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  <title>CyberPT Physical Therapy Forum : Expectations in PT - knee replacement</title>
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   <title><![CDATA[Expectations in PT - knee replacement : Myofascial release could be beneficial...]]></title>
   <link>http://www.cyberpt.com/ptforum/forum_posts.asp?TID=483&amp;PID=569&amp;title=expectations-in-pt-knee-replacement#569</link>
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    <![CDATA[<strong>Author:</strong> <a href="http://www.cyberpt.com/ptforum/member_profile.asp?PF=4">Ask a PT</a><br /><strong>Subject:</strong> 483<br /><strong>Posted:</strong> Sep 14 2009 at 3:29pm<br /><br />Myofascial release could be beneficial if your PT finds that you have tissue restriction. I typically will focus more on scar tissue mobilization in the beginning and than myofascial release later on down the road if I find that my patient has the fascia restrictions. ]]>
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   <pubDate>Mon, 14 Sep 2009 15:29:17 +0000</pubDate>
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   <title><![CDATA[Expectations in PT - knee replacement : Do you happen to know anything...]]></title>
   <link>http://www.cyberpt.com/ptforum/forum_posts.asp?TID=483&amp;PID=567&amp;title=expectations-in-pt-knee-replacement#567</link>
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    <![CDATA[<strong>Author:</strong> <a href="http://www.cyberpt.com/ptforum/member_profile.asp?PF=248">HyperZen</a><br /><strong>Subject:</strong> 483<br /><strong>Posted:</strong> Sep 11 2009 at 12:25pm<br /><br />Do you happen to know anything about Mayfascial Release? Would it benefit me?]]>
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   <pubDate>Fri, 11 Sep 2009 12:25:02 +0000</pubDate>
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   <title><![CDATA[Expectations in PT - knee replacement : You are welcome I am glad you...]]></title>
   <link>http://www.cyberpt.com/ptforum/forum_posts.asp?TID=483&amp;PID=565&amp;title=expectations-in-pt-knee-replacement#565</link>
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    <![CDATA[<strong>Author:</strong> <a href="http://www.cyberpt.com/ptforum/member_profile.asp?PF=4">Ask a PT</a><br /><strong>Subject:</strong> 483<br /><strong>Posted:</strong> Sep 11 2009 at 12:18pm<br /><br />You are welcome <img src="http://www.cyberpt.com/ptforum/smileys/smiley1.gif" height="17" width="17" border="0" alt="Smile" />&nbsp;I am glad you were able to work things out with your PT. Hang in there and&nbsp;keep working hard! You will get there!&nbsp;]]>
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   <pubDate>Fri, 11 Sep 2009 12:18:55 +0000</pubDate>
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   <title><![CDATA[Expectations in PT - knee replacement : Thank you! That is very helpful!...]]></title>
   <link>http://www.cyberpt.com/ptforum/forum_posts.asp?TID=483&amp;PID=563&amp;title=expectations-in-pt-knee-replacement#563</link>
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    <![CDATA[<strong>Author:</strong> <a href="http://www.cyberpt.com/ptforum/member_profile.asp?PF=248">HyperZen</a><br /><strong>Subject:</strong> 483<br /><strong>Posted:</strong> Sep 08 2009 at 3:50pm<br /><br /><P>Thank you! That is very helpful! I asked for clarity today from my therapist and we had a good conversation so I understand things more, and she understands I need more communication from her about what is expected and what may be impeding my progress.&nbsp;&nbsp;She also got a more seasoned therapist involved who really&nbsp;pushed me hard.&nbsp;It was NOT fun and I am not looking forward to tomorrow, and&nbsp;yet I am because I made some good&nbsp;progress today. </P>]]>
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   <pubDate>Tue, 08 Sep 2009 15:50:24 +0000</pubDate>
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   <title><![CDATA[Expectations in PT - knee replacement :  Hello HyperZen,In response to...]]></title>
   <link>http://www.cyberpt.com/ptforum/forum_posts.asp?TID=483&amp;PID=561&amp;title=expectations-in-pt-knee-replacement#561</link>
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    <![CDATA[<strong>Author:</strong> <a href="http://www.cyberpt.com/ptforum/member_profile.asp?PF=4">Ask a PT</a><br /><strong>Subject:</strong> 483<br /><strong>Posted:</strong> Sep 08 2009 at 2:04pm<br /><br />Hello HyperZen,<br>In response to your questions:<br>1) Swelling or edema is quite normal after a knee replacement. The swelling is a contributing factor for why patients may have a difficult time with achieving ROM. Progress will vary from patient to patient. Patients can expect to achieve 0-110 degrees + of AROM from 3- 8 weeks post op. You can click on this link to give you a general idea of progression after surgery: <a href="http://www.cyberpt.com/&#100;ocuments/UHSTKA-Shapiro.pdf" target="_blank">http://www.cyberpt.com/documents/UHSTKA-Shapiro.pdf</a>&nbsp; As the swelling subsides, patient usually achieve increase ROM<br>2) I think good communication with your therapist is essential for you to succeed. As a professional, I think she will understand and appreciate your feedback. Perhaps having a discussion with her in private and letting her know what you are thinking might be the best approach. <br>Best of luck with your recovery!<br><br><span style="font-size:10px"><br /><br />Edited by Ask a PT - Sep 08 2009 at 2:04pm</span>]]>
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   <pubDate>Tue, 08 Sep 2009 14:04:12 +0000</pubDate>
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   <title><![CDATA[Expectations in PT - knee replacement : I am 42 years old and had a total...]]></title>
   <link>http://www.cyberpt.com/ptforum/forum_posts.asp?TID=483&amp;PID=559&amp;title=expectations-in-pt-knee-replacement#559</link>
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    <![CDATA[<strong>Author:</strong> <a href="http://www.cyberpt.com/ptforum/member_profile.asp?PF=248">HyperZen</a><br /><strong>Subject:</strong> 483<br /><strong>Posted:</strong> Sep 05 2009 at 8:15am<br /><br />I am 42 years old and had a total left knee replacement 3 weeks ago (was in a car accident when I was 16 that caused the joint to degenerate over time.) I started outpatient PT this week, and I am struggling to understand the expectations for my rehab.&nbsp;My therapist is just out of school and I am one of her first patients; she's not very good at consistent communication, often gives me mixed signals&nbsp;and seems to be more concerned with my doing well to make her look good rather than my well-being.&nbsp;I have two questions:<DIV>&nbsp;</DIV><DIV>1. My strength is getting better every day, but my flexibility is coming along VERY slowly. I am still swelling quite a bit after just about any activity and am only getting about an 85 degree bend with my heel slides right now. My therapist keeps saying&nbsp;we need to really push on that and get it to 120 by the time I go to see my doctor (in 2 weeks) but I&nbsp;feel as though the swelling impedes my flexibility significantly. I'm happy to push myself, and I do - often to the point of tears. But it would be very helpful to understand what is "normal"&nbsp;at this stage in my recovery (if there is such a thing, since I know all bodies are different) and if I should worry about my lack of progress. (When will the swelling subside???) </DIV><DIV>&nbsp;</DIV><DIV>2. I am a communicator and a