Question for the group here......I'm still having difficulties with getting ROM increases. Was approx. 20 degrees at first PT and now only 30+ at 7 weeks post surgery.
Had my postop first appointment with the surgeon today and he has recommended getting "more aggressive and push through some of the pain" in PT sessions. He has also prescribed a "DynaSplint" device which puts a slight but constant flexion on the knee for several hours each day......including overnight. He says he normally expects to see approx. 10 degrees per week ROM increase after PT starts.
Comments? Does 10 degrees per week sound about typical? Anybody had experience or heard anything about the DynaSplint?
Thanx for the feedback so far, guys.........seems like I am indeed behind the typical experience. Trying to understand why. I mentioned the swelling to the surgeon of course (and he was looking at it) but he said although it is swollen a lot (the skin is stretched tight and shiny), he's had total knee replacement patients with as much or more, and they did better on getting ROM.
The skin over the patella can be moved around just a tiny bit, but right on the incision it seems stuck down. So maybe there is scarring/adhesions all along the incision. Also very tight and immobile on the outside of the knee but where I feel the stretching/tightness/pain the most is right in line with the QT/Patella/PT. Is this what you guys experienced?
Might be that the therapist should be more aggressive when doing patella mobilizations? And concentrate on moving the skin separately from the patella? And then doing the same both above and below the patella?
Had a phone message awhile ago from DynaSplint wanting the therapist info to get approvals completed.