Manipulation Following Total Knee Replacement Surgery

Knee replacement surgery is generally very safe and effective, but it is a major operation.  For unknown reasons, scar tissue formation within the knee joint may be excessive in some patients (a condition known as athrofibrosis).  This can result in joint pain and stiffness and reduced range of motion (ROM).

This stiffness is sometimes addressed by a forcible, closed manipulation of the knee joint by an orthopedic surgeon.  In a recent study in the journal Orthopedics, the authors looked at the effectiveness of manipulation and sought to determine if any patient factors could be used to predict range of motion improvements following this procedure.

In this study the authors describe how manipulation following knee replacement is performed.  Patients are given either epidural or general anesthesia.  An assistant holds the heel while the surgeon gently extends or straightens the leg.

While straitening the leg, the surgeon applies pressure to the anterior (front) of the knee joint.  The knee is then flexed or bent with the assistant holding the thigh while the surgeon applies pressure with his chest on the anterior of the tibial (shin) area to, as they say “allow slow, steady stretching and tearing of the intra-articular scar tissue” (“intra-articular” means within the joint).

This process is repeated until full Range of motion is achieved or until the surgeon “no longer feels creptiation” (crepitation is the dry, crackling sound or sensation resulting from rubbing bones or irregular cartilage surfaces together as in arthritis).

Some interesting findings and observations from this study:

  • The surgeons looked at a consecutive series of 767 patients.  Forty-six required manipulation.  So this condition was observed in 6% of patients.
  • On average, patient’s ROM increased significantly after manipulation.  Patients were able to bend or flex their knee 22 degrees further, and extend or straighten their knee 4 degrees more.
  • The flexion achieved after manipulation was similar to that which the patient had before having knee replacement.  (Pre-operative ROM is often a predictor of post-op ROM).
  • Several patient factors were not associated with the effectiveness of manipulation.  These included patient sex, BMI and alignment of the knee joint before surgery (i.e. the amount of knock-kneed (valgus) or bow-legged (varus) deformity).
  • The authors used several different types of implants.  Implant design or type did not influence the effectiveness of manipulation.
  • Patients manipulated less that 8 weeks after surgery gained more flexion than those manipulated after 8 weeks following their knee replacement.
  • The patients were followed for 1 year, and those whom had full extension before manipulation wound up with more flexion at 1 year post-op.
  • To avoid the need for manipulation (and presumably the formation of excessive, debilitating scar tissue), the authors suggest aggressive pain management for the first few days after surgery followed by ambulation and some exercise.

This study can be found in the June 2009 issue of Orthopedics.

References
1.Cates HE, Schmidt, JM.  Closed Manipulation after Total Knee Arthroplasty: Outcome and Affecting Variables.  Orthopedics. 2009; 32:398.
2.Arthritis of the Knee Joint. Complications of Knee Replacement Surgery.  http://www.hipsandknees.com/knee/kneesurgerycomplications.htm#scar. 28-Feb-10

Comments

304 Responses to “Manipulation Following Total Knee Replacement Surgery”

  1. Knee Replacement Scar Tissue Manipulation Procedure « Total Knee Replacement on March 1st, 2010 9:07 pm

    [...] the rest of this story on Knee Replacement Scar Tissue Manipulation here. [...]

  2. dorothy on May 20th, 2010 2:04 am

    On july 23 2009 I had knee replacement my doctor manipulation three times, on march 09,2010 my doctor went back in took out all the scar tissues. I been in physical therapy for about eight weeks, I’m still not able to bend my knee, therapy is able to bend at 84-90 degree. my doctor want to manipulation again,I dont if that would help, I some help if anyone out there can help please do.

  3. Deborah Carter on October 27th, 2010 12:14 am

    I had a tkr on 8-24-10, my knee won’t bend after 9 weeks of therapy at 3 x a week. They make me scream trying to bend it but not working. I go to Dr. tomorrow and am supposed to go back Fri. to get manipulated OUCH !!!! They say its scar tissue. I hope this works so i can get back to normal. I had a hip replacement Feb. and made out fine from that no problems. What do i have to look forward to after manipulation? How much pain will it be ?

  4. Steve Melchione on November 2nd, 2010 1:06 am

    I had TKR 7/12/10 and had problem bending past 90 on my own and 105 at PT with 2 people holding me down and Therapist trying to bend me. I had manipulation done 9/20/10 in morning and went to pt that following afteroon. knee bent to 120 every day that week. 2nd week knee swelled up and I treated with ice and alleve. Following week bent to 120 again and has progressed from there. Today at PT 11/1 I bent knee on my own to 118 and my therapist got me to 130 by himself without me screaming in pain. I also go to the pool at my gym every day and walk in the pool for an hour and do about 10 minutes of bending excercises which I think has helped a lot. But without the manipulation I don’t think my results would have been as successful.

  5. admin on November 3rd, 2010 11:41 am

    Hello Steve,

    Sounds like some hard work and persistence on your part is paying off with slow, but steady progress. Thanks so much for sharing your encouraging story!

  6. ann on November 7th, 2010 5:11 pm

    Hi

    Had tkr on 10/1/10 can’t bend knee much at all 40-60 degrees. I’m not sure about manipulation has anyone gone through this. How painful is it……is it worse than the tkr surgery itslef?

  7. Barbara Branchetti on November 9th, 2010 9:44 pm

    Had TKR on 9/29/2010. Can’t seem to bend knee more than 95 degrees. Dr. is suggesting manipulation after 12/28/2010. Any suggestions. I do therapy 3 x a week. I am 63 yrs. old and have put off TKR for 10 yrs, maybe that is why my range of motion is poor, just a guess.

  8. Cecelia Looney on November 28th, 2010 8:49 pm

    I had tkr on 10-13-10. I can only bend my knee on my own to 94 and with pt 105 and hurts like hell makes me cry every day of therapy this will be my 4th week of therapy. The doctor wants me to come in and let him bend it.

    Does this work after he does it and is the pain as bad as the dayhe did the replacement.

    I need some good advice, please.

  9. Barbara Branchetti on November 30th, 2010 2:02 pm

    Keep working hard with your pt. I am 8 weeks post op now and can bend knee at 122 degrees. It took alot of work on my part and and with pt. I was stuck on 95 degrees but one day it just started to bend more and now I am happy to say I should not have to have a manipulation. Just work hard , it will come. TKR on 9/29/2010 and 20 visits to PT.

  10. PatCee on December 7th, 2010 7:16 pm

    Hubby had his third knee surgery in June. First was 35 years ago, second was arthrosopic in 2005, then the TKR in June.

    His range of motion has decreased to the point I must help him put on his shoes and socks and he struggles to put his pants on. His knee is often palpably warmer than the other, though he does not have fever otherwise. He had a very high fever immediately after TKR that they had a great deal of trouble getting down. Then he had a low grade fever for about 2 weeks after discharge from the hospital.

    He was VERY compliant after surgery, so not following instructions is absolutely not the issue. He is scheduled for a knee manipulation in about a week.

    1. What should we expect as far as recovery goes?
    2. How much discomfort will he experience?
    3. Christmas is in two weeks. Would it be wise to cancel our annual Christmas trip 900 miles away?

    Thanks for your advice.

  11. mia b on December 19th, 2010 12:50 am

    I am only 39 and had a TKR on 10-14-09 i absolutely hate it! I cant bend my knee to the point that i feel helpless! I have gone to my otho ddocs. And they dont seem to want to help me with my situaton they basically they have thrown their hands up n refuse to help! I went from pain to being crippled….if anyone knows of a specialist that wud b willing to manipulate my knee i wud appreciate it!

  12. mjlinton on December 27th, 2010 4:42 pm

    Just came home from Ortho visit/Therapy. I had a left TKR on October 5th 2010. Have been in PT 3 x week for 2-21/2 hour each session. I am now being scheduled for a manipulation sometime next week
    My therapist has been working on my flexion aggressively for the last month and I am only at 76 degrees. I am scared to death to have this done.
    I would like to hear from anyone who has had this procedure done. Thanks!!!!!

  13. Cindy Stoffolano on January 14th, 2011 7:22 am

    I had tkr on Nov 30th 2010 and have been doing PT since then 3x a week except the week of Christmas when I went 2x. I have gotten to 90% on my own and 100% with the therapist helping and my surgeon would like it to be better. He said my thigh muscles are tightening up and I need to relax them how do I do this when I know its going to hurt like hell. Any suggestions if I can’t get the knee better he is going to want to do that manipulation thing and I do not really want to go thru another surgery.

  14. Barb Branchetti on January 16th, 2011 3:34 pm

    Cindy, please do not give up hope. I had very good phys. therapist help me in bending my knee. I did 2 exercises faithfully every day at home to help bend the knee. One was the wall climber. Laying on my back in bed or floor and walking my feet down the wall, crossed my good knee over my ankle of the new knee to help push the knee down as far as I could ben the knee. You can feel the bend and stretching of the the new knee, and every day I pushed myself to bend it further, I had my husband pencil every day so the next day I could go further, the other exercise I did was laying on floor or bed with a dog leash around my ankle of new knee on my stomach and and bending the knee as far back as I could, I also found that strecth felt good, because if you don’t do it I could feel the muscles tightening up. I hope I have helped you , and Good Luck. I was determined not to go in for manipulation. Barb

  15. D, bills on January 22nd, 2011 6:10 am

    Hi, had knee replacement twenty two months ago, did all that was ask of me. now having problems bending my knee ,without lots of pain. have more scare tissue, than last year .my bend was at 90, so i made appointment . need to be manipulate, i never felt pain like this.if i hit the tip, of a anything, that causes me to stop quick .oh my goodness, the pain, the pain, stops me dead in my tracks. my knee reminds me of a bolt, that when its struck you cant get it loose.

  16. djconline on February 4th, 2011 4:39 am

    I had TKR on the left knee on 12-20-10. It is the fifth surgery since breaking the tibia in October of ’76. Artritis has plagued me for the past five years. I have lost muscle and tendon due to allowing the right leg to favor. Seven weeks post op and the swelling in the knee is still a factor. The skin is very warm to touch. Ice is my friend. The early stages of pain was mostly muscles that have not been used in years. Now the pain is the scar tissue creating a “Velcro” effect. The longer I sit and don’t move it the more the leg pains me. I just had a break through at PT on week 6. I was able to reach over the 90 degree point. It goes away after the next day however. I can go up stairs with ease but, down is not going well. My leg strength does not carry my 200 pounds. I am seriously considering manipulation due to the pain that exibits when I try to straighten my leg after a night of restless sleep. Sleep is not part of my life anymore. I get 1 to 2 hour naps at best. I was told that I could have my life back…….?

  17. sheryl on February 7th, 2011 8:52 pm

    I ha a TKR on 12-21-10 and i am still in severe pain,can’t walk very well. I can’t sleep and i am in severe pain with throbbing and aching in my calf and shin 24/7. i am so upset with the pain and cry daily for hours. my surgeon thinks i am not trying hard enough and I am doing all i can to the poiint i get nausea and shakes when the pain is so bad. i go to PT 2-3 days a week and it is still difficult. does anyone have any word of encouragement for me? i am so sad. the pain i traded for is now to the point i could die.thanks to anyone with any help.

  18. Dennis on February 8th, 2011 1:58 am

    Don’t be discouraged. I had mine on 12-20. You need to treat it as muscles gone bad. Heat and Ice and stay medicated. I’m lucky to sleep two hours at a time. I work a 6/10 night shift at a desk and the muscles cramp continuously. I try to walk every half hour or better. No one understands or has advice. Work the muscle slow and easy. Soak it, stroke it, drug it. But don’t stop now. Good luck.

  19. bobbe on February 15th, 2011 4:23 pm

    I have been fascinated reading about all the problems having TKR can cause. I had TKR back in 2009 and just recently began to have pain and problems bending knee.Saw MD who did the job, and he says it’s probably scar tissue. I don’t want a cutting operation yet again. I don’t think I can take it. But manipulation appeals to me as a substitute. Thanks to all who have written to this very informative website. Good health to all my new “friends” and thanks for your great comments!

  20. Dennis on February 16th, 2011 1:36 pm

    I just had MUA on my knee yesterday. I am quite pleased with the results. I have very tight quad at the moment. But no pain in the knee it ought to be part of the procedure.

  21. Joe on March 4th, 2011 4:12 pm

    Why in God’s name would a surgeon not apply a dynamic splint for knee extension and or flexion in the patient’s therapy when they first notice the patient is having difficulty…?? These devices have been shown to reduce the risk of a patient having a manipulation by over 80% if applied early on in therapy. Why is it that a doctor would do something so archaic over trying something as simple as a Dynasplint early on?? I think its time that we start questioning doctors and forcing them to become more proactive in their approach to protocol.. Wake up MDs and use the technology!!!

  22. Susan on March 17th, 2011 5:17 pm

    Is there a “window” to manipulate bend after a total knee replacement. In December my doctor “gave” me 3 months to see what I could on my own to regain extension and flexion, that while we had passed the window for extension manipulation I still had up to 6 more months to decide if I wanted flexion manipulation. Returned today (I am now 6 months post-op) fully expecting him to set up an appt for manipulation under anesthesia, but he said there is only a 3 month window for any manipulation and I am well past that…… I am terribly confused. PT has been making progress, can actually get the knee to hyperextend, but I can’t get into single digits on my own, 10 at best. Any suggestions??????

  23. Karen on March 17th, 2011 8:34 pm

    Hi Joe, I cannot agree with you more!! I have had nothing but difficulty from my surgery on 120110. I had MUA on 021611, which seemed to help for about 3-4 days, but the pain was so bad after the procedure that I could barely move or walk. My therapist finally got me a splint from Dynasplint and I have been wearing it for the 3 days that I have had it. It seems to have helped me more in the 3 days than anything else that I have tried. I should have had this thing from the minute I woke up from my MUA. A CPM machine is great too, however it only works if you can bend your knee, which in my case I can’t get passed 40-45. I’m only 45 years old and led an active lifestyle before my knee procedure. I have a career as a Deputy, however if I can’t get my knee to bend my career and lifestyle are soon to be over. My doctor just shakes his head in discust as if I’m to blame for my condition, I’m beginning to think it’s time for a second opinion. I am so glad I stumbled on to this website. Reading all these posts helps me know that I am not alone in my misery.

  24. Dan on March 18th, 2011 5:23 pm

    I had a TKR 06/10/2008. I had two Manipulations,in July and September of the same year. MD said that he was able to fully bend and straighten knee during both manipulations. I basically have “0″ recovery. I have had so much PT and no progress. the more PT I have the stiffer the knee gets. I cannot bend my knee. I am unable to kneel on the floor and cannot climb stairs more than one step at a time. I cannot walk very far. Cannot bicycle, no alyptical, tread mills or nue step macines. My MD and several other MD opinions say that I have two much scar tissue and it grows real fast and will not allow knee to work proprely. My knee is worse than before I had it replaced. I need help! Can I have the scar tissue removed? will it come right back? My other knee needs to be replaced. Will I have scar tissue in that knee also?

  25. Dan on March 19th, 2011 8:56 pm

    The brand of TKR that I have is from Howmedica Osteonics. Have their been any problems with that brand?

  26. Rachel on March 25th, 2011 5:52 pm

    Hello Everyone,
    I just had my manipulation done yesterday before that I could only bend my knee at 40 to maybe 55 degrees with the help of my therapist. I was so upset about the manipulation that I started having more anxiety attacks and just feeling totally depressed I was scared out of my mind to have the manipulation done well I did it yesterday they gave me somthing to calm my nerves and took me back to the operating room, there I was put to sleep and and hour later in recovery, my knee has bent more my ortho surgeon said he got it at 110 its very sore not as painful as I thought, I can’t straighten it out all the way but just being able to bend as let me get some sleep. I will keep everyone posted as time goes by good luck to you all.

  27. Shelly on March 28th, 2011 3:16 am

    Glad I read your comment Rachel. I am having knee manipulation done after my total knee replacement that was done on Feb. 9, 2011. My knee will not bend more than 53 degrees and it is driving me crazy. I am a little worried about the pain of the knee manipulation, but I just want my knee to bend. I am having panic attacks and cannot sleep. I just hope this works for me. My ortho said I do have alot of scar tissue since I have had 3 scope surgeries prior. I am definitely going to ask about the dynamic splint though.

  28. Rachel on March 28th, 2011 10:57 am

    Good morning,
    Well it has been 4 days since the manipulation and I have been in therapy none stop except Sunday I told my therapist I was taking it off and did my own therapy at home. My knee is still sore and swollen it has been painful I guess the first day was not bad cause I was still gooped up with the meds they gave me and the injection in my knee but once that started wearing off the pain kick in I was given a stronger pain med to take and that does help but of course your never pain free. My leg is bending more I’m at maybe 75 to 80 but I can’t straighten my leg out all the way so that worries me we have been placing weights on top of my knee to try and flaten it out. I will give another update later. Good luck to everyone.

  29. Dennis on March 29th, 2011 1:07 am

    I had my TKR just before Christmas 2010 and had manipulation in february. It doesn’t bend all the way back yet but I think the secret to success is the bike. Do it everyday for ROM and stairs for strength. The pain is getting better. I too was ready to give up. Hang in there for your sanity. It’s all that keeps you going.

  30. Rhonda on March 29th, 2011 2:30 pm

    Hello, I had my TKR on 2/28/11. all 3 parts to the Knee were bad the bone was bent and 2 cycse around the bone, so i was a mess, after getting home I had Home Heath come MISTAKE, the PT wanted to been my knee get her range # and leave maybe stayed 10 min. leg only bending 75, did this for 2 weeks, had a DR. App. told them i wanted off home heath started going for PT at Hospital did that for week and 1/2 increased my range to 82, another DR app. The Dr was NOT happy with #’s i could get my leg straignt that was the good part, he told me he wasnted to manipulat me in 3 days he wanted the #’s higher, I did it yesterday, he bend it to 130 come out of surgery and a PT was righ there to work with me I got it to 110 myself, come home that afternoon meds wore off and leg felt like a truck had ran over it but i had much more movement in it and that was awsome i selp better last night than i had in over 9 months, this morning still sore but nothing i can’t live with i was sent home with a machaine to help bend your leg and i Love it it helps So much i go for PT today and am excited on how well i do, I hope this helps anybody that is going thr this ordeal I will keep you posted, I am 50 years old and want my life back. Good luck to you all…

  31. Dan on March 29th, 2011 8:58 pm

    Thank you for your comments Shelly. I see your Ortho told you that you had a lot of scar tissue. Did he say that it grows real fast and attaches to everything and limits mobility? Did he say that the scar tissue could be removed successfully? I am not getting any encouraging news on mine. He says that my scar tissue is aggressive and grows fast. He, and other Ortho’s cannot promise me any positive recovery with any knd of surgery. I have already had two manipulations to no avail. My knee will not bend and I am in constant pain.

  32. William Willitte on March 29th, 2011 9:37 pm

    I had total knee replacement on 02/08/11. Three days after being released from hospital, I developed pneumonia and a blood clot that went from leg to right lung. With this sickness I was unable to do regular PT resulting in my being behind with therapy. My ortho doctor suggested knee manipulation. This procedure was performed on 03/25/11. I honestly believe this is one of the biggest mistakes I have ever made as my knee/thigh is swollen, using a walker once more, and running fever every afternoon. I feel so bad and even though I go for PT everyday, so far I feel no relief. I was bending 90 degrees before manipulation and only 70 degrees now.

  33. Dan on March 30th, 2011 4:34 pm

    Dennis, when I had my TKR in June of 2008 I bought a $600 recumbant bike and tried to use it. I could not bend my knee enough to pedal in a full circle. I used it for quite a while just going back and forth with no positive results. I traded the exercise bike for a $1000 elyptical machine. Same problem! I cannot get a full range of motion on the machine to walk on the lowest setting. So I had to put it away. If anyone is interested I do have it for sale. I do not understand why the more I exercise the more stiff my knee becomes. I have about 8-10 PT personnel that are puzzeled as well. I am at a loss as to what to do?

  34. Shelly on March 31st, 2011 5:49 am

    Dan, yes he says that my scar tissue seems to grow real fast and attaches to everything and limits mobility. He seems to think the manipulation will be my cure, but I’m not convinced. After I had my TKR, they came in the the CPM the day after my surgery, I only was able to get to about 74% ROM and I was on morphine and my pain meds. He did not send me home with the CPM, so I asked if I could have it to use after my manipulation, but he said “no”, I will have aggressive physical therapy. I did bring up some of the comments I have read from other people about having more than 1 knee manipulation and even the possibility of having the scar tissue removed. He is adament that I will only need this one manipulation. I am very frustrated. I need to get back to work as soon as possible as I have had no income since 3/16/11. I also have not been able to sleep; I get maybe 2-3 hours sleep a day. I am so tired and sore. I sure hope this manipulation works. As of today, my ROM is only about 50%. I will update after my manipulation.

  35. Rachel on March 31st, 2011 11:33 am

    Good morning,
    Well so far I have impoved my range of motion to 93 degrees. I am still sore and some swelling but the pain is still there. I can’t fully straighten my leg out but I am working on it. My therapist was very happy with the improvment, because before there was nothing. If anyone needs a manipulation I say go for it you need to give it a chance to see if it will help. Its nerve wrecking but it has help me get more ROM. Good luck everyone I will keep you all posted.

  36. Dennis on March 31st, 2011 1:05 pm

    Dan, don’t ride until your knee is sore. Just use it to achieve ROM. My knee swells and gets stiff from a lot of walking, I use the bike to get back ROM. I was thinking of muscle building, but that is not in the picture yet. The stairs I climb at work has helped with that part.

  37. Dan on March 31st, 2011 4:41 pm

    Shelly, When I had my TKR I went home with a CPM also. I used it for a couple of weeks. I increased the CPM to where I was up to 90 ROM with it. Of course I was grabbing a hold of the head board on the bed and in excruciating pain. The more I used the machine the worse my knee got. I hope your manipulation goes better and helps. I too, do not sleep very well, especially in a bed. I sleep longer and better in a chair in the living room.

  38. Dan on April 1st, 2011 3:08 pm

    Dennis, I was not riding the bike until my knee got sore. In fact my knee was sore even before I got on the bike. The more I try to stretch and exercise the stiffer it gets. I am not trying to keep saying the same thing but I am at a total loss of what I can do. I can exercise every other part of my body with no problem, but not the left knee or leg. I just spent about 10 to 12 weeks in PT (3X a week) for more cardiovascular to try and lose some weight to see if that helps. I also spent some of that time working the left leg. Nothing! My right knee is close to needing a TKR and I am afraid to because of maybe having the same trouble. Would I have the same scar tissue problem? Prior to my TKR on my left knee in June 2008 I had had it scoped three times from 1981 to 2003. My right knee has been scoped twice. Once in 96 and once in 2007. Getting older is not fun physically!

  39. Rachel on April 1st, 2011 7:18 pm

    Hi Dan,
    I was reading your comment about you sleeping in a chair in your living room and I too have had to do the same thing except I’m on the couch. I have not been able to sleep in my bed since the TKR in Dec. I even thought about buying a chaise lounge to put in my room but I barely have any space now. I’m so glad to have found this site because I thought I was all alone in going through this. Thankyou everyone for sharing your stories it sure helps me get by and gives me motivation not give up thankyou.

  40. Shelly on April 4th, 2011 11:00 pm

    Had my knee manipulation this morning; very painful at first, not too bad now. Went to therapy right after my manipulation, got to 70 degrees, so I am hopeful this worked. I am able to bend my leg much more and it actually feels better bent and sitting up rather than lying down even though I am so tired and just want to sleep. My doctor finally authorized for me the use of a CPM so I am excited to push myself to get better each day. All my strength building of my thigh muscle and hamstring is back to nothing, so I have to work extra hard to get that back. I will update my progress again at the end of the week.

  41. Pam on April 5th, 2011 1:25 pm

    Hi guys!!! Been reading since Oct. of 2010. Had TKR on Oct. 19th 2010, was put on the bending machine in hospital, got to the 90*, went through PT and could not get to 97* after that. Had Manipulation on Dec. 14th 2010, he said he got it bent to 125*(also (120* during surgery) I was released at 105* but I can not bend down to garden, or really do anything on the ground. I can do steps, but one at a time with help, I can ride a bike, and I do like that, but my knee (around cap area) always hurts or has some small pain. I can only sleep in certain positions for so long and then I wake up in pain. I have run out of insurance for PT so do bands at home. I need the other knee done, but will not because of the scar tissue that I seem to make real fast. Thanks for all your posts, go back to Dr in a week for 6 mon check up …. will let you know how it goes.

  42. Rhonda on April 6th, 2011 2:49 am

    Well it’s been 8 days since my manipulation i sleep with my CPM and use in 5 hours while i sleep, i go to PT 5 times a week i got my RPM to 97 by myself and 105 them pushing, go to the DR tomorrow very scared of what he may do… only can sleep the most 5 house at a time and pain or stiffness wakes me up, the pain is only in the part of leg above the knee, still very swollen, hoping for a good report from my Dr.

