The SECRET To Gaining Flexion * Knee Flexion Mechanics Explained
Understanding how the knee moves is an important part in improving knee flexion. After knee replacement surgery there are normal sensations of pulling and tightness, but many clients also experience sensations of pinching.
In this video I explain how the knee functions, what is most important to range of motion, and how to get there.
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Total Therapy Solutions
5900 Long Meadow Dr
Middletown, OH 45005
Пікірлер: 271
Good video ; Patience is essential....17 months out...age 76. Was worried early on about tightness, felt like the surgeon duct taped about 8 turns in there...he laughed, tried to tell me it was ok but it was a while before it sunk in...could do a perfect straight right away but never could bend beyond 112...I fretted , wanted the 120 but now, at age 77,112 is all I really need. No longer feels too tight...it's pretty good really. I walk a mile every other day w no limp. A recumbent bike was tremendously helpful.I ride 2 miles on the days between walking. Good luck,all...this man knows his stuff.
Great video. I had my knee replaced 6 weeks ago and was told that I’m not getting good flexion cause I’m not working hard enough. I do 3 sessions a day at home and PT in a facility 2 times a week. Almost all that you said was what is happening to me and I realize now that I’m not allowing myself time to heal. Thank you for this video.
Tony, your videos are so very helpful and, at 20 days PO, they're a great source of information and comfort to me. You have such a calming demeanor and I'm grateful that you've taken the time to support this TKR community!
Thank you Tony. Such a motivated speech. I'm from Malaysia. 4 weeks post op & feel bad because can only reach up to 90degree flex. My surgeon want me to work harder to reach 120 & it make me feel depress and giving up until I came across this video.
I follow you daily. I LOVE how incredibly informative your videos are and how much I learn from you. Keep doing these excellent videos. You are helping many TKR patients feel better about their chances of full recovery. THANK YOU ❤️
Hi Tony. I had a TKR 4 weeks ago and my range of motion is 98. I started doing stretching and exercising since day 4 after surgery and I considered that I was advanced in the recovery process. I am 48 yo and I have worked too hard since I could and now I feel that I got stuck. But at the same time… how do we know that we are stuck? How do we measure that? Now seeing your videos, I feel that if I keep doing what I am doing and I have patience, then I should get results. Right now, my knee feels tight when I bend it (too tight at the front) sometimes too tight around the incision and I even though I do PT and my exercises twice a day (always reaching out my max pain level), I am not seeing a noticeable change in range motion. I have seen many many videos from Drs and from PT experts and I absolutely love your videos. They are so knowledgeable, kind, clear and they give hope to us. The people who you dedicate your life to improve ours. You are great! Thank you 🙏🏻
I had a TKR almost 2 weeks ago. I am an overachiever and impatient. I want to be better NOW. You video talks about 'recovery' That hit home! I will work that into my routine. Thank you so much!
@totaltherapysolutions
3 ай бұрын
Thanks for the comment and watching.
Your video today is spot on for me. I am at 8 weeks and struggle to get 107 degrees but I do have 0 on my extension. After listening to you today I feel relieved that I am pushing to hard and need more recovery. Thank you and I love your videos have a great weekend!!
I had surgery for a ruptured patellar tendon and I’ve been so frustrated comparing my range of motion to other people and I finally feel a little relief after watching this video. Thanks for the reassurance.
Thanks Anthony. Love your videos, they’re always so helpful!
Thank for the Viedo, it makes a lot of sense, I liked the loose knee tight knee explanation also the recovery example. Great video
Thanks Tony, you're awesome. I have the total knee replacement six months before, I can walk normally but sometimes not too stabilize and hard to go up and down a stair. I am a piano teacher so I need to bend my left feet more than 95 degree for balancing while I play, but now I'm just around 90 degree. Just you said I haven't had any good sleep in every single night it's so frustrated and depression but your videos make me feel good and hope. Thanks again 😊
Excellent video. Thank you for all the time you put into your videos. Really appreciate you sharing your wealth of knowledge and your support group.
Your the best. Thank you!
I love your videos. It helps me be better than I was in the past. I am determined to get back to normal after my TKR surgery. Your clarity helps so much.
Brilliant insight can't thank you enough for your great support and help 👍
I'm facing a double replacement in about a month, so I very much appreciate hearing your experienced wisdom beforehand. You are appreciated, Tony!
Thank you so much for this very valuable video.
I love, love, love your videos for all of us!! I am more than grateful that I found your channel. You have helped me to make sense out of my recovery journey, why I chose knee replacement and how to proceed. Sincerely, thank you.
