Best Way to Improve Knee Flexion While Lying Down

[@QTWeims]

My PT referred by my surgeon never got scheduled after 12 was post op. I am 76 Left TKR. So I went looking for videos to help. And thank goodness I found you. I saw my surgeon at 8 weeks and he was thrilled with my progress. And he wrote another referral and the system still let me down. So I keep looking and doing your videos. I can not thank you enough!!!! Nancy Q

[@dioceseofst.patrickinc.]

Thank you for providing this video. I just returned from therapy very frustrated and upset. I've done all that they have asked - full sets of exercises twice a day at about an hour a session. My surgery was exactly a month ago. I'm at zero extension and 107 flexion. I'm walking unaided and with only over the counter pain meds. The last two sessions, Monday and today, they were doing the measurement which I have come to dread. Which speaks to your point about the brain protecting your body. They want improvement every session so they push as I pull. The last two days my knee has locked up and I can't move it in either direction until the muscle relaxes or the cramp goes away. Today they told me I wasn't working hard enough at home and needed to push into the pain (not just discomfort) and hold it there for 10 seconds. I'm writing because I don't know how to explain to them that my yelling is scaring their other clients, I have some relief for a few hours but then I can hardly walk in the morning until things loosen up. My nervous system is on overdrive and being chastised is not the way to motivate me. Thank you for letting me vent. Any advice would be greatly appreciated. Joseph

[@Jenniferhkuhn]

I can totally relate to this! Keep working at it. We have to keep working and let our bodies come along at their own time.

[@timdowney6721]

Have you talked with your surgeon about what sounds like a pretty aggressive approach the PTs are using? That’s where I would start. Hope everything works out for you.

[@amandahayes4108]

You are not alone.

[@wassxxxx]

Your rom is great for 4 weeks post op

[@debraschepers9381]

Exactly

[@coralocean1442]

Going to try this, I am 2 weeks post surgery and I am starting to get depressed. I can't get past 90 degrees and doing this mostly on my own. Thank you for the videos.

[@myronyoshioka8742]

I truly admire your position on rehab. I was making great headway in therapy, as I do it two to three times on my own. But when I went to rehab, the attendant really pushed against my knee to get to a 125 degree bend. I was already at 117 at 4 weeks and making getting better daily. But instead of letting me bend slowly and loosen my knee, he just started pushing and pushing. It was not necessary for him to do that. I would have been able to do it in a couple of minutes on my own. The mentality to push and push is out of place. I can understand if I was not making any headway, but I was at 110 in my first week and improving steadily. Thanks for your common sense approach.

[@totaltherapysolutions]

You are totally right Myron. It stinks that so few patients get the opportunity to choose their therapist before therapy. I wish patients could interview their therapist or at least see videos like this produced by their therapist to get an idea about the therapists mindset, personality, and treatment philosophy. I am sure that therapist is trying hard to help every patient succeed, but we are respond differently to different treatments and what works for you might not work for me. How are things coming now? 117 at 4 weeks is amazing. I have patients struggling to get past 90 at 4 weeks. You are doing great!

[@myronyoshioka8742]

@@totaltherapysolutions I am doing well, but need to get over some atrophy from being in a wheel chair for over 2 months, waiting for the surgery. I had a traumatic dislocated, fx. to the left knee, after a tree fell on it. Have foot drop due to the trauma and that is what is more annoying lol. The knee is doing well, as I have been doing physical therapy on my own 2-3 times daily during the two months before the surgery and 2 daily after the surgery. I truly like your approach and ideology. I know that my therapist wants the best for me, but their approach seems one track. Thanks for your great videos. It truly is inspiring to see them.

[@bobmeyers3478]

What exercises should you do before your TKR

[@terrilynnshoemaker5000]

Wow. I know they have to push you a little but your numbers were great. Each person so different. I'm sorry that happened to you. They pushed on mine Friday and wow we all just started crying. It was just 2° but if you thought it was more.

[@Bee_Cathy]

Your experience is what my surgeon prefers self guided PT at home with exercises they gave prep. I am thankful I found @totaltherapysolutions as I am using these videos as my therapy guide.

[@321bbr0wn]

Very helpful! Thank you. 6 weeks post op, can’t wait to not regret it. 😊

[@totaltherapysolutions]

It will be here before you know it.

