Can you overwork your a knee after TKR?

Over training is a common and often frustrating problem after a total knee replacements. Clients are so eager to gain full range of motion as quickly as possible that they often do too much too fast. Deliberate, short, frequent training sessions are often more effective than longer, harder training sessions to full exhaustion.
If you find that you are not recovering between sessions. If you feel that you are not improving in function and range of motion, I would ask you to talk to a physical therapist or surgeon and consider the fact that you may be doing too much during your training sessions.
📝 Blog: www.choosept1st.com/articles/top-5-mistakes-after-knee-replacement-surgery
About the author:
Hi, my name is Anthony (Tony) Maritato, PT. I am a licensed physical therapist and owner of Total Therapy Solutions. I have specialized in helping clients recover from total knee replacement surgery since 2002 and have created this video to help YOU.
Total Therapy Solutions
5900 Long Meadow Dr
Middletown, OH 45005

Пікірлер: 190

  • @stevehh060758
    @stevehh0607583 ай бұрын

    I stumbled across this video. I'm one month out from tkr. I was determined to push myself to get ahead of the recovery curve. I hit a wall and had to stop for two days to let myself recover. After that I've now dialed back the exercise program. I now exercise to the point of fatigue, then ice my knee. And I don't feel like I'm cheating myself. Recovery will proceed at the pace I can handle.

  • @brendanoel2318
    @brendanoel2318 Жыл бұрын

    Thank you. I needed this today. 9 weeks out. All the things mentioned it help me not to get upset about range of motion. 110 to 113. Today, I said I'm taking a break. Tomorrow is rherapy. Thankyou for all you do. You've been helping me stay level-headed. Just so you know... I truly appreciate your time and effort you give to the people you train. Wish there were more like you. That don't push so hard...just saying. Thankyou 😊❤

  • @clarkdeforce119
    @clarkdeforce1193 жыл бұрын

    Hello , I am 71 , had tkr 7 weeks ago. Prior to surgery I was very active , biking 14 miles a day. My injury was from an old wrestling injury in high school. I have been very lucky with recovery due to prior activity and normal weight. I used a walker 1 day and a cane 2 days except to go to the bathroom at night. I have had very little pain. Did. Physical therapy at home, later at an office for 3 visits. Able to walk up and down stairs normally, go for walks in the woods, and ride a bike, slowly, for 6 miles. I really enjoy your videos. You answer many questions that pop up during the recovery . Thanks

  • @johnbmw550i
    @johnbmw550i Жыл бұрын

    Totally agree I went over the top om recovery and went BACKWARDS!!!!!, just changed tactics

  • @user-do4wn8te7h
    @user-do4wn8te7h7 ай бұрын

    These videos have helped me so much.. greatly appreciate!!!

  • @frankloccke4313
    @frankloccke4313 Жыл бұрын

    Your videos are so very helpful and reassuring that I’m on the right path. You are the only PT on KZread that I would trust. Thanks for all your help!!!

  • @trebbycatron7725
    @trebbycatron77253 жыл бұрын

    I just got a new knee 5 weeks ago. I am so grateful to find your channel it has helped me beyond measure!

  • @pilatesaustintexas512
    @pilatesaustintexas5124 жыл бұрын

    Thanks Tony!

  • @valmcb6479
    @valmcb64799 ай бұрын

    I so needed this attitude adjustment! I am a type A person who pushes myself a bit much. Also a retired RN and a horrible patient. What a twit I am🙄 What you shared in this video is straight logic and science and I am going to try to do my PT in a much more measured way with proper expectations. Thank you so very much, you are a blessing😊

  • @eddyjimenez-scorpio
    @eddyjimenez-scorpio2 жыл бұрын

    Im a year late for this clip, but boy o boy am i happy i watched it. You were so on cue with this advice. You described me to a T. Im gonna slow dwn, listen to my body. Its been 4 mths post tkr and im frustrated with my recovery. Ive this many times since you popped into my notifications, wish you were here in Chicago! But, fortunately i have you on youtube, thanx Tony, if you only knew how much youve helped me. Feels like ive known you forever! Keep these clips coming, i really need em!

  • @sweetkeys54
    @sweetkeys543 жыл бұрын

    Thank you for this!! I’m 6 weeks today and making progress every day. It might be small but moving in the right direction and honoring my body and the healing process.

  • @pamgibbons375
    @pamgibbons3753 жыл бұрын

    This helped me a lot, thank you so much !

  • @sequaumalone9290
    @sequaumalone92902 жыл бұрын

    Thank you for the compassion.

  • @anitazuck
    @anitazuck2 жыл бұрын

    Such an important video. Been struggling with the one step forward two steps back phenomenon and the resulting frustration. Hopefully, I can take your advice to heart, Tony!

  • @mdrk487
    @mdrk4874 ай бұрын

    Thanks Tony for the awesome videos and great feedback on what to do in terms of a good recovery.