You are the best PT ! Your videos bring me back to reality. It’s not a continual advancement. Got to learn to progress but not over do it. Thanks a million for your videos. Start PT out of house in a week!
Thanks. You gave me a good mental image of how the knee joint moves during my ROM exercises. The comments on recovery were helpful. I'm just over 2 weeks post bilateral knee replacement and I find your videos reassuring
Thank you for your expertise and encouragement! Blessings to you
Thank you I must of need this message!!
Thanks, Anthony. I just set up my pre surgery consultation with my Orthopedist for mid January 2021. Love your videos and Facebook blog. They are extremely helpful.
I just had my right knee replace 3 weeks ago. I have been studying Martial Arts for 55 years. I’ve trained very hard all my life. I want to thank you for your very honest and truthful approach to our Rehab. Thank you very much. I’m in tears now. Cause I was so afraid that I couldn’t train again. Thank you so much. Really. You have provided me a more in depth understanding of my rehab and knee operation. I can’t thank you enough. I am making good progress and am happy with it. I’m not killing myself with pain. I know that you really have to let any serious injury repair or damage take time to heal. I’m 65 and I know that all my training and workouts will be a major factor in my rehabilitation. I’ve been doing it either with weight training. Or Basic Martial Art training. Today I will do what we call basic beginning Kata training. Slow but moving. I will be using my cane for stability when moving the right leg. Thank so much for you sharing such important information. .
Appreciate the encouragement Tony-Thank you alot!
You are SO inspiring Tony!!! I am 3 weeks post surgery tomorrow. Doing well and making progress which is what is important. Yes, sleep is getting better but not constantly good every night and I try and not stress about it; just do what I can. Am on a cane but doing lots of independent walking and try to get up and move every hour. Just went to grocery store this afternoon for the first time and took advantage of big aisles to walk down. Did great! Am very encouraged. Not on a bike yet but I think this week. Again, THANK YOU SO MUCH for all your encouragement. It means the world!!!
Absolutely great video 🙏🏻
The most helpful clips i could find on knee replacement therapy. Thank you very much!
Thank you! this is a great help!
Thank you for sharing your knowledge.
This helped me sooo much and made a lot of sense!
I am Almost 3 months post op. I have had a slow but steady progress . I have really appreciated all your videos . ( and i work for an orthopedic office).
Your 75 yo from UK here again. You are truly my guide and mentor. So appreciative of all your advice. Don’t know where I would be without you. 2 weeks from surgery - dressing and stitches off later today. Seem to be progressing fairly well, but what I would give for a nights sleep ! Pat
Thank you for all your tips and advice which has been so beneficial in my recovery of TKR. Keep up the videos 👍🏽👏🏼🤩
Thank you so much. The info is great and you are an excelllent and compassionate communicator.
Plan the recovery more than the exercise. Great tip! Thank you❣
You nailed it so well, thank you so much🙏🙏🙏
Love your channel and thank you for all the information,I just got knee replacement and I'm educating myself before I start outpatient physical therapy and you are so good the way you explained plus examples of the do's and don't , I'm feeling confident all will be ok. Many Blessings and thank you😊✌️💜
I had knee arthroplasty surgery done on both knees right side went well left knee I'm struggling to bend, watching your videos helped me alot. Thank you
Your videos that I have watched I’ve been a lifesaver for me. I am three weeks out of postop from a complete knee replacement. My doctor and Pt have been pushing my leg to the point where I am screaming. Your video that you did where you lay on your back and you put your legs up on the couch made so much sense. This video I just watched confirm that I’m OK my knee is very tight. But just on the top part and that’s good. I’ve only gotten to 90% and that’s OK. Before surgery I was on 4 tennis teams and walked 4 miles 4x a week. I am sleeping good and I am still moving around not just sitting on the couch but my body also need recovery. Thank you for your videos I will keep watching.
Excellent video.
You are a Godsend , Tony! Your videos are so comprehensibly made and very encouraging. I now have both my knees replaced . The right one on the 3rd of this month, 2 and half weeks now. I’m working on it, as instructed by my PT. Outdoor PT starts on the 24 th. But your videos are are most enlightening!
Great super advice so honest
Love listening to you. I am 4 weeks after replacement. Going well. Thanks for your information.
Love your videos... Thnk you for all the great info...
Thank you for all of your wealth of information!!! Very helpful :)
Thank you so much for this video, has helped me a lot.
Thank you so much for this explanation. I didn't have the correct words to say to my PT and now I do.
