Kathy: Avoiding a Manipulation after Knee Replacement
BLOOMFIELD HILLS, Michigan — Kathy has been an active golf and tennis player all of her life. Over the past few years knee pain took her out of the game. She received injections for a period of time, but it became apparent that she needed to have her knee replaced. She was very happy to have Dr. Perry Greene perform the surgery, and had expected to be back on the tennis courts within a few months of her surgery. She got there, but it was a bit more difficult than she had anticipated. She spent considerable time avoiding a manipulation after knee surgery which was quite unexpected.
Knee Replacement Surgery
Kathy had a total knee replacement on her left knee in March 2013. Post-surgery, after she was discharged from the hospital, Kathy tried a number of rehabilitation solutions including a fine Skilled Nursing Facility, none of which worked. She was particularly unimpressed with the in-patient facility. She spent only a few days there before she had “had enough.” Her results for range of motion suffered. She was not recovering well and scar tissue loomed in front of her. Things were not going well. In fact Kathy was headed for knee manipulation (manual bending of the knee under anesthesia to break up scar tissue). To watch a video of an MUA, click here.
Manipulation Under Anesthesia: How Bad is it?
Imagine that you have done everything right. From surgeon to hospital to rehab solution, you made smart choices and did what the experts said to do. You worked hard in therapy, endured the pain of PT, took your pain medication when things became challenging. And after all that work, a month to six weeks later you found that your ROM (range of motion) was below 100º and that you had stopped making progress. You found PT to be too painful to make real progress. Your body pushed back when your PT tried to help you make progress (See our blog article on Protective Muscle Guarding).