What is the X10?

The X10 is a knee rehabilitation machine. It gently and quickly helps knee replacement patients regain their knee’s range of motion and strength. It can be used prior to surgery as a “pre-hab” tool, but is most commonly used in the weeks immediately after surgery in the home.

Use of the X10 dramatically speeds up recovery from knee replacement by many months with dramatically less pain than with traditional physical therapy. Click here to see images of the X10 Knee Machine.

National Guard Knee Replacement

Is X10 covered by insurance?

X10 is covered by Blue Cross Blue Shield of Michigan for use in your home with or without home therapy.

For most, the X10 is a short-term rental. X10 patients usually need the X10 for three weeks for range of motion and possibly a fourth week to address a strength deficit. We have a partnership with Care Credit to make payments easy – there should be no major financial obstacle to obtaining X10 for recovery.

Other Insurers. Increasingly our patients have found small pockets of coverage, which is very encouraging. We help by preparing a CMN (Certificate of Medical Necessity) to help patients try to get their insurance company to cover the X10.

Covered by Medicare? A qualified yes.

In SE Michigan (and soon in SW Florida) X10 is covered by Medicare through the home care provider, VNA, and X10 Home Health™. This is only available for post TKA recovery. To learn more reach out to us and we can connect you with a provider who can help you.

Where is X10 Available?

X10™ is available in Michigan, Ohio, Indiana,, Chicago, Illinois, New York, New Jersey, Pennsylvania, Maryland, Delaware, Washington DC, Connecticut, Northern Virginia, North Carolina, South Carolina, Rhode Island, Massachusetts, Maine, Vermont, Georgia, Alabama, Florida, Texas and Oklahoma, Los Angeles, CA and Phoenix, AZ.

Delivery, setup for the X10 in my home; and how big is the X10?

We set up the machine in a convenient place (preferably near your TV as you can enjoy entertainment while using the machine). It takes up as much room as does an easy chair (approximately 3.5 feet x 3.5 feet). The X10 plugs directly into your wall power outlet with a normal three-pronged plug. It has no special power requirements. It is easy to get on and off the machine. You will be instructed on how to use the X10, and within a few minutes, you can begin your therapy. At the end of your weeks of therapy, we will pick up the machine from your home.

Is X10 a CPM machine?

In a word, no. This is a very common question for those who have heard of or used the CPM in the past so we included it here in this X10 FAQ. The X10 is the first in a new class of far superior machines when compared to the CPM. These machines are called PMKR machines, PMKR stands for Pressure Modulated Knee Rehabilitation.

CPM (continuous passive motion) machines–

are based on technology from the 1970s that simply moves a patient’s leg between two set points without helping to expand the range of motion in any meaningful way. More about the CPM machine here.

PMKR machines–

are far more effective for knee patients. The machines read a patient’s knee pressure and adjust to the level of tension to minimize discomfort and deliver effective therapy. X10 technology is based upon two unique method patents that allow us to move the knee joint in a fundamentally different way that leads to rapid gains in flexibility and strength without creating pain. This helps the patient work with the therapy and overcomes the chronic therapist issue of Protective Muscle Guarding. X10 incorporates active and passive ROM, along with isotonic and eccentric strengthening.

The X10 is completely unique, patented, and represents a giant leap in knee surgery care. There is no comparable device. Important attributes (shared here in this X10 FAQ) of the X10 include:

  • Passive movement that adjusts to the human body
    • Keeping patients out of pain
    • Enabling range of motion gains with no new swelling
    • Reduction of edema
  • Controlled active motion (mobility under your own power)
  • Highly efficient strength training:
    • Works quadriceps, hamstrings, calf
    • Stops muscle atrophy soon after surgery
    • Helps regain pre-surgery strength
  • Wireless data transmission to a personal X10 Recovery Coach (assigned to each patient)

The X10 is a significant improvement to antiquated technology like the CPM machine, The value of the CPM machine for knee surgery recovery has been debunked over the past 10-15 years, and for most surgeons, hospitals and insurance companies it is no longer in use.

