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Disorders that affect the knee like severe arthritis or trauma do not allow you to utilize the full range of motion of your knees. Since you use your affected knees very sparsely, they become stiff and this condition persists even after you have undergone a knee replacement surgery. You can, however, get back the normal range of motion of a healthy knee by doing the following exercises post knee replacement surgery.
- Take a stroll around the house after surgery: Walking helps your knees get back to normalcy. Initially, you need to walk using the support of crutches or canes as instructed by your therapist. Make sure that your heels and toes are perfectly aligned while you walk. Walk for 20 minutes at least twice at the initial stage and increase your pace gradually, so that, eventually you can walk freely without any support.
- Exercises to reduce swelling: Your legs or foot can become inflamed after the operation. This is not an uncommon sight. In order to reduce swelling, you need to lie flat and rest your legs on a stack of pillows, one at a time. While your leg is elevated you can apply a cold compress at the surgical site.
- Pumping exercises: Swelling will be ameliorated and your knees will be revived if you perform ankle pumps and circles. Ankle pumps are done by holding your foot and bending them up and down, whereas, circles are done by moving your feet in a clockwise and an anticlockwise direction. Both these exercises strengthen the knee muscles and reduce swelling.
- Stretching exercises: There are two very effective methods of stretching that you can perform by sitting on a chair. The first exercise involves the placing of your leg on a chair opposite to the one you are sitting on. Put pressure on your knee till you can feel a light stretch at the back of your knee. The second exercise is performed by sitting straight on a chair with the feet touching the ground. You need to push your feet outward and inward as far as possible. These exercises reactivate the motion of the knees.
- Lying kicks: This is an advanced exercise that one must perform post knee replacement surgery after some warm-up exercises like walking, ankle pumps and stretching. You need to lie flat on a mat with a blanket rolled under your knee. Now slowly raise your leg, hands-free, or using your hands. Keep the leg elevated for at least five seconds before bringing it down slowly on the blanket.
Strictly perform these routines regularly and you will start walking in no time following the knee replacement surgery. In case you have a concern or query you can always consult an expert & get answers to your questions!
Your shoulder is one of the most overused joints in the body and thus is at a higher risk of contracting an injury. Shoulder pain may lead to mobility issues where moving your arms may become extremely difficult. The shoulder consists of three parts, viz. the shoulder blade, collarbone and the upper arm bone. Shoulder pain may result from an injury to any of these areas.
The various causes of shoulder pain are:
- Impingement: Impingement of the shoulder muscle occurs when the top of the shoulder impinges on the rotator cuff muscles. This condition can lead to severe pain in the shoulder.
- Bursitis: Bursa is a fluid filled sac that cushions the bones and help in preventing friction. Bursitis is a disorder that results in inflammation of the bursa, thus resulting in shoulder pain.
- Tendinitis: Tendinitis is a condition that is characterized by gradual wear and tear of the tendon. Usually the rotator cuff tendons in the shoulder are affected by this condition.
- Instability of the shoulder: Shoulder instability is a disorder of the shoulder wherein the upper arm bone dislocates from its socket. This can cause excessive pain in the shoulder.
- Fractures: A fracture in the bones of the shoulder results in excruciating shoulder pain.
- Arthritis: Arthritis is a disorder that leads to inflammation in the joints, thus resulting in pain and impaired movement of the joint.
The treatment for shoulder pain consists of medications and physiotherapy. You may also be asked to discontinue any strenuous activity that requires shoulder movement. Medications such as NSAIDs are prescribed to help in controlling the pain. Various stretches of the shoulder are also recommended to improve shoulder flexibility and mobility.
Do exercises such as the overhead press with light weights to improve your shoulder strength. Also make sure to include certain external rotation exercises to strengthen the rotator cuff muscles. If you wish to discuss about any specific problem, you can consult an Orthopedist.