  • @anardhalla5888
    @anardhalla58882 жыл бұрын

    Thank you so much Tony It’s three months I had my knee replacement I get worried about my range of motion. Your explanation is absolutely helpful 😊

  • @susansemrow5370
    @susansemrow53702 жыл бұрын

    Absolutely excellent advice about not focusing on the numbers and listening to your body. My numbers can vary wildly throughout a 24 hour period, yet I eventually make progress. Thank you for your great advice and expertise! I'm on TKR number two, and your videos are very helpful!

  • @hannahcoleman2940
    @hannahcoleman2940 Жыл бұрын

    HiTony, I had a TKR on 4th February 2023, I have been doing well at home ( NHS doesn’t provide a trainer) I have just recently had my follow-up appointment and it was suggested I attend a knee/hip recovery group exercise class at the Hospital, I attended the class, I did 1 hour of various exercises, I expressed my concern to our trainer that some of the exercises were very difficult, he said you have to push through the pain, it is 5 Days sinse the class, I have been in so much pain and am now limping again, I am not going to the class next week, I have decided giving my body time to heal and get back to where I was before the class, I will go back to the class in a few weeks time however I intend to work at my own pace, thank you Tony much appreciated Hannah🙏☘️💚

  • @lyndashearing5467
    @lyndashearing54673 жыл бұрын

    Thankyou for this very useful information . I am 3 months into my recovery and set myself back by overdoing stretches 2 weeks ago . I still have lots of swelling and pain but l have had to accept the truth told to my by my surgeon tbat it could take 12 months to fully recover. The hardest part is the realization that EVERY knee replacement is different for every patient. It is so difficult when people say to you "oh you are still limping " as you struggle with a walking stich after 3 months. I am rethinking the whole recovery process and your advice is very timely for me thanks so much.

  • @jeanettemarsden5136
    @jeanettemarsden51364 ай бұрын

    Thanks your videos are so helpful

  • @jamesclinton7712
    @jamesclinton77122 жыл бұрын

    Tony, This video really helps. Understanding what other people are going through made all the difference for me through your videos. I am four weeks out from my knee replacement. I’m starting to sleep better, but I get tired easily. Knowing that what I am going through is normal takes a load off me. I’m going to let my body heal and have peace with it. I’ll keep the Exercise going but realize this is not a triathlon.

  • @Bigdeano75
    @Bigdeano752 жыл бұрын

    Love your videos mate. Keep up the good work 👍🏻👍🏻👍🏻

  • @nancylanderson8012
    @nancylanderson8012 Жыл бұрын

    Very good and informative video. Thank you.

  • @ianlomas625
    @ianlomas6254 жыл бұрын

    Hi Tony, that definitely describes me. Learning so much from you. Thank you.

  • @totaltherapysolutions

    @totaltherapysolutions

    4 жыл бұрын

    I always appreciate the feedback.

  • @cindydfrankland9955
    @cindydfrankland99553 жыл бұрын

    Thanks again for the pep talk😊 Thank-you for beginning here for us!

  • @totaltherapysolutions

    @totaltherapysolutions

    3 жыл бұрын

    You are so welcome!

  • @susiepam2716
    @susiepam27162 жыл бұрын

    Thanks, just what I needed to hear.

  • @totaltherapysolutions

    @totaltherapysolutions

    2 жыл бұрын

    Thanks for sharing.

  • @JulesGS72
    @JulesGS72 Жыл бұрын

    Thank you for all your great videos! I have learned so much from them. Your patients are very lucky to have such a kind, caring physical therapist. My therapists are obsessed with numbers. They made me feel like a failure because I couldn’t get to 90° ROM at 2 weeks post surgery. They’ve treated me like my TKR was for normal wear & tear, but my issue was actually congenital. Even though I am behind on their idea of ROM schedule, I know from watching your videos that there is hope & I’m getting there. It’s been ~ 3 1/2 weeks & I am at 103 ROM. I can get to 110 ROM when they push my leg into flexion, which I hate & dread that technique every visit. Thanks again for sharing your knowledge with us.

  • @HeidiSue60
    @HeidiSue60 Жыл бұрын

    I needed this. After many videos telling me that I must be walking without aid, no limp by such-and-such or the comments from people doing 110° by week 2 etc. It’s good to remember that I’m recovering from a major, highly invasive procedure and I’m going to take time to heal.

  • @joaniec4560
    @joaniec45602 жыл бұрын

    Thank you i just love your video’s. They all make sense

  • @jessicam.mieles3486
    @jessicam.mieles3486 Жыл бұрын

    Thank you so much for this video. I wish this video would be a requirement to listen to before surgery, right after and during recovery.

  • @catemoon
    @catemoon Жыл бұрын

    This is good to hear. I’m doing good at 4 weeks with great ROM, but as I pushed the knee began to hurt more than ever. Now I’m giving myself a rest day once a week, and going more gentle stretches. The whole reason for doing a TNR was quality of life.

  • @brigittewangberg9223
    @brigittewangberg92237 ай бұрын

    Thank you! Im 4 weeks out from tkr and Im struggling w range of motion, despite doing PT and home exercises, etc. Sleep is rough still. Nutrition great reminder for me and not over doing exercise...I needed to hear that we all get range of motion back on own time and to our own degree bc Ive been feeling frustrated that only at 101 at 4 weeks (pushing knee). I had lost range prior and surgeon explained this was going to be challenge for me. Im hopeful I will be doing circuit classes & figure skating again soon..Thank you!

