Frustrated by Total Knee Replacement: Challenges, MUA, Outcomes

Рет қаралды 12,542

Total Therapy Solution - Physical Therapy

Күн бұрын

Join Anthony Maritato, PT, as he delves into a comprehensive case study of a patient's journey 11 months post-knee replacement surgery. This video offers a unique perspective on the complexities of recovery, the challenges patients may face, and the pragmatic approach needed to address them.
🔹 Timestamps & Chapters:
0:00 - Introduction to the Case
0:33 - Background of the Knee Replacement Patient
1:00 - Post-Operative Challenges at 11 Months
2:01 - The Reality of Post-Surgical Recovery
3:00 - Understanding Manipulation Under Anesthesia (MUA)
4:00 - Discrepancy Between Surgical Success and Patient Satisfaction
5:05 - In-Depth Evaluation and Identifying Pain Points
6:00 - Differentiating Post-Operative Pain from Osteoarthritis
7:23 - Addressing Range of Motion and Pain Management
8:56 - Daily Variability and Activity Tolerance
🔸 About This Video:
In this detailed discussion, Anthony Maritato, a seasoned physical therapist, shares his insights from a recent patient engagement. The patient, an active individual who underwent knee replacement surgery, faces ongoing issues with pain and swelling. Through this case, Tony explores the expectations versus reality of surgical outcomes, the importance of understanding post-operative pain, and the strategies for managing recovery.
🔹 What You'll Learn:
The nuances of post-knee replacement recovery
How to set realistic expectations for recovery
The significance of individualized patient care and evaluation
Strategies for managing pain and improving range of motion
The importance of daily activity tolerance and how it varies
🔸 Connect with Anthony Maritato, PT:
Subscribe for more insightful content.
Visit our website for more resources: www.choosept1st.com
Follow us on social media for updates and tips:
Facebook: / totalkneereplacements
🔹 Looking for Personalized Care?
If you're struggling with your recovery after a knee replacement, consider reaching out for a personalized consultation. Visit www.choosept1st.com to find resources and connect with professionals dedicated to your rehabilitation journey.
🔸 Disclaimer:
The information provided in this video is for educational purposes only and does not substitute for professional medical advice. Always consult with your healthcare provider for advice on your specific condition.
🔹 Hashtags:
#KneeReplacement #PhysicalTherapy #PatientCare #RecoveryJourney #TotalKneeArthroplasty #PainManagement #Rehabilitation #AnthonyMaritatoPT

Пікірлер: 124

@totaltherapysolutions 8 ай бұрын

Who else is experiencing this story?

@debbiec6216 8 ай бұрын

Tony , I know you are strictly work with knee replacement patients. I like to know will you do a video , only when you have time. I have noticed when I walk , I waddle gait from side to side ( like a penguin ). I know my right hip , it's weak , I had PT and I would do exercise daily , but I still waddle. The next thing is a hip surgery. Hip abductor weakness (Trendelenburg gait): Excessive downward drop of the contralateral pelvis during stance. Referred to as positive Trendelenburg sign if present during single-limb standing. Pathomechanism: Compensated gait causes the trunk to lean laterally toward the stance lower extremity of the weak side. If bilateral, it is referred to as a waddling gait.

@scottfahdt177 8 ай бұрын

I'm having a very pronounced catching/snapping sensation in the back of my knee whenever I stand up from a sitting position, and when I am peddling a bike. It feels like something(ligament/tendon?) is hanging up on the implant and then releasing. I'm almost eight months PO and my range of motion is very good otherwise. I'm an avid cyclist but I still cannot ride a bike after eight months.

@sherrcon 8 ай бұрын

@@debbiec6216 /be careful about getting a hip shot...the shot made my hips even worse than before...it blew up my hips where my femur did not have anything to support my hips...i was in a lot of pain requiring a wheel chair...in my area, i was told only a few doctors can perform restructuring of the hips...i had three pins to reconstruct my (L) hip...this was done in july (L) and oct (R)...and now, i am pain free and do not waddle BUT i also continue my exercises and always being attentive to where i am walking because i am still healing...i consider myself lucky...

@marytesta3003 8 ай бұрын

Great video, Tony. You hit the nail on the head. I guess I see it as anything, but the real thing will ever be perfect. By the time I finally gave in to surgery other things were messed up. I had shin and foot pain. I couldn't sleep from pain. So even though I'm just 9 weeks yesterday, I do think it's possible I'll have some long term issues. Maybe not, but I didn't think a knee replacement would be 100%.

@kathyclark3168 8 ай бұрын

Me just a very little bit

@myronyoshioka8742 8 ай бұрын

She is very lucky to have a therapist like you who takes the time to exam her as an individual and to explain the reason for her paid. Hopefully she can find the perfect remedy for her situation or adjust her lifestyle and limitations.