Why is X10 better than other forms of rehab?

X10 is more gentle than traditional physical therapy. You get more therapy in your home than you do with traditional home care. X10’s onboard computer allows you to track your progress in real-time, providing you with measurable targets and goals and a daily record of your leg’s flexibility and strength.

The X10’s patented Comfort Threshold™ allows you to start muscle retraining within days of your surgery, weeks faster than with traditional rehabilitation. Rebuilding the strength in your leg will help ensure that you make a full recovery and can get back to all your daily activities – unlimited by knee pain!

Finally, why not recover at home with the best technology? In-Patient nursing care is a necessity for some who are elderly or need special care, but it can be costly and unfamiliar, and most facilities do not have experience with orthopedics. With X10 you get more therapy than any other setting while recovering in the comfort of your own home.

Is there concrete proof that X10 is better than traditional rehab?

Yes there is. Click here to view a complete comparison of X10 and traditional rehab both with and without the use of CPM machines. Patients recover significantly faster with X10. To view new research about the X10 click here: The Global Journal of Orthopedics Research Study

Can the X10 help me recover after a Manipulation Under Anesthesia?

Yes, yes, yes. The X10 is highly effective after an MUA (Manipulation Under Anesthesia). It is of paramount importance that you begin working on the X10 within 24 hours of your Manipulation. Scar tissue is often the culprit for patients who require a MUA. The X10 can help you beat the race against the formation of scar tissue, but research has shown that it matters how soon after surgery you start on the machine. The sooner the better. Click here for more.

Can I Avoid a Manipulation Under Anesthesia?

There is no better method of avoiding an MUA than the X10 system. If the X10 cannot do it then there is no way to avoid the MUA. To learn from patients who have avoided the MUA with X10 click here. For more on how the X10 avoids the MUA click here.

Do I have to follow my hospital’s home care program?

No. The choice of how to rehabilitate from knee surgery is up to you. Your surgeon and hospital discharge planner may recommend specific home care solutions that are part of their medical system.

Can I use my own outpatient facility after using the X10 in my home?

The choice of an outpatient therapy provider is up to you. You can choose any physical therapy clinic you like. It is our experience that X10 patients have much less of a need for outpatient care; in some cases, they do not need any outpatient care at all.

Do I need a prescription for X10?

Yes (& no). You don’t need a separate prescription for X10 Therapy. Many patients decide to add the X10 to whatever therapy solution they have arranged. If they are not covered, patients can pay for X10 on their own. We offer financing with very reasonable terms through our partner, Care Credit.

If you live in Michigan you can get a prescription (or “orders”) from your surgeon specifically for the X10 if you have Blue Cross Blue Shield of Michigan. To get started, all you have to do is call (855) 910-5633. We will verify that your insurance will cover home healthcare and start the process of getting orders from your surgeon.

At any time you can call us to sort this out (1-855-910-5633). We will answer all of your questions, and if you want to go ahead with X10 we can get started together.

Click on the images below to learn about X10 from individual patients

Neuropathy and Knee Replacement
Continuous Passive Motion Research
Two Knees and the X10
A New Beginning After Two Total Knee Replacements

Is it too late to benefit from the X10?

  • With the X10 we have treated patents prior to surgery (pre-hab), right after surgery, six to 12 weeks post surgery, and even five months post-surgery with great success
  • In some instances patients have seen important benefits from X10 more than 12 month after their surgery
  • Every recovery is different, however X10 is successful in reducing/eliminating swelling, gaining knee range of motion, and recovering lost strength quickly
  • The X10 has successfuly helped patients recover from:

What does it cost to use the X10?

  • The X10 is fully covered by Blue Cross Blue Shield of Michigan in the state of Michigan (cost = BCBS Copay)
  • Select Home-care companies include X10 in their care of knee surgery patients (cost = BCBS Copay)
  • X10 is available as a weekly rental with the corresponding costs:
    • Transportation: The total depends on distance from an X10 Hub (see availability)
    • Rental Cost per week for as many weeks that you need the X10 (typically two weeks)
    • We accept Care Credit which allows patients to pay small monthly payments with no interest for their time in our program.

