Hope someone can help me. I am 54 years old and had right knee total replacement on Feb. 29, 2016. Woke up with pain in my neck and back with bad headaches. Was laid up in hospital for 3 days until pain went away. Since my stay at hospital I had no therapy due to having the pain and was always throwing up. When I was at home the pain in my neck and back came back, so did the nausea. After almost 10 days of this I found out it was because of the Spinal anesthetic. I felt better and did not have to do the procedure of injecting blood in my spine. For the next few weeks I had to do my own therapy due to not having approval from workers comp. for physical therapy. By the end of March first week of April my doctor suggested a manipulation. Of course I had to wait again for the approval. Finally approved, the manipulation took place April 28th. I woke up with excruciating knee pain as expected. I was able to bend my knee at least 60 degrees on my own. Again, I was still waiting for the approval for therapy. I finally got approved almost 3 weeks after the manipulation. I'm doing my best that I can with the help of therapist. On my second appt. the therapist was able to get me bended about 75 degrees. But to my dismay I can't do it by myself. It seems to get tighter. Therapist telling me I'm doing a good job, but I believe I'm stuck again and can't get further than 75 degrees. I don't know what to do but exercise the best i can. Can someone please help and advice me? I'm in constant pain.
Most joint surgeons have standard routines for Some procedures. A standard TKR post-op care should have been/certainly, could have been submitted for approvals at the same time as the surgical procedure itself. Learn about what your insurance response timelines are supposed to be. If you can, find it out from your insurance materials or your employer's HR Dept., prior-authorization companies have time-frames "limits" from submission of request for approval to making their decision. The doctors required TKR rehab information is generally standardized, so your spinal complication should not have impacted any approvals. If these knee procedures were still fully inpatient, your rehab would have started almost immediately and the spnal leak symptoms would not have hardly interfered; symptoms just would have been diagnosed sooner. You would have probably remained on a (CJM machine) continous joint motion device.
Are you still experiencing swelling around the joint? Ask about using warm/cold packs pre and/or post workouts and following manipulations.
Ask your PT person and your doctor what exactly you are supposed to do (and not do) at home to promote optimal rehab mobility of your knee.
Even if you are laying flat, the PT person should have ROM/strengthening exercises for you. It may be a matter of just constant building through smaller to bigger/more free joint motion and feeling steady on your own legs again.
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