Manual manipulation under anathesia
Posted , 11 users are following.
This group has been so helpful to me. However, I saw my surgeon on Thursday and he's not satisfied that my surgical leg will not lie flat. He wants me to put me under and manipulate my leg and start PT all over again. Evidently there is scar tissue that he wants to try to break up. I'm just beginning to feel myself again...I'm 3 months out. I need your suggestions as to whether I can get it back over a period of time with continuing my exercises and water aerobics or whether I should let him manipulate my leg. Won't breaking up scar tissue just create more scar tissue? I'm still stiff but able to function almost normally. I confess I'm scared about the manipulation. Any help knowledge or suggestions would be greatly appreciated. I need to make this decision by next week.
1 like, 18 replies
debrag17 judith00931
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judith00931 debrag17
Posted
Thank you so much...😊
donna31498 judith00931
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I had total knee replacement in April. I was stuck at 110 degeees for a month, and very stiff. I had a MUA on Aug 7. It was no where near the pain that I had after the surgery. I could walk the next day and now have a 115 degree bend. I'm happy I had it done.
judith00931 donna31498
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Thank you for the information Donna. 😊
debrag17 judith00931
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arizonaone judith00931
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I had a MUA on 8/1. My surgeon allegedly got my bend to 140 ( I say alledegly because Im not so sure that is possible) . Afterwards I was in a lot of pain which turned into extreme soreness. PT was brutal. I had to go for a week straight and the therapist was very aggressive which she had to be to maintain the bend which she was only able to get to 100. Probably due to the swelling and pain I was experiencing.
I am now going into my third week of post MUA PT and while my rom is definitely better I feel like I have gone backwards in terms of the pain and swelling.
As my Dr described it- it is PT under anesthesia. It was like a 10 minute procedure. Nothing to worry about and it does give you better rom. And I can feel a difference in my knee/leg, not as stiff as before.
judith00931 arizonaone
Posted
Thank you so much for the information. 😊
arizonaone judith00931
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😊
j21370 judith00931
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I am 10 months post TKR. I still cannot bend my knee more than 110 on a good day. Most of the time is 105. This is exercising every single day. I still have the rubber band feeling. At 4 months the surgeon suggested to do a Manipulation under anesthesia or go for another 30 days of PT. I chose the PT. You don't know how I wish that I had the manipulation done. I wish I could turn back the clock and have the manipulation. Many patients in this forum had the manipulation and are doing fine. However, I did not belong to the forum when the manipulation was offer to me. Yes, you need to go to PT, but according to doctors and the people that had it done is not so bad and is not that painful. Please make a wise decision. My surgeon told that most likely I will have the pain the rest of my life. Please let us know. Good luck.
laurel65763 judith00931
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Saw my surgeon last Wednesday. I can not straighten my leg, it's bent at at 30 degree angle. I can bend my leg to 115 degrees. He prescribed a JAS brace which gradually straightens the leg by millimeters which is under my control. The JAS representative said it takes 3-9 months to straighten the leg using it for 30 minutes three times a day. I can feel it is gradually stretching the tight muscles of the calf, hamstrings and loosening the tightness/scar tissue behind my knee. The surgeon also said manipulation under anesthesia is for those that can not bend their knee. For those who can not straighten their leg, if PT or the JAS brace doesn't work, the alternative is surgery to remove scar tissue and that requires almost starting over again in rehab and PT. I am doing Epsom salt baths and taking magnesium which helps muscles relax. I am rubbing castor oil around and behind my knee. I see a massage therapist once a week to have her use massage to break up scar tissue. I am 3 and 1/2 months out from surgery and just now strong enough to get into my car, partially weight bear (left leg is about 4" shorter because of the bent leg) and walk with a walker. I am working diligently to straighten it with continued exercises to avoid surgery. As long as it continues to straighten, I don't care if it's 1/4 " per month, I will keep doing this instead of surgery and starting over in pain. Good luck to you!
judith00931 laurel65763
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jenny80029 laurel65763
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It sounds like you are doing a grand job of looking after yourself and have a lot of determination! You are doing so well and it is great you are being very well supported and with plenty of resources to help you! Are you also stretching with exercises? Walking in water is also good. All best wishes to you...😊
carol02797 judith00931
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judith00931 carol02797
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Yes Carol this blog has been a life saver for me! Because of people like yourself and others who have shared, I have found answers and support. This TKR has been the most brutal physical experience of my life too. I'm still undecided about this decision of MUA, but my gut is leaning toward not having it. It's a terrible feeling of making the wrong decision. I think I'll get a second opinion from another surgeon. Thank you so much for the encouragement and sharing your own experience.
John5006 judith00931
Posted
Hi Judith,
?The major weakness with this type of surgery is that nobody explains to you anything about 'SCAR TISSUE'.
?I was an already established client of a Sports Injury Massage Therapist and she advised me to return post op and she'd work on the scar tissue. So, once the dressing was removed and it was confirmed there was no infection, ( about 14 days post op) she went to work twice a week massaging the incision line and surrounding area. This went on for some 6 weeks until I got the bend and the leg 'straightness' desired.
?I'd qualify this by saying also once the stitches/staples had been removed. In my case I was fortunate in that my 'stitches' were self disolving staples which made it easier for the therapist to get to work.
Of course in addition to this I did my PT myself at home - 5 times a day, every day and the ones I concentrated on were heel slides and leg straighteners.
?Personally, and I'm biased, I'd be going for intensive PT massaging the incision line first as I did.
Good luck.
John
judith00931 John5006
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John thank you for sharing your experience. My bend is fine, it's just the straighting of the leg that's the issue. I so appreciate your information. 😊