Issues With Total Knee Replacements
Increased swelling or edema after infection: Need soft tissue mobilization to quickly remove the fluid and waste products that are contributing to loss of motion and poor muscle function. The quicker you get rid of these waste products and fluid the more quickly you will heal.
Must get to at least 90 degrees of knee flexion as soon as possible, we have found that the longer people stay between 70 and 90 degrees the more difficult it becomes to break the 90 degree barrier and get to 120 degrees which allows you to do all normal functional activities with no problems. Any knee flexion ROM below 120 degrees will contribute to more difficulties doing things like biking, entering and exiting a car easily etc.
You must get to at least -10 degrees of knee extension as soon as possible or this will be more difficult as time goes on. The less active knee extension you have the more it will affect your gait because in reality the less knee extension you have the shorter your leg is.
How To Use Pain Medications Properly
There are two types of over-the-counter pain medications that can be used for osteoarthritis. Acetaminophen is a pain reliever but not an anti-inflammatory. It may help with mild knee pain.
NSAIDs can be more effective because they both relieve pain and reduce inflammation. However, they come with potential side effects and risks. NSAIDs can irritate the lining of the stomach, which may lead to an ulcer or other stomach problems. They also can impair kidney function. Some NSAIDs can increase blood pressure. And theyve been linked to an increased risk for heart disease.
Because of the risks, Dr. Day cautions against using NSAIDs regularly over long periods of time. Instead, she uses NSAIDs for her patients in two ways. First, people who have a flare-up of pain can take them regularly for three to five days and then stop. Second, they can be used over the long term, but only occasionally, maybe a couple of times a week as needed.
If youre taking NSAIDs several times a day for long periods of time, Dr. Day advises reducing their use by maximizing the other treatment strategies. She also suggests trying a topical NSAID, such as diclofenac , which has fewer potential side effects.
Opioid pain relievers are discouraged for long-term treatment of chronic knee pain. The milder narcotic tramadol might be appropriate for occasional use in some people, says Dr. Day.
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Is The Treadmill Good For Arthritic Knees
When you have osteoarthritis, exercise can make you stronger, improve your balance, and lessen knee pain. Walking is an easy, low-impact way to start working out. A treadmill allows you to stay active and walk no matter the weather and doesnt make your joints move much differently than if you were outside.
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When Did You Walk Without S Walker After Tkr
3 weeks post TKR today. Suspect I will need my walker for a while. When did you walk independently or graduate to crutches/cane?
1 like, 19 replies
Posted 5 years ago
I stopped using 2 crutches at about weeks. Then went to 1. Used a cane at about 4 weeks. Im. Now at 9 week. Dont use anything around the house now. But husband prefers me to use a cane if we go out, for support, it does help when you get tired, helps balance etc. Good luck
5 years ago
I used a walker for a day in hospital, the day after the op,the next day was given crutches, the next day discharged.
On the day of my op they were 19 of us had the same op. We were all taken to the ward of the unit where we had our ops. I got onto the ward about 22.00! So no getting out of bed then! There were 3 staff on during the night! Rushed they were, but they were lovely & helpful.
I was told to only use one crutch at about 3 weeks po, & where safe no crutches. I now use a stick as my other knee needs TKR & is very painful, so needs support.
Physio is still ongoing.
Did you have general anaesthetic or spinal block. We all had spinal block, so were awake but had sedation.
Good luck in your rehab, remember dont measure yourself by others. Its your journey no one elses, you get there when you get there!
There endeth the sermon for today.
All the best
5 years ago
I came out of hospital with two sticks and after two weeks I just used one, as I found it more easier with just one.
Dont Hesitate To Reach Us If You Need More Details About Using A Crane After Hip Replacement
Now, when you know how important it is to be careful when using a cane after hip replacement, as well what the most appropriate occasions for performing such a movement are, you can make some tests on a flat surface at first and then, to try the procedure on the stairs.
Please, let us remind you that these are not recommendations from a real doctor and the material has an only informative character. Always ask your therapist if a certain practice for using a cane after hip surgery is allowed and good for you.
If you have some questions to ask or information to receive whether specifically for the hip replacement intervention or for the recovery with a cane later, do not hesitate to contact us. We are always here to support and give you as many tips for fast and painless rehabilitation as possible.
We truly hope you will recover soon and during the rehabilitation time, youll have positive emotions even on your walking aid! Dont give up and good luck with the cane!
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Combining Inversion Therapy With Alternative Treatments
Chiropractic care, massage therapy, physical therapy, and other forms of alternative treatment methods have proven to be extremely effective for patients with back, neck, and body pain. Patients often combine these forms of treatment with traditional medicines and medical techniques to ensure fast, effective pain relief.
