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I have been reading about some of your experiences with manipulation

so I read the paragraph in the knee replacement book about the

subject. Do all people with TKR need manipulation? If not, what were

the symptoms that lead to this? Did it help?

Thanks

Sandy

LTKR Jan 15, 2007

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  • 2 years later...

Have you had an MRI and xrays? I had both, since the x-rays showed

" something " in the spinal canal but were also dropped low enough to catch..ruh

roh..the damaged hips. A follow up MRI showed some serious spinal issues,

and those were addressed first through minimally invasive back

surgery...the scar has now tightened down to maybe a little more than an

inch..I can't

SEE it so I " m judging by feel.

As for sorting out pain, pain towards...here is a surprise..teh back of

the body is more likely from spinal issues, pain in teh groin...hips.

Unpredictable blasts of twist-you-up-into-a-screaming-pretzel..more often back,

though a bone spur can snag teh same nerve with similar effect.

Pain that takes place if you are standing up, legs straight and feet under

you, the try to turn your knee to the outside...hip. Standing in teh

same position and trying to turn just your toes out..hip. And if you find you

are starting to walk kind of pigeon toed..hip.

For me, back surgery first was the correct way to go, but it really was

something of a coin toss. (Actually it was that the back surgery, I could go

home teh same day, so that's why I went that way first.) I still have

chronic pain, but at a considerably lower and not debilitating level.

judith

In a message dated 8/24/2009 11:31:14 A.M. Eastern Daylight Time,

sms@... writes:

They recommended I have this before I go through with hip and knee

replacement to see if the pain is coming from pinched nerves caused by

disintegrating and bulging discs.

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Hi Kim,

Good luck on the AS tomorrow.

What is the purpose of the arthroscopic surgery; and is it a serious or

painful? I'm curious as to the recovery time on that as well?

Surgeons recommended that I have arthroscopic surgery on my lumbar spine,

and I don't know much about it at all. I'm hesitant to having any type of

surgery on my spine. I will google it to find out more, but hearing an

explanation from someone who has been through it (sounds like more than

once) is much appreciated.

They recommended I have this before I go through with hip and knee

replacement to see if the pain is coming from pinched nerves caused by

disintegrating and bulging discs.

S-Max

-- manipulation

I have returned from my OS appointment. I am just over 6 weeks

postop. My ROM max is from 0 to 95 degrees.

I have improved steadily throughout my recovery. I started off only

at 55 degrees postop, so began much lower than what people usually

leave the hospital with. Don't know why ROM was so low, but it was.

I will be going in tomorrow for arthroscopic surgery and

manipulation. Even though I continue to improve on my own, the

" window " of opportunity for full ROM is closing fast. Six weeks is

what my OS says is the time to consider this manipulation because of

scar tissue. I hope I have stated that correctly. Excuse me if my

terms are not exactly right.

I am filling out forms, and getting ready to head back to the hospital

tomorrow. I will spend one night there. OS feels surgery will be

more like my previous arthroscopic surgeries.

I am a bit sad that I was unable to achieve it on my own, but know

that this hopefully will assist with increased ROM.

I have also been able to change my meds to Naproxen, and take my

narcotics only in the evening or if necessary. That will be a huge

help. Yesterday I reduced my narcotics to nearly zero, with the OS

okay. I was replacing them with extra strength Tylenol and Advil. My

pain level was no different. I kept records of each day, and was able

to show the OS. As a result, my narcotics will now be limited to

evenings and for major pain issues.

Thanks to those of you who have been supportive of my recovery. Now

to get ready.

Kim in Minnesota

http://quiltmom05.blogspot.com/

http://web.mac.com/skinbike/Site/Welcome.html

http://community.webshots.com/user/quiltmom05

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Good luck Kim. I just finished reading up on this procedure. It's good to

know there is a solution that will provide you with some relief. Rest up and

report back when you are feeling better.

From: Joint Replacement

[mailto:Joint Replacement ] On Behalf Of Kim s

Sent: Monday, August 24, 2009 10:36 AM

Joint Replacement

Subject: manipulation

I have returned from my OS appointment. I am just over 6 weeks

postop. My ROM max is from 0 to 95 degrees.

I have improved steadily throughout my recovery. I started off only

at 55 degrees postop, so began much lower than what people usually

leave the hospital with. Don't know why ROM was so low, but it was.

I will be going in tomorrow for arthroscopic surgery and

manipulation. Even though I continue to improve on my own, the

" window " of opportunity for full ROM is closing fast. Six weeks is

what my OS says is the time to consider this manipulation because of

scar tissue. I hope I have stated that correctly. Excuse me if my

terms are not exactly right.

I am filling out forms, and getting ready to head back to the hospital

tomorrow. I will spend one night there. OS feels surgery will be

more like my previous arthroscopic surgeries.