Three weeks ago I had double knee replacement surgery done. I've had pain in my right leg for at least six years. My quads would tighten up causing much discomfort. I've done exercises and have used knee braces to help alleviate the discomfort. I'm still dealing with that pain on top of having both knees replaced. I often feel very discouraged with the small range of motion I have in my right leg even though I'm faithfully doing my exercises every day. My muscles are continuously sore. I ice my knees every hour, elevate them and wear my compression socks. Thank you for your video I just stumbled upon on you tube. I think I'm being too impatient with my body. Your video gave me some words of encouragement and that is what I'd like to thank you for.
Thanks for the info!!!!!! I had a total knee replacement about five weeks ago. I am not at the place I would like to be your videos have been so helpful and encouraging. I love watching it. Thanks a lot TONY.
I really believe that you are making a valid point about the recovery needed between doing the work. After five weeks post op of TKR on my right knee, I did my left. The work on my knees are going to be varied for a short time, but I look forward to some real progress down the road. Thanks for the reminder that after doing the work, that you need to rest and allow the body to do it’s thing before doing more work. We tend to want quick results and may be messing up the progress with that lack of patience. Need to listen to our bodies. Thanks!
@bonnieepps3713
2 жыл бұрын
Thanks I’m on day 10. With the pain block I was 0 pain level. Now I go back and forth I’m using my walker. Do my exercises and hope I don’t have to return to Narco. Is that too much to expect?
Thank you so much!
Very good, exercise and recovery!!
Thank-you! You're getting me through understanding the mechanics of my knee. I've never rested so much before this. So relaxation is vital. Especially after therapy. 8 to 10 weeks out. I did the press. And man 45 70 minutes bike, wall slides, basic excercises. I couldn't walk the next day. Gave a rest and continued my normal exercises. Now it's not as painful. Because I rested. Huge to understand. It is tight. But moving. Amen 🙏 Thanks for sharing. Signed long road to go. Have a good day!❤😢😊
Thanks for knowledge ❤
Thank you for all this iinformortion so valuable .
Thank you for your help.
Hi Tony, I appreciate your videos so much! I'm in my 3rd week post TKR surgery.
Thank you so much for sharing your knowledge and positive reinforcement with us. I had PT today and it was so difficult! I'm having a hard time with flexion and I know I have to push more while working on flexion exercises at home. Your encouragement helps so much! Thanks a million!
Thanks for the info i really appreciate
Proud to be the 1K like on this vid - thanks Tony! I'm 4 months PO, doing well. This channel, and the Facebook group, has helped me a lot - even before surgery.
@totaltherapysolutions
2 жыл бұрын
Wow!!! I had no idea this video has so many LIKES! Thanks. And I am so glad the FB group is helping.
Thank you very much again from Spain... Fernando
OMG PT Tony, I feel like you are talking directly to me. Everything what you said applies to me. My left total knee replacement was three weeks pulse four days ago. You video is a realistic and great for me. You made feel better when you have talked about a tight knee. Thank you.
Man what an awesome video. , had mine done 8 weeks ago and thought I was behind what others have experienced but all my dr , physio ppl have said I’m on track. But you made perfect sense. Thx
Thank you it’s amazing to see your videos esp now since I’ve done a bilateral knee replacement. I like to take it slow. Thk u God bless.
Thank you for all your videos It has really helped me to overcome my negative mindset as I was very disappointed by my progress. You have helped me discover that everyone progresses differently Thanks so much
Thank you so much!! Day 11 of TKR and I’m feeling anxious that I’m at about 80 degrees flexion. I’ll back off more and take your fine advice. Feeling better just writing this out! Thanks again
Thank you so much... just found your channel, and this, as well as other videos, are speaking directly to my concerns. My knee replacement was 8 weeks ago, and I am only at 107 degrees of flexion. I've been worried and concerned for the future until I found your videos. Now I feel like I can focus on gradual improvement and not a fixed schedule.
yes ,I have been pushed by some people to really work the knee hard and ended up unable to even get out of bed the next day without alot of pain in the front and back of the knee. I am happy to hear you say I can do ok if I don't push it that hard too soon after surgery, thank you
Thank you for this good advice I had. Total knee replacement 4 weeks ago
Tony, a sincere thanks for this video! In it you said precisely what I needed to hear.
@totaltherapysolutions
2 жыл бұрын
Hi Bev!!! A sincere you are welcome and thank YOU for watching.
Finally it makes sense why I had a flare up n cud hardly walk. Thank u so much!!
