Knee Replacement Rehab: Top 5 Mistakes People Make
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- Опубликовано: 26 мар 2015
- Famous Physical Therapist's Bob Schrupp and Brad Heneick describe the 5 most common mistakes people make when doing their rehabilitation on their knee replacement.
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I'm sitting here 6 days after total knee replacement and your video is the most sensible one I have watched. At 74, living alone, with a number of co-morbidities, the optimistic videos of clean skinned, pain free, young people in the prime of life demonstrating exercises is the most dispiriting thing. Now I am doing well enough, mobile without a cane but carrying one just in case most of the time - but it hurts, a lot - and so do the other joints in my arthritic body, including the other knee. The bruising and swelling from the surgery inhibits movement as well. It is tempting to say that the only people who should do these videos is a patient who has been there and done that.
I've followed you guys for the past 18 months. Today I'm 4 months post op. The TKR went well, I went home the same day. And yes, I focused on the range of motion exercises full time for the first month. Today I'm fine with a full range of motion. It still gets tight at times and at night but overall I'm satisfied with my TKR. Thanks guys for all you do for us.
I'm with you Patti! I never imagined such deep pain existed!!! Took a lot mentally, emotionally and physically!
I had my two knees replaced 3 months apart. My success to healing quickly with great range of motion was water exercises 3xs a week 2 hours at a time 3 months before surgery and after my stuchers or stitches totally healed. I did have 2 weeks of home care PT and 5 weeks of PT using leg presses and massage by the PT. As soon as I was released, back to the pool I went. Still going to the pool doing water aerobics. Happy recovery to all!!!
My number 1 is - a positive mindset before going for the op as this will help with a speedy progress and recovery
Yes I'm going to see the surgeon this Tuesday so I will mention it to him. Many, many thanks for your timely response 😉👍🏼
Thanks for the time and effort that you both put into your videos. This one will be handy in a year or two! For now I have moderate degenerative osteoarthritis in my knee. I have used other of your videos on sciatica and sore knees. Have you or will you please make a video on trochanteric bursitis?
I'm 75 and had knee replacement three weeks ago. Progress is amazing, because I did as my therapist told me.
Get in shape prior to surgery, do the required exercise post surgery. I am walking without aids, have full range of motion, and very little pain.
I'm not patting myself on the back but the physical therapist. Will continue to see him each week until he can't stand the sight of me.
You deserve a pat on the back. I know this is an older video, but I hope you are still doing well.
Thank you so much for the informative video! I am having my knee replaced in 2 weeks and this information will be very helpful!
THIS VIDEO MAY BE ONE OF THE MOST IMPORTANT I'VE SEEN ON YOU TUBE. I hate to say it, but I'm guilty of probably ALL of the mistakes you listed here. Thanks for your continuing free help to knee patients everywhere.
Thank you for this video! I'm a former collegiate and professional basketball player and I'm having a knee replacement next week at 38 years old. This helps ease my mind about rehab. Thank you again.
I love this video. I'm physio in England, seen thousands of TKRs, and I'm saying these exact points to my patients too. It is all very sound advice for anyone with a new knee. Thanks fellas! (And hello to all my patients who I've told to watch this!) - Oli
Great advice from someone who is on their third knee replacement!! Thank you!
How are we supposed to keep on top of our pain with the abysmally tiny doses of pain medication!!! 1:48 1:49
Great advise! Thank you!
I had partial knee replacement four weeks ago, after watching your video I am glad that I am in right direction
Thank you for this and all of your great videos.
You two are the best!
I had two knee replacements just one year ago. I wouldn't wish the pain of recovery and physical therapy on my worst enemy. I am so much better now and am glad I got the surgeries but the awful pain as they healed was excruciating.
The best thing I appreciated from my physical therapist was his strong hands that really helped to straighten my knee and ease the pain. My husband tried but couldn’t do it as well as a trained therapist.
Disagree. TKR is akin to a car accident to the knee... The sawing, manipulating, intense trauma. You wouldn't tell a car accident victim the next day "oh you have to get up and move that knee or you'll never have good ROM!" Good ROM is there all along, with gentle stretching and movement it CAN be achieved. Brutal shoving and bullying by PT causes more swelling and trauma... making ROM more difficult to achieve! The scare tactics of the scar tissue being laid down is baloney. Yes, it's occuring. But inflicting more pain which causes inflammation is antithesis to healing!
