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re: Knee Replacement Update/Question

Posted on 5/6/26 at 6:04 am to
Posted by RetiredSaintsLsuFan
NW Arkansas
Member since Jun 2020
2540 posts
Posted on 5/6/26 at 6:04 am to
I had a partial knee replacement last July. I did all of my PT at home. I did five exercises every hour and at the two week check up I had just about full motion. One of the hardest exercise was the knee bend. I had to sit in a chair with my knee brought up to the chair. I then moved forward for five seconds and then back again. I had to do this ever hour. The other one was to sit in a chair and put my leg on a coffee table or something and straighten my leg for five seconds. Do this every hour. I still do this exercise some. After doing these five exercises I had to put ice on my knee for the rest of the hour. I then would start all over.
Posted by Volvagia
Fort Worth
Member since Mar 2006
53548 posts
Posted on 5/6/26 at 6:18 am to
quote:

It’s strange two joints have totally different rehab protocols.


Two massively different style of procedure.

For a knee replacement they essentially almost have to sever your leg.
Posted by PrezCock
Florida
Member since Sep 2019
950 posts
Posted on 5/6/26 at 7:22 am to
What Lsukinesalum2001 is spot on. I want to add a bit to it though. You started PT 12 days after your surgery. This is insane. As Lsukinesalum2001 said, you should have started immediately. Same day or day after. Most TKA you're going to want 0 extension and 90 flexion by day 3 post surgery. Not starting PT 12 days after. Unless you got an infection, someone screwed up. If you are having problems with ROM, get the manipulation under anesthesia.
Posted by udtiger
Over your left shoulder
Member since Nov 2006
116476 posts
Posted on 5/6/26 at 7:28 am to
If your first physical therapy was 12 days after, there's your problem.
Posted by Columbia
Land of the Yuppies
Member since Mar 2016
3251 posts
Posted on 5/6/26 at 9:04 am to
I work in a joint replacement room every day. Our patients start PT that day or the next. Immobilizing for any length of time is damn near malpractice. When we do closed manipulations for failed PT, they go to PT right after recovery. All being said, it takes a solid year to get full recovery.
Posted by Gimme Vaughn
Okmulgee
Member since Jul 2021
1673 posts
Posted on 5/6/26 at 9:30 am to
I had my knee replaced in 04 at the ripe old age of 24. I remember waking up from the surgery in the CPM. I was cussing about as loud as i could to get it off me. Mr. Gimme Vaughn, calm down, your scaring the other patients. frick YOU BITCH. GET THIS MOTHER frickING THING OFF ME!!! Boop hit the morphine button.

I had a lot of complications on recovery as well. I had nerve damage at the top of my calf that would allow me to flex my foot. I was in the hospital for almost 2 weeks while they tried to rehab me to the point i could put me foot flat on the ground.
Posted by BestBanker
Member since Nov 2011
19670 posts
Posted on 5/6/26 at 9:31 am to
Would you guys mind editing your posts to include your age or age range? I'm curious because I'm in the 55-65 age group wondering what threshold might make me move to replacement decision. Thanks.
Posted by kywildcatfanone
Wildcat Country!
Member since Oct 2012
140684 posts
Posted on 5/6/26 at 9:36 am to
I was 61 when I had my first one. My 2nd will be in a year or so. I got shots in that knee for 8 years and I now wish I had the surgery as early as possible. I think it makes recovery faster. When my right knee is ready, I will have the replacement done. The first 6 weeks suck (well, weeks 3-6), but it gets better after that.
Posted by BestBanker
Member since Nov 2011
19670 posts
Posted on 5/6/26 at 9:40 am to
Thx. If I may ask you, did you have a previous surgery, or injury prior to the replacement? I've had meniscus tear/repair/removal.
Posted by Trevaylin
south texas
Member since Feb 2019
11361 posts
Posted on 5/6/26 at 10:20 am to
71 at time of replacements. Covid delayed me for about a year. In my early 60's my conversations with older folks who had it done early, indicated it could only be effective for about 15 years so do not go to early ... As to when, first your knee pain will be sufficient to have your gp refer you to an orthopedic surgeon. Make sure you do a background check on the person selected and he has lots of great referrals. You do not want to have to change horses later. Ortho Surgeon will set you up for physical therapy to validate the need. Ortho surgeon will also steroid shot your knee for pain relief and 3-4 months later repeat shot. this continues till shot no longer reduces pain and its now time to cut it open. From when you are ready to pursue replacement with your gp, taking up to 1.5 years to get it done was my experience
Posted by kywildcatfanone
Wildcat Country!
Member since Oct 2012
140684 posts
Posted on 5/6/26 at 10:25 am to
quote:

If your first physical therapy was 12 days after, there's your problem.


