120 Flexion / 0 Straight leg

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I'm at 10 weeks post TKR, everything is so much better! I still don't have 120 flexion yet. I am almost there, not Far to go. My concern is, when I get there, do I need to do daily knee bends in order to keep it there? When do you get to the point, that you will be able to be normal again, without doing daily knee bends? Also, does scar tissue continue to grow for months and months after more TKR?

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  • Posted

    Hi Nancy,

    I only had a partial knee replacement, so a bit different, however, my view is that you need to keep on - 120 may not be enough. You need to be getting to 130 +.

    As a guide, look at your non operated leg .... whatever that is doing you should be equalising and getting your operated leg to do the same. Well, in theory anyway.

    ?Re scar tissue, I kept on massaging the incision line and having additional heavy massage from a therapist for about 12 weeks post op. Also you'll be advised to learn to walk again. something often missed by PT's. Its all about foot action....... walk in an exagerrated manner till you get used to it  (if you aren't already doing so) that is - heel, ball of foot and toe, heel, ball, toe, heel,ball, toe. You'll feel this working on your operated leg.



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  • Posted

    Ya gotta keep going...this doesn't end for a long while.  Read the Exercise Section in this post...


    After 0 / +120, you have to rebuild your quads, glutes and core.  It takes a while.  There will be lessening pain but you may experience stiffness, clunking noises and swelling (if you overdo it) for a while to come.  After PT comes gym.   

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  • Posted

    Hey Nancy... Chico is right. After your allotted sessions with PT than the fun begins. Read Chicos post... Very helpful for "what's next" questions. I'm 5 weeks post on one leg and 6 months on the other. Quad, calf, glutes and core strength are very important for the long run in happiness with any TKR leg. Scar tissue will build up over time and I continuly rub mine in all directions to keep it loose. I've been having knee cap pain, when I do one leg knee bends, on the lower part of my knee and PT say it's partially from the scar tissue build up and the scar being real tight. So, I work on rubbing the scar in all directions daily. For Me, staying active in a fitness program designed to strengthen my core, balance, quads and flexibility has helped a lot with my 6 month old TKR and I'm really starting to see great improvements with my 5 week old TKR. So to answer your question you will want to keep home PT going for up to 6 months after being released form doctor PT. Every individual is different but it's helped me tremendously. Keep at it and stay positive. There is light at the end of the tunnel.

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  • Posted

    Keep up the physio  , and moisturise the scar .
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