Why Am I Losing ROM And Feeling More Pain At Week 7 Post Op Total Knee Replacement

Рет қаралды 8,205

Total Therapy Solution - Physical Therapy

2 жыл бұрын

"I’m an active 52 yo male, former Military SF, current Firefighter, avid martial artist and want to take my 3rd degree Black Belt test winter of 2023.
I’ve seen your videos of tight knee verses loose knee and one about shouldn’t have pain in back with flexion or in front with extension …
I have both …
Thanks in advance for any help, I’m Frustrated !!!
I realize we all heal differently, we all had varied degrees of badness requiring surgery but I’m looking for a General idea here…..
I had a left total knee, not sure the hardware 🤦‍♂️, leg wouldn’t straighten or go past 120 pre surgery and had a 15-20 degree lateral bow (knock knees) ….
They had to remove some old hardware, do a lateral release, and add an extra plate to get it to straighten….
I’ve been completely straight 0 degree extension, and at the 3 week mark hit 114 degree flexion
Now at week 7 I can’t seem to flex past 110…. More pain now than before …….
Weird new pains I did t expect …
Pain across the knee cap and at patella tendon, pain on left lateral region kinda where the meniscus would have been… major pain behind knee, left side kinda where the hamstring tendon attaches and right behind knee, and super sore hamstring….. the pain on the back of the knee seems to be what’s stopping my flexion now, almost like something’s stuck …. 🤷🏻‍♂️
Anyone or anyone you know experiencing these types of pain, I’m consistent in the exercise and trying to push past the pain but PT was saying only go to discomfort not pain…. Now she’s super agressive, warms the knee up with hot wrap, manipulates the knee cap a little, then says here we go and bends me to pain then beyond, I have a high tolerance but I’m talking nauseating pain.
Is that the normal protocols ?
If you’ve felt these pains ? Or had patients that do, What were they ? What did you do ?
Thanks"
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About the author:
Hi, my name is Anthony (Tony) Maritato, PT. I am a licensed physical therapist and owner of Total Therapy Solutions. I have specialized in helping clients recover from total knee replacement surgery since 2002 and have created this video to help YOU.
Total Therapy Solutions
5900 Long Meadow Dr
Middletown, OH 45005
(513) 539-2886

Пікірлер: 30

@shellybreslin7861 Жыл бұрын

Was feeling exactly the same. I'm 7wks post op feeling like my ROM is not where I feel it should be. Thanks to whoever posted the question and for the response.

@janerogers5717 2 ай бұрын

REALLY HELPFUL information and advice.. this is what I'm experiencing too.

@patmosscrop3684 2 жыл бұрын

Same problem at 7 weeks - had a really bad day, but reassured by this. Thanks again. Pat

@shinyhrtache 4 ай бұрын

I am 14 weeks now and in a lot of pain. My surgery was done by a top doctor who does over 800 knees a year. All my friends had the same doctor with no issues. I had bone on bone, arthritis, knocked kneed my whole life and by the time I was told I needed surgery it appeared my whole leg bowed out. I don’t ever recall having flexion issues. My left/good knee has 148 degrees of flexion and I am 77 years old. Ok, so the surgery went fine EXCEPT they got me up immediately and I was able to do everything. When I sat down there was a pool of blood on the floor. The doctor ordered an MRI and I laid in that hospital bed for 4 days before I got an MRI and told it was all good and sent home. So I had a bad start. I got PT at home and got to 120 with flexion pretty quickly. Then I started to slide backwards and my main complaint was behind my knee, I thought I had a baker’s cyst. Surgeon said I did not. Ordered outside PT and I did get more flexion. However towards the end I noticed that pain was really sore on the outside of my knee and behind the knee. No problem unless I want to walk more than 15 minutes. It is totally frustrating because I experience sharp pain while doing flexion exercises in the calf of that leg pulling back or extending. Sometimes I feel a little pop. They recently did an x-ray, it looked fine. The doctor put me on prednisone twice which reduced the swelling but surprisingly I still felt that sharp excruciating pain. I ice like crazy. I use a 1000 CBD cream that takes the edge off short term. I use voltaren and that helps a little short term. When I asked my doctor what he thought I was told if he looked at the knee physically on x-ray and visually it all looks fine. I don’t think he knows. My dream is to be able to walk again and hopefully ride a bike. Any help you can provide would be greatly appreciated. PS At one point they thought I was having a DVT but an ultrasound proved that not to be true. I am so depressed any help you can provide I would appreciate.

