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Hi everyone! Welcome to the MOVE with Dr. Mike RU-vid channel!
I am a Doctor in Physical Therapy and a Board Certified Geriatric Clinical Specialist (GCS) who teaches people how to build strength, keep their joints healthy, and live longer.
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Recently had TKR. This video is full of valuable professional advice. I'm following all the recommendations described, and yes, my recovery is enhanced! Thank you Dr Mike.
Thank you so much for taking the time to watch and comment here! Your input is valuable and much appreciated! Wishing you the best in your recovery! Glad this one was helpful for you!
I wish that I were the type who really liked to exercise vs. those who do it out of obligation. I really want to be the person who loves it! I only exercise because I am obligated to, always was always have been.I just wish that I could love it! Just found your videos btw.
Thank you so much for watching! And I’m so happy you found my channel! It’s all about finding activities that you enjoy! That way you will want to do them more often. Sometimes it takes exploring and trying new activities!
Thank you for your advice I just got my total left knee replacement September 24 ,2024 also getting home therapy will take all your advice for a speedy recovery
My mom is 85 and she had her knee replacement. I am her full time care giver managing pills etc. icing is very important. in Canada government give 10 free pt. But we pay extra 1 pt a week to come to our house. And we find that really help.as they do different exercise and learn from 2 professional. My mom as of yesterday 25 days in is able to bend 105 degrees and strengthened close to 0 degree. She is still in pain walking still bad we do exercise 3x /day. Also she is not sleeping
Like your last exercise .... Everyone has a video on do's and don'ts but no one seems to agree. They either just copy each other or has a real stupid idea. We need someone we can go to for good & honest advice so Dr. Mike I guess that will be you ! Thanks
Thank you so much for your kind words and for supporting the MWDM movement! My goal is to always provide the most honest valuable information to help you all stay strong and injury free! Appreciate you taking the time to comment here!
Good advice as always .... Would like to see a video on your thoughts & knowledge about walking . How much a person should walk each day ( if necessary ) also the benefits of a daily walk . Thanks
Hey I appreciate all of your positive comments and I hope you know I do read them all! This is a great video idea! I’m adding this to the list and I’m going to be making a video about this! Thanks for the idea and hope I can answer some questions for you!
Thanks for taking the time to watch this one! If you’re 3 months post op TKR there is a high likelihood that your ankle pain could be caused by swelling that occurred from the surgery. Also could be a cause from your ankle getting stiff and losing mobility since you most likely have not been putting full weight on the knee. This is all very normal and i would start to focus on calf stretching to help improve this pain. Hope that helps!
Thank you so much for taking the time to watch this one and comment! I’m so happy it was helpful for you! Wishing you the best in your recovery! You got this!
i just had a full kmee replacement and Palexia and Endone is given to take home after week 3,, its not enough and there has got to be something better than 2 boxes of 2 tablets. steve in Australia.
I like your video but is it necessary for everyone to do such a long warm up ? For years now I've only done a very short warm up. 3 minutes at the most. Would appreciate your advice on this. Thank you
Thanks for watching this one! I’m glad you enjoyed it and thanks for your question. Part of the reason why the warm up is longer in this type of format video is because I want my viewers to understand how to perform the exercises correctly. So going through the warm up one time often feels rushed so that’s why I like going through a 2nd rd. A warm up though can be very effective in as little as 3-5 minutes so I think what you’ve been doing is appropriate unless you need to spend more time in a specific area that might be bothering you with discomfort. Hope that makes sesne
Thank you very much for taking the time to watch and support the channel! It really means a lot you took the time to comment! Wishing you the very best!
