Hi,I am Dr. Gopal Goel (Orthopaedic Surgeon). I will be looking into your question and guiding you through the process. Please write your question below.
do you answer questions in regards to knee replacements. Are you truly medical certified doctors. I had a TKR this past February. Than 5 days later told there was an infection. So the next following morning they did a complete revision irigation and replacement of parts. Through home physical therapy and home nurse and now taking antibotic midline for 3 weeks. After they put in a PiccLine. I did get a blod clot on my arm from the PICCline. I also got a blod clot in the actual right knee. I was rushed by ambulance from my Primary doctors office low pulse rate and finding out that I my abdominal system was slow to process all the medication from being perscribed and all the strong medicine at my hospital stays. The doctors stated in quoting I was like on heroin and going through withdrawels. they basicly put me on IV and nutrients through IV for about 4 nights straight. Recently about 15 days ago the Range of motion was 72 passisve. So this doctor thought time for a manipulation. Due to all the issues this was to be couple of nights overstay. The goal was to bend my knee to 127 and than it would settle to aabout 110. I do have a left knee replacement done about 10 years ago and ROM is 117. We the manipulation done this month the doctor was only able to bend 117 and sadly enough the knee feel down to 79 degrees immediatly after it as in a couple of hours. Since than continuing outpatient therapy being transported daily by medvan. Update is prior to physical therapy we are at measuring 58 average sitting and 68 to 72 passive. We are doing walking and many exercises at home. Doing the CPM machine about 4 to 6 hours. Looks though the doctor wants 4 weeks of physical therapy before possibly going back in. I have dropped 30 pounds. It seems though my doctor is not specialized on being that one person who things did go wrong during surgery. How to get back the range of motion. I am still in my 40 s and want and need a quality life. What is next? go to inner city hospital for taking over the case. My primary also thinks I should go with a higher specialized doctor before letting this doctor go back into my knee for a third time.
As you been to the surgeon again and again I feel there must be something which is unknown about your case.
Ofcourse high and strong medication will lead to disturbed metabolism and increased acidity.
since you are not able to get the ROM of the knee back you need a thorough clinical examination and a proper understand of the biomechanics of the knee and the muscles.
Also, in my clinical practice we get 130° of knee ROM post TKR, also I will advice you to discuss more with your physical therapist to get the range back
i think it is still possible to regain the best range of motion in your knee and nothing to be worried. Kindly give some time for the physical therapy for upto 12 weeks and i am sure you will be fine.
You can share your video, medical reports, physical therapist assessment form etc so I can assist you further.
Regards Jay Indravadan Patel
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How To Get My Range Of Motion Back?
hi, thank you for providing the brief history of you. As you been to the surgeon again and again I feel there must be something which is unknown about your case. Ofcourse high and strong medication will lead to disturbed metabolism and increased acidity. since you are not able to get the ROM of the knee back you need a thorough clinical examination and a proper understand of the biomechanics of the knee and the muscles. Also, in my clinical practice we get 130° of knee ROM post TKR, also I will advice you to discuss more with your physical therapist to get the range back i think it is still possible to regain the best range of motion in your knee and nothing to be worried. Kindly give some time for the physical therapy for upto 12 weeks and i am sure you will be fine. You can share your video, medical reports, physical therapist assessment form etc so I can assist you further. Regards Jay Indravadan Patel