BEST exercises for Getting Straight (Full Extension) - after TOTAL KNEE replacement

[@dradamrosen]

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[@peterweatherby8816]

Absolutely wonderful Dr. Rosen. Your explanations are so crystal clear. I know I speak for many when I tell you how grateful I am for you and your work.

[@dradamrosen]

You are very welcome and thank you for the kind words.

[@catherinegowan1362]

5 weeks po. Discovered your exercises this morning. Have done your straightening and bending on the chair and relieves pain immediately. Will continue hourly per day. Thanks.

[@katieforney5503]

I’m 3 weeks post op on my tkr. Your videos have been so informative and a huge help in my recovery. My PT said I was ahead of expectations. I’m still having difficulty getting comfortable and sleeping at night. But it’s only been 3 weeks. I appreciate you and your videos.

[@dradamrosen]

Great to hear! Keep up the excellent work.

[@richardkessler7828]

I’m 6 months after TKR. My doctors, Alvarez still wants me to have 0° extension. I tried hanging weights on my knee also hanging weight laying on my stomach hanging over the edge of the bed, which works to some extent. Also had months of PT. He sent me home with this device called knee Extensionater…. You pump it and it straightens your knee. I use it throughout the day and it’s working. I Actually enjoy using it. I’m Walking normal and I feel great.

[@dradamrosen]

That is great. I have not heard of that device but will look into it.

[@nancee2133]

I'm 7.months po, in still struggling to get to zero extension...my doctor went over your 1st exercise, but it was interesting seeing more that I can do...

[@st2216]

Thanks so much for sharing your knowkedge, Dr. Rosen! Blessings tp you!

[@dradamrosen]

Thank you kindly

[@uparkwoods1236]

This was so helpful and informative. Also your tone and manner you deliver the message was important as well. Thank you for taking the time.

[@dradamrosen]

You are so welcome! Glad it was helpful.

[@RaiderTatum]

Appreciate your bed side manner and ease with how to explain

[@dradamrosen]

Thank you, glad I could help.

[@bobmonsour]

I had a TKR about 2 and a half years ago and straightening was a bigger challenge and more painful to work on than flexion. I am expecting that I'll be having my other knee replaced within the next year. It's not as bad as my first one was...limping, bone on bone, etc. I'll be coming to this channel often when that happens. I've read the knee book and am doing my darndest to put off having the second one done. I exercise regularly, including some of the knee rehab exercises that I did after my first TKR and they continue to be helpful. Thanks for putting all of this together...I love the focus.

[@dradamrosen]

Thanks so much for the kind words. Good luck with the next knee.

[@lindastrykers]

Thank you for explaining the issue. It is due to the tightness of the capsule, the tissue surrounding the knee, and/or hamstring tightness or muscle weakness. I have 140-145 flexion, but full extension has been difficult.

[@Rosem0999]

Thank you. I've saved this and will do every day. I appreciate you 🙏👍❤️

[@dradamrosen]

Perfect. Glad it was helpful.

[@btipton6899]

I'm having TKA in two days. Your videos have helped me a great deal. Thanks doctor!

[@dradamrosen]

Great to hear! Wishing you a speedy recovery.

[@diagix9999]

thank you so much for this video. I could not physically push my thigh down enough to straighten my leg so I tried the laying on the stomach with legs off the end of the bed and it worked.❤

[@dradamrosen]

Glad it helped!

[@barbaradonald9497]

Thank you I will definitely try the exercises.

[@dradamrosen]

Best of luck!

[@rangerbob1147]

Thanks for taking the time

[@dradamrosen]

My pleasure!

[@noraleeparker5631]

​@@dradamrosen Dear Dr. Rosen: Please help me: Senior woman; Told several times by surgeons; need total replacements both knees; have osteoarthritis bone bone and sciatica l4, l5, my knees are bent out; 245 pds, told to lose weight. Can straighten sitting do

[@noraleeparker5631]

But standing cannot straighten

[@lilbandit77]

Thank you for your video! I’m 4 weeks post Total Knee and I still don’t have my quad strength back. Sitting here in tears doing your extension video with towel. I’m scared I won’t get it back. Gonna do these every day. Thank you so much.

[@dradamrosen]

Hope it improves. You might find this video helpful too -kzbin.info/www/bejne/iaisqZhvq82Hp68 and the one on essential amino acid supplements

[@lilbandit77]

@@dradamrosen thank you very much.

[@kimhdorsey64]

Thank you😊 Your video was great info. I'm 3mos in my recovery I need all the help I can get.

[@dradamrosen]

Glad it was helpful!

[@alexyi5574]

Hi Dr Adam, thank you so much for your video, I also got the similar 2 rehab practice to straightening me knee. I had the first session yesterday day (day 5 post-op) and been trying the both your exercise 3 sets today each, now in the evening I found my still swelling knee is very painful, am I doing to much or maybe too early? Btw my op was both ACL recon and bucket handle meniscus tear repair.thank you in advance!