  43. Dee Dee on April 7th, 2011 4:30 am

    I came upon this website tonight as I was searching for some kind of answers or information on manipulation surgery. I had TKR on January 31st 2011 and have felt that my progress has been extremely slow. I went to PT today and my ROM on my bend is about 100-105 without assistance and I got up to 115 with them pushing on my leg while I scream. My problem is getting my leg straight. My doctor appt followed the PT session and he now has scheduled me for manipulation on Monday. He says he was not as concerned with my bend as he was with me getting the leg straight. He says that if I don’t get the leg completely “straight” within the certain window (3 month period), I will walk with a limp and not be able to lead a normal life as I have been used to. I am 50 years old, active, with a physically demanding job and have alot of living to do. I am so tired of the pain and cannot sleep just as everyone else. I sleep on the sofa and can’t sleep more than 1 hr at a time. I was led to believe that the manipulation would give me my ROM and PT would therefore be easier than it was after the TKR. After reading the comments, I am convinced that the PT will be every bit as tough as before. Everyone on here seems to have problems with the bend but very few have mentioned having trouble getting that “straight” ROM. Has anyone had this problem? I am so nervous and trying to decide if I should back out and take my chances that I can get it on my own somehow. Any suggestions or opinions would be appreciated! I have been so depressed because everyone I have talked to that has had knee surgery had no problems at all. I felt so alone and abnormal! Thanks for the ear…….so great to know I am not alone!!!!!

  44. Melinda on April 7th, 2011 10:25 am

    Ok everyone….DOES ANYBODY have a answer for this one? Short version: I had TKR April 2010. (oh…Im athletic…petite 5’3″ 115 pounds…49 years old..) Anyway….PT/recovery went fine etc. etc. but I noticed a “sandy sound” approx. 5 months after surgery…I lod the doctor…over the months following…sandy turned to gritty…..to crunchy …to almost like a cracking…BUT ONLY when I STRAIGHTEN the leg. (ouch ouch too…) . But my flexion is 130!!?? I can walk etc….its ONLY when I straighten my leg that I feel a cracking grinding thing.Sooo….I told my dr. about it and he said “lets wait a bit before addressing it, but it could be a ‘cyclops lesion’. Just continue your exercises” (cyclops lesion is a fancy word for a heck of alot of scar tissue..??) Ok…fast forward. to to January 19 2011. this thing got worse so I had “scar tissue” removed. (a scoping) Today is April 7 (only a little after two months!!) and here we go again with this repeat: grinding crunchy pain (and I mean its LOUD…) ….BUT ONLY when I straighten or uncross my leg . Sooo….is it scar tissue? And if it is/was..why again a little after two months after getting scoped? Is it a tendon? Is it god forbid a bad knee? It hurts only on top of the knee (near the inside bottom if that makes sense…) ..almost as if it were under the knee cap (or known as a “button” now…) Im afraid to ride my bike or do anything because I dont know if Im making this “thing” worse or what. I dont know what to do any more…or what this even really is. …or why it is even happening AGAIN!!??. I am seeing a different doctor on the 19th in hopes of an answer/ different perspective/approach/diagnosis on this. I am so done.(tears…sigh…)….anybody have an possible answer or experience like mine? PLEASE??? Its rather a situation like having a broken foot and it is “fixed” only to replace it with a painful thorn. Not a great trade off so to speak….Anyway…thank you to my fellow knee sufferers out there and anything somebody out there can offer that has had THIS particular situation and expereince. Everybody I have talked to over the past year that has had a TKR, is cringing when they hear my knee straighten and just shake their heads saying,” Man, I have NEVER heard anything like that before!!….I have NO idea what that is!!”. So there you have it.

  45. Lee Fowler on April 7th, 2011 5:22 pm

    I had a total TKR on March 4th of 2011. Lots of pain and
    antyime in therapy or at home when pushed hard lots of
    swelling. At the three month mark I never thought I would never
    hunt or play tennis again. Had manipulation at ten weeks,
    helped a little. Slowly over the months gained a percent here
    and a percent there. Now at 111, flexion 0-1 Stopped
    therapy in Jan 1 2011, money issue. I do it all myself now.
    twice a week at gym and twice at home. Over a year later
    and still making small strides. I did go hunting in the fall
    and am playing old guy doubles tennis. If a lob is hit
    I just look up and go nice shot. For years before the surgery
    I had terrible ROM in that leg. It could be that no matter how
    long and how hard I work it, 111 might be the best I’ll see.
    I read an article the other day saying a TKR is harder to come
    back from then open heart surgery. Also weight is a huge
    issue that is not talked about enough. Every extra pound of
    weight is 4 pounds on the knee. I lost some after the surgery,
    in hindsight I wish I had lost more prior to surgery. Good luck
    to all.

  46. Rhonda on April 7th, 2011 10:07 pm

    Went to the Dr. Today got to 97 ROM on my own Dr. Was Happy with this # after Manipulation, wants me to still do PT 4 days a week and Use the CPM 2 hours a day, wants me at 105 in 2 weeks when i see him again, Leg is still swollen and hurt some when i walk not using the cane as much, I am feeling more like myself, sleeping at night is still hard to sleep more than 5 hours at a time due to stiffness.

  47. Patrice on April 11th, 2011 10:27 pm

    Hi everyone. I just found this site while doing research on complications from tkr. I had a tkr on right knee on Oct 3, 2010. It is now april 10, 2011, so I am 6 months out. Here is my story maybe some info will help someone. I suffer from fibromyalgia a pain condition, which I am sure you have all seen commercials for new medications to treat it. I also needed the replacement for several years and lost some ROM. I was in so much pain after the tkr that I was crying alot from the pain. I received poor pain management, which I feel hurt my recovery. I went to a rehab hospital to have PT 3 hours a day for 14 days. Then I did outpatient PT since then. I was able to get my knee to strenghen out after a couple months but once that happened my flexion decreased. It was 103 with pts holding me down while another pt bent it while I was screaming and crying. ( my doctor says I am not working aggressively enough on it). I lost degrees and have been about 93. It was past 3 months so my surgeon did an orthoscopy to remove scare tissue, and was told I had alot of it. Dr said he got my knee to bend after scar removed to about 120 degrees. I had that done on Feb 18, 2011. I didnt gain anything after scar removed. After a month dr said to wear a dynasplint at night to help f

  48. Rachel on April 13th, 2011 11:49 am

    Hello Everyone,
    Well I am at 90 degrees bend but a new problem has arrived I can’t get my leg to straighten out. My pt has been putting 2 five pound weights on top of my knee and I must say its very painful,before I couldn’t bend my knee now I can’t get it to straighten out. I had the manipulation and everyone is happy about me bending it but they seem to be overlooking the new problem. Any suggestions?

  49. Dan on April 14th, 2011 1:46 am

    I have been reading all the comments since I have shared my story on a few e-mails. I am finding that with all these stories their is no answer to these problems. I am not trying to be negative but I have suffered with this knee problem just sbout 11/2 months shy of 3 years. I do not hear or see in solutions for the scar tissue or for any improvement with the manipulations. I do not even hear any answers from my Doctor or any other Doctors. Just like your Doctors do not seem to have an answer either. My physical therapists are simpethetic but just shake their heads not knowing what to do. As I have stated before the more PT I do the stiffer my knee gets. My knee is close to being straight but will not bend at all. I am at a total loss of what to do. Somebody tell me if i am wrong.

  50. MIKE on April 14th, 2011 11:44 pm

    HAD LEFT TKR 1/25/11, WENT HOME WITH A CPM MACHINE, USED IT FOR A MONTH. HAD PT AT HOME FOR A WEEK,THEN OUTPATIENT PT 3XWEEK FOR 6 WEEKS, TILL INSURANCE RAN OUT. WAS ABLE TO GET TO 83 ON MY OWN, 87 WITH PT PUSHING. MY PT ALWAYS WOULD PUSH FIRST, THEN HAVE ME PUSH BACK FOR A FEW SECONDS, THEN RELAX WHILE SHE PUSHED EVEN HARDER FOR ANOTHER 10-15 SECONDS, 5 TIMES EACH SESSION. WORKED MUCH BETTER FOR US BOTH WITH ME LYING FACE DOWN. SINCE THEN I SIT IN A CHAIR WITH FOOT PLANTED ON FLOOR AND SCOOT FORWARD TILL I CAN’T STAND IT ANY LONGER, THEN HOLD THERE AS LONG AS I CAN STAND IT, USUALLY 20-25 MINUTES AT A TIME. THEN ICE IT. HAVE GAINED ROM STEADILY. DR. HAS ME LIFTING WEIGHTS TO GET EXTENSION BACK, BUILDING UP MY QUADS AND STRENGTHENING THE QUAD LIGAMENTS AND TENDONS. IT’S ALL VERY PAINFUL, BUT I AM DETERMINED TO AVOID THE MANIPULATION. ALSO, I HAVE FOUND THAT I SLEEP PRETTY WELL WHEN I BEND MY KNEE AS MUCH AS I CAN JUST AFTER LYING DOWN, ON MY SIDE WITH IT ON A LARGE BODY PILLOW, THEN WHEN IT STARTS TO ACHE, RELAX IT AND THE REST OF MY BODY, AND DRIFT OFF. HOPE THIS HELPS ANYONE WHO NEEDS TO TRY SOMETHING ELSE TO GET SOME RELIEF.

  51. EDDIE CRANDALL on April 30th, 2011 12:50 am

    Comment for Dan on April 14th:
    I am in the same exact situation you are. I have full extension, I too cannot bend my knee, I had manipulation surgery under anesthesia by my Dr. last Thursday. He is a big guy and he could barely get 70 degrees. I was told it was becuase of scar tissue. I am trying to find out what is next for me? I would like to have arthoscopic scar tissue removal surgery and then immediately after have him try to manipulate it. I just don’t know what to do? Has anyone responded to you about the scar tissue issue?

  52. Dan on May 1st, 2011 4:49 am

    Eddie, no one has really answered my questions on the scar tissue. I did have my first manipulation about 6 weeks after surgery. They did put me completely under and even gave me an epiderral and I stayed in the hospital 3 more nights. He said he did get my knee to bend and straighten all the way. Before I left the hospital a physical therapist was able to bend my knee past 90 degrees. He had to be pushing on it to get to that point. I went home and tried PT again to no avail. Six weeks later I went back in and had a second manipulation as an out patient. Went home, same ordeal with PT and no improvement. I am going back in to see my Doctor in three days. I am going to ask about the scar tissue removal. I had a friend that two TKR and one had a lot of scar tissue and so he went back and had the scar tissue removed within six months of his replacement. He was doing better after having the scar tissue removed. So I will let you know what I find out from my Doctor this Tuesday.

  53. michelle on May 1st, 2011 2:41 pm

    I had my surgery December 21, 2010..
    It is now May lst. 2011, I have had manipulation one month ago because I couldnt get range of motion past 80 and flex under 10.
    After manipultation I can get to 109 on my own, 116 with pt help..this is okay with me, what is not happening, my flex is still at 10 or above without pt help, and 6 with thier help..this has not improved even after manipulation.
    The surgeons keeps telling me, relax, its going to get better in time, sometimes it just takes people longer. I asked him if there was any chance he made a mistake because I knee is so tight, all the time, its very difficult to walk because it takes so much to move the knee, I am off balance and just after sitting for a few minutes my knee stiffens up so quickly..so my problems are continuious stiffness, it almost feels like thier is no fluid in my knee, like its dry and gets stuck..there is no pain involved, just stiffness..is the stiffness causing me not to be able to extend below 10 on my own.
    Any help out there?

  54. Sherry on May 3rd, 2011 3:12 am

    I had a knee replacement done on March , 2011 it still hurts like hell got test done they said everything is ok. bending only 80 degrees im so scrared i wish i had kept the arthiritis

  55. Dan on May 4th, 2011 2:50 am

    Eddie, I had to postpone my doctor appointment today for two weeks because of an emergency that came up in my family. So I will have to put you on hold until the 17th of May. I am sorry! I will contact you then.

  56. Pam on May 4th, 2011 1:09 pm

    I went to my 6 month check up, and just with what I am doing at home I have progressed another 5*s so I am now bending at 110* I can feel that I am a little better. I am doing more and more things without thinking about it or feeling it. I am though still having pain or aching at night to the point where I have taken Tylenol and ibuprofen just to sleep. I have not felt bad enough for anything stronger. I know that there is still scar tissue in my way, but I ca not afford an more therapy or surgery or manipulations. I am believing it will get better and better. I pray for all of you who are and have gone through all of this. Just keep working …..

  57. Pam on May 4th, 2011 1:10 pm

    Sherry …. keep our pain under control…… it will help.

  58. Dennis on May 5th, 2011 11:20 am

    Take the pain meds faithfully. Get used to little sleep. It’s best in a recliner. It’s best to use an immobilizer. Expect the pain, but expect it to go away. Use the bikes and stairs when possible. Only go up at first. I had my surgery around Christmas 2010 and manipulation in february. I now am at about eighty percent better. Very little pain, just minimal swelling. Good luck

  59. donna on May 10th, 2011 4:59 pm

    I had my TKR on 2/7/11. I was very lucky with my straight ROM as I was able to do that on the third or fourth week after surgery. My problem has been bending my knee to the ROM that I need to be. For about a month I was stuck at 90. With the help of pt I could get more ROM and I have a high pain tolerance and when pt helps push my knee I am about to come off the table. I was re-evaluated on 5/6/11and I could do 110 by myself. With help by pt he could get my ROM to 118. I was excited to go to pt yesterday with the hope of being able to do maybe at least 115 on my own, but now I seem to be stuck at the 110 to 112 ROM with help I could only do 115 not even the 118 that pt got me to on 5/6/11. My pt says my doctor will not do the manipulation. Before my last pt ended 5/9/11 pt did an ultrasound for 15 minutes to help break up my scar tissue. She told me to elevate my leg and knee all night and to make sure my knee was above my head and to have my ice machine on it all night. This morning I thought that I would be real sore and uncomfortable. Luckily I am not sore. I am going to start stretching my knee soon so I can help to get more ROM. I would like to be able to do more ROM on my own when I go to pt on 5/11/11. I go to pt 3 times a week.. My insurance will only allow me to go to pt for 35 times. My pt will end the last of May sometime. Then I plan to continue the exercises at home and to continue using the colored elastic bands and to join YMCA to use exercise equipment to help keep the ROM in my left knee. I have been lucky that my TKR has not hurt that much after surgery except if I hit it or turn my foot wrong or do certain exercises or pt is pushing my knee to get more ROM. I even went back to work 6 weeks after my surgery, but I work in an office atmosphere and the owner of my company will only let me work 8 hour days and not 11 hours a day as worked before surgery. My pt says that everyone that has a TKR is different. One may scar more than another person. Hopefully my right TKR will be easier than my left one and the recovery time is faster and my ROM is better. I am not a good patient to wait to get better. I want the ROM of mobility to be the most it can be and be now.

  60. linda hunt on May 11th, 2011 6:04 pm

    hello i just had my tkr done mar 24th 2011.im doing everything my therapist says and it seems i still cant get my knee to get straight. even with the brace the dr gave me and im limping around and in alot of pain,when doing the exercises all my knee does is tighten up so much that i can barely do the exercises can anyone tell me they have been there and done that and what they did to make it better i go back to the drs may 20th,2011.im so upset and deeply depressed all i do is cry and my poor family is taking the blunt of it all.just at wits end i want my knee back normal whatever that is for me .i told my dr 5 weeks post -op i was so ready for the manipulation but who knows i feel i know my body and its telling my my knee isnt right. hope to hear from somebody in the same boat

  61. Dan on May 12th, 2011 3:45 am

    Linda, my TKR will have been 2 years ago this June. The best thing I can say is do not give up! There are no guarantees. You can read about my struggles in this web site. Just look for the name Dan. I have not had a lot of success as you will see when you read the messages. I am not one to give up. Keep up on the exercises and stretches. Lay on a couch with your heel on the arm of the couch and hang some ankle weights over your knee. Relax your knee as much as possible and see if your knee will gradually straighten. You may only be able to do that for a few minutes at first. Try and increase gradually to where you are stretching it for 15 to 20 minutes. It will hurt but try and work through it. The other thing to do is try and work out in a swimming pool. In the shallow end you can walk or do squats. You can also put your back against the side of the pool and slide down to a seated position slowly bending your knee. Another good exercise is a recumbant bike. Hopefully you can pedal in a full circle. I never have been able to. But, you can still pedal as far as you can one way and then go back the other way. Do that back and forth. Do a lot of icing. Before you do any of these run them by your PT. Try and find a friend or family member that is positive and encouraging that will help you exercise and keep your spirits up. Even with all the trouble I have had I still believe in TKR and know they have helped a lot of people. Keep at it! Keep your head up! Blesings to you.

    Dan

  62. Joyce on May 15th, 2011 1:30 pm

    I had left tkr in May ’09 and at the time, both knees needed to be replaced, so I wanted to have both done at the same time. My doctor strongly advised against it and opted to have the left done first as it was causing the most pain — cortezone shots bought me some time for the right knee. I’m glad I took his advise. For those facing this same decision, this was his reasoning – the body has to work hard to heal one part of the body successfully/ideally. If it has to heal to parts at the same time, it is highlyt likely that one part will heal ok, the other not so much. My husband proved that point the first of March when he had his second knee replaced.
    Because he had the good new knee on the left, his PT success progressed much more quickly for the right tkr than he did with the first tkr where the right knee was deteriorating and could not adequately support his PT efforts and he still has problems with that knee. Also, this time around he requested more agressive pain management and that also made it easier for me to help him because he didn’t wince in pain every time I had to help him with some activity or another. With all that said, now its my turn to have the right knee replaced (we’re taking turns) and I’m faced with a new decision. In the time since my first tkr, I became complacent in continuing ROM exercises and I now have less than ideal ROM in that knee. The doctor proposed my having MUA when he replaces right knee on May 23rd and I agreed. Then I recalled his advice against having double tkr and wonder if tkr on one and MUA on the other at the same time will hinder total healing and ROM recovery. I don’t expect the pain in the manipulated knee will be as bad as in the tkr knee, but it will be a challenge just the same. So . . . . . is there anyone out there who has had this done that could advise me of the pros and cons? Fortunately, my hospital holds tkr classes once a week and I plan to attend one this coming week, but would like input on first-hand experiences. Any comments will be appreciated.

  63. Joyce Miller on May 15th, 2011 1:34 pm

    Not sure what “awaiting moderation” means in this context.

  64. Joyce Miller on May 15th, 2011 1:47 pm

    See previous comment. Before that comment I input a dissertation on my recent tkr experience and ask for comment and . . . . the comment appeared on screen with “comment awaiting moderation” and a count-down clock. Then the comment disappeared. Is there a word limit or additional input required?

    Joyce

  65. Joyce Miller on May 15th, 2011 11:37 pm

    ok, one more try at this – I had my left knee replaced (total) in May ’09 and am now scheduled for tkr of the right knee on May 23rd. Unfortionately, since the first tkr, my ROM has decreased and upon examination, my doctor suggested MUA of the left knee during tkr of the right knee. This will require caring for both at the same time and I’m concerned that one or the other will be shortchanged in the PT effort. My right knee needed replacing when I had the left one done and I wanted to have both done at the same time, but my doctor strongly advised against it. He explained that when the body is working hard to heal two knees, the tendency is to favor one or the other and thus recover with unequal success. I know I’ll be challenged so I’m hesitant. Has anyone commenting on this website had this experience? If so, please share your experience – pro and con.

  66. Tomm Alsman on May 17th, 2011 4:03 am

    I had double TKR on 2-25-11, and of course the first thing that I faced was “you will have to use two CPM machines, simultaniously to be sure you progress your flex and extension equally.” That was the first act of lunacy involved in my recovery/ rehabilitation. None of the Aids on the Rehab floor knew how to set up two machines at once, but that didn’t stop them from throwing them up on my bed and acting like they knew how. Then I was informed that they had their orders to be sure I was strapped onto these things at least 8 hours a day at the settings they were instructed to apply, and store the control boxes where I couldn’t get to them.

    My first act of defiance was to insist that I was removed from the narcotic pain killers because I could not sleep, it was driving me crazy. Second act of defiance, I said “We will set these machines up the way I say, or not at all…and the control boxes will be under my control.

    A word of warning. Don’t take over your medical care decisions unless you have the proper alternative measures ready to demand. I didn’t know what pain killer would suffice, and it took three days to get a staff doctor to prescribe one that my wife researched and finally suggested , because there was no other effort from anyone else to make that determination. How much flex and extension you gain in the first few days relys on how much pain is involved. Yes, I fell behind a bit, but honestly I feel my knees benefited more from the added rest and healing that resulted from not allowing what I am convinced would have been damaging abuse to already badly damaged and weak muscles and tendons.

    Now, two and a half months into rehab, I’m doing okay, now that I’m NOT going to PT sessions where their goal is to amaze the medical world with the amount of flex they can force out of a set of artificial knee joints with still stressed, stretched, bruised and swollen muscles and tendons with the strength equal to that of a tall toddler.

    I have stressed and knotted up front and rear thigh muscles, calves, hamstrings, vertical petella tendons and ACLs. I’m going to my doctor tomorrow to see what he thinks about me going to a message therapist to learn how to relax my legs because I know that is why the knees seem stiff and flex improvement is sparce. I know after reading this comment list by all of you folks that I totally empathise with, I will not get them manipulated…ever.

  67. Dan on May 18th, 2011 3:13 am

    Eddy and anyone else, I went back to my Doctor today. If you recall from my earlier postings my left knee is at “O” recovery. My knee is stiff and will not bend. I had TKR in my left knee in June of 2008. with two manipulations about 6 weeks after surgery and 6 weeks after that. Today my Doctor took some xrays to see if maybe my bone rejected the metal in my knee. He is going to do a bone scan in a few days. It is possible that he might have to open my knee up to remove all the scar tissue. He said my knee has gone to far to remove the scar tissue by a scope surgery. He wants to make sure the bone has not rejected the metal first and then procede from there.

    Joyce, when you click on send you have an option to edit your message. You have about 4 minutes to edit and save your message, then send it. Hope that helps.

    Dan

  68. Tomm Alsman on May 18th, 2011 4:44 am

    Joyce…total recovery relies on setting your mind to doing what it takes to heal properly. My double knee replacement has been tough but I have made good progress. How well you prepare your body for the surgery is a key factor. Muscle tone and strength are extremely important in the legs and upper body. One reason I was allowed to have both legs worked on at the same time was that I could toss myself around pretty well with good upper body strength.

    Eat right because that is the beginning to proper healing. Protein heals muscles; calcium heals bones; chocolate will only keep you awake at night.

    One last observation…I have never gained permanent flex or broken loose adhesions by having a physical therapist forcing my legs beyond what flex I accomplish on my own.

  69. rosemarie eggleston on May 25th, 2011 5:41 am

    I am grateful that i found this site i had tkr on march 15,2011.. i’m currently going to pt. I prepared prior for my surgery in the pool strengthening my quads. i am at a 100 degree bend and i can straighten out my leg, although i cant sleep at nite it does get better. ICE AND VICODIN ARE MY BST FRIENDS.. I cut back on taking the painkillers i dont want to get addicted… i got to pt at least 2x a week but i feel the main thing is DETERMINATION.. AND FAITH. no pain no gain so u must push yourself beyond ur expectations.Keep telling urself I CAN DO THIS I MUST DO THIS.. my doctor wants to do manipulation… he wants me to be at 120 but after reading these post i dont think that i am a good candidate for it.. because I HAVE THE POWER AND DETERMINATION TO MANIPULATE MY KNEE MYSELF.. I GOT 1 WK AND A HALF TO GET IT TO AT LEAST 110 AND I AM GONNA DO IT.. I PRAY ALOT.. I am glad i read ur comments. i will stand in the gap for u guys.. its gonna hurt but just think to urself its gonna get better. Every day may not be a good one, but know that a brighter day will come keep up the good work, go to the pool as others have suggested, do squats, march high knees, ride an indoor bike, pray, I CAN DO ALL THINGS THROUGH CHRIST WHO STRENGTHENS ME….

  70. rosemarie eggleston on May 25th, 2011 5:57 am

    I’m trying to post my comment but im getting awaiting moderation… what does that mean?

  71. Rosemarie eggleston on May 25th, 2011 5:59 am

    one more try.. awaiting moderation….

  72. admin on May 28th, 2011 3:36 pm

    Hello Rosemarie,

    Comments are reviewed for “appropriateness” prior to posting. Sorry for the delay. Perhaps folks can move this conversation to our Forum?

    Admin.

  73. Melinda on May 28th, 2011 3:59 pm

    Ok….so…..short version: does anyone have an answer to this one:

    Why I have a great flexion (130!!)… BUT….have pain and “crunchy sound” ONLY when straightening…NOT the bending. Im the OPPOSITE of everything I have read so far in this website. Anyone out there that has this situation? Help!!. Thanks
    (if you want more details….read my other posting of April 7.)

  74. nancy on May 29th, 2011 1:46 pm

    I had my tkr on 2/24/11. I am having a lot of problems with flex. I have done all the PT asked of me and more. The doctor and I discussed manipulation in April, but I was heading out of the country for 3 weeks and we decided to wait and see how I felt when I came home ( I even had pt while away). Friday I went to see the doctor and was informed that he wont do a manipulation now. He says too much time has passed since surgery (12 weeks). I was advised by PT to wait till my return for the manipulation so that I can aggressively work on it and achieve more bend. Now I’m at my wits end. I’ve read the optimum time for manipulation is 8-12 weeks, would one more week hurt that bad? Doctor says there’s chance of tibia breakage if he does it now.Has anyone had this happen to them? Is it rare or fairly commons. I may want to try it and take a risk if it is not a huge rish. I am 55 years old and have no osteoporosis or rheumatoid arthritis. I only can flex to about 90 and the knee hurts. I really wanted this surgery done and now it feels like the biggest mistake of my life. I agree with the person who wanted their arthritic knee back. I am reading about manipulations done up to a year after surgery. Has anyone had it done a few months later? Did you feel like it was helpful?