[@RickyNewsome-k8r]

​@@totaltherapysolutionsyes I'm trying to straighten my knees out I'm at 90° in a chair 79 degrees to straighten your legs out what is my necessity or need to straighten your legs out to full extension

[@RickyNewsome-k8r]

I'm sitting in the church 90°what is the possible possible possibilities and straighten my legs out tune the extension

[@danielgoodson5086]

I am 4 weeks post surgery. I appreciate the videos very much. It is easy to get depressed when I may not not fit into the "one size fits all" recovery norms. I am making slow progress, However am working hard daily.

[@gayatriramkissoon1125]

Same with me... 6 weeks post operative...

[@d.r.cuevas4214]

How you doing 2 years later

[@danielgoodson5086]

My knee is doing great2 and a half years later!!!! Had a great result! I have had the left knee done 6 weeks ago. Struggling with this one now!! lol! It will be great as well, at some point. Struggling with sleep and rehab due to the knee being swollen, stiff and painful. Just like most folks. I am slighty ahead of where I was with my right knee at this point.

[@d.r.cuevas4214]

@@danielgoodson5086 thats awesome to hear! I had acl reconstruction and some meniscus work done on June 1st.... just trying to find as much helpful information as possible. Had my first pt visit today, 93 degree bend got back to 105 with pull belt. Opened my brace up to 30 degree when walking, still using my crutches for support. Very mentally challenging as well as physical, but hearing good stories like yours gives me hope.

[@MaryellenSpencer]

I’m at 4 weeks as well and I’m really doing everything I have been doing what I have been instructed to do but it’s a slow process and I’m struggling with pain and sleeping hang in there thanks for sharing

[@donwarnick1089]

The more I watch your videos the more I save in my favorites. I’m going in Monday for my left knee replacement I’ve already had the right done. I think with my past experience and your videos I will do a lot better this time. Thank you

[@totaltherapysolutions]

WOW!!! Thanks so much. Did you have the left one done or is it tomorrow? Best wishes. We are here for you.

[@donwarnick1089]

@@totaltherapysolutions tomorrow morning

[@brendanoel2318]

That helped me greatly! Every four to five hour's waking and moving. I was told to just keep moving. Pains are worse after. So I decided to take it easy. Im doing full therapy exercises 3 x a day. Still everyday I wake. My knee comes back, moving better cause im not pushing for ROM. Im getting help but my therapist don't cover what you cover. Thanks for helping me to not forget to relax a little too. I appreciate your time to help us all get through this. Thankyou! ❤

[@kimandrejczuk979]

Thank you Tony! It's been a long journey for me. Was allergic to the metal in first knee replacement and had to have revision replacement last July. I struggle with stiff knee first surgery and now with this one. I long to do the things I took for granted bike riding without pain exercising without pain and pickle ball. I don't want to settle for the range of motion I have. Your videos help me so much!!!

[@anng8811]

Hi, I’m interested to know how did you find out you were allergic to the metal? How are you doing now?

[@Jazzy.girl.Sarah2023]

Listening to the body is so important. Thank you for this.

[@ebrenton5]

Really appreciate you sharing these videos. I am four months out of a tibial spine surgery. It detached from my ACL and I guess that’s rare for a person of my age. I still don’t have range of motion line I should and have been doing PT, I’m at 106 now and these videos have been helping me along the way and every time I need new information I come back looking for more videos from you and always find what I need to get me to the next level!

[@totaltherapysolutions]

Thanks so much for watching and sharing your kind words.

[@drcathyklein]

Great video! After a very complicated TKR, I'm looking for ways to improve my knee flexion. This is perfect.

[@georgettegibbons7132]

I was in week 4 post on TKR and way ahead on physio and ability. Suddenly I had a severe reaction to the surgical glue used to close my incision. That was 4 weeks ago and it has been difficult to bend my knee with the skin so tight and bubbled up. My range is back up to 110 and total flex action but this glue issue was a big surprise. Your videos are my best resource. You have given me professional and caring advice. Regards, Georgette, London, Ontario

[@totaltherapysolutions]

Wow, thanks for sharing that. I can't believe that happened but thank goodness you are back to doing well. Your comment is greatly appreciated.

