Thank you! My husband is having TKR in a month. He is petrified of the post op pain, but his knee is loaded with arthritis, and it will definitely be better than what he has been going through for the past 6 months. Stay positive helps too!
You are correct: No Pain No Gain is not true..During my Inpatient/Outpatient Therapy...if I mentioned that the pain in my knee was too much or I had noticeable swelling...My respective Therapist would back off and say, " we will back off today".
You are amazing. Thank you for practical advice, things I can do. I had both of my knees done9 and 8 years ago. Two years ago I got an infection in my left knee. I think it is a possibility that it cured in the first surgery. My knee was always painful, hot and swollen. Dr said it could have been what happened. I had a replacement knee put in, not really a knee and it was very painful at every step. I had to deal with that from January until November. They put the permanent knee in and I was elated! Two weeks after that, my knee collapsed and I fell and broke my femur in two places. Back to the hospital and physical therapy. I loved my therapist but wish I had someone as clear and practical as you. Thank you. I will be trying the kneeling video as I am a gardener and urban farmer. I also ride my horse. I try not to let my “ sometimes” painful knees keep me from what love.
Thank you for watching and commenting! It sounds like you certainly have had some obstacles during your journey. Best wishes with your continued recovery, with your gardening and horseback riding.
Now 3 and a half months post op and returning to longer walks, outdoor bike riding, swimming, main concern is knee still feels warm several times daily even if not exercising. Is it wise to apply ice still?
This not abnormal, there is probably still some inflammation of the knee joint as it continues to heal. There is no harm in still using ice if it helps with pain management and swelling.
Awesome. I had a very very heated debate with an orthopedic surgeon who was adamant with putting my patient through manipulation under anesthesia less than 3 months post op. He actually introduced the idea just 2 weeks post op to the patient. This terrified the patient and every follow up he kept pushing the procedure if she did not hit 90 dg very soon. He had tried to do this with another patient of mine last year so I recognized the pattern. I objected then also. This time he kept harassing my clinic and the patient with phone calls to tell me to call him "to discuss the patient's progress." So I when I did answer him I called him out on his lies. He was not happy. He said he will never refer a patient to my practice ever again to which I said fine because these patient were referred to him by my practice anyway and he'll never see any new patients from me ever again. The point is this "doctor" was trying to justify performing manipulation under anesthesia by saying these patients did not hit a milestone within 3 months. I called bullshit twice on him. And that patient from a year ago? Fully recovered without the need for an additional procedure. And which was funnier is that the patient from a year ago still comes to my clinic ( For another issue. Not the knee.) and was able to confirm with the current patient that what this "doctor" was doing was bullshit. And full disclosure I have been in practice for 14 years as a physical therapist and had a history of 2 ACL reconstructions on my own knees. So suffice to say it is not my first day in the rodeo in physical rehab so know a thing or two about knees as a clinician and as a patient. Thank you for making this video Sir!
Wow that sounds extremely frustrating. I'm glad you stuck to your guns and your clinical knowledge despite strong pushback from the doctor. I hope the patient is doing well and making good progress in their rehab and recovery.
Your videos are great! I wish I had discovered them earlier because yours are so straightforward and accurate. I'm 37 weeks out on my right knee replacement and 26 weeks out on my left knee surgery. I still have a little popping and crackling in the morning when I first get up or after a long time spent sitting at the computer. It goes away, when I start moving around more. Also, I still feel as if there's a foreign object in my knees, when I swim, which I do each day. I'm hoping these occurrences decrease, as time goes by. Otherwise, my knees are feeling great, and I love being able to walk again without feeling any pain.
Thank you for watching! Thank you for sharing your personal story it sounds like overall you are doing great! All the sensations you are experiencing are very normal and will hopefully continue to diminish over time.
Had my right knee replaced 10 months ago. Got in to see my surgeon last month because I was concerned about "clicking" in my new knee. X-rays showed I now have a bone spur just below the plastic they placed on the back of my kneecap. If it gets to the point of it really bothering me, they can reopen the scars and break off the bone spur.
Any advice for a driver. I drive for a living . I've been back to work for 2 days, it's been difficult I try to do my exercises, but my thigh is tired or weak
Take as many rest breaks as you can to get up and walk around, try different positions of your seat (forward / back) to find the most comfortable position, and this may change from day to day, seat cushions and lumbar supports can often help with optimal positioning, and make sure you are hydrating and eating some healthy snacks throughout the day to reduce the risk of dehydration and cramping up.
