MOA after TKA

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I am now 8 weeks post op TKA progress has been minimal the past 2 weeks even though I am in physical therapy 3x/week and doing all my home exercises.  Swelling is moderate, sleep elusive, pain extreme on extension after flexion (110 and -1).  Seems like I am regressing rather than getting better!  Now I am scheduled for a MOA of my new knee next week because of the massive scar tissue. What can I expect after this procedure?  Am I back to square one regarding pain and mobility?

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  • Posted

    Too bad you don't have time to immediately stop PT and find out what resting your knee would do for your ability to progress.  Just my opinion but I think PT alot of times adds uneeded stress to the knee and regresses rather than progresses your ROM.  I say this because I did 10 PT visits, learned what I needed to do and quit them.  I progressed the next 3 weeks from 112 to 130 on my own.  I did alittle more every day around the house.  I backed off when that familiar tight band came around the knee - my signal to put the leg up and rest.  I could bend the most first thing in the morning after resting it all night.  PT tells you to push it, but my own wisdom was to not push but do what the knee was ready to do and nothing more.  When I saw the Surgeon at my 3 month check up he said the national average at 3 months is 110 to 115.  I DO NOT ADVISE HAVING MUA.  3 X a week PT is too much.

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  • Posted

    Hi Susan

    I have to agree with Lynn im 8 weeks post op now and have been doing great until a few days ago when i pushed my exercise a little to far and the front of my knee has been very sore this tkr business is a very slow process listen to your body it will tell you when to stop .

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  • Posted

    Has anyone been doing deep massage on stiff area to break up and loosen fluid and scar tissue?  Icing leg several X per day?
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  • Posted

    Hi Susan, your only 8 weeks, what is this massive scar tissue you mentioned, I don't think you are far enough post op to have "massive" scar tissue. There are different opinions on this MUA, I thought it was for much more extreme conditions than you have. I had both knees done about two years ago, 3 months apart. More recently I am 12 weeks RTHR. They do a manipulation of the knee at the end of the surgery. Muscles in my left leg were very tight and my knee cap was fractured during the process. So I woke up after surgery with a screw sideways through my knee cap. That's what MUA did for me! The main problem was I couldn't do PT as far as working on my ROM for 6 weeks. My point here is that I didn't start much PT for 6 weeks and my ROM still got to 120 with lots of work. Some might say 120 not enough but it is for me, 125-130 is about all you're gonna get with a knee replacement anyway. I agree with a few other opinions expressed here that maybe your PT is way to eager to do this MUA. Try to get a second opinion. This knee replacement thing is a long process but worth it in the end. I was really back to 100% by about a year. Good luck.

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    • Posted

      Not all people lay down scar tissue. I began pt 2 days post op. I too laid down significant scar tissue very quickly even though I was faithful with pt and home exercises. I got stuck at 90 degrees. Been there for 3-4 weeks. I'm having mua this Wednesday to hopefully improve my flexion some. No. guarantees. My surgeon is taking a very conservative, gentle approach as he advised me if the risk you indicated. I know I'll regret it if I don't try. 😏

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  • Posted

    Hi Y'all....just reporting in! Had my MUA two days ago and all went well.  First post-op. day was terrible with pain in my ankle because that was where they were holding my leg to twist the knee!  My flexion is already at 120 degrees and it feels so much looser.  Yes, I am actively doing all my flexion exercises, peddling my stationary cycle, icing and elevating.  Unfortunately, I only have 4 more physical therapy appointmenst due to the Medicare allotement allowed but I think I know enough of the program to continue on my own. Very glad that I had the MUA done!  Now the big issue is my balance...which is terrible and I want to get back on my bicycle!

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