Aide s'il vous plaît avec l'extension de jambe

Os, articulations et muscles
1

I am nearly nine weeks post TKR.   I have been going to knee gym with physios at local hospital.   Last Tuesday they gave me an assessment before going for check up with surgeon on Friday and bend was 117 but extension -3.   The OT discharged me saying if surgeon was not happy she would reinstate me to group.

At hospital on Friday surgeon delighted with bend but not happy with extension which he says will give me a lot of trouble later if I do not get down to 100.  I think this is because I have spinal stenosis and he is trying to give me the best possible result.   Phoned local hospital who have changed their minds and will not reinstate me because she thinks he is being unreasonable.  She says their surgeons would have accepted.    She says go it alone and then she will review in a fortnight.

I am not very happy about this because I have to  be careful because of my spine.   Have been doing the lying on the bed exercise pressing backs of legs into mattress which I have in fact been doing since well before op.  Surgeon told me to press down on area above knee with both hands till it hurts.  He demonstrated and it did hurt!   But I discover I cannot get that sort of pressure because of arthritis in hands, or perhaps more scarily I am pressing wrong bit.  Last night my leg was very, very painful and I got no sleep at all so am unsure of my exercise.  I have also tried lying on tummy on bed with knee and lower leg hanging over edge.

Has anyone any good suggestions.

Angela

 

2

Hi there, not sure I can help as didn't have this problem, but would massage help before and after doing the exercises.  It did for me when trying to get th e bend which I know is opposite to your problem. I also sat with foot only on a stool to encourage the knee to go flat. Im  sure someone will come along with some help.  Good luck.

 

3

Don't know what country your in,I'm in UK and if it was me I would be contacting my surgeon and telling him that his request has been refused. Your health and outcome is the most important factor here and I'm sure your surgeon will sort it . good luck

4

Angela, my therapist had me do the same exercise where you push into the mattress except that she put a rolled up towel under my ankle so there was air under my knee when I was doing it. That way not only does gravity help with the effort you also don't have any resistance (the mattress) when you push down with your hands.

Best of luck with your continued recovery.

5

angela he is right you will have problem later if its not straight mine is not straight at 17mths post revision  ,im doing pretty hard excersises to straighten it .if you dont get it right now you walk will be effected you will start carrying the leg because of the bend now you are lucky its only -3 most physios would say thats acceptable but as you say your spine is a problem i would put in the effort to get it straight now .!!!. to get it straight you can look up utube for ideas some are really good a doctor jo on utube is good .what i do is sit on a chair and have another chair in front of you place your foot on the chair in front leaving your knee between the chairs without support so that the joint is forced to straighten to make it abit harder place a weight just above the knee to push the leg straighter you can use maybe a bag of suger or two i made sand bags it dose work but you have to persist with it at first you will only be able to do a minuite or two but as you do it more often you will increase the lenght of time you do at first little but often if it gets easier either increase the weight or the time you do it .i find using my mobile to time it is best god im counting the seconds to put the leg down .make sure you bend the leg after and use ice everytime after you do it plus if you like use heat to warm it up before you do the excersie it will help to warm up the joint

6

Hi Angela, how frustrating that your Physios and Surgeons have different views, and you're stuck in the middle!

I'm also struggling to get my 2nd knee straight, the last time it was measured it was about -4 and the physios seemed to happy with that (they discharged me!!) But I can feel it's not right. I do an exercise similar to Irish Kinds - I put my foot up on a chair or stool in front of me and then I drape an oven glove (the kind with 2 gloves joined together by a band of fabric) with a tin of baked beans in each glove! Same principle as the bag of sugar, but no balancing involved. As the exercise gets easier, you can replace the cans of beans with bottles of water - or anything that will fit into the gloves and gives you the weight you need.

I also lie on the bed, and put my foot up on several cushions - but I put a long strip of wood underneath the length of my leg so the mattress isn't doing the hard work! It HURTS but it's effective. Try one or two minutes to start with and build up from there.

Good luck with getting straight, I know how hard it is!!

7

the strip of wood is a good idea terri !! i should have said put the sugar/flour in a bag and hang it juse above knee  . as i do . its a very boring job to get it straight never mind the pain we give ourselves . i went out for a walk today thank god no rain well i was practicing my walking !! you think i learned that before but my huusband keeps telling me that im carrying the leg so i went down to the shopping centre it has a long wall of mirrored glass so i walked up and down and yes he was right (hate when he is right) i do it very subtle so now im having to consentrate on walking properly its what happens when your leg dose not straighten properly

8

Êtes-vous en train de faire cet exercice ? Roulez une petite serviette pour la placer sous le talon de votre cheville. Allongez-vous sur le dos avec la tête légèrement surélevée. Contractez les quadriceps, ce qui forcera la jambe à s’immobiliser. La serviette roulée devrait élever votre pied d’environ 3 pouces du lit ou à un angle de 10 à 12 %. Répétez 10 fois en maintenant chaque répétition pendant 10 secondes. Effectuez une série de 3. Après quelques jours, ajoutez quelques secondes supplémentaires jusqu’à atteindre une durée de 15 secondes. Assurez-vous de contracter les quadriceps aussi fort que possible, car cela forcera la jambe à rester droite.