  • @geraldarcuri9307
    @geraldarcuri93075 ай бұрын

    Thank you speaking out for the balanced view. The body has been assaulted by the TKR procedure. It NEEDS TO HEAL. Exercise is great, but it needs to be kept in perspective against the background of tissue trauma. More frequent, lower intensity workouts are far better than the "no pain, no gain" strenuous approach.

  • @out2fun
    @out2fun3 жыл бұрын

    Thank you very much for your help with understanding what is going on. Post TKR 6/21/21

  • @nirmalanair1981
    @nirmalanair19813 жыл бұрын

    How timely! I overdid yesterday (my home PT) up-ed my repeats to 100. So I broke it down to two sessions of 50. I takes me 95 minutes to complete one session. And I did standing on my toes whilst lifting my heals- 100x. Last night I was in so much pain n today too. Piercing pains. I never had this at all. Today, I m just resting- no exercise. I m 32 days Post op. So now I shall break it down to 3-4 sessions. Thanks Anthony! Btw, your are not just reasonably good. You are ABSOFANTABULOUS. (Absolutely fantastic n fabulous)❤️- KL, Malaysia.

  • @fernandotalavera712
    @fernandotalavera7123 жыл бұрын

    Once more time thank you very much from Madrid Spain, you are describing me in this video, I hope to have more patience and follow your advice. Fernando.

  • @onigarritano
    @onigarritano3 жыл бұрын

    Soooo helpful!

  • @akrocuba
    @akrocuba3 жыл бұрын

    I just had my other knee replaced in September. I can tell you that this new knee is not responding to therapy as well as my other knee did. I can tell you that I have been over raining. I just realized that about two weeks ago. I am now taking it much slower. As far as the surgery itself, I compare it to controlled trauma. The basically destroy you knee then rebuild it. I also learned, the hard way, even though my two knees are part of MY body, they do NOT respond the same. Great vid. Thanks.

  • @lindaembree1631
    @lindaembree16312 жыл бұрын

    Thank you so much, I had surgery 11 weeks ago and I think after listening to you I have pushed to hard. I still hurt and one hour on my feet is all I can do.

  • @marycore5378
    @marycore53786 ай бұрын

    steting my third week in after tkrhad one done a year the 1oth of dec no com parison this latest one has just about broke me this video helped me a lot thank you

  • @Jamun-gt7ql
    @Jamun-gt7ql2 жыл бұрын

    I recently had a TKR and your videos were informative and extremely helpful. Thank you so much for these informative videos. You are truly helping mankind in a way that very few have. best wishes to you.

  • @totaltherapysolutions

    @totaltherapysolutions

    2 жыл бұрын

    Thank you so much for the kind words and encouragement!

  • @BunkerhillRanch
    @BunkerhillRanch Жыл бұрын

    This was great news to me. Accurate description of the mental ups n downs. I think my young PTs are trying to make me overachieve by pushing to pain limit, then a bit more-OUCH! I AM BACKING OFF THIS PAINFUL APPROACH TODAY! 69 yrs old-3.5 weeks I am at 1* /118* …….I can walk like the Real McCoy-Thanks for the great and reassuring videos you post!!

  • @TheMommom8
    @TheMommom82 жыл бұрын

    Thanks so much Tony for all your videos. They are an immense help to all of us going through a TKR. I’m 2 weeks 5 days out and my personality is that I’ve always pushed myself. I’ve been very active my whole life, taught fitness classes, used to run, bike a lot, speed walking and I’m a normal weight. I thought I’d bounce right back. Looking for a miracle and you’ve helped keep me grounded and for that & all the help your videos are I thank you from the bottom of my heart! Keep up the great work that you do! And I will do my best to take your advice, I know you know what you’re talking about!

  • @totaltherapysolutions

    @totaltherapysolutions

    2 жыл бұрын

    Thanks Barbara! I appreciate the kind words and I wish you the best.

  • @ninfabatchelor4943
    @ninfabatchelor49432 жыл бұрын

    I love your videos and and all good stuff you information has been great help.thanks

  • @totaltherapysolutions

    @totaltherapysolutions

    2 жыл бұрын

    Thanks for watching and supporting the channel.

  • @m.b.6113
    @m.b.61134 жыл бұрын

    Thanks so much for this video! And for your others. This is spot on for my case. I am a little over 12 weeks post TKR. At 2 weeks with a lot of daily work I could get 90 degrees flexion. But 12 weeks later I have made very little progress. Because of Covid I am not in any organized PT since 2 weeks post op. Thanks to all your and other great videos I am able to do PT on my own, although I do not think it has been as effective. When I wake up I am always back to about 75 degrees. After pushing the therapy pretty much all day I am at 90 to 95 at 5 PM. All of the symptoms from the web site are spot on. Throw stay at home for covid in as well. My mental fortitude is challenged every day. The lack of flexion is extremely frustrating as I have been working hard on it. I had an extra articular ACL repair about 37 years ago. Although my knee had great flexion the pain was terrible. My doc chose to leave all the old hardware and repair in place when he put in my new knee. I wonder if this is part of my hurdle? I can finally detect minute improvements. A week or so ago I decided to back off the home PT and work. I believe my PT was causing swelling and pain. Hopefully I won't back up. On a side note. One stretch I discovered that seems to help is with the aid of a dining table chair. It is the perfect height for me. I bend the knee and put my foot over the seat of the chair.my foot is hang in off one side of the seat while my knee is resting on the other. I slowly work on standing straight up until I can achieve 90 degrees. It generally h takes several reps lasting 10 to 15 minutes to get to 90.

