I am now 12wks post op tkr . Recently I put a post up saying I may need a mau however I am more confused now and just do not know what to do next. My op was under private health insurance and I feel that the decision is mine as to what happens next. Already discharged by consultant. My Physio is saying my function level is not where it should be but it's ok, however is ok good enough at 53 years old. When I read about mau it concerns me and I change my mind. Since week 10 my mobility etc has deteriorated bend is 105 straightening is -10. I feel I am walking with a limp and straight leg. When I am out and walking is difficult I decide yes def going for op and then I re think and worry will I go further back on recovery. I may have osteoporosis and due to have scan on 8th and I have read that there is an increased risk with mau if u have osteoporosis. I had stopped taking pain relief but back on co codamol twice daily.
Has anyone else been in this position and had mau that was successful
what a difficult journey tkr is 😩
Maura, the 8th isn't far away - if I were you I'd wait and see what the results are there (will they give you SOME idea, even if it's not a thorough report?). You're 53 - that's young so if you CAN get better mobility I think it's worth going for, but it will help you to decide if you know where you are re osteoporosis, I'm sure. Then it might be a good idea to discuss with the consultant what your concerns are. In the meantime, I'd try and make sure the bend and straightening doesn't deteriorate any more.
An MUA is usually indicated when physical therapy does not achieve the desired goal (0 / +120) or close to it. At -10, you're not close. If you've done the PT and home exercises then you may need one...but...at 10 weeks, it's still early. Maybe your knee needs a little more time and work.
The limp concerns me since that may cause a misalignment of your hips or locked SI joints resulting in lower back pain or, heaven forbid, sciatica...which is what I got from "walking funny" at 5 weeks. If you decide to give this more time, I would think about seeing my doc pretty soon if your ROM doesn't get any better.
Maura, I just had the MUA in Tues. I'm 11 weeks and my bend was only a miserable 60 degrees. But I had been active and done exercises while the knee regressed.
So it was an obvious thing for me to have it. My consultant said if I had 95 or more bend, he believed it would have been enough and I could have got more over time, but you can't do basic things with less. I'm 10 years older than you and not looking to do sports etc as I have OA generally and other ailments.
The extension was zero but since the MUA, that has become more difficult. Intense physio has given me intense swelling and pain since!
Only you can decide what is best for you and your results may inform this choice. But hope you get some answers.
Si aún cojeas, tus músculos también necesitarán fortalecerse y tu marcha normalizarse. Puede llevar varias semanas, incluso meses, para que todo encaje. A mí me tomó seis meses caminar sin cojera después de una tkr bilateral. Mucha suerte en tu toma de decisiones.
Maura, mientras no tengas la extensión de fuerza completa, ¡cojearás! Realmente necesitas intentar enderezar esa pierna. Además de todo lo demás, la extensión es imperativa para caminar sin cojear.
¡Fácil de decir, difícil de lograr! Con 105 de flexión, deberías poder llevar una vida normal, a medida que continúas con los ejercicios y la hinchazón disminuye, ¡eso DEBERÍA aumentar gradualmente! Pero necesitas poner el esfuerzo duro.
Concentrate en la extensión y espera un poco más, asumo que estás haciendo un escáner DEXA, si estás en el Reino Unido no obtendrás los resultados allí y entonces, pero tal vez sí si estás en EE. UU. ¿También te han tomado sangre para verificar los niveles de calcio? Puedes decidir cuándo sepas si tienes osteoporosis o no, ¡espero que no!
¡Sigue trabajando en los ejercicios, no te rindas!
Te deseo lo mejor.
Marilyn
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