Mark Moeller: Another Check in on Mark’s TKR Rehab

Mark Continues to work hard on the rehabilitation processes associated with Total Knee Replacement surgery.  Here is another BLOG entry from Mark….

Just a quick update on my progress > I was able to get rid of the forearm crutches exactly 2 weeks after my surgery. I was  also able to begin stretching out the doses of pain medicine at 2 weeks as well, from every 4 hours to every 8 hours. At Post op week 3, I was able to cut down the pain meds to 2 x daily. It is still difficult to get comfortable while sleeping. I usually wake up every couple of hours and try to get comfortable again. I have not been too concerned about the restless sleep because I still have not had to go back to work yet. If I need a nap during the afternoon before the kids get home from school……I can!  My staples were removed 3 weeks following surgery and the incisions are  now fully closed and I am able to soak my knees in the tub. The heavy feeling in my thighs is gradually reducing and I am achieving better quadricep control. I am now 4 weeks out of surgery and walking fairly well. The biggest problem that I am faced with is limited Range of Motion and stiffness in my knee that was replaced. I would still describe my left knee as feeling like “cement.”  I am having a very difficult time getting my knee to bend…. even just to 90 degrees! I have been working my ROM daily and have been have been stuck around 95 degrees. My world record is now 101 degrees but that is completely MAXED OUT. My quadriceps muscle feels as if it is going to rip off my quad tendon. With all my prior knee surgeries, I  have usually been on the tighter side and have always had to work hard to get my ROM (“Range of Motion” for those of us not in the business) back. However, this time is definitely the tightest and stiffest my knee has ever been! I have had to rely on assistance from Janna and Andrea to lean on me a little bit just to make any progress! I have been able to ride the stationary bicycle daily , but I still haven’t been able to get rid of a hip-hike on my left side when I get to the top of the pedal stroke. It still hurts to do it, but I suppose it is a hurt so good type of pain, I know that I need to do it. I still do not have great standing endurance yet. The longer I am on my feet, the more my knees swell, get stiff and hurt. Overall, I feel I am doing well….. just having a ROM problem at this point. I will keep you posted on my progress.

 

Until next time…

 

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ASTYM – Can it help you?

by:  Robert Cervantez (PT/CSCS/ASTYM Certified)

It is a proven form of treatment that has been around for several years with very good outcomes.

What is ASTYM?

ASTYM is a treatment approach used on soft tissue injuries to reduce pain and increase function. It

astym
Working ASTYM on the Forearm.

utilizes specially created instruments to mobilize the soft tissue and stimulate the body’s own healing mechanism for tissue remodeling in patients with degenerative soft tissue, fibrosis or chronic inflammation. This technique is at the fore front of non-invasive treatments for healing.

How does it work?

It is believed that ASTYM works by breaking down the dysfunctional tissue (adhesions, fibrosis, scar, etc.) and stimulating the normal body healing process. This is initiated by controlled microtraumas (i.e. use of instruments) for the restoration, regeneration and remodeling of the fibrosis/scar tissue and collagen. The tissue is influenced by specific stretching, exercise and physical activity. Where conventional treatment requires you to stop all outside physical activity, ASTYM does not. ASTYM wants you remain active in your job or sport to remodel the healing tissue along the lines of stress that it usually encounters on daily basis.

Who can benefit from ASTYM?

All types of individuals can benefit from the ASTYM system: from the everyday worker to the high level athlete. Moreover, any individual experience pain, loss of range of motion, loss of function following surgery or trauma, chronic irritation/tendonitis may benefit from this technique.

How is ASTYM different?

ASTYM is well supported by clinical outcomes and science with regard to its effectiveness. It has been demonstrated to be successful when other approaches have failed. It may decrease the need for surgical intervention. And again, ASTYM allows you to remain physically active while healing while re-establishing function.

Conditions that have responded well to ASTYM

Carpal tunnel, lateral/medial epicondylitis, DeQuervain’s tenosynovitis, shoulder pain, wrist sprains, chronic ankle sprains, hamstring strains, plantar fascitis, Achilles/patella tendonitis, IT band pain, post surgical scarring, & fibrosis, hip/shoulder bursitis, low back/SI pain and chronic tendinopathies to list a few..

ASTYM can only be administered by a trained and certified ASTYM clinician.  An ASTYM clinician can be located by going to www.ASTYM.com