[@inocenciajereza4075]

Thanks for sharing

[@stephaniecano9362]

Thank you for sharing this! I had surgery for meniscus and patellar tendon tears 3.5 months ago, after an injury that occurred 5.5 months ago. I have had 3 months of PT, 2-3 times a week. My max ROM is 70 degrees. PT is incredibly painful with small gains, leaving me very discouraged. Your video has given something new to try and jope!

[@kukkymalik6790]

Did get any benefits

[@janellecourtney8895]

Your videos are superb; you are now my personal trainer for rehabilitation for total knee replacement

[@totaltherapysolutions]

Haha, thanks so much. If there is anything I can do to help you specifically just let me know in the comments.

[@noahstrandberg9133]

Hi Tony Thank's for the videos. I am 49 and I had a full replacement 3 weeks ago. I only have 60 degres of Flex. My strategy have always been to grind My teth an push throug the Pain, but I can feel that it's not working here. So thank's again for the great advice. 🙂 Greatings from Denmark Noah

[@joannnorelius8459]

Wow, I can’t get enough of your video or thank you enough! In the beginning where you talk about the brain and resistance Helped me so much. With your videos, there is so much more that “I can” do where much of my PT, I struggled with especially bending and lifting my leg. It’s my 3rd week out & happy to discover your videos.

[@deafbird57]

I find your videos really helpful. I have a total hinged knee implant on a polio limb so my recovery is likely to follow the usual recovery. Your videos are helping me to stop stressing about flexion as Im struggling to get much of it.

[@carolynr4552]

I'm excited to try this! I am 11 weeks out from TKR and had under anesthesia manipulation at week 9. I am now at approximately 105-110 flexion and am working to increase this.

[@haidernadeem44]

Hello plz help me my knee is also stiff

[@billruprecht7398]

I'm liking all the content you have on things related to TKR. Wish I knew about this channel before my surgery, but it's definitely helping me now. Thank you for sharing all of this🙂

[@totaltherapysolutions]

Thanks Bill! Glad you found it as well.

[@abrahamdesmond5376]

InstaBlaster

[@michellehudson4131]

Thank you for your videos. Provide a lot of encouragement during this challenging recovery. Relaxing muscles make so much sense.

[@jairusification]

This is awesome!!! My patient respond well to this technique even those who have difficulty achieving the desired ROM. More power to you!

[@totaltherapysolutions]

Wow!!! Thanks so much for sharing.

[@Hkhawkins]

Thank you for this video. I am almost 8 weeks post op for a ruptured Patella Tendon reconstruction and I had a late start to PT and have been pushing really hard (maybe too hard) on range of motion. I tried this today and it has been a total game changer so far. It is comfortable and easy and really helps me to identify which muscles are limiting my range of motion and focus on massaging and stretching those. I have also noticed a reduction in swelling in my knee.

[@rockett725]

Your videos helped tremendously with the first partial knee replacement, 3 yrs ago, along with PT. I am going for 2nd PKR on other knee in 4 mos so am brushing up. I know I didn't do enough at home exercise the first sx. Thanks for your help !!!! I have excellent ROM in both knees now.

[@pleasetakethis6827]

Hi, I am 10 weeks out from moto wreck that squished my leg, broke femur hip ankle R leg@60deg. This makes total sense, nobody explained it so well, finally a mechanical explanation! My thigh is super tight on top the break, this strat makes so much more sense than knee manipulation. Thank you!

[@svx7856]

hi may I ask your progress now? im also 10 weeks post fractured femur, knee & quad rapture and only at 60 degrees. My leg is super tight also. How is your flexion now?

[@careysutton6892]

thanks for your excellent advice! Much appreciated.

[@pattydonovan2646]

First video I saw like this. This is so helpful. I had to go back into the hospital 8 weeks post op bc my knee would barely bend bc I had so much scar tissue built up in my leg & knee from several previous surgeries. Thank you for this video. Any videos dealing with breaking up scar tissue would help me , so afraid scar tissue will grow back.

[@roxannetart9371]

WOW!! I think this is THE ONE!! I can hardly wait to do more later. Thank you so much ❤

[@projectqueen610]

I am so grateful for this post. My son had a tibea break in his growth plate Christmas day...he was splinted bent until surgery day (January 13, he was casted until late February. Then, he went back April 13 for manipulation under anastesia , orthoscopic "clean up" and pin removal. We have been at a loss, because he lost 5degrees on straight in and 10 bending literally over night. His quad has fired like that with just about every movement. His doctor has been less than patient with this process and quite frankly got so tough with him that he was coming off the table.... This is a God send. I know this is slow.. I know.forcing is not the answer, but have yet to see a solution for tha "Muscle fighting" until now.