  75. Tomm Alsman on May 29th, 2011 7:09 pm

    Melinda, I would seek an ultrasound diagnosis. In fact I will seek one to find the origin of my complications. I think my parts are all good, but I believe an ultrasound will find out why my ACLs and PCLs are not taking their responsibilities well to these new knee parts. Your problems could stem from scar tissue or bruising from such a high ROM. 130 degrees is a lot of stretch for those soft tissues to not be bleeding and swelling a lot.

  76. Melinda on May 30th, 2011 2:09 pm

    Thanks SO much Tom for your response. Here’s the thing: my understanding , and I was told, that when you have a TKR, that the ACL’s etc. are gone now,So if anything, perhaps it is crazy inflammation along with this scar tissue….. but
    I think its excessive scar tissue that I have ….WHICH APPARENTLY MY BODY PRODUCES AGGRESSIVELY!!!! And now I may need to go in for round 2 in August to have scar tissue removed….oh brother!!!…..( one small bright light of this dlillema: the doctor DID say that sometimes the scar tissue can go away on its own either somewhat or completely!! But how long do you wait to know?? Does it get worse or stay the same if you do nothing?) And how the heck do you avoid scar tissue from coming back to begin with?? And to avoid surgery for THAT??? Anyone know?? Its like the TKR went great….and here I have this stupid scar tissue snag thats an on going thing!!!????? Painful to straighten but not to bend. You can hear it crunching when I straighten only and it hurts. Now how crazy is that compared to the other things submitted in this website!!??.
    I feel for all of my my TKR friends out there. Hang in there all of you…I get it. Sigh…..

  77. Dan on May 30th, 2011 10:31 pm

    Melinda, I originally injured my knee in January of 1977. I should have went right to the hospital and had surgery. But, no not me, I did not wnt my brother to feel bad so I just went on and let it heal. Well, scar tissue took over and started pulling my knee cap over. In 1981 I had two scopes to fix my knee about 6 months apart. I was told that I waited too long and the scar tissue had set in. The damage was done. My knee was ok until 2003. I kept playing softball and basketball and being very active until 1997 when I had to have my other knee scoped. After that I was not able to go back to basketball even though I did do a little bit of softball. In 2003 I had to have my left knee scoped a third time (the one I originally injured). In 2007 I had my right knee scoped for the second time and it was slow coming back but it did to where I can bend it and walk fairly normal. In 2008 I had my left one TKR. That is the one I had injured in 1977 and had the scar tissue in. I had two manipulations. They have not helped. The mechanics of my knee are fine. Supposedly it is scar tissue. I just had a bone scan last week. I am waiting for the result. They want to see if my bone has rejected the metal. That happens in a few cases. The doctor might be looking at opening my knee back up and removing the scar tissue. I have no idea what the percentage is for recovery for this type of sugery. My TKR was three years ago this June.

  78. Tomm Alsman on June 2nd, 2011 3:01 am

    Melinda, you are right…the ACLs are gone, but the PCLs are intact. I was told that the knees are more stable due to the way the joint components work together. I can accept that, but I know the PCLS are having a hard time adjusting and I have benefited quite a bit with the message therapy. My therapist has been in the business about 25 years and has worked with a good number of TKRs and explains what she is doing, why she is doing it…and tells me what to expect during the procedure, and the results to expect. I also elaborate on anything else I experience during and after the sessions so she can explain what I may not understand. I am very happy with the results, and understand better the problems that used to scare the hell out of me.

  79. admin on June 3rd, 2011 1:36 am

    Hello Tomm, Melinda

    Regarding the ligaments and knee replacement, you can visit our article:

    http://www.totalkneeweb.com/how-are-the-ligaments-affected-in-total-knee-replacement

    There are also additional related articles at the bottom of the page.

    Admin@ http://www.totalkneeweb.com

  80. Victor Falcon on June 3rd, 2011 7:10 pm

    I was sent to Kosovo in 09, and as I was in my room I received a call asking me to go into the office ASAP. As I was on the road going in to work (People have told me what happened as I don’t remember anything from that day as I was in a coma for all of 2010). My car was rip in to two parts and I really didn’t make it from the records I died 4-time (first-9min, second-4min, third-3min, last-15min) there are other thing that are being worked on but my Right knee was done rip open on that day and they are going in to Manipulate it next month for the first time. I have read some of your comments in this report and see that after 1-yr it can’t be done and some have had it over a year later. my question is:

    1- how painful is it (manipulation) after you come out of surgery??
    2- how long do you need to wait to get up and PT your leg??
    and I mean walk and not that nonsense of “it’s up to you and your inner strength” crap
    3- I can’t sleep very well at night as well so will this part get worst

    I don’t know how this will go but I have no choice

  81. Tomm Alsman on June 5th, 2011 3:06 am

    Victor, I know there is really nothing I can tell you about pain. I can tell you that the medical persons always ask you to rate your present pain on a scale from 1 to 10. My scale consists of three numbers…1; 6; & 10… #1 is normal everyday before stepping wrong or twisting the knee or bending it too far or too fast… #6 is for after doing one of the above… #10 is for when a doctor or physical therapist is working on me. They say pain management is very important in rehabilitating. That is done with drugs that practically drove me mad. I refused them after about four days, they couldn’t seem to come up with a non-narcotic drug that really killed any pain afterward. If you can handle opiates, they can make it easy on you. BUT, I have heard from a couple of sources that a tibia or fibula can be broken during a minipulation.

    I think you should ask about alternative methods, like an ultrasound scan and scar tissue being removed orthoscopically, or deep tissue massage. I think there is less chance of bone breakage that way. I think bone breakage pretty much scraps the whole idea of fixing your leg.

    They always want you to get up almost immediately, and do what they say you should be able to do, no matter what the procedure is you just endured.

    With me…sleep is something that I earn every night by experimenting with different positions, pillow placements. And asking myself how a position is going to feel in about three hours or how are my knees going to react when I try to walk away from the bed? Knee stability relies on what parts have had pressure or tension or slight twist during the sleep.

    The stronger my leg muscles get, they were very weak in the beginning, the better the repairs feel in stability, flex and endurance.

    Good luck Victor. You have been through a lot already, I hope they have your best interests at heart in whatever they do.

  82. Janice on June 14th, 2011 4:33 am

    I am so scared about my knee manipulation scheduled only hours away from now. Reading each story and having greater details has been insightful. It sounds horrific that the doctor actually does the procedure by my knee then applying his physical strength to crack the scar tissue. Did I really read that correctly?That is modern technology? My knee/leg is straight but will not bend the last 10 degrees according to my doctor, making it a quality of life issue and procedure. I was wanting be reassured that everything would turn out just fine. Now, I am not at all convinced that I want to do this. It is too late to turn back . I do appreciate the experiences and information that doctors don’t always share.

  83. nancy on June 14th, 2011 12:28 pm

    Janice
    I too will be going for the manipulation at 10am today. Good luck to you = and to me. I was terrified about femur breakage,but the Doctor assures me that my chances of that happening are slim – he said 1/2 of 1 percent for me. Post your progress, as I will. I got to PT this very afternoon!

  84. nancy on June 15th, 2011 4:07 pm

    Update from yesterday. I had the manipulation done – 14 weeks after surgery. The doctor said my knee bent pretty easily. I could not bend past 90 without pain. He had it to 130. I went to PT in the afternoon and we were bending it (with a little pain – but not too much) to 110. I have spent time last evening and this am on a CPM to continue getting the knee to bend. It’s the first time in a very long time that I am feelng encouraged instead of frustrated and discouraged.
    Janice, I hope you are having similar good vibes. Please let me know.

  85. john on June 22nd, 2011 2:11 am

    hi all , i had my TKR may 6/11 felt very tight from day 1, now at 6 weeks i have 70 bend and cannot straighten. My doc says manipulation next week my PT thinks we can gain some not sure how much,quite mixed on it all any suggestions ?

  86. john on June 22nd, 2011 2:18 am

    hi all , i had my TKR may 6/11 felt very tight from day 1, now at 6 weeks i have 70 bend and cannot straighten. My doc says manipulation next week my PT thinks we can gain some not sure how much,quite mixed on it all any suggestions ? I have had 3 prior surgeries on same knee!

  87. Tomm Alsman on June 26th, 2011 5:15 am

    When I force more flex in either of my knees the tendons that have to stretch over the knee cap and the sides of the knee swell because they have to stretch and pull the membranes apart and bleed into bruising. After icing and massage I feel I have gained some perminant improvements. It also seems to help if I ice again after the massage. Be sure to have a towel or other barrier between the ice bag and your skin because the ice will cause damage.

    I am trying heat compresses where I have debilitating pain because I have had a lot of success healing other injuries with heat. I’ll be posting more later on if it seems to be helping or not. I really think it will.

    Is anyone having progress-hampering pain behind the knee when trying to bend/flex, sort of like the tendons don’t seem to be in place right to easily bend?

  88. Dan on June 29th, 2011 10:29 pm

    Hello! I am back. Fir those who have followed my earlier postings, I saw another doctor today for a second opinion on having my existing TKR which I had done in June of 2008 taken out and a new different type put in. This Doctor said that the decision will be up to me.My knee is completely stiff, almost completely straight. It will not bend at all. My goal for having a new TKR would be to gain enough movement to walk and bend past 90 degrees so I can peddle a bicycle. The doctor said that there would be a chance that my knee would come out worse. He asked if I was willing to live with it the way it is. He felt that my chances of having it improve would be better than 10% but no greater than maybe 70%. It could be anywhere in between. He said if I was to be able to walk somewhat normal and be able to ride a bicycle would be considered a homerun. The rehab would be very strenuous. I would be using a lot of pain pills and would have to work way more than I have at anything before. I would have to wlork hard to beat the scar tissue that would come back. I have a lot of scar tissue and it grows fast. The decision comes back to how big the risk is and if the risk is worth it? I have to make that decision. So, that is where I am at. I will let you know what I decide…That’s all for now!

    Dan

  89. Tomm Alsman on June 30th, 2011 12:08 pm

    Dan, I think your TKR results are some of the worst that I have ever heard of. Going for a second opinion was definately on the mark. What is expected of you after surgery is indeed a major, major task. What I expected from my surgeon was that he be the best engineering mechanic that he could be, because of the task at hand calls for that qualification to be successful. Personally, before I continued with trying to gain a better outcome in your circumstances, I would seek another opinion of a more successful mechanic, that could stand behind better numbers than you have been offered. If they can’t tell you exactly why your knee presently doesn’t bend, a better surgeon probably could. They are dealing with physical conditions that should yield to accurate trouble shooting and repair. I don’t understand why you haven’t been offered the removal of excess scar tissue to see if you can gain the flex you desire. Do they stand behind the product they installed? Could that really be your problem? Third opinions are not against the law. I hope they can fix you, because you have been through too much for them to fail you to such a degree.

  90. Karen on July 1st, 2011 4:52 pm

    Hello, just a comment to Dan. I’m in the same boat. My knee is completely stiff with limited to no movement so I sought a second opinion too . The first surgeon wanted to do another TKR to replace the knee with a new one, which I did not want to do. The whole experience was a disaster. The second surgeon said there was nothing wrong with the knee itself and there was no need to replace it. The second surgeon is going to go in a remove all scar tissue and manipulate but keep me in the hospital with constant pain relief from waste down (cath in leg or epidural) for 4-5 days and constantly manipulate the knee to keep the ROM going. Sure beats another TKR. You may want to ask your second surgeon about this option and the chances for you of getting better ROM so you can ride a bike or walk comfortably. Also reduces the scar tissue building issue.

  91. Sue on July 2nd, 2011 5:06 pm

    I had a TKR on 4/28/11/ The pain isn’t as bad now but worse on the days of PT and I still have a hard time sleeping. I cannot sit very long without getting stiff. I see this is happening to many people. I am at a range of 98 and now the doc is telling me I will need manipulation because of the scar tissue. I am so scared because I have a low tolerance for pain and cannot bear that kind of pain again. Is the pain that bad after a manipulation and how long does it last???

  92. nancy on July 3rd, 2011 11:00 am

    Sue – you have pain after the manipulation, but not as bad as after the surgery. You have to work very hard at PT to keep the knee bending. I had the MUA on June 14 and have been to PT every day. in the OR he bent my leg to 130, but I can only do 110-115 on my own at PT – with pain. I am giving up on the painkillers – percoset and vicodin. I hate the pills. I am going to try acupuncture this week to see it it helps with the pain and stiffness. Good luck to you – I hope it works .

  93. Karin on July 20th, 2011 4:51 pm

    I had TKR June 6, 2011 and startet PT day after the staples have been removed, 4 weeks later and absolutely no improvement with bending. When I left the hospital I had a 45 degree bent . With PT help I was only able to get to 55. I got so stressed out and tensed up that PT did not help at all. The knee just stiffened and swelled up. I stopped going to PT and trying to bent my leg in warm water in the tub. This helped with previous knee surgeries. I take Magnesium to relax the muscles, and warm milk with a bit of honey to try to sleep. I know it takes time to heal and I agree with a previous comment that in some cases scar tissue will heal and go away on it’s own. This would be my 3rd knee surgery on the same knee and previously, meniskus removal and ACL, I have not been to PT, and within a reasonable time frame, the knee heals and regular movement was returned, with no added stress . Trust your gut feeling and listen to your body.

  94. carly on July 22nd, 2011 5:25 pm

    I had TKR in 11/10 and had extreme difficulty with flexion. My extension was great. I was religiously doing my PT and my husband is also a PT, so had my own in-house. My flexion would never go past 70. Finally, after my persausion I agreed to manipulation which I had in 2/11. Went immediatly from the manipulation to PT for 7 straight days and WOW what a difference. I am now at 120 degrees flexion and 4 degrees extension, can ride a bike for 2-5 miles and am back at my job which is as a nurse. My pain is very rare, but swelling does continue. But, after 6 years of not being able to walk for more than 5 minutes without pain I am so happy. The manipulation wasn’t all that painful. Go for it!

  95. Shayna on July 25th, 2011 3:45 pm

    I had a TKR April 13, 2011 which went fine. I did get a rash that I now think was cellulitis or an infection. I am 32 and have been very athletic my whole life. I played soccer for 15 yrs, even collegiate level, amid other sports. After 4 surgeries on my left knee (ACL reconstruction, revision and multiple scopes) and 3 on my right (ACL reconstruction, scope and meniscus tears), I had to have a replacement. Too much degenerative OA in the joint, which also runs in my genes.
    Everything went well and I have great extension to 0 degrees (better than Pre Op) but felxion is only around 110-115 (10 degrees short of flexion Pre Op). My surgeon convinced me to try manipulation based on where he feels a pull on the interior/medial side of my knee. He thinks it is scar tissue impeding my ROM. I have been hard core about my PT, 2x a week and very aggressive. Also stretch, ride my recumbent bike and eliptical daily. I am scared to death of this manipulation and I am not sure what to expect!?!? I hope I am making the right decision, as I am not sure that my surgeon’s goal to get my flexion to 130 degrees after 14 weeks is achievable. Anyone have any thoughts? Words of wisdom or what to expect after manipulation? I am done with the daily pain and stiffness….especially after 17 years of this.

  96. Elizabeth on July 28th, 2011 2:56 am

    I had TKR on 6/6/11 and I am having a great deal of swelling, pain and stiffness. I go to PT 3x a week, work very hard at PT and very dedicated to my strengthen exercises at home. My flexion is only 94 and my doctor feels I have scar tissue that is preventing me from further ROM. My surgeon has recommended manipulation on August 10th. I am also very nervous and don’t know if it’s the right thing to do. I really feel if I get the swelling to go away, I could push the knee a bit more and get more ROM.

    I would love to hear feedback and pros and cons of manipulation.

  97. Sue on July 28th, 2011 11:14 pm

    I had my TKR on 4/28…did PT 3x a week and had the manipulation done on 7/25 and only gained 10 degrees and now am up to 100 degrees and only doing PT 3x a week still. Does this sound right?? I am very disappointed and upset with my progress. The doctors office said patience and time…and PT. I don’t feel like PT is pushing me hard enough….any suggestions or comments?? Thanks : )

  98. nancy on August 15th, 2011 2:48 pm

    My tkr was on Feb 24. I had a manipulation on June 14 and have been to PT almost every weekday since. It was cut to 3x per week toward the end of July and now 2x per week. I work it at home also. FINALLY after almost 6 months I am starting to feel much better. I was stuck about 90-93 before the manipulation. Right afterward, I was about 110. I plateaued at 115 for a few weeks. My doctor ordered a few more weeks of PT for me at the end of July adn it has paid off. I can now bend it to about 118. My goal is 120. The manipulation was a godsend for me. You have to work and it has to hurt, but it does pay off. I can even walk down steps like a normal person now. My advice is to have the manipulation, work with a good dedicated Physical Therapist (mine have been GREAT) and a doctor who wont give up on you. I am glad I did
    and so happy that I am finally feeling like a human being again.
    Keep working and dont give up. Give it all you’ve got and stick with it.

  99. Sue on August 16th, 2011 1:36 am

    I have finally reached 105 and got to 108 with pain. I am still doing PT only 3x a week and have never done 5 days. They just put me on Lyrica today for the nerves in my leg so I am curious to see if there are any changes and if anybody else has had this prescribed to them. My leg still gets really stiff if I sit for more than 1 hour. I am now doing pool therapy and the therapist thinks she will get me to where I need to be at 120. It has been a long painful road and I really want my life back!! I for one would never do this again unless I was going to wind up in a wheel chair!! Wish me luck and good luck to everyone!! : )

  100. Bud on August 17th, 2011 7:46 pm

    Sue, I haven’t taken Lyrica. I too want my life back. I would’nt do this again eather. It’s been 10 months, I have more pain and stiffness than before surgery. I just found out about Manipulation through this website. I have that crackling sound to the point where people ask me “whats that noise”. I want to find out why my doctor didn’t tell me about this sooner. He x-rayed it 5 months ago and told me I had scar tissue but if I worked real hard it might go away. I have worked very hard and it’s worse. So it’s back to the doctor, I hope theres something that can be done. I can’t stand not doing what I love to do any longer.

  101. debbie on August 18th, 2011 5:19 pm

    I just found this website & i have been reading thru the chats..i had a tkr on June 2/11 and have been doing phsyio for the last 2 mo. This is my 3rd major surgery on my leg and they are telling me that because of that there is a lot of scar tissue, i am only at 80 on the bending but the one thing no one is talking about is the straightning, i can not straighten my leg at all the most i get from the straightening is 23. Does anyone else have the problem with straightening the leg?? because the doc and the therapist both take 2 measurements.. could some one let me know on this. they are talking about manipulation and there are not to many good things written regarding this, keeps it real scary. thanks for listening

  102. john on August 18th, 2011 8:32 pm

    I sympathize w all as i know the full pain of this TKR may 6 /11and secondly manipulation july 14 /11, then after manipulation my back went out for about 8 days which totally dismissed my knee pain ,but through all that i am starting to work my knee steady and increasingly harder almost can do stairs up sill easier than down and continue w p.t. My question is after 14 weeks is it a good idea to start pool exercises ? etc. swimming ??

  103. Tony on August 19th, 2011 1:44 am

    Had a total knee replacement in April of 2011. Multiple complications, but after having a physical therapist with a brain, I am starting to see a light at the end of the tunnel. And it’s no longer an oncoming freight train!
    Stay positive, for better ROM and built up scar tissue problems, ask your therapist about a Joint Assist System. The JAS was recommended to me by a therapist who said it’s painless. She wasn’t lying, it takes time, but you do it yourself and you make the adjustments according to your comfort levels! It works, and after what I thought was going to be a career ending injury, I will soon be able to have my life back.
    Take any additional weight off that you can as well.
    I hope this helps.

  104. debbie on August 19th, 2011 2:32 pm

    Thanks guys but i also have another question, i am still on crutches, i cannot walk unassisted, is this normal, again my tkr was June 2/11 and if so how long before this all gets normal again?! My PT is starting me on pool therapy this week and it isn’t 14 weeks for me yet, i don’t know whats to soon for each individual..i was reading about this manipulation that it should be done before 8 wks i am over 8 wks and my doc won’t be back from holidays until Sept.!! anyone had this done after this 8 wk mark and did it still do some good?? What is a Joint Assit System?? Lots of question sorry about that but i feel so uninformed regarding all of this..and usually i am quite informed about everything i do, but somehow in all that i read before my surgery i never read anything about this scar tissue being a problem!! Thanks Guys

  105. Sue on August 19th, 2011 6:17 pm

    Hi Bud and Debbie…I do believe the manipulation is helping now and I just reached 111 today with pain but that is a milestone for me! The pain after manipulation isn’t too bad….go for it!! I finally lost my cane…and can do steps slowly but without it!
    Hi Tony…thanks for the advice on the JAS…..I will mention it to my therapist. Thanks!!
    Hi John….I have done 3 sessions of pool therapy and find it easier and feel it has helped me alot!! Go for it!!
    Hopefully in a couple of weeks I can go back to work and will have my life back………good luck to everyone and hang in there!! I was and have been discouraged and am finally feeling better about all of this….have a great weekend! : )

  106. nancy on August 23rd, 2011 11:05 am

    Debbie
    I had my manipulation at 14 weeks. It was a godsend for me. I was at 90 with pain before and will be released from PT tomorrow at 120. I’m almost back to normal.
    If you have no conditions like osteoarthritis and your bones are strong, you should be fine.
    I was warned about the possibility of femur breakage and it terrified me, but I had no other risk factors, I am relatively young (55) and Dr said the chances of femur breakage for me was about one half of one percent. I am VERY happy I had it done. Talk with your Doctor, and GOOD LUCK.

  107. debbie on August 23rd, 2011 9:10 pm

    Thanks Sue for the encouragment, I have read your posts and it seems like i am right on schedule for feeling discouragment!!, i am just about at my 3 month mark and i am feeling very discouraged by this whole process..but reading your posts gives me some hope, thanks for that!! I am doing pt 2x a wk right now (well actually one of them if pool therapy) and exercises at home and lots of walking with crutches but its walking, good for you sue off of the cane! I can hardly wait for that day. Can you let me know what your extension was because mine is just not moving at all nor my leg bending when i am laying down if i am sitting i can get quite a good bend in it, but not on the extension. Thanks for the help.

  108. Susan on August 23rd, 2011 10:55 pm

    Hi Debbie….as of last Friday I am at 111 with pain and 108 without….still have a way to go to hit 120….but you should be doing PT 3x a week. I do 2 pool and one land…..good luck!!! I would encourage the manipulation even though at first it feels like your leg is worse than before the manipulation.

  109. Maureen Pellegrin on September 9th, 2011 11:23 am

    I had a tkr 7/25/11. Brief hx: I had prior surgery 1970 and 1972. Shattered knee cap in ’72, had it removed, with no knee cap replacement. Last 12 months lost ROM, and could only walk with crutches. Too much pain to sleep.
    Immediately after surgery, pain was gone. Only have healing pain. Cannot get ROM past 65, was only 85 prior to surgery.
    Now doc wants to do manipulation. I have only had the Dynasplint one week, which has been very helpful. I do therapy 3x week, plus daily at home. Water therapy starts today.
    Question: has anyone had tkr without having a knee cap? I want to postpone manipulation at least one more week and give the dynasplint another week to work.
    I am 55, and scared to death of going back in hospital for two days.

  110. Sue on September 10th, 2011 1:17 pm

    Hi Maureen…..I feel the pool therapy made me progress more than the land PT. Good look with it and I do have a knee cap and didn’t know they did surgery without replacing it!! I had my TKR on 4/28/11 and am still at 114 bend….hoping to reach a 120 soon!!!

  111. Janet Webb on September 14th, 2011 7:39 pm

    I am so relieved to have found your comments. I felt alone in a desert. I have had two TKRs on my left knee since last November, plus three manipulations. I also had three previous “clean out” scopes. I cannot get back a decent rain of motion. My last manipulation was last Tuesday. I had to lose my mind with pain to get two shots after the procedure, unlike an earlier manipulation with the same doctors in late March. At that time he got me to 108, but scar tissue took it away. Last week, I was sent immediately to rehab the next two days. The PTs bruised my knee and made with cry out with pain. At home PTs have pushed me very hard and with far less pain. My doctor doesn’t really belive in fibromyalgia and its effect on pain and attacking muscles, etc. After a year of my life destroyed and me worse now than after last week’s manipulation, I am going it on my own with the exercises I have learned. The common theme I believe, is revision is a new revenue stream for docs and they don’t know half what the implications are afterward and how to fix us. Multiples manipulations I think bring more risk of scar tissue and more pain. Our knees are not being allowed to heal properly at TKR time, we are dumped from hospitals, sent to rehabs with poorly trained PTs and told too often we are not working hard enough. This is a major medical issue, thank goodness for the study, but my knee is swollen, bruised and worn out. I will not risk anybody touching it again. Orthos also have huge ego issues and often times are poor listeners. I have gone through this nightmare with three different doctors. I have a better knee with my second TKR, but the same poor outcomes in terms of motion and pain.

