knee Manipulation

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Hello everyone. It's Manny again. I had my TKR back on 1 April 15 and it didn't go well. Left the hospital at 60 to 70 degree range with 10 degree extension. Had therapy 3 times a week for 5 weeks and the best I got was 88 degree bend and 6 degree extention. Went to the Surgeon today 26 May 15 and he is going to do a Manipulation on the knee On 3 Jun 15. What should I expect from this and how much pain will the pain be the same as the TKR or more or less. What pain Med should I ask for. I used 2 Percocet and 1 Valium for therapy and did not help the pain. So please advice.

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  • Posted

    Hi Manny, I don't know what to expect but I've also been told I need a manipulation and surgery to remove muscle adhesions. I have a bend of 80 and an extension of -30. I see my consultant tomorrow to find out more.

    I will see what everyone tells you to expect so I have an idea too.

    I've had a really tough time with mine, I'm 14 weeks today. I can't imagine it being any worse that what I've already had. I trust my consultant, he's done miracles with my leg so far. I was facing a wheelchair prior to surgery, he's basically rebuilt it. If it's going to help straighten mine then I'll do anything.

    Good luck x

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  • Posted

    OK I am going to be honest with you here.

    Many years ago I had surgery on my knee and needed a manipulation.

    The pain was really bad, I would say worse than having the op.

    But it did not last that long.

    The difficult thing was being able to straighten it again. which you have to do in order to be able to walk safely otherwise it just gives way.

    3 years ago I had TKR on the knee. I was not allowed to leave hospital until I had got bend to 85 degrees and was in for 9 days.

    Take care and keep in touch

    Praying for you

    Love Sarah xxx

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  • Posted

    I have just had my second knee done three weeks ago,  whilst I was In Theatre he manipulated the other knee as it was slightly stiff, this was replaced a Few years ago.    I had no pain at all after manipulation and it has worked, 
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  • Posted

    Just like the surgeries, the MUA's seem to vary month to month. There was a lady from Zurich that had done everything possible for extension an was getting no where until she had the procedure and in a short period of time she started improving and she was off of here in no time. Others had excellent to poor results. From what I've gathered, the results are as individual as fingerprints. My therapist has long maintained the position that if you work on the straight the bend will come. Even though I am restricted to a 40° bend till I get this spacer out and the new prosthesis in place, I have been continually working on straight and currently. 1. I will have to have 4 months of immobilization a d 2 surgeries to tear loose to get the bend by I know straight won't be a problem. Good luck. Hope whatever they decide gets yo moving again soon
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  • Posted

    Hi Manny

    I had manipulation a several months after both of my TKRs.  You will be under general for approx 30 mins and the consultant will bend the knee to break the adhesions that have formed.  You should then wake up with a CPM machine exercising your knee.  You will use this as much as possible, whilst in hospital, and you control it yourself.  You shouldn't be in much pain.

    The first one I had was very successful and I could straighten my knee perfectly.  The second one was not, and I am struggling to walk with such a bent and sore knee.  My consultant thinks that I have excess scar tissue and may therefore need the knee opened up again nearer the year anniversary of the original operation...not good news.

    Hope yours is successful and that you start to make good progress.


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  • Posted

    Hi Manny. I had a TKR Feb. 27th and could only get to 62 with a 4 straightening. I had the MUA May 4th and am 90 now and hope to get better and better. My whole life is PT as everyone on this forum will tell you.they put you out and it was not any more painful than I am used to when I woke up. Pain meds, I've, elevation.......hard work. I went into 12 days straight of PT the very next day. So don't be afraid. I knowceveryone is different, but mine made a difference. They also ordered me a brace that I guess will increase the bend. We'll see how that goes. Good luck.
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