I am a bit sad that I was unable to achieve it on my own, but know

that this hopefully will assist with increased ROM.

I have also been able to change my meds to Naproxen, and take my

narcotics only in the evening or if necessary. That will be a huge

help. Yesterday I reduced my narcotics to nearly zero, with the OS

okay. I was replacing them with extra strength Tylenol and Advil. My

pain level was no different. I kept records of each day, and was able

to show the OS. As a result, my narcotics will now be limited to

evenings and for major pain issues.

Thanks to those of you who have been supportive of my recovery. Now

to get ready.

Kim in Minnesota

http://quiltmom05.blogspot.com/

http://web.mac.com/skinbike/Site/Welcome.html

http://community.webshots.com/user/quiltmom05

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Kim,

Good luck with your surgery. I sincerely hope that solves the problem you've

been having.

Jeff

________________________________

From: Kim s <quiltmom55@...>

Joint Replacement

Sent: Monday, August 24, 2009 10:36:18 AM

Subject: manipulation

I have returned from my OS appointment.  I am just over 6 weeks 

postop.  My ROM max is from 0 to 95 degrees.

I have improved steadily throughout my recovery.  I started off only 

at 55 degrees postop, so began much lower than what people usually 

leave the hospital with.  Don't know why ROM was so low, but it was.

I will be going in tomorrow for arthroscopic surgery and 

manipulation.  Even though I continue to improve on my own, the 

" window " of opportunity for full ROM is closing fast.  Six weeks is 

what my OS says is the time to consider this manipulation because of 

scar tissue.  I hope I have stated that correctly.  Excuse me if my 

terms are not exactly right.

I am filling out forms, and getting ready to head back to the hospital 

tomorrow.  I will spend one night there.  OS feels surgery will be 

more like my previous arthroscopic surgeries.

I am a bit sad that I was unable to achieve it on my own, but know 

that this hopefully will assist with increased ROM.

I have also been able to change my meds to Naproxen, and take my 

narcotics only in the evening or if necessary.  That will be a huge 

help.  Yesterday I reduced my narcotics to nearly zero, with the OS 

okay.  I was replacing them with extra strength Tylenol and Advil.  My 

pain level was no different.  I kept records of each day, and was able 

to show the OS.  As a result, my narcotics will now be limited to 

evenings and for major pain issues.

Thanks to those of you who have been supportive of my recovery.  Now 

to get ready.

Kim in Minnesota

http://quiltmom05.blogspot.com/

http://web.mac.com/skinbike/Site/Welcome.html

http://community.webshots.com/user/quiltmom05

------------------------------------

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S-Max

As someone who has myriad back problems and have done much research on the

subject I would be very weary of having back surgery for a bulging disk. That

surgery is very rarely successful. There often is short term success with it but

there are many horror stories of failed back surgery.

Knee surgery is totally different from back surgery so a persons experience with

that would not be of help to you.

May I ask which disks are affected and where your pain is?

Jeff

________________________________

From: sms <sms@...>

Joint Replacement

Sent: Monday, August 24, 2009 11:25:20 AM

Subject: Re: manipulation

Hi Kim,

Good luck on the AS tomorrow..

What is the purpose of the arthroscopic surgery; and is it a serious or

painful?  I'm curious as to the recovery time on that as well?

Surgeons recommended that I have arthroscopic surgery on my lumbar spine,

and I don't know much about it at all.  I'm hesitant to having any type of

surgery on my spine.  I will google it to find out more, but hearing an

explanation from someone who has been through it (sounds like more than

once) is much appreciated.

They recommended I have this before I go through with hip and knee

replacement to see if the pain is coming from pinched nerves caused by

disintegrating and bulging discs.

S-Max

-- manipulation

I have returned from my OS appointment.  I am just over 6 weeks

postop.  My ROM max is from 0 to 95 degrees.

I have improved steadily throughout my recovery.  I started off only

at 55 degrees postop, so began much lower than what people usually

leave the hospital with.  Don't know why ROM was so low, but it was.

I will be going in tomorrow for arthroscopic surgery and

manipulation.  Even though I continue to improve on my own, the

" window " of opportunity for full ROM is closing fast.  Six weeks is

what my OS says is the time to consider this manipulation because of

scar tissue.  I hope I have stated that correctly.  Excuse me if my

terms are not exactly right.

I am filling out forms, and getting ready to head back to the hospital

tomorrow.  I will spend one night there.  OS feels surgery will be

more like my previous arthroscopic surgeries.

I am a bit sad that I was unable to achieve it on my own, but know

that this hopefully will assist with increased ROM.

I have also been able to change my meds to Naproxen, and take my

narcotics only in the evening or if necessary.  That will be a huge

help.  Yesterday I reduced my narcotics to nearly zero, with the OS

okay.  I was replacing them with extra strength Tylenol and Advil.  My

pain level was no different.  I kept records of each day, and was able

to show the OS.  As a result, my narcotics will now be limited to

evenings and for major pain issues.

