Have LTKR 9 and half week back

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Doing PT advised exercises at home e.g stationary peddling, knee pushing to straightening, knee bending etc. Doing iceing thrice/day yet having difficulty in walking especially for little longer. having pain underneath knee though bending knee is almost achieving 150 +. Any tip to improve walking with lesser pain.

Mohammad Urfan

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  • Posted

    SWIMMING! I strongly advice SWIMMING and WALKING IN THE POOL - FORWARDS & BACKWARDS!

    My case a devastating TKR/TKA post operative infection. After the revision " GOLD Standard" with healed and dry scars. Physio Therapy twice a week . Thereafter AQUA/ POOL THERAPY. EVERY DAY! Except after the occasional Seven Course WINE Dinner. Best regards BANGKOK-JOHNNY

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    • Posted

      How far can you walk Mohammad? At 9 1/2 weeks I think I could do around 8000 steps, around 3 1/2 miles. Any more than that and my knee would swell and walking would become a struggle. I actually think I should probably have done less than that and I would have recovered quicker if I had.

      Every one is different though.

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    • Posted

      Dear Bermondsey,

      Thank you for the response, After week 6th I was able to walk between 2.5 to 3.0 km. Then come trouble, pain particularly underneath, knee excessive swelling contributed difficulty in walking. probably you're right that its it's too early to put knee in excessive stress. Now I started after a gap of couple of weeks & reaching around 1-1.5 km a day. I am keep on using icing my knee thrice for 20-30 minutes not sure if this okey, reduce or increase.

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    • Posted

      I think perhaps slowly increase and use the swelling as a guide to how well your knee is coping. Are you able to get any professional advice from a physiotherapist or your surgeon?

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  • Posted

    ROM Work at Home

    #3 will ABSOLUTELY straighten your leg...guaranteed. Make sure everyone is out of the house and you have a pillow to scream into. Gravity can be a harsh taskmaster. When you get brave, try it with 2-pound ankle weights. Only the strong survive...LOL!!!

    You may be having pain if you are pushing the knee too much on a daily basis. Plus, the muscle rebuild (quads, glutes, core, etc.) strengthens the currently atrophied musculature that supports the knee and takes the load off the new joint, putting it back on the appropriate muscles where it belongs. The rebuild is critical to long-term success.

    Note: Unless you have one of those new super-flexion implants, IMHO, 150 is waaaay too far to push the knee. No one knows what the manufacturer's flexion limits apply to the regular devices. 140 starts "athlete" range...120 is the minimum requirement for recovery. If you exercise a lot, mid-130's is definitely enough to live a normal life without pushing the device too far.

    Again, extending the flexion beyond the limits of the device may reduce its lifespan from the expected 25 years. I would talk to your doc about the exact make and model you have installed to see if he can find out what its max flexion is. Do the research and get that number. There are some new, specialized knee implants that have better flexion than the older ones but long-term data on their use is not available. I would err on the side of caution but it's critical to know the max flexion of your device. Without definitive information, I'd keep it under 140. Just sayin'...

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