Thank you for your video. I'm having TKR in three weeks. Of course, I'll follow doctor's orders, despite being terrified of all this. I do have a question. I'm a performer in community theater. I'm no one's idea of a good dancer, but some shows call for choreography, and sometimes your choreographer thinks he's Bob Fosse training a room full of Gwen Verdons. Assuming I've recovered reasonably well from surgery, would I be able to participate in musicals that require heavy dancing? (Also, I myself am obese and no spring chicken - in my 60s.)
I would say it's possible but probably not easy. There are a lot of variables at play including how well you recover strength and mobility after surgery. Definitely for the first 6 to year, year and a half any heavy dancing will probably be very difficult and hard to tolerate...but as your body heals and you regain strength and mobility you could potentially tolerate some choreography / dancing.
Thank you doctor for consoling my fear that I have very often after my tkr 5 months back Sometimes I feel very sad regarding this like why me But still I will tell doctor that it is a good thing to get it done
Thank you for watching, recovery can take a very long time and can be frustrating. I'm glad you found this video helpful and I wish you the best with your continued recovery.
1. Untold pain 2. 90% success rate? After seeing 5 others same doctor all have issues not moving leg, range of motion continued limited more constant pain than before surgery even 4 months out 3. And the ones I talk too, well the leg is just to the side for 3-4 days moving it in and ankle bends is bout it. 4. Now knowing others bowling people I know, well they don't anymore...so knowing this falling before surgery and pain that's less and knowing excessive pain constant well why? 5. All the things this guy's said the doctor and his people never told me.pretty sure my other knee is staying where it's at
It sounds like you are having a difficult time following your knee replacement surgery and I'm sorry to hear this. I hope you are able to find the help and relief you need to feel better and recover and heal fully.
Yes, this is in the realm of sports that are realistic to return to. It is relatively low impact compared to most sports, and many individuals return to similar sports like tennis after surgery.
I’m in so much pain and leg is stiff as a board it’s been 6 weeks , I’m goin in tomm. For a manipulation and it’s so stiff I’m afraid it’s gonna break off . I’ve never been in so much pain . I feel my lively hood has ended .
Hang in there! The MUA is usually very helpful for breaking up scar tissue and improving range of motion… and as this improves often the pain will improve with it… follow your providers advice and hopefully you’ll see improvements sometime soon!
There are certain activities that are more intense and place greater stress through the replacement such as activities including jumping, running, cutting and others. However, general moderate intensity strengthening and other exercises the majority of the time will have far greater benefits than risks of early breakdown of the replacement.
Usually, at least initially after surgery, I recommend focusing on a low-moderate weight and higher repetitions, approx 12-15 reps... typically this is better tolerated. As you build strength you can definitely increase the weight some and decrease the reps, just listen to how your knee and body responds and adjust appropriately. Leg extensions are perfectly okay to perform unless informed otherwise from your doctor / PT. Like any exercise I recommend starting with a low weight and work up as tolerated.
I did that exactly and it’s been 3 years , I believe because I waited so long to get the tkr’s as per your video on tendons might be the problem. They were going to do it at 55 and I waited till I was 73. My surgeon said he could have put the implants in upside down and backwards and it would have been better than what I had . I guess after weight training for so many years I was a little disappointed that I couldn’t get close to what I did pre surgery 🤔
Thank you for your honest and spot on comments! I really appreciate the truth concerning what our therapy and ROM expectations should be after surgery. I had my left knee replaced 3 years ago and the right one just 11 days ago. Hearing you has reminded me not to push myself too hard unnecessarily. Thankfully I have a wonderful physical therapist!
In my experience with patients it can go either way. Both younger and older individuals can have all lot of pain in recovery or they can have a straightforward recovery with manageable pain. Every individuals recovery will be different.
Really? I'm 59 and had right TKR 8 weeks ago. The first 10 days were the hardest. While not a vacation it was not as bad as my mind had imagined. I was very surprised how fast the incision healed. The knee replacement itself seems to be doing great but it's the rest of the leg that I'm having problems with. I just thought it was part of my arthritic knee pain but I find out that I was having IT band issues for a couple of years before surgery so of course it has continued after surgery. PT helped me with what I can do to address that is and it is slowly improving. In the last week I am starting to experience the bone pain just under the knee or at the top of the tibia. Thank you for your video explaining that. I continue to lose weight to lessen the pressure on my knees and I am scheduled to have the left knee done mid-December (5 weeks). Having had the experience I believe the left will go even. Minus the IT Ban issue on that side.