Lorsque vous marchez… allez lentement, très lentement. À chaque foulée, avancez aussi loin que possible, posez d’abord le talon, puis la pointe du pied, puis pliez aussi loin que vous le pouvez. Vous aurez l’air un peu ridicule, mais le but est que vous le faites correctement. N’oubliez pas de vous hydrater. Buvez beaucoup d’eau toute la journée. Les tissus mous déshydratés ne s’étireront pas correctement comme ceux bien hydratés. Cela va progresser lentement, alors ne vous découragez pas.

9

Si un modérateur lit ceci, veuillez noter que j'ai envoyé une réponse à Angela deux fois - RIEN N'EST ARRIVÉ. Je continue de recevoir un message "inspecter l'élément". Cela ne signifie rien pour moi. C'est absolument nul !

10

John, ce site ne permet pas certaines choses, comme les liens vers des traitements ou médicaments douteux, jusqu'à ce qu'ils soient vérifiés. De plus, il est très attentif aux produits qui sont promus par les contributeurs. C'est simplement une protection intégrée. Bien que vous ayez peut-être trouvé quelque chose d'utile pour vous, cela pourrait présenter un risque pour d'autres. Ne le prenez pas personnellement, ils suivent simplement les directives écrites auxquelles vous avez consenti lors de votre inscription sur le site.

11

Désolé Angela, c'est tout - la technologie derrière ce site est nulle - je n'arrive pas à faire parvenir mon message. Modérateur, je suggère que quelqu'un règle ce problème. Je viens d'abandonner et Angela manque quelque chose.

12

Par ailleurs... vous pouvez utiliser l'enveloppe en haut à droite de son commentaire et lui envoyer un email privé si elle n'a pas demandé que cela soit interdit.

13

Thanks everyone for your helpful advice.  Going to try the towel method today and also buy a different sort of over cloth when I go out - currently I have oven gloves.   OFG I am walking heel to toe and my surgeon very pleased with this when he made me walk the corridor!!!!

Terri what did your surgeon say about the -4?

Angela

14

 Bonjour Oldfatguy,

 

Merci pour vos deux commentaires et conseils. Oui, je comprends ce que vous dites, mais je n'avais rien inclus qui aurait pu causer le problème. Ce que j'ai obtenu en tapant le texte, Bonjour Oldfatguy,

 

Merci pour vos deux commentaires et conseils. Oui, je comprends ce que vous dites, mais je n'avais rien inclus qui aurait pu causer le problème. Ce que j'ai obtenu en tapant le texte, et qui continuait à apparaître, était la phrase « inspect element ».

 

Cela me semble être un jargon informatique et/ou de programmation, donc je pense que les modérateurs devraient enquêter avec leur service informatique. (Là, ça l'a fait à nouveau avec le mot enquêter, il m'a fallu 4 tentatives pour le taper, puis cette phrase est apparue).

 

Soit cela, soit j'ai un problème avec Win 10 que je viens d'installer sur mon ordinateur portable. Je vais utiliser l'enveloppe ce soir et voir comment ça se passe, je n'ai pas le temps maintenant car je dois partir pour le travail. C'est maintenant la 2e tentative d'envoi. Inutile !

15

J'accepte... cela ressemble à un mot déclencheur de quelque sorte. Je suis ici depuis un certain temps et je n'ai jamais vu ce genre de message. La technologie et les genoux... deux grandes énigmes... excellent quand elles fonctionnent et un vrai désastre quand elles sont en panne.

16

Bonjour, six jours après la TNR. Je me suis levé et j’ai marché le jour même de l’opération, j’ai vu le thérapeute physique (PT) le même jour. Le deuxième jour, j’ai commencé les exercices, l’un d’eux (parmi plusieurs) pour l’extension du genou consiste à placer le talon sur une chaise, assis avec la jambe à niveau. Un poids de 10 livres (4,53 kilos) est placé au-dessus du genou sur la cuisse. Maintenir pendant 5 minutes, quatre fois par jour. Cela fait un mal de chien. Mais ça devient plus facile avec le temps. Je prends toujours des médicaments contre la douleur avant la séance de PT. Cela aidera à étendre le genou vers l’arrière. Tous les exercices de PT font mal comme l’enfer, mais même après quelques jours, j’ai remarqué une amélioration à la fois dans la mobilité et la douleur.