@anniegobucks 7 ай бұрын

20 weeks post op RTKR - Thank you for this video, Tony. It is completely my story to a T (with the exception that I'm a few years older at 64) I just scheduled a follow up with my surgeon to make sure something else isn't going on. I feel like I was doing better at 8-12 weeks as opposed to now. I now have similar pain that I had with a torn meniscus. The constant wondering of "am I doing too much, or not enough" and "two steps forward, three steps back" is frustrating. It's difficult knowing what is normal, when you've never had a procedure like this before! I am thankful for this community to share stories and to have someone to bounce things off with.

@cathyjbeck 7 ай бұрын

I had a revision 13 months after original TRKR because of pain. New surgeon said I was unstable. Changed poly spacer from 11 to 16. I still have most of the same pain but with more actual née pain. It had only been 13 weeks. I can walk better. I have a great PT team who, like you, are just trying different things hoping to hit the spot. Thanks for what you do. Facebook group is great, too.

@GIJOE64 8 ай бұрын

I’m 10 months post TKS and this is my story. My surgeon has examined my knee, took X-rays etc., and said everything looked great but I’m still experiencing pain. I’m back at physical therapy to strengthen my glutes and hamstrings in the hope that this will eliminate the pain I still have.

@beautimdm 7 ай бұрын

Best video I’ve seen that addresses the pain/issues that some of us experience that the surgeon cannot answer. Thank you. I have the medial side pain and patella tendon pain you spoke about and trying so many different things to address it.

@stephdaniels5587 7 ай бұрын

Thank you so much for an excellent discussion Tony! Sharing your knowledge is a gift and much appreciated! Your patient is fortunate to be working with you!

@mavistaylor6400 3 ай бұрын

You have just described me!!! Thank you for the comments and support; I am almost 18 months out and feeling frustrated. My knee feels heavy, ROM is decent but I’m concerned with my calf. It feels heavy and numb, thinking maybe a vascular consult may be necessary. We were travelling in Australia and NZ and some days we were walking 15km, with little or no pain or discomfort! The difference is it was a warmer climate, when I got back to the cool climes if Canada, it was back to stiff and at time uncomfortable. Such a journey it has been.

@BettyTurner-to7hq 7 ай бұрын

Am 4 months out and really get discouraged sometimes. Am learning patience. That has been my hardest therapy... patience! Have learned to back off when it gets too much. Have learned SO much from your videos. Can't thank you enough.

@jennyfilippello5379 7 ай бұрын

I’m in my 11th month of a total knee replacement. I was having great progress with extension and flexion up until my fifth month where I thought I was doing really well. My progress had come to a complete stop. I went to many many really good physical therapist, and we couldn’t figure it out. Dry needling definitely helps and I found that most of my issues were in the lack of strength in my hip. However, I was still having a lot of pain around my kneecap. The pain seem to come from everywhere around my knee. I couldn’t pinpoint it, but the pain was so bad. I watched your video on how to sleep with a pillow. I made sure that my knee wasn’t being stressed too far from having a pillow in between my legs when I was lying in the side position. As soon as I tried what you suggested, with a longer pillow to keep my knee in a level position, the pain went away! The only time it comes back is when the pillow isn’t placed strategically in between my knees longways when I’m sleeping on my side. I seem to know this when I’m sleeping, so it’s not such a surprise when I wake up and I have pain throughout the day. You truly are experienced!! Thank you sooooo much!!!

@totaltherapysolutions 7 ай бұрын

I just uploaded a short video from someone who is experiencing pain at the knee cap. You are not the only one. I wish you the best and thanks for subscribing to the channel.

@rockett725 7 ай бұрын

I appreciate your opinion! Roof analogy was a great 1!

@alainted 6 күн бұрын

Thank you for this. Exactly what I needed to hear. This is going to be very useful to me moving forward. Best,

@voz805 7 ай бұрын

Thank you for this clarification, very interesting.

@sherrcon 8 ай бұрын

tony, thank you a million times...i have viewed your videos on exercises and has helped me a lot...you're the best on ytube!!!!

@totaltherapysolutions 8 ай бұрын

Thanks for the comment and watching. I am glad these videos are helping.

@kelvinpell4571 6 ай бұрын

Thank you, Sir! An excellent video.

@harryfong9829 8 ай бұрын

Hi Tony, I am 2 years out with Right TKR, struggling with stiffness daily, do mine PT each day. Surgeon said everything looks okay, chief of ortho has me using the H-wave electro therapy to reduce the stiffness, just started. Wait and see. Also depressed, stress and anxious. Unhappy with the outcome.

