home and during PT sessions has paid off. Keep up the great work!
Had a partial left knee done 5 months ago.done and now I have 135 degrees of flexion.About the same as my right knee. Had an MIA after I was stuck at 95 at 8 weeks out. So glad I had both the surgery and the MUA.
Hi Tim , congrats on your progress .. I also had a partial knee done -approx 4 weeks out and I’m struggling with swelling which inevitably challenges my bend . How long did it take for your swelling and bending to get easier ? Any tips much appreciated Tim .
Great video, good info. It's good to know I'm excelling at something...lol. Old guy, TKR both knees, 5 months out, about 130 degrees on both knees. I still do PT and stretching every other day.
9 weeks out and I am at 110* but still have morning stiffness. I ride a bike for 10 minutes a day 5 days a week to keep flex and PT 3 times a week. They are now starting to ramp up the PT a little more. I do ice my knee 2-4 times a day to help with any swelling/ inflammation.
Thanks for watching and commenting... it sounds like you are doing all good things to get the most out of your new knee and have a good recovery. Hopefully, you will continue to see the fruits of your actions and have continued improvements and recovery of strength, motion, and function
After 3 months of tkr I have 90 degree range of motion physical therapy continue and walk. So what I do I have sweeling pain and stiffness in both knees
I had gone up to 115 degrees from 92 degrees of flexion after a knee manipulation , and my goal was 120. However, it was a bit painful just to get to 115 and I don't think I could have done more. Now, with quad exercises at therapy, I seem to be getting less flexion. My therapist is focusing on the quads so that I'm able to transfer to a cane form the walker; however I feel that in a way, I kind of failed my goal or 120. I continue to do the exercises at home and to hope I get a better range of motion in the future as I do so.
Although 120 deg would be nice, 115 is a good amount of mobility to perform the vast majority of things you want to in your day to day. It is important to build strength and range of motion concurrently, so definitely continue with the exercises your PT prescribes, and also doing some range of motion exercises consistently and you may over time still some (couple degrees) improvements in your knee mobility.
I'm 3 months in after TKR! And my bending is 110 bending I'm done with physical therapy my doctor and PT say I'm doing good. I'm back working using stairs I go up the stairs better than going down. I'm trying my best to get to 120 bending it's hard and still a bit painful trying to bend .
That’s great! You may get some more bend but 110 is very good already. Going down stairs requires more strength and control and is typically harder, but usually gets easier with time and practice.
This information has lifted a big weight/worry off my knees. I'm 3 months post op from bilateral same day replacements 120 left knee and 125 right knee thanks for my twice daily water physio sessions. I still get stiffness in the front of both knees and it comes and goes and I'm overall 75% happy and just not having that 9/10 pain at every step is good enough for me. 27th May 2024 - I'm now 18 months down the track and gave up measuring my degrees at 6 months. I'm now back to how I was prior to when both knees started to give me major grief. Love cycling, riding the motorbikes and even mowing the grass on the zero turn mower. The journey hasn't been easy and now the journey is just a bad memory and do love helping others out where ever possible.
Thanks for sharing... that range of motion is actually really good and should be enough to allow you to do all the activities you need to. The stiffness and other symptoms will continue to improve with time. Best wishes!
Hats off to you! I am in awe of anyone who has had bilateral knee replacements. I’ve only had my left knee done, but seeing some who have had both done at the same time… wow, that is impressive and looks impossibly hard to deal with. I’m 120+ at 9 weeks, but stiil struggle with fatigue and aching pain plus little sleep. Some days are better than others with a consistent regime of exercise and pain management being one of the hardest things to achieve and rather elusive, however I still (unexpectedly) see improvement all the time with the exercises.
Thanks so much for this very valuable information. Your channel has been extremely beneficial . I am almost 4 weeks out from a partial knee replacement and I’m struggling with swelling and my bending is so tight but I can get to 100 if I push . Any tips on swelling would be much appreciated . This experience has been more than i thought in terms of the recovery process . !