How long will I need the X10?

The X10 gets the job done quickly: it is traditionally a short term rental.

Patient use X10 for 10-21 days to:

  • Recover directly after surgery
  • Avoid a knee Manipulation Under Anesthesia/Arthroscopy
  • Recover after A Knee Manipulation Under Anesthesia/Arthroscopy

Pre-hab programs (pre-surgery range of motion and strength building) run from 10-21 days

Patients who use X10 after a patella fracture may need the machine for a 21-28 days

Is the X10 well known in the U.S?

X10 Therapy was founded in 2008. The X10 Machine is primarily in use in the state of Michigan, our home state. In Michigan it is well-known in the orthopedic surgery community. X10 machines are designed, developed, and manufactured in Michigan.

Geographic Expansion

As we expand geographically we introduce the X10 to surgeons as part of our work with new patients. Patients have introduced X10 to hundreds of surgeons across the nation. New research, published in The Global Journal of Orthopedics Research in December 2018, has greatly expanded our profile internationally. As we expand we expect medical professionals who keep up with the newest published research will be aware of the X10.

If your surgeon does not yet know about X10, we are ready to send a packet of information to your surgeon’s office and schedule a meeting to introduce the X10 in-person.

X10 FAQ: Some Other Important Concepts

Total knee Arthroplasty: TKA

TKA stands for Total Knee Arthroplasty. It is a surgery to replace the weight bearing surfaces of the knee joint to eliminate pain and lack of motion in the knee. Arthroplasty means “surgical repair of joint.” It is an orthopedic surgical procedure where the articular surface (location where bones connect) of a join is replaced or realigned or remodeled. It is typically done to restore knee function after damage. Damage can be caused by arthritis or some other type of trauma to the area.

About Osteoarthritis

This is a group of mechanical abnormalities involving the degradation of joints including articular cartilage (connective tissue) and subchondral (rounded end) bone. Symptoms can include pain in the joint, stiffness, tenderness and locking of the joint. This can be caused by your heredity, or your body’s deficits (developmental, metabolic, and/or mechanical). When bone surfaces become less well protected by cartilage, the bone may be exposed and damaged. This can result in decreased movement; muscles in the area can atrophy and ligaments can become more lax.

What is Flexion Contracture?

Arthritic and non-arthritic joints may develop “arthrofibrosis.” In this condition the knee fails to straighten fully. This is called a flexion contracture. Persons with this condition walk with the knee bent to varying degrees. The angle that the knee makes can be measured and is labeled as the degrees of the flexion contracture. The higher the number, the more bent the knee is.

What is the difference between Inpatient Care, Home Care, Outpatient Care and a Skilled Nursing Facility (X10 FAQ)?

Inpatient Care–

is provided by a facility that can care for you around the clock. You are transported from the hospital to a skilled nursing facility where you stay and receive 24/7 nursing case and physical therapy.
Home Care is in-home rehabilitation and nursing care provided by therapists and nurses that comes to your home 3-5 times per week while you are home bound.

Outpatient Care–

is provided in an outpatient physical therapy clinic. You travel on your own to these facilities where you work with a physical therapist on your rehabilitation. This is usually covered by your insurance for a finite number of visits after your knee replacement.

A Skilled Nursing Facility–

provides a type of residential care. It is a place for people who require continual nursing care and have a significant difficulty coping with the required Activities of Daily Living. Nursing aides and skilled nurses are usually available 24 hours a day

There is a lot more to what we do than what you see here in this X10 FAQ.

Our clinical team is ready to help you at any time with your knee surgery recovery. You can reach us with a phone call at 1-855-910-5633 or an email at info@x10therapy.com. To schedule a 15 minute call with us click on the Want to Learn More? image on this page.