Re: Straightening your leg after surgery

[Guest guest]

Hey Ann,

I'm still not sure what causes the straightening to be so hard...I've

now got a whole list of questions for my OS this week,,,,but it is

difficult...And a very important part of being able to walk without a

limp...

Please don't panic, you'll be fine...Although I remember before my

surgery, I wasn't worried about the rehab, I was worried about the

anestesia(sp?) and afraid that they ould make a mistake & I would

never regain consciousness(Great Bob, give Ann one more thing to

worry about),,I became so paranoid about it that I wrote out a will

and had 2 people sign it, & then sent it certified mail to a friend

with instructions not to open it until after my surgery(Don't know if

it would have held up in court, but it was worth a try)...Oh yeah, I

worried about a lot of things & had months to prepare for my surgery

& even started my leave of absence from work 3 days early so that I

wouldn't have some accident at work or on the road that would put my

in the hospital and delay the surgery...

Oh yeah, I was a basket case!!! I am kind of glad that I didn't find

this Group before surgery because I might have gotten even more

suirrelly...But I did research other Sites for medical information &

just the sheer number of TKRs that were performed & the advances of

the implanbts & procedures was very comforting in a safety in numbers

kinda way...So I made lists of things I wanted to be able to do post-

surgery & cut out pictures from magazines of bicycles & mountain

trails to hike & stuff like that...

Do whatever you have to do to ease your worries, but I suspect that

you'll look back on these prior-surgery days and think " That was much

ado about nothing " .

I've forgotten, your surgery is in October, right?

Bob

>

> Did people who had TKRs who could straighten their legs before

surgery have a problem being able to straighten them after surgery?

My OS says he's just going to cut between the fibers of the VMO &

down the medial side of my kneecap, so I'm not sure what would cause

my leg, which is pretty limber now, to not want to straighten out.

Someone mentioned incisions and scar tissue, but in the first week or

so after surgery, for straightening, it seems to me the incision

wouldn't be affected, and there wouldn't be any scar tissue yet. I

don't really understand why people have problems straightening their

legs after a TKR.

>

> A couple of people here said it was easier to bend their leg than

straighten it. It seems to me, with the incision, the bandage, and

the swelling, it would be a lot harder to bend it. Can someone

straighten me out on this, as it were?

>

> Thanks.

>

> Ann

>

[Guest guest]

I never had a problem straightening it but bending was

a bear because of the swelling. I didn't have the bandages

on for more than a 2 weeks after surgery. I never had any

drainage when I got home either . I thought maybe the

staples would be a problem but they weren't. this time

around who knows. I've got a lot of questions to ask

my surgeon.

Sherry

Straightening your leg after surgery

Did people who had TKRs who could straighten their legs before surgery have a problem being able to straighten them after surgery? My OS says he's just going to cut between the fibers of the VMO & down the medial side of my kneecap, so I'm not sure what would cause my leg, which is pretty limber now, to not want to straighten out. Someone mentioned incisions and scar tissue, but in the first week or so after surgery, for straightening, it seems to me the incision wouldn't be affected, and there wouldn't be any scar tissue yet. I don't really understand why people have problems straightening their legs after a TKR.

A couple of people here said it was easier to bend their leg than straighten it. It seems to me, with the incision, the bandage, and the swelling, it would be a lot harder to bend it. Can someone straighten me out on this, as it were?

Thanks.

Ann

[Guest guest]

Ann,

I have problems in both directions re: ROM. This seems common from what PT tells me. It seems to relate to swelling, adhesions and scarring. I had a MUA manipulation under anasthesia 8 weeks post op to tear things loose again. That caused lots of swelling in my calf. PT streaches the tendons in the straight direction each visit which hurst a lot. Some of us loose that zero degree straight extension shortly after surgery and it goes to 15 degrees and then takes a whole lot of work to get it back to zero. It seems to have little to do with preop ROM as both of my legs bent and straighten well before the TKR. My OS said last week that I had an additional 4 weeks to go before swelling settled down. That puts us out 12 weeks for swelling. With swelling, ROM will be reduced.