@Christina-or4hx 8 ай бұрын

I'm the same as your pt but a bit older. Thanks so much for this video. Wonderful you care so much for us. ❤❤

@emilymanhart368 8 ай бұрын

Thank you so much for this Tony. Your client's story is quite similar to mine. I'm 17 months post surgery on my second knee replacement. My first knee felt so good 4 months post op, I started doing too much and developed patellar tendonitis. With my second knee, I regained full ROM sooner, but was more careful about over doing. Alas, 17 months later I still have some inflammation above my knee and tenderness below. Standing more than 20 minutes make both knees feel stiff, but not painful. One of the main drivers for me to have TKR was to be able to ice skate without pain. I'm happy to say I can skate mostly without as much pain, but skating too long really gets my tendonitis fire up again. Just knowing this is "normal" helps me deal with the discomfort. I'd love to find a magic bullet to make it all feel better, or like I did at 40 and I have some days that come pretty close. Despite the stiffness an soreness, I definitely feel better than before my surgeries.

@barbaraannmiller170 7 ай бұрын

Great video!!

@MySunsetProse 5 ай бұрын

Very helpful!! Thank you!!

@totaltherapysolutions 5 ай бұрын

You are so welcome!

@betsydoc3628 8 ай бұрын

yea, yes, yes! My first TKR went great. 2 years later, I really strengthened for 2-3 months before my 2nd one, in hopes of even better recovery. The first 4-5 weeks went great, then it has gone downhill. I am now at 3 mos, with increasing pain, swelling, and instability. Xrays show everything fine. Surgeon said found possible loosening from physical exam. Recommended 6-8 weeks of “aggressive” therapy, then re-evaluate for possible revision. Physical therapist did thorough evaluation and thinks he can help me without surgery. Believes quad is excessively tight and therefore non-functional. Your video has given me hope. thank you

@bevl7989 4 ай бұрын

Thank you for educating me on TKR I am on my way to recovery five months now, so every advice helps thanks again. Blessings 🙏

@sandra3318 7 ай бұрын

OMG! Absolutely my story. I was so angry that my operating surgeon seemed oblivious to my complaints and only considered the post surgical images of the appearance of the nicely healing joint replacement. I had a competent PT but he never considered any of the possible soft tissue issues. My right TKR was 21 months ago. At exactly the one year mark I sought out and found a wonderful physiatrist who diagnosed patellar tendonitis and fluid retention. She drained the area and I got some much needed relief..I still had issues of discomfort and unending tightness in the area at the base or bottom area of that knee. I am only now experiencing much improvement, a leap in strength and stamina in that I see. I can't fully Express my outrage and disappointment in the tkr process as I experienced it. I won't name the hospital but suffice it to say I am in NYC and had the procedure at one of the preeminent institution here . Why would a surgeon almost literally cut the cord and not help the patient get to the root cause using referrals and follow up? Lastly, I had the added problem of ending up with a leg length discrepancy after the surgery which the surgeon tried to gaslight me one. Only after I pressed the hospital administrators did they refer me to a different staff surgeon who measured and acknowledged it as being between 3/8-1/2 inch. Needless to say that was another layer in making my recovery miserable. Now I have to get a special piece added to the bottom of my right shoe to walk on a normal footing level so me hip won't get sore. I would greatly appreciate any suggestions you my provide me with to help with this issue. I just must tell you before I close how reassuring and helpful your videos have been. You are a real gem!

@Candleflower42 8 ай бұрын

John I have a similar situation in that my knee, although bone on bone grade 4, didn’t hurt that bad, but I’d broken my femur and was having residual pain from that 20 months post op when I’d lift the leg after standing on it awhile, it was in the quad area and side, almost like a vibration. Also lower back pain if stood for awhile, which I’d never had. Doc thought a TKR would help these issues as it “all works together.” It did help the issues about 80% but I traded that for so much worse. Am 70 and still on cane after 18 months, icing it a lot, not walking and the muscles in my thigh have painful “catches” - now nothing works together! See a new doc in a month. Good luck to us both.

@denisebrowsky3783 7 ай бұрын

Thank you for this video! This describes what I am going through at 4 months. Many of the secondary complaints you talked about are what is happening to me. Surgeon did a good job, PT was thorough but I remain with 120 degrees of flexion, pain at the medial aspect of the knee and lateral knee pain. But, it is getting better or I'm getting used to it. I appreciate your pragmatic, real-life approach.

