KNEE ARTHRITIS - Total Knee Replacement :
Sudden loss of ROM after TKR - - Posted by rcb (rcb), 19 March 2003
I had a TKR 10-30-02, and had to have a manipulation 12-15-02 due to a
lack of range of motion. (55-60 degrees) After the manipulation, and
following several weeks therapy I had 106 degrees of bend. Things seemed
to be looking up for me, until about two weeks ago.
I had been using an exercise bike in therapy, and after a few weeks of
use I noticed slight pain when the peak of my bend while on the bike.
Once I straightened it out it felt ok. I came home from therapy one day
(about 2 weeks ago) and took a nap. When I woke up I could only bend
approximately 50 degrees again, and it was painful attempting to bend
beyond that. I have been to my doctor since, and he thinks I have blood
in the knee compartment causing the loss of range of motion and the
pain. I do have less pain now, but have only gained maybe five, or ten
degrees back. (I'm about at 60 degrees now)
I was wondering if anyone had gone through something similar, if so what
had to be done, and how long did it set you back.
Thanks in advance for any input.
Posted by enuff81020 (enuff81020), 19 March 2003
I had a tkr on my left knee 12/16/02 and am very interested in your issues. I have been very fortunate--no big problems. I was at 82 bend when i left the hospital, 90 after two weeks and now get about 118, discontinued therapy about two weeks ago.
However, I still have a really nasty right knee and we are looking to do the tkr in July. I do get sore in my "bionic" knee after it has had to compensate for the right knee for extended periods...
I hope that they get to the bottom of your trouble and get it straightened out. My left knee is heavenly after all that it went through. Lots of luck, Sylvia
Posted by admin (The KNEEguru), 31 July 2003
This may be of interest:
Posted by enuff81020 (enuff81020), 3 August 2003
Thanks Kneeguru for sharing that...
After the pcl issues with my new tkr, it gave some possible insight as to why my extension and flexion is so limited. My os pointed out that my knee did straighten and bend in the or--so I'm still not sure--but I can ask some more specific questions now.
Posted by Chuck (Chuck), 19 August 2003
I had TKR on 12/17/02 and manipulation on 2/12/03. I am a 43 year old male who is an x college football player and x national level bodybuilder. I've had 6 previous knee surgeries which included an ACl & Collateral Lig. reconstruction in 1981. In 1978, when I originally hurt my knee, they removed the entire medial mencus, closed me up and said I would never play another sports. I proved them wrong , but obviuosly paid the price. On top of all this I have a a strong family history of Arth.. My father had both hips replaced, his sister had a hip and knee and his brother had both knees replaced. So the deck was stacked against me from the begining.
Prior to my TKR my ROM was 15-100 degrees.
Regarding ROM; To make a long story short, I had extensive therapy for 5 months which proved to only give me approx. 0-95 degrees. Since the conclusion of therapy I have started to workout heavily with my legs again. Back to my bodybuilding ways. Much to my surprise not only has my strength increased drastically, but my ROM has improved greatly. I am doing leg extensions, leg presses and hack squats a minimum of 4 times per week. 3-4 sets with 15 -20 reps per exercise. I force my knee to bend until I feel pain or constriction on every rep.
I also watch my diet. I consume a high amount of protein, 1g per lb., ( I am 5'9" and weigh 200lbs), moderate carbohydrates and low fats.
I take NO pain medication whatsoever!!!!!
I have no pain during the day or night.
I coach little league baseball and pee wee football. I am an extremely active individual.
I will not let this beat me.
My point to this reply is, I think or I should say, exercise was the way to go for me.
Hope this helps!!!!
Updated Thu Apr 29 2010