Al Welch

From: Joint Replacement [mailto:Joint Replacement ] On Behalf Of S.A.M.Sent: Monday, September 25, 2006 6:32 AMJoint Replacement Subject: Re: Straightening your leg after surgery

I never had a problem straightening it but bending was

a bear because of the swelling. I didn't have the bandages

on for more than a 2 weeks after surgery. I never had any

drainage when I got home either . I thought maybe the

staples would be a problem but they weren't. this time

around who knows. I've got a lot of questions to ask

my surgeon.

Sherry

Straightening your leg after surgery

Did people who had TKRs who could straighten their legs before surgery have a problem being able to straighten them after surgery? My OS says he's just going to cut between the fibers of the VMO & down the medial side of my kneecap, so I'm not sure what would cause my leg, which is pretty limber now, to not want to straighten out. Someone mentioned incisions and scar tissue, but in the first week or so after surgery, for straightening, it seems to me the incision wouldn't be affected, and there wouldn't be any scar tissue yet. I don't really understand why people have problems straightening their legs after a TKR.

A couple of people here said it was easier to bend their leg than straighten it. It seems to me, with the incision, the bandage, and the swelling, it would be a lot harder to bend it. Can someone straighten me out on this, as it were?

Thanks.

Ann

[Guest guest]

I wasn't able to straighten my leg for over two months and my OS said

that was normal. I got my bend first and then was able to lay my leg

flat.

On Sep 24, 2006, at 10:40 PM, Ann wrote:

> Did people who had TKRs who could straighten their legs before

> surgery have a problem being able to straighten them after surgery? 

> My OS says he's just going to cut between the fibers of the VMO & down

> the medial side of my kneecap, so I'm not sure what would cause my

> leg, which is pretty limber now, to not want to straighten out. 

> Someone mentioned incisions and scar tissue, but in the first week or

> so after surgery, for straightening, it seems to me the incision

> wouldn't be affected, and there wouldn't be any scar tissue yet.  I

> don't really understand why people have problems straightening their

> legs after a TKR.

>  

> A couple of people here said it was easier to bend their leg than

> straighten it.  It seems to me, with the incision, the bandage, and

> the swelling, it would be a lot harder to bend it.  Can someone

> straighten me out on this, as it were?

>  

> Thanks.

>  

> Ann

>  

>

>

" It is risky to go out on a limb but that is where the fruit is. "

[Guest guest]

Hi Ann,

Before my TKR I was able to straighten my leg. However, because I was

bone on bone I preferred to keep my knee bent, which created a space

between the bones. I slept with my leg bent to maintain the space. By

doing this (and not getting exercise)I was inadvertantly shortening

the hamstring and associated tissues. As a consequence, I also

developed trigger points which restricted full extension. Once the

trigger points were treated my extension improved. I am 8 weeks

post-op tomorrow and I am transitioning into a Step II program. Step

II allows me to use the hospital gym for 3 months. My therapist will

write a program for me to exercise on my own.

Bending the knee was difficult for me for the first three weeks.

Before surgery I could not bend it beyond 90 degrees without

excruciating pain and now I am about 125 degrees. As far as the

incision goes, it seems like if you bend tour knee the incision will

split open, but it won't. I hope this helps.

Carol, RTKR, August 1, 2006

>

> Did people who had TKRs who could straighten their legs before

surgery have a problem being able to straighten them after surgery?

My OS says he's just going to cut between the fibers of the VMO & down

the medial side of my kneecap, so I'm not sure what would cause my

leg, which is pretty limber now, to not want to straighten out.

Someone mentioned incisions and scar tissue, but in the first week or

so after surgery, for straightening, it seems to me the incision

wouldn't be affected, and there wouldn't be any scar tissue yet. I

don't really understand why people have problems straightening their

legs after a TKR.

>

> A couple of people here said it was easier to bend their leg than

straighten it. It seems to me, with the incision, the bandage, and

the swelling, it would be a lot harder to bend it. Can someone

straighten me out on this, as it were?

>

> Thanks.

>

> Ann

>

[Guest guest]

Swelling up to twelve weeks is very normal. I had minor swelling even

after that.

On Sep 25, 2006, at 8:39 AM, Al Welch wrote:

> Ann,

>  

> I have problems in both directions re: ROM.  This seems common from

> what PT tells me.  It seems to relate to swelling, adhesions and

> scarring.  I had a MUA manipulation under anasthesia 8 weeks post op

> to tear things loose again. That caused lots of swelling in my calf. 