The knee is the largest joint of the body and is made up of upper and lower bones that are separated by two discs known as menisci. While minor knee pain may be experienced by many people, it should be handled with medical intervention when it becomes a serious and debilitating problem. Sudden injury or injury due to overuse as well as myriad conditions that affect the joints and muscles can bring about knee pain. Underlying conditions like osteoporosis or arthritis, which affect the bones and joints, can also cause knee pain. The symptoms include painful swelling and stiffness as well as severe discomfort. Let us learn more about the causes of knee pain and the ways in which it can be managed-
Injury: Exercise and sports injuries are one of the most common causes that can be the start of acute knee pain, as well as chronic condition. These kinds of injuries can affect the ligaments and cartilage which leads to severe pain. The pain can even affect the way one functions in one's daily life. Knee ligament injuries can also cause this kind of pain. These ligaments are bands of tissues that connect the thigh bone with the lower leg bones. Sprains and tears in the ACL or PCL are common in sports injuries, and may even require surgery in many cases. Knee Cartilage Tears can also take place in the hard yet flexible cartilage of the knee which can affect the meniscus around the knee. This condition may also require surgery.
Arthritis: This condition can affect the knees specifically and is one of the most common types of arthritis. This is a chronic condition which gets progressively worse over time and may even require surgery. Stiffness and inflammation are common symptoms. Rheumatoid arthritis is also a degenerative auto-immune disease that can affect the knees and cause knee pain. Furthermore, post traumatic arthritis can also be experienced after an injury. Osteoarthritis is another common condition that leads to knee pain. It basically occurs due to wear and tear of the knees over a prolonged period and is usually experienced by patients over the age of 50.
Managing Knee Pain: While pain medication and anti-inflammatory drugs may be prescribed for most cases, along with the surgery in long run, it is also possible to manage knee pain with the help of better lifestyle choices like regular knee and muscle strengthening exercises as well as REST - rest, ice, compression and elevation. These methods can help in relieving inflammation and pain. But very severe cases will require medical intervention, so it is imperative to get in touch with your doctor if the condition does not improve. If you wish to discuss about any specific problem, you can consult an Orthopedist.
When performing simple daily activities like climbing stairs, getting out of a chair, or walking tend to become a rather painful experience, knee replacement surgery seems to be the only suitable solution. Referred to as arthroplasty, it is a common surgery nowadays and ideal when several other therapies and injections fail to bring back the knees into the normal functioning order. Below are some the things that one can expect from a knee replacement surgery.
- Medications: It is quite natural to receive lots of prescribed medicines right after the completion of the surgery. From antibiotics to painkillers, one needs to be ready to have various medicines which are meant to relieve the pain of the surgery as well as to prevent blood clots. However, the drug dosages continue to get lesser, after each passing day, depending on how well the knees are performing.
- CPM: Taking the help of CPM or continuous passive motion becomes necessary for many people after having the knee replacement surgery. Depending on the condition of one’s knee, one might need to spend time in a CPM system, which helps in keeping the knee flexible. There’s a cradle in the machine for the legs, and the machine is fitted with the joint position and leg length. One can adjust the level up to which the machine can bend the knees, depending on their comfort level.
- Walking: The majority of the people who undergo knee replacement surgery can walk the very day of the surgery or the next day. Most of the people become able to bear the weight of the replaced knee with the help of crutches or walkers. However, one can expect a bit of pain when starting to walk for the first time after surgery.
- Rehabilitation: The primary purpose of rehabilitation after a knee replacement surgery is to make one capable of bending his or her knees at least 90 degrees which is essential for performing the daily activities easily. Several therapies can make the rehabilitation process a success and make the knees bendable more than 90 degrees in most of the cases.
- Exercise: Most people go home within a few days after a knee replacement surgery and is essential to take care post-surgery. The best way to maintain the good health of the knees is by performing the exercise program regularly, which is suggested by the doctors. Following the exercise program regularly and performing regular short walks, can make the knees flexible like before while regaining their strength as well as the motion range more quickly.
It's best to visit one's doctor from time to time, even months after the knee replacement surgery is done to not only monitor his or her knee replacement; but also to ensure that there are no risks of any complications. If you wish to discuss about any specific problem, you can consult an Orthopedist.