How to OPTIMIZE knee flexion passively!

[@kayp2617]

Man that guy must be great at healing. Four weeks and can hardly see a scar. If someone tried to push my leg back like that at four weeks I would have been in tears

[@burstcity3832]

My replacement was the 19th surgery on the knee, 3 acl type ops, bone grafts and micro fractures, many others and a nasty septic arthritis event for a year that ate a lot of bone and left scar tissue on everything 6 inches up and down from the knee. I am at 4 months and at about 105 degrees and so much pain and swelling. I look at chaps like this and wonder what on earth am I doing wrong, I have to be reminded of why my knee is different so I don't get upset. On the positive side though, I could straighten immediately after the op, my surgeon is from Hogwarts! I could walk unaided without a limp and could do stairs corectly at 4 weeks and can walk 4 miles pretty much each day if needed so its not all bad. I had to wait 14 years as I was too young for the operation and was just coping with the help of a tidy up operation every 18 months or so, I'm 49 now and I'm so desperate to not mess it up so I can at least do some stuff before all I want to do is sit down. This video fits in well with another I watched about how the knee works and how best to work on the flexion.

[@Ridiculi]

Older skin heals with less scarring.

[@amandahayes4108]

Sounds more like 4 months to me

[@Dr.mohammed-Raafat]

it's contraindicated in patients with Acl reconstruction for at least 2 months post surgery thanks for you

[@bjmurphy34]

Creating some distraction at the knee joint while also flexing the knee might actually be genius. I will try this.

[@whizbang7130]

Three different therapist and only one used this method. It was the least painful. The foot slide makes my hip tense and is very painful.

[@patricialarsen6460]

Thank you. I was 1 week post op. And I experienced exactly what you demonstrated as passive flexing. I was unable to walk for 4 days afterwards. I loved your demo option.

[@ConquererWarrior]

I have been to too many different physios which not one has treated my knee like this. It has always been the 1st flexion . Your dr woukd be much better. I wouldn't be able to do this by myself Thankyou

[@sarahh3320]

As a PTA our teacher taught us to thread our arm underneath the knee and use the patients other knee as a resting spot. That way you can use your body more than your hand/wrist to support it.

[@OrthoEvalPal]

Both work well. I have a very large hand so that works for me. Others use the technique you mentioned

[@jangriffin-fi1yx]

What a great idea saving your video might need it to show PT after TKR soon. Thank you.

[@poojahm120]

Thank you so much for sharing the above exercise. In my case my leg just slips on to the sheet. Else fluttering take place. If someone touches the back of my knee

[@damodaranp7605]

Can you have knee extesion tips for post tkr patients?

[@specialized29er86]

I made a plywood wedge with a hole through the bottom for a piece of rope to go around the ankle so I can pull on ot to try and achieve a better bend. Also stapled a strip of memory foam across the top and I place this on my bed for trying to bend the slow to bend left knee after 8 weeks post op.

[@erikleto7359]

Hello Paul, thanks for the videos. I was in a bad motorcycle accident September 2019 and my right leg was degloved from the knee to the hip. Trauma wanted to amputate, but my Orthopaedic Doctor saved my leg (thank you Dr. Neal!). Now, I'm at 84 degrees of flex but seem to be stuck. Due to the extent and unique nature of my injuries, my Doctor is hesitant with MUA. Is there a good device/way to do this exercise solo? I try and manipulate my knee alone as well as with PT-pain is not an object, I can deal with that. My goal is 100 degrees and feel I can lead a pretty normal life with that. I'm also in the Army and trying to finish my Military career standing tall! I am going to try and design a bench like this with a hand crank; if it works, (and there isn't something already out there), I'll post a video for you. My current PT stays amazed at what I concoct in my spare time to get more flexion. Blessings brother, thanks for the vids and any advice you can give is appreciated!

[@OrthoEvalPal]

Hi Erik, wish I could see you. The key is low load and long duration stretching. Gentle long stretches. Stick with it. It should slowly improve. Some Orthopedic doctors can release the adhesions with arthroscopy. Best of luck! Thanks for your service!!

[@erikleto7359]

@@OrthoEvalPal thank you Paul, that advice helps me to stop being so anxious about it. I've begun doing some things on my own (with my PT's guidance). I use a weight bench with leg extension to stretch in the am and pm, and that seems to really make a difference although it is painful. Oh, and the stretch you were doing I asked my PT to do. She laughed and reminded me that she wanted to do that to begin with but my skin grafts were too fresh. That stretch is money! Great extension, it's easier for me to relax my muscles while she's applying pressure. Love the videos, thank you for posting them.

[@OrthoEvalPal]

@@erikleto7359 very nice! Glad to hear it.

[@MuhammadShahbaz-ur5xq]

@@OrthoEvalPal hello i hope you will fine

[@yashgaud4845]

amazing tip, gonna try it soon

[@OrthoEvalPal]

Glad you liked it!

[@obscurelyvague]

I had knee replacement some two months ago. it still hurts like mad to do those exercises the way they are being demonstrated.

[@JenWIL641]

What about a stiffness like that accompanied by hamstring spasms upon rom?

