Physiotherapy after Total knee Replacement -ProActivePhysio

After surgery You may have a pain or there will be a less mobility of a joint..So the aim of a physiotherapy after tkr is to reduce the pain and increase mobility and function.
Regular exercise will help to restore strength and mobility of knee and a gradual return to everyday activities. It is recommended up to 30 minutes of exercise twice to three in a day.You may feel discomfort at first. once you get used to it will help speedy recovery.


This guide may help you to understand the exercises and activity protocol.To ensure safety  check with your phyiotherapist or surgeon before performing any of the exercises.
Exercises will reduce the formation of scar tissue inside your knee joint and improvet mobility of the scar tissue. It also helps to reduce swelling.

Ankle pumps :
Pump your feet up and down by pulling your feet up toward you, then pushing down away from you. In addition to rotate your feet clockwise and anticlockwise.
It should be done 10 times every hour while you are awake.

 

Quadriceps sets :
Lie down on your back or in a long sitting. Place a small rolled towel behind the knee. And push the back of the knee down into the rolled towel.
Hold it tight for  5 seconds.
Repeat the exercise 10 times.

Short arc quad :

Lie on your back and use a  bolster cushion or basketball to prop up operated knee.
Slowly straighten your bent knee until it is all the way straight.Tighten your muscle and hold it tight for 5 seconds.
Slowly lower leg down.
Repeat it for 10 times.

 

Knee bend :
Lie on your back or in a long sitting. Place a sheet around the foot of your operated
leg. Use it to help bend the operated knee. Keep your heel on the bed . Hold for 5 seconds.Slowly lower your leg down.Repeat it for 10 times.

Sitting Knee Extension : 

Sitting on a chair,with knees bent. Lift your operated foot off the floor by straightening your knee.Feel the stretch behind the thigh and knee.
Hold it for 5 seconds.Slowly lower your leg back to the floor.              

Walk
Initially you can walk using walker.
Once your balance improves, you may begin using crutches or a cane instead of a walker. Follow all instructions given by your physiotherapist.
And gradually you can progress to stairs climbing and down stairs.
Progression will be based on individual patient presentation .

For the first four weeks you should do your exercises at least three times throughout the day.

If you are sent home from the hospital, you may choose to have a home care. Physiotherapist to your house for your rehabilitation.

This is usually arrange if patient can not travel to Physiotherapy center.

Ice Application
It is important to do cryotherapy (ice application) atleast 5 times a day.
Cryotherapy for 15-20 mins post exercise program.

Consult an expert at ProActive Physiotherapy and Rehabilitation Clinic for knee Rehab and more tips.
Call 7021498174 for an appointment.

HOW YOUR DAILY ACTIVITIES TRIGGER SCIATICA :

           
Sciatica is nerve pain from irritation of the sciatic nerve.
Sciatica is one of the most familiar complaints  that affect 70-80%.
It is the pain in the lower back that continues from the hip and buttocks to leg .
Numbness, tingling sensation may be felt at the back of the leg.

Sitting for a long time, with your wallet and keys in your back pocket can irritate your piriformis muscle. The sciatic nerve passes under this muscle, which may compressed by your wallet. When this happens, the sciatic nerve may also become pressured.

Tight jeans and underwear with tight elastic can trigger  sciatica.

Wearing high heels may also irritate sciatica nerve..

overweight is another way to put pressure on your sciatic nerve.

Prevention :
Take out the wallet from your back pocket before you sit down.It is recommended to keep your back pockets empty while sitting.

Use good posture when sitting, standing and sleeping.

Avoid sitting for longer time.



Phyiotherapy for Sciatica :
Consult a physiotherapist
Maintain good posture.
Strengthen the muscles of back and abdomen.