  112. Michael Myrick on September 22nd, 2011 8:20 pm

    Am 62yo very active male who enjoys playing golf(walking) and do a lot of upland bird hunting(walking also)….had tkr on Feb 2 2010…..severely damaged my knee when 20yrs old an had the old style meniscus removal done then with a 4 in scar and very little PT but was a HS coach at the time and did mostly quad building exercises at the HS weight room. Ten years later had to have the knee scoped to clean out the scar tissue from the first surgery. For the next 30 years I got by with fluid drains and numerous cortisone shots until I finally reached the enough is enough point. My surgeon was a golfing friend of mine and he explained all the finer points of what the surgery would entail…including the PT part !! The first day or two post op, the in house PTs put me in the CPM machine at which I was already @ 74 dgrs bent but not quite straight. I was released from the hospt two days later and was to have a home visit P T see me for a few sessions before the “real PT regime ” was to begin. The lady was very knowledgeable but very unsympathetic in the amount of pain that was to be administered in the next few visits. I was allowed to keep the CPM machine at home for the entire duration of my post op PT experience. I used a walker for about 2 weeks then proceeded to cane for the next 3 wks. I was somewhat amazed that I had to learn to walk all over again in a proper manner because I was “training myself to limp” according to the PT. My appetite was non existent and I was loosing weight but was severely irregular due to the Vicoden I was taking. The constipation was a very severe problem so I decided to stop taking the Vicoden. I was going to “tuff it out” !! The first few days at the PT facility was a REAL grueling experience.I was pushed through the usual knee rehab exercises and some I am sure no one has mentioned in these pages.Did anyone spend time in the LIDO ChAIR ??Did anyone kneel on the floor on two pads and then bend backwards ?? I am sure you all had your favorite “torture” exercise to look forward to each session but my point of mentioning these two was the PTs threat of avoiding the manipulation man. I constantly asked why the massive amounts of fluids on my knee could not be drained off (aspirated) as I felt this would help me a great deal in reaching my ROM goals because the fluid build up was blocking my motion in both directions. I was always met with the same answer….we can’t risk the infection….hell, the entire surgery was a risk of infection !!! I actually started to improve in attitude when I was able to walk up and down stairs w o grabbing the hand rails. The flexing and straightening were constant painful goals and I know what everyone went through. I went through 5 wks PTx M-F and then decided I would take it from there. The most important thing I learned was the PT would be a lifestyle component if I was going to maintain my activities. I am glad I had the surgery done but was not prepared for the “boot camp” that was to follow.I know I went through some mild depression dreading every day at therapy… But was able to see the light the day I conquered the flight of stairs!!! My flexion numbers aren’t fantastic (105) on the Lido Chair but my straight numbers are good.I wasn’t going to be a major league catcher anyway!! I will be 2yrspost op in Feb 2012 and and enjoy golf (walking)and hunting(walking) with very little pain or swelling. I also ride my bicycle and my main life saver is my Elyptical machine which I use 4 times per wk at 30 min on level 12. I also do some weight training with leg extensions and the hip sled. I feel the legs are the most important part of the body and keep both as strong as possible. The quads are extremely important to keep strong….the more I work them the less pain and stiffness I have. Your mobility is everything!! Good luck to all and God Bless !!

  113. Debbie on September 25th, 2011 3:34 pm

    Hi everyone i finally have a date for the manipulation oct 4 and they are going to immediately put me on the Continuous Motion Theraphy machine. Has anyone been on one of these they look very painful??? Please let me know what or if it helped and has anyone had to use one after the manipulation, the are also going to put me on a JAS (joint assist machine) at home?? I understand about the PT seeming like torture but when i look at CPM machine they may as well lay us on atable and stretch us like they did in ancient times!!! looks scary but does it help?? I can’t find a whle lot about it on the computer especially about the degree of pain while you are doing it and yes i am leery about pain because the hospital sent me home without any pain meds when i had my kee done..i sat like that for about a week before i could not stand it any more!!! Any ways any feed back on these two devices would be greatly appreciated.

  114. Jan on September 25th, 2011 8:41 pm

    Add TKR March 2011. Have gone through all the PT insurance will provide and got to 110 with help, 95 on my own but now I am loosing motion and always in pain. Dr. wants to do munipulation but after 7mo I am worried he will break something. Second Dr. did not recommend munipulation bot a torture board. He said it is painfull but would increase my range. The JAS sounds even better. Has anyone had munipulation at 7mo?

  115. Susan on September 27th, 2011 12:23 pm

    Hi…just wanted to give you an update……after 5 months I have finally reached 118 range of motion. I am doing the steps much better and the pain is pretty much gone except on PT days. I am still not happy with my bend and plan on keeping up with my PT and then will continue at home once the insurance stops. I really don’t like the way my knee looks bigger than the other……is everyone elses knee bigger than the other after the swellen went down?? Also, Is there anybody that has their knee feel like it has a fever. Mine gets really hot at times…..what does that mean??? Have a great day everybody on my way to PT. : )

  116. ron on September 29th, 2011 6:20 pm

    i had TKR 5/4/11 i’ve had home pt since day 5 after surgery till 3 weeks after. i’ve done outpatient pt rite up till 2day 9-29-11 i also work it at home. i’m 54 & work a very physical maintenance job & have been out of work since the surgery. it’s also a work related injury goin bak to july 09. i’ve made good progress thru pt but i only can bend my repaired knee to 111 on my own they can get it to 120 with tremendous pain as of 2day. i can see this is better than most of you that have posted on here. to do my job safely i need my knee to bend closer to 125 with my good leg. my surgeon has mentioned a manipulation to remove scar tissue which is causing my lack of motion in 4 weeks if i dont get the ROM from pt & more surgery scares me. work is pushing for me 2 return & i dont have any lite duty with my job. can any1 tell me how much improvement they have gotten thru a manipulation so i can decide if i should have it done or keep at it thru pt. the therapists have said 120 is the best they have seen & i’m at as good as they’ve seen or better. this has been quite frustrating to say the least

  117. Monty Newton on September 29th, 2011 8:58 pm

    I am just over 7 weeks out from TKR on Aug 9th. I like to think that ‘fever’ – is a sign of healing. It is blood flow, and while surely related to inflammation, it can’t be all negative.
    I currently have about 110 degrees flex, and straight extension. Been here for about a 10 days, kinda hit a plateau. I do PT 2-3 times per week, daily exercises 3 times, and the gym between PT. Stationary bike, stairs, pool walking, squats, long walks. and I have returned to my Tai Chi classes – which is quite good, no impact, but demands balance control which is good. and I have to listen to PTs tell me I am not working hard enough. I expect much more flexion – since my pre-op was 140. I had no flexion issued prior, and hope I can get at least 125 degrees. and yes – the new knee is bigger – still swollen some.

  118. Karen on October 13th, 2011 8:11 pm

    Wow! After reading all of the other comments I feel like a whiner. I had TKR in 2/11 and my ROM is -1 to 145. BUT! It’s very painful every morning to start walking again or any time I sit for that matter. I’ve tried walking a mile or so and that doesn’t help. I tried NOT walking a lot, and that didn’t help. I tried stairs but need to pull myself up and forget going down. I haven’t tried pool therapy yet but I don’t think bending is the stiffness issue. Could be scar tissue. I’m seeing the doctor on Monday and if he gives me the “it takes time and ice” again, I’m going for a 2nd opinion. Something isn’t right. Pain is just below the knee cap.

  119. Nancy Abbinett on October 16th, 2011 9:33 pm

    Had TKR on July 21, 2011. Have had sciatic complication since that time…lots of pain with that. I have a lot of pain in flexing the knee and after three months of physio cannot bend more that 75 degrees, extension is also very painful. Have been doing physio 2 x week, and also do at home. Can get around alright but the bending is extreely painfull. Am considering alternatives such as manipulation.
    What is the Dynasplint ? Can the physio do this ?
    I have arthritis throughout body, especially legs and feet. I can’t really exercise to lose weight because of these problems…I though TKR would help but now I am disabled, depressed and dependent on other people to help me .
    What options do I have now 12 weeks post-surgery.

  120. Nancy Abbinett on October 16th, 2011 9:46 pm

    Had TKR on July 21, 2011. Very painful sciatic complications. Experienced painful flexion from first physio…2 x week for three months now. Have achieved 75 degrees flexion and with extreme pain. I do mainly flexion exercise at home because that seems to be the most difficult. Pain of varying kinds is my constant companion. No position is comfortable after a few minutes. Using pain Rx, but nothing helps with the sciatic much. Have dull pain in and around knee all the time. Can get around okay, but gait is not very good yet. Doctor is not very helpful and thinks I just have to work harder and suffer the pain in order to get better. Am considering alternatives such as manipulation. What is this “Dynasplint” ? Can a physio apply this, how does it work ?
    After three months and still not able to drive I am disabled, depressed and dependent on other people to drive me and my granddaughter around. I am very disappointed and demoralized at this point !

  121. Kimberly on October 17th, 2011 5:19 pm

    I went through a TKR on July 18, 2011. I have been working very hard on my rehabilitation and physical therapy. I am at -2 % on my extension, but I’m still having problems with my bending. I have gooten to about 100. I have been extremely swollen, but have seen progress still. Is this something that is normal and will I be able to bend my knee further as the swelling goes away? I can come up stairs pretty well, but I am having difficulty coming down flights of stairs still. My operated knee just does not want to bend enough with this. Any and all comments are appreciated. Thank-you.
    Kim

  122. Maureen Pellegrin on October 18th, 2011 4:43 pm

    I had my tkr July 25, 2011, and could only reach 70 bending at the most. I do not have a knee cap through previous accident 37-years ago. I had a manipulation Sept. 12, was scared to death, hated the entire three days in the hospital, but can now bend 110 on my own. I have been at rehab 5-days a week, take off Saturday, and see a trainer at my gym on Sundays. I bike and walk, and work on hamstrings. Hardly any pain until I start falling asleep at night, then all hell breaks out, and I take a pain killer and go back to sleep for the night. Prior to the tkr I could no longer walk, was on crutches for 3-months. I keep a walking stick with me that I can use as a cane if needed (down steps) but otherwise walking on my own.
    I am actually happy I had it done, and very blessed I had a great surgeon who would do the surgery with my history.
    Good luck to everyone.

  123. Pat on October 19th, 2011 4:27 am

    I had a tka on july12,2011 had awful home post op care, started going to out patient PT, on the first day I had 15 degrees extension and I believe 75 degrees extension, starting going 3 days a week. Went back to work 2 months after surgery with my extension at 4 degrees and flexion at 96. 3 weeks later,my flexion was 78 degrees and I had 5 cm swelling on the operative side, MD suggested Manipulipation then aggressive therapy(5 days a week) this had done wonders , I am now at 110 degrees and riding a bike at 12 miles an hour. If you are having problems oh please go for the MUA it makes a difference.

  124. Cindy on October 26th, 2011 10:29 pm

    I have read with great interest other peoples’ comments about their TKR experience. My surgery was 8/22/11. Everything went fine. I started with in-home therapy 3X a week, doing everything I was supposed to do. Then I transitioned to outside PT and have faithfully gone 2X week for the grueling sessions. They also gave me a leg extender that I use at home twice a day. My knee is still stiff, achy, and won’t bend beyond 95 degrees. I have also been going to my gym and doing the exercises on the eliiptical, bike, and weight machines. I don’t know how much more I can do but somehow I’m made to feel that I’m not doing “enough.” This recovery has become a full-time job for me. I also haven’t slept through the night since 8/22 so I am sleep-deprived and worn down. I’d like to think I made the right decision with this surgery but I’m not convinced. Does anyone have any suggestions?

  125. Tony on October 27th, 2011 12:07 am

    Hey Cindy,
    Keep your chin up! It will get better. I had my tkr in April and am still in pt 3 times a week with 95 degrees of movement. It takes time. My dr actually was very honest with me rite up front and did say it would take 8 months to possibly a year. Other drs told me 4-6 months, which I knew wasn’t true from the beginning. Also, don’t OVER excercise! I did that, thinking it would help? And all it did was increase swelling, which made it harder to bend the knee.
    Hope this helps. And you’re not alone!

  126. Nancy on October 27th, 2011 11:11 am

    To Cindy – your experience sounds a lot like what I went through this year. I had surgery 2/24/11 and, like you, did everything they told me and more. I could not bend past 90-95 either. I did have a manipulation done on 6/14/11. It was the best thing I did. I was at PT 5 days a week after the procedure for the first month. My doctor let me continue pt until the end of August because I was showing progress. I worked my knee until I hit an easy 120 bend. I am “almost” normal now – can walk normally, walk up and down steps without pain, I can turn over in bed at night without waking up screaming, and my life is almost back to normal. I’ll never have full bend, but can live quite well with the way it is now. Talk to your doctor about a manipulation = compared to the surgery, it’s a piece of cake! Mine took 3 minutes and I’ve reaped some great results. Don’t give up yet. And if your PT is not supportive and helpful, find one that is and will work with you.

  127. John on October 27th, 2011 2:03 pm

    Hi Cindy ,you are 2 months into your recovery,i would suggest give it some time to heal ,things should settle down ,i know i had similar issues my TKR was may 6/11 and its still improving

  128. ron on October 31st, 2011 12:35 am

    nancy i noticed u had a good experience with your maipulation surgery about 4 months after your TKR. that makes me feel somewhat better about going that route. i wrote a comment on 9/29/11 about my TKR it’s been another month of PT & the knee is stuck at 110 rom on the bend. my surgeon is going to seek approval for a manipulation now. he said i have alot of scar tissue thats the major cause of my lack of bend & a 15 scope to laser it out should fixx it to where i can bend it & get back to work..

  129. cindy on October 31st, 2011 1:44 am

    Thanks John, Nancy, and Tony for your words of encouragement. I will keep plugging along with my PT and exercises. I do see my doctor this week so I will get a progress report from him. I also purchased, on the recommendation of my PT, a device called “The Stick.” I got it at a running store. You roll it across muscles and it really feels good. I use it when my leg muscles are achy and tight.

  130. Monty Newton on October 31st, 2011 4:46 pm

    Cindy – you might be overdoing it. Take it easy, and use ice as often as you can. Tony – I am always overdoing it – but then, most PTs seem to think you cannot overdo it. but that may be from dealing with people who really have to be pushed to exercise. I have been a gym rat all my life, so I embraced the work. but the swelling – does prevent reaching that ‘end point’ on range. I am not sure what timeframe my doc told me for recovery. I think possibly I heard what I wanted to think – which was ‘a few months’. Heck, he may HAVE said ‘a year’, but I probably thought ‘no way, not with me’. Now that I am three months out, I realize it can take a year. Nothing I ever had happen to me (previous knee surgeries, shoulder, car wrecks) ever took longer to recover from than ‘a few months’ – but this sure is different. I am humbled.

  131. Nancy on November 5th, 2011 12:36 pm

    Hi Ron
    Due to unusual circumstances I did have the manipultation done in the 4th month after surgery. I was only at 90-95. The doctor did the manipulation because I was just outside the 12 week “suggested:” time, I am relatively young for this operation (55) my bones are very strong and I have no history of osteoporosis or osteoarthritis. I was happy to have had it done. I had PT for 2 1/2 more months though. The flexibility I gained in the last month of pt was worth ALL of the PT I had. I went from 110 top 120 and it made a huge difference. Good luck!

  132. Sue on November 12th, 2011 2:07 pm

    Hi…just wanted to give everyone and update. Since having my TKR on 4/28/11 and returning to work in October I am pain free for the most part. I was stiff at work for the 1st couple weeks and had pain….not sure if it was the cooler weather or just being more active. I still have problems going up and down steps….but as long as the pain is gone….I will deal with the steps! I am not sure what my range of motion is but have a doctors appt on 11/30 and will keep you posted. All I can say is don’t give up……I was very discouraged and depressed that it took 5 months to get to this point. Hang in there everyone and have a great day!!! : )

  133. Cindy on November 12th, 2011 7:31 pm

    I posted once before about my frustration at not being able to achieve flexibility despite doing everything I was told to do. A week ago, upon my doctor’s advice, my knee was manually manipulated. I am now BACK using my walker, after having been driving, going to the gym, etc., and only sleeping in two hour stretches. I do have better flexibility and my doctor considers it a success but I felt like I had been run over by a truck immediately after the procedure. I was in so much pain my doctor took xrays to make sure no bones were broken. I am still a little swollen and am basically starting over with the exercises, etc. I wish I had known how debilitating (although temporarily) this procedure can be to some patients. It was NOT a piece of cake for me. Please ask many questions before you have it done! I did not, and it really caught me by surprise.

  134. ron on November 15th, 2011 12:11 am

    hi cindy i had my TKR 5/4/11 now i’m having a manipulation dec 5th along with laser surgery to remove scar tissue i hope it isnt as bad as your experience. my dr said alot of scar tissue is preventing me from bendin my knee to what i need to b able to work safely. my job includes climbing, kneeling, squating, carryin heavy tool bags, & parts, working around trackbed on rail equipment. so i need it bending about the same as my good knee to work safe.

    sue thx for your update i’m 6 months out & still cant return to work pain is gone just stiffness & lack of AROM

  135. Denise on November 15th, 2011 4:23 am

    I feel so bad for some of you. I realize that everyone is different and not all surgeons do the exact same surgery either. I had a TKR on 09/26/2011 and I went home and had 3 visits with the nurses and 4 PT visits at my home. I saw the doctor on week three and I went back to work on week 4. I realize I am 52 yrs old, but my surgeon is a wonderful surgeon. He did my total hip replacement a yr. ago in August, 2010, and I was able to go back to work after 3 weeks. I will admit that the knee replacement was more painful than the hip, and I will also admit that the PT was painful. Fortunately, I did not have to go to any other PT other than the four times at my home. The doctor told me to use it and that’s what I do. I am very thankful that I did have the surgery as I was very scared but it was well worth it. Remember, everyone heals at a different rate and recovery time is always personal. Too bad the hospital bill wasn’t as easy to swallow! LOL!

  136. Monty Newton on November 15th, 2011 9:23 pm

    I am at thirteen weeks post op – and have been stuck at less than 110 flex for 6-8 weeks. I got it straight, but no matter how hard I work, I can’t get the flex to progress. Actually – it is probably more in the 90-95 range – with some work, loosening and warm up, and some painful pushing – I get the 108. Most TKA would be happy with this, but it won’t work for me. I had full range prior to surgery. I have appt. tomorrow with surgeon to discuss possible manipulation. I hope I get the results Nancy got – our situations sound similar. Will let everyone know how it goes.

  137. Nancy Abbinett on November 15th, 2011 9:57 pm

    After reading about the Graston Technique on this site I decided to find a practitioner and giveit a try as an alternative to manipulation. This technique helps to promote the breakdown of scar tissue.

    I had one session this past weekend and felt immediate improvement. I go back again and will give it a few sessions. The surgeon can’t do anything and it is a waste of my time to continue seeing him. In general the knee feels better, not so tight but I don’t know what degree of flexion I have. I will let the surgeon check that next week, then stop seeing him after that.

    For Canadians, the write-ups are expectedly negative, but I say, give it a try. Physio’s can’t do everything, and generally will stick to their own techniques and probably not be interested in anything new or seemingly untried/unproven.

    So for those of you suffering from “scar tissue” check out thie Graston Technique and find someone who canhelp you before trying any manipulation.

  138. Steve R on November 16th, 2011 7:26 pm

    I am 38. I have been having knee surguries since i was 10. I beleive i have had 4 not including tkr and manipulation. I had tkr on 9-15-11. After 8 weeks of PT was only at 50 degrees flex. i had manual manipulation yesterday 11-15-11, I did require surgery to have scar tissue removed during this procedure. I think pain from this latest procedure is worse than the tkr. I did have morphine for 3 days after tkr and oxycodone after manipulation so than would explain the difference in pain level. I now have 54 degrees flex 1 day later, I have high hopes that the flex will increase as swelling goes down. I have been using cpm machine for 4 hrs on 2 off since I returned home yesterday. I think this is helping retain what little flex I have and will continue to use it for the next week. I think if I had this to do over I would have opted for a regular scope and waited to do a tkr in another ten or fifteen years. Good luck to everyone that decides to go through with this procedure.

  139. Cindy on November 18th, 2011 8:56 pm

    Others have mentioned the Graston Technique and my physical therapist has been using it along with the traditional PT activities for awhile now. I do believe it helps- sometimes she digs pretty deep! She is also using it to try to stretch out my quad muscle, which has become weak since my surgery last August. I am now 2 weeks out from my manual manipulation, the swelling is just about gone, and I continue to attend PT 2 X a week along with 6-8 exercises I do at home. My leg was strong enough to drive prior to the manipulation but I’m not quite there yet. I alternate between using a cane and a walker. I’m taking each day at a time but would like to be up on my feet for the holidays (as would all of you, I’m sure!). Thanks for your comments and words of encouragement- they’re very, very helpful to me. People who have never gone through this procedure have no idea the time and pain involved in getting back to where we all want to be.

  140. Sue on November 20th, 2011 7:29 pm

    Hi….I had my TKR on 4/28 and the manipulation in July….I finally returned to work in October. I thought the pain would never end and I wasn’t ever going to bend past 115. Well the pain is gone for the most part and I am finally go up and down steps almost normal and really don’t care if I get any more bend….as long as the night mare is over. All I can say is hang in there….and my doctor said it would be almost a year until I would be completely recovered. Just do your therapy and I found that pool therapy gave me more range then the land therapy……Have a great day and hang in there…………it does get better…..and I never thought it would!! : )

  141. Karen on November 21st, 2011 6:26 am

    This is to Steve R, WOW! I feel your pain and frustration. I am 44 and in the same situation as you. Hang in there!! MY TKR was almost a year ago and was the worst decision I ever made and I am doing anything and everything I can to help rectify the problem. I am due to go back to the surgeon and see if he can “fix” the problem so the knee can bend and I can walk again. Until then I live every day in terrible pain and discomfort hoping one day the stiffness will just loosen on its own and the scar tissue will free up. I’ve tried almost everything there is to try and NOTHING works. I hope things work out for you and you’re not as bad off as some of us are, especially at your young age. Make sure you check into the possibility of the manufacturer recall on the appliance. They are looking into that for me. Good luck and I hope all turns out well!!!

  142. NANCY ABBINETT on November 21st, 2011 8:55 pm

    Before having manipulation, which can leave you in worse condition, try to find someone in your area ( chiropractor ? ) who is certified to do the GRASTON TECHNIQUE. I have had months of impaired flexion and painful extension after the initial TKR and with a sciatic nerve complication as well. This Graston Technique is definately helping to break down the excessive scar tissue and improve the range of motion. More surgeons and physios should be aware of this and willing to either learn it or refer people to practitioners of the technique. Surgeons are not gods and they are mainly interested in lining their own pockets…so you figure it out…if surgeon says you need another trip to surgery to fix the problem created by the TKR…question that and look for other alternatives. I don’t know if this Graston Technique will be the ultimate solution, I may never have perfect flexion or extension but I felt better after the first session and it continues to get better, so I have to think that there is some merit in it. At least now I can walk better and don’t have so much PAIN when I flex or extend the knee. But without nerve pain medication the sciatic is still a problem.. The sciatic nerve system runs right through those muscles the surgeon had to manipulate during the surgery and I think that this is responsible for all the pain I have had through thigh and low back.
    I didn’t even go to my surgeons office today, for another 2 minute consultation, with reminders to keep working through the pain…I won’t go back until I can see some very real and lasting improvement.

    Good luck people.

  143. Rob R on November 22nd, 2011 12:55 am

    I wanted to post this on this manipulation site as a follow up to my story that I posted last night on the related site joint-stiffness-complications. I have been reading the postings on this site and wanted to give anyone that has been suffering for more than a year after their manipulation an option to find out about a possible alternative for the complications. After my TKR surgery I had the home PT come in, I had the Dynasplint for a few weeks and I was on Oxy and Vicodin for weeks. I was unable to work for 2 months. My PT was 5 days a week, 2 hours a day. My OS wanted me at 120, I was prob 75 after the manipulation. I started with electo on the joint to warm it up, then rode a bike for 10 mins to keep the knee loose. Then to the back room with the door closed, on a gurney with a rag in my mouth and tied down. I never got past 110. I can’t even start to describe the excruciating pain I went through during this procedure. Light headed, tears and one time blacking out.
    After about 4 weeks of this therapy from hell I made an appointment with my OS and told him I couldn’t do this any more. He decided to try no therapy at all, give my leg a break from the therapy. I knew in my own mind something was not right with the surgery or the manipulation. Every time I called my OS for an appointment I ended up seeing his assistant, always being assured all was normal, hang in there and it will get better. About 9 months after the original surgery I had X-rays taken, again I was told everything looked great. In 5 or 6 visits to the OS office I never got to see my OS, always his assistant. Finally after 18 months of this hell, basically in constant pain, no flex with my knee, using a cane to walk I demanded a meeting with my OS. At the office visit he seemed shocked that I was in such a bad state and in so much pain. He said even though the X-rays showed everything normal he was going to refer me to the Nuclear medicine department at the hospital. It had taken 18 months of misery, losing my job, my marriage, constant unbelievable pain in my knee, almost total immobility before my problem was finally diagnosed. The nuclear medicine dept found that the insert had come loose and there was an excessive blood build up around the implant.
    Unfortunately I could not have the surgery re-done that my OS had scheduled me for 5 days later because my Insurance had expired due to the loss of my job 4 months earlier. I am still in pain, unable to walk more than 50 to 100 yards without having to rest the leg.
    The point of this post is for anyone out there that can relate to my symptoms have your OS schedule you for the bone scan with the Nuclear Medicine dept at your local hospital. This is NOT the same as an MRI. MRI will not show the loosening of the prosthesis. Read my post on the sister site I referred to earlier. I posted this because I related to so many of you that are still suffering, totally frustrated with everything that has transpired since the original surgery, still in pain and regretting having the surgery done in the first place. It could be the same diagnosis they found with me. I wish you all well and if this helps just one of you out there then I have given you hope for your future recovery.