@user-bz3on1hz2c 7 ай бұрын

I am just shy of three months post op. I have been extremely frustrated and have searched everywhere trying to get some answers. Listening to this was very soothing. Thank you for you kindness and advice. I was at 118 ROM prior to surgery and they were able to force 116 during PT, by being very aggressive. I wanted to continue therapy but the therapist didn’t feel I needed it. I still have a lot of pain and am petrified that I am not where I should be. This was a very difficult and painful experience. They encouraged me to do heel slides and lay on my stomach and use a band to pull my leg to force the bend. Somehow my mind won’t force my hand to cause me pain beyond what I can handle. I still have swelling and prefer not to take anti-inflammatories, but can really feel a difference when I don’t. Any further advice would be so very much appreciated.

@kathyclark3168 8 ай бұрын

Excellent video Tony, simply excellent!:😊

@totaltherapysolutions 8 ай бұрын

Thanks so much. If you haven't already please consider subscribing to my channel. I am hoping to grow my subscriber base for 2024.

@kathyclark3168 8 ай бұрын

@@totaltherapysolutions I subscribed 7 months ago!

@pandjwarren 8 ай бұрын

Thanks very much, Tony. I found this video one of the most informative videos on “what to expect, why, and how to best mitigate post op issues”, following a TKR, that I have seen. It also provides valuable information for those deciding whether to undergo the TKR based on possible post op outcomes. Much appreciated👍…..here’s hoping your patient can address her pain issues for a little more freedom of movement.❤

@totaltherapysolutions 8 ай бұрын

Awesome!!! I am glad it helped and thanks so much for being a subscriber to the channel.

@amystockton7660 8 ай бұрын

Thank you for sharing this information. I'm 58 and also want to get back out to those hiking trails. I am only 6 weeks post-op, so still have some healing/recuperating to do. I, too, did everything I was supposed to do, but my flexion is only 112. Maybe with time, I'll have more flexion? Maybe time will tell. Thank you so much for these videos

@kathtrevains860 2 ай бұрын

Thanks great information, does help to know these things and that this tiredness is normal. Not to overdo exercises and not to worry if the recovery is a bit slower than you expect.

@lindalambert6554 8 ай бұрын

Thank you for your honest answers. I appreciate all of the knowledge and experience you've shared in your videos. I'm 9 weeks from surgery and I'm frustrated because I so wanted to be one of those patients that recovered quickly and got back to my favorite activities. I'm finding that that isn't my case. I'm now down to physical therapy three times per week. I walk or swim when I don't have therapy. I always experience swelling and just enough pain to keep me off my feet in the afternoons. That weird pain nags at me and keeps me from ever getting a good night's rest. I'll continue with my routine, hoping that after six months I'll have my strength and balance back. Snow skiing and tennis feel like they are a long way off, but I'm hopeful.

@totaltherapysolutions 8 ай бұрын

0 to 12 weeks is still considered early recovery. It sounds like you are doing everything right.

@janettesweet6087 8 ай бұрын

I fell years ago on my right knee running in an airport. 2 years ago the bone started overgrowth, I also have arthritis, bone spurs and bone on bone. I can't straighten my leg out, so I stand lop sided. Have pelvic pain. I use a wheel chair. I am set up for full replacement. I have spent three nights with a kidney stone. So the replacement should be a breeze. I am getting 21 days in a rehab center after. I expect a lot of help.

@XLDJWHAT 8 ай бұрын

I hope everything goes well

@danielgoodson5086 7 ай бұрын

Tony, I really appreciate this segment. It brings home the fact that while the knee joint was surgically replaced with prosthetics, many other factors may be at play impacting the patients expectations and satisfaction with the result. 0 degrees and 120 degrees would certainly be considered goals met while in outpatient therapy, the lack of satisfaction with painfree activities of everyday living is another. I am 6 mos post op with my LTKR and just shy of 3 years on my RTKR. Even though my extension and flexion are equal on both. the right is more fluid and completely pain free with no stiffness. The left requires a little effort to get the bend and still has stiffness and slight pain. My expectation is that the left side will continue to release as time goes on. My stability has continued to improve. No regrets. Thanks for sharing this patients testimony. I am praying for her expectations to be exceeded. Very Best regards, Dan

@colleensmyth9551 7 ай бұрын

How do you get the tendinitis to settle

@danielgoodson5086 7 ай бұрын

@@colleensmyth9551 Great question! I get relief by slowly applying pressure to the the stiff areas. With my knees, when I pulling my knee in, to gain flexion, I hold the bend for a longer period. I sit in an office chair, plant my foot on the floor and slowly roll the chair forward as far as my knee will tolerate. I then hold it. I started with 10 seconds. Now I hold it for minutes. Too painful? Just roll backwards slightly to relieve the pain, but maintaining pressure. I also have tendonitis in my right achilles. I prop my toes up on a small step and lean forward to stretch the tendon. I hold for 30 seconds to a minute. Sure helps my day!