[@chuck7606]

Good technique. Good discussion on effort and pain. Thanks.

[@totaltherapysolutions]

Thanks for watching!

[@blaineclemens5341]

I was told in rehab that after 6 weeks getting more "bend" in your knee is unlikely. I'm at 6 weeks. Any comments? I'm at 112 and they wanted to get me to 120 this next session. I quit rehab with them. Last time I was very stiff from a trip and they pushed (literally) me from 103 to 112. It was very painful. I live in a small town so I've started on my own. I can't believe I let them do it because this is my 2nd T KR, but it was more difficult to get the "bend" I wanted this time. Thanks Tony for videos and input.

[@jessicawinn134]

I just tore my ACL a few weeks ago you just spoke directly to me regarding ‘doing too much’. Boy did I feel the pain last night. Thank you SO much for explaining this the way you do! My heel slides have been counterproductive, great! Lol switching to this move today.

[@totaltherapysolutions]

Oh shoot. That is super frustrating. Sorry to hear that. Hope you find some help on this channel.

[@latanyamabry8899]

Thank you for each and every video you share. The education of physical therapy helps alot.

[@SpokaneValleyPT]

Great video! I really like the concept of using the hamstrings muscles to inhibit muscle guarding of the quads. Brilliant!

[@totaltherapysolutions]

Thanks so much.

[@zetia5666]

Doctor, thank so much for your video, is helpful hints amazing. I had already done my TKR 32 days ago.

[@carolg9624]

Thank you for teaching me a new way to do knee exercises after my TKR👍🏻

[@susieqmcf]

Wow. That really works. I right away got more bend. Thank you!

[@VoixHumaine777]

This was exactly what I needed to see. I had a patella fracture with surgery and 5-week leg immobilization. I am into 3.5 weeks after removing the brace and stagnate around 55-60 degrees of flexion. I have been very diligent at doing many things I was told but I didn’t receive the best PT advice so far. What you said is exactly true and confirmed what my Mom’s PT told me over the phone yesterday. We focus on building the quad, but having a relaxed quad is key to get flexion and therefore we must build up the antagonistic muscles too. And if we feel pain and swollen after the effort (as was the case this week with my PT), it is not right. In fact, my knee was nearly blocked for 36 hours afterward. Finally, your suggested practice position is great and makes sense. Way superior to the wall slides. Thank you! Feel free to let me know by private message if I should be scared of just 60 degrees of flexion 3.5 weeks after removing the brace or 8 weeks after the accident. Any further advice welcome. Honestly, I have been very depressed and scared lately by the lack of progress. I am the surgeon tomorrow morning (first time since the brace release) and I am scared as what he is gonna say. I think he was targeting 90 degrees…

[@Western_Decline]

I was at 75 degrees at 6 weeks post surgery. Today, I'm at 84 degrees at 7 weeks post surgery. I have the same fears about not being where I'm supposed to be. My ortho doc ended up making me do an extra 4 weeks on crutches ( no weight bearing ) at the 6 week mark. Very disappointed.

[@deankaprolet3994]

I starter bending at week 3, started at 30, added 10 a week. At week 7/8 doc told me to start trying to add up to 30 a week. After 1 week I'm at about 95 degrees but now feels kinda stuck. I'm probably expecting it to go too fast. Ima try this method. Makes sense cause bending feels easier with that knee flex brace that supports your thigh and calf muscles while you bend the knee

[@abdishakoursaid5258]

I had my tumor resection surgery in my left 1/3 femur 3 months ago, after a long struggle and pain just I have 90-degree flexion, targeting 120 degrees in just 2 months what's your suggestion??

[@milagrosbaldoza6418]

Hello.. Hows ur knee today??

[@barbigoschen8692]

Tony, Just one BIG "Thank You"

[@janielawson6553]

So glad I found your videos. I am 10 weeks post-op. I did not go to physical therapy until 6 weeks. I have about 100 degrees of flexion and feel really tight and stiff. Could it be my muscles are too tight rather than scar tissue? I have had tightness from my buttocks to my ankle since day one. I can't roll over in bed or sit up without a muscle spasm. I see the surgeon again in a few days and I think he will recommend an MUA.