Thank you. Great info.
I came across this just in time as I will be having a full right knee replacement this October 30th. Thanks.
Thanks, Bob & Brad.
So helpful. Thanks guys.
I like the comment "A race against scar tissue". Finally I understand this. My surgery was February 15th, 2017. My knee popped March 13th and I went backwards. The "popping" was my muscles and tendons learning a new way to work together. My surgeon is 7 hours away. I went to emergency here but the doctor is not familiar with knee replacement surgery and did not give me good advice. I was back on crutches for a week. Unfamiliar with "a race against scar tissue" emerge doctor wanted me to only take over the counter medicines like tylenol extra strength and to exercise a little less "don't push yourself till you have pain". Being in pain and trying to exercise does not work. I went for my check in with my surgeon. I was feeling frustrated because of stiffness, swelling and pain. Another lesson learned... Communication between your doctor, physio and surgeon is very important so everyone has the same goal and plan of action. My surgeon was upset and explained that we are team and our goal is for me to be successful. I am now back on the right track and on medicine that will assist me! My surgeon also suggested I view your video to help with exercises. Another star for your video is the vocabulary can be easily understood by patients. Very much appreciated! Thank you
Good info...thanks guys !!!
❤️Appreciate your advice, Love it!! Thank your for posting 💪🏼💪🏼 I will use it for my upcoming scheduled surg. In 2022 ❤️❤️
Everything they say is absolutely correct and should be followed. i was fortunate to have a good therapist who advised me.
I had a TKR and wish I had this information beforehand.
Excellent information. Can't stress cold packs enough.
Thank you!! I am on my third week of recovery and therapy is hard. I appreciate you two sharing important info,
Love you guys!
I'm a PT who specializes in post-op Total Knee and Hip joint replacement therapy and can totally support what Bob and Brad advise here
yo yo yo, have you seen our patented "kneeglide" which we sell and use regularly on Total Knee replacements? I would be interested in your opinion of it. Best wishes
After my knee replacement in France, we are not given frames or canes. I also had a lot of muscle wastage in the upper part f my leg, which the doctor explained was due to the length of time my knee had been a problem. Physio was torture but I persevered and have good movement now. My only issue is that Kneeling is uncomfortable.
You made some great points about one knee doing better than the other & not to compare yourself. I'm 7 weeks after a patellofemoral replacement and seemed to have plateaued about 3 weeks into my recovery, despite only being in my early 50s, relatively fit, a non-smoker & religiously follow the exercises given to me by my physio, despite the pain. I'm also regularly applying ice-packs & keeping up with the meds. On top of this, I try to walk everyday, outdoors using a cane supplied by the hospital (on their suggestion). Despite all this, the knee still swells almost as soon as I put any weight on it, it's very stiff (especially when I first wake up) & it hurts like hell if I walk. As a bit of background, I stupidly crossed my legs over on the day after the surgery, which caused my knee to completely seize-up but my consultant didn't x-ray it, thinking the problem was "merely" caused by a post-op hemorrhage behind the cap, and so would not show up. Before the leg-crossing, I was doing so well, I was able to climb stairs with only a single cane, so you can imagine it was a bit of a shock. They had talked of discharging me the day after surgery, but kept me in another couple of days because of the "set-back", as it was called it. Frankly I wish he had sent me for x-ray, just for re-assurance (especially now the knee has started to squeak when I flex it). I was beginning to get really worried & depressed about it tonight, as I've had a really bad week, but your points have helped to reassure me, for which I'm very grateful.
Thanks, guys. I have PT tomorrow and I won't make any more jokes about what I'm going to do to him when he pushes too hard. This video helped to put it in perspective. I'm eleven days in and I see light at the end of the tunnel. Icing and massage have really helped with the swelling which I have much more of this time than the last full replacement. Also, I too want to rid myself of the walker so that's good advice too. I'll hang on for awhile.