I'm at 130 degrees passive ROM at 3 weeks post TKR. That's if I really crank on the heel slides and have my PT measure under tension. But what about active ROM? There's not enough discussion of the differences IMO. How close should your active ROM be to your passive ROM? Thanks
Thanks for your question. I agree this isn't really discussed. The simple answer is as close to your passive range of motion as you can get it. At the end of the day, your active range of motion is what will matter for your daily function and activity tolerance. The good news is most of the time good passive ROM correlates well with good active range of motion, or at least the potential to further gain active range of motion in the coming weeks if you stay consistent with exercises. You know your knee can bend that far, now its just a matter of continuing to work at so you can do that actively... hope this makes sense!
Question. Is the degree we’re talking about with help from your physical therapist pushing.? I am at 5 1/2 weeks and pushed to 120° yesterday. obviously much lower without a push ,or a pull device to help.
In general, the values discussed in this video are active range of motion, so able to achieve without manual assistance from the therapist. However, achieving these ranges of motion with passive assistance is often a very good starting point. It shows you have the available range of motion in the knee to accomplish 120 and now you can work to be able to achieve that motion without assistance.
I am ten weeks out from TKR surgery. Presently, I am at 107 degrees knee flexion. Is it still possible to see addition flexion at this late period from surgery?
Yes, it is still possible to see improvements, but it will be more difficult as your knee is transitioning in the healing process. .. focus on performing range of motion exercises 2-3 times per day and stay consistent and this will give you the best chance of seeing further improvements! Repetitions and consistency much more important than max intensity every time.
Normal knee flexion is on average 140 degrees, but can be up to in the 150s. Theoretically, a knee replacement could potentially get to normal knee range of motion...but... I almost never see this. Scar tissue forms in the joint and you are fighting pain and swelling, so if you are getting 130-135 you are really in the top small percent of range of motion after surgery.
I was told after surgery that they got my new knee to 120. My understanding is that in a different body it could go higher but in mine probably no more. I'd be ecstatic with 120. I'm nine weeks and struggling to hit 112.
Still feeling stiffness at this point is completely normal... 130 degrees is great range o f motion though, good job! I agree massaging the leg helps with pain and stiffness and is a good option before or after doing your knee replacement exercises.
112 degrees is not too bad but if you are receiving an MUA then your surgeon probably believes you have potential to get more range of motion and this will be helpful for you and your goals. Most times folks have 5-10 degrees more motion after the MUA
Although we would hope for some more range of motion at this point I would consider this within normal variability. I would continue with PT multiple times per week and doing range of motion exercises at least 3x per day. Focus on consistency and lots of repetitions rather than intensity. If you continue to have range of motion limitations after a few weeks I recommend talking with your PT and surgeon about the appropriateness of an MUA (Manipulation Under Anesthesia)
Hi I am on my 5 week post op Patella tendon rapture. went to therapy and my knee was so stiff could not bend. I almost past out .my knee is still swollen and in pain. Is this normal???
Unfortunately, yes. It can really take a number of weeks to months for these symptoms to improve, and sometimes longer. Be sure to follow your doctor and PT's instructions and do your exercises as instructed and it will get better over time!
Thank for your question. To help with limping it may not be how much flexion is needed but more so depends on the extent of the varus position of the knee and how much this impacts leg length and the position of your leg compared to the other side when standing and walking.
I had a limb salvage surgery to my left leg after having an osteosarcoma. 8” of my femur were removed. After 10 months of bending and stretching my knee, I am only able to bend to 85-90 degrees of bend. The scar tissue is like cement. Is there anyway to soften the scar tissue so I can bend my knee more?
The best thing you can do is consistently performing range of motion exercises multiple times per day and include some stretching and holding at the max ranges of bend. This will take time to see changes and it is important to be realistic about your expectations, based on the surgeries you've had regaining full range of motion may not be realistic unfortunately.
