{"id":76825,"date":"2024-07-18T05:21:50","date_gmt":"2024-07-18T11:21:50","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=76825"},"modified":"2024-07-18T12:37:14","modified_gmt":"2024-07-18T18:37:14","slug":"overcoming-challenges-of-physical-therapy-after-knee-replacement-surgery","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/overcoming-challenges-of-physical-therapy-after-knee-replacement-surgery\/","title":{"rendered":"Determination helps patient overcome challenges of physical therapy after knee replacement surgery"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><figure id=\"attachment_76828\" aria-describedby=\"caption-attachment-76828\" style=\"width: 400px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-76828\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2024\/07\/10091421\/Tami-Helkey-1eee.webp\" alt=\"Tami Helkey embraced physical therapy after knee replacement surgeries. Photos: UCHealth.\" width=\"400\" height=\"300\" \/><figcaption id=\"caption-attachment-76828\" class=\"wp-caption-text\">Tami Helkey embraced physical therapy after knee replacement surgeries. Photos: UCHealth.<\/figcaption><\/figure>\n<p>Tami Helkey loved playing with her grandson, tending her garden, hiking and getting outdoors.<\/p>\n<p>Then, persistent knee pain took all of that away. Rather than sit and accept her fate, she decided to replace her creaky knees and overcome a sometimes-challenging recovery by embracing physical therapy.<\/p>\n<p>Her reward was sweet.<\/p>\n<p>Tami\u2019s struggles with pain and immobility led to frustrating moments of doubt. She leaned on her supportive family and friends, particularly her grandchild, to visit and cheer her up.<\/p>\n<p>\u201cI babysit my grandson and like to work in the yard. I really enjoy walking,\u201d Tami said. \u201cBut the constant pain prevented me from doing those activities. Even swimming became challenging.\u201d<\/p>\n<p>Her knee pain also affected her work.<\/p>\n<p>\u201cI had a job where I was going up and down stairs every day,\u201d said Tami. \u201cBut as time went on, I noticed that both of my knees started hurting really bad \u2013 lots of pain and swelling.\u201d<\/p>\n<p>While the idea of replacing her knees was daunting, Tami yearned to regain her former mobility and fully enjoy an active life again. She knew she needed help to alleviate her aching joints.<\/p>\n<p>Enter <a href=\"https:\/\/www.uchealth.org\/provider\/shane-rothermel-md\/\">Dr. Shane Rothermel<\/a> at UCHealth Orthopedics Clinic at Park West in Pueblo, to whom she was referred after visiting with her primary care physician.<\/p>\n<p>\u201cAfter an exam and MRI, I had a long visit with Dr. Rothermel and decided to go ahead with a total right knee replacement last June.\u201d<\/p>\n<h2><strong>Physical therapy helps restore knees to active use<\/strong><\/h2>\n<p>The surgery gives the patient a new knee joint. Then the real work for the patient begins as physical therapists help make the knee strong again and restore as much full motion as possible.<\/p>\n<p>Patients who undergo total knee replacement will generally have 12 to 18 physical therapy sessions, focusing on rebuilding strength, range of motion and flexibility. Exercises learned in therapy are continued at home for the next year as the bones, muscles, tendons, and ligaments heal. Total recovery time can take from 10 to 12 months, but each patient\u2019s recovery is unique.<\/p>\n<figure id=\"attachment_76829\" aria-describedby=\"caption-attachment-76829\" style=\"width: 400px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-76829\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2024\/07\/10091600\/Tami-Helkey-3eee.webp\" alt=\"Tami Helkey said the power of positive thinking and physical therapy helped her return to doing the things she loves after she had knee surgeries.\" width=\"400\" height=\"300\" \/><figcaption id=\"caption-attachment-76829\" class=\"wp-caption-text\">Tami Helkey said the power of positive thinking and physical therapy helped her return to doing the things she loves after she had knee surgeries.<\/figcaption><\/figure>\n<p>Tami started physical therapy sessions immediately after the surgery. \u00a0Working with the UCHealth Parkview rehabilitation staff came up with realistic and achievable goals for Tami\u2019s recovery. They broke down the process into small, manageable milestones, such as increasing bend and range of motion in the knee by a degree or two each session.\u00a0 However, she soon met her first rehab challenge.