Yep, I didn't pick up on this in his post, but if he didn't start PT till 12 days after, that is his issue. How is this possible? I had PT calling me while I was riding home from the hospital to be at my house the next morning?
Posted by Old Man and a Porch
Member since Dec 2023
909 posts
Posted on 5/6/26 at 11:23 am to
My out patient PT started 12 days after surgery. My in home started 2 days after surgery.
Posted by PrezCock
Florida
Member since Sep 2019
950 posts
Posted on 5/6/26 at 11:52 am to
quote:


My out patient PT started 12 days after surgery. My in home started 2 days after surgery.


That's much better than the 12 days without. But by day 3 you should have been at 0 extension and 90 flexion. Even starting 2 days post surgery is still doing you a disservice. TKA is a terrible, terrible recovery as you well know. It should have started ASAP after surgery to give you the best outcome. Sorry that your are going through this. Do the MUA (manipulation under anesthesia), I'm sure it'll suck but it'll put you back on the right track.

Good luck
Posted by Neveragain
Ok, maybe one more time
Member since Apr 2023
332 posts
Posted on 5/6/26 at 12:01 pm to
I had my surgery just 2 days prior to yours. Started PT 3 days later but I had a CPM and was in that damn thing for 6 hours a day. That was the best thing in the world. It does the moving for you and you can control the amount of flexing by your pain tolerance. I increased it every 30 minutes by 5 degrees. It was a life saver. I am having a slight issue now with my hip flexor because I was bow legged and now my right leg isn't bowed so it has affected my gait. Needling has helped and paying attention to how I walk helps as well.
I had a PT force my leg to flex and that was the worst part. I almost passed out once but it was necessary.
Good luck!
Posted by Old Man and a Porch
Member since Dec 2023
909 posts
Posted on 5/6/26 at 12:09 pm to
All I have heard throughout this journey is that everyone is different when it comes to recovery. I have found that to be unbelievably true. I know people who have recovered in 4-6 weeks. My Dr is wonderful, I’m just one of the unlucky ones.
Posted by Neveragain
Ok, maybe one more time
Member since Apr 2023
332 posts
Posted on 5/6/26 at 12:40 pm to
I wasn’t prepared for the amount of quad swelling and pain I had. I guess I never thought about it actually. My quad would swell a lot and it hurt like hell
Posted by Old Man and a Porch
Member since Dec 2023
909 posts
Posted on 5/6/26 at 1:12 pm to
Will this help with my ability to straighten my leg out also?
Posted by kywildcatfanone
Wildcat Country!
Member since Oct 2012
140684 posts
Posted on 5/6/26 at 2:25 pm to
quote:

But by day 3 you should have been at 0 extension and 90 flexion.



This is not remotely true, and terrible advice. A patient who hasn't had knee issues really long and has this surgery might get to those numbers in the first week, but that is not normal by any stretch.

I got shots for 8 years, so my knee was as bad as it gets before surgery. I was able to get to 90 flexion in the first week, but it took me 11 weeks to get to 0 extension. I was frustrated, but PT told this was was pretty normal for someone in my situation.
Posted by Old Man and a Porch
Member since Dec 2023
909 posts
Posted on 5/6/26 at 3:33 pm to
I am going on 12 weeks and still not there. I am ready for this to be over. I hope the ortho says he will knock me out and bend it.
Posted by Lsukinesalum2001
Member since Sep 2022
113 posts
Posted on 5/6/26 at 3:44 pm to

quote:

I had a CPM and was in that damn thing for 6 hours a day


Honestly can’t believe they put you in CPM. Most surgeons don’t do them anymore because it’s not best practice. Moving yourself has been found more effective.
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