[@MRJCL711]

Broke my upper tibia in 4 places. I'm 60. Although I have tried to get it straight after surgery, I cannot get it straight. I have a terrible limp. It's been 4mos.

[@redoctavia]

Hello, can you comment on Bakers cyst that had for 40 weeks and impeding , cause pain when bending. TIA

[@robertsirmons4629]

Hi Dr. Rosen. I enjoyed your information reference straightening the leg after knee surgery. I have a question to ask after providing some background information. Background: I’m 43 days post total left knee replacement. I’m presently engaging in physical therapy and making some improvements. My knee bending is presently at 98 degrees (on my own) and 106 - 110 when the tech pushes). I’m 5 degrees from achieving total straightening, which has been the hardest. Two days ago, my Dr. added Hydrotherapy to my regimen, which I start tomorrow. Question: Is there a deadline for when someone should achieve the straightening of the leg after surgery? My Dr. has stated that there is a short window to get the leg straightened (an estimated 30-day window, which has passed for me). He, including several PT techs, says that someone can have a permanent limp if the straightening is not achieved within this short period. If possible, can you please add a short video addressing the period that straightening the leg must be achieved? Thanks, Robert (Columbia, SC)

[@AnnsCooking]

Could you comment on whether it is necessary to get beyond 0 extension? My opposite leg goes to 8 degrees hyperextension; the operated leg had 5 hyperextension prior to surgery. I had a partial lateral knee replacement 3 weeks ago and I wonder how far I should push my operated leg into hyperextension (if possible) or whether 0 is good enough.

[@clarisacardenas9715]

❤

[@damodaranp7605]

Sir,ffd 30 degree after tkr itself cause pain,discomfort and limping?

[@damodaranp7605]

Is these pt helpful to those who have knee ffd 30 degree with further flexion up to 120 degree following tkr?

[@dougbinkley8474]

After total knee replacement I was able to work into a straight leg in short order, but when it came to flexion I had difficulty. I was able to work up to 130 degrees flexion with physical therapy quickly, but then ran into a brick wall. There are some basic yoga poses I am unable to do completely. My doctor said it will come eventually but it has been over a year. Can you comment on post knee replacement flexion? Thank you

[@dradamrosen]

Check out my other videos that have flexion information - Best range of motion and Total Knee Rehab - both of those cover flexion information.

[@billypreisler8152]

Hi Dr. Rosen, Is is possible you can do a video on IT Band Syndrome after TKA? The TKA procedure was done on me in Oct, the only issue I have, is IT Band Syndrome, of which I did not have prior to the procedure.

[@dradamrosen]

I'll put that one on the to-do list. Check out the book 'Stretching' by Bob Anderson in the meantime. You can discuss with your therapist and surgeon.

[@melindabucy8459]

How common is it to have two different size knee replacements? My right knee has been great the k Left one has been a nightmare I cant straighten it. I seen my x ray and the left one is replacement is larger. 🤷🏽‍♀️

[@dradamrosen]

Best to talk to your surgeon or get a second opinion. The implant sizes are sized for each bone in each leg. The difference between sizes is usually only a couple millimeters. Many people have a one size difference from side to side.

[@flaquita6084]

👍

[@RoseBudFC]

Im 4 weeks post op and have good bend but not straight, onceni start walking. Perfect when i wake up, but once walk, lots of swelling and discomfort right behind knee, even after only one short block. Then have to go home to elevate and ice. I found out I have a baker cyst. Does that affect straightening? Am I about normal at 4 weeks re swelling etc? Have been doing the first exercise you mentioned since day 2 but only 3-4 a day, and seems strange first thing am I'm straight. Any guidance?

[@dradamrosen]

This is an old one on Baker's cyst -kzbin.info/www/bejne/oYevgayOZ6pmq9k - normal knee, arthritic knee, or replaced knee treatments are the same - elevation, compression (knee sleeves work well), nsaids (if no contraindication) and ice. When the knee is swollen (front or back) it can make range of motion difficult but should improve over time in most patients. Reach out to your surgeon to see what recommendations they have.

[@RoseBudFC]

@@dradamrosen missed that one! Thx!

[@kiwipinoy913]

I am 16weeks po and up to now I am still having problem straightening my right knee.I regularly do exercises especially hanging weight while extended.Is it to late for me to achieve full extension?I also can't walk without using a cane.I follow your posts on you tube especially on knee replacement rehabilitation. Thanks.

[@dradamrosen]

You're welcome. Best of luck in your recovery.

[@wasimmir5103]

My mother is into 3rd week still can't stretch leg fully outwrds

[@mrose4132]

Getting the knee straight is arguably more important than getting full knee flexion.

[@randyclere2330]

Thank you sir

[@dradamrosen]

Welcome