  144. rich on November 27th, 2011 5:19 am

    I have been in excruciating pain for a few years. I has a severe case of osteoarthritis and it had progressed to the point that my menicus was gone and all of the cartilage. I was bone on bone in both knees. It kept me from doing thing with my kids 10 and 6 years old. The wife was on my tail because I wasn’t moving fast enough… I even waited a year longer because our insurance had a high deductable and copay.

    19JAN2010 at 49 I had my left knee replaced (TKR). I was on the baseball field coaching little league at the end of March. My doctor may have objected had I told him but I was coaching. I wasn’t doing anything crazy because my other still hurt and was my strong leg for the time being. I am -1 and 132 in my range of motion on the left. I was comfortably pressing 150 lbs with just the left leg last week.

    05OCT2010 still at 49 I had my right knee replaced (TKR). I went back to work after six weeks, just like I did with the left. Baseball season hasn’t started yet but this knee has taken a bit more effort so far. I struggled after two weeks to get past the 45-55 degree mark and that really concerned me. I had in home PT people come… I’m sorry but thy watch what you do and tell you what to do but they are hand off. I called my doctor. I said in home PT is not getting me where I need to be and I would like to go straight to out patient and have a more aggressive therapy. He agreed and out patient PT is where I went. If I had not had my left knee done, I wouldn’t have known any better and maybe I would have been content with 45-55 at two week and a couple days. Fortunately I had the previous experience with my left. No offense to anyone but I think I am on the young side for TKR so I was bound and determined to get moving asap! So my PT for the last five weeks has gotten me past the 45-55 stoppage, then past another at 85-90 and I am happy to say my best posting on this knee has been 116 and I think I am -2 or -3 for straightening. I am confident that 116 is just another stoppage to get by and I will at or near 130 by years end.

    If you’re considering TKR, I think you find a surgeon who you feel comfortable with and someone you can and are willing to talk to. This is the person who is going to make you walk again! He or she will help straighten you leg if you’ve become bow legged, make sure the parts are the right size and your leg length remInd the same.

    You on the otherhand need to get moving. Don’t tell me it hurts! Tell me how you got up on day #2 and took a spin around the orthopaedic ward of your hospital. I had a four day and three night stay. The worst part was having a nurse remove my cathater. It was embarrassing for me, plus that damn hose seemed to be a mile long. Thank goodness is was asleep when.it went in – whew! I walked on day #2, day #3 and cleared the stairs on day #4 then went home. I had a walker but I kept walking away from it. I don’t recommend walking away from your walker because you will aggravate the leg and then it blows up like a balloon. I hated the swelling so I would be back on the sofa elevating my leg and icing it down. They gave me a KREG ice machine each time. Ask for one!!! They have a better one at PT called Game Ready. That’s the ice machine to have if you have 3k lying around… The KREG was covered by insurance.

    PT and your home exercises will get you up on your feet and moving again! Do your exercises!!! Don’t lie to your doctor, do your exercises!!! You will regain your ROM (range or motion) and forget about any discomfort you had and believe me, if the left had been a real nightmare, no way would have gone back. I did have an achy feeling behind my knee. They said the pain meds would not help so you have to deal with that but it’s worth it IMO.

    Good Luck if you are having TKR!!! And remember do your exercises!!!

  145. ron on November 28th, 2011 2:05 pm

    well i guess you lucked out rich. i did all my excersizes & 110 romm is all i have gotten since my TKR on 5/4/11 & thats w 5 months pt. goin in for a surgical manipulation on dec 5th to laser out scar tissue. it hasn’t broken with the pt & my exercisizes due to massive scar tissue. hopefully this will be it & i can back to work.

  146. Denise on November 29th, 2011 6:02 am

    I’m sorry, I don’t understand why so many variations when it comes to a TKR. I mean I do understand tha people are different but are the surgeons doing surgeries that are that different or what? I’ve heard that some of the doctors cut up into the quad muscle or something and that makes it harder but if your surgeon does minimum evasive surgery and puts the right size knee in, I cannot understand how there are so many different problems. Alot of you seem to be my age or younger so you would think it would make it easier so I have to believe it’s the surgery itself! Am I wrong?

  147. rich on November 29th, 2011 7:59 pm

    Best of Luck Ron!!! I’m sorry the ROM has lagged for you but I would be encouraged by the laser. It sure sounds like it would do the trick. I push hard. The PT lady will say do 20 of these and after 40 or 50 I will ask, what next? Let us know how you make out and try to skip the in home do nothing PT and go straight to outpatient PT if possible.

  148. ron on December 2nd, 2011 1:39 pm

    denise all i can say is every1′s different when it comes to how they deal w pain & recoverying from a surgery. i have a hi pain tolerance some dont. i’m just hoping this surgical manipulation on monday does the trick but i’m also bummed i have to go thru all the rehab again. i’ll do what i have to tho to get it done. i know some on here managed to get back to there jobs within months of thier TKR but they dont mention what they do for work. if i had light a duty job i could of returned but i dont. i’ve been told by at least 3 PT therapists not many go back to what u do for work. most of their patients have non physical jobs or are retired. thats not what i want to hear.
    thx rich & i will let every1 know how i make out

  149. Denise on December 4th, 2011 6:01 am

    I had my hip replaced a yr ago and took 6 weeks off and I knew than that I had to have my knee replaced soon also. I also chose to have the hip done first as the doctor told me it was an easier recovery than the knee would be. Of course, that scared me and I put the knee off for an entire year. I wish every one of you that is having trouble and is having to have the extra surgery done all the luck in the world. I hope it all works out and you have a speedy recovery.

  150. ron on December 6th, 2011 3:24 pm

    well just had my manipultion done yesterday morn i tell ya it doesnt feel bad. i took 2 perks at 1pm & 6pm then 1 at midnite & 1 around this morn at 9am. i used crutches leaving the outpatient surgical unit. they put me out at 7:05 & were done at 7:52 i woke up around 8:20 & left a little after 9am. by mid afternoon i was using my cane no crutches. only problem i have is the dreesing saturated with some blood under the ace bandage from the cpm machine. i am waiting on dr to c if i should change the dressingas they said change after 2 days. i had the machine at 85 degrees & could of gone more but didnt want to push it to much. i cant wait till i can get things goin to see if my rom is better i guess they got it to 130 during the manipulation after lasering out massive scar tissue. if i can get 125 that would b perfect for my return to work. i just thot i’d share this with you all that it wasn’t as bad as some have experienced but every1 is different. good luck to all going thru these very tough surgery’s.

  151. Katherine on December 9th, 2011 5:15 am

    Good luck to everyone. I am going to discuss manipulation with my surgeon tomorrow as he wants to do it on Tuesday. I just don’t know if I will go along with it though because I haven’t read anything positive about this procedure. It truly scares me. I’m leaning on continuing with outside therapy and inhome excercies.

    I twisted my knee the other night on the stairs and if I could have caught my breath, I would have screamed but the shock was too much. I simply sat down on the step and cried. My knee swelled and turned red/hot within minutes. I iced it the rest of the night but the pain was so intense, I couldn’t sleep. Is manipulation really worth it and does it actually help? I’m torn between doing/not doing it.

  152. Beth Hickman on December 11th, 2011 2:01 pm

    I just thought I would write something positive about manipulation after TKR. I had a TKR at the beginning of June this year and was only able to get my knee to about 90 bend so was a bit disappointed that I was unable to use my pushbike and also a bit limited with stairs and certain things at work. I went for a 6 month post op check with my surgeon expecting that it may be too late to have a manipulation but was booked in for a few days ago. Went down to theatre, an hour later was in recovery, then back in my room with my leg on a CPM machine set to 110 bend. The surgeon was very pleased with results, he carried out an arthroscopy to remove some scar tissue before manipulation, he managed 130 bend getting my heel to my bum. I have suffered hardly any pain post surgery and can still manage 110 bend. I have a physio appointment in 2 days time but I am very pleased I’ve had the surgery as having read some post was very apprehensive before!

  153. rich on December 12th, 2011 1:43 am

    Awesome Beth!!! I am still around 117-118. the issue I have been dealing with the release of the rendon / ligament. I now better understand what took place and why the release was needed. because I have been so arthritic for so long, the leg had bowed. to rectify the bowing the bones were cut in such a way that the leg was lined back up. as a result, the knee cap was positioned incorrectly and needed to be shifted. a release of the tendon or ligament resolved the issue but made it rather tender. I’m not screaming bloody murder but it is quite a bit of discomfort if I tweak it wrong or twist it like Katherine has. I know it will get better. I am two months and few days now and I have improved greatly in that relatively short amount of time. I may have mentioned, I have little league to coach “again” this spring. I can’t be on the DL (disabled list for you non baseball fans) again! we’ve also purchased paintball equipment so I will need to be able to move!!!

  154. ron on December 12th, 2011 1:54 pm

    it’s 1 weeks since my manipulation i can walk without a cane. the knee’s sore w still alotta swelling but i can bend it on my own about 95- 100 the swelling is preventing any more rite now. i can go up & down stairs normally rite now just enough bend to do it. he had me hold up on the CPM till i saw him this past friday. since then i’ve been using it at 120 max 2 hrs at a time. i will start with the PT excersizes 2day & prob outpatient PT after i see him this friday. it’s been sore like i said but tolerable as i’ve taken no pain meds since the day after the manipulation

  155. Cindy on December 25th, 2011 11:10 pm

    I’ve read with interest the comments on the website. I have also added my two cents worth in the past. After having TKR in August and a manipulation in early November, I feel I am now on the road to recovery. I suffered from horrible insomnia coupled with anxiety surrounding my inability to sleep. After speaking with my ortho doctor multiple times, who told me he didn’t believe in prescribing sleep meds for this sort of thing, I went to my family doctor and received a prescription that now allows me to sleep for about 5 solid hours before I have to hit the couch. But five hours is so much better than 1-2. So, I would recommend trying this for a temporary relief to the horrible insomnia that many of us seem to suffer from.
    Also regarding getting the leg to go straight: I was given a leg extention machine, many exercises to push down my leg, and warnings that if I didn’t get my leg straight, I was “screwed.” (my doctor’s words). So, my husband and I hit the floor- literally. He held my foot and pressed on my leg just above my knee. We did it twice a day for 4 one-minute sessions. Within two weeks my leg was flat and even had a tiny bit of hyperextension. My PT couldn’t believe it. We still continue to do it twice a day but hold it for only 2 minutes. It was the ONLY thing that got my leg flat! No gizmos or fancy machines!

  156. Denise on December 26th, 2011 6:07 am

    Cindy, My doctor told me the same thing. Lay flat and have someone push the leg from just above the knee and force it flat. Do this a few times a day for as long as needed. It did work. I had surgery at the end of Sept, this year and the left outer part of my leg was numb until just a few days ago. Now that the numbness is gone I hurt a little,

  157. rich on December 27th, 2011 4:27 pm

    Oct 5th was my last TKR. I am at 120-121 deg and -3 to be flat on the right leg. Left leg (Jan 19th) is 132-133 deg and -1 last time my PT lady checked. I will go to PT until the right leg gets to 132-133.

  158. Monty Newton on December 27th, 2011 4:38 pm

    My ‘straightening’ exercise – was to sit in a chair at the table, with my foot on a chair under the table. I squeezed a pillow, or wad of towels on top of the knee and the underside of the table. It pushed the knee down to straighten the leg. I would do that for 5-10 min – long as I could stand it, several times a day. It did the trick.

  159. Rose on January 9th, 2012 3:45 pm

    I had my TKR on July 26 11 and now 1-8-2012 I am have a manipulation I habe 110 rom but Dr want more. Leg straight but cannot bend . I am scraed sick about this. Have been told it is like have the TKR all over again. I hope not. Will seen.

  160. Monty Newton on January 17th, 2012 3:40 pm

    I am having the manipulation done this week. I am 5 months out of TKA. I got it straight, but I only have 105-110 degrees flex. That won’t work for me. Hope to get 20 more.

  161. jimmy on January 17th, 2012 3:50 pm

    I had a TNR on oct 3 2011 I had 3 major surgery’s before this and 3 scopes surgery went will but I’ve been stuck at 90 degrees since day one have PT 3 times a week but, I see the doctor tomorrow and was thinking the only way to get more range is manipulation, I would do right away if I can get the range well love to hear from any thoughts thank you

  162. Rebecca Rusell on January 17th, 2012 8:11 pm

    I had a total knee on Nov 2nd 2011. I had to have a manipulation doen on Dec 19th 2011. It is now January 17 and I have no more straightening or mobility . I am at a loss of what to do. I went to therapy the day after my manipulation and continued with it and within 4 days the knee was freezing up again and the bend is still there. I am not agood canidate for more surgery and I am afraid tha will be my only alternative. The doctor said that he instailed a thicker knee cap at surgery because my knee hyper exstended, now I wonder if that is what is holding my leg back frm straightening and bending more,??? Please if you can offer any solution I can do please contact me at the e-mail above, Thank you..

  163. ron on January 20th, 2012 1:46 pm

    i had my manipulation on dec 5th. b4 that i got 105-110 degrees now i’m up to 117 & still have swelling preventing more flex. they lasered out a wall of scar tissue via scope with the manipulation. my TKR was done on 5/4/11 wish they had done this in sept i’d b back to work by now. the PT released me last friday i do home excersizes & have joined the Y so i do my leg work & use the pool for my therapy. i’m confident i’ll b returning to work by mar 5th which would b 10 months & 1 day out of work since the TKR. it’s been a long road for me but i can see that lite at the end of the tunnell. good luck to all of you hang in there & do your excersizes every1 is different but it can be done

  164. Rebecca Rusell on January 22nd, 2012 11:38 am

    I am now receiving additonal thearpy for my left TKR. I still have a bend that will not give. The manipulation did not work at all for me, other than to help me regress in the process of healing. Iam now 2 1/2 months out from surgery and still I am about where I was at 1 1/2 months. I go to therapy 3 x a week and do my exercises at home, but when I seem to progress any then I have 3 days between intense therapy, I start to regress~ Not even stay where I had gotten too!! This is VERY frustrating.. When will this get better??

  165. rich on January 23rd, 2012 2:49 am

    sorry Rebecca… I wish yours was coming along easier! you definately have to keep moving & exercising, even on the off days from PT. I try to do squats in from of the sink to build strength. I am just now, at 3-1/2 mo, to lead with the right leg when climbing the stairs. It hurts but it will get better. I had my left knee TKR’d on Jan 19, 2011 and it feels great!!! the swelling / inflammation took a good 8-9 months to go away. I could always feel the heat in that knee when it was irritated. my right knee still has the heat… that also keeps you from getting the full range of motion. I like to ice it for 20-30 min and then flex it at home. tbe PT lady wants it all fired up and then wants me to bend it for a meassurement… I bend it easier on my own when it’s cooled off first.

    btw… you mentioned your email. they don’t share that portion of your posting. that would need to be in the body of the posting to.be seen. good luck!

  166. ron on January 23rd, 2012 5:03 am

    u have to work at it every day rebecca do your home PT to keep it loose. it’s a fine line tho to much & you get more swelling to little & you lose some flex. it could take up to a year before all the swelling goes down. did your dr tell you that. you just have to hang in there it’s tough & gets frustrating & every1 recovers different but it will get better in time

  167. Bob on January 23rd, 2012 7:40 pm

    Had TKR surgery on Dec 6th, 7 weeks ago. I am 56, in good shape and pretty athletic. Straight flex is ok but frustrated that I can barely get to 90 degrees, maybe a 5 degree improvement after 3 weeks of PT. Doctor is recommending manipulation, I have an appt on Thursday, but after reading posts, maybe I should keep up PT for another week or 2 to see if improvement. FYI – full disclosure, I can play golf with just a little discomfort the next day. What do you who have had manipulation think? Thanks, Bob

  168. Monty Newton on January 24th, 2012 9:12 pm

    Manipulation yesterday the 23rd. No pain afterwards, just sore. Can’t tell what I will retain, since it is swelling up, just doing ice and elevation. Doc says he bent it to about 125. but I can only get 90, less that before. I hope that is from swelling, if not, then it was a waste of time. Going in tomorrow for a ‘hivamat’ procedure – deep oscillation via electrostatics. Supposed to be good for healing and inflammation. Never seen it mentioned on this site. Hope it is real, and not some other black box of quackery.

  169. cindy on January 26th, 2012 2:27 am

    Rebecca: I had the very same problem that you have now. My leg would not go straight despite all the PT and the manual manipulation. It still had a bend to it. Finally, out of desperation, I sat on the floor and my husband pushed down on my thigh and carefully lifted my foot. We did three one minute sessions, twice a day. I didn’t look forward to it but it did get easier. Within two weeks my leg was straight- and stayed straight with very little effort. My PT and doctor were impressed. This tactic worked better than anything else I tried. We were religious about doing this because I knew my leg could “backslide.” Today, five months after my TKR and two months after my manipulation, I was officially discharged from PT. Try this and see if it helps you!

  170. ray evory on January 26th, 2012 6:32 pm

    Hi: At 76, got my TKR 11-17-2011 @ Presbyterian Hosp. Dallas — @ the Sports Care Rehab. consistent aggressive hard core PT works well .. after knock-out @ hosp. & 140 degree max. noisey stretch to break up the scar tissue .. after a few PT sessions, I went from 90 to 130 degrees ROM manipulation, necessary for faster healing; some lingering pain interrupts sleep @ bedtime even when taking Tramadol or Ibutrofen to ease pain .. laying down creates more pain as muscle stiffness returns; climbing stairs & self PT helps loosens the stiffness a few times/day .. seeing good improvement after 2 months past surgery .. lost about 20 lbs.

  171. Rebecca Rusell on January 27th, 2012 8:14 pm

    Thank you all for your very informative comments. This chat site has been more helpful than even my conversations with my doctor. I am 57 years old and received a Rotating implant, because of my age and to give me more mobility. I do have other health issues which, I feel is causing me more than needed aggrevation than wanted. I am slowly improving using water therapy heated pool.. I love the water and as it helps to keep swelling down is allowing me to have more flex and more mobiltiy. This, in oppinion is the best alternative for someone like me. I do have alot of issues still with scar tissue that is already forming back, I was able to break up some yesterday with exstreme exercise of motion. Keep up the good work TKR warriors!!!

  172. Donna on January 29th, 2012 3:57 am

    Is there any one out their who has scare tissue even after 2yrs i cant bend my knee only at maybe 65. Before scare tissue i could been at 80 to 85 without pt. help, with pt 100. I talk to Dr. he said i was to far out to manipulate so i went back for more pt. hurt so bad they were force my knee to bend its the scare tissue that’s blocking my bend now i feel i have no one to help me why wont he clean out the scare tissue. my foot gets caught on side walk are a rug and i go forward and my knee locks because of the scare tissue you talking about pain oh my goodness Help!! please clean out my scare tissue.

  173. Rebecca Rusell on January 30th, 2012 1:22 pm

    Cindy, Thanks for that exercise tip. I am also trying a wide belt around my thigh and while buckled using my right foot to pull down while my left knee is on the ottaman. Sounds strange but it is working!! Whatever you have to do is my motto. And I can do this as much as I can stand too. Thank you again for all the helpful tips and now I feel we are connected to the world of fellow TKR’S and maybe bring some comfort to someone else today. God Bless you all..

  174. Monty Newton on January 30th, 2012 9:55 pm

    TKE on Aug 9, 2011, Manipulation on Jan 23, 2012. I am past what I was at 90, to now maybe 110. Seems like a lot of trouble -the manipulation – to only gain 10 degrees. Doc said that he got a very loud pop, not the usual crack, snapple, but a loud POP. louder than he was comfortable with, but nothing broken. Amazingly, no pain, just mild soreness, and some swelling. My flexion range is still less than what I want, but my knee does feel different, something happened, I may have breached a wall. Swelling seems to persists. If I don’t do the exercises, I lose Flex, if I do them, I get swelling. Doc says give it time.

  175. Chrstine on February 1st, 2012 4:28 pm

    has anyone had a TKR with a manipulation 1 year after surgery?

  176. ray evory on February 2nd, 2012 2:57 pm

    Wonder if my recent 132 degree ROM causes lumbar region back ache or is it TRAMADOL related and does it create my new temporary hip pain too ?? .. I seem to have reached my ROM goal, as forced PT manipulation works .. will ROM stay if I quit my Physical Therapist & exercise @ home or do walking during the 6 months recovery time after TKR ?? .. after 2+ months, I still have some lingering come/go knee pain … RAY

  177. rich (50) on February 3rd, 2012 2:58 am

    ray… I am at four months and I have a lingering pain in my knee as well. I believe that when they are banging and applying the titanium part in place they irritate a lot of things. I get sciatica, from my.lumbar region down to my foot. If I can find that special position / twist while on my back I will actually hear a click or pop in my lower back and that knee pain is gone, until I roll over or twist. I had this during my first TKR recovery last spring and here I am a year a couple week later and that knee, hip, back feels great!!! I am just getting impatient with the second TKR… I know it will be be same in time.

  178. Bill Cohen on February 5th, 2012 2:34 pm

    Can massage after manipulation help reduce the tightness in both the quad and abductor (interior thigh?) muscles? I am at 105 of flex but tightness above the knee after every modality, machine, bike, stretch, and water seem to prevent better measurements. I just seem to lock up. Has massage helped anyone?

  179. rich on February 6th, 2012 12:55 am

    @Bill, it depends on what she looks like! my PT lady massages my knee and lower thigh, it feels better afterward but it’s short lived. you didn’t mention when you had your TKR. if it’s under 6-8 months you will still have swelling and that achy feeling. you said you’re at 105… as the swelling subsides, that ROM should increase some as well. stic with you PT if you.can!!!

  180. Rebecca Rusell on February 6th, 2012 1:58 pm

    Bill, For me this is the real healing for my leg. My leg has atrophied from a year of going around with a bent leg from some surgery I had in 2010, I had my knee surgery done on Nov 2nd of 2011. Manipulation on Dec 19th 2011. The muscle relaxes enough to allow me more mobiltiy, but it must be deep tissue massage.. It REALLY hurts as my leg is a mountain of bruises, but it DOES help my muscles to relax and respond to therapy. Good Luck.. Your therapist will do it for you if you ask, that is who does mine.

  181. Bill Cohen on February 11th, 2012 8:42 pm

    Had a little gain this week to 110 rom. Went to pt on Tues., had massage on weds. hoping it would loosen the muscles, and had pt on thurs., but hit the same 110 rom. Spending more time on bike, lowering seat as much as I can stand it. Do some form of workout daily.
    P.S. Had initial surgery 12/6 and manipulation 1/20.

  182. ray evory on February 12th, 2012 3:32 pm

    I’m cutting back on mechanicle PT to twice a week; could use some deep tissue message .. still have early am. stiffness 1st hour on arising .. cold weather slows healing .. will follow-up on TKR surgery results with x-ray on Feb. 22 .. need to walk more … stairs climbing helps .. RAY

  183. rich on February 12th, 2012 4:06 pm

    ray, a good way to help with that morning stiffness is to raise and lower your leg before you get out of bed. I just lay on my side and draw the knee up towards my chest. it’s a whole lot easier than standing and trying to stand like a flamingo. anyway, that does tbe trick for me. the stretching still does make me want to get up and go to work any more than normal… fishing yes, work.no. rich

  184. Rebecca Rusell on February 14th, 2012 12:08 am

    Bill Cohen, I was hoping you would see some improvements more after some deep tissue massage. My therapist did about 25 minutes a couple of weeks ago and I can defiantely see a dfference.. Keep it up fellow TKR’s, where there is some pain there will be some gain..

  185. connie on February 18th, 2012 2:30 pm

    had TKR on jan 13, 2012. all thigs seemed to go well post op. started op pt 5 days post op…seems to be a great group. my scarr is the problem. extension is getting better but my bend is staying consistany at 88. it is very painfull when pt bends it. i am becoming very despondent. my rom is about where it was preop. i at least am not in any bone pain like i was constantly in. very nervous about a manipulation.