My father went with right TKR, he had deformity before also,but at 7th day still flexion is there and PT doing and putting 10° flexion but after removing he is putting leg back again.so is that normal?
It is normal get a certain range of motion with therapy and exercise and then you tend to lose that amount of motion once the therapy ends. That is why consistency with therapy and range of motion exercises is important. Multiple times per day and doing the range of motion exercises every day to restore the maximum amount of extension and flexion.
After 9month I still at 110/115 . I'm biking now at the gym 4/5 days a week 30/40mn. Walking 1hour and plus daily. Do you think I can reach 120/125 someday ?
It is possible to still regain some range of motion, but can be difficult to make significant increases due to the formation of scar tissue in the joint. Continue to exercise consistently and you may see some improvements but also understand realistically you may not see significant improvements at this point.
It is possible to still see some improvements but at 6 months out it takes a lot more time and consistent effort with range of motion exercises and activities... and just because it is possible to see improvements doesn't mean you necessarily will see those improvements and possibly not to the extent you would wish...Try mixing up with different positions / exercises to give your knee and leg different inputs.
At 3 weeks out from surgery we would hope for closer to 90-100 degrees of knee bend. I recommend consulting with your healthcare providers to determine their assessment and recommendations.
@@KneeReplacementTherapists I’m at 3 week and my surgeon want me to start therapy till 2 weeks from know so ima be 5 week till I start pt that’s weird but yea
In most instances, you should be able to achieve much more flexion at this point after surgery. I recommend consulting with your surgeon / doctor to discuss what options are available to you.
Thanks for your comment. Are you referring to the sport of curling? If you are, you do need significant knee bend to squat down to throw the rocks. I don't have a specific value of knee bend you need but my best guess you would need somewhere in the range of 140 degrees or more of knee bend... There may be alternative approaches I am not aware of that require less knee bend.
I will say that most people feel less pain and symptoms and improved mobility in the knee and overall after surgery and rehab compared to how they feel prior to surgery. You may not quite be the "old you." but most of the time you will feel much better eventually.
This depends on the type of motorcycle you have. Some motorcycles about 90-100 degrees is more than adequate, on say a sports bike you probably want to have a goal of 120-125 degrees... This is just a rough estimate and I have very limited knowledge of motorcycles or riding motorcycles.
Just hit 8 weeks after TKR and manage to bend my knee at 125 degrees thus far . It wasn’t easy, I did all the exercises at home plus PT 2-3 times a week.
That's fantastic progress at 8 weeks post TKR! Achieving a knee bend of 125 degrees is impressive, and it's clear that your dedication to doing exercises both at home and during PT sessions has paid off. Keep up the great work!
Had a partial left knee done 5 months ago.done and now I have 135 degrees of flexion.About the same as my right knee. Had an MIA after I was stuck at 95 at 8 weeks out. So glad I had both the surgery and the MUA.
That's a great range of motion! Thanks for sharing your personal knee replacement journey and thanks for watching!
Hi Tim , congrats on your progress .. I also had a partial knee done -approx 4 weeks out and I’m struggling with swelling which inevitably challenges my bend . How long did it take for your swelling and bending to get easier ? Any tips much appreciated Tim .
Great video, good info. It's good to know I'm excelling at something...lol. Old guy, TKR both knees, 5 months out, about 130 degrees on both knees. I still do PT and stretching every other day.
That's great! Thanks for watching!
At 105/3 mos. and totally happy! I do it all comfortably.
That's great! Congrats and thanks for watching!
Hey! How is your bending now? Still 105? What about your daily activity?
Your information and disposition is very positive and encouraging!
Thank you for your kind words and thanks for watching!
9 weeks out and I am at 110* but still have morning stiffness. I ride a bike for 10 minutes a day 5 days a week to keep flex and PT 3 times a week. They are now starting to ramp up the PT a little more. I do ice my knee 2-4 times a day to help with any swelling/ inflammation.