One month and one day out from partial knee replacement. I am also a gastribypas person. No pain meds. I just did the excersize where you sit in a straight back chair with your affected leg on another chair. You said let it stretch for five minutes. It was hard but when done it felt wonderful. Thank you.
All very good advice.
Both my Mother in Law and Father had knee replacements a day apart! THANK YOU for these videos they have helped SO much! However, I disagree With the both of you on one thing… You are pretty! LOL OL this is giving us all a little giggle and a lot of help thank you.
Thank you......I'm 4 weeks post TKR. I was totally overdoing the walking and strength exercises. Thamks to your post I have a better understanding of how to proceed
thank-you so very much. iyou guys are funny and smart. great combo
I'm 8 wks post-op TKR and i'm returning to work next week. I ended up getting sick 2 1/2 wks in and had to cancel my PT. I did the exercises at home instead. i saw my surgeon last week and he's happy with the progress. Glad I saved the money on PT
made a few of the 5 mistakes, makes perfect sense, AFTER you watch this clip, great info, many thanks from Ireland
Thanks for info - I'm having replacement knee surgery this fall and this is good to know .
and how did it go?
Awesome thank you! Motion is lotion is what my PT tells me!
Thanks for the tips. I'm having knee replacement surgery in the Spring. I'm in Canada so having to wait a while for it. I've had the pre-op therapy and I do 15 miles a day on my stationary exercise bike. I've lost 20 lbs and trying to see how much more I can lose before the surgery.
Hi Bob and Brad it's been so amazing following you up.. I'm kelviwise famous physio therapist Cameroon as well and I'm looking forward to connect with you and let's see how our world can better a better place for all physio related issues...Thks and we will talk more later
These guys did a good job of describing the process. As a double knee replacement guy, I can't over emphasize the commitment you have to make to rehab. It's hard work, but worthwhile. Suck it up and endure a little pain for the first couple of months. After that, life is beautiful.
Thank you Rob, I’m having Surgery on the 4th February and am nervous, I have booked a month off work, I work form home.
I had both TRP done 4 yrs ago. Can u recommend what exercise shd I continue to do to keep them flexible n strong. Yr videos are informative n helped me in understanding the need to do the right exercises. Thks!
Great advise. You say no pain no gain and about the medication no P/T has said to take the medication otherwise it is a waist of time...good points
This comes at a perfect time because I'm having my second knee replaced on Monday. Physical therapy is so important. I had my first knee done in December and I still do some therapy at home .
December? That’s a fast recovery
Very helpful.
Good info I'm getting knee replacement next month
Thanks. I believe in therapy. Since Nov 10th, 2016 I have had both shoulders replaced witH reverse replacements. I'm doing quite well. Now, I am a Parkinson's patient with NOH, STIFFNESS and very tender feet. I've taken Precocet 5/325 since my first surgery; both shoulders due to (osteoarthritis). X Rays tell my knee doc, my left is in worse shape. Also, I have CKD 3. I dread the upcoming knee surgery and, I'm left with little choice but, to stay tough! PAIN TAKES AN EMOTIONAL TOLL. I'm praying my CKD and/or PD does not hinder my recovery. At his time (1/21/18) I'm fortunate to get 5 hrs sleep a night. Help me, I need some encouragement. I like this video. THANKS AGAIN
Great tips! Can you offer any links to peer reviewed articles that provide documentation of decreased ROM after progressing to a cane too quickly?
thank you doctors....
Excellent points I will definitely keep in mind and implement. Thanks guys!
You are welcome :)
Thanks you are so helpful. I had a knee replacement at the end of 2019 and I still have swelling. Is that normal? Thanks❤️
Thank you for a great teaching video every patient should see this before and after operation and be conscious about it
The race against the scar. Vitamins e cream and massages
My friend got a knee replacement six weeks the swelling diminish but still is there and pain also she can not take but Tylenol
the range of motion back is good but straight is not there yet. After seven weeks
In some point do hot patches will do before excercise? Would you recommend hot yoga class? Your input is appreciated Thank you
My new partial knee is doing better, a huge difference is using my recumbent bike daily, I do from 30 minutes to an hour and a half a day
Very invaluable advice. I had a Patellar tendon rupture repair as well as MCL surgery 2 months ago. Now Dr had me in the legbrace for 6 weeks at only 30 degrees flexion. Been going to physio as per the schedule but since the brace came off they focus a LOT on getting the knee to bend more by stretching and that hurts a lot, but yeah no pain no gain. But doing my regime of exercises they gave me daily makes my knee swell up, making walking painfull when I put full weight on it. Using ice packs helps a bit. I went off 2 crutches a couple weeks ago but using one only. But this seems to make walking more hazardous or painful and slow. I am making progress with flexion but seems walking is not progressing as I would like. What would you guys recommend?