Chiropractic care involves spinal decompression, completed by a skilled chiropractor who can pop the back into a comfortable position. On the other hand, inversion therapy helps the back naturally find its own comfortable position and promotes self-healing. It uses the downward force of gravity to increase the space between the vertebrae and promote the natural s-curve shape of the body.
An inversion table can help take any of these traditional or alternative treatments to the next level. Patients can also benefit from using a table on its own, as it is ideal for treating everything from daily discomfort due to sitting in an office chair to ongoing chronic pain.
Best With Massage: Innova Itm4800 Advanced Heat And Massage Inversion Table
Built-in heat and massage function
Ankle straps are ergonomic and comfortable
Ankle grips may be uncomfortable
Heat and massage therapy, along with inversion therapy, may be able to help relieve you back of some of the aches and pains you may regularly experience. The Innova ITM4800 Inversion Table combines all three of those features into one device that might just be the thing to deliver your relief.
With many of the functions of a standard inversion table, what sets the ITM4800 apart is the lumbar pad. This adjustable, rectangular pad both massages your back and applies heat to wherever you need it. The pad is attached to the foam and vinyl back pad for a convenient comfort.
In addition to the heated lumbar pad, the inversion table sports an adjustable headrest, leg extension, and the ergonomic ankle-holding system. The table has six inversion options with an easy-to-use pin system. The entire system is sturdy with steel legs and sports oversized handles for easy maneuverability.
Table Weight: 57 pounds | Weight Limitations: 300 pounds | Added Features: Adjustable lumbar pad, adjustable headrest pad
Ankle straps are comfortable and roomy
Lumbar pillow is removable
Difficult to fold and store
Low weight limit, less than 250 lbs
In addition to the extra security of this model, the inversion table also has a removable lumbar pillow, full loop handlebars, 165-degree inversion, and an adjustable rear crossbar with three inversion positions.
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Donts Following Knee Replacement Surgery
Taking proper precautions after major surgery helps ensure a good recovery. Following are some things youshould avoid after undergoing knee replacement surgery.
While in the hospital, dont try to get out of bed by yourself. Accept help, and take the time to properlylearn how to use a walker or cane.
When at home:
Exercises To Avoid After Knee Replacement
Exercising benefits your health and aids your recovery after surgery. Some exercises, however, can do more harm than good. We recommend checking with a doctor before adding exercise into your routine.
What can you not do after knee replacement? Its best to avoid these exercises after your surgery:
- Running and jogging: These activities stress your knees and can cause pain. If running is your passion, discuss that with your doctor and physical therapists. You can set a goal, but start by walking.
- Weight training: Heavy lifting, especially during squats and similar exercises, puts pressure on your joints. Your physical therapist may have safer suggestions or techniques for your new knee.
- High-impact sports or aerobics: Sports like football and basketball combine the danger of running with the risk of hitting other players and damaging your knee. If playing sports is important to you, a doctor may recommend contactless options.
- Hiking: Hiking can be low impact, but trails with uneven ground and erupting roots or rocks can cause falls. Stick to even paths or trails if possible.
- Skateboarding and rollerblading: These activities carry a significant risk of twisted knees and falls on concrete, which would lengthen your recovery process.
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Stretch And Strengthen In Addition To Inversion
An inversion table is a useful tool as part of a more expansive pain management program, Mullen said. By itself, it may not provide as much relief as you hoped.
Your joints still need to learn to work properly when gravity is working against them. Supplement the inversion table with sitting, standing and lying stretches. Pull your knees toward your chest while lying on your back and perform gentle back extensions while lying on your stomach to stretch and strengthen your low back.
Getting Into And Riding In A Car
When getting into a car:
- Get into the car from street level, not from a curb or doorstep. Have the front seat moved back as far as possible.
- Car seats shouldn’t be too low. Sit on a pillow if you need to. Before you get into a car, make sure you can slide easily on the seat material.
- Turn around so the back of your knee is touching the seat and sit down. As you turn, have someone help lift your legs into the car.
When riding in a car:
- Break up long car rides. Stop, get out, and walk around every 45 to 60 minutes.
- Do some of the simple exercises, like ankle pumps, while riding in the car. This helps reduce the risks of blood clots.
- Take pain medicines before your first ride home.
When getting out of the car:
- Turn your body as someone helps you lift your legs out of the car.
- Scoot and lean forward.
- Standing on both legs, use your crutches or walker to help you stand up.
Ask your health care provider when you can drive. You may need to wait up to 4 weeks after surgery. DO NOT drive until your provider says it is OK.
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Arthritis Of The Knee
is a condition in which there is loss of the articular cartilage of the femur, tibia, or patella. This can be seen on X-ray as a loss of the space between the two ends of bone.
