Manipulation after TKR

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I am having a manipulation next Wednesday, I will be exactly 12 weeks post-op. I am stuck with a flexion of somewhere between 94 - 102, but I am out of physical therapy visits so was concerned that I wouldn't get any more ROM at home by myself. So, I asked my surgeon about a manipulation and now it's scheduled! I am praying it works. My ROM right now has me functioning and moving around pretty well, but still hard to get in and out of a chair, the car, the shower. Taking the dog out for a walk is hard. The 102 measurment I got was under force! No way I could get that on my own. So I'm happy I'm getting the manipulation. Has anyone had this and have an experience they want to share?

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13 Replies

  • Posted

    Hi Michelle.  I had it done around 14 weeks and wish that I had it done sooner.  I was stuck around 90 and got to 105.  I'm around 105-110 now, 10 months post op.  I had 6 surgeries on the the same knee from a car accident, so I onlty had 110 prior to TKR.  I was SO scared to have it, but it was quick & not too bad.  You'll have to go to a lot of PT, but I'm sure it will be good in the long run.  Best of luck!

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  • Posted

    I never had a manipulation.  At the beginning, I was in so much pain, and no pain meds except paracetamol, that I more or less told the physiotherapist to go away.  I worked at it slowly, pushing myself just to belw the limit of my pain threshhold, instead of the agony the physio wanted.  Perhaps I took long to get where I am now, but I have ended up with just over 130, which is fine for me, without excessive pain.  Perseverance, yes . . .and in fact getting it to 0 extension was almost more difficult in the end than getting the bend.  But everyone is different. I wish you good luck with the manipulation. 
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  • Posted

    An afterthought. . the manipulation won't work miracles. You will still have to keep either going to physiotherapy, or doing it yourself at home, or it is likely to regress again . . . 

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  • Posted

    I'm sorry I've talk to my Doctor and my rom just reached 90 like doctors say it takes time and some never get past that even after you do a manipulation there's no guarantee you will get any further. I had my tkr on June 30 2016. I wish you the best of luck yet I myself would wait at least a few months longer. I went out and purchased a stationary bike and I ride it 2 to 3 times a day 10 minutes each time that has help me wonderfully. I don't think people don't give themselves enough time to heal. I wish you best of luck..

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    • Posted

      Thanks. I don't even have the necessary ROM to ride a stationary bike. They also say that if you have a manipulation, it is better to do so within the first 3 months after your surgery. It's worth it to me. smile

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    • Posted

      Agreed!  I had my MUA at 14 weeks because I kept stalling, but the longer you wait, the more scar tissue builds up.  I couldn't do a full revolution on a bike & I just "celebrated" my 100th ride on my spin bike today!  It'll be great for you, even if it is 5-10 degrees, that is a big deal!  You'll do great!

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    • Posted

      I was sore and pretty swollen.  The first day was brutal, but not horribly bad after that.  Be sure you take pain meds before your PT.  I took 1 1/2 tramodal 1 hour before PT each day and it really helped.  My leg was my right leg & I think I drove in a week and a half or so...probably sooner than I should have.  Ice and rest as much as you can!

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