Thanks for watching and commenting... it sounds like you are doing all good things to get the most out of your new knee and have a good recovery. Hopefully, you will continue to see the fruits of your actions and have continued improvements and recovery of strength, motion, and function
Would be nice to see what 90 degrees of bend looks like and then 120 degrees - show examples using an actual leg/knee
Thank you for watching and the constructive feedback.. will keep that in mind for future videos!
After 3 months of tkr I have 90 degree range of motion physical therapy continue and walk. So what I do I have sweeling pain and stiffness in both knees
Thank tou for a reassuring video ❤
You are very welcome!
Thanks. 11 weeks post tkr, only 98 for flexion. Home exercises every day and pt twice a week. Just slower than expected.
That's okay, hopefully you'll notice some payoff from your consistency soon!
@@KneeReplacementTherapists thanks so much. I'm pretty determined to continue. These videos are so helpful and encouraging.
Hei. I have 9 weeks and just 90 degrades. Can you tell me how long time is nesesary for you, for full flexion
I had gone up to 115 degrees from 92 degrees of flexion after a knee manipulation , and my goal was 120. However, it was a bit painful just to get to 115 and I don't think I could have done more. Now, with quad exercises at therapy, I seem to be getting less flexion. My therapist is focusing on the quads so that I'm able to transfer to a cane form the walker; however I feel that in a way, I kind of failed my goal or 120. I continue to do the exercises at home and to hope I get a better range of motion in the future as I do so.
Although 120 deg would be nice, 115 is a good amount of mobility to perform the vast majority of things you want to in your day to day. It is important to build strength and range of motion concurrently, so definitely continue with the exercises your PT prescribes, and also doing some range of motion exercises consistently and you may over time still some (couple degrees) improvements in your knee mobility.
I'm 3 months in after TKR! And my bending is 110 bending I'm done with physical therapy my doctor and PT say I'm doing good. I'm back working using stairs I go up the stairs better than going down. I'm trying my best to get to 120 bending it's hard and still a bit painful trying to bend .
That’s great! You may get some more bend but 110 is very good already. Going down stairs requires more strength and control and is typically harder, but usually gets easier with time and practice.
This information has lifted a big weight/worry off my knees.
I'm 3 months post op from bilateral same day replacements 120 left knee and 125 right knee thanks for my twice daily water physio sessions.
I still get stiffness in the front of both knees and it comes and goes and I'm overall 75% happy and just not having that 9/10 pain at every step is good enough for me.
27th May 2024 - I'm now 18 months down the track and gave up measuring my degrees at 6 months. I'm now back to how I was prior to when both knees started to give me major grief.
Love cycling, riding the motorbikes and even mowing the grass on the zero turn mower.
The journey hasn't been easy and now the journey is just a bad memory and do love helping others out where ever possible.
Thanks for sharing... that range of motion is actually really good and should be enough to allow you to do all the activities you need to. The stiffness and other symptoms will continue to improve with time. Best wishes!
Hats off to you! I am in awe of anyone who has had bilateral knee replacements. I’ve only had my left knee done, but seeing some who have had both done at the same time… wow, that is impressive and looks impossibly hard to deal with. I’m 120+ at 9 weeks, but stiil struggle with fatigue and aching pain plus little sleep. Some days are better than others with a consistent regime of exercise and pain management being one of the hardest things to achieve and rather elusive, however I still (unexpectedly) see improvement all the time with the exercises.
Thanks so much for this very valuable information. Your channel has been extremely beneficial . I am almost 4 weeks out from a partial knee replacement and I’m struggling with swelling and my bending is so tight but I can get to 100 if I push . Any tips on swelling would be much appreciated . This experience has been more than i thought in terms of the recovery process . !