nice! hilarious! Thanks for the good info!
I’ve have 5 surgeries requiring PT. Some PT follow the book and forget we’re all different. Just because the book says “try to push the wall back”, doesn’t mean I’m ready for that. I’m not in a race or competition.. At one PT session I was fine at level one therapy and level 2 seemed like it was level 4. I felt a pop in my arm after rotator cuff and did great after that at home. The other was knee arthroscopic. I told the heffa my leg couldn’t bend backwards any further than where it was. She pushed it down and I left limping and had to get an injection. Jan 21,19 is my TRNR. Excited and cautious to make sure I have a good therapist and that I exercise at home by myself also. I’m not in a race or competition. Slow and steady works for me.
nice info
thanks doctors
Good advice guy's, I have had a total of 9 knee surgery's on my left knee. i had three infections which cost me a partial knee replacemant, then a total knee replacement and now i have a revised total knee replacement in. Since august 2017 i have had a total of 6 on this knee as of 3/8/2019. I have to say that my surgeons are fantastic, they have had nothing but care and the hopes for the best possible outcome for me while dealing with these darn infections.
Im in rehab now for the revised TKA and doing ok considering the amount of atrophy from having this many in such a short time. I can't say it strong enough......WHAT YOU GUYS ARE SAYING HERE IS SPOT ON , I HOPE PEPLE LISTEN...... stay focused on your own situation and work hard to progress it will come in time. prayers to all who are facing surgeryforfull and complete recoverys, good luck
Just me - I read your post and hope that you are at last doing OK. With that much problem w infections, I think I would've sought out another hospital. Seems excessive, but hopefully you are up and walking normally by now.
Had my TKR on July 5th. Did not realize how much pain I would be in. It’s the 20th today. Hopefully I’ll get the staples removed this Monday the 22.nd. Using Percocet and cold paks.
Focus on ROM instead of walking and strength, Stay on top of Pain control, Don't progress to cane too quickly, don't compare to other people's progress, stop therapy too quickly
40 days after my surgery, great advice , I was thinking about trying to progress to cane. Thanks for the remarks.
I had to be using my cane in 2 weeks. Be safe my RUclips buddies.
The clicking of the implant is driving me nuts.. hopefully that will get better but it might not, sigh.. Plus swelling, even though outwards it looks good, inside it hurts. Skin still sensitive but incision looks great. Good mobility too. Still QUITE a bit of pain. None of this was or is fun. Physical Therapy also kicks my butt bigtime. But it's just been over a month. This HAS to be a success for I don't ever, EVER want to do this again. The hip replacements, at a month apart, was SOooo much easier.
good information guys. my problem is my arms hurt because I use them to get up instead of my knees.
My husband is going to have bilateral knee replacement. I’ll have him watch this. Thanks!
Hey, was wondering how your husband is doing. My father is week 3 post TKR and after I saw week 1 pain in him, I dont see how people do both sides at the same time. He needs the other side done as well. He wants to do that side after Christmas to enjoy the holidays and get this side good and healthy. I think it's the right choice for him. He's at 130 degrees one way and ALMOST straight with a bit of help. PT is happy with his progress.
Spot on.
Hi guys. Your videos are great. This past summer, my right knee started hurting a lot. It had never given me problems before; I’m 63 yo. I hike, bike and chase grandchildren. A MRI showed severe arthritis on both bones on the median side of right knee. He suggested partial/full knee replacement. The surgery is scheduled in Jan. Since then, I’ve been doing knee exercises, stationary biking, and losing weight. My knee does not hurt like it did. Though I have severe arthritis, do you think I could delay the surgery?
