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I hit a plateau at about 6 weeks post TKR and last week, at 8 weeks, my surgeon recommended an MUA, which I had yesterday. I was very excited when he told me he had gotten me to 135 degrees on the table and even showed me a picture of my heel right up against my butt!
I felt like my bend would really be able to improve, as I no longer felt restricted at the front of the knee, where all the scar tissue was, although my thigh is very sore from the manipulation and that is what is now keeping me from bending.
BUT... today I went for my first post-MUA physical therapy and measured at ... exactly the same 95 degrees where I had plateaued. Moreover, when I told my PT that my surgeon wanted me to continue to come for therapy 5 days a week until I reached 125, she was dismissive, saying that the surgeons tend to be more optimistic than realistic and she doubted I could get that far. Also, he was very clear that he wanted me to do only land therapy for the first two weeks rather than aqua therapy, because I would progress more that way, whereas she said she thought aqua therapy would be more helpful to me as it would allow me greater range of motion. I am in tears now and very depressed. I knew I woudn't be going in today at the 135 he got me to on the table, but I'd thought I would have made at least some progress. And the PT's comments undermining my surgeon's advice were also difficult to take. I feel that I have to follow the surgeon's advice rather than the PT's but overall I'm very discouraged. Any words of advice or encouragement would be greatly appreciated.
BTW ... I do have to say that I found the MUA itself pretty much as advertised. I woke up in the recovery room (anesthesia was light sedation) in a lot of pain but it actually subsided pretty quickly. I left the hospital within 3 hours, pain well managed with Norco 5/325, and I had a good night. Even planning to go back to work day after tomorrow!
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