17

Il semble que vous faites de grands progrès. Je n’ai jamais vu ou entendu parler du poids au-dessus du genou, mais comme beaucoup de choses, si cela aide, c’est formidable. Je suppose que vous appliquez de la glace sur la jambe plusieurs fois par jour pour réduire l’enflure. Ma grande préoccupation serait de trop en faire et de subir un recul, mais seul le temps le dira et votre corps vous le fera savoir si cela se produit. Une chose que j’ai remarquée à plusieurs reprises : le cerveau finira par l’emporter sur le corps si la situation devient critique lorsque vous revenez à la normale. Continuez le bon travail.

18

Angela, Im SOOOO sorry I missed this message! 

When I saw my Surgeon I was just under 6 weeks Post Op, and struggling with superficial skin infections on my wound, but all in all he seemed pretty well pleased at that early stage. It was mostly as the weeks passed by that I started to worry that things werent moving.

Since this big discussion about inadequate straightening (and, to be fair, inadequate information/forewarning about it from the health professionals!), Ive started doing a few things diligently. I wont let myself get out of bed until Ive done my morning exercises (this is on both legs) Straight Leg Lifts x 20, Inner Quad Lifts x 20, Leg Slides x 20, and then I lift one knee at a time towards my chest, and when its as far as I can get it I clasp my hands around the knee and gently pull it closer towards me(I dont know what this is called, but it flipping well hurts!). After all that its a relief to get out of bed! And I am VERY strict with myself - a couple of times the Postman has interrupted me, but Ive made myself go back and finish them off!

Throughout the day I have a set of static exercise pedals set up, and if the TV is on and theres a programme Im watching, I use the Advert breaks as a timer, pedalling until the programme restarts. I also have an Ottoman (Thanks Cheryl, it works great!) and I use that for passive extention BUT.....I set a timer on my phone, 2 minutes at a time. By the time the first 2 mins is up, if its too painful then stop. I was surprised how quickly I saw an improvement when doing this, and can now manage 5 x 2 minutes (the air is usually pretty blue during the final 2 minutes though ) Ive found that breaking it down like that really makes it less daunting as Ive always really REALLY hated that one! 

If the TV isnt on, but the radio is, when a song comes on with a good beat then Ill do step-ups for the duration of the song. 

Im sure that my house sounds like a bit of a funny-farm, but Ive been at this lark for so long now, including pre op exercises its been a full year, and Im really jaded by it all, so Ive had to rethink things and come up with little mechanisms to "trick" my mind into thinking that Im doing something new and fun! 

Ive also returned to the Physio/OT group - not the structured Knee Group, but the sessions called Next Step. Have you been going to these at all (Im just wondering if we've been there at the same time and not realised! Im going every Tueday at the moment, and its good as I can use the Sci Fit, Leg Press etc which massively helps with strengthening.

Well if youve made it and managed to read this far, you deserve a medal! 

Let me know how youre getting on, and Ill talk again soon xx

19

Hi Terri, Good to hear from you.  Is the next step from 1-2pm on Tues and Thurs and you pay £3 a session.   If so after my assessment last Tuesday I suggested this to OT.  I had not known about it before but a man I had become friendly with came over and pointed it out to me.   My reassessment was OK but still not in agreement.  OT adamant that my surgeon wrong and I will harm back more if I continue and that -5 and below acceptable.  I am now down to -2 and determined to continue.  I said I would join that group and she said OK but not until you have had an assessment by a PT specialising in backs.  After that you can join if she agrees.  It might be quite useful but means I won't be there this week as appointment 2 pm.  Actually I won't be there the following Tuesday either as we are going away for a couple of days as husband working in Leeds on the Tuesday.

However, if it is that group stick your head in to say hello in the waiting room tomorrow.  I get there about 1.45 pm - traffic and parking - and I think your group comes out about 1.55 presumably to clear way for knee group.  I sit near the door and have dark hair and will be wearing dreadful bright flowered trousers - only thing I have that gives them easy access to knee.    Otherwise I will see you in a fortnight.

Angela

20

Hi again, and once again SORRY for not picking this message up, for some reason I'm not getting notifications!

How did you get on today? Well, I hope!

I braved going into the City centre when I left the hospital, had a good walk round, first time in months I've been anywhere on my own apart from Physio, Doctors or my daily walk in the village! Made me feel more human, just pottering around the shops. Can feel it now through, I'm really tired. But hopefully that will lead to a good night's sleep, so its all good!

See you in a couple of weeks, same time same place!