You have shown me to slow down and listen to my body. Thank you
6.5 WEEKS OUT DOUBLE REPLACEMENT I KNEEDED TO SEE THIS THANK YOU
This was so timely for me. I am 2 weeks out and wondering about forcing flexion. Yes, I would prefer a tighter knee. I love the idea that there is a purpose to stiffening as we age. I appreciate your maturity and common sense. You are my go to guy now for sound advice and knowledge.
Thank you again Tony for the videos especially this one; I have a tight knee but that's what we needed. I'm not doing PT, a little bit, just really recovery even after 7 weeks; it hasn't been a walk in the park but eventually I'll be walking in the park! 😊
You are a great PT. Thanks for all of the clear and understandable explanation.
@totaltherapysolutions
Жыл бұрын
Thanks so much for the kind words.
Very informative thank you. just had TKR 3 weeks ago
WOWOWOWOWOW!!!!! Now I understand the Recovery component. This answers many questions. Thank you!
@totaltherapysolutions
2 жыл бұрын
Thanks so much for the positive feedback. Glad that it helped.
Great video
Best advice ever!
You are the best. I wish I had you as my real life therapist.
I needed to see this video today. I am 3 weeks out of surgery and I am very down on things because I feel like I am not progressing my home therapy ended and been waiting on the go ahead for PT. I set up my evaluation appt today for the 22nd in Monroe Ohio Can't wait to start the journey!! Thank you so much for making this video.. it definitely helps with the mental side of the perspective as well
Clear and detailed. Thank you so much. -Frm Philippines
@totaltherapysolutions
3 жыл бұрын
Thanks for the feedback.
Tony, you have encouraged me.
Excellent discussion. You are right, I am becoming an expert in total knee replacement recovery as a patient. Three months three weeks since surgery. Completely miserable but making progress. Flexion near 120 when forced. Thank you for the explanations.
Thank you 😊
Thank you so much for your great videos! I used to live in Middletown, Ohio. Knowing that is where you are, drew me in to watch more! You have helped me to understand so much more about the whole process! I am 4 weeks out, and have just started sleeping in bed at night, beginning to get better rest. I am just getting that 90degree flexion at therapy but not maintaining it yet. My other knee is planned for 8 wks from my first. I am hoping that I will have the flexion to be able to support the second knee when getting up and down and toileting by the time of my next surgery. I have been taking about 20-25 minute walks outside, walking with a cane, trying to increase a little each day. Again, thank you! Your information is so needed and much appreciated! Not everyone takes the time to explain things as they should.
Thank you Tony. Your seasoned perspective is very useful. You speak with kind authority. If I were to just jump in on the first day post op, trying to do all the exercises and repetitions recommended by a PT educator in the pre surgical program I would need more pain meds and more energy and definitely an ambulance to pick up the pieces. They, nurses and therapists, probably said not to push too hard the first day post op. But, what sunk in to me is that I’m not going to make it if I don’t immediately get to it. Anyway, I’m listening to my body, following directions but not pushing beyond what I consider a safe zone for me…day 2, not moaning in agony trying for 15 min getting off the toilet.
I really appreciate what you have to say here...i have been totally stressed by my inability to do my exercises 3 x per day, despite knowing I am making great progress in other areas - all of which use my new knee joint...Thank you so much for the peace of mind your videos afford me.
Well said sir!!
Hi Tony, I am 10 days post full knee replacement. I've been watching your videos preparing for surgery and since. Todays video was what I needed to hear. I'm one of those pushing to get back to my best not giving my knee time to restore between sessions. Thank you for your education, encouragement and instruction!
@totaltherapysolutions
3 жыл бұрын
Thanks for the comment and subscribing! You will get there. Less is more sometimes. Slow and steady.
Thanx , you are awsome help
Thank you so much for this important information
@totaltherapysolutions
2 жыл бұрын
Thank you for the comment. Glad it was helpful.
I just found out I tore my ACL completely. So surgery will be my next step. Thank you for your videos
Thank you so much ,,, your videos are very encouraging,, 5+ weeks out and only 95 degrees,, some days are tighter than others and i do get frustrated,, last night i told myself ok its time to really push it harder,, but after watching this i realize i think i need to give it a break,, thanks for the support and encouragement !
Thank you so much always enjoy your blogs Thank you very much stay safe I'm at the 2nd week. Stay safe tony 👍
Thank you so much..it help me alot. Kudos!
@totaltherapysolutions
3 жыл бұрын
Thanks for the comment and feedback.
Brilliant advice and video, Tony. I am week 3 post-PKR. If I wasn't living here in New Zealand I would support your practise as a patient. Thanks for the excellent information 👍🇺🇸🇳🇿