@patriciagaines3231 7 ай бұрын

Great video,

@johnhickey1326 8 ай бұрын

Hi! I'm still having problems with pain and swelling 5 months after TkR the pains 10 times worse than it was before I walked into the hospital with no pain and came out like I've been in a car crash, I'd advise people to think long and hard before having this operation😢

@marytesta3003 8 ай бұрын

Why on earth would you have a TKR if you didn't have pain? Was there something else wrong?

@sherrcon 8 ай бұрын

sometimes our knees just need replacement just like an alternator on a car...our bodies only lasts a certain amount of time depending on if one does a lot of sports, jogging, skiing etc etc...i have had two TKR (L and R) and two THR (L and R) and i am walking fine without a waddle unassisted without a cane/crutch etc...i was in a lot of pain before but now maybe a 1 on the pain scale depending on my movement like getting in the car or up from a couch etc. and no pain walking.. i had a hip shot before my surgery which i think blew up my hip...i was in a lot of pain after the shot...it works for some people and not for everybody...after TKR surgery, some people will require up to one year to recuperate...my THR/ (L and R) and TKR (L) was done this year... i consider myself lucky

@johnhickey1326 8 ай бұрын

Hi! I had slight pain when going out for walk but was alright doing things around the house I decided to see a consultant and the x ray showed my knee was bone to bone so he advised me to have a TKR so I did and its ruined my life my other knee is near bone to bone but I won't be getting that replaced in a hurry because its a hundred times less painful than the knee I had replaced!😢

@marytesta3003 8 ай бұрын

@@johnhickey1326 I had stopped life from pain. I had gel, Genicular nerve ablation, PT, more gel.....I wish I had done it sooner. Maybe try a massage therapist who does Myofascial Release. Or even cupping. It's worth a try!

@latte8894 8 ай бұрын

I have spent the last 20 years dealing with right knee osteoarthritis. Pain meds, compression sleeves, 4 arthroscopies. Incredible pain. RTKR (finally) 5 weeks ago. I was told by surgeon it would be stiff. 5 weeks on pain has subsided. I'm off walking aids and pain killers. Religiously doing pt - stretching exercises and working on walking properly. It's a marathon, not a sprint. My knee is very stiff with some swelling but I will push through to get the best outcome I possibly can. Thanks for the videos. Informative and they help a lot.

@marytesta3003 8 ай бұрын

This makes total sense. I'm only 9 weeks yesterday and am going for MFR today. I don’t have enough pain to take any pain reliever but I'm doing H2O classes. Walking my dog everyday. A much better quality of life. Even if it never gets better it's so so much better. There's also that nocciplatic pain situation. In the pre-op seminar they said 25 to 30% have chronic post-op pain at varying degrees.

@totaltherapysolutions 8 ай бұрын

That's awesome! MFR feels so good and helps so much. Good luck.

@anaguzman3339 7 ай бұрын

So glad you shared this insight. I am 2.6 years post surgery. I still pain at the top of the fibula and tibia. When I start massaging I can feel exactly where the pain is coming from. I also have pain above the knee, not sure if it's the quadricep tendon or muscle. It us tender to the touch. I use couple of topical ointments that appear to help me manage it. It doesn't take it away. If it gets really bad I will take Celocobix for a day or two. Your videos help understand what is going on..

@asharp6591 7 ай бұрын

Thank you very much for this information Anthony. I’m 11 weeks out of TKR. A Baker’s cyst is limiting my ROM. I’m going to PT but I feel that the PT works me too hard. My knee and the soft tissue become so sore that I can’t so anything for 2 days until it calms down. I finally had enough and decided to ride my stationary bike (25 min) per day and work on knee slides and extension at my own pace. Also doing some exercises to strengthen my hips. Thank you for your videos. Your knowledge is vast and gives me hope. Any ideas on how to deal with the Baker’s cyst would be appreciated if you have time. Thank you!