  186. Christine on February 20th, 2012 3:17 am

    My husband just received manipulation on Friday after having TKR 13 months ago..we are surprised how well everything went seeing that most manipulations are done within 3 months of TKR.. Minimal to no pain ( until I stretch him), I do think that the new Sports Illustrated swimsuit magazine helped take his mind off of things! :)

  187. ron on February 20th, 2012 3:36 am

    well friday i got the go ahead to return to work on 3/5/12 that will b 10 months & 1 day since my TKR on 5/4/11. been 1 long road with also a manipulation surgery on 12/5/11 to laser burn out massive scar tissue. my flex was 106 b4 the manipulation now its 116-117 & i still have swelling so it should get more bend in time. it’s been a long frustrating recovery every1, as u have all dealt with the same problems i have. i have done faithfully done my pt at home & at the therapist outpatient & i also go to the Y to work out to keep the knee loose & bending. it ‘s still stiff at times but better than b4 the TKR. my big test now will b at work in heavy maintenance in a public transit system. it will b interesting to see how it holds up while working on concrete floors, walking trackbed & climbing on all kinds of track equipment & up & down ladders & working in subway tunnel pumprooms. good luck to all of you goin thru this TKR recovery. it ain’t easy but with work you all will get better. every1′s different & some will take longer but keep your heads up. i hope this post & my others will help you all keep a positive attitude

  188. ray evory on February 20th, 2012 3:06 pm

    As of 2-17-2012 after 3 mos. TKR; scar fading, now 134 degrees ROM .. walking better; stretching helps, even stairs, & bike & sled … RAY

  189. Rebecca Rusell on February 20th, 2012 3:51 pm

    I know some have had great sucess with this and others like myself who have not improved after the manipulation. I am sorry I am not a more possitive person who has had this done. My surgery for TKR was on 11/2/2011. I had my manipulation done on 1/19/2012. And had therapy the day after the manipulation. To date 2/20/2012. I have had almost 0 improvement and now will see my doctor on 2/28/2012 to see what is the next step. I too, like you, have had multiple problems with scar tissue, but now I am having other side affects of walking with the walker for soooooo long.. Hips and shoulders and both wrist are killing me from the constant weight on my upper body.. I to am VERY DISCOURAGED.. Sorry …

  190. Bill Cohen on February 21st, 2012 12:13 am

    While the manipulation is very unpleasant for 4/5 days (mine was on 1/20), it helped me. My last rom was 120 and my pt is cutting me loose next week. He says the knee will just keep improving with time and work. His regimen for me was 45 minutes stretching/machines, 45 minutes in pool, and 30 minutes on bike (with seat lowered progressively). I tried to mirror that at my gym and basically worked hard 6 days and light one. Hope he’s right. Good luck.

  191. rich on February 21st, 2012 12:33 am

    Bill, you knee is still inflamed… once the swelling goes away, you be 125, 130 or maybe more. feel your knee, it’s warmer than the other knee, that an indication of inflammation! if you’re not on celebrex, I found that to be helpful. I now use advil when.needed at 4 months post op but I continue to ice with my ice pack and cooler style ice machine. you’ll get there Bill, hang in there!!! Rich

  192. BIGLOU on February 22nd, 2012 2:06 am

    Hey folks, going in for manipulation tomorrow, had tkr on 01/2011, the input here has been very helpful, fingers crossed, goodnight

  193. Rebecca Rusell on February 24th, 2012 1:14 am

    I have not been able to progess very much. With all my therapy and manipulation. It is now almost 5 months since my TKR. My therapist has encouraged my doctor to approve a DYNASPLINT for my leg and will receive it tomorrow after therapy. This looks like the best thing that has happend since my surgery on Nov 2nd 2011.. I will let you know how much success I am having with this..

  194. ray evory on March 9th, 2012 9:50 am

    POST TKR OP … 134 ROM

    I’m having CCS that is: knee Click @ rest, Cold weather effects due to Titanium metal in knee, along with cold weather Stiffness occasionally, after almost 4 months post op .. guess it’s part of the healing & strengthening of my thy muscle. RAY

  195. Rebecca Rusell on March 9th, 2012 8:33 pm

    Well I have been using the DYNASPLINT now for about 2 weeks and thought I would share with you out there. It was placed at the 3 setting by the thrapis with Dynasplint and goes to 12, so 3 being very close to the end counting down to 0 is where I need to be. I have worn it as much as 4 hours and as little in the begining as 1hour. To date there has been no improvement, in fact today I was measured at a negative 24 and was a negative 18, so I have actually regressed. I am wearing a lift in my shoe to try and level my leg enough to walk, still using a walker after 5+ months. My doctor now seems to feel that there is an issue with the implant itself. I am to continue with 4 more weeks of therapy and at the snd of that time if there is STILL no improvement then we will talk about REPLACEMENT.. THAT is not an opition I can not even consider right now. I can not take any type of pain medication and the thought of the pain of all this AGAIN has me very upset.. I have researched replacemnet surgery and it appears to be a lot more involved than the first surgery and places you in a higher risk than before.. If anyone has had to have a replacement surgery then please let me know. All through this process I have been telling myself that I MUST be the one doing something wrong? Then when I questioned my surgeon he said, You have not done anything wrong it is not your fault!! Wow.. Thank God he is ownest and truly feels badly for what I have gone through already.. If anyone can tell me about their personal exsperience with a replacement I would appreciate it so much. God Bless..

  196. Karen on March 10th, 2012 8:13 pm

    To Rebecca Russel: I just read your post and I couldn’t help but respond. I too have used the Dynasplint, which did nothing for me. I used it for four months. I had my TKR back in Dec of 2010 and am still in the same place I was when I came out of my surgery, no mobility. I only have about 45 degrees of bend and my knee won’t straighten all the way. I was given the option of a revision but I sought a second opinion instead. Since then I have had three manipulations, which have done nothing for me. Now the doctor is saying I am not working hard enough. I am at a loss, in a lot of pain every day and my knee is totally stiff and won’t bend. But, I still have faith that someday it will be normal again and I am not giving up. Please don’t give up and don’t let your doctor(s) get you down. Push hard every day and try everything they recommend. You have nothing to lose. My doc has suggested a partial revision which we are in the process of going forward with now. Hopefully it will work!! Good luck to you!

  197. David on March 13th, 2012 10:27 pm

    I go for manipulation tomorrow. I am scared it wil be painful. Dr. gave me some oxy. I take that as a bad sign on the pain front. I’m at 95, I just want 115.

  198. David on March 15th, 2012 5:16 am

    The manipulations did wonders.I picked up 20 degrees, no swelling and have lost pain. REMARKABLE. DO IT.

  199. Rebecca Rusell on March 15th, 2012 12:13 pm

    Dear Karen, Thank you for all the information concerning your own knee challenges. It is amazing to me that so many people that have had this surgery with no complications are preplexed that some of us are..The therapy that I am doing just seems to make everything worse. The Dynasplint has given me more back issues and feels that is weaking my leg. The bend in my knee is at -22 and was at -18 the goal , of course is to get to -0. My other joints are screaming at me now as well, I feel like my whole body has been sleeping on a pile of rocks every night.. When will this nightmare end.. My therapist, yesterday was surprised when I told her that bending my knee sounds and feels like loose bolts of a car. She placed her hand on my knee and looked at me and said, ” Your patella is tracking lateral.” Which simply means my knee cap is over to the side. I said,” Can this be what is causing my problems?” she said, ” No, but this is another check in the box for the reeasons behind your problems.” I have been telling EVERYONE since day one that this disk, Patella or whatever it is does not feel right since day ONE.. We know our own bodies and if there is an issue we know it as well.. IF I have to have replacement, WHO do you go TOO? I do not see on any of their diploma’s that they graduated as a “D” student as a surgeon, or how many failed knee surgeries they have done. So does it come to a toss of the coin now?? Do you go simply to the yellow pages and look up doctors for Ortho surgery that have not lost their licenses quite yet? Or simply BOARD CERTIFIED ?? I am confused, of course i never went to College, nor do I specialize in anything, so who am I. I am a person who trusted her surgeon and am in continous pain for a TKR that went sour and can not walk without a walker, or two canes.. It is now affecting my other joints and gee will I still need the same doctor to do these repairs at another date?? Sorry.. I use to be upbeat, even optimist, now I see a glass half empty and its filled with water from the NYC harbor…

  200. David on March 15th, 2012 3:55 pm

    Well one day after manipulation new pain came back. It is very local on inside but causing swelling which is a bummer. We’ll see.

  201. pam sasseen on March 17th, 2012 8:25 pm

    Had knee replacement 10 wks ago, at 87-90 at pt. My doc wants to due munipulation in 2 wks. I’m also scared after reading all the negative results. My acupuncturist doesn’t advise having this done. I feel up against a time frame of 12 wks. Docs/pt all say your not working hard enough. but you all says the same tthing.I dont know with osteoarthritis it will do any good and I didn’t want to go back to a walker/cane and more pt. Help!!! I want to give it more time before as they orginally said it would be up to a year before good. Help

  202. rich on March 18th, 2012 5:51 pm

    @Pam… I’m confused. you said you had knee replacement surgery. was it a total knee replacement? if so, your osteoarthritis in that joint is no more! your pain, stiffness and other discomforts such as sciatica are normal at 10-12 weeks. you also still have significant inflammation (you can validate that by placing your hand on each knee – if the new knee is warmer, it is still inflamed).

    I have now had both knees replaced (TKR), one on 19JAN2011 and the other 05OCT2011. my left knee feels absolutely wonderful after 14-1/2 months! I have a ROM of 132-135 on the left knee as well. as a point of interest, I was out coaching little league baseball beginning in late march of 2011 – that was not approved by my doctor! my right knee was replaced 5-1/2 months ago and I still have pain. I am happy to say that the sciatic pain that has plagued me with both knees is finally gone, what a pain in the butt that was – no pun intended. my pain is achy pain now because I haven’t pushed this knee as hard. my range of motion is great but I have just allowed normal everyday usage exercise / strengthen the right knee. I stopped going to pt when my pt lady went out on maternity leave, then they renovated the office and I also travel for work (walking from one end of an airport to another to catch a plane is as good as 30 min on the bike IMO). I know the pain will subside… it did with tbe left knee but not until 8 or 9 months. I am really surprised at how of you all are having manipulation done at 4,5 and even 10 weeks post op. I was at 2 weeks and could not get past 85 deg with my in home pt people who observe but do not touch. I was freaking out! I was not due to see tbe doctor for two to four weeks later and I wanted off the pain meds ASAP! I also had to go back to work at six weeks. I called and got my appointment that week. I went in and said, this in home pt isn’t working, I’m stuck at 85 ish and I need a 130+. the doctor agreed and off to out patient pt I went. I popped the 90 deg mark and in the 115-120 range in no time. the bottom line, I was not going to spend life at 85 deg!

  203. rich on March 18th, 2012 6:06 pm

    @Pam… I’m confused. you said you had knee replacement surgery. was it a total knee replacement? if so, your osteoarthritis in that joint is no more! your pain, stiffness and other discomforts such as sciatica are normal at 10-12 weeks. you also still have significant inflammation (you can validate that by placing your hand on each knee – if the new knee is warmer, it is still inflamed).

    I have now had both knees replaced (TKR), one on 19JAN2011 and the other 05OCT2011. my left knee feels absolutely wonderful after 14-1/2 months! I have a ROM of 132-135 on the left knee as well. as a point of interest, I was out coaching little league baseball beginning in late march of 2011 – that was not approved by my doctor! my right knee was replaced 5-1/2 months ago and I still have pain. I am happy to say that the sciatic pain that has plagued me with both knees is finally gone, what a pain in the butt that was – no pun intended. my pain is achy pain now because I haven’t pushed this knee as hard. my range of motion is great but I have just allowed normal everyday usage exercise / strengthen the right knee. I stopped going to pt when my pt lady went out on maternity leave, then they renovated the office and I also travel for work (walking from one end of an airport to another to catch a plane is as good as 30 min on the bike IMO). I know the pain will subside… it did with tbe left knee but not until 8 or 9 months. I am really surprised at how of you all are having manipulation done at 4,5 and even 10 weeks post op. I was at 2 weeks and could not get past 85 deg with my in home pt people who observe but do not touch. I was freaking out! I was not due to see tbe doctor for two to four weeks later and I wanted off the pain meds ASAP! I also had to go back to work at six weeks. I called and got my appointment that week. I went in and said, this in home pt isn’t working, I’m stuck at 85 ish and I need a 130+. the doctor agreed and off to out patient pt I went. I popped the 90 deg mark and in the 115-120 range in no time. the bottom line, I was not going to spend life at 85 deg!

    sometime you need to be your own advocate… it’s your knee, you know how it feels! convey you feels and concerns to your doctor, that is critical in your recovery and your ongoing success with your new.joint!!!

    I am by no means an expert on the subject but I do have personal experience on my side. I am now 50 years old (49 during both surgeries). I played ice hockey and I was the catcher on my baseball team… they are two of the worse things you can do to your knees! I would not change a thing, even now knowing what awaited me at 49 years old. I suspect a good many of you are older than me… I know it tough to get moving again but you have to push through the difficult months in the beginning before you see tbe light six plus months out. they say it takes a year… I agree! other than the scar and the popping noise I can now make with my knee, I never would know it wasn’t mine (except for kneeling – that is difficult for this catholic on sunday!).

    best of luck Pam! remember ice is your friend!!! it not only make the knee feel better, it helps lessen the inflammation and with less inflammation comes additional range of motion!!!

    Rich
    TKRin2011@yahoo.com

  204. Rebecca Rusell on March 18th, 2012 6:25 pm

    Pam, some have said they actually were able to get more mobility after the manipulation. If you are having an issue with scar tissue then this is suppose to break it up, right now those are the options given for TKR.. What is really good that you can google sites that are like this one and get more info about this from more people.. Everyone is different and depending on those factors is what you can go by, like how moblie were you before TKR. Age and health, and any prior surgeries on that same leg. If all else fails then talk with your doctor. Ask what this will do for you… Good luck and God less.

  205. ray evory on March 18th, 2012 8:16 pm

    Rebecca: Your knee cap should be almost centered on leg between the Tibia & Femer held in place by muscle ligaments .. get an x-ray to see what is wrong & if necessary, request your recommended surgeon to fix this or maybe get an artificial knee cap .. I have a plastic button under my right TKR knee cap even though my healing right leg TKR knee looks rounder than my still natural unoperated bony looking left leg knee .. only pain I have is am. stiffness short term or at nite till exhaustion allows me to sleep .. also, sometimes I get a sudden jolt walking with TKR knee and tendency for knee to move backwards or collapse .. my titanium knee still aches if I sit too long too like watching TV .. RAY

  206. Denise on March 19th, 2012 2:44 am

    I had my knee replacement 6 months ago and I know I was lucky, since I had PT come to my home for a week and that was it. I went to work after the third week. Yes, I had some pain and for several months after I had a pretty bad pain on the outer part of my knee. When you pushed on it, it really did hurt. Now that the warmer weather is here, I have absolutely no pain. I am just curious to know, if anyone can tell me, what is the reason that your doctors say there is so much problems and need for these Manipulations and othe surgeries. Is this coming right after surgery or is this coming way down the road and I may have this problem. I am sorry, but I just don’t understand all of it. Is the muscles not working like they used to, is the knee they used too large? I just don’t know what to think. I hear some of you talking about scar tissue. I can move my knee better than my original knee was on any good day. I would never believe I had a TKR. Are you telling me I may have these problems down the roa?! I sure hope not!!!

  207. Rebecca Rusell on March 19th, 2012 4:07 pm

    Ray, To answer your question. I did have a left TKR and I too have a plastic knee, It is not too uncommon that this can happen as told to meby my therapist. For people who have not had TKR they also call this Jumpers Knee, as clearer as I can put it that is NOT my case.. I did google the Patella and problems associated with this and this is partly the reason I am sure for me. My muscles are a HUGE reason for my leg not straightening.. The large muscle that goes up to the backside has atrophied from prior issues from my knee before TKR. I have been diagnosed about 16 yrs ago to have Vascular Neuropathy. The doctor, at the time said my test revealed that it was not in the muscle as of yet.. So now I am in the process to see if it is more of a muscular issue than a TKR issue befor returning to my surgeon. I was realeased today from my pt. due to no sign of real improvement.. Thank you for your return letter. I am happy to read such success stories it gives me hope. Denise it sounds like your issues are behind you.. You either have problems that are hard to fix or not any or much at all with this type of surgery it appears from the letters I have read..Now that Spring is here my prayer is to get on my bike and go…

  208. Bettijane Walters on April 1st, 2012 5:19 am

    Had t.k.r. in March 2010. Was walking normally and in June 2O11 was diagnosed with stage 2 breast cancer. Had a lumpectomy in August 2OII , got an infection and was on antibiotics for two weeks. On Sept. 11 I woke up with fever,chills and could not stand on my right leg. Went to the E.R. and had my knee drained. Ended up in the hospital for two and a half weeks. My knee was infected and I had two have it cleaned out. Came home and had to have home health for 6 weeks along with P.T and I.V. ANTIBIOTICS. Ended up with severe diarrhea. Outpatient P.T. had to be on hold for a couple weeks. Had a couple weeks of P.T.,BUT WAS NOT ABLE TO GET PAST 80 degrees. Had double mastectomy on Jan. 18th. Recovered fine from that. Now I will be having manipulation in a couple weeks. The pain is terrible and sometimes I am afraid to stand up. After reading all the posts I am really scared about manipulation.

  209. ray evory on April 2nd, 2012 3:34 pm

    Theres some pain in O.P. manipulation if you want to move up from 80 ROM to 130+ ROM, but in the long run it’s worth it; also, breaks up some of the old scar tissue to help renew new scar tissue forming, with the quicker healing .. nothing to be scared about, according to your physician .. Also, before O.P. visits, had my surgeon knock me out (no pain) to bend my TKR knee towards my chest to break up the old scar tissue & to aid flexability of post TKR .. still now, some early am. stiffness that goes away in warm weather .. but improving, on the TKR mend after 4 mos.; mowed 2 lawns this week .. self knee home stretches help + stair climb .. thy muscle strengthening takes time … RAY

  210. Debbie on April 9th, 2012 9:23 pm

    Had double knee on 2/23/11, rt knee post-op rom 95. Got up to 105 , left knee 85 with pt 103 . I am now 6 weeks post-op and dr stated if left doesn’t get to 110 in 2 weeks manipulation here I come. Therapist has bent on the right leg and made it worst? Sometimes I wonder what they are doing?… Pt has managed to get left leg to 103 with a lot of stretching. I do pool 3x week and pt x2. Hope to avoide manipulation. Had partial knee on left and dr had to pull it out completely and reset the leg. Rom is about what it was before surgery.

  211. sandy on April 10th, 2012 9:35 am

    Had total knee replacement 1/3/12. Home health came in for about 3 weeks and got to 98% they said. Then sent to hospital as outpatient pt. Went back to dr and he was so mad he wanted me to go to his pt that day. They measured and 78%. I was strapped in a chair and pt forced my leg back talk about pain and from then on for another month the same. Went to dr this week and he said wants to do manipulation the 16th of April. Said scar tissure got ahead of me while in 1st pt. I am scared to death. Please someone tell me what to expect with this. Last measure at pt was 95% and I have trouble getting in and out of car and walking. Guess none of pt done the bending like should and I didn’t know as was not told had to bend it so far. I do now. Funny came through surgery without much pain and haven’t had much pain, am I going to have after this? I am 66 years old and never had any surgery before this. Really scared won’t be able to take care of myself. Also do you think I ave any case against home health or 1st pt. Dr rated 2nd for knee replacement surgery.

  212. Linda on April 16th, 2012 8:33 pm

    TKR on Jan 12, 2012. PT at home for 2 weeks then OP PT for 6 weeks. Got up to 105 at about 7 weeks post op then no improvement. The last 2 weeks of PT was like being in a torture chamber. The knee was not gonna bend any further and I was screaming and crying even though I had taken percocet10 before PT. OS wants to do MUA. I am still in alot of pain. Knee not complete straight either. I am 58 and very active. I am afraid to have the manipulation but I am frustrated at my lack of ROM. Most of my pain is about 2 inches below the knee…though the entire knee is pretty painful and still taking the percocet to sleep every night..

  213. Bettijane on April 28th, 2012 8:12 am

    Getting ready to have right knee manipultion this thursday May 3rd. I am scared to death. I would love to be able to stay in the hospital for at least one day and be put on the c.p.m. machine. I know that does help. Will give an update after procedure.

  214. Rebecca Rusell on April 30th, 2012 1:05 pm

    Hi!! I thought I’d write an give an update. You hear someones story on this site, but not always the resolution to the problems revealed . I am going now to get a second opinion as my surgeon is at a loss on why I am not better. My primary care doctor said that I appear to be grimacing with my facial exspressions, I think from dealing with pain all day and night I have become this distorted creature of pain..Funny, I know. But I have a resistance to pain medication and now he is trying something new. I have yet to get it filled to see if it works. I am litterally crippled with my leg not being able to straighten enough to add any weight baring on it. No one knows why. Thearpy just told me there was nothing more they could do and referred me back to the surgeon, who told me I was welcome to get a second opinion.. SOOOOOOOO Here I am going on 6 months after surgery and still using a walker can not walk unaided and I will be 58 this month. VERY discouraged and depressed over this. How will I know this new doctor could be the right one, the last two did me more harm than anything.. Sometimes I wonder~~~~~ Its like when you need a plummer so ask do you know plumbing and he says, “YES” what HE really means is yes he using restrooms, so He feels that makes him a plummer?? How do you find the right surgeon ?? Any comments on this one??

  215. jim on May 18th, 2012 3:33 am

    I had tkr on my right knee on 1/30/12. After 3 weeks my knee would only bend at 45 degrees. Dr. did manipulation. Very painful after for a few weeks, but now bends to 120 degrees. Had tkr on left knee on 4/9/12. Left knee is now at 90 degrees after much very painful exercise. Gaining slowly. Have an appointment with Dr. on5/22/12. I hope it doesn’t require manipulation, but if it does it definitely helped the other knee. Good luck to everyone.

  216. Donna on May 19th, 2012 4:45 am

    My Dr. Said he would be willing to do manipulation on my knee after 3 yrs. Out why did he wait so long I’ve been telling him for 2 yrs. I needed scar tissue remove.Has anyone every heard of having radiation done to breakup scar tissue. Then surgery to remove scar tissue, its suppose to not allow new tissue to come back let me know. He won’t remove the scar tissue only manipulation, I don’t think it will solve, what I need which is removal of the scar tissue. I can’t have this done over if manipulation does not work. Scar tissue removal please.

  217. ray evory on May 22nd, 2012 8:06 pm

    Donna: Your skeptacism is sincere; personally I’d get a 2nd. opinion or choose another surgeon .. my knee pain is almost completely gone after 6 mos. and being manipulated by a OP therapist to 134 degrees with first, an early post-op knock-out by surgeon to manipulate my TKR knee to140 degrees or chest, to break-up the old scar tissue; the doctors could hear the cracking of scar tissue, but little if any pain when I woke up @ the hospital room .. only thing left now is; kneeling is tough to do and Winter cold weather stiffness sensitivity … RAY age 76+

  218. Monty Newton on May 23rd, 2012 8:56 pm

    I had the manipulation on 1/23/12 – 5-1/2 months post op. you can see my 1/30/12 post on here. I seem to be stuck at about 120-125 degrees, and I only get that 125 deg. measurement after vigorous exercise and really pushing. Functionally I am probably at 110-115. So in retrospec – I wouldn’t say the MUA was worth it. I have what they (doc and PTs) describe as a band of scar tissue surrounding the joint capsule. The PT thinks that the hard work will gain me gradual increase of a degree here and a degree there. The doc mentioned the scar tissue will soften and ‘break down’, but one other doctor told me that the longer it is there, the harder it becomes. I still swell up after workouts. No pain walking though. This possible reduction in flex was discussed before the procedure, but I didn’t really ‘hear’ it, since they assured me that it would all be dependent upon how hard I worked in rehab. I worked at it very hard – in fact, the surgeon told me I probably overdid it. I don’t know, I wouldn’t want to underdo it. I am 54 years old and very active.

