KNEEtalk

The WAITING ROOM => GENERAL KNEE QUESTIONS and comments (good for new threads) => Topic started by: JessJess28 on April 11, 2013, 11:14:34 PM

Title: Any tips for ROM after Fulkerson Osteotomy?
Post by: JessJess28 on April 11, 2013, 11:14:34 PM
Just wondering if anyone has any tips. I will start PT until 6 weeks post-op (almost 2 weeks post op now) but I am cleared to swim and bend my knee when sitting. I tried to bend it last night after icing but I can't get past 30 degrees or so. I spoke to my OS office and they just said not to worry about it and take it easy until I start PT. I don't want to push myself hard but I wouldn't mind trying to get a head start on the exercises.

If you think I should just relax and take it easy too feel free to say that  ;)

Thanks!
Title: Re: Any tips for ROM after Fulkerson Osteotomy?
Post by: JessJess28 on April 11, 2013, 11:15:30 PM
oops! I guess I should have posted this in the Rehab section. Not sure if I can move it?
Title: Re: Any tips for ROM after Fulkerson Osteotomy?
Post by: am7800 on April 12, 2013, 10:23:12 AM
When I first started bending, I had a lot of tightness in my patella tendon and my quads.  Heat really helped to loosen up the tendon and muscles. I would just use a heating pad for about 10 minutes before and it made bending so much easier.  In pt they would have me lay on my stomach with a hot pack under my quad and i would slowly and gently use my other foot to push my foot towards my butt. My dr even recommended a hot bath to try and loosen things up. So if you're able to sit in the tub, that's another option.  Hope that helps! 
Title: Re: Any tips for ROM after Fulkerson Osteotomy?
Post by: DebbieCJ on April 12, 2013, 11:58:44 AM
Hi JessJess,
I'm now four weeks post op (MACI and Fulkerson) and have been doing exercises since day one. I can bend my knee to 100 degrees and am fully weight bearing with a brace.

The exercises I am doing are really simple - heel slides (no friction), static quads and calf pumps.
I've seen the physio today who says I should be now using a heat pack to help reduce the swelling, but to carry on with the simple exercises for the next two weeks, at which point I should be able to remove the brace completely and also start straight leg raises.

It seems that there is a lot of inconsistency out there relating to when and how much to do.
I hope this helps and good luck!

Debbie
Title: Re: Any tips for ROM after Fulkerson Osteotomy?
Post by: JessJess28 on April 12, 2013, 04:26:51 PM
Thanks!

AM7800- when did you start using heat? I'm 2 weeks post-op now. I still have swelling but mostly in my foot and ankle, some in my knee. If I take a comparison pic of my legs they look pretty similar. I wonder if I can get in a hot tub. I'm cleared to swim. Not sure if a hot tub would be too hot. I might try that exercise you mentioned about bending my knee to my butt.

Debbie- 100 is great! My OS office said no heel slides, forgot why. Yeah I forgot to say I know that every OS is different with their protocols. At first the PAs said no exercises other than bending to 30 degrees but then at first post-op appt OS said I can bend as much as I'd like but only when seated. I am full weight bearing in an immoblizer. I can walk without crutches but I like to take 1 with if I leave the house. My ankle hurts the most when I first get up so I need the one until I get my bearings.

Thanks again!  :)
Title: Re: Any tips for ROM after Fulkerson Osteotomy?
Post by: am7800 on April 13, 2013, 03:13:33 AM
I didn't start bending on my own till about 6 weeks post op, but mostly because I couldn't bend on my own till then.  I only used the heat for about 10 minutes before doing my bending exercises.  I still preferred to use ice for pain and swelling but the heat just really helped to loosen things up.  I didn't realize you were just 2 weeks post op.  how has your recovery been?