Terminal Extension after Total Knee Replacement

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Dr. Adam Rosen -Orthopedic & Arthritis Information

Күн бұрын

Therapy after total knee surgery is so important to obtain a good result. Patients need to work on range of motion, strength and endurance.
One of the common things I see are patients that don't have strength to get the leg completely straight even though the knee will straighten - this is called an extensor lag.
If the knee will not straighten at all it could be due to tight hamstrings, stiffness or scar tissue.
In this video I will show you what I mean by an extensor lag and a very good and simple exercise you can do at home to improve your strengthen so you can actively straighten the leg.
This is even good for people with knee arthritis, especially if your arthritis is bad behind the knee cap.
0:00 Introduction
0:01 DR. ADAM ROSEN
0:32 Terminal Extension
2:07 Quad inhibition
3:35 Rolled up towel
3:59 rolled towel under knee
4:25 engage the leg
4:36 push your knee down
5:04 controlled release
6:57 Your Knee Your Health
My new book - The Knee Book - A Guide to the Aging Knee is available as a paperback and an ebook on Amazon and Barnes & Noble and on Google Play.
Check your countries Amazon page in Canada, Australia, UK and others.
In the US
Amazon (paperback and ebook)
www.amazon.com/Knee-Book-Guid...
Barnes & Noble (paperback and nook)
www.barnesandnoble.com/w/the-...
Be sure to listen to my Podcast: Your Knee Your Health
www.buzzsprout.com/732407/web...
WWW.DRADAMROSEN.COM
Disclaimer: The information found in this media presentation represents my own views and opinions. This has been produced for educational and informational purposes only. This does not qualify as medical advice. This in no way should take the place of professional medical advice. You should always talk with your physician, doctor, surgeon, therapist or other health care provider regarding your specific questions, complaints, diagnosis, and treatment. Do not delay seeking care based on what you find in these informational videos. Use this information at your own risk. No doctor-patient relationship is formed through watching these videos.
#physicaltherapy #totalkneereplacementsurgery #totalknee #kneereplacementsurgeon #kneereplacementrecovery #kneereplacement #kneereplacementinformation

Пікірлер: 38

@captainjennifer 9 күн бұрын

Extensor lag!! I've watched many of your videos pre surgery. Which were helpful to set expectations of all the work involved after. Now it's 3 weeks in, and going back to review some meet me where I am. The physical therapist found the extensor lag and quad weakness. Makes more sense now. And re-watching helps get the detail of the exercise. Thanks so much, Dr. Rosen

@malcolmsutherland8585 Жыл бұрын

Adam…..I can’t thank you enough for your channel. I had a TKR yesterday and thanks to your prefab exercise routine and general understanding you have given me about the knee, I can virtually walk without crutches or a walking stick. I can’t believe how good this feels even knowing that a wave of pain may yet come. I’ve had 13 surgeries on my old knee so I’m wary of the pain knee surgery can bring. Honestly can’t thank you enough even at this stage. I’ll keep you posted!

@dradamrosen Жыл бұрын

Wonderful to hear. Thank you for the kind words.

@user-mf3ec4ws6v 8 ай бұрын

Thanks Adam

@jasondavis11 18 күн бұрын

Hi Adam, writing from the UK,, I just came across you and this straightforward, informative video, it provided the impetus for me to make a big push to getting my knee straighter and it worked, gained more strength in my quads which previously just weren't engaging, thank you.

@dradamrosen 17 күн бұрын

Glad it was helpful!

@dawnchike7716 2 ай бұрын

ty, I have been trying so hard to figure out what my problem was to no avail. Just had my six week check up the doctor had no clue why I’m still in so much pain and can’t do the exercises properly. Four weeks of physical therapy has not helped so I’m definitely gonna try your Siri and see if that solves the problem. Thank you again.

@renmf880 3 ай бұрын

Thank you

@dradamrosen 3 ай бұрын

You're welcome

@roblaycock5155 2 жыл бұрын

Thanks for explaining this so well and all your othe videos as well I had my knee done 72 hours ago and listen to your body isn't the advice I needed didn't know if I'd caused more damage I will get on these instructions thanks again, I subscribed yesterday will be watching the rest of your videos.