[@kishormistry1565]

Good idea, i done tkr before 2 months. Thanks for your valuable information.

[@MelindaMansfield-n7j]

I am so appreciative of your knowledge. I am 8 weeks out from patella surgery (5 weeks into physical therapy) and having so much trouble moving past 50-55 degree flexion. My doctor would have liked me to be at 90 degrees by now but it has been so hard to get flexi on. I believe I am finally starting to move but it has been hard to find the balance as I believe I was pushing myself out of frustration. I am in the pool now and hanging onto your suggestion that doing less intense and more often might help. Thank you for your calm and encouraging videos. I will continue to watch and check in and hopefully move ..at my pace.

[@wassxxxx]

How are you doing now sir . I'm 2 month post op and at 90

[@danajackson5683]

Thank you finally a video to help with bending knee - scared to get on the floor since I am NWB but might try this next week!

[@amandamatthews5759]

Thank you for this video. I had a MACI procedure / MPFL replacement 4 months ago and I’m struggling to get my knee flexion to make my inoperative knee. I’m still very swollen but will be mindful of how I feel hours later versus at time of exercise. Ty!

[@unknowinglystrict6640]

Great advice thanks for the different options to increase our ROM

[@tsunamiflorida2731]

Thrilled to learn of this new approach! Heel slides and using "the flexinator" contraption where I manually pump my leg into flexion, a few degrees at a time are painful and frustrating and not giving me results.

[@trishaheyer6128]

Thanks so much for this. I’ve had limited flexibility after my TKR over 2 years ago but this really helped! I have rheumatoid arthritis that seems to impact my recover.

[@totaltherapysolutions]

RA will most definitely take you on a different road to recovery, but you will still get to where you need.

[@FranklinClinton204]

thanks, doc...hope for more helpful videos like this.

[@sarvgrover]

Thanks

[@elginkyei-baffour6003]

Brilliant exercise with instant results.! Thank you !!!!

[@shanukapoor]

Thanks for all the valuable advices.

[@4bearsbedandbreakfast37]

Your videos are great, really glad I found you. Almost 4 weeks on a TKR, had extreme swelling from the start , thought my skin was going to burst ,went all the way down into my foot so bad that it felt like someone had wrapped wire around the base my toes and then twisted the wire super tight. Used Ketorolac for3 days and did more elevating with ice and that helped a lot, also got a pair of compression socks and that really helps keep the swelling out of my lower leg. I still have more swelling than most people and when I go to do knee bends of any kind. , my knee is super tight, especially on top of the knee and thigh, just super tight .Is this at all normal? I was on a walker for 2 ½ weeks. and still using a cane , not putting much weight on the can now about 10 pounds, Any time I rehab or use my knee the swelling and heat gets worse, 100 degrees. I was PT on Friday and had 96 degrees rom, hoping for more on Monday, as Have been trying hard at home, but when I work it , it just seems to almost get worse, but I have to keep at it don't I? Pt tells me I am doing fine ,bu t I wonder if they are telling me the truth, I just can't get rid of this swelling and extreme tightness. Doc said next week I can do pool therapy in the mineral hot springs, I am hoping that helps, what do you think of that.

[@totaltherapysolutions]

Pool therapy sounds great. The swelling can be frustrating. Don't compare yourself to anyone else. Your body will do what it needs to do so give it time. Thanks so much for watching and contributing.

[@4bearsbedandbreakfast37]

@@totaltherapysolutions T

[@4bearsbedandbreakfast37]

Thanks for the reply, good advice, as I have been comparing myself to others who have had. much better luck than I, all that does is make me feel more frustrated , looking forward to the mineral hot springs

[@4bearsbedandbreakfast37]

.@@totaltherapysolutions today is day one of week 5 after TKR and I am still. using a. cane and my leg is super tight, especially above the knee.It seems that no matter what I do for rehab, it will not. loosen up. The tissue on top of and above the knee cap is hard, like harness leather and will not stretch no matter what I do. I use ice pack (Power Play compression pack) and heat, and massage with two tennis balls taped together., and heel slides, forward stretching lunges on the staircase, and a 20 minute ride on a recumbent bike, plus what the PT folks have me do there 3 times a week. Do you think ultra sound would breakup that hard tight tissue, the only thing I haven't tried yet is the mineral hot springs, which I hope to do in a few days. I am so frustrated, it seems as thoughI just can't make any progress.