> PT streaches the tendons in the straight direction each visit which

> hurst a lot. Some of us loose that zero degree straight extension

> shortly after surgery and it goes to 15 degrees and then takes a whole

> lot of work to get it back to zero.  It seems to have little to do

> with preop ROM as both of my legs bent and straighten well before the

> TKR.  My OS said last week that I had an additional 4 weeks to go

> before swelling settled down.  That puts us out 12 weeks for swelling.

> With swelling, ROM will be reduced.

>  

> Al Welch

>

> From: Joint Replacement

> [mailto:Joint Replacement ] On Behalf Of S.A.M.

> Sent: Monday, September 25, 2006 6:32 AM

> Joint Replacement

> Subject: Re: Straightening your leg after

> surgery

>

>

> I never had a problem straightening it but bending was

> a bear because of the swelling.  I didn't have the bandages

> on for more than a 2 weeks after surgery.  I never had any

> drainage when I got home either .  I thought maybe the

> staples would be a problem but they weren't.  this time

> around who knows.  I've got a lot of questions to ask

> my surgeon.

>  

> Sherry

>  

>  

>> Straightening your leg after

>> surgery

>>

>>

>> Did people who had TKRs who could straighten their legs before

>> surgery have a problem being able to straighten them after surgery? 

>> My OS says he's just going to cut between the fibers of the VMO &

>> down the medial side of my kneecap, so I'm not sure what would cause

>> my leg, which is pretty limber now, to not want to straighten out. 

>> Someone mentioned incisions and scar tissue, but in the first week or

>> so after surgery, for straightening, it seems to me the incision

>> wouldn't be affected, and there wouldn't be any scar tissue yet.  I

>> don't really understand why people have problems straightening their

>> legs after a TKR.

>>  

>> A couple of people here said it was easier to bend their leg than

>> straighten it.  It seems to me, with the incision, the bandage, and

>> the swelling, it would be a lot harder to bend it.  Can someone

>> straighten me out on this, as it were?

>>  

>> Thanks.

>>  

>> Ann

>>  

>>

>

The Bible is the only book in which the Author is always present.

[Guest guest]



Were you able to straighten your leg before the surgery?

Ann

Re: Straightening your leg after surgery

I wasn't able to straighten my leg for over two months and my OS said that was normal. I got my bend first and then was able to lay my leg flat.On Sep 24, 2006, at 10:40 PM, Ann wrote:

Did people who had TKRs who could straighten their legs before surgery have a problem being able to straighten them after surgery? My OS says he's just going to cut between the fibers of the VMO & down the medial side of my kneecap, so I'm not sure what would cause my leg, which is pretty limber now, to not want to straighten out. Someone mentioned incisions and scar tissue, but in the first week or so after surgery, for straightening, it seems to me the incision wouldn't be affected, and there wouldn't be any scar tissue yet. I don't really understand why people have problems straightening their legs after a TKR. A couple of people here said it was easier to bend their leg than straighten it. It seems to me, with the incision, the bandage, and the swelling, it would be a lot harder to bend it. Can someone straighten me out on this, as it were? Thanks. Ann "It is risky to go out on a limb but that is where the fruit is."

[Guest guest]



Ann,

This link is to a pdf that talks about post TKR ROM and reasons why it is so.

www.kneeclinic.com.au/papers/documents/Arthrolysis1.pdf

Al Welch

From: Joint Replacement [mailto:Joint Replacement ] On Behalf Of Ann Sent: Monday, September 25, 2006 1:10 PMJoint Replacement Subject: Re: Straightening your leg after surgery

 Were you able to straighten your leg before the surgery?

