RE: Is PT really necessary?

[Guest guest]

In a message dated 11/14/2008 8:21:52 A.M. Central Standard Time,

levine@... writes:

Hi, I didn't have the home PT I just went to it 2 days after I got out of

the hospital. I thought the lady was going to kill me, but I do think that

it was necessary. There's no way in the world I would have hurt myself that

much if they wouldn't have made me. I'm 2 years out and wish I would have

tried harder really.

I'm so sorry for you pain I haven't done my yet so all I can't offer you

much. But to say it will get better just remember what it was like before the

surgery and you wanted better for yourself so keep it in mind and just ask them

if it's suppose to hurt that bad. Again think of where you will be in a few

months.

Sharon LeVine

[Total_Joint_<WBR>Repla

I am 4 weeks out of a TKR. I had in home PT for 3 weeks. I just started

out patient PT and I hate it! I was crying. It is so much harder than

in home care. I cried when he pushed down on my knee to get it to go

straighter. Once the swelling is down, won't it go straighter on it's

own? Won't the bend get better? I was told a while ago that after the

knew knee is in but before it is stitched up, the knee can move just

great. It is not until it is sewed up that the swelling starts and thus

it is hard to move. If it can get better when the swelling goes down,

why PT? I know it can get rid of scar tissue, but the massaging is not

done enough.

Joanie

**************Get the Moviefone Toolbar. Showtimes, theaters, movie news &

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[Guest guest]

Physical therapy (aggressive) is absolutely necessary. Ice, elevation and

exercises all along are necessary. If you do not cooperate and do exercises

in between pt and go to pt you will never get the motion/flexion back in

your knee.the pt and the ice also help get rid of the therapy.if you don't

do the pt and the exercises the scar tissue will develop, you knee will

remain stiff and you won't be able to bend it. There is no way around it.

Take pain meds before going to pt.use ice.it is critical that you actively

participate in pt.

Harold

_____

From: Joint Replacement

[mailto:Joint Replacement ] On Behalf Of tinypoms

Sent: Friday, November 14, 2008 1:24 AM

Joint Replacement

Subject: Is PT really necessary?

I am 4 weeks out of a TKR. I had in home PT for 3 weeks. I just started

out patient PT and I hate it! I was crying. It is so much harder than

in home care. I cried when he pushed down on my knee to get it to go

straighter. Once the swelling is down, won't it go straighter on it's

own? Won't the bend get better? I was told a while ago that after the

knew knee is in but before it is stitched up, the knee can move just

great. It is not until it is sewed up that the swelling starts and thus

it is hard to move. If it can get better when the swelling goes down,

why PT? I know it can get rid of scar tissue, but the massaging is not

done enough.

Joanie

[Guest guest]

I'm so sorry for you pain I haven't done my yet so all I can't offer you much.

But to say it will get better just remember what it was like before the surgery

and you wanted better for yourself so keep it in mind and just ask them if it's

suppose to hurt that bad. Again think of where you will be in a few months.

Sharon LeVine

Is PT really necessary?

I am 4 weeks out of a TKR. I had in home PT for 3 weeks. I just started

out patient PT and I hate it! I was crying. It is so much harder than

in home care. I cried when he pushed down on my knee to get it to go

straighter. Once the swelling is down, won't it go straighter on it's

own? Won't the bend get better? I was told a while ago that after the

knew knee is in but before it is stitched up, the knee can move just

great. It is not until it is sewed up that the swelling starts and thus

it is hard to move. If it can get better when the swelling goes down,

why PT? I know it can get rid of scar tissue, but the massaging is not

done enough.

Joanie

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6:01 PM

[Guest guest]

Joanie,

PT for me was very painful, I took pain pills just to get through it. But it

was very necessary f or me. My knee froze and I had to have it manipulated.

Try to get through it the best you can and don't be afraid to ask your therapyst

for help managing the pain.

JudyJudy Ferland Colorado

Joint Replacement@...: levine@...: Fri, 14

Nov 2008 08:20:37 -0600Subject: Re: Is PT really

necessary?

I'm so sorry for you pain I haven't done my yet so all I can't offer you much.