You do definitely to some extent. It's about finding the happy medium. Enough intensity to have benefits from your exercises but not too intense to have a significant flare-up of symptoms.
Sounds like a living hell Can’t do what I’d like to do without modifications after suffering for 6 months - years with pain stiffness and weakness Thanks but no thanks I’ll just continue to suffer
The rehab process can be a lot but the majority of folks are happy they had surgery in the long run. I recommend consulting with an orthopedic doctor or physical therapist if you are currently dealing with significant knee pain and issues to learn more about your options. Thanks for watching.
This can be a natural reaction. Many times the knee replacement surgery itself may be completely fine, in terms of what the surgeon has done, but still the person has pain, swelling or just overall a poor outcome from surgery. There are a lot of different factors besides just the technical quality of the actual surgical procedure.
I don't know where you heard that, but the is no set limitation on how much you can lift after surgery. Unless this came specifically from your doctor or another healthcare provider, I would disregard this information.
Thank you for all of the valuable information. Take care.
You are very welcome!
Thank you! My husband is having TKR in a month. He is petrified of the post op pain, but his knee is loaded with arthritis, and it will definitely be better than what he has been going through for the past 6 months. Stay positive helps too!
You are welcome and thank you for watching! Best wishes to your husband with his upcoming surgery and the recovery after.
You are correct: No Pain No Gain is not true..During my Inpatient/Outpatient Therapy...if I mentioned that the pain in my knee was too much or I had noticeable swelling...My respective Therapist would back off and say, " we will back off today".
Yes, that is good! It is all about finding the sweet spot of making improvements but not going to intense to cause a flare-up of symptoms
You are amazing. Thank you for practical advice, things I can do. I had both of my knees done9 and 8 years ago. Two years ago I got an infection in my left knee. I think it is a possibility that it cured in the first surgery. My knee was always painful, hot and swollen. Dr said it could have been what happened. I had a replacement knee put in, not really a knee and it was very painful at every step. I had to deal with that from January until November. They put the permanent knee in and I was elated! Two weeks after that, my knee collapsed and I fell and broke my femur in two places. Back to the hospital and physical therapy. I loved my therapist but wish I had someone as clear and practical as you. Thank you. I will be trying the kneeling video as I am a gardener and urban farmer. I also ride my horse. I try not to let my “ sometimes” painful knees keep me from what love.
Thank you for watching and commenting! It sounds like you certainly have had some obstacles during your journey. Best wishes with your continued recovery, with your gardening and horseback riding.
Thank you for sharing. Getting it done soon. This type of content helps plan, prepare.
You are very welcome! Thanks for watching!
Everyone has their own journey.
Very true!
Now 3 and a half months post op and returning to longer walks, outdoor bike riding, swimming, main concern is knee still feels warm several times daily even if not exercising. Is it wise to apply ice still?
This not abnormal, there is probably still some inflammation of the knee joint as it continues to heal. There is no harm in still using ice if it helps with pain management and swelling.
Luke, I like your videos a lot. Very informative and wonderful advice ~ and this one in particular very comforting.
Glad to hear it and thanks for watching!
Awesome. I had a very very heated debate with an orthopedic surgeon who was adamant with putting my patient through manipulation under anesthesia less than 3 months post op. He actually introduced the idea just 2 weeks post op to the patient. This terrified the patient and every follow up he kept pushing the procedure if she did not hit 90 dg very soon. He had tried to do this with another patient of mine last year so I recognized the pattern. I objected then also. This time he kept harassing my clinic and the patient with phone calls to tell me to call him "to discuss the patient's progress." So I when I did answer him I called him out on his lies. He was not happy. He said he will never refer a patient to my practice ever again to which I said fine because these patient were referred to him by my practice anyway and he'll never see any new patients from me ever again. The point is this "doctor" was trying to justify performing manipulation under anesthesia by saying these patients did not hit a milestone within 3 months. I called bullshit twice on him. And that patient from a year ago? Fully recovered without the need for an additional procedure. And which was funnier is that the patient from a year ago still comes to my clinic ( For another issue. Not the knee.) and was able to confirm with the current patient that what this "doctor" was doing was bullshit. And full disclosure I have been in practice for 14 years as a physical therapist and had a history of 2 ACL reconstructions on my own knees. So suffice to say it is not my first day in the rodeo in physical rehab so know a thing or two about knees as a clinician and as a patient. Thank you for making this video Sir!