@tomlockyer2404 8 ай бұрын

Hi Tony--- I have a very similar story--- I had my left knee replacement surgery on June 6th. My surgeon was not happy with my range of motion after a month and a half so I also had an MUA on 08/01. This definitely helped and I went home with a passive motion machine and used it a lot--- My flexation is now at 120-- but I am still having a great deal of difficulty straightening my leg. My PT says that I am at 12 to 15 degrees off. I have been using a dynasplint every day. I am still limping around and it still feels uncomfortable, a bit painful and I'm frustrated. My surgeon ordered a CT scan, which I am having next week. I am hoping that the CT scan may help determine why I am so far off the curve here. I am afraid that my surgeon may want to do a revision-- which I do not want--- but will do if there is no other alternative. Prior to this, I walked 2 miles everyday, I'm 64 years old. I honestly thought that I would feel back to 100% after 8 weeks-- well its now over 5 months and I am still really struggling. Any advice would be greatly appreciated. Thank you

@BunkerhillRanch 7 ай бұрын

Suspect infection

@Rusty6507 7 ай бұрын

I kept stopping the video to find the buzz…the video is buzzing

@user-gs1jb8gr8k 6 ай бұрын

I am TKR 9 weeks now, PT 2 times a week, and various home PT activities to add strength to Quads, walking 20 mins per day, indoor cycle 3 + times a week for 30 mins. I have reached 104 Flex and 0 extension with PT helping, so around 0 - 3 degrees. I have plateaued at 94 - 98 degrees Flex, and have severe pain back of knee, so can’t get beyond this now for 4 - 5 weeks. I was advised to have MUA at 6 weeks, but we deferred a little and ended up having MUA today 12/29, feels little better, but will see how it goes over the next week. The back of knee pain was acute, spasm sharp pain, and not fun, so hopefully MUA will address. I forgot to add, your education commentary, and videos very helpful, thanks for that😊. Any advise??

@kamallen1 8 ай бұрын

Same type of issues perhaps. I'm heading into 7th month. Extension and flex are good. But constant stiffness after any walking (I'm an avid exerciser and the Doc said maybe cut back a little). The knee feels like a constant battle to keep the bend! Still warm at times (normal I'm told). The going down stairs still hurts a lot>. I just feel like with all the work I've put in ===I'm going to be stuck and worse off than prior. I try to keep the faith.

@user-yx8zq4yy5o 7 ай бұрын

I am exactly 5 months post surgery. My recovery has been great, but….about 8 weeks ago I had a recurrence of the pain that originally started about 3 years ago, caused me to fall several times and finally a TKR. It is actually to the lateral and posterior area. My physical therapist believe it is the hamstring, and is working on that. I am having trouble getting back in to see the surgeon. I am not mad that I had the TKR - so much arthritis, it would have had to happen soon. I just want to address the pain and never fall again. Perhaps your patient has that as one of their problems. Would a CT scan show hamstring damage? Thank you for your wonderful videos. I have been pretty faithful doing your exercises before and since the surgery. You have done a great service to so many of us. Btw, I am 72.

@unnifjeldstad5728 7 ай бұрын

Hello from Norway. I found this video very interested - since my surgeon for the past 2 years have suggested knee operation. 6 yrs ago I operated both hips - and everything went well. The only problem might have been having both procedures done within 5 months. 2-3 months later inflammation started and I was put on cortison - after that for about 4 yrs I only had to get my knees unliqudated a couple of times a year - and I got off medication. In august 2022 I was set on cortison again - without tapping the knees. I got very ill - and I still got inflammation. Fortunately I have very little pain in my knees - but the surgeon still want to operate - both knees - since xrays show bone on bone. I want to try to excersise to strenghten my muscles before operations. Anything you can comment on this? Would be grateful for an answer😊

@sylviaahensley 3 ай бұрын

I am 7 weeks out and still having terrible nerve pain what can I do to stop that .Still going to PT

@ritasharp5676 7 ай бұрын

Obviously there are a great deal of the ‘one in fives’.!! I believe it is more than that. It is my story. I am three years out, I never got to more than 85 degree of bend. It could be pushed to 100, but I couldn’t maintain it. Pain was always the problem. My surgeon wouldn’t do an MUA, for whatever reason. I feel cheated and frustrated!!

@totaltherapysolutions 7 ай бұрын

Wow, sorry to hear your story. Thank you for sharing this comment.

@user-mu8le7hu8h 4 ай бұрын

I am 8 weeks out from TKR but my Bakers Cyst is driving me nuts, swelling one day and huge the next. Any way i can get this to go away? I know it is fed from the inflammation, but will this ever resolve itself?