[@linhslife7515]

this was so great. my mom had double knee replacement and her left leg is still bothering her after a year. She has arthritis. I sent her this so she can try it. thankyou so much!! this makes so much sense 😍

[@totaltherapysolutions]

Thanks for watching. Good luck!

[@stormingee]

I like the idea just don't know if i can get back up off the floor. 1month in tkr.

[@kimberleymedenica3239]

Great info! Thank you, it’s just what I needed to hear.

[@totaltherapysolutions]

Glad it was helpful!

[@kathybrandt751]

Awesome tip! Thank You!

[@darlenericotta7550]

Thanks for saying that! Good information.

[@totaltherapysolutions]

Glad it was helpful!

[@salvarez9905]

Thank you for your videos. I had a total knee replacement 2 weeks ago. I have alot of tightness in the thigh. I can't bend my knee that much yet. It seems I go backwards somedays to square one.

[@totaltherapysolutions]

Two steps forward and 1 step back. Sometimes it feels like three steps backward. Haha. I have a video on the rolling pin for hip and thigh pain. Massage seems to work really well for thigh pain. It is very common and does get better but massaging it helps.

[@tomscott90]

Thanks for making this video. super helpful!

[@totaltherapysolutions]

Thanks for taking the time to watch😃 I hope is helps. Feel free to ask any questions here.

[@lunarluvproductions]

Great videos! Very clear and helpful. What shoes are you wearing? They look very comfortable. Thanks

[@Jimbo50135]

Great 👍 exercise thank you.

[@valeriebrannon6924]

Thanks for this video. I started using it tonight. My journey has been long. Had TKR, manipulation and scar tissue removal and have been trying to increase my degree of bending ever since. So and additional tips would be appreciated because the pulling with the green band and wall slide are not very beneficial. Also working on strengthening gluteus because they are some what weak. Had pt over 3 months, now on my own.

[@carolporter9432]

The patient you’ve described in this video sounds soo much like me ( although it’s not). I am a very fit, healthy, active little “old” lady in my 70’s… really! My TKR was the result of my literally tearing my own meniscus and ACL in several places by pushing down on my leg in the middle of the night to relieve a muscle cramp! (Did I mention that I’m also pretty strong?😆). I’ve always had a high tolerance for pain, so I didn’t realize that my knee was bone on bone. We decided to go for TKR rather than repair the new damage. I’ve been aggressive with my PT and at home, and I keep up with my ADL. But….. here I am at almost 8 wks po only at 90•. I’m scheduled for MUA on Tuesday and I’m scared that I’ll go right back to the “unconscious guarding” after I have that procedure. 😢the pain of PT is unbearable at times and, like the previous person stated, I’m afraid my almost dreaming is upsetting the other patients ( and myself!!). Thank you for being so understanding and encouraging us TKR scaredy cats. 🤗

[@wassxxxx]

Aww I feel for you I am at 90 and 9 weeks post op . Oh and worri3d. So how did it go with the mua and how's your rom now

[@barbaradesimine]

Makes a lot of sense. Thank you.

[@lisamaurer1101]

Great to know a different way to gain more flexion post Total Knee Replacement Surgery! I'm 4 weeks post op and barely at 88 Degrees with tears! I am willing to try anything!!

[@derek_underwood]

Fantastic approach! Your presentation is quite motivating! Thank you for a wonderfully insightful and helpful video!

[@specialized29er86]

Love your clips, I'm 5 weeks in after having both knees replaced and would love to be able to lay on the floor.

[@barbigoschen8692]

Do you have any four legged fuzzy friends that will pounce on you and your knee? My walker protects me from mine! Ask you PT or your doctor. Hope you sleep well😴😴 Good night and may God bless you with full healing.

[@specialized29er86]

@@barbigoschen8692 Hi Barbi, yes I have a Chihuahua 3.2kgs : ) and I'm about to start of more stretching exercises to get more ROM and 110 degrees would be heaps since I only had 85 prior to surgery and I managed most tasks okay.

[@stephaniedodt2389]

This is brilliant! Thank you.