  • @totaltherapysolutions

    @totaltherapysolutions

    4 жыл бұрын

    Wow. Thanks for all the details. Slow and steady. Sounds like you are doing everything right. Just give yourself a little time.

  • @42hicky

    @42hicky

    3 жыл бұрын

    This is so like me I am 12 weeks post op

  • @barbarathomas2471
    @barbarathomas24714 жыл бұрын

    Thank you from the bottom of my heart. I’m 2 weeks out and hearing you validate the pressure I’m getting from my surgeon and cutting myself some slack. Thank you.

  • @totaltherapysolutions

    @totaltherapysolutions

    4 жыл бұрын

    I am sure you are doing incredible. Thanks for the comments and feedback.

  • @bt9124

    @bt9124

    3 жыл бұрын

    Same. So much pressure! They are trying to avoid a MUA op tho. Hydrotherapy is good if you can get it.

  • @shabbirkhan4897
    @shabbirkhan48973 жыл бұрын

    You are right, Sir.I myself have experienced that overdoing the excercises only delays recovery time.

  • @jenknutson4984
    @jenknutson4984 Жыл бұрын

    Thank you so much for this. All of the symptoms of overdoing....I'm feeling. Now I realize I'm not going crazy and I dont need pain to get better I'm pushing way too hard and its making me miserable in all areas of my life... I'm chilling and slowing down to get myself back. Again, thanks so much

  • @jeanettephillips3209
    @jeanettephillips32092 жыл бұрын

    You are awesome 👌 I will take it easy from now on. I'm at week 9 and bending 80-85 degrees. I am a Nurse and extremely anxious to go back to work. Thanks for all your advice, I will relax and allow the healing process to continue without force.

  • @tinadiedrichsen39
    @tinadiedrichsen394 жыл бұрын

    So helpful. That's what I did a week ago. I tried to push too hard. Thank you for this information.

  • @totaltherapysolutions

    @totaltherapysolutions

    3 жыл бұрын

    Glad it was helpful! How are you doing now? Is the pain improving? I am referring to your other comment from the pain video.

  • @darlenericotta7550
    @darlenericotta75502 жыл бұрын

    Thanks I will try to remember this when I have my surgery.

  • @bt9124
    @bt91243 жыл бұрын

    I have definitely had a decline in improvement from doing too much. It goes like this: I wake up and the swelling seems less; ROM is greater, so mood is up. So i up the ante on all the exercises: Up goes the swelling, down goes the ROM and my mood! I so wanted zero degrees extension by today, six weeks post op. You hear that you only have 6 weeks to get it so you push. You are btwn a rock and a hard place. My flexion was great at a week post op., but my extension was 2 inches off the ground, and now (after lots of physio) a mere 1 inch. Feel like i am never going to get there and my window-of-opportunity is missed.

  • @cougarwomanmoorhead-dougla1772
    @cougarwomanmoorhead-dougla17722 жыл бұрын

    Thanks for this advice 🙂 I needed to hear this. I am five weeks out of surgery and just want back to normal. This helps me be patience with myself 😃

  • @teresamorabito1655
    @teresamorabito16553 жыл бұрын

    Thanks 😊 🙏 😊

  • @rn4395
    @rn43953 жыл бұрын

    You are awesome, listening to your talk encouraging my present situation. Thank you. God keeps you more insperational.

  • @CarolsCreativeCorner
    @CarolsCreativeCorner Жыл бұрын

    You hit the nail on the head. I thought you made this video just for me

  • @steveosborne8129
    @steveosborne81292 жыл бұрын

    I have had to slow down and listen to my body far more through these last two surgeries. I think there is a huge difference in the two processes and your thoughts on this are spot on. Thanks for the info and encouragement.

  • @toryberch

    @toryberch

    Жыл бұрын

    Steve, how is your knee doing today? Did you get full range of motion back by listening to this advice?

  • @ready2cworld997
    @ready2cworld9973 жыл бұрын

    Excellent video It was very very helpful at my stage. I am 5 weeks PO from Bilateral and was pushing to hard and letting PT to discourage me. I need to rest more in btw and let body recover. Pre surgery my normal was to push unless I dropped. Way past the point I should have stopped. Thanks so much for this factual video!

  • @judithrace
    @judithrace3 жыл бұрын

    Thanks Tony just watched this video again as told by surgeon last week to push the exercise more in the next few weeks or I will going for a MUA . I think it’s getting that fine balance as I’ve pushed myself more and ended up having hip and groin pain 😩

  • @RT-tn4ry
    @RT-tn4ry Жыл бұрын

    Thanks , so well done , thanks .