[@janethorp2114]

My hip thanks you

[@shashingdianon463]

I tore my acl 5weeks ago..."not yet operated"...my problem s i connot flex properly coz it hurts... What should i do???.. Tnx...from philippines...

[@loveleensingh2717]

Sir in my leg contracture at knee and extensor lack problem Please gave me a exercise

[@zqmzqm5146]

Can I do it myself or I need someone to help me ??

[@oscarchavez927]

Nice! I’m in PTA school and this is very helpful

[@OrthoEvalPal]

Hi Oscar, Glad you like it. I'm going to be adding lots more content. Please feel free to share this channel with your classmates. I am making these videos for students especially. Also podcasting about this stuff every week orthoevalpal.com/episodes/

[@OrthoEvalPal]

Thanks Oscar. I have developed this program just for folks like you. Best, Paul

[@phylliscleary2287]

Ortho EVAL Pal With Paul Marquis if diagnosed with arthrofibrosis requiring a mua of the knee, will I be fighting the fibrosis forever or does it calm down?

[@rifqyf1399]

really helps, tysm 🙏🏼

[@robyntattersall236]

How many times should you do this

[@OrthoEvalPal]

I usually do 4-5 each session

[@erictannenbaum3897]

Would you use this principle for an artificial knee post MUA? I know the arthrokinematics change post TKR? Thanks! 🙏🏻

[@OrthoEvalPal]

Yes I would!

[@mariaelenacastroleo6756]

LEO Y Yazmin.❤❤

[@joan-hv7tv]

I love all your videos, very helpful.

[@OrthoEvalPal]

Thank you Ann! Many more to come.

[@siasingh8894]

When is scar tissue buildup impossible to break naturally? I’m 9 weeks post op. 120 flexion and 3 extension. In 2 weeks my doctor will have to recommend me for manipulation if I’m not at 130 flexion and 0 extension. What are your thoughts? Thanks in advance for your response.

[@HouseScraper]

oh my gosh I"m so glad I seen your post this is what happening to me too and I have to go back to work in a month.

[@kayp2617]

I’m nine weeks and less than 110 bend and not quite zero flexion. Neither my surgeon or physical therapist are too concerned. They’ve both said just keeping working t it and not everyone is at the same place by eight weeks.

[@bowler8]

I cant even get my knee like this, after femur fracture, my pT does exactly what you say not to do

[@ihinako]

Maybe you should lift you foot in the air and let it's own weight to bend the knee. I do the recovery all by myself and now I can fully bend my knee in 2 months.

[@msteariousmm7482]

@@ihinako I have stiffed knee at this moment and doing what you advised here. Is it effective?

[@ihinako]

@@msteariousmm7482 It's effective for me. Everyday i can see the progress, maybe 1 degree a day. That's a huge boost to the confidence, because in the end knee will bend thoroughly, just a matter of time. Hope it works for you too and have a fast recovery!

[@md.mizanurrahaman971]

​@@msteariousmm7482 Does your stiffness gone? Can you bend your knee properly? What have you done to gain your range of motion?

[@sumeetkeode3352]

Well explained 😊

[@OrthoEvalPal]

Thank you 🙂

[@infovio4you]

​@@OrthoEvalPal hey. I have 8 weeks from meniscus repair and Lia surgery. I have just 90 degrade flexion. My progress is low now. How long time I need for full flexion. Please help me, I am scared.

[@OrthoEvalPal]

@@infovio4you Some protocols try not to push past 90ﾟ till 8 weeks so usually it will come around over the next month to 2 months.

[@infovio4you]

@@OrthoEvalPal thanks 🙏

[@itsnonu1824]

What about knee vaglus can you fix that naturally

[@rociobaez7321]

How can i to that stretch on my own

[@OrthoEvalPal]

Roll up a towel so that it is about 3 inches thick and place that behind the knee and bend around it like where my right hand is

[@hijabfatma506]

If a knee gets stiffed at 45 degree , what is the treatment then? Plz tell

[@gixxerjim1324]

Im in the same boat, how you managed to improve from 45°, normal PT OR MUA?

[@MarriedToGodsWill]

​@gixxerjim1324 how long did take you get 90 after and did you have to get help??

[@dihett]

Is there an alternative so that I can do this on my own knee?

[@OrthoEvalPal]

not really

[@dihett]

@@OrthoEvalPal ok thx.

[@eeegk]

Try just laying flat on your back and rest your knee in the edge of an arm rest maybe that’ll be sort of the same thing

[@flaquita6084]

🙏🙏🙏👏👏👏👏

[@mohammadrahimi-t1z]

ایران ایران

[@OrthoEvalPal]

Usually surgery is left for when the pain is unbearable and the big is affecting the others a lot

[@ShashiJain-bh4rl]

हिन्दी में बोलो

[@raheela351]

तुम्हारे पिता का नौकर समझ रखा है क्या बे

[@jimleslie2858]

Dreadful sound

[@Dr.mohammed-Raafat]

it's contraindicated in patients with Acl reconstruction for at least 2 months post surgery thanks for you