[@joelahale]

Just found your channel. Fantastic information! During the last 18 months I have had Meniscus and two full knee replacements on the same knee. I am 5 months out from the last surgery and experincing range of motion issues, according to my PT it's due to Muscle Guarding. Any suggestions would be appreciated. Thanks again :)

[@lanamolczyk5139]

Thank you for your videos. Knee replacement 4-23-21. Blew MCL out 5-07-21 doing moderate PT flexion exercises. Total Knee revision 5-14-21. Starting over now and will be doing your PT exercises. Thank you!

[@totaltherapysolutions]

Don't do anything without your therapist's and surgeon's approval. If you see something you like talk to your medical team first.

[@lanamolczyk5139]

@@totaltherapysolutions will do!

[@anitawebstar4033]

I have so much scar tissue build well this still help as of now I'm facing a Manipulation...

[@totaltherapysolutions]

I shared this specific strategy for someone who was considering an MUA. I can’t guarantee it will work but it may be worth a try. Did you see my previous video on how to measure progress sitting in a chair?

[@daisymay9236]

Love the way you address the brain wiring "thoughts" of pain and how to address it. Some therapist can become numb/ with their clients pain.

[@daviddubois5123]

Thanks for the alternate way to get my flexion better, I hit 85° and seem to be stuck, but the muscle feedback of the thigh is what I am feeling, so I will try this and let you know how it goes.

[@joaniehanley864]

Hello, thanks for this video ,I'm 19 days post TKR so I'll be trying this in the morning, I'll let you know how I get on..,B-) 😀

[@mikeknuckles6430]

Thank you for your video. The exercise that I hate is the strap around ankle and pulling to butt. I show my pt guy what I do to get more bend yet they insist on doing the strap.my thigh muscle goes into lock down.

[@carolinasown]

Excellent 👍

[@gracetaylor7165]

So I shattered my knee cap and didn't have surgery. After coming out of a brace at 8 weeks my leg was stick straight, no bend.I started working on ROM and achieved 38 degrees before renting an X10 machine. After working out on the machine for almost 7 weeks I am at 80 degrees ROM, barely, it's real tight. My ortho is saying it's an MUA for me if I don't reach 90 in the next 2 weeks. Personally I have a gut feeling that my knee will eventually loosen up on it's own, just using it and working it out. Wondering what your thoughts are on this? AND super jellies of all you out there who have 100 degrees or more ROM!

[@JenetLevyNYC_AZ]

Excellent, as always. Thank you!

[@aemankhan3497]

Great tips Plz share tips for increasing knee bend after patella fracture thanks

[@burstcity3832]

The TKR was the 19th operation on the knee and I had a realy nasty case of Septic Arthritis 14 years ago, I'm finding the knee is very painful and the flex is really hard work, after 4 months I'm at 103 to 105. Everything in the knee area carries scar tissue from the tendons to the muscles and the bones were damaged too, would this contribute to the flex being slow? I was walking easily without a stick after 4 weeks could do stairs properly at the sme time, there is plenty of strength, its only the pain and flex that bothers me. I also was able to fully straighten after a few hours, my surgeon is awesome!

[@JosefMarc]

Many commenters and KZbinrs discuss our bodies being a system. That's great. But you keep referring to our conscious will or mind as being an active participant, for better and for worse. I'm not in the PT business, but I've happily visited PT's many times, and I noticed on my own steam that my mind plays a part. "Confidence" comes first to mind. Why does my knee act as if it's not confident in a certain move? Then, same move in a swimming pool, my knee happily bends where it wouldn't just a minute before in the poolside lounge chair. Roll with it!

[@barriecurtis5225]

Had a tire 5 weeks ago your knowledge and videos have helped me in my recovery. Thank you.

[@totaltherapysolutions]

Glad to hear! Thanks for the feedback.

[@laureenpeddemors8891]

Thank you!!! That was great!

[@totaltherapysolutions]

You're so welcome!

[@beckypal6826]

Hi such a great video, loved the why behind the exercises. Any advice for a total hip replacement, posterior approach for general exercises that are not isometrics?

[@totaltherapysolutions]

You should have the standard three precautions... no flexion past 90-deg, no internal rotation, and no adduction. I will see if I can get some exercises together for you.

[@beckypal6826]

@@totaltherapysolutions Thank you for your help! I have started focusing on standing hip flexion, extension, abduction within precautions, but to me I guess it just seems to basic for patients, but i know they need it

[@MariaGuerrero-hp9ki]

Thanks you are so helpful

[@totaltherapysolutions]

Thanks for the comment! Please let me know if you have any specific questions.