  • @sandracarpenter144
    @sandracarpenter1443 жыл бұрын

    I needed to hear that. I’ve been pushing hard as I want to be better, yet it feels like 2 steps forward then 3 steps back. I push myself to walk on my own yet spend 3 days in pain. I have just begun to give myself a break. Shorter time walking on my own will hopefully bring shorter recovery time. I’m 11 weeks post tkr. My surgeon wants me walking on my own in a week. I need to listen to my body. Hope to get to a cane possibly. I was diagnosed with neuropathy right before surgery. I have other issues to consider. Thank you for the encouragement.

  • @joelh.cooper5276
    @joelh.cooper527611 ай бұрын

    excellent!

  • @suehepburn9541
    @suehepburn95412 жыл бұрын

    At 9 weeks and this is just what I needed to hear. I just went from 90 to 95 and a couple of weeks but it's very slow and my knee feels so very tight. Everything you said here is true. Thank you. I go see my OS in a week and I don't think they'll be happy with that number but it gives me hope to see this video. I'm 72 and I'm doing everything that I possibly can to get this knee to be the best it can be. No unrealistic expectations but will definitely fight for the best I can get.

  • @toryberch

    @toryberch

    Жыл бұрын

    How is your recovery going now Sue, did your knee eventually get to full flexion/extension?

  • @myronyoshioka8742
    @myronyoshioka87424 жыл бұрын

    I agree wholeheartedly. Listen to your body.

  • @totaltherapysolutions

    @totaltherapysolutions

    4 жыл бұрын

    Thanks Myron

  • @wingchunu2
    @wingchunu22 жыл бұрын

    Thank You ! I thought I was going nuts.

  • @chuck1388
    @chuck1388 Жыл бұрын

    God bless you for this information. I am 5 weeks post surgery and this video helped me so much with what I am experiencing. You make a positive difference in the world. Thank you and keep up the great wor 0:02 k.

  • @gailbates2235
    @gailbates22354 жыл бұрын

    Love this video! Oh, how I wish I had found you & especially wish I had heard this video before my first knee replacement last Jan. 2. I expected WAY too much of myself from the first day I went to PT, and I felt my PT expected way too much as well. Had hoped to be able to bend my new knee to 90 degrees the first day. Turns out the best I could get was 77 degrees. I realize now that I was depressed from the first day forward until PT graduated me at 9 1/2 weeks. I felt like a failure that entire time which did nothing to help my recovery! I definitely lost my appetite for wks & wks. Lost a lot of weight! After 6 wks, no more pain prescription refills, I basically, did not sleep hardly at all at night due to pain/ discomfort whatever you wanna call it! Therefore, more depressive, etc. Praise God, at 11 1/2 wks, I bam slept all night! That didn’t happen every night after that but I began to be able to sleep more & more. Know Now Now at 5 1/2 mos, I can walk a mile at a fairly good pace and I sleep at night! Will have 2nd replacement, hopefully, next Feb., depends on what is going on w/COVID! Ugh!!! Thanks to you and my first hand experience, this should go a lot easier! I will give myself time and not stress out! THANK YOU!!!!!!

  • @totaltherapysolutions

    @totaltherapysolutions

    4 жыл бұрын

    It has been great hearing your success. Slow and steady wins the race. Keep it up.

  • @gailbates2235

    @gailbates2235

    4 жыл бұрын

    Total Therapy Solution - Physical Therapy, it’s great that I will have your support through the next one, too!

  • @danielbolo6468

    @danielbolo6468

    3 жыл бұрын

    My new left knee is 7 weeks old. I have managed to walk without support but I walk with a limp, short range extension and pain below the knee cap. What can I do to improve.

  • @LoriFoster

    @LoriFoster

    3 жыл бұрын

    Get your knee done in the same year the co pays and out of pocket are all paid up! 🤷🏻‍♂️ That’s what Ive done this year. Revision on the right knee in late May and the total on the left in early August! I’m getting around OK now with the Right leg really well and the left total is still recovering! But I’m glad I’ve done it! I wanted it in Feb and June but Covid! 🤷🏻‍♂️

  • @HeidiSue60

    @HeidiSue60

    Жыл бұрын

    @@danielbolo6468 I don’t know if you have improved with your limping but this video is exactly what got me limp free at five weeks kzread.info/dash/bejne/k56TmK6aoryyg9Y.html

  • @steveosborne8129
    @steveosborne81292 жыл бұрын

    Having had my left hip replaced May 25 th and the my right knee replaced September 15th I was really interested in your comments on overtraining. We seem to be all calibrated to the theory “no pain, no gain”. As a sports person over many years I have a competitive nature that tells me performance is built on the back of pushing oneself through our comfort level and maintaining a high level of work. At age 62 these past months have shown me the difference between performance training with a reasonably healthy body and recovery and repair after injury.

  • @dianewilliams6155
    @dianewilliams61553 ай бұрын

    Hi thank you for all the valuable information, it really helps. I am now just past 7 weeks since my knee replacement surgery. How often should do stretching in a day?