Wow that sounds extremely frustrating. I'm glad you stuck to your guns and your clinical knowledge despite strong pushback from the doctor. I hope the patient is doing well and making good progress in their rehab and recovery.
Your videos are great! I wish I had discovered them earlier because yours are so straightforward and accurate. I'm 37 weeks out on my right knee replacement and 26 weeks out on my left knee surgery. I still have a little popping and crackling in the morning when I first get up or after a long time spent sitting at the computer. It goes away, when I start moving around more. Also, I still feel as if there's a foreign object in my knees, when I swim, which I do each day. I'm hoping these occurrences decrease, as time goes by. Otherwise, my knees are feeling great, and I love being able to walk again without feeling any pain.
Thank you for watching! Thank you for sharing your personal story it sounds like overall you are doing great! All the sensations you are experiencing are very normal and will hopefully continue to diminish over time.
Had my right knee replaced 10 months ago. Got in to see my surgeon last month because I was concerned about "clicking" in my new knee. X-rays showed I now have a bone spur just below the plastic they placed on the back of my kneecap. If it gets to the point of it really bothering me, they can reopen the scars and break off the bone spur.
Any advice for a driver. I drive for a living . I've been back to work for 2 days, it's been difficult I try to do my exercises, but my thigh is tired or weak
Take as many rest breaks as you can to get up and walk around, try different positions of your seat (forward / back) to find the most comfortable position, and this may change from day to day, seat cushions and lumbar supports can often help with optimal positioning, and make sure you are hydrating and eating some healthy snacks throughout the day to reduce the risk of dehydration and cramping up.
@@KneeReplacementTherapists thanks, I've started doing just that! Walking every stop I make for at least 5 minutes
Thank you for your video. I'm having TKR in three weeks. Of course, I'll follow doctor's orders, despite being terrified of all this. I do have a question. I'm a performer in community theater. I'm no one's idea of a good dancer, but some shows call for choreography, and sometimes your choreographer thinks he's Bob Fosse training a room full of Gwen Verdons. Assuming I've recovered reasonably well from surgery, would I be able to participate in musicals that require heavy dancing? (Also, I myself am obese and no spring chicken - in my 60s.)
I would say it's possible but probably not easy. There are a lot of variables at play including how well you recover strength and mobility after surgery. Definitely for the first 6 to year, year and a half any heavy dancing will probably be very difficult and hard to tolerate...but as your body heals and you regain strength and mobility you could potentially tolerate some choreography / dancing.
Thank you doctor for consoling my fear that I have very often after my tkr 5 months back Sometimes I feel very sad regarding this like why me But still I will tell doctor that it is a good thing to get it done
Thank you for watching, recovery can take a very long time and can be frustrating. I'm glad you found this video helpful and I wish you the best with your continued recovery.
It's my pleasure to have someone like you sir to give advice and support
Great video.
Thanks!
Can you do a video about dual knee replacements please ?
ruclips.net/video/_WznknFAdpU/видео.html ...Hope this video helps, let me know if you have any other questions regarding this topic I can help answer!
1. Untold pain
2. 90% success rate? After seeing 5 others same doctor all have issues not moving leg, range of motion continued limited more constant pain than before surgery even 4 months out
3. And the ones I talk too, well the leg is just to the side for 3-4 days moving it in and ankle bends is bout it.
4. Now knowing others bowling people I know, well they don't anymore...so knowing this falling before surgery and pain that's less and knowing excessive pain constant well why?
5. All the things this guy's said the doctor and his people never told me.pretty sure my other knee is staying where it's at
It sounds like you are having a difficult time following your knee replacement surgery and I'm sorry to hear this. I hope you are able to find the help and relief you need to feel better and recover and heal fully.
Can you play pickleball after TKR?
Yes, this is in the realm of sports that are realistic to return to. It is relatively low impact compared to most sports, and many individuals return to similar sports like tennis after surgery.
I’m in so much pain and leg is stiff as a board it’s been 6 weeks , I’m goin in tomm. For a manipulation and it’s so stiff I’m afraid it’s gonna break off . I’ve never been in so much pain . I feel my lively hood has ended .
Hang in there! The MUA is usually very helpful for breaking up scar tissue and improving range of motion… and as this improves often the pain will improve with it… follow your providers advice and hopefully you’ll see improvements sometime soon!
Why am I so tired after total knee replacement??????