@funfun2000k 7 ай бұрын

I have to stand up for less pain Lying down or sitting down my whole knee is in pain stiff and pressure inside I had TKR 3 weeks ago

@wendyhendren1770 5 ай бұрын

I’m 12 days into my second TKR, this patella pain is something I didn’t experience with the first one ( excellent textbook recovery) I’m wondering , knowing that I am starting my PT journey and have some patella discomfort into flexion at 70-80 degrees ROM , what are some things I can do to maybe better control or stop this from getting worse as I go into PT next week ! Hopefully you see this comment and have some suggestions! Thanks ;)

@user-iq8xz2yd6x 3 ай бұрын

Hi Tony hope you're doing fine thanks for this video I'm 68 years old I have a question I'm 3mths p.o i do have osteoarthritis now my left knee is giving issues pain my range of motion goes from 90 to 85 i do my best to push it back more it stops me i feel my knee tight they gave me some new exercises i do everything to get better nd my walking i feel so frustrated..😊

@brigittegrimshaw56 7 ай бұрын

I had a TKR 5 months ago and still have issues with pain and swelling..not getting a full extension …about 4% and flexion about 125. I’d like to get that number to 130 and have full extension. The surgeon did an aspiration at 2 months because of swelling and I have pseudo gout in my knee. Have you seen this and what aside from surgery have you seen that reduces the inflammation. The doc also says I have loose tendons/ligaments….can you speak to that as well. Thanks.

@thegreypath1777 7 ай бұрын

@brigittegrimshaw56 - Some people take up to a year to heal properly. You are expecting too much too soon. You know those exercises your therapists taught you after the surgery? Keep doing them! EVERY day! For the rest of your life!

@edsilva54 8 ай бұрын

I'm 5 months PO rktr, does age affect the recovery? I'm 69

@davidmcc8727 3 ай бұрын

Strange isn’t it I had a knee revision 10 weeks ago. I had mild pain for a week then nothing no pain. I can walk OK but I still have swelling. Everybody is different

@rhondaleclair6510 5 ай бұрын

I'm post total knee replacement surgery 9 months had have 3 MUA's but I still only have about 70% flex I still can't bend my knee and I'm very limited range of motion I'm beyond frustrated going upstairs I have to swing my leg out my knee just doesn't bend and the knee I'm having problems with was my good knee im 52 years old and a female I just don't understand what is going on I've also had a MCL ligament reconstruction surgery before having the total knee replacement surgery 😭😭😭

@mariewhite1224 7 ай бұрын

I’m 18 months out from TKR and miserable. I’ve had 2 MUA’s and had somewhat better ROM after each one however then I would plateau because if the pain. Now my Ortho Group has told me there is nothing they can do for me, they believe it is Scar Tissue. I wanted them to surgically remove the scar tissue when they did the last MUA but the Surgeon did not remove because of infection issues. I am at a list as I have prob at the most 100 ROM and have pain and swelling. Any suggestions.

@thegreypath1777 7 ай бұрын

@mariewhite1224 - You know those exercises the therapists taught you? Keep doing them! Do them every day - for the rest of your life!

@sylviaahensley 2 ай бұрын

Can't get knee extension more than 6 .Have alot of nerve pain especially after P T What can I do? I am at almost 3 months.

@SUELUE55 7 ай бұрын

Maybe she needed your advice about lifestyle and diet (although she was active & healthy before TKR)? She needed your advice before TKR. Maybe she thought she was superwoman? Orthopedic surgeons are quick to do replacement. Once the knee you are born with is gone, it can't be put back. It's a big decision to make and shouldn't be chosen lightly.

@totaltherapysolutions 7 ай бұрын

You are right. These are all conversations that we should be having well in advance of getting any major surgery.

@davidburnette8383 7 ай бұрын

Two physical therapists at the clinic said I didn’t need a mu despite my surgeon offering me one. I wished I had taken the mu offered. Physical therapists should not advise patients, on surgeon’s recommendations.

@colleensmyth9551 7 ай бұрын

I am 13 weeks post TKR ! I have no trouble straightening my knee its bending it and I find it difficult getting in and out of the car and getting out of a chair ! I do my exercises faithfully and dont know why this is happening and To be honest Im totally disillusioned by the whole proces 11:48 s and its getting to me ! Can you help me

@totaltherapysolutions 7 ай бұрын

13 Weeks is still pretty early. I have several patients right now who are also struggling with flexion. One had an MUA and she is doing great. The other is contemplating having a revision and a smaller component used. I would consider talking to your PT team and even trying a different PT team for a different perspective. I often recommend my own patients consult and work with different therapists. We all offer slightly different ideas and approaches.

@colleensmyth9551 7 ай бұрын

@@totaltherapysolutions Thank yiu so much

@funfun2000k 7 ай бұрын

I do all the exercises in great pain and then feel better but not too long Have to stand up again No sleep at all

@151heyjudee 8 ай бұрын

This could totally be my story. Thank you for talking about this issue. I am 3 months post op RTK. I have 0/125 ROM. I was working on strengthening and balance at PT but recently stopped because of pain in my calf and fibular head area. I have a past history of Achilles tendonitis and the exercises became too painful to continue. It has been very frustrating.