  • @randyschmittou8708
    @randyschmittou87082 жыл бұрын

    Thanks Tony. I have been needing to hear this. I have been really pushing hard the last couple of weeks and I seem to be declining. I'm 6 weeks out. I had a Revision on my right knee. I had both knees done 3.5 years ago. I think the scar tissue is building up faster than I can get my knee to bend. I made it to 104 ROM a week. Every since I have been pushing harder and getting less ROM. I stayed around 90 -94 this week. I really believe I need MUA. When I try to bend my knee or my therapist tries to bend it, it feels like it's going to explode. It gets to a point where it's rock hard and I believe it's scar tissue. But all 3 of my therapist think the MUA is a bad idea. My friends wife was having the exact same symptoms as me. She had her TKR a month before me. Her doctor did the MUA and she has been doing great for over a week now her ROM has been 120-125. I go see my doctor in 2 days for my 6 weeks checkup and I am going to ask him if he will do the MUA. Do you see a lot of people who have trouble after having the MUA? Thanks for sharing your videos!

  • @alvaibarra2408
    @alvaibarra24083 жыл бұрын

    It’s been almost 3 months and I am still experiencing pain behind the knee upper calf area. Why?

  • @darlenericotta7550
    @darlenericotta75502 жыл бұрын

    Thanks Tony wish I would of seen this 6 months ago, but am doing ok. Last physical therapy appt I was at 126 degrees! I hope that was good! I am walking unsteadily with my cane so still use walker too, a little bit in my house without either. It’s been since December, but it was a different knee revision with 6 inch rods on either side of the knee parts. I am doing well and thanks again for your videos!

  • @joanjones2860
    @joanjones28603 жыл бұрын

    This was so good to hear, 6weeks since my tkr, and I was doing fine but the last few days have been terrible , and I realize its because I am pushing myself to hard to get back to normal, so today I'm going to rest my self , give my body a chance to get better, thanks for all your advice , best wishes

  • @totaltherapysolutions

    @totaltherapysolutions

    3 жыл бұрын

    Yep. Our bodies are amazing but they need rest as much as exercises.

  • @joanjones2860

    @joanjones2860

    3 жыл бұрын

    @@totaltherapysolutions thanks ,I need to do a wee bit less and rest my leg a bit more

  • @sabihaalavi1553

    @sabihaalavi1553

    Жыл бұрын

    Exactly my case now I will do slightly slow and take rest

  • @karenkaltsas1008
    @karenkaltsas100811 ай бұрын

    I did way too much without recovering and it resulted in my muscles becoming so tight that it caused major pain, swelling and took so much longer to gain range of motion. Now I am 5 mos and have been having dry needling to release my muscles along with gentle strengthening only twice per week. Recovery is so important. This video is very helpful!

  • @michaelcruz8742
    @michaelcruz87423 жыл бұрын

    Thanks

  • @totaltherapysolutions

    @totaltherapysolutions

    3 жыл бұрын

    Welcome

  • @ninfabatchelor4943
    @ninfabatchelor49432 жыл бұрын

    Thanks. God bless

  • @dedwards777
    @dedwards7772 жыл бұрын

    Thank you for this video, I really needed to hear this! I am a little over three weeks from the total knee replacement. I am just getting to 90 degrees and my PT is telling me that I am behind. My post op with the surgeon also said that and if I don't get more movement they will have to do procedure to force it. So I feel a lot of pressure to perform past my comfort level. I am making slow progress, but I am worried if I don't do more soon I will have to do the next procedure or I won't get a good result. Thank you.

  • @specialized29er86
    @specialized29er86 Жыл бұрын

    At the physio rehabilition hospital I stayed at after my bilateral replacements we were push beyond belief. Physio twice a day 7 days a week and now that I'm home and thanks to your clips I'm having a rest day but with going for my walks every day.

  • @marysharvey
    @marysharvey11 ай бұрын

    Good to hear. I am 6 week post op, at 5 weeks I had to go in to the hospital to have my knee manipulated. I feel I am back at square one. But, I am trying to remain positive and exercise as prescribed.

  • @robynlaszlo6128
    @robynlaszlo61282 жыл бұрын

    Thank you for the encouragement it really helps had a bleed 2 days after op had a vac on 2weeks kinda put me back a bit but im not disheartened i will continue with the exercies as i know little by little it will improve as it already has done thanks for the feedback

  • @totaltherapysolutions

    @totaltherapysolutions

    2 жыл бұрын

    Thanks for the comment. Sounds like you are a strong person and won't let this stop you.

  • @danieldiaz2379
    @danieldiaz23792 жыл бұрын

    Thank you Tony you remind me don’t push it I’m 29 days PO I been an Athletic 3/4 of my life and really trying to recover but I know we have a certain point we’re still in healing process, I’ll be going back to work full time soon but will be careful thank u Tony your Awsome

  • @carolhealy3035
    @carolhealy30352 жыл бұрын

    I keep coming back to this sane advice, when Im wondering what I did wrong m. Thank you

  • @totaltherapysolutions

    @totaltherapysolutions

    2 жыл бұрын

    Hi Carol, thanks for the kind words. Hope you are doing well.