  219. Rob HUMPHREYS on June 21st, 2012 3:26 pm

    hello all
    I really appreciate the support of all who underwent this TKR.
    THIS IS A REAL GOOD SUPPORT GROUP.
    TKR was done on 4/6/12, after surgery knee is 78 degrees bent..
    Today 6/21/12 in 11th week I can only get to 95 degrees on my own, Dr. wants 120 deg.
    The other problem is I can’t bend the knee to zero degrees yet ,I need 16 degrees to go to fully extend the knee.
    Very slow pt even at 3 times a week,
    My question to all? Is manipulation 100 % effective to get knee fully extended? i dont know what to do?? Help?? I .see dr next week.Any suggestions here the longer I go I don’t want scar tissue to take over. age 57 very active

  220. ray evory on June 22nd, 2012 2:18 pm

    FACE UP TO THE FACTS FRIENDS: TKR is depressing @ first; no way around it because it is major surgery !! .. my battle with TKR pain lasted 6 months, tapered down now, which I have little or no pain this summer; however TKR left me with some clicking @ sleep rest and some Winter stiffness .. otherwise, I’m glad to get rid of the osteoarthritis pain I started with and can walk normally painless, not as fast as I used to .. 134 ROM helped alot .. WHAT IS INTERNAL TKR SCAR TISSUE ?? .. WHAT DOES IT LOOK LIKE ?? .. my surface scar is almost gone .. was TKR worth it; you be the judge .. @ 76, I hope to return to downhill skiing this WINTER 2013 .. RAY

  221. Rebecca Russell on June 22nd, 2012 4:35 pm

    Hello everyone.. You probably are sick of seeing my name on This site has been to some degree therapy for me.. I am now approximately 7 1/2 months out from a left TKR. I have not improved at all and was referred to get a second opinion, I have and he looked at my updated x-rays and began to explain to me that the changes do show that I need a REVISION. Meaning I get to go back in and have ALL this done over on the same knee!!. When I asked if the appliance was at fault he said no. So who else does that leave?? Implant is not at fault and I am not at fault???? He claims that he does a lot of revision surgery.. That is scary!!! I am in constant pain and have no ability to walk unaided. This has been areal nightmare for myself and my family. Funny thing is that I knew the moment I woke up that this was not RIGHT. It did not look right and did not feel right. When I told this to my new surgeon he made no comment. If you do not get better, at any degree then you may be like me, with a serious problem. Yes it is painful through therapy and I do say do everything and more as I did and if there is NO improvement then you need to seek out another voice and maybe even more tests. He did remove some fluid and did a biopsy to see if there was infection. I am waiting on those results… IF there is an infection then I am looking at a even more of a problem.. Do not wait so long if you are not progressing at all, there may be other issues you are going through.. God Bless your struggles and your achievements on getting your mobility back. My new surgery date is for August, so I would appreciate your prayers…

  222. Elizabeth on June 22nd, 2012 6:09 pm

    Hello All, I had bi-lateral TKR on April 25, 2012 – almost two months ago today. I did lose 35 pounds before surgery that made a huge difference. I am in very intense PT 3x week with a terrific therapist. I am on my way, but it has been very hard to say the least. In the rehab hospital for 11 days I was told to use 100% cocoa butter on the scar by one of the nurses. I use it, but I will also combine with cross-friction massage along the length of the scar. [The site, http://www.livestrong.com, is full of additional great information on scars, stretching, etc just on knees.] I am still on oxycodone at night, but I have no more acute pain as of last week. I will hit the pool for stretching / water pilates soon. I still can’t kick butt, but do o.k. with marching. Bend knee back is hard! I have to tell myself – Get up and Do It! Stretch! Walk! Bike! Bend! Squat! Rest!! You can do this! I am 70 year old active woman, who is looking forward to my first kayak trip this summer, to romping with my 8 grandkids during our annual camping trip, and to live pain free! Keep chugging everyone!

  223. barb on June 24th, 2012 1:13 pm

    I had knee surgery 5 weeks ago and was at only 45 degree flexion.
    Had an MUA 4 days ago and am so happy I did. Went from 45 degree to 118. There is some soreness in the thigh area like you worked out to long of somethng but the knife like band pain around my knee is gone.

  224. Gene on June 25th, 2012 6:17 pm

    Had the left knee replaced back last Aug 1st.
    The knee will start to pain me after 45 mins of walking to a level
    of 20!

    I need manipulation and look froward to
    a better and longer walk than 45 mins.

    Note that I had the right rplaced back in 08′
    not a problem. Different type of knee too.
    The Smith & Nephew is the left.

    Good luck to all!!
    Keep fighting!

  225. David on June 26th, 2012 5:37 pm

    I had TKR 1/13, I had manipulation 3/13. I stopped rehab a month ago. I am active and stiff. It is all about time. It just takes a long time to heal. I just finished my pain pills It seemed like it would never get better,IT JUST TAKES A LONG TIME AND ALOT OF PAIN. It will all go away in time. If you are not limber, it sucks but you will work through it. I am 54 years old, 6 feet, 210 lbs. My flex is 110 and my extension is 7, not great but I can ride a bike, play golf, ski, walk for two miles on the treadmill at level 10 incline. What else do I really need to do? Let the Doc decide if you need manipulation. Only 6% get it. Honestly no one knows if it really works. I think it set me back alittle but who knows..Time will heal you more than anything. At month 4 I went to pain specialist, it helped but again it could be time. Just remember you got to get the pain under control so you can have productive TP. You will be fine even though it does not feel like it now.

  226. ron on June 27th, 2012 12:35 am

    i had a manipulation done on 12/5/11 & had the tkr on 5/4/11. i got 10 degrees more 2 weeks after the manipulation & had massive scar tissue lasered out. i returned to work on 3/5/12 to a heavy maintenance job for a transit system workin on rail equipment. in my 3 1/2 months back to work i have had numerous limitations such as kneeling, crawling & climbing on machines or getting in & out of our large work truck. standing on concrete or trackbed for over an hour & the knee gets stiff & swollen on me. i have also worked many hours of overtime which aggravates it but after 10 months out on comp at 60% of my pay i have no choice but to tough it out. when i went back my knee was bending at 115-118 it’s still in the same range or less at times. i saw my surgeon last friday for the 3rd time since i went back to work he calls me a gladiator with what i do for work as he never had a patient do what i have done after the tkr. i do have to be carefull he told me. i’m 55 yrs old & need at least 2 full yrs to build up my pension as i can retire then with 29 yrs i just hope it will hold up. i can deal with the stiffness it’s still better than the constant pain i was in all the time before my TKR, good luck to you all just thot i’d share my experiences with you all

  227. rob humphreys on July 1st, 2012 6:18 pm

    Rob -from my followup to 6/21/12 post.asked all input for mua.? Well before i got anyfeed back at all.had MD appt. 6/28 /12 asked MD about mua? He said how about tomorrow! WOW hospital next day.he did mua got knee to go to 120. Deg. Bend. And zero deg. extension. Overnight stay at hospital. had cpm machine on for 8hrs. Then had Pt and released. Muscles tend to come back quick like a memory bank.. got to do aggressive PT 5 days a week, and do cpm 2 weeks 12 -16 hrs day,insurance does not cover cpm machine,renting the KINETEC CPM at $24 day, rom =o deg.EXT,FLEX =110 DEG. alot Of swelling..follow up visit 2 weeks to MD.LET ALL KNOW ABOUT 2 WEEK RESULTS.

  228. Elizabeth on July 2nd, 2012 1:09 pm

    I would like to add something on pain I discovered. I am now 2 months out from a bi-lateral TKR. I continued to have pain. I finally stopped all Tylenol and Oxycoden….and then upped my Advil big time to get the swelling down. ( I still may take a Oxy at night.) I felt it was the swelling that was causing me discomfort. I take 800 mg – 3 times a day and it is working for me. Swelling going down. It took me awhile to figure this pain./discomfort out. And stretch, stretch – plus PT 3 times a week. Good luck all.

  229. rich on July 3rd, 2012 2:37 am

    Elizabeth, great news that you’re off the narcotic pain meds!!! be sure to keep the knee iced down… the less swelling you have, the better range of motion you’ll have.

    I am not 17-1/2 months on my left knee (feels fantastic!) and 9 months on my right knee. the left knee took a year to really feel 100% and the right still hurts (no meds needed), especially when I lead with my right leg, while climbing the stairs. believe it or not, the right knee still swells… you can feel the difference in temperature when the right knee heats up.

    good luck, be patient, don’t rush the recovery and you’ll be fine!!!

  230. Elizabeth on July 6th, 2012 1:27 am

    Thanks, Rich, for your note. I really appreciated your taking the time to write. It can be a lonely path here and sometimes not understanding the healing process. I agree…the more you control the swelling, the better range of motion. The high dose Advil is working. I am walking around 30-60 minutes a day and that is helping as well. I know it will take months to feel 100% – and I guess that is what I did not realize. Good advice…patience and don’t rush the recovery. Thanks again. Good luck to you as well.

  231. ray evory on July 6th, 2012 1:07 pm

    At 6 mos., is there any solution to knee clicks after TKR @ nite laying relaxed/prone in bed ?? .. RAY

  232. Rebecca Russell on July 6th, 2012 1:39 pm

    I had a Rotating implant by DuPuy put in in Nov 2011. I will be having that replaced with a Rotating hinged Zimmer. Anyone have this implant ?? I am curious to know your implant by this name and how it is doing??? I am having the old one replaced due to inserting incorrectly by the surgeon.

  233. ray evory on July 11th, 2012 1:45 pm

    STRYKER & DUPUY implants are suspect .. get a total view of the ZIMMER rotating/hinged implant first and review personal successes; save by having to go back with more aches, pain, additional surgery later after op., by choosing a top TKR surgeon now .. like back disc surgery, this TKR invasive surgery is risky business … RAY

  234. rich on July 12th, 2012 11:35 pm

    a little 3 in 1 oil Ray… I like to let my legs hang over the edge. I also place a pillow under my knees while on my back and under my ankles while on my stomach.

    mine are DePuy pivoting (15 deg +/-) knees… left Jan2011 and right Oct2011

  235. Elizabeth on July 13th, 2012 2:08 am

    Rich, this is Elizabeth again….I have a couple of questions…..

    How much physical therapy did you have following surgery?
    What stretches / exercises at home helped you the most in gaining full recovery on your left knee?
    Did you have to do them every day, let’s say for a year?

    It is slow, but now at 2 1/2 months I know I am on the mend…but not as fast as I thought. As you say, “Don’t rush the recovery”. Thanks again for your support.

  236. Rebecca Russell on July 13th, 2012 2:37 am

    Ray, I have done some research and I am troubled by what I have seen about the Zimmer, although there is nothing mentioned bad about the rotating hinged Zimmer.. I am so at a loss and soooo over this incredible pain this has caused for me. I have invested more into research on this new surgeon, still confused.. Thank you for your reply.

  237. Elizabeth Israel on July 15th, 2012 5:15 pm

    Rebecca and Ray,

    I was pleased to have Dr. Richard Scott, a ,top notch surgeon.who is on Conformis Advisory Board. You can investigate Conformis implants.
    http://www.conformis.com/About-Us/Scientific-Advisory-Board

    Elizabeth

  238. Jo on July 15th, 2012 10:35 pm

    In a comment by Tony posted on August 19, 2011, he mentioned the JOINT ASSIST SYSTEM which was recommended by his physical therapist. “Great success,” he said. He apparently got better range of motion and break up of scar tissue after TKR by using JAS. Does anyone have any more success stories using this system? (Is it a machine?). Also,, Nancy Abbinet (November 15, 2011) suggested trying the GRASTON TECHNIQUE instead of manipulation for breaking up scar tissue. (Lots of info on the internet.) I just learned of a chiropractor who does this technique, and I will follow up with questions to him. I think some physical therapists are trained in this technique too….will research more. Has anyone else had success with the Graston Technique? I’m trying to avoid manipulation on my left leg. 106 in left leg, 115 in right leg, and 0 extension for both legs when I “graduated” from physical therapy June 7. Bilateral TKR was March 28. I have worked very hard at my home exercises. Not improving since leaving my PT. Some pain and stiffness. Take zero -2 Tylenol per day. Any help would be appreciated.

  239. Jo W. on July 15th, 2012 10:39 pm

    In a comment by Tony posted on August 19, 2011, he mentioned the JOINT ASSIST SYSTEM which was recommended by his physical therapist. “Great success,” he said. He apparently got better range of motion and break up of scar tissue after TKR by using JAS. Does anyone have any more success stories using this system? (Is it a machine?). Also,, Nancy Abbinet (November 15, 2011) suggested trying the GRASTON TECHNIQUE instead of manipulation for breaking up scar tissue. (Lots of info on the internet.) I just learned of a chiropractor who does this technique, and I will follow up with questions to him. I think some physical therapists are trained in this technique too….will research more. Has anyone else had success with the Graston Technique? I’m trying to avoid manipulation on my left leg. 106 in left leg, 115 in right leg, and 0 extension for both legs when I “graduated” from physical therapy June 7. Bilateral TKR was March 28. I have worked very hard at my home exercises. Not improving since leaving my PT. Some pain and stiffness. Take zero -2 Tylenol per day. Any help would be appreciated.

  240. rich on July 16th, 2012 10:45 am

    elizabeth, for my left knee I initially had in-home pt for three plus weeks. the lady brought a list of exercises, like leg lifts, knee bends (lying down and drawing your heel towards your bottom), ankle pumps for circulation, etc. they never touched me. it was do this, now let’s measure. my biggest thing was walking around without my walker… I would just walk away from it because I wasn’t use to having it. anyway, I wasn’t until I began going to outpatient pt that I really began to work the knee. at home the best thing was deep knee bends in front if the sink (as far down as I could go) and I did these everyday. sometimes for five minutes, sometimes for twenty. shoot me an email and I will email you the exercise sheet they gave me. tkrin2011@yahoo.com

    the outpatient lasted three months at three times a week at first, then at six weeks two times a weeks, then one a week and done. I always told my pt lady… _”beth, I love you but you hurt me”! she was the best part of pt!!! just super nice and quite the professional!!!

  241. Rob HUMPHREYS on July 17th, 2012 2:24 pm

    ROB HUMPHREYS for follow up to my blog of July1/ 12 ,after MUA 6/29/12.
    I was on a CPM machine for 12 hrs day for 2 weeks solid ,with 5 days of PT for 2 weeks, just saw my MD 7/16/12 post visit.
    I am at zero degrees extension and 112 deg. flex after doing this MUA, and CPM & PT
    HE WILL SEE ME IN 1 YEAR,GREAT NEWS
    This worked for me , my goal is to get to 120 degress with 3 days pt for 4 weeks.
    if anyone can use my story , i would say manipulation was worth it
    with aggressive pt and CPM machine for 2 weeks.STAY PMA ALL!!

  242. Rob HUMPHREYS on August 30th, 2012 3:01 pm

    Rob Humohreys
    follow up to post of JULY 17TH 2012 2;24PM
    i had my last pt session 8/29/12 , I am on my own ,I left at 126.5 degrees flex and zero deg .extension, guys it works stay with pt and work on your own. keep up the positive atitude,,i am drug free, stay with it.If anyone needs support or questions about my TKR rehab let me know?
    NEVER SAY I CANT DO THIS

  243. Lizzy on September 26th, 2012 4:09 pm

    Hi all! I wondered if anyone had experienced what I have? The day after my operation, a member of staff forcibly bent my knee in the hospital. It was agonising! This was a year ago and my knee hasn’t repaired itself. I have been in constant pain since. Is it normal procedure to do this? and please has anyone else experienced this? Thanks, Lizzy

  244. gwenda on September 29th, 2012 12:04 am

    hey, just needing to vent – terrible service from both the surgeon and family doctor – so i had left TKR May 17 – PT noticed I had poor flexion 3 weeks post op, called the surgeon and he seen me exacty at 4 months after the surgery, would not see me sooner “too busy” – checked in with the family doctor who was never any help with this knee situation – still no help
    So I have made it this far with only the help of a great PT, really would like to start fresh with some new doctors,but not a chance of being able to that, this site has been a great source of info, thanks everyone for sharing your stories.

  245. Herby ramage on September 30th, 2012 1:19 pm

    had TKR on aug. 3rd. Still trying to get range of motion back am at 110 with help but I want more. Talked about range of motion Mach., After surgery but dr. Said their is no study to prove that they make a difference, and think I may disagree with that, as why not use any option that may make a difference for one single person and give that person a better quality of life. It’s been 9 wks. Since the TKD so therapy is rough, especially when they stretch you, put me on my stomach, put someone across my butt then other Pt. braced my foot against her shoulder and pulled up on my leg as I would relax it. I thought I was a pretty decent guy, till I found myself uttering words you wouldn’t find in websters dictionary or on the set of the movie the exercist. But it did help, especially since I insisted on a gag
    to muffle my screams,just kidding about the gag, it did help loosen my hamstrings. Afterwards ice, ice, ice, on knee to bring that swelling down. In order to get flexion in the knee you have to keep taking it back to the point of pain the PT. stretched it to repeatedly in order to
    Make any kind of significant progress. Pain is pain it hurts like hell and you take every suggestion to try and releave it. There’s no easy answer, when in pain I try to think of my wife on a white sandy beach in a knock out bikini bringing her love muffin (me) an ice cold beer.
    It beats thinking about her with cold cream on, curlers, and sweat pants chasing me around the house with a skillet with my name on it.
    Girls when in pain think of your hubby or boyfriend with speedos on ,,fanning you on the beach serving you a nice cold cocktail. When I’m really hurting I think of that girl in her twenties that had flesh eating disease that lost her hands leg, foot, but, she wouldn’t give up no matter what and still keeps on fighting. We’re talking about our problems with a knee imagine living her life facing her problems everyday. My mom, said she hear this a long time ago by a priest, “there but for the grace of god go I ” there’s awalys a solution to the knee problems it just a matter of finding the right professionals that can truly help you. God Bless, Herby

  246. ray evory on October 1st, 2012 3:45 pm

    REBECCA: Approaching my one year TKR .. seems after floor stretching exercises this am. that my ROM is even increasing past the 132 @ the former PT clinic .. I can pull back my TKR knee now, to my chest, no pain .. guess the 2 week post-op breakup of the scar tissue via anestisia-knockout helped alot, even when the doc said you could hear the cracking sound across the op room .. climbing stairs, deep knee bends, & getting out of car are some difficulty .. walking slow, no running is ok, though everything seems back to normal .. I sleep with a SQUISH pillow between my knees .. I’d like to go back to the beginner ski slopes next Winter .. RAY

  247. Elizabeth on October 2nd, 2012 1:10 pm

    Hi All,

    I am wondering if anyone has alignment issues in their back following TKR. I had my operation April 25th – now I can bend 125 degrees flex and 0 degrees extension. All good. But I have been plagued by my back with extremely painful spasms over the past 6 weeks. I feel it is my body realigning the muscles in my back. My vertebrae is straight. I have just finished all PT on knees and back. Just wondering.

  248. ray evory on October 3rd, 2012 2:42 pm

    ELIZABETH: If your TKR leg is shorter than the normal one, the surgeon missed the boat .. both legs should be the same length even after your op .. my chiro always checks this before adjustments .. after my op, I had some hip pain or sciatica a while, now gone .. an excellent chiro can adjust your spinal alignment, but not fix completely a pinched nerve from accident or a crooked spine, without surgery .. also, a good firm sleep number bed can relieve some of the pain for better sleep .. over-reaching & heavy lifting can cause back spasms & misalignments … RAY

  249. Monica on October 3rd, 2012 8:14 pm

    Had a manipulation Sept. 26th and the doctor reached 120 easily but I feel as though my quad muscle has been ripped to shreds making PT very painful. I reach 120 in about 5 minutes on the CPM machine but today just one week later, Even though I can get to 112 with pushing, I have terrible stiffness agin on the right hand side just below the knee cap. I cannot get even close to one rotation on the bike. I guess I can say goodbye to my golf and active life.

  250. Elizabeth on October 4th, 2012 2:09 am

    Thanks, Ray. My legs are the same length following surgery. The spasms actually caused my back to curve – scoliosis, but is now straight. I have some basic back exercises PT has given me. I have a new memory foam mattress, but I don’t think this is causing the pain. I think I just need to be very careful on the lifting and overreaching for now as you say.. Posture also plays into this. I will also check out an excellent chiro here as that might help. Golly day….I was not counting on this. Thank you very much.

  251. ray evory on October 6th, 2012 2:36 pm

    ELIZABETH: It appears SCOLIOSIS is common with poor posture and long time sitting, hard to correct without major $$$ surgery, but chiro adjustments can give some temp. relief, as well as limited use of IBUPROFEN .. on my last visit to the chiro, he said I twisted my back, maybe from overreaching, like pruning 15 foot high tree limbs .. memory foam is good, but the memory lasts about 5 yrs., less in shoes .. I added 2″ memory foam to my bedding, which is almost “hog heaven” !! … RAY

  252. gwenda on October 11th, 2012 3:55 am

    so getting the left knee manipulated tomorrow, almost 5 months since the TKR, feeling hopeful that this will be the beginning of a total recovery on this left knee, then wishing to get the right knee surgery out of the way by Dec 31 2012. 2013 will then be a great year!! I can do this!!

  253. Diana Cremar on October 14th, 2012 12:29 am

    I got my 3rd knee manipulation Monday Oct 8…this is the first time I had alot of bruising and swelling. Its saturday and my knee is still purple..is that common. What’s dissapointing is that I still havent gotten my therapy approve. On Wed, Oct 10, I had appt with therapist to get an evaluation. He was so kind to work with my knee and get it to almost 100. For now I just have to work on it my self. Went back to work Thursday…and yeah, I was in alot of pain. Took my painkillers, so I made it through Thursday and Friday. I hope it works this time. Im 57 years old.

  254. John McBride on October 24th, 2012 12:55 pm

    I had TKR on both knees on the 29th August 2012, the right knee has been fine and reached 95% without to much trouble, the left knee I was only reaching 35% after 5 weeks and found some of the exercises difficult because of the swelling. On the 6th week I was able to increase the left knee to 65%, this was after a period of massage, ice packs and anti-imflammotory tablets which had reduced the swelling. I saw the surgeon on the 22nd October 2012 and he has suggested another appointment on the 19th November 2012 when a decision will be made about manipulation. After reading the above comments I’m not sure, has anyone any ideas how I can increase the bend by 30% in 4 weeks.

  255. Elizabeth on October 25th, 2012 1:41 am

    Hi Ray,

    I was waiting to hear back on my x-rays before responding to you. I have very mild destroscoliosis. Thank goodness. But I do have degenerative changes of the thoracic spine – like arthritis. Like any arthritis, I need to strengthen, stretch, and exercise the back, and keep inflammation down, especially the thoracic spine region, which I am now doing. I swim, do free weights, water pilates, walk, and stretch. I still have some discomfort, but I am working it. No more painful back spasms, but more stiffness, which is due to my increase of exercise now. I am very thankful I got to the bottom of my back pain with good professional advise.

    Tomorrow I am 6 months out from bi-lateral knee surgery!!! I still have a way to go, but all say, ” Give it one year.”. I am grateful for this operation…but it has not been an easy road. Keep going everyone!

    Elizabeth

  256. Elizabeth on October 25th, 2012 1:52 am

    John, bend your knee backward and rest your foot on a chair, bench, or whatever. Stand straight, lift your head and lean backwards a little to increase the stretch. Go easy at first, but hold that stretch for at least 3 minutes. Repeat 3 times a day. Do both legs. Gradually increase the stretch, by raising the height of the chair or resting position for your foot. Bend, hold, ice afterwards. But keep bending!!!! I found this the most helpful in getting that flex, but combine with all of the other PT exercises you do. You can do this! Elizabeth

  257. Jennifer on November 13th, 2012 4:13 am

    Had Bi-Lateral TKR on Oct. 3, 2012. I’m a 44 year old graphic designer/aerobics instructor. I’ve been working out hard and doing all the PT (3xweek for 5 weeks) but my left knee is lagging. I had both knees done at same time so the results are obvious. My right knee is a rock star, already 110 degrees, but the left is only 90 degrees with pain. I teach cycling classes at the gym and can’t make a full circle yet (because of left knee) after 5 weeks and I’m frustrated! I go in to see the doctor this week and told my PT to recommend manipulation. I hope the doctor agrees. I want to gain more ROM from it even if there is more pain to endure and more PT. I want to get back to my life before TKR but without the OA pain! I’ll update after manipulation to let you know how it went and what my ROM is after.

  258. ray evory on November 21st, 2012 1:57 pm

    (1) year later TKR .. after backing off 6 months on TKR exercise, the Doc. said I need to get on the BIKE to strengthen my Rt.TKR leg .. so back to Rehab for 6 wks. .. I dropped from 134 ROM to 120-125 ROM but will regain it all back soon .. I tried the PRECORE recumbant bike 10 min., then the resistant backboard sled 50 times, then stair-step 10 times, then back against the wall squats (legs spread apart) about 10 times .. it all improved my leg alot almost over night strengthing the leg muscle once again, but I need to continue this routine or go to a exercise center on a regular basis maybe 2 -3 times a week, especially if I want to go back to snow skiing Feb. 2013 … RAY

  259. gwenda on November 21st, 2012 11:40 pm

    Great news!!!! left knee is reaching 100 degrees flexion, following the manipulation on October 11. And now have a surgery date for the right knee, November 29! My wish of getting all this over with by Dec 31 is coming thru. I can do this! g

  260. gwenda on January 3rd, 2013 3:42 am

    Happy New Year to everyone!!!
    so left TKR is 7 months old, and right TKR is 1 month old!!
    things are going great with both knees, looking forward to reaching the one year mark, as I have been told by then things have settled in.

    good luck to all

  261. ray evory on January 4th, 2013 5:16 pm

    A better 2013 than 2012 .. my TKR pain is gone, but have purchased on Pre-CHRISTMAS sale, 50% off msrp @ SEARS, a quiet 250 SCHWINN Recumbant Bike and using it every day keeps my TKR right knee more flexible; just as good as the PRECORE bike @ the Sports Care Rehab Ctr. or STAR TRAC bikes @ the 24 hr. FITNESS Ctr. … RAY

  262. Rob HUMPHREYS on January 7th, 2013 8:30 pm

    Good news after 9 months of TKR ,I finally have enough mobility to go snow skiing, I was nervous but excited TO GO ..
    Glad i went.. it does improve your confidence to do something you enjoy after your surgery.

  263. Elizabeth on January 9th, 2013 1:53 pm

    RAY: Please see October 25th, 2012 comment to you. “I was waiting to hear back on my x-rays before responding to you.”

    On November 8, 2012 I was diagnosed with multiple myeloma – cancer of the bone marrow.”