Ann

Re: Straightening your leg after surgery

I wasn't able to straighten my leg for over two months and my OS said that was normal. I got my bend first and then was able to lay my leg flat.On Sep 24, 2006, at 10:40 PM, Ann wrote:

Did people who had TKRs who could straighten their legs before surgery have a problem being able to straighten them after surgery? My OS says he's just going to cut between the fibers of the VMO & down the medial side of my kneecap, so I'm not sure what would cause my leg, which is pretty limber now, to not want to straighten out. Someone mentioned incisions and scar tissue, but in the first week or so after surgery, for straightening, it seems to me the incision wouldn't be affected, and there wouldn't be any scar tissue yet. I don't really understand why people have problems straightening their legs after a TKR. A couple of people here said it was easier to bend their leg than straighten it. It seems to me, with the incision, the bandage, and the swelling, it would be a lot harder to bend it. Can someone straighten me out on this, as it were? Thanks. Ann "It is risky to go out on a limb but that is where the fruit is."

[Guest guest]

In a message dated 9/25/2006 12:41:48 A.M. Central Daylight Time, ruby2zdy@... writes:

A couple of people here said it was easier to bend their leg than straighten it. It seems to me, with the incision, the bandage, and the swelling, it would be a lot harder to bend it. Can someone straighten me out on this, as it were?

Thanks.

Ann

Hi Ann, I really thought that my leg was straight enough, but they kept wanting to get it straighter. It hurt a lot when they would push down on it.

[Guest guest]



Interesting article. Thanks. I noticed that of the patients listed in the table, most couldn't make a straight leg before their initial surgery.

Ann

Re: Straightening your leg after surgery

I wasn't able to straighten my leg for over two months and my OS said that was normal. I got my bend first and then was able to lay my leg flat.On Sep 24, 2006, at 10:40 PM, Ann wrote:

Did people who had TKRs who could straighten their legs before surgery have a problem being able to straighten them after surgery? My OS says he's just going to cut between the fibers of the VMO & down the medial side of my kneecap, so I'm not sure what would cause my leg, which is pretty limber now, to not want to straighten out. Someone mentioned incisions and scar tissue, but in the first week or so after surgery, for straightening, it seems to me the incision wouldn't be affected, and there wouldn't be any scar tissue yet. I don't really understand why people have problems straightening their legs after a TKR. A couple of people here said it was easier to bend their leg than straighten it. It seems to me, with the incision, the bandage, and the swelling, it would be a lot harder to bend it. Can someone straighten me out on this, as it were? Thanks. Ann "It is risky to go out on a limb but that is where the fruit is."

[Guest guest]



Ann,

My unoperated leg can extend to what looks like zero. I do not recall how much the operated one could but i remember the surgeon asking me to extend it for him prior to surgery.

The surgeon told me he had zero and 120+ in the operating room before he closed up. He always checks this ROM before he closes. So we can presume most surgeons size the implants and trim the tissue to get that ROM before they close. Then we start stiffening up during recovery and we form adhesions and scar tissue.

My surgeon just discussed this with me last Friday. He said he just returned from a big meeting of knee surgeons and "difficult cases" such as mine were discussed. The feeling was it was better to give the knee time and PT to see if ROM can be gained that way. He said he could cut it open and remove scare tissue but it would grow back again.

Al Welch

From: Joint Replacement [mailto:Joint Replacement ] On Behalf Of Ann Sent: Monday, September 25, 2006 2:00 PMJoint Replacement Subject: Re: Straightening your leg after surgery

 Interesting article. Thanks. I noticed that of the patients listed in the table, most couldn't make a straight leg before their initial surgery.

Ann

Re: Straightening your leg after surgery

I wasn't able to straighten my leg for over two months and my OS said that was normal. I got my bend first and then was able to lay my leg flat.On Sep 24, 2006, at 10:40 PM, Ann wrote:

Did people who had TKRs who could straighten their legs before surgery have a problem being able to straighten them after surgery? My OS says he's just going to cut between the fibers of the VMO & down the medial side of my kneecap, so I'm not sure what would cause my leg, which is pretty limber now, to not want to straighten out. Someone mentioned incisions and scar tissue, but in the first week or so after surgery, for straightening, it seems to me the incision wouldn't be affected, and there wouldn't be any scar tissue yet. I don't really understand why people have problems straightening their legs after a TKR. A couple of people here said it was easier to bend their leg than straighten it. It seems to me, with the incision, the bandage, and the swelling, it would be a lot harder to bend it. Can someone straighten me out on this, as it were? Thanks. Ann "It is risky to go out on a limb but that is where the fruit is."