  • @connecticutboy
    @connecticutboy2 жыл бұрын

    Thank you for the content for PT and the timeline. I'm scheduled for bilateral in July 2022 and trying to get enough information pre-op. I belong to a couple FB groups. I have a question; not going to read all the comments as too many people have knee pain with little patience (I'm one of them). Knee pillow, straight with no knee bend at least 12 inches high? Thank you

  • @shidhints6251
    @shidhints62513 жыл бұрын

    Hi Tony, Thank you for the insights.. can you help with some information on ACL augmentation surgery .. as my PT says 4 weeks is allowed to get the full range of motion.. now in my 3rd week and I am able move in crutches and I can bend around 110 degrees easily and if pushed may be 5 more degrees. Kindly advise .. thanks again

  • @NepaliNed
    @NepaliNed Жыл бұрын

    Thank you so much for this video. I've had a total knee replacement 4 weeks ago. I've been told I have to push through the pain during exercises and later to increase range of motion, etc. I'm finding I have to take more pain medication again and I'm in pain more when resting. I thought I might be pushing too hard so I will back off a touch and not push as hard, but keep going mindfully. Do you have a series exercises you have on you tube for after knee replacement?

  • @haroldjones9321
    @haroldjones93212 жыл бұрын

    71 year old male. TKR 11/4/21. Walked 1 1/2 miles on 11/7/21. Have done 45 minutes on spin bike. Monitoring and adjusting approach. Don't do stairs at all because stairs exercises are really bad for knee joints per MD. Range of motion is about 110 but knee us still somewhat swollen. Have been walking 1.5 miles per day but now think that amount of walking is too stressful fir tge knee at this point in the process. I tend to "listen to" my body and make needed adjustments but do push to be actively engaged in my total recovery.

  • @mrbtboydify
    @mrbtboydify3 жыл бұрын

    So so glad I came across you and reading other ppls experiences having TKR. I've had my knee replacement 3wks and 3 days now. Therapist at the hospital gave me a workout plan before I left hospital, I spent 3 days there. I was doing the first 3 basic exercises but not good enough for the therapist he said push and push fight the pain, it felt like my knee and staples were going to explode open and that wasn't even bending knee at 90°. When home my wife helped me with my exercise two of what I couldn't even raise my leg sitting on chair and laying flat on floor raising leg, but she pushed me till I done my first raise. After eventually lifting my leg getting it started I could complete my rep's. On next set it is hard to get leg moving tensing to lift but once lifted it was easier until rest then start again first rep getting started is hard. Basically after having rest between sets its stiff again until I raise leg then I can continue. In the end I thought my wife too was pushing me too hard as I am experiencing aches in my thigh and hip on surgical side. So I decided to do these type of lifting exercise once per day but mix it up with other types that aren't straining types. I've started your learning to walk exercises in your other vid and wow, such improvement . Up until few days ago I was getting depressed in myself thinking I might have to go back to hospital and have surgery or the latest ive heard is they put you a sleep and bend your knee right the way back till it pops apparently it moves the scar tissue. I felt sick at the thought. Looking at this vid has made me feel so much better and other ppls comments In same boat, still a long way to go but feel so much better and not stressing anymore. Thank you so much for all your help and other ppls sharing their experience.

  • @bt9124

    @bt9124

    3 жыл бұрын

    All this physio is knackering also because before op, i wasn't even fit.

  • @mrbtboydify

    @mrbtboydify

    3 жыл бұрын

    @@bt9124 I wasn't fit cos both knees are so bad. Couldn't walk properly causing hip pain.

  • @bt9124

    @bt9124

    3 жыл бұрын

    @@mrbtboydify it's like being between the devil and the deep blue sea! If you can make any daily progress tho it helps. Am currently wired up to the TENS machine. I use it once a day. It helps.

  • @peterbriggs7985
    @peterbriggs79853 жыл бұрын

    This is me. Working my tail off but pretty stuck on flex. 100 pushed. I am functioning better all around. Just concerned about flex. This video makes so much sense. Thank you

  • @totaltherapysolutions

    @totaltherapysolutions

    3 жыл бұрын

    Thanks. The magic happens in the recovery. We need time to recover.

  • @maragretfinnegan1698
    @maragretfinnegan16984 жыл бұрын

    Wish I found you after my tkr. I had great range of motion early on but terrible soft tissue pain. I'm almost 2yrs out and had scar tissue removed. Still trying to find comfortable positions. Surgeon only seemed to care about implant and not tissue.. qualify of life has to be an important component..Very frustrating. Found a new surgeon who listened.

  • @totaltherapysolutions

    @totaltherapysolutions

    3 жыл бұрын

    Any updates? Sorry, I have been trying to keep up with the comments.

  • @maragretfinnegan1698

    @maragretfinnegan1698

    3 жыл бұрын

    @@totaltherapysolutions started therapy again. Pt says my hip and muscles down thigh very tight. Keeping fingers crossed. Thanks

  • @keithkareiva9615
    @keithkareiva9615 Жыл бұрын

    9 weeks post op. I am struggling with a lot of burning, as I guess due to the new alignment. (Previously not close to straight. Now just a few degrees off.) So, since my discomfort is not pain, can I further ramp up my exercise routine? Keep up the great vids.