Hello Dr Mike, i am post op 2 weeks of a tkr. The hardest thing i am going through is getting my thigh muscle to just work. I had PT today and it was really hard to march in place. I can extend my leg to a zero, and bend my leg backwards to 108. Lifting the leg is a challenge if im laying flat or sitting up. In a book i was giving from the home health nurse said i could rock in a swing to help with my thigh muscle. Apart of me doesnt trust the new knee but each day i can do more and im worried im going screw up the hardware or my incision will split open. Is there something i can do to help relax my thigh muscle so it doesnt feel like my bones and muscle is screaming? Thank you <3
Thanks for watching and most importantly for taking the time to comment! The best way that you can relax your muscles is by using ice/elevation to minimize the swelling and to keep working on your flexibility which in the long run will elongate all the tight muscles surrounding the knee. There is a high likelihood that the stiffness is causing you to feel this way. Take it one day at a time and focus on stretches at least 2-3 x per day for the first 6 weeks if you can. Hope that helps!
It’s been approximately 3 months since right TKR. I’m still screaming during therapy, therapist seems to be doing MUA, without the benefit of anesthesia. I wish I’d seen your videos before my surgery. Have the window to gain more flexibility, been closed for me ?
Although the most critical time to focus on your range of motion is the first 6-8 weeks I’ve seen some of my patients make progress with their flexibility at 12-14 weeks. This might require you to be more aggressive and consistent with your exercises. Don’t give up! Hope that helps!
There should be a confessional for TKRs. I am guilty of just about all the mistakes mentioned 😢. And my recovery has been set back. Take this man seriously.
Thanks for stopping by and for taking the time to watch this video! Your support means a lot and I hope you’re encouraged to continue to stay positive and focus on what you can control! Wishing you the best in your recovery!
Yep, that is very consistent with what I was told, all of these. At 50, I'm a young candidate, but the doctor even told my wife after the surgery I was way overdue, I guess just blessed with 75 year old knees in a 50 year old body. However, I am active and relatively fit, so walking on my own seemed like a good idea but the nurses and doctors said use the walker until the follow up. I've also made quick progress in terms of strength and flexibility and while that is good, it's best to not over do it as I have found out, I get exhausted quick. I mean, I'm not even three out from surgery and I feel way better than I did during the first week. I can walk on my own and even ride a stationary bike with little issues. I can even drive if I absolutely had to, but haven't yet. What I'm saying is even if you are doing good, it's still best to be mindful that you had major freaking surgery and you still have to give your body plenty of rest and don't jump into things. It's killing me to not do stuff right now, because I think I can, but recovering properly is key to a full, 100% perfect recovery. I figure a little more rest now will provide huge benefits later. My doctor was very specific about the position of the knee and not using a pillow to support it and that is a big comfort thing, but fighting through the discomfort has allowed me to get to flat really quick and also help my knee/leg position. I still have a long way to go, but doing the PT religiously and staying on top of the tips they give you is important.
Thanks for taking the time to watch this video and most importantly for sharing your experience with us all! Many people can learn from your journey! Sounds like your recovery is coming along well and I like that you have the right mindset. I’m sure you can’t wait to get back to all your hobbies and physical activities that you enjoy! Wishing you all the best of luck and thanks for your support here!
Excellent video .... I don't have that problem but it's good to know in case it ever happens. You explained it very well and easily understood. Thank you
Supine hip stretch! Aah 😊. 4 weeks post TKR and really feeling it in the hips the past week! THR a year ago so don't have much muscle tone to work with, but ROM better than expected 🙏
Wow that tape on your skin has proven to be useless those are with those of us with a brain have always known it useless It's tape on your skin your skin is not connected to your muscle genius It is absolutely nothing smh. Not even going to waste my time watching this video I can't believe you're a doctor
My biggest challenge has been a little different than others. I am concerned about hardware failure. How much weight can I place on my knee? I am 5 weeks post surgery, I have good range of motion, no pain, but when I start to climb stairs, I am still stepping up with my non surgical leg in fear of damaging something. I was told it takes 18 months for the the knee to completely heal. I am in PT weekly but having a hard time overcoming the vision of hardward failure. I appreciate all of the good information and demonstrations you provide. Thank you Dr. Mike!