[Guest guest]

---Oh my gosh, Margaret! I'm practically rolling here! I haven't had

a laugh this good in a long time. Thanks! ..... Maxine

In Joint Replacement , " Margaret "

<zztinau@...> wrote:

>

> Oh Ann,

>

> Could I do with an editor!

>

> I am dyslexic and produce a two monthly magazine for my client

group. For

> some reason, I also write a regular column for a newspaper.

>

> I have some terrible blunders sometimes. Although none as bad as

the time I

> wrote a 5,000 word essay at university comparing the country and

the city.

> When my husband was reading it he discovered I had spelt

country " cuntry " .

> I sat up all night retyping it and just made the deadline.

>

> OH, does anyone know why Orthopeadic surgeons act like they are

God? They

> perform miracles! (Well that was what it felt like to me with my

first hip)

>

> Aussie Margaret

> RTHR 1990 revised 2004

>

> Re: Re: Straightening your leg

after

> surgery

>

>

> Yes, October 17. Thanks for your encouragement.

>

> I'd like to know whether you could straighten your leg before

surgery. I'm

> trying to find out whether that has a bearing on being able to

straighten it

> after. (This would be for TKRs only.)

>

> I'm not too worried about the anesthesia (someone asked how this

is

> spelled -- anestHesia -- it's also pronounced an-es-THE-zha, with

the TH --

> I've noticed a lot of people suddenly are pronouncing it an-es-TE-

zha & am

> wondering where that's coming from -- please forgive me -- I used

to be an

> editor). I've had enough surgeries not to worry too much about

dying from

> that. I'm hoping to get a nerve block and " light " anesthesia. I

had light

> anesthesia for my partial meniscectomy and woke up a lot faster.

>

> I do update my will each time, though. Just in case.

>

> Ann

>

>

>

> Send instant messages to your online friends

http://au.messenger.

>

[Guest guest]

Hmmmmm. Great. I'm looking forward to this. I tell ya. I hope I'm able to touch my head with my leg before I go in. I'm working on it.

Ann

Re: Straightening your leg after surgery

In a message dated 9/25/2006 12:41:48 A.M. Central Daylight Time, ruby2zdyearthlink (DOT) net writes:

A couple of people here said it was easier to bend their leg than straighten it. It seems to me, with the incision, the bandage, and the swelling, it would be a lot harder to bend it. Can someone straighten me out on this, as it were?

Thanks.

Ann

Hi Ann, I really thought that my leg was straight enough, but they kept wanting to get it straighter. It hurt a lot when they would push down on it.

[Guest guest]

Hi guys

It is now 4 weeks post op and straightening is much easier than bending for me

but the PT is the biggest killer of alll

Aussie

-- Re: Straightening your leg after surgery

In a message dated 9/25/2006 12:41:48 A.M. Central Daylight Time, ruby2zdyearthlink (DOT) net writes:

A couple of people here said it was easier to bend their leg than straighten it. It seems to me, with the incision, the bandage, and the swelling, it would be a lot harder to bend it. Can someone straighten me out on this, as it were?

Thanks.

Ann

Hi Ann, I really thought that my leg was straight enough, but they kept wanting to get it straighter. It hurt a lot when they would push down on it.

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[Guest guest]

Hi, ,

Everyone says the PT is a killer. What do they do to you?

Thanks.

Ann

Re: Straightening your leg after surgery

In a message dated 9/25/2006 12:41:48 A.M. Central Daylight Time, ruby2zdyearthlink (DOT) net writes:

A couple of people here said it was easier to bend their leg than straighten it. It seems to me, with the incision, the bandage, and the swelling, it would be a lot harder to bend it. Can someone straighten me out on this, as it were?

Thanks.

Ann

Hi Ann, I really thought that my leg was straight enough, but they kept wanting to get it straighter. It hurt a lot when they would push down on it.

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[Guest guest]

I guess I am odd but I didn't find {T a killer at all. I worked at it

and took my pain pill 45-i hour beforePT and it took care of it.

On Sep 26, 2006, at 10:45 AM, Ann wrote:

> Hi, ,

>  

> Everyone says the PT is a killer.  What do they do to you? 

>  

> Thanks.