@scherali994 2 жыл бұрын

Wish I found u before my surgery. Just subscribed.

@MJH7777 2 жыл бұрын

Thanks!!!🥰🥰🥰🥰🥰

@Lakeslover2 Жыл бұрын

Thank you so much Adam. Having watched this video I now realise that my physiotherapist changed me from this exercise far too soon, (after only 2 weeks). I’m 8 weeks post op at the moment and I have been noticing lately, that my operated leg, thigh muscle has become much smaller than my other leg. I also notice, that when I lift my leg it bends slightly at the knee, proving your words in the video, that my thigh muscles have become weak. Thanks again Adam, I’ve switched to your exercise from today. Thanks by the way for all your other videos.

@cherimontana6868 2 жыл бұрын

Thank you so much for this excellent information.

@dradamrosen 2 жыл бұрын

Glad it was helpful!

@Zedul 2 жыл бұрын

Thank you! Been watching your videos. My first TKR is tomorrow. Been working on these exercises, but not easy -- I have a baker's cyst in that left knee that wreaks havoc after I do all this stuff.

@arunbandopadhyay7959 11 ай бұрын

Thanks a lot

@dradamrosen 7 ай бұрын

Happy to help

@linadelacruz1959 2 жыл бұрын

I admit ..it really help me n follow you .Dr.adam.tw0 knee cup replacement I had followed your advice n demonstrations great 👍 help.

@scherali994 2 жыл бұрын

Fantastic explanation!!!! This is exactly my problem.

@dradamrosen 2 жыл бұрын

Glad it helped!

@jennifermikuluk2357 2 жыл бұрын

I think I have this. Thank you

@dradamrosen 2 жыл бұрын

Great and you are welcome

@GuzyGirl 2 жыл бұрын

Thank you!

@mollyphung9859 2 жыл бұрын

👍💪

@kathleenrobertson6793 2 жыл бұрын

Thank you Dr. Rosen..I just wish I had found you sooner. 3 mos out and only getting 103 ROM. Therapy is done after 30 sessions. I just bought a stationary bike and praying this helps. Thank you again for your great videos.

@leslieclauson2092 Жыл бұрын

Your info is soooo helpful. Thank you! On another unrelated but related topic. How long before I can drive after right TKR?

@jillk1241 Жыл бұрын

I’m almost 3 weeks post op and literally just asked my pt about getting a full extension. I will use this to strengthen and get that last 10 degrees. Thank you for a helpful video.

@dradamrosen Жыл бұрын

Glad it was helpful. Good luck with your recovery.

@thomasdixon2538 Жыл бұрын

This is my problem. I am 8 weeks out from a TKR and I am stuck at 8 degrees. Hopefully, it is not too late. I will work on this big time from now on. It gives me hope. My PT has me doing several exercises but not this one which makes sense.

@tamianderson123 3 ай бұрын

Thank you for making this video. I am 3 months post op LTKR. I am still having trouble getting my leg straight. I'm going to give that exercise a try.

@dradamrosen 3 ай бұрын

If you liked that one be sure to check out this one:kzfaq.info/get/bejne/ZrSkZaietKvHeoU.html

@shahidaparveen9754 2 жыл бұрын

Dear Mr Adam Rosen! I had a knee replacement 1st of June 2o21.problem is my knee look un even ..please give me your humble opinion. Thank you very much. Anyway my knee replacement was done in London uclh

@mrose4132 4 ай бұрын

I've found that when patients are cued to push their knee down they end up pushing the whole leg down by engaging the hamstring and glute and not the quad.

@dradamrosen 3 ай бұрын

Yes, quad inhibition. This newer video goes over some more stuff -kzfaq.info/get/bejne/ZrSkZaietKvHeoU.html

@damodaranp7605 Ай бұрын

Sir,What is the remedy for knee ffd 30 degree with further flexion up to 120 degree fllowing tkr?

@dradamrosen Ай бұрын

30 degrees is a lot. You can try these -kzfaq.info/get/bejne/ZrSkZaietKvHeoU.html but you may talk to your surgeon and see if something could be done surgically - either removing scar tissue, putting in a smaller plastic insert, or revising the femoral (thigh bone) component