    For months I thought the spasms and back pain I had was due to realignment from knee surgery in April 2012. It was not. The pain was due to cancer in my thoracic and lumbar spine area. My femur was also affected and I had a rod placed in my femur to stabilize the leg. (The cancer was picked up by routine blood work.) Today I have radiation and chemo and will have a bone marrow transplant in April in Boston. The prognosis looks excellent with much research today on multiple myeloma.

    My knee is not affected with any of this. I am grateful I had the operation prior to the cancer. I need to work hard still at keeping the knee flexed, but with swimming and water pilates, I am able to do so. It requires extra focus though.

    I write this to all…we just don’t know what pain may be telling us. My two orthopedic surgeons ( knee and femur) both looked at the xrays of my knees to see if cancer might have been present and was missed in April. It was not. All of this developed AFTER my knee surgery. As I said, I was diagnosed in November.

    My best to all.

    Elizabeth

  264. Elizabeth on January 9th, 2013 1:59 pm

    RAY: Please see October 25th, 2012 comment to you. “I was waiting to hear back on my x-rays before responding to you.”

    On November 8, 2012 I was diagnosed with multiple myeloma – cancer of the bone marrow.”

    For months I thought the spasms and back pain I had was due to realignment from knee surgery in April 2012. It was not. The pain was due to cancer in my thoracic and lumbar spine area. My femur was also affected and I had a rod placed in my femur to stabilize the leg. (The cancer was picked up by routine blood work.) Today I have radiation and chemo and will have a bone marrow transplant in April in Boston. The prognosis looks excellent with much research today on multiple myeloma.

    My knee is not affected with any of this. I am grateful I had the operation prior to the cancer. I need to work hard still at keeping the knee flexed, but with swimming and water pilates, I am able to do so. It requires extra focus though.

    I write this to all…we just don’t know what pain may be telling us. My two orthopedic surgeons ( knee and femur) both looked at the xrays of my knees to see if cancer might have been present and was missed in April. It was not. All of this developed AFTER my knee surgery. As I said, I was diagnosed in November.

    My best to all.

    Elizabeth (The Bionic Woman!)

  265. ray evory on January 9th, 2013 4:02 pm

    ROB: Let me know how your skiing turns out — Stay on Beginner Slopes, away from SnowBoarders .. Wonder if OA can migrate from one TKR knee to another (supposedly good) knee ?? — the narrowing medial compartment makes the pain area obvious via X-RAYS .. SynVisc injections are just temporary, if they hit the spot correctly; otherwise useless vs TKR .. Beware of Winter Cold or Rainey Weather Stiffness, even after 1 yr. TKR — stay flexible .. I ‘ve had to postpone my 2013 ALTA ski-trip, due to family trip to SC. — RAY, age 77 ..

  266. Lisa on January 10th, 2013 10:43 pm

    I had a tkr done on Oct.29th of 2011. i am having trouble with my knee not bending and lots of pain. i am also having no feeling in my toes at all and a pain like a hot poker in the arch of my foot. i have told my surgeon about the loss of feeling inmy foot and all he says is that it is probably diabetic neuropathy and from the cuff that they put around my thigh. i havenever had diabetic neuropathy. I have onlybeen dm dor 2 years with my sugars way under control.

  267. rob humphreys on January 15th, 2013 4:46 pm

    Ray
    skiing was great ,stayed away from rough hills and just skied really easy down the hill . it was great..stayed away from moguls , yes the knee was stiff in winter, but i go to gym 3 days a week and bike and do leg conditioning , boy does this make the legs stronger,especially for skiing , yes i stay away from snow boarders, also enjoy snow shooing .
    MY HISTORY
    my TKR was due to football injury at 17 years, old torn cartilage and removal, 40 years later TKR and a lot of Arthritis ..stay focused and limber the legs .

  268. Michael on January 18th, 2013 1:25 pm

    Oct 29 was my right knee replacement,
    Had infection, saw doctor, surgeons team
    Etc. they start PT. it’s January I got only
    70 degrees by myself. Pt has phobic attitude
    I’m going to have it out with surgeon today.
    Didn’t go through all this time pain and nonsense
    Not to be able to walk without pain or without
    A cane or limited motion.
    They seem very satisfied to allow me to
    Continue this way.
    I’m really disappointed in the quality of care
    I have been receiving.
    I feel like a victim. They promised much more

  269. Rich (age 51) on January 18th, 2013 11:26 pm

    I have had two Total Knee Replacements. The first was my left knee on 19JAN2011 (exactly 2 years ago tomorrow) and the then the right knee on 05OCT2011. I played ice hockey for years, I was the catcher on the baseball team, could push a 1,000 pounds with my legs in the football team weight room. at 48 I could hardly get out of bed without being in pain. I was 49 in 2011 and today, I am able to squat like a catcher and now that the nhl lockout is over (and I get the nerve), I’m lacing up the skates again!!! If I could do just one thing more before I check out, it would be a full on, hard hittig hockey game… I miss it that much!!! after two years on one and 15 months on the other knee I feel great!!! I did work hard in PT though and I sincerely believe, that is why I have had success! depuy is the brand and it’s a knee joint that not only bends, it twists too… 15-20 deg I believe. dr mark jones surgeon – richmond, va

  270. ray evory on January 21st, 2013 7:37 pm

    Rob: How did you perform on turns, (fall line) & steeps, ie; traversing, hockey- stops, braking, ice & groomed trails .. what named resort & trails; beginner or intermediate were you on ?? .. for TKRs, pre-ski quad stretches help; also bikes, plus using parabolic, tuned-hot-waxed skiis ,, stay away from off-ramp ruts, if avoidable; ruts can kill knees .. groomed 6″ fresh powder/No-Ice slopes are great glade/trail- skiing … RAY

  271. rob humphreys on January 22nd, 2013 2:21 pm

    ray,
    i am not a downhill skier by no means, i avoided all the rough spots, ruts you name it.. and turned quite well ..at 58 I am still athletic, we had 36 inch base with 6 fresh snow.. skied in shanty creek resort over 40 runs to choose from east of torch lake MI,( 3rd most beautiful lake in the world ) Have fun and be very careful on the slopes.

  272. John McBride on January 23rd, 2013 1:23 pm

    Both knees replaced on 29th August 2012 in Edinburgh Royal, both knees manipulated in November 2012, both knees currently at 110 degrees bend and walking extremely well, final examination on Monday 21st January 2013 and discharged. Looking back I’m not sure if I did the correct thing having them both done at the same time, was I brave or stupid? but here I am 41/2 months later no longer in pain, walking up and down stairs and feeling pretty happy about the end result. After 5 weeks my left knee was only showing a 35 degrees bend, with massage, ice packs and sitting in the sauna rolling a tennis ball under under my foot the bend increased to 70%.I currently swing both knees 50 times in the pool and then walk up and down the pool for 30 minutes, my reward is 10 minutes in the spa. A happy Scotsman !

  273. polly richmond on March 16th, 2013 10:56 pm

    i had tkr in september of 2012 .had loads of scar tissue from a previous op ,couldnt bend more than 80 dg ,i went to pt 4 times a week , was in a lot of pain was advized to go for manioulation , i wasnt happy but had it on 5th of november 2012 , the day went ok ,had an epidural so no pain . the days after were fine could bend to 100dg but then things changed and things seemed to seeze up . i was very down pt was so painfull ,as the weeks went on things seemed to become less painfull and the joint became loose , now its march 2013 and things are loads better i have a bend of 120 still have some pain .but not massive , can climb stairs again .im back at work full time . another 2 of 3 months and i am hopefully going to be back to full recovery , so dont give up it will be worth it in the end

  274. Annie on March 24th, 2013 12:49 pm

    I think I will be a candidate for manipulation in the future and it frightens me. I am a little over 3 weeks post tkr surgery and have been told that I am building up scar tissue very quickly that is severely limiting my flexion. Extension is not bad. I have been using a cpm machine at home and have had 3 days of outpatient pt. Therapist wants me to be at 90 by the end of the week. It’s not going to happen. So much pain and stiffness even on Vicodin and Advil. I am a mess. I cry all the time through therapy and at home. What scares me about manipulation, if my doctor advises it, is that if it may not help then I’m back to square 1. This recovery process is so much more difficult than I ever expected!

  275. ron on March 24th, 2013 4:53 pm

    i had my left knee replaced 5/5/11 it’;ll b 2 yrs in 2 months, been bak 2 work 1 yr 3 wks now i have no pain but dependin on the weather it gets stiff. my range of motion varies between 110 & 118 enough 4 me to work safely as i do maintenance on track equipment for the railroad so it involves climbing crawling & kneeling wich at times is difficult. as a result of being bak 2 work i tore a manicus in my good knee on the job so i will have a scope done on it 2moro & hope this wont lead to another TKR down the road the 1st one took long enough with a manipulation down 6 months after 2 burn out scar tissue. oh well good luk 2 u all

  276. Scott on March 26th, 2013 9:18 am

    I had Right TKR in May 2012. In August 2012 I underwent my first MUA on the right knee. It is now March 2013 and I am needing another MUA. I went through a rigorous PT program for both my TKR and MUA but the scar tissue has returned thus limiting my ROM. Has anyone dealt with multiple MUA’s on the same joint and if so what was your result? I am athletic and 51 years old.

  277. gwenda on March 29th, 2013 10:39 pm

    hi Scott
    I have not had multiple MUA but did have 1 following my left TKR.
    TKR on May 17 and the MUA on Oct 9 and like you did extensive PT following both the surgery and MUA. My great PT – Dustin – was trained in the Graston Technique so he used this technique along with PT and I believe it was the “magic” turning point! check out if you can find someone trained in your area, it may work magic for you as well, Good Luck!
    gwenda

  278. Scott on March 30th, 2013 3:00 am

    Graston Technique? Never heard of it but will look it up. I work in Pakistan , live in Scotland but am from Florida. They put a great implant in (dupey 135 degree job) but my surgeon is saying that due to the number of surgeries I have had on the knee (7) I have a tendency to scar and that the scar tissue is the bodies way of protecting itself against something foreign like titanium. I’m in the hospital now and just completed the 2nd MUA. I was a HS and college athlete ( cross country and track) and continued my career as a PE teacher and AD and this may have contributed to the wear and tear. I don’t want this to become a habit so this time I’m going to really watch my ROM and my leg strengthening exercises.thanks for the advice.

  279. Paula (57) on April 3rd, 2013 6:01 pm

    I had a custom right TKR on 1/25/13. From day one, I’ve had a lot of sciatic pain whenever I bend the knee. Sliding the heel up when lying down or backward when sitting, shoots unbearable sciatic pain up and down my whole leg so it seizes up. I have more success bending it by bringing it up to my chest and letting it drop. At 6 weeks, I have 0 extension and 110 flexion (not easy when you’re allergic to pain meds), but cannot walk without a limp and without extreme sciatic pain. Doctor is recommending manipulation to break up scar tissue. The implant was custom made to match my knee so it should be a good fit. Has anyone had success with reduction in sciatic pain with manipulation? If you’ve had the Graston technique, would you recommend it prior to manipulation. Thanks so much for sharing your stories and tips.

  280. rob humphreys on April 4th, 2013 1:42 pm

    i would listen to what you doctor tells you, i was persistant to get more PT to break up scar tissue instead of manipulation, 4 weeks later my doctor said i should of done this manipulation sooner, I was stubborn to work this out , instead I was 4 weeks longer in my PT..
    cant answer to your sciatic pain issue

  281. rich on April 7th, 2013 2:42 am

    @ron, you still checking in here? I’m curious how you’re doing now. after the manipulation you mentioned being back at 118 ish. has that improved? I know you were doing heavy equipment / trucks etc. any better? it’s been a while since we emailed.

    rich

  282. ron on April 8th, 2013 12:26 pm

    hi rich it’s still varies depending on weather i’m in new england i’d say between 110 -120 degrees. real cold bothers it or humidity it doesnt hurt like b4 but i get that stiffness feeling. i went bak 2 work after 10 months out on workers comp to get the TKR in may 2011. i worked from march 2012 till october 2012 when i tore a menicus in my other knee while working on a piece of track equipment. i had to work on that for 4 1/2 months just 2 get scope surgery approved by workers comp which i just had 3/25/13. now i find out i had multiple menicus tears from working on it after hurting it but i had no choice as i didnt have enough sick time to cover my health insurance till after the new year started. dealing with W.C. sucks they either try 2 deny you or keep shutting u down & force u to go back to work b4 your healed. i know more workers who did that & got reinjured. i told my surgeon i hope this new injury doesnt lead to another TKR i really dont want to go thru that again. i hope things r welll for you rich & all the others that have this TKR common bond

  283. Kristen on April 10th, 2013 3:40 pm

    I had a RTKR on Feb. 13, 2012 and was only able to get to 76 degrees on my bend. Went for MUA yesterday (4/9/13) and the surgeon said he got it to 130.

    I was sore yesterday and today I feel like someone hit me with a sledgehammer in my knee and thigh. I have terrible pain in the back of my knee, they did a x-ray and doppler yesterday which were both negative.

    Went to PT this morning which was a total waste, due to the pain and swelling. Told her to keep bending me and I pushed through the pain but not anywhere close to what he got me to in surgery.

    I am currently using my CPM machine but can’t go any higher than 80 due to pain.

    This has been such a frustrating journey, thought I would be better by now but I can’t bend and I walk with a limp!

    Surgeon makes me feel like it’s my fault and I need to keep doing “intensive PT”. I was told by his “nurse” that he is disappointed and surgeons take this stuff “personally”. REALLY? I do what they ask in PT and do the exercises at home but still can’t bend.

    I’m 39 and a nurse. Not sure when and if I will ever be able to return to work a 12 hour shift standing on my feet all day. UGH!

  284. Kristen on April 17th, 2013 2:02 am

    Hi everyone again,

    I had PT done last Friday and the Physical therapist really pushed it and got me to 93 degrees. Did my CPM machine all weekend and was suppose to have PT today but my therapist called in sick.

    Worried because I feel like my knee is NOT bending today much. Also, having a lot of pain in my hip joint.

    Wondering if anyone else has had hip pain?

    Again…frustrated

  285. ray evory on April 18th, 2013 4:38 pm

    A year after TKR and ROM of 134 degrees, I have recovered almost completely, except for quad muscle leg loss; yet no more Sciatica down right leg, a benefit too .. I’m pain free with a slowed walk … RAY

  286. Annie on April 19th, 2013 1:43 am

    Kristen, I too am frustrated. I have been unable to achieve more than 90 degrees flexion at PT for the past 3 weeks, so tomorrow I am going to have a manipulation done. I am not looking forward to the procedure and I’m afraid that it is not going to help. My surgery was 7 weeks ago.

    I wish you luck with increasing your flexion and with the hip pain. People keep telling me to be patient, that it will get better. I’ll let you know if it ever does. I just want to get back to my normal active self, as you do.

  287. Ron on June 17th, 2013 2:24 pm

    I had a serious line of duty injury in 1978 and spent years of constant knee pain.. I had multiple scopes and cartlidge repairs (cartlige regenerated twice), but could not get approval for a knee replacemnt . After numerous incidents of falling and continued issues I had to hire an attorney to bring suit against my employer to try and get the knee replaced. I had a Left TKR in April 2009, spent 2 weeks in rehab and did PT. My ROM allowed only a 88-90 degree bend…my extension was good ( 0 ). As hard as I tried and with a great PT team could not get beyond the 90 deg bend. In 2010 I had a manipulation done after MRI and xray’s showed excessive scar-tissue growth. This was followed by PT for 8 weeks and I have continued PT on my own ( Fitness ctr I belong too has a full 15 table PT dept ( certified). I go 4 days a week using recumbant bike, staimaster and working with a trainer. I am still in a lot of pain (especially during damp weather and cold) and have an 89 degree max bend. Dr. does not want to re-maniopulate at this time. Any thoughts or comments would be appreciated.

  288. Gene on June 21st, 2013 2:46 am

    Keep up the great work to all who belong to the knee replacement club. Yes – My left replacement from 2011 still is not a full bend.
    The right from 2008′ is OK too.

    Remember…a replacement knee is not God’s knee anymore.
    You do the best that you can with what you have left.

    replaced:
    - Left knee
    - Right Knee
    - Right shoulder [ total ]

    Gene

  289. Ron on June 21st, 2013 7:37 pm

    Please help…..Hello had bilateral tkr on march 15 2013 hospital was only interested in vitals it seemed I would have to plead with them to put me on a cpm machine after losing much time I began physical therapy at approximately 2 weeks had hardly any movement straightening or bending went to physical therapy for approximately 3 to 4 weeks and range of motion was approximately 60 to 70° and 40 on straightening on April 29 I had manipulation under anesthesia brought my motion to approximately 90 on the left and 70 on the right also on straightening zero on the left and 20 on the right still going to physical therapy like 10 weeks later had a second manipulation on June 10 making my rom on left from 0-100 & right from 15-95 still are real stiff and struggling to walk any help woul be great so far I had 38 pt visits at 3 hrs a session

  290. gwenda on June 23rd, 2013 8:47 pm

    hi Ron
    I too was a TKR patient with limited ROM, had a manipulation, somewhat better but I think the most help I received was from getting GRANSTON technique done by my PT. 80% of the time both my TKR are wonderful, take it one day at a time when they are not so wonderful. Check out Granston, painful procedure but after TKR we can handle it! Good Luck gwenda

  291. DeeDee on October 31st, 2013 1:31 am

    Its 10/30/13 three months since I broke my left patella and underwent surgery x3 screws. Today I had an MUA and almost fell down thinking I can hold my own weight. My ROM was 64 & 13 away from straightening prior to todays procedure and unfortunately I will not be in to see my therapist till Monday and am on my own till then…I told my orthopedic surgeon this and he said to just keep bending in the meanwhile! I am scared/worried and need all the advice I can get to make this work. I pray that the pain will be tolerable after the block wears off and I can pick up where I left off soon!

  292. Michelle on April 13th, 2014 5:48 pm

    I was wondering if anyone has had TKR and have other major health issues that cause extensive pain? Such as I have some auto immune disorders which one causes excessive scar tissue scleroderma. Also have sensitive nervous system due to having fibromyalgia and raynauds. I’m having a terrible time with the pain trying to bend my leg. I use to get to 62, 52, & now only 26. The dr says it’s scar tissue had surgery almost two months ago. Therapy three times a week. Dr is suggesting minipulation ASAP I’m concerned I’ll lose the little bit I have now. And just finally started walking without a walker all the time. I’m 43 years old and have been walking with a leg brace for three years.

  293. ray evory on April 25th, 2014 5:35 pm

    LONG TERM PATIENCE is REQUIRED !! .. if possible, lose weight, try probiotics .. a recumbant bike has helped daily stretch my legs back to normal @ home .. in Winter, some stiffness comes; can’t avoid, but exersize sure helps, even walking @ the gym .. as we get older, some vericous veins in legs are common, particularly from a standing on feet all day job .. manipulation theraphy like chiro gives only temporary relief, but helps .. I went to a sports rehab ctr. twice for 6 weeks each time for theraphy stretching after TKR; but painless breaking up the scar tissue by surgeon, 2 weeks after TKR, was most beneficial … RAY

  294. Elizabeth Israel on April 26th, 2014 5:52 pm

    Michelle, I had my bi-lateral knee replacement April, 2012. I had recuperated from the operation extremely well, but continued to have back pain following. I thought my body was adjusting to the new knees, but that was not the case.

    7 months after my bi-lateral TKR, I was diagnosed with Multiple Myeloma cancer on November 9, 2012. I had rods placed in both femurs – so today I am a bionic woman. Following a stem cell transplant in April 11, 2013 (like Robin Roberts), I am doing well.

    However, my knees went back to zero after the stem cell transplant. I had to begin all over again retraining my knees and literally learning to walk again. Today, I am in PT and working with a chiropractor. The cancer is under control; I have pain in knees but good extension. I am grateful I had the knee operation, as I would not have had it if I had been diagnosed with cancer first.

    Ray, all of your points are right on. Movement is key! Swimming and exercising in the water for me has been outstanding, but walking is also critical. That is harder for me, but it coming. (I think we corresponded earlier…pre-cancer.)

    It is all doable – I call it The Power of Slow!

  295. Joan on May 9th, 2014 6:43 pm

    had my tkp on march 11,2014, am going to have a manipulation done this next week, can only bend my leg to 100 degrees pt. wants it to bend to 120. I also have fibromylgia and am wondering if this is some of the problem, does anyone else have the same stuff going on and you also have fibro????

  296. Anita Williams on May 15th, 2014 3:26 am

    I have a pre-existing condition of pubis osteotitis (sp)? [misaligned pelvic bone which has no remedy-re Mayo Clinic, etc.] and thus have been limited physically for a long time. Stairs have been “one step’d” for ages.

    Had TKR/r June 3, 2013. Typical OA issues. Usual recovery except for trouble with pain meds, etc so PT was more difficult without any help, but I went faithfully. At my best, got to about 119-120 with help. Also faithfully did home PT daily. Couldn’t keep it. Have slowly retreated to abt 90-95, I think. Little by little, mobility is less. No real constant pain, just stiff. I tire easily but sleep is fine. Age 76+. Back to constant use of cane (and walker for special outings).

    Will see OS soon for yearly check up. Am concerned he will “insist” on a MUA, but I’m not confident it will work after reading so many other’s results. Is it too late for one? I dread being on pain meds again. Any thoughts?

  297. Jsn on May 15th, 2014 11:53 pm

    I have Fibro. I had manipulation on April 15th. Still having a lot of bad days, but slowly feeling better after every PT. Last bend was 113. I have a tens unit and use Aleve daily. I go to PT 3 x a week and am in week 4 of 6. Yes, I’m treated differently- as they need to adjust to my pain levels and swelling. The last PT (yesterday) was great! The best since surgery! It was gentler and more heat-based and seemed to work well with me. I wish you all well in recovery. No one said it’d be easy and they sure as Hell don’t tell you that. But one thing I know is you HAVE to do the exercises – it’s a must! I have found that by bending even a little more than you’re used to, you actually do get relief. And do what feels good for you. This takes creativity, but by NO means lay dormant. Work it!! Be well!!

  298. Sonya on July 28th, 2014 9:03 pm

    Help!

    My dad had TKR on one knee and a manipulation on the other knee Dec. 5, 2011. He got right up the day after and was quickly transferred to a rehab center. He was overdosed and was unable to do any sort of aggressive physical therapy for 3-4 weeks while they worked on stabalizing his mental state. During that period his legs firmed up and he has been unable to get any sort of range of motion and hasn’t walked since the day after surgery.

    I’m looking for answers of what could have happened. From what I’m finding on the web it looks like muscles / tendions can shrink after surgery. Does anyone have any proof? or any other ideas of what may have happened?

    Thanks so much.

  299. ray evory on July 30th, 2014 5:06 pm

    Another comment from RAY: After 2 1/2 yrs. since my TKR, the occassional knee click @ nite has gone away . . must be part of the healing process, leg muscle strenghtening, or getting rid of scar tissue .. as a senior, age 78+, only thing, I’ve slowed down walking; though in excellent health, tough to keep up with the younger generation .. RAY

  300. Elizabeth Israel on August 2nd, 2014 12:59 am

    Ray..thank you for you comment once again. It is tough to keep up. I am 72 and hold up The Power of Slow.

    Sonya…see my comment from April 26, 2014

    Today, I have a great PT who has worked very hard on manually stretching and untangling the muscle mass. It is coming and I am beginning to get my swing back again. (Getting the right therapist is key, I think.) I am also doing Qi Gong (following on the internet) and swimming.

    Like other comments on TKR…keep going. I wish your dad well, Sonya.

    Elizabeth

  301. Elizabeth Israel on August 2nd, 2014 1:19 am

    Rich and others…I am rereading my previous comments here. And I am reading some of the other comments. Wow, I have come a long way! I believe you have as well.

    With a bi-lateral TKR and multiple myeloma cancer, my body was very twisted. 2 years and 3 months later, today I have a straight spine. YES!!!

    I realize all of us have worked hard on our goals. I encourage everyone to keep going daily to work the body. I call it The Power of Slow!

    Elizabeth

  302. Jan on August 3rd, 2014 1:15 am

    I had TKR 12/10/2013. Had manipulation 4/15/2014. It really helped to have the manipulation. I feel much better about my surgery, but it doesn’t come easy. There is pain afterward, but nothing like the main TKR. Do not be afraid to have it done. You will feel better in the long run. Please make sure your physical therapy appointment is set up by your physician and don’t hesitate if that is not done right away. Don’t wait to hear anything for a week like I did. That will only prolong healing. Good luck, everyone!!

  303. Deborah Falconio on September 18th, 2014 3:35 pm

    I had tkr done on July 14,2014. I could only get to 80 bend so a week. ago they did a manipulation on my knee. I can now achieve a 95 bend. I am scheduled for 4 more weeks of physical therapy three times a week. I do stretch excercises at home along with 15 min. On my exercise bike every 4 hours at home everyday. I am depressed that I can not seem to improve much in spite of all the ex resize.I am 61 years old and feel I may have made a mistake getting this done because I walk the same way as I did before only Insted of pain I have stiffness. Any advise or encoragment would be welcome.

  304. ray evory on November 11th, 2014 2:28 pm

    To all TKR’s: breaking up the scar tissue 2 weeks after TKR, was the best thing that ever happened to me to faster healing, along with PT & exercise @ Sr. Ctr,, I’m Completely back to NORMAL, still walking @ gym without pain @ 79, though SLOWER .. RAY

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