Ok, I broke my knee replacement twice same knee. So after my last replacement, I did not do rehab and my knee is perfect. I ordered your knee slide what a lifesaver that was. I also ordered a stationary bike. I also would put my leg on a chair in front of me and sat my
purse on my leg so it would push it flat. I did not use my walker after the first week, it makes you dependent on it.. I kept the knee slide beside the kitchen table and 4 or more times a day I used it. And I have full range of motion. Thank you for the knee slide
I’ve had many surgeries but a total knee replacement is the worst pain ever. I wish I never had it done. I would scream in pain and in tears! No matter how much pain medication I took. I only get a 90 degree bend. Even walking is painful! Stretching that knee was hell! That’s a lie there is no pain!!
Thank you guys. I am watching this in Australia and I am due to have a knee replacement at the end of the month. This has helped me immensely.
Also thank you for your help with the exercises afterwards. I am hoping to go back to my gym, with my doctors permission, to do strengthening exercises as my trainer is a BA in human form and mechanisms. Is this a good idea. I will be doing physiotherapy as well.
Bronwyn Langley i
You're correct ! Scar tissue develops so quickly after surgery. I worked so hard to get my skin unstuck!
Thank you always helpful, will check out the homemade ice packs Pauline UK
Ok thanks for this. Had TKR 9 days ago...I can walk without the cane slowly; ditched the walker when I heard my friend who had a double was walking right away with no cane...I was comparing. Can only get to 95. Quad still not working for a dead lift. Worried about that. I am amaze at how little pain. OK, I need to take the pain meds 45 minutes prior....I was doing half hour. This video was good. I was worried I was behind the curve.
I miss Bob so much. So intelligent and well spoken, so calm and cool. So suave and debonair, so sophisticated. Why would you ever choose that current individual for his replacement?
I had TKR just over 3 weeks ago. I am 76 and a little overweight. I. Was very active before my knee started hurting, walking, golfing, biking, had to quit it all. Now I am mostly on a cane during the day, I get around the house without but keep my walker near by at night. My pain is worse in the evening, from doing to much during the day. I use ice off and on as needed. I take Tylenol but save my Oxy for trying to sleep at night. Still in the recliner. It feels like there is a second person attached to me and whatever I do I have to make sure that person is comfortable and getting what it needs. Getting PT at home and 3 more treatments then will go to outpatient. I try to take walks outside everyday but need to be careful of my limits.
Hi Guys watched this vid yesterday and I think the advice is so good and relevant, ive watched it again,im nearly six weeks post op,and got 120 ' of bend and can fully straighten my leg, im walking approx 3 1/2 miles a day over two sessions, I find I have to keep resting , ie sitting down for 5 mins , am I correct in thinking this is because my muscles are really weak, my other knee is poor and will need replacing as well, I was contemplating cycling to strengthen muscles but after watching this vid decided to resist, any advice woukd be appreciated, thanks again. I will recommend any one I know whos having TKR to watch this vid,
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I just watched your video for the first time ever and I have to say, it truly was educational and informative to me. I just had my knee replacement a month ago and everything you guys said is exactly what is happening with me. Except I did not know about a few things. But I have an ice machine which is Really Great for my pain relief.
Just had knee replacement surgery followed you guys prior to and still do , home made ice packs are the best. Thanks
Hope your recovery goes smoothly! Thanks for the nice comment!
having rt knee done next month so happy to get some good info, thank-you. did not see link for making own ice packs however
physicaltherapyvideo
My husband had knee replacement in May on his second knee. Had complications. Now it's stuck, like it won't straighten out all the way and he limps and is in constant pain. Can PT fix it? Or does he need surgery again?
NHS took the frame off me after day 2 with hip and then my TKR !
I had a total knee replacement on SEPT. 27th. Getting along fine with my therapy but having trouble lifting my leg when laying down flat in a horizontal position. Could this be just a temporary thing due to the muscle being cut during the replacement procedure?
Thanks, so true with using a cane to early.
