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Knee Replacement Update/Question
Posted on 5/5/26 at 8:01 pm
Posted on 5/5/26 at 8:01 pm
I had knee replacement February 11. I started going to therapy February 23. I have been working hard at therapy and at home but bending my knee and straightening my leg all the way out are still a problem. I have a check up with my orthopedic Tuesday. My therapist suggested speaking with my orthopedic on Tuesday about putting me to sleep and bending my knee and forcefully breaking up the scar tissue. Anyone ever had this done? Thoughts?
Posted on 5/5/26 at 8:04 pm to Old Man and a Porch
Never had a knee replacement, still waiting a few years on that.
However, I have had 2 ACL replacements (same knee) and stiffness is expected. It took 6 months to be able to straighten my knee after the first ACL and 8-10 months after the second one. They did remove some surrounding bone during the second surgery to allow better movement of the ACL, but it still took time.
I trust my ortho 100% (Craig Greene), so if he says thats normal, Im good with it.
However, I have had 2 ACL replacements (same knee) and stiffness is expected. It took 6 months to be able to straighten my knee after the first ACL and 8-10 months after the second one. They did remove some surrounding bone during the second surgery to allow better movement of the ACL, but it still took time.
I trust my ortho 100% (Craig Greene), so if he says thats normal, Im good with it.
Posted on 5/5/26 at 8:06 pm to Old Man and a Porch
What’s the range numbers?
Posted on 5/5/26 at 8:09 pm to Old Man and a Porch
quote:
putting me to sleep and bending my knee and forcefully breaking up the scar tissue

Posted on 5/5/26 at 8:16 pm to mtcheral
Flexiion, been stuck around 113/114. That’s really cranking on it hard to get it there.
I haven’t measured my straightening lately to give numbers.
I haven’t measured my straightening lately to give numbers.
Posted on 5/5/26 at 8:16 pm to Old Man and a Porch
I’d estimate 1 out of 50 total knees end up in your position. Some just get to a sticking point at rehab, others are just lazy and don’t rehab correctly or at all. You will go back to the OR, moderate sedation or intubated, the surgeon comes in and he will flex your leg and break up the scare tissue like you said. Takes about 5 mins
Posted on 5/5/26 at 8:22 pm to Old Man and a Porch
I had both knees replaced 6 years ago and my surgeon said very emphatically there is a very short window to physical therapy. He had me start within three days of surgery, with a very strong therapist who pushed till I cried. Surgeon instructions were to take the opioid before going to therapy and again later in the day. With the second knee I wound up with opioid constipation for 8 days. Docter's advice as long as I can fart keep doing the pt, using the opioid for pain. It all worked out fine, I got full movement and lots of memories of the pt dude driving my knee backward to the mat. I would not solicit advice from TD or chatgpt for your problem. Its serious. Your surgeon will have your best advice
Posted on 5/5/26 at 8:24 pm to Old Man and a Porch
I had my knee replacement surgery Oct 2025 and ended up having a manipulation. It was the best thing because I was able to bend and straighten much better afterwards. I had issues with my glute not waking up afterwards, but a tens Machine helped. Just continue to ice and do pt! It does get better!
Posted on 5/5/26 at 8:31 pm to Old Man and a Porch
I'm having my knee replaced in 1 month. Daughter is a physical therapist that does home health. Have worked with a lot of different patients, and saw different results. She sent to one who uses robotics and has fantastic results.
BUT... therapy starts as soon as I get home from the hospital. A nurse will stop by for 3 days to make sure the wound is healing correctly. And terapy 5 days a week.
BUT... therapy starts as soon as I get home from the hospital. A nurse will stop by for 3 days to make sure the wound is healing correctly. And terapy 5 days a week.
Posted on 5/5/26 at 8:34 pm to Old Man and a Porch
Wife has had both replaced and did not need what has been suggested to you. She is a quite skilled Personal Trainer but relied upon a Physical Therapist for rehab, which occurred very quickly post surgeries.
What has been suggested doesn't sound fun but likely well worth it to realize maximum ROM
What has been suggested doesn't sound fun but likely well worth it to realize maximum ROM
Posted on 5/5/26 at 8:36 pm to dblwall
I had left knee replaced in August and my right knee in November. Was playing pickleball by February. Surgeon I went to in Shreveport was amazing. You DO have to attack your physical therapy.
Posted on 5/5/26 at 8:41 pm to Old Man and a Porch
Early knee range of motion after surgery is critical, and it really needs to start right away. I typically see patients within hours of their procedure, and one of the biggest things I emphasize is getting the knee moving early—before scar tissue has a chance to form.
Once significant scar tissue develops, it becomes much harder to regain motion. In some cases, the only option left is a manipulation under anesthesia, which we obviously want to avoid if possible.
While both bending (flexion) and straightening (extension) matter, full extension is actually the priority early on. That’s because your ability to walk normally depends on getting the knee all the way straight. If you’re lacking extension—even by a few degrees—it can significantly affect your gait and lead to other issues over time.
The goal is to reach 0 degrees of extension as soon as possible so you can restore a normal walking pattern. Flexion will come with time, but extension is something you really want to focus on right from the start. You don’t actually need much more than 115 degrees for normal daily activities, but you should have 0 degrees extension.
Once significant scar tissue develops, it becomes much harder to regain motion. In some cases, the only option left is a manipulation under anesthesia, which we obviously want to avoid if possible.
While both bending (flexion) and straightening (extension) matter, full extension is actually the priority early on. That’s because your ability to walk normally depends on getting the knee all the way straight. If you’re lacking extension—even by a few degrees—it can significantly affect your gait and lead to other issues over time.
The goal is to reach 0 degrees of extension as soon as possible so you can restore a normal walking pattern. Flexion will come with time, but extension is something you really want to focus on right from the start. You don’t actually need much more than 115 degrees for normal daily activities, but you should have 0 degrees extension.
Posted on 5/5/26 at 8:56 pm to Old Man and a Porch
I put pts to sleep all the time for that. It’s called manipulation under anesthesia. Mostly with knees replacements and rotator cuff repairs. It’s a quick 2 min procedure but hurts like a MF hence the anesthesia
Posted on 5/5/26 at 9:07 pm to Old Man and a Porch
total knee replacement in July at 41 yo.
been dealing with Osteonecrosis since late high school. put off knee replacement, but can't any longer.
wish me luck!
been dealing with Osteonecrosis since late high school. put off knee replacement, but can't any longer.
wish me luck!
Posted on 5/5/26 at 9:28 pm to magicman534
quote:Laymen try their hand at this technique as well.
It’s called manipulation under anesthesia.

Posted on 5/5/26 at 10:32 pm to Old Man and a Porch
I’m having ptsd of my first acl surgery. Healthsouth. James Andrew’s. You wake up from anesthesia and go straight to physical therapy and you don’t go back to your room till you hit a certain mark. This huge guy from auburn was in there and we were just crying. I don’t know if I could willing go through that again.
Posted on 5/5/26 at 10:40 pm to Lsukinesalum2001
quote:
Early knee range of motion after surgery is critical, and it really needs to start right away
Man, that’s crazy you start movement of the knee so soon after surgery. I ruptured my tricep tendon and had surgery 13 days ago and it’s been in a hard cast with no movement at all.
It’s strange two joints have totally different rehab protocols.
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