[@debwoolley7957]

Thank you. I'm 12 weeks post tkr. My thighs hurt a lot. I think I'm putting too much emphasis on strengthening them. Will now do this exercise 3 x daily for 10 mins. Could this be the reason I can't get my knee bent past 92 deg before the pain starts ?

[@brookwithnoe97]

This seems like a great movement. I’m wondering if this works for even degrees above 105 or is this more just for 90. I’m assuming helps with any angle.

[@TennisElbowQueen]

Love this Tony!!! Thanks

[@totaltherapysolutions]

Hi Emma, thank you so much for the comment.

[@noellevargas1392]

Hi, thanks for the video. I'm 7 weeks post TKR and this was helpful. I'm trying to get to 135° and am at 128°. Is it safe to say while you're still going through your bending exercises and are feeling uncomfortable you still have a chance to have more bending degrees? Thanks again!

[@fritzgondrejr8997]

Good morning I just saw your video now and I’m going to give it a try. I’m at 78 percent knee motion from having quadriceps tendon rupture surgery 3 months ago. I’m supposed to be at 90 degrees already so I’m gradually climbing. It’s been tough journey so far. I started PT July 7 so I’m into my second month of training.. Any suggestions?

[@shabbirkhan4897]

Thank you, Sir.

[@lisabemmerson]

I broke my leg and my knee three months ago surgeon is really pleased but I really need these videos to help me get my knee moving more but worried why I’m still on crutches and feel am I ever going to get back to normal

[@mmicker007]

I see most of the videos I have watched deal with TKR. I had multiple ligament reconstruction (PCL, PLC). Should I be watching the TKR suggestions or try to find more appropriate advice for my type of surgery. I do have physio therapist appointments once weekly and exercises I do daily. I am 5 weeks post op and have probably 10-70 degrees ROM but I have been told to avoid going over 90 and to avoid using hamstring to pull leg into flex ion for now until the donor tissue is able to strengthen.

[@totaltherapysolutions]

Definitely try to find videos from other producers specific to your condition. Also look for information consistent with your age and activity level. Sorry, my area of expertise is TKR.

[@carlettarinard4252]

Tony, it’s been six weeks since my TKR…I’m still having a lot of pain and my doctor says I’m over doing it. I have been very faithful to do my exercises at home. I have been doing my exercises twice a day. But I’m up all day doing something. So, my PT and doctor says I’m over doing it. I’m over stressing about it afraid I won’t get it to where it needs to be. I’m 71 years old. How should my day be going as far as what to do. I’m still going to the hospital 3 days a week for PT. How will I know if you get this comment?

[@reggierowland4940]

You're amazing!! Thanks

[@jomc20]

I'm at 3 weeks post TKR and disheartened at not making progress beyond 90 deg max. My knee is very swollen and the pain has me in tears when I try to exercise and when I wake in the night. If I do a disciplined exercise session, I know I'll then have unbearable pain and be barely able to shuffle along for many hours after with a very stiff joint that hardly bends. What should I do? Must I push through the pain as I'm terrified of having to go through this operation again due to not doing enough.

[@TheMyboys2]

I had ACL injury year ago and did a ACL reconstruction and meniscus repair. Already 7 months I have my surgery but still I can bend my knee only 95 to 100 degrees. Not able to bend all the way and my knee is painful too. Doing PT for a year since I fell down. Going to try knee manipulation next month 😢or clean up the scars tissues. Need some advice 🙏🙏

[@hadinevergiveup6983]

Hi doctor , I am a physiotherapist and really was helpful for me , just do we need joint mobilization before or beetwen this exercisr to allow more arthrokinematic movement ? Thanks

[@totaltherapysolutions]

If you are available and can do it then absolutely do it. I will do mobs before, during, and after this and it works great.

[@tarunverma7328]

Hi tony really appreciate your work from my heart plz guide its been 7 week of my pcl and lcl reconstruction and not able to move more than 80 degrees moreover every morning i feel stiffness in my knee plz guide me thanks

[@sachinsaroj8972]

Nice video sir

[@TheresaBoysen]

5:28 pm. I find your videos very informative. I had total knee replacement 9 weeks ago and doctor is not happy with my ROM. He wants to do a manipulation. I can’t start over again with pain medication and daily PT. Can you help me? Can I still increase my ROM?