Knee Manipulation - What to Expect

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After having your knee replaced you will find the toughest aspect of the resumption is getting the flexibility back in the knee. As a patient, you must be ready not only physically but mentally to experience the pain that is experienced to get functional knee flexion and extension.

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In resumption the former focus will be strengthening the surrounding muscles colse to the knee, decreasing pain and, inflammation and, working on getting a functional gait or walking pattern back. Over time these areas return to normal and you will find in 4-6 weeks things beginning to improve. Working on knee flexion and prolongation and getting the full inherent out of it will greatly determine how victorious the surgical operation will be.

If while the course of resumption your find you are not progressing past the 90 degree mark after a incorporate of weeks you may find that your orthopedic surgeon may consider manipulation.

This time frame can vary of course and the patients age and prior level of function are all taken into inventory in the decision production process.

You as the outpatient are taken back to the operating room put under a normal anesthetic and the surgeon applies pressure to the knee to break loose the scar tissue and adhesions that are preventing you from bending the knee. This process takes very itsybitsy time and the outpatient once stabilized can be sent back home. There is no surgical course done or loss of blood.

It will be imperative that both you and your corporeal therapist set up an aggressive practice program to not only profess the range of petition that was gained back in the manipulation but, to supersede those numbers to get your knee back to a functional range of motion.

You will need at least 110 degrees of flexion to drive go up and down stairs and carry on other activities of daily living. Getting an prolongation figure of 0 degrees is what you want to get a plane gait pattern. Your may have some increase in pain after the manipulation any way with the use of pain medication taken as prescribed and the use of cold therapy you should keep it under control.

This is the time to be aggressive with the exercises. If you have been unwilling to bend the knee in your first attempt at rehabilitation, following that pattern again will be unacceptable.

Please remember you will be living with your knee for the rest of your life make the practice count. If you do your part here you will have a knee that generate a whole new lease in life for you that will be pain free.

Richard Haynes
Punta Gorda, Florida.

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