Thank you for watching glad the video was helpful. Here a helpful video for swelling management: ruclips.net/video/WwaOFpVVKQg/видео.html
I'm at 130 degrees passive ROM at 3 weeks post TKR. That's if I really crank on the heel slides and have my PT measure under tension. But what about active ROM? There's not enough discussion of the differences IMO. How close should your active ROM be to your passive ROM? Thanks
Thanks for your question. I agree this isn't really discussed. The simple answer is as close to your passive range of motion as you can get it. At the end of the day, your active range of motion is what will matter for your daily function and activity tolerance. The good news is most of the time good passive ROM correlates well with good active range of motion, or at least the potential to further gain active range of motion in the coming weeks if you stay consistent with exercises. You know your knee can bend that far, now its just a matter of continuing to work at so you can do that actively... hope this makes sense!
Question. Is the degree we’re talking about with help from your physical therapist pushing.? I am at 5 1/2 weeks and pushed to 120° yesterday. obviously much lower without a push ,or a pull device to help.
In general, the values discussed in this video are active range of motion, so able to achieve without manual assistance from the therapist. However, achieving these ranges of motion with passive assistance is often a very good starting point. It shows you have the available range of motion in the knee to accomplish 120 and now you can work to be able to achieve that motion without assistance.
@@KneeReplacementTherapists Thank you
I am ten weeks out from TKR surgery. Presently, I am at 107 degrees knee flexion. Is it still possible to see addition flexion at this late period from surgery?
Yes, it is still possible to see improvements, but it will be more difficult as your knee is transitioning in the healing process. .. focus on performing range of motion exercises 2-3 times per day and stay consistent and this will give you the best chance of seeing further improvements! Repetitions and consistency much more important than max intensity every time.
One week out I am at 90. Can lift my leg pretty good.
That's great for one week out. Keep it up and best wishes with your continued recovery!
What's the most you can get? Does the new knee have limitations that prevent it from bending as much as really good healthy knee?
Normal knee flexion is on average 140 degrees, but can be up to in the 150s. Theoretically, a knee replacement could potentially get to normal knee range of motion...but... I almost never see this. Scar tissue forms in the joint and you are fighting pain and swelling, so if you are getting 130-135 you are really in the top small percent of range of motion after surgery.
@@KneeReplacementTherapists Thanks very much for the reply.
I was told after surgery that they got my new knee to 120. My understanding is that in a different body it could go higher but in mine probably no more. I'd be ecstatic with 120. I'm nine weeks and struggling to hit 112.
5 weeks at 130° flexion..but still stiff..massage the leg helps...
Still feeling stiffness at this point is completely normal... 130 degrees is great range o f motion though, good job! I agree massaging the leg helps with pain and stiffness and is a good option before or after doing your knee replacement exercises.
Almost 8 weeks out from surgery I’m at 112 degrees and having a Mua Monday.. Am I on track?
112 degrees is not too bad but if you are receiving an MUA then your surgeon probably believes you have potential to get more range of motion and this will be helpful for you and your goals. Most times folks have 5-10 degrees more motion after the MUA
I'm three weeks after full replacement only 72 degrees
Although we would hope for some more range of motion at this point I would consider this within normal variability. I would continue with PT multiple times per week and doing range of motion exercises at least 3x per day. Focus on consistency and lots of repetitions rather than intensity. If you continue to have range of motion limitations after a few weeks I recommend talking with your PT and surgeon about the appropriateness of an MUA (Manipulation Under Anesthesia)
Hi I am on my 5 week post op Patella tendon rapture. went to therapy and my knee was so stiff could not bend. I almost past out .my knee is still swollen and in pain. Is this normal???
Unfortunately, yes. It can really take a number of weeks to months for these symptoms to improve, and sometimes longer. Be sure to follow your doctor and PT's instructions and do your exercises as instructed and it will get better over time!
thanks for the advice. I subscribe and liked
How much flexion needed those who having Varus positive after tka to do regular activities with out limping?
Thank for your question. To help with limping it may not be how much flexion is needed but more so depends on the extent of the varus position of the knee and how much this impacts leg length and the position of your leg compared to the other side when standing and walking.
I had a limb salvage surgery to my left leg after having an osteosarcoma. 8” of my femur were removed. After 10 months of bending and stretching my knee, I am only able to bend to 85-90 degrees of bend. The scar tissue is like cement. Is there anyway to soften the scar tissue so I can bend my knee more?