>  

> Ann

>> Re: Straightening your leg after

>> surgery

>>  

>>

>>

>> In a message dated 9/25/2006 12:41:48 A.M. Central Daylight Time,

>> ruby2zdy@... writes:

>>

>> A couple of people here said it was easier to bend their leg than

>> straighten it.  It seems to me, with the incision, the bandage, and

>> the swelling, it would be a lot harder to bend it.  Can someone

>> straighten me out on this, as it were?

>>  

>> Thanks.

>>  

>> Ann

>>    Hi Ann, I really thought that my leg was straight enough, but they

>> kept wanting to get it straighter.  It hurt a lot when they would

>> push down on it. 

>>

>>

>>

>>

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>>

>> This message was checked by NOD32 antivirus system.

>> http://www.eset.com

>>

>>

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>>

>> This message was checked by NOD32 antivirus system.

>> http://www.eset.com

>>  

>

" If God brings you to it He will bring you through it. "

[Guest guest]

Ann,

The PT will do whatever they want!!!...You, my Dear, will just have

to figure out your limits...

And PT's can vary from area to area....And here comes my personal

history...

In 1980 & 1996 I had barely competent PT's...Actually, they were

very incompetent PT's...However,

This last year, after my TKR( & 2 weeks with a PT who came to my house

& taught me the basics of excercises) I was fortunate enough to go to

a PT Clinic that specialized in 'Sports Rehab'(They do all the work

for the DC United Soccer Team)....Whew, were they good!!!! They

really put me through it.....They even had a 'treatment' that they

called 'The Russian'....The 'Russian' is 6 little 'sticky things'

that they attach to various muscles of your leg,,, & those sticky

things are attached to a 'machine'... & the Machine sends an electric

shock to the Sticky Things....5 seconds of electrical

shock...followed by 10 seconds of 'nothing'...followed by 5 seconds

of shock....For 10 minutes!!!!....

But the Sticky Things & Shocks are a way to 'wake up your muscles' &

hurt like $%^* & *^..But afterwards,,,well,,,My long dorment muscles

were woken up, although a little grumpy....I have no regrets, and was

happy to find a competent PT Group!!!

I suspect that not very many other folks in this Group have had the

benefit/pain of " The Russian " ...Although if you have, then I would

like start another 'Thread' about electrical current being sent

through your body to jolt your muscles awake....

Bob

>

> Hi, ,

>

> Everyone says the PT is a killer. What do they do to you?

>

> Thanks.

>

> Ann

[Guest guest]

,

Wow! Thanks for the clarification! My Russian was the EMS,,,The TENS

is something totally different from my TKR experience...

But My Russian & EMS & Electrodes shocked/stimulated my muscles into

moving themselves when I was not able to move them for myself...It

was very painful, and yet, very cool to watch the PT turn up the

electrical dial & watch my leg muscles twitch...

Bob

> >

> > Hi, ,

> >

> > Everyone says the PT is a killer. What do they do to you?

> >

> > Thanks.

> >

> > Ann

>

>

>

>

> " Relying on God has to begin every day as if nothing had yet been

done. "

>

>

> --------------------------------------------

> My mailbox is spam-free with ChoiceMail, the leader in personal and

corporate anti-spam solutions. Download your free copy of ChoiceMail

from www.digiportal.com

>

[Guest guest]

Hi Ann

usually just deep tissue massage which seems to stirs things up but I have told them now to take it a little bit easier and then they may have a chance of me coming back for more!

-- Re: Straightening your leg after surgery

Hi, ,

Everyone says the PT is a killer. What do they do to you?

Thanks.

Ann

Re: Straightening your leg after surgery

In a message dated 9/25/2006 12:41:48 A.M. Central Daylight Time, ruby2zdyearthlink (DOT) net writes:

A couple of people here said it was easier to bend their leg than straighten it. It seems to me, with the incision, the bandage, and the swelling, it would be a lot harder to bend it. Can someone straighten me out on this, as it were?

Thanks.

Ann

Hi Ann, I really thought that my leg was straight enough, but they kept wanting to get it straighter. It hurt a lot when they would push down on it.

__________ NOD32 1.1775 (20060926) Information __________This message was checked by NOD32 antivirus system.http://www.eset.com__________ NOD32 1.1775 (20060926) Information __________This message was checked by NOD32 antivirus system.http://www.eset.com

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