But to say it will get better just remember what it was like before the surgery

and you wanted better for yourself so keep it in mind and just ask them if it's

suppose to hurt that bad. Again think of where you will be in a few

months.Sharon LeVine Is PT really necessary?I am 4 weeks out of

a TKR. I had in home PT for 3 weeks. I just started out patient PT and I hate

it! I was crying. It is so much harder than in home care. I cried when he pushed

down on my knee to get it to go straighter. Once the swelling is down, won't it

go straighter on it's own? Won't the bend get better? I was told a while ago

that after the knew knee is in but before it is stitched up, the knee can move

just great. It is not until it is sewed up that the swelling starts and thus it

is hard to move. If it can get better when the swelling goes down, why PT? I

know it can get rid of scar tissue, but the massaging is not done

enough.Joanie----------------------------------------------------------No virus

found in this incoming message.Checked by AVG - http://www.avg.com Version:

8.0.175 / Virus Database: 270.9.3/1786 - Release Date: 11/13/2008 6:01

PM

[Guest guest]

Part of my problem is that pain meds do not work for me. I have

Perocet but it does not decrease the pain at all. My doctor will not

give me anything stronger even though I told him before the surgery

that they do not work.

I do do the PT at home. I just think this guy was a bit too rough

with me. He might have pressed down a bit too hard on my knee. My in

home therapist was wonderful. He did it just to the point of pain and

stopped. This guy goes beyond.

Joane

>

> Physical therapy (aggressive) is absolutely necessary. Ice,

elevation and

> exercises all along are necessary. If you do not cooperate and do

exercises

> in between pt and go to pt you will never get the motion/flexion

back in

> your knee.the pt and the ice also help get rid of the therapy.if

you don't

> do the pt and the exercises the scar tissue will develop, you knee

will

> remain stiff and you won't be able to bend it. There is no way

around it.

> Take pain meds before going to pt.use ice.it is critical that you

actively

> participate in pt.

>

>

>

> Harold

>

>

>

> _____

>

> From: Joint Replacement

> [mailto:Joint Replacement ] On Behalf Of

tinypoms

> Sent: Friday, November 14, 2008 1:24 AM

> Joint Replacement

> Subject: Is PT really necessary?

>

>

>

> I am 4 weeks out of a TKR. I had in home PT for 3 weeks. I just

started

> out patient PT and I hate it! I was crying. It is so much harder

than

> in home care. I cried when he pushed down on my knee to get it to

go

> straighter. Once the swelling is down, won't it go straighter on

it's

> own? Won't the bend get better? I was told a while ago that after

the

> knew knee is in but before it is stitched up, the knee can move

just

> great. It is not until it is sewed up that the swelling starts and

thus

> it is hard to move. If it can get better when the swelling goes

down,

> why PT? I know it can get rid of scar tissue, but the massaging is

not

> done enough.

>

> Joanie

>

>

>

>

>

>

[Guest guest]

Joane, Consider switching your outpatient PT facility.  Also, talk to your dr.

about the level of your pain.  Ice before and after.  But I agree with others, I

was told how important PT is which knee replacements.  I was also told that if

you don't get the straightening and flexing done in the first 10 weeks, it's a

surgical procedure to get it moving again.  After going through the joint

replacement, I'm sure you want to get the benefit of the surgery and not end up

with another surgery. 

________________________________

From: tinypoms <tinypoms@...>

Joint Replacement

Sent: Friday, November 14, 2008 2:51:26 PM

Subject: Re: Is PT really necessary?

Part of my problem is that pain meds do not work for me. I have

Perocet but it does not decrease the pain at all. My doctor will not

give me anything stronger even though I told him before the surgery

that they do not work.

I do do the PT at home. I just think this guy was a bit too rough

with me. He might have pressed down a bit too hard on my knee. My in

home therapist was wonderful. He did it just to the point of pain and

stopped. This guy goes beyond.

Joane

>

> Physical therapy (aggressive) is absolutely necessary. Ice,

elevation and

> exercises all along are necessary. If you do not cooperate and do

exercises

> in between pt and go to pt you will never get the motion/flexion

back in

> your knee.the pt and the ice also help get rid of the therapy.if

you don't

> do the pt and the exercises the scar tissue will develop, you knee

will

> remain stiff and you won't be able to bend it. There is no way

around it.

> Take pain meds before going to pt.use ice.it is critical that you

actively

> participate in pt..