<\/p>\n<p>At first, Tami\u2019s goal was to get her right knee to bend more.<\/p>\n<p>\u201cIt was so tight. And despite all the stretches and exercises, it refused to bend any further,\u201d Tami said.<\/p>\n<p>Scar tissue, a common complication, was taking hold and not letting go. Fortunately, there is a simple outpatient procedure to help.<\/p>\n<p>Manipulation under anesthesia (often called MUA) is a non-invasive procedure that helps a patient regain motion if the total knee replacement becomes stiff.\u00a0Before the procedure the patient is given anesthesia (put to sleep) in the operating room. The doctor will then gently bend and straighten the affected knee joint, applying gentle force to break up any scar tissue or adhesions causing the tightness.<\/p>\n<p>\u201cMy progress stalled, and I had to undergo a manipulation to break up scar tissue,\u201d Tami said, \u201cBut after that \u2013 I was able to make great progress and the range of motion on my right knee has greatly improved. I was so elated.\u201d<\/p>\n<h2><strong>Small victories lead to improved rehabilitation and recovery<\/strong><\/h2>\n<p>Buoyed by that small victory, Tami was back on the rehab track.<\/p>\n<p>\u201cWhen I had that small set back and scar tissue developed, it\u2019s easy to get down and get a negative outlook. I needed to remind myself to stay positive and keep looking ahead and stay focused on accomplishing my goals.<\/p>\n<p>&#8220;Every day in therapy, there are little victories: a few more degrees in knee motion, a more normal walking gait, a little less pain,&#8221; Tami said.<\/p>\n<p>\u201cMy favorite exercise machine to use is the recumbent bike,\u201d said Tami. \u201cIt really helps loosen me up and get me ready for my other exercises. The PW PT department is fantastic, along with my ortho doctors. Each therapist has their own unique skill set and I learned something new each session.\u201d<\/p>\n<figure id=\"attachment_76830\" aria-describedby=\"caption-attachment-76830\" style=\"width: 400px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-76830\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2024\/07\/10091730\/Tami-Helkey-and-DPT-Jaymei-Ownbeyeee.webp\" alt=\"Tami Helkey works with physical therapist Jaymei Ownbey to strengthen her knees after total knee replacement surgery..\" width=\"400\" height=\"300\" \/><figcaption id=\"caption-attachment-76830\" class=\"wp-caption-text\">Tami Helkey works with physical therapist Jaymie Ownbey to strengthen her knees after total knee replacement surgery..<\/figcaption><\/figure>\n<p>After nine months of physical therapy, Tami had the confidence to do a total knee replacement in her left knee as well.<\/p>\n<p>\u201cI was better prepared the second time. I knew what to expect so I was ready to get physical therapy going right away,\u201d said Tami.<\/p>\n<h2><strong>Final thoughts<\/strong><\/h2>\n<p>\u201cI was glad that I did both surgeries,\u201d said Tami. \u201cBut I knew there was a long road ahead with recovery. The pain was bad at times, but it does get better. The exercises help you tone up, get stronger and I knew that I was on track to function in a more normal capacity.\u201d<\/p>\n<p>Tami is closer to being able to participate in activities she once took for granted, like working in the garden, taking short hikes, and have more extended playtime with her grandchild.<\/p>\n<p>\u201cI want to thank UCHealth Parkview Outpatient Rehabilitation and all the medical staff that has taken care of me. They have been so supportive, helpful, understand and encouraging to me. I\u2019m grateful to have such a wonderful team. I have my life back.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tami Helkey loved playing with her grandson, tending her garden, hiking and getting outdoors. Then, persistent knee pain took all of that away. Rather than sit and accept her fate, she decided to replace her creaky knees and overcome a sometimes-challenging recovery by embracing physical therapy. Her reward was sweet. Tami\u2019s struggles with pain and [&hellip;]<\/p>\n","protected":false},"author":2399,"featured_media":76830,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[7],"tags":[9203,183,1718,110],"class_list":["post-76825","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-stories","tag-knee-replacement","tag-orthopedics","tag-pain-care-management","tag-physical-therapy"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - 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