@POWERWING1 7 ай бұрын

Did anyone acquire a bone spur on 5th metatarsal post surgery ( 5months today). Rom 0/30

@judyhunt2767 7 ай бұрын

I had similar issues with my rtkr. I couldn’t walk any distance because every step my patella would dislocate and then pop back. Very painful. I also had pes asrine bursitis. I got a steroid shot and that helped with the bursitis but the patella kept popping. Three weeks ago I found a patella strap with a plastic v shaped notch(Amazon). I tried that hoping it would keep the patella in place. I’ve worn it 24/7 since and my improvement has been tremendous. I can finally walk normally and the pain and swelling are mostly gone. My therapist is very pleased and surprised that this helped so much. I’m finally able to start rebuilding muscles. I’m hoping once my muscles are stronger I won’t need the brace but it’s a small thing that really made a difference for me.

@teresas8919 7 ай бұрын

Has she been tested for a metal allergy. I had the same thing and mine was an allergy

@Rusty6507 6 ай бұрын

Does anyone else have Lumbar sacral pain that is interfering with TKR recovery?

@Reefmaster1961 5 ай бұрын

Yes, lots of us are!

@Rusty6507 5 ай бұрын

@@Reefmaster1961 my TKR has been cancelled, perhaps permanently, due to spondylolethesis being the major cause of my leg pain. TKR would NOT resolve that pain. PT with traction included does help.

@wendyhendren1770 5 ай бұрын

119 Rom is amazing that would be a dream! Or my dream 🎉

@dawnhaney160 7 ай бұрын

Omg this is me to a T!

@tucsonpatrick903 7 ай бұрын

I've also struggled, 16 weeks PO left TKR. Right knee TKR was great at 8 weeks; surgeon believes my left knee has inflammation of the plica (never heard that term before now). Curious if anyone out there had been told their problem is with the plica??

@czi2011 7 ай бұрын

I like coming back to your channel because you give me hope, thank you for your efforts. But I have concerns which are mostly driven from a YT-video in the channel of Prof. Dr. J. Bellemans which targets surgeons. The cover of this video shows „SURGEONS! USE CPAK“. From my engineering perspective I cannot agree enough, 100% d’accord. The existence of this video itself implies that there is no common understanding among surgeons about the best practice and I just hope that surgeons are not entirely free to decide what they are doing. The angle and the thickness of the layers which are removed compared to what is inserted decide about the geometry and the statics of our entire body (skeleton, muscles, tendons etc.). If the surgeon decides during the operation that the kneecap needs rework too, then an additional parameter will be changed. I am just thinking: my body was working well with the existing geometry of my skeleton since decades, my only problem was osteoarthritis. But what if the surgeon decides during the operation to correct an „imperfection“ of my out-knee to bring the axles of the thighbone and the tibia in alignment? Now my body needs to work to bring back balance and stability to the entire structure (like in your house example if the foundation got instabile). I guess this is the root cause of my lasting inflammation and pain. I feel 2 hints: my operated leg appears to be longer now, the orientation of a well known landmark of the kneecap (shown on the X-ray image) is not pointing into the direction which is expected from my therapist. With this likely scenario in mind we now started to work on strengthening the VMO and the glute muscles (gluteus medius). My conclusion: if the x-ray shows all new parts in place just a minimum requirement is met but it does not say at all that the surgeon did a good job. Sorry, if I sound too critical. Good recovery to you all!

@funfun2000k 7 ай бұрын

For some people It takes two years for pain

@marydahm6851 7 ай бұрын

I’m two years out at the end of this month and the pain is still bad, wakes me up out of a dead sleep. Swelling, scar tissue, significant nerve damage and joint laxity requiring me to still wear a brace. I will never be able to kneel or lunge, it feels like a peg leg. It takes everything I have to climb the 15 stairs to go to bed. Life is so different now, not at all where I thought I would be this far out after doing 8 months of therapy. It feels like my life is over at 60 since I can’t do the activities that I used to.

@Reefmaster1961 5 ай бұрын

@@marydahm6851 I so understand you. The psychological damage after going through all this hell takes your life away. Everything changes in one surgery. The focus is on patients that do well and here we are on the 3-6% of failed TKR’s and nobody seems to understand the life shattering event this surgeries can be. We are left to deal with new dissabilities we never expected. The crush on our lives, depression, anxiety, 24/7 pain, dissabilities forever.

@redenecke 7 ай бұрын

I am almost 7 months out and this story could be mine. The surgeon thinks I may now have CRPS after surgery. Needless to say, I am experiencing pain that is worse now than before surgery. So, I’m being assessed for CRPS and some nerve related issues, like a neuroma, etc. It has been miserable.

@user-bz3on1hz2c 7 ай бұрын