I stopped using my walker the first week after surgery and received positive response from my physical therapist, and surgeon. I was carrying it around so they both felt it wasn't helping me.
Thank you so much! Great video with helpful info. And you two are pretty. 😉
I have had both knees done since December and March .Went through Phys.therapy first time in home only 3 weeks ,2nd time in home only 2 weeks started riding a stationary bike on my second day home in Dec. and first day home in Mar. Stopped using Pain meds in 2 weeks both times .Yes it hurts been told its one of the most painful surgeries you can have .Im a sill working carpenter ,retired 27 yr firemen and played soccer until I was 45 . So I did not have an easy life.My wife worked in the orthopedic floor in the hospital where I had them done and she told me all the time people would have the surgery and all they would do is whine and cry .They wouldn't move the joint or do what they were told ,so of coarse
State of Florida only allows THREE DAY SUPPLY of pain meds. VERY difficult to manage pain with only Tylenol.
Wish I knew THAT before this surgery.😳
Week 5 today, only at 96 degrees. Doc says if I do t get to 105-110 by the 28-29, I’ll have to have a procedure called “Manual Manipulation under Anesthesia”.
Working it like a mo-fo!!
Same here! Had a partial replacement done on july 2nd. Was only given 5 days worth of pain meds then was told to take tylenol. They brought up MUA for me as well. My knee is so stiff.
2 years of Hell with my TKR (s).
Jan 2018, TKR right knee.
Jun 2018, infection got in and loosened the lower limb component, so Nov 2018, my knee components were removed.
I could not walk or drive and for over a year and I was on crutches, more or less housebound.
Due to the infection and after my first knee components were removed, a massive open wound on my right leg below the knee developed, full of dead tissue (10cm x 5cm).
May 2019 the wound was fully debrided and one of my right calf muscles was taken and used to plug the hole that the infection left.
Sep 2019, 2nd Revision TKR and new knee components fitted.
Dec 2019, I started to drive and walk unaided.
Thanks to the NHS Consultant who performed my tissue debridement and 2nd Revision TKR, I can now walk again, pain free but because of the massive scarring to my leg, I can only bend it about 90° and it feels stiff all of the time.
At least I didn't lose my leg, which I was told during the worst of the leg wound was a possibility if infection couldn't be controlled.
Overall was it worth the hell or would you go back? I'm having a partial and I'm 31, not too sure by stories like yours..
When I had my shoulder replaced it was range of motion, for me specifically,that wound up being the most critical element. Rebuilding your strength comes as a side benefit of range of motion that allows you to resume at some level exercises that you might have been doing before, like pushups.
And since I have had both knees done five years apart and the first knee took a long time to get my bend back, I think the PT and the doctor also tend to compare you to others and although it depressed me it also made me fight harder to get my ROM back
They ARE pretty, pretty helpful...
As a group of Nurses (RN, EN's and AIN's) as well as other HealthCare Professionals ie Naturopaths, we have heard and seen many results of TKR patients. In your Clinical Experience which patients seem to have better results in order to gain full ambulatory capacity? Those who use crutches (both underarm and Canadian or Forearm/Elbow Crutches) or those who use walkers or canes? This is ofcourse considering that the patient is being ideal and doing all prehabilitation and posthabilitation exercises as instructed. Thanks in advance. PS I nearly forgot to say how much we, and our viewers (many of whom watch your videos on many of our websites) LOVE, LOVE, LOVE your videos. Keep 'em comin' .
We're not just pretty! Lol thanks guys. Very helpful
What type of exercise bicycle do you recommend following a total knee replacement
Just had stem cell treatment in both knees yesterday. I’m looking for a ‘stem cell’ version of exercises to do. In lieu of that I’ll use those having to do with knee replacement. Bending and straightening. Are there other exercises that you know of for stem cell treatment that I can do?
I'm slated for a knee replacement, but I'm losing weight and "pre-habbing" first. I've lost 50lbs already on keto, and am looking t lose another 50lb before the operation. I'm going to remember the advice - it's a race against scar tissue and loss of range of motion.
I did that too before my surgery. But, although you are cutting down on food, make sure it is healthy and that you always eat from the seven food groups, not junk or fast food.