>

>

>

> Harold

>

>

>

> _____

>

> From: Total_Joint_ Replacement

> [mailto:Total_Joint_ Replacement] On Behalf Of

tinypoms

> Sent: Friday, November 14, 2008 1:24 AM

> Total_Joint_ Replacement

> Subject: [Total_Joint_ Replacement] Is PT really necessary?

>

>

>

> I am 4 weeks out of a TKR. I had in home PT for 3 weeks. I just

started

> out patient PT and I hate it! I was crying. It is so much harder

than

> in home care. I cried when he pushed down on my knee to get it to

go

> straighter. Once the swelling is down, won't it go straighter on

it's

> own? Won't the bend get better? I was told a while ago that after

the

> knew knee is in but before it is stitched up, the knee can move

just

> great. It is not until it is sewed up that the swelling starts and

thus

> it is hard to move. If it can get better when the swelling goes

down,

> why PT? I know it can get rid of scar tissue, but the massaging is

not

> done enough.

>

> Joanie

>

>

>

>

>

>

[Guest guest]

You have to go beyond the point of pain sometimes. I have had

replacement on 1 knee and 3 replacements (because of infection 2x) on

the other...it's not always going to be comfortable...you have to work

at it...at first I thought your e-mail this a.m. was a joke. I don't

mean to offend you....I honestly don't. Talk to the therapist. But I

can tell you...pt isn't a cakewalk...you have to really work hard...you

have to work through the pain...or you can choose to have a stiff knee.

Change therapists if you need to. But, it's still going to require

work, is going to hurt at times.

On Fri, Nov 14, 2008 at 2:51 PM, tinypoms wrote:

Part of my problem is that pain meds do not work for me. I have

Perocet but it does not decrease the pain at all. My doctor will not

give me anything stronger even though I told him before the surgery

that they do not work.

I do do the PT at home. I just think this guy was a bit too rough

with me. He might have pressed down a bit too hard on my knee. My in

home therapist was wonderful. He did it just to the point of pain and

stopped. This guy goes beyond.

Joane

>

> Physical therapy (aggressive) is absolutely necessary. Ice,

elevation and

> exercises all along are necessary. If you do not cooperate and do

exercises

> in between pt and go to pt you will never get the motion/flexion

back in

> your knee.the pt and the ice also help get rid of the therapy.if

you don't

> do the pt and the exercises the scar tissue will develop, you knee

will

> remain stiff and you won't be able to bend it. There is no way

around it.

> Take pain meds before going to pt.use ice.it is critical that you

actively

> participate in pt.

>

>

> Harold

>

>

> _____

> From: Total_Joint_ Replacement

> <mailto:Joint Replacement > [mailto: Total_Joint_

> Replacement

> <mailto:Joint Replacement > ] On Behalf Of

tinypoms

> Sent: Friday, November 14, 2008 1:24 AM Total_Joint_ Replacement@

> groups. com <mailto:Joint Replacement >

> Subject: [Total_Joint_ Replacement] Is PT really necessary?

>

>

> I am 4 weeks out of a TKR. I had in home PT for 3 weeks. I just

started

> out patient PT and I hate it! I was crying. It is so much harder

than

> in home care. I cried when he pushed down on my knee to get it to

go

> straighter. Once the swelling is down, won't it go straighter on

it's

> own? Won't the bend get better? I was told a while ago that after

the

> knew knee is in but before it is stitched up, the knee can move

just

> great. It is not until it is sewed up that the swelling starts and

thus

> it is hard to move. If it can get better when the swelling goes

down,

> why PT? I know it can get rid of scar tissue, but the massaging is

not

> done enough.

> Joanie

>

>

>

>

>

[Guest guest]

My experience is with THRs, but the principle is the same, and even more

important in knees, I'm told.

Scar tissue builds up on the knees and if you want to regain any kind of

normal flexion, the PT is a must. Remember what the athletes say: " No pain,

no gain " . Some of my PT sessions left me feeling more bruised and painfully

exhausted than full-contact scrimmages in college.

None of the standard pain meds worked on me, either, it was like taking

sugar pills-- no effect at all. Sometimes you just have to grit your teeth

and do what you have to. If you don't " push the envelope " of what you can

already do, you make no progress.

(RTHR-2003, LTHR-2004, possible candidate for LTKR and right

shoulder down the line...)

_____

From: Joint Replacement

[mailto:Joint Replacement ] On Behalf Of tinypoms

Sent: å 14 ðåáîáø 2008 21:51

Joint Replacement

Subject: Re: Is PT really necessary?