  • @marlenamishriky
    @marlenamishriky7 ай бұрын

    Not only am I getting help with your videos, but also lots of relief hearing other folks talk about the very things I am going thru! I too have felt the pressure to get my ROM to at least 110-120 by week 8, and fearing scar formation requiring MUA. So I have pushed myself and over done it, now am unable to continue with the exercises for fear of causing further damage as it has now become very painful again. So my question is this, "What do I do now that I have over done it"? I am elevating and icing, but do I continue with mild exercises, or do I rest it for a few days or more? Thanks kindly.

  • @elizabethfoley4570
    @elizabethfoley45702 жыл бұрын

    How often do you recommend performing stretching/exercises per day. I am at 7 weeks post-op and flexion is at 113. PT sessions are aggressive and I usually can't manage any at home exercises that same day. PT suggests completing at home exercises every two hours. I manage 3x's per day, along with recumbent bike session for 10 minutes. Is this enough?

  • @beverlykenny4187
    @beverlykenny41873 жыл бұрын

    I had knee replacement February of 2020, I have pain on the outside of my knee down to the ankle and up the back of my leg I walk daily at least 3 miles, I do stretches when I finish the walk. What do you suggest?

  • @olutoyinlovelimind8197
    @olutoyinlovelimind81972 жыл бұрын

    Thank you, you are brilliant at what you do. I am 6 weeks post partial knee replacement , I worry I am too keen to get back to normal and pushing myself too hard. Weeping and pushing myself doing physio 😭😂😂.

  • @Mokey79
    @Mokey793 жыл бұрын

    Tony, you talk about how the surgical blood loss affects your abilities postoperatively. I had my right TKR done with great results. Recovery progressed quickly. I had the left knee done after 5 weeks. What makes this one different is that I had a comprehensive DVT in the left leg four years ago. Although the ultrasound does not show any current DVT, my veins are not fully healed and functional as before. How does the DVT affect my recovery? Should I do anything differently? At 3 weeks post-op, I am also having muscle pain on the left side that keeps me taking pain meds. My surgeon told me that the tourniquet used on the thigh to slow the blood flow in surgery can cause pain in the top of the thigh muscle after surgery. But I’m also feeling so much muscle pain originating in my butt at the bottom of my hip bone where I sit, all the way down the back of my thigh, to my knee. My therapist is saying it’s sciatica, and to to hamstring stretching. What are your thoughts?

  • @efreenmartinez2922
    @efreenmartinez29222 жыл бұрын

    Hi doctor, I have a question. I had a right knee arthroscopy 6 months ago. My surgeon told me that i did not need a physical therapy so i did not take one. Is it normal to get mechanical symptoms often? This is my main question. But I also get my knee so stiff and it hurts almost every day. Can you give me some advice please? I will appreciate it so much. Thank you

  • @samuelfink4799
    @samuelfink47994 жыл бұрын

    4 weeks in and I have hit the proverbial wall. I’ve gotten up to 105 degrees ROM but it about killed me and I feel I’m regressing. After transiting from a walker to a cane I feel sometimes I need to be back on the walker just because of the knee buckling and almost falling. I go back and forth between overtraining or it just is what it is. Needless to say it’s a good thing I am by myself because I have been a bear. Thanks for the videos, their a great resource.

  • @totaltherapysolutions

    @totaltherapysolutions

    3 жыл бұрын

    Any updates? It has been a month. How are you doing now? Did you climb that wall?

  • @samuelfink4799

    @samuelfink4799

    3 жыл бұрын

    Total Therapy Solution - Physical Therapy 10 weeks post today and go for my last therapy session tommorrow. Currently able to use the elliptical, recumbent and finally able to use an upright bike. My flexion is around 123-125. In addition to my therapy exercises I have been able to start back to doing some other strength training in the gym. My therapist is happy with where I am at but I still couldn’t win a foot race at a nursing home but I guess that’s to be expected but still hard to accept being a fifty two year old man that was very active before this. You’ve been a great resource in a lot of ways not the least of which is the mental aspect so thank you for all you do.

  • @jeffkolbeck7130
    @jeffkolbeck71302 жыл бұрын

    How can a hip fusion affect total knee recovery

  • @geethamadhusudan7335
    @geethamadhusudan73354 ай бұрын

    Getting out of bed is so difficult in the morn. Im at stage 10 weeks after tkr.

  • @billhesford6098
    @billhesford60983 жыл бұрын

    I was out of the hospital 12 hours after the operation. I was still drugged up and any expert advice I received was pretty muddled in my memory. So I watched youtube videos and had the impression I should stretch the crap out of the knee. Ignore the pain a push harder. My knee hurts like hell and I think I was doing too much. I think I will back it off - I have to anyway, it hurts too much. Thanks for the video.

  • @totaltherapysolutions

    @totaltherapysolutions

    3 жыл бұрын

    It is a constantly changing situation. On the good days you can push it a bit, on the bad days just let it recover. Most people I speak with are just too aggressive and once the realize it is okay to take a break they respond really great.

  • @billhesford6098

    @billhesford6098

    3 жыл бұрын

    @@totaltherapysolutions Thank you so much for the advice.

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