The best thing you can do is consistently performing range of motion exercises multiple times per day and include some stretching and holding at the max ranges of bend. This will take time to see changes and it is important to be realistic about your expectations, based on the surgeries you've had regaining full range of motion may not be realistic unfortunately.
@@KneeReplacementTherapists thank you for your response and honesty. I’m just glad to still be alive and I can still walk.
@@madogg1066Hey.. What's your knee ROM like now..? Take care bro
@@tezzyoderuth it’s still at an 85 degree bend. I can’t get it to bend past that 85 degrees.
My father went with right TKR, he had deformity before also,but at 7th day still flexion is there and PT doing and putting 10° flexion but after removing he is putting leg back again.so is that normal?
It is normal get a certain range of motion with therapy and exercise and then you tend to lose that amount of motion once the therapy ends. That is why consistency with therapy and range of motion exercises is important. Multiple times per day and doing the range of motion exercises every day to restore the maximum amount of extension and flexion.
After 9month I still at 110/115 .
I'm biking now at the gym 4/5 days a week 30/40mn.
Walking 1hour and plus daily.
Do you think I can reach 120/125 someday ?
It is possible to still regain some range of motion, but can be difficult to make significant increases due to the formation of scar tissue in the joint. Continue to exercise consistently and you may see some improvements but also understand realistically you may not see significant improvements at this point.
I also found the video you have on 3 advanced exercises to increase knee bend very helpful. 😊
After 6 month replacement knee pain only have 110 to 112 bending but I need to go
Atleast 115 to 120. Is it possible or it’s too late now
It is possible to still see some improvements but at 6 months out it takes a lot more time and consistent effort with range of motion exercises and activities... and just because it is possible to see improvements doesn't mean you necessarily will see those improvements and possibly not to the extent you would wish...Try mixing up with different positions / exercises to give your knee and leg different inputs.
I just want to Play Baseball again !
That may be difficulty, but not impossible... You have to way the pros/cons and make that decision for yourself personally.
95 @ 6 wks
Keep working at it consistently and hopefully you'll see some more improvements in your bend. Best wishes with your continued recovery!
I’m at 3 week and I’m burly flexing till pass 30 degrees is that good ?
At 3 weeks out from surgery we would hope for closer to 90-100 degrees of knee bend. I recommend consulting with your healthcare providers to determine their assessment and recommendations.
@@KneeReplacementTherapists I’m at 3 week and my surgeon want me to start therapy till 2 weeks from know so ima be 5 week till I start pt that’s weird but yea
@@hemiaddicts5954 starting PT 5 weeks post op!? That doesn’t sound good.. what degree are you at now???
I wish I could stand in my kitchen and cook spaghetti.
Standing tolerance and duration is definitely one of those things to build back up the tolerance.
What if you only achieve 70%after 4 months should sergeon act
When should it be a concern if can only get 70%flexion
In most instances, you should be able to achieve much more flexion at this point after surgery. I recommend consulting with your surgeon / doctor to discuss what options are available to you.
What if I want to curl
Thanks for your comment. Are you referring to the sport of curling? If you are, you do need significant knee bend to squat down to throw the rocks. I don't have a specific value of knee bend you need but my best guess you would need somewhere in the range of 140 degrees or more of knee bend... There may be alternative approaches I am not aware of that require less knee bend.
How about my goals are to be the old me or even better ... cyborg me doctor
I will say that most people feel less pain and symptoms and improved mobility in the knee and overall after surgery and rehab compared to how they feel prior to surgery. You may not quite be the "old you." but most of the time you will feel much better eventually.
Ride my motorcycle
This depends on the type of motorcycle you have. Some motorcycles about 90-100 degrees is more than adequate, on say a sports bike you probably want to have a goal of 120-125 degrees... This is just a rough estimate and I have very limited knowledge of motorcycles or riding motorcycles.