Physical Therapy after Partial Knee Replacement that was Jan 6th.
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I am 42 yrs old and had a Partial Knee Replacement done on Jan 6th...outpatient...went to first PT the next morning. Wasn't too bad...2nd was a little rougher and I was in more pain. 3rd visit had a different therapist and she pushed me beyond what I thought I was ready for. She basically forced bended my knee and forced straighten it..said it's to keep scar tissues from interfering with recovery...this was extremely painful. I am curious to if this is normal protocol on your 3rd visit of PT..which was 7 days post op...I was in soo much pain I could not go to my next PT. Plus I have bruising on my ankle from her force bending with her body weight...I figured I would go back on Monday when my normal Therapist will be there....I have made progress with bending and straightening and don't think I should be rushed like that...I am still in alot of pain but am able to walk around house without crutches. I have been icing and elevating along with doing my homework PT...any suggestions or advice is welcomed since this is all new to me and I don't Know of anyone who had this done. Thanks
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egemom caroljr74
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caroljr74 egemom
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Oldfatguy1 caroljr74
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caroljr74 Oldfatguy1
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john44470 caroljr74
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I'm a 71 year old male, had a UKR (partial knee replacement of the right knee medial compartment) on 6 Nov 2015. I elected my own surgeon based on his reputation and had surgery as an NHS patient in a private hospital. I was sent home on 9 Nov. I was up and walking with crutches the afternoon of the day of surgery with some ankle exercises and knee bends to follow. The next day the PT's really got me into the exercises proper. The process was to get the patient walking and climbing stairs and a 90 degree bend before being discharged and I to had been forced but not to the extent you have been - thats not on. Yes the PT tried to force me but once I realised the pain involved and the amount of pain killers I was on in hospital I said no more ! End of! I increased the frequency of the exercises and pushed myself to the point of onset of pain then backed off. I've always grown up with the view that pain is the point at which the body announces it is in a state of dis- ease and to ease up.
So yes they tried to do this to me but I put my foot down. I achieve the targets anyway by the time I was discharged on 9 Nov.
That all said, I did pay for private PT treatment in the 8 weeks leading up to surgery in order to strengthen my right knee and leg in readiness for the surgical trauma that would follow. This served me well. I persisted with all my 'at home' exercises and stretches right up until my 1st review by the surgeon on 29 Dec (7 and half weeks). At that point he announced that I could drive my car again, I could shed my crutches inside the house but use only one outside for 2 weeks (in fact I was fine with no crutches at all - inside and out) and return to work. I drive a mini bus between an airport and a railways station on a shuttle service.
Certainly by 7 and half weeks I was pain free (unless I inadvertantly overdid the exercises). As a matter of interest I had my dressing removed on 19 Nov. I had my only hospital PT review on 24 Nov, they put me through the hoops again but basically agreed that I was where I should be at this time post op. They would not comment on shedding the crutches, said that was surgeons decision. Then, as I said, my surgeon review on 29 Dec. Even now I have to say that at the end of each day, regardless of the level of my activity, I always elevate and ice for 20 minutes or so. I am still pain free and have only one minor moan, which I vented at the surgeon, was that slightly to the right on my incision line and centre of the knee cap I have a tightness, a stiffness in a band running from the centre of the knee cap down to about an inch below the knee cap. Surgeon reckons I need to work on my hamstrings and my private PT agrees and am doing exercises to this end. Yes, there is some slight improvement. Bend continues to improve and can now sit and get up easily from low seats. I'm now at 10 weeks post op and am fine with it all - but still have swelling and would expect this to stay but gradually diminish over the next 12 months. My next review by surgeon is on 29 Feb 2016 which will be at 16 and half weeks. I have alot of lower back pain and pain/discomfort from the right sacriliac joint - which is also slightly improving the more I mobilise, but I still get my private Chiropractor to monitor things and give me a bit of treatment. I had these problems for at least the last 8 years all of which are largely due to the aging process and my original knee problems - so I'm certainly not blaming the surgery here - just commenting for your info. I am wondering if you are still on pain relief medication even though you are doing 'homework' ? I can only have Co-Codomol 30/500 and if I over do the exercises or if my back pain is somewhat aggressive I still take 2 tablets at a day. My advice would be if you still have pain when exercising then continue with pain relief before you attack the exercises, and elevate and ice, immediately on finishing the exercises.
Jan 6 is not long in the scheme of things, you might be being a bit ambitious - I was in pain right up to about 3 or 4 weeks post op. Then it began reducing, and continued to reduce quickly after that.
I must say that some people have issues with scar tissue forming and some have to return to hospital for 'a manipulation' under general anesthetic to break up scar tissue.
Anyhow, hope all this rambling helps.
Good luck.
John
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