Thanks for stopping by to watch and support the channel! It’s normal to not fully trust your knee in the beginning but rest assured that you are able to put 100% on the knee. Progressive weight bearing activities will be critical and focusing on eccentric step downs can make a really significant difference in building strength in your hips/quads to be able to independently use the stairs. Check out this video I made here on my favorite exercises to help with stair training 👉 ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-XAufAjQ2wNw.htmlsi=UoerJFuUt1Jrx9b_
Thanks for watching and for taking the time to comment! Yes these exercises would be good for anyone looking to restore strength, function, and flexibility in their knee! What often happens when you’re in a cast is you lose muscle mass and strength. But you can retrain and get it back with the proper rehabilitation!
@@MovewithDrMike so these excercise is essential after the cast is off .....if the cast is on after sux week still how do i deal with it in terms of excercise
@@rogerhinds6583 unfortunately with a cast you’re limited! The exercises that I usually recommend to my patients that have to wear a cast for an extended amount of time includes isometric contractions and exercises that incorporate movement of the surrounding tissues around that area. For etc of the ankle was in a cast I would usually provide my patients with knee and hip exercises in the meantime until they are out of the cast.
I had total knee replacement three weeks ago. After two weeks I was doing great and was at ninety percent . Well, after two and a half weeks I went to stand up off the toilet without support and pulled my quad into intense spasms. Back to the hospital I went. Four days later I'm barely at 45% and stuck. Any suggestions what I can do.
Thanks for watching! Everyone has their own journey and sometimes things are out of our control! Take it one day at a time and focus on the small wins each day! Consistency with exercises will be key for the next 6 months to get your range of motion back! Wishing you the best and a smooth recovery! Take care
Are all these exercises ok for partial knee replacement, I know some of them are, I do swim 3 times a week up to 20/22 lengths each time now, and walking, I’m 7 months in recovery for it, still can’t get it dead straight, trying really hard, no arthritis pain now but incision is sore on inside, cannot kneel on it at all.
I had a bad accident I had to do patella repair n some quads repair on my leg ...the time it took to full heal I ended up being unable to bend my knee ......but I have being working on my leg I say it has regained abt 50 to 60% strength but my knee isn't bending ......any advice 😢
@JoseJunor-n8e thanks for taking the time to watch this one! Sounds like your progress is coming along! I would highly recommend checking out my ‘Surgery Playlist’ on my channel where you can find many videos about recovering after knee surgeries! I think these can give you some guidance on where you should start! Here it is ➡️ ru-vid.com/group/PLJSZ9UiXuFy9FZCwQsAHdIuEXXqfH6sW3&si=PON6qxD5-6PzBxsV
I am 8weeks out from TKR. I can put my leg flat, but I’m experiencing pain around the incision site. I ride the recumbent bike form30 min (level 6) and recently added the elliptical for almost 10 min at level 1. I think I need to ice my knee more?
I really like this, it will be a good starter exercise before you do your lower body routine. I'm always ready for a challenge and thank you ( I always work out barefoot )
Dr Mike - I need help. I am a 72yr old. I had my TKR on 27 April 2024 and have done all my Physiotherapy and I continue to do my home exercises. My scar healed quickly. I have had to return to work after 3 months off (as a Manual Order Picker) on modified duties which are ‘no heavy lifting, no standing for more than 30 minutes and no walking for 40 minutes or more. I have had to cut my hours of work to 5 hours a day. I find the swelling and stiffness is more pronounced after standing or walking within the prescribed time limits, although I do not have any pain. I need your advise please.
Thanks for taking the time to watch this one! Hope you found this video helpful! Sounds like your recovery went well and I’m happy to hear you completed all your physical therapy because that can be very helpful! Swelling and stiffness after long periods of standing and walking is normal at this point. Your body is trying to find its new way to adapt to a brand new knee. No pain is a positive sign and I would continue to focus on maintaining your flexibility with the stretching a couple times a week if you can!