X-ray of an Arthritic Knee
Because of the loss of the gliding surfaces of the bone, people with arthritis may feel as though their knee is stiff and their motion is limited. Sometimes people actually feel a catching or clicking within the knee. Generally, loading the knee joint with activities such as walking long distances, standing for long periods of time, or climbing stairs makes arthritis pain worse. When the arthritis has gotten to be severe, the pain may occur even when sitting or lying down. The pain is usually felt in the inside part of the knee, but also may be felt in the front or back of the knee. As the cartilage is worn away preferentially on one side of the knee joint, people may find their knee will become more knock-kneed or bowlegged.
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Dangers Of Inversion Tables
all the benefitsStuntman David Blaine looks relaxedwhile inverting for 60 hours straight.
Are there dangers of inversion tables malfunctioning? â I donât want to land on my head!This might be your legitimate first concern. If you buy a cheap, department-store model that might happen. But with a quality-made inversion table there is virtually no risk. The probability of a quality inversion table made with a frame of high-carbon steel breaking is probably less than the chance of a wheel suddenly falling off while you are driving your car.
Are there dangers of inversion tables causing health problems?Some users get concerned because their face gets red when inverted but this is actually good as it indicates increased blood flow to the brain, eyes, skin and hair. As you use it, you will get used to the feeling and, if too uncomfortable, simply invert at less of an angle or for a shorter time â your body will adjust. When starting inverting it is completely normal to feel a little pressure in your head until your body adjusts to the reverse in gravity. Remember, your body is doing something itâs not used to doing â just like how it has to adjust to a new exercise program.
If you have high blood pressure, heart disease or an eye condition you should check with your doctor before inverting. Inversion can cause a state of relaxation that results in a drop in heart rate and BP . Some doctors have used inversion as a treatment for high BP.
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The Unexplained Noises My Knee Is Making
This is something we typically hear in a post-knee replacement patient who is having some challenges.
I started to become concerned when I noticed a clunking and clicking sound coming from my knee. Like metal on metal. My doctor told me that this was no concern, some people who get knee replacements have these old car, sounds coming from their knee. Not to worry. My doctor did advise me that the sounds if they continued could be caused by weakened muscles and tendons in my knees and I should consider an exercise program to tighten them up.
I did ask if the knee implant was coming loose. My doctor said, if it were, I would not be able to walk up and down stairs or even put weight on that foot. I would have a lot of swelling and I would feel like my knee may give out. I looked at the doctor and said, BUT I DO HAVE THOSE SYMPTOMS, Yes you do, the doctor said, but it is not from implant loosening. You probably just need to strengthen that knee up.
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Activities You Cannot Do After Full Recovery
You shouldn’t downhill ski or play contact sports such as football and soccer. In general, avoid sports that require jerking, twisting, pulling, or running. You should be able to do lower-impact activities, such as hiking, gardening, swimming, playing tennis, and golfing.
Other directions you will always need to follow include:
- Take small steps when you are turning. Try not to pivot on the leg that was operated on. Your toes should be pointing straight ahead.
- DO NOT jerk the leg that was operated on.
- DO NOT lift or carry more than 20 pounds . This will place too much stress on your new knee. This includes grocery bags, laundry, garbage bags, tool boxes, and large pets.
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Recovering From Knee Replacement Surgery
Youll usually be in hospital for 3 to 5 days, but recovery times can vary.
Once youre able to be discharged, your hospital will give you advice about looking after your knee at home. Youll need to use a frame or crutches at first and a physiotherapist will teach you exercises to help strengthen your knee.
Most people can stop using walking aids around 6 weeks after surgery, and start driving after 6 to 8 weeks.
Full recovery can take up to 2 years as scar tissue heals and your muscles are restored by exercise. A very small amount of people will continue to have some pain after 2 years.
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How Do I Prepare For Surgery What Happens Before A Hip Replacement
In order to prepare for surgery, youll schedule a series of appointments to receive testing and clearance. During these appointments, studies including lab testing, urine analysis, an EKG and X-rays may be performed. Based on the results of these tests and your health history, clearance is or is not initiated for the surgery.
Before surgery, your medical risk will be assessed. Your healthcare providers need to make sure that the risks of a hip replacement dont outweigh the benefits. They will check for:
- How anxious/stressed you are about your surgery.
- How well youll handle blood loss.
- How well you might tolerate anesthesia.
- How you might manage the rehabilitation process.
- How your other medical problems may affect your healing.
- How active you are.
- How appropriate your weight is.
Your lower extremities will be evaluated before surgery. Your healthcare providers will do the following:
You will have radiographs of the hip and pelvis to assess the status and structure of the hip joint. Occasionally advanced imaging may be needed to assist in the diagnosis or treatment planning.
Your healthcare provider will likely require some tests before surgery. Tests may include:
- Complete blood count .
You can try these tips at home prior to surgery:
- Elevated toilet seats.
- Grasping device for putting on socks and shoes.
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