Part of my problem is that pain meds do not work for me. I have

Perocet but it does not decrease the pain at all. My doctor will not

give me anything stronger even though I told him before the surgery

that they do not work.

I do do the PT at home. I just think this guy was a bit too rough

with me. He might have pressed down a bit too hard on my knee. My in

home therapist was wonderful. He did it just to the point of pain and

stopped. This guy goes beyond.

Joane

_____

I am 4 weeks out of a TKR. I had in home PT for 3 weeks. I just started

out patient PT and I hate it! I was crying. It is so much harder than

in home care. I cried when he pushed down on my knee to get it to go

straighter. Once the swelling is down, won't it go straighter on it's

own? Won't the bend get better? I was told a while ago that after the

new knee is in but before it is stitched up, the knee can move just

great. It is not until it is sewed up that the swelling starts and thus

it is hard to move. If it can get better when the swelling goes down,

why PT? I know it can get rid of scar tissue, but the massaging is

not done enough.

Joanie

..

<http://geo./serv?s=97359714/grpId=7780446/grpspId=1705061104/msgId

=30515/stime=1226692311/nc1=1/nc2=2/nc3=3>

[Guest guest]

I usually don't post because I don't feel I know enough to....but.

I must be lucky, I was in the hospital for 5 days after RTKR, the medical

plan we have covered it so why not. I am retired

At the end of the 5 days I had 95 percent flexion and was never in bad pain

from the PT. I was (and am) on vicodin and never felt I was being pushed too

hard. When I winced they quit.

I am now 65 days out from the surgery and the difference in movement between

my right and left knees is barely noticeable. All I have is a little

stiffness in the morning in both knees.

Lurker mode back on.

> Re: Is PT really necessary?

>

>

>

> Part of my problem is that pain meds do not work for me. I

> have Perocet but it does not decrease the pain at all. My

> doctor will not give me anything stronger even though I told

> him before the surgery that they do not work.

>

> I do do the PT at home. I just think this guy was a bit too

> rough with me. He might have pressed down a bit too hard on

> my knee. My in home therapist was wonderful. He did it just

> to the point of pain and stopped. This guy goes beyond.

>

> Joane

> _____

>

> I am 4 weeks out of a TKR. I had in home PT for 3 weeks. I

> just started out patient PT and I hate it! I was crying. It

> is so much harder than in home care. I cried when he pushed

> down on my knee to get it to go straighter. Once the swelling

> is down, won't it go straighter on it's own? Won't the bend

> get better? I was told a while ago that after the new knee is

> in but before it is stitched up, the knee can move just

> great. It is not until it is sewed up that the swelling

> starts and thus it is hard to move. If it can get better when

> the swelling goes down, why PT? I know it can get rid of scar

> tissue, but the massaging is not done enough.

>

> Joanie

>

>

> .

>

> <http://geo./serv?s=97359714/grpId=7780446/grpspId=17

> 05061104/msgId

> =30515/stime=1226692311/nc1=1/nc2=2/nc3=3>

>

>

>

>

[Guest guest]

You need the outpatient PT. No human being will push themselves as hard as

they need in order to prevent scar tissue from building around the joint. I

know it hurts. Take your pain meds 30 minutes before you go. Ask for some

heat therapy and ice therapy in between the painful movements. That helped

me. Ice your knee in the evenings when you have time to sit.

You need help making sure you don't end up binding your joint with scar

tissue. I'm almost two years out, I did three months of outpatient PT (I

never had inpatient and did five days a week at first and tapered off to

two) and I have no issues with my knee. I can bend it almost as much as the

natural knee. It never hurts and isn't swollen. I think the PT I had really

helped. It also helped me walk correctly.

Don't give up on it.

Is PT really necessary?

I am 4 weeks out of a TKR. I had in home PT for 3 weeks. I just started

out patient PT and I hate it! I was crying. It is so much harder than

in home care. I cried when he pushed down on my knee to get it to go

straighter. Once the swelling is down, won't it go straighter on it's

own? Won't the bend get better? I was told a while ago that after the

knew knee is in but before it is stitched up, the knee can move just

great. It is not until it is sewed up that the swelling starts and thus

it is hard to move. If it can get better when the swelling goes down,

why PT? I know it can get rid of scar tissue, but the massaging is not

done enough.

Joanie

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