This video will help answer this question: ruclips.net/video/hN__hypelzI/видео.html
If more exercise , can there b earlywear & tear of d implant?
There are certain activities that are more intense and place greater stress through the replacement such as activities including jumping, running, cutting and others. However, general moderate intensity strengthening and other exercises the majority of the time will have far greater benefits than risks of early breakdown of the replacement.
Weight lifting with moderate weight high rep , good or bad . And I’ve heard that leg extensions are bad even with Iight weight 🤔
Usually, at least initially after surgery, I recommend focusing on a low-moderate weight and higher repetitions, approx 12-15 reps... typically this is better tolerated. As you build strength you can definitely increase the weight some and decrease the reps, just listen to how your knee and body responds and adjust appropriately. Leg extensions are perfectly okay to perform unless informed otherwise from your doctor / PT. Like any exercise I recommend starting with a low weight and work up as tolerated.
I did that exactly and it’s been 3 years , I believe because I waited so long to get the tkr’s as per your video on tendons might be the problem. They were going to do it at 55 and I waited till I was 73. My surgeon said he could have put the implants in upside down and backwards and it would have been better than what I had . I guess after weight training for so many years I was a little disappointed that I couldn’t get close to what I did pre surgery 🤔
Thank you for your honest and spot on comments! I really appreciate the truth concerning what our therapy and ROM expectations should be after surgery. I had my left knee replaced 3 years ago and the right one just 11 days ago. Hearing you has reminded me not to push myself too hard unnecessarily. Thankfully I have a wonderful physical therapist!
Thank you for your comments and thanks for watching. Glad you found it helpful!
I also know that age plays a big role. If you are young ( under 60). Its will be much worse afterwards. Rehab will be more painful.
In my experience with patients it can go either way. Both younger and older individuals can have all lot of pain in recovery or they can have a straightforward recovery with manageable pain. Every individuals recovery will be different.
Really? I'm 59 and had right TKR 8 weeks ago. The first 10 days were the hardest. While not a vacation it was not as bad as my mind had imagined. I was very surprised how fast the incision healed. The knee replacement itself seems to be doing great but it's the rest of the leg that I'm having problems with. I just thought it was part of my arthritic knee pain but I find out that I was having IT band issues for a couple of years before surgery so of course it has continued after surgery. PT helped me with what I can do to address that is and it is slowly improving. In the last week I am starting to experience the bone pain just under the knee or at the top of the tibia. Thank you for your video explaining that. I continue to lose weight to lessen the pressure on my knees and I am scheduled to have the left knee done mid-December (5 weeks). Having had the experience I believe the left will go even. Minus the IT Ban issue on that side.
Please give new therapists 👏💐🌹👏💐
2022/❤7/13 juli please your sajetion
My knee replacement date is July 13 2022
Yes, I hope even other therapists can use this info as an educational resource for patients.
Why would Anyone tell a lie about this
I don’t think people are intentionally lying. It may be more appropriate to label as inaccurate information or advice.
You got to work though the pain you got to work it
You do definitely to some extent. It's about finding the happy medium. Enough intensity to have benefits from your exercises but not too intense to have a significant flare-up of symptoms.
Sounds like a living hell
Can’t do what I’d like to do without modifications after suffering for 6 months - years with pain stiffness and weakness
Thanks but no thanks I’ll just continue to suffer
The rehab process can be a lot but the majority of folks are happy they had surgery in the long run. I recommend consulting with an orthopedic doctor or physical therapist if you are currently dealing with significant knee pain and issues to learn more about your options. Thanks for watching.
Doctors don't like when you disagree with his work of the surgery.. They get angry bring challenge about your knee replacement...
This can be a natural reaction. Many times the knee replacement surgery itself may be completely fine, in terms of what the surgeon has done, but still the person has pain, swelling or just overall a poor outcome from surgery. There are a lot of different factors besides just the technical quality of the actual surgical procedure.
I heard that you can only lift 20 pounds for the rest of your life with a knee replacement. My job requires more than that.!!
I don't know where you heard that, but the is no set limitation on how much you can lift after surgery. Unless this came specifically from your doctor or another healthcare provider, I would disregard this information.
And how many can't move leg for the 1 week let's get these percentages based on reality now someone's feelings and thoughts
Early on after surgery is the worst part but it does get better.
Vast majority? Vast opinion upon you ...not ones that have been throu this bull of lies
I'm sorry to hear about your struggles after surgery.