@Kennyc.830 9 ай бұрын

I needed this video so bad. Thank you so much for sharing. I am going through the same thing at 7 weeks post-op and now I know it's normal. Thank you again

@ngatiwaihitman 2 жыл бұрын

Thank you, great informative content as expected.

@billstrode60 2 жыл бұрын

Great video. I was feeling a little down on my progress at the 4.5 week mark but this made me feel like superman ;) Thanks

@mekeabrowning6465 2 жыл бұрын

Thank you so much for this video..I just recently found your channel and it has been so helpful..im 7weeks rtkr and I have been experiencing everything this gentleman mentioned and so this was refreshing to hear what u had to say..my therapist actually made me take today and rest because I to have been pushing so hard to get back to my normal.. Im driving again and I have 117 flexion and 0 on extension. Just so hard to not push even harder when u want to be loving life normal.. So thank you again for all the info..

@SophiePeterActing Жыл бұрын

I’m at 7 weeks and this really helped me. No pain no gain has been my mantra post op. But I can see this approach doesn’t work for TKR (including an aggressive Osteotomy I had in same knee at same time) I always go to you Tony when I’m having a bad day. Thank you AGAIN!

@paulanddianathomas3376 Жыл бұрын

I can’t thank you enough for this information. I’m 7 weeks post-op, right TKR today! I reached 123 degrees flexion last week at 6 weeks. I have been very happy with my progress so far and have not had any setbacks. Ive already reached the goals my therapist set for me and scored 5/5 on the 6 week assessments. Then boom…this 7 week mark has unsettled me. I was laying on my stomach bringing my post op leg up to flexion/heel to glute and experienced sharp, stabbing pain across my knee cap that shot up into my hip area and down to my ankle. A stretch I had done many times in the post op period and never had any pain with it. It has left me pretty unsettled and concerned. After watching this video, I realize that Ive also been walking more, gardening more and using my stationary bike more and have increased the weight on my leg extension machine. So, I think with all of the increased activity that Ive been doing it would make sense that my knee is more stiff, a little more tender and sometimes downright painful. And considering I dont take anymore pain medications, Im more likely just feeling all of the increase in activity as your video states, so thank you for this! One last thing…have you ever addressed scar friction in any of your videos? I get a feeling similiar to “rug burn” over my scar when I wear certain fabrics like sweat pants. My bed sheets also irritate my scar and will cause a burning sensation and will leave the scar looking red and inflammed. This will resolve overnight if I sleep covered with a soft blanket and no pajama bottoms on. I dont have this issue if I wear shorts that dont hit my scar area but any fabric to touch the scar causes that irritation and burning feeling. Thanks so much!

@marty5802 2 жыл бұрын

I started out with a partial knee replacement in my right then 6 weeks later the left. My right kneecap would not stay in so in October they did a lateral release. This led to complications of bleeding internally twice. Had 3 surgerys in 11 days. I was unable to bend my knee after that. Lots of physical therapy with me pulling a rope that was tied to my ankle. Not fun very painful but i did manage to get to zero extension and 125 flexion. Once i had my strength back in my quads they did a revision on February 9th. So I had to start over 3 times on physical therapy. I lost count on how many times I wanted to quit and give up. I was so tired of the extreme pain and being stuck at home. Thanks to my therapist I am now 6 weeks since my total knee replacement revision surgery, and Im back to zero extension and up to 125 flexion. Its been a long road but there's light at the end of the tunnel. Don't give up keep your faith and it will work out!

@lmomariscal9051 2 ай бұрын

Gratis información, thank you very much

@ruthirwin8222 Жыл бұрын

Ill be 5 weeks.on tuesday still on heavy pain relief ...will this improve

@RobWinsonlegs11 5 ай бұрын

Yes, sure will. I'm 7 weeks post op, and doing good. Now on reduced medication. Still having tightness, a few light pains on the inside of knee, on off. Keep doing the exercises you've been given by PT. It will get easier. Tip. If on alot of pain killers. Try the ibuprofen rub in gel around the sides, and back of knee. Rub in well. This gets to the pain quicker. Rub quite a blob in. Use at Knight b4 bed too. This helped me big time on both ops. 3 years ago, had my right knee done. 👍

