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Hello I am a massage therapist with 22 years experience from Canada but now living in Roatan, Honduras, an island in the Caribbean. I have a client who had a full knee replacement (Titanium) of his right knee at a reputable clinic in the Cayman Islands. The orthopedic surgeon said after the surgery that after over 600 knee replacement surgeries, his was the second worst he had seen up to that time. Its important to note that he played football and had had a somewhat botched surgery on his knee over 40 years prior. The surgeon noted small amounts of calcium build up in and around the knee joint and did his best to scrape most of it out. Since the operation this client has been getting three sessions a week of massage with me and 3 sessions a week of physio therapy treatments with a certified physiotherapist from Austria that now lives on the island. After initially finding that there was progressive improvement he seems to have hit a plateau and on some days it seems like he is loosing those gains. He still can't bend his knee to 90 degrees and has a lot of nerve type pain. The Surgeon is coming to the island next week to review the case however I and the physio will most likely not be able to meet with the surgeon. He is bringing some medicine that can't be found on the island to deal with the nerve pain that he is experiencing on the inside of his right knee. To add a little more detail this client is clinically obese and efforts to get him to lose weight have not been successful. All that being said he is much more mobile in comparison to before the surgery however his good knee has been taxed and is also hurting him. I dedicate some time to his "good" knee to balance things out. I've also continued using ice up to this point. I'm looking for suggestions, insights, links for sites with information, videos, anything that can help me get my client to progress past this plateau. Thank you all in advance.
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