Thanks to those of you who have been supportive of my recovery.  Now

to get ready.

Kim in Minnesota

http://quiltmom05.blogspot.com/

http://web.mac.com/skinbike/Site/Welcome.html

http://community.webshots.com/user/quiltmom05

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Hi Kim,

Good for you for increasing your ROM. That 40 degrees of improvement is

quite an accomplishment.

You say you are sad not to be able to achieve further ROM on you your own.

But this isn¹t a race. I know others who had to have manipulation in spite

of hard work. It¹s not a failure, it¹s another opportunity to get what you

need and deserve to have in terms of recovery.

You also have a lot more information now and more tools for your recovery.

Wishing you the best and looking forward to hearing how things go after the

manipulation.

Peace,

Jackie

On 8/24/09 7:36 AM, " Kim s " <quiltmom55@...> wrote:

>

>

>

>

> I have returned from my OS appointment. I am just over 6 weeks

> postop. My ROM max is from 0 to 95 degrees.

>

> I have improved steadily throughout my recovery. I started off only

> at 55 degrees postop, so began much lower than what people usually

> leave the hospital with. Don't know why ROM was so low, but it was.

>

> I will be going in tomorrow for arthroscopic surgery and

> manipulation. Even though I continue to improve on my own, the

> " window " of opportunity for full ROM is closing fast. Six weeks is

> what my OS says is the time to consider this manipulation because of

> scar tissue. I hope I have stated that correctly. Excuse me if my

> terms are not exactly right.

>

> I am filling out forms, and getting ready to head back to the hospital

> tomorrow. I will spend one night there. OS feels surgery will be

> more like my previous arthroscopic surgeries.

>

> I am a bit sad that I was unable to achieve it on my own, but know

> that this hopefully will assist with increased ROM.

>

> I have also been able to change my meds to Naproxen, and take my

> narcotics only in the evening or if necessary. That will be a huge

> help. Yesterday I reduced my narcotics to nearly zero, with the OS

> okay. I was replacing them with extra strength Tylenol and Advil. My

> pain level was no different. I kept records of each day, and was able

> to show the OS. As a result, my narcotics will now be limited to

> evenings and for major pain issues.

>

> Thanks to those of you who have been supportive of my recovery. Now

> to get ready.

>

> Kim in Minnesota

> http://quiltmom05.blogspot.com/

> http://web.mac.com/skinbike/Site/Welcome.html

> http://community.webshots.com/user/quiltmom05

>

>

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Hi Jackie

I see the PT at my home for one more visit and then I start at a clinic.

He's very nice but, my knee has been naughty!

I only have 65 * of bend after 9 visits!!!

So, next week will bring another visit, eh?

All the best

Diane

58 yo

TKR July 20

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Hi Diane,

I was concerned that your were yourself concerned about potentially needing

a manipulation but not seeing the OS in time.

I don¹t have any experience with this except second from this list but I

would be inclined to get an appointment with the OS asap.

What does the PT say about your situation?

Best,

Jackie

Ps I like your sig. This is good infor so for today I¹m gonna be a copy

cant

J

Turning 68 on Thursday

TKR March 19

TKR L coming up on Sept 1

On 8/25/09 1:29 PM, " Jim and Diane " <jbbooks@...> wrote:

>

>

>

>

> Hi Jackie

>

> I see the PT at my home for one more visit and then I start at a clinic.

> He's very nice but, my knee has been naughty!

>

> I only have 65 * of bend after 9 visits!!!

> So, next week will bring another visit, eh?

>

> All the best

> Diane

> 58 yo

> TKR July 20

>

>

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Hi Jackie

My PT says my knee bend ROM problem is soft tissue and will eventually work

it's way out with therapy at the clinic. I hope he's right. I do see the

OS for my regular appointment in 2 weeks. I will worry it's not soon

enough. But with a holiday in between times, it's not likely I could get in

for an appointment before then.

My knee still very swollen.

Today is a bad day. I've been keeping it elevated.

Kinda goes with the weather!!!!

Cold and rainy.

As for my signature.....I love knowing everything about everyone else's

health. I think it takes my mind off of my problems for a while.

My Mum jokingly says my sisters and I are ambulance chasers!!!

She's 83 and wants to know everything, too!

Mum has had 2 shoulders and 2 knees and is a dynamo to move around!

I admire her sooo much!

I think my sign-off has something to do with my being a Virgo, as

well...'cause MY birthday is next Thursday, too! Us Virgo's are known to be

precise, orderly, methodical ( and, if you ask my husband: nit-picking and

fussy!!! LOL!)

Here's to Sept 3!!!!!

All the best

Diane

58 yo F

TKR July 20

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