@Julie-kv8ss 2 жыл бұрын

I'm almost 7 weeks too and lots of pain and having a hard time working on ROM. I started having sciatic pain about two weeks that got much worse between 4-5 weeks, partly due to being on my feet working on in my house too much. But, I had an overzealous PT who forced my knee into extending and flexion even though it was setting off my sciatica and causing extreme pain. Wouldn't listen to me and stop. I had about 2 degrees of extension and 112 degrees of flexion at 4 weeks. Just couldn't get that far after the episode with the PT. My surgeon thought I had a pinched nerve. Told me to quit PT and work on it on my own. Everything I read says don't do anything which triggers the sciatica, which means I can't do a lot to work on flexion. I saw a spine doctor Friday who agrees. X-ray shows I have significant deterioration in my lower spine. He gave me a prescription for gabapentin for now. I'll be getting an MRI to try to find out exactly where the pinched nerve is and possibly get an injection through an epidural. None of this will fix anything but maybe buys me time till it can resolve itself. In the meantime, I'm worried that I'm going to lose my extension and flexion while I wait to be better. I'm moving, trying to work on stairs, I do heel slides and bend it on warm bath best as possible without triggering the sciatica. The gabapentin takes the edge off and ice at least been able to sleep again, but I don't love the side effects.

@jomc20 2 ай бұрын

I have also been plagued by sciatica on top of very bad pain verging on the unbearable. I have lower back arthritis too. I sleep for about 2 hours at night and am then awake for hours. I've been taking Gabapentin for many years but be warned- it is very difficult to come off of this caring, with horrible withdrawal symptoms so don't take more than essential. It affects the memory and van make you tired. I was on 1800mg a day for over 20 years, now reduced to 600mg. I've read that in the USA, as much as 3600mg a day is prescribed even though there's no point because beyond 1800mg, there's no improvement in symptoms.

@kathyclark3168 Жыл бұрын

I was terribly knocked knee, this is why I had the TKR. I have a knee now 😀😀

@gitashenoy4225 7 ай бұрын

Hello :I have recently subscribed to your KZfaq channel. I am 12 weeks P.O. RTKR. I am ok with flexion but still can’t get to zero on extension. Trying but no success yet . I must mention I have pain on my right side behind the knee . I do ice it and heat at times but it doesn’t help . This pain is severe when trying to get down the stairs . I think you mentioned about it in a video about fibula . Can you pls explain. Thank you so much . I watch all your videos and the FB kind group .

@linguanav2548 2 жыл бұрын

Please tell me ..multiligament exc i am 2 months post surgery and feel pain while bending knee...plz make a vedio on multiligament knee surgery

@louisstratford2780 2 жыл бұрын

What are the best weight machines for exercising after 5 months since TKR. Louis Stratford

@shawniecesands9050 2 жыл бұрын

I've been home for 3 months and I can't life my right leg up and down but I can't lift side to side why is that?

@alyssafriedman7726 2 жыл бұрын

My knee. Be 2 years in july. Still not great. Everyone says a ok. When do a lot zumba gold walking. I feel pain knee and ankle. I feel 5x already. On knee. I think im ok. Dr only gonna say I am ok

@pauliemyers1293 10 ай бұрын

Hi Tony I am Paul had a revision done on a left knee TKR 11/29/22 it's 9/13/23 and am having pain in walking taking certain steps. Also I have swelling in the morning when I wake up. Can you recommend a statergy I can use with a bow leg walk.

@srabastisinha5994 10 ай бұрын

7months after tkr surgery why I cannot walk properly when I stand from sitting position

@edwardnunez8046 2 жыл бұрын

I’m going 3 moths not fully knee bend

@mr.d4771 2 жыл бұрын

What was your problem,did you have patella fracture

@edwardnunez8046 2 жыл бұрын

I had a full knee replacement

@edwardnunez8046 2 жыл бұрын

I’m stuck at 100

@gailmoore6708 Жыл бұрын

I’m at 12 weeks and my worse pain is standing up from a chair. It is so painful. How do I help this get better, will it get better?

@jomc20 2 ай бұрын

@@edwardnunez8046me too, and that's on a good day! I'm at 5 weeks. That's 5 weeks of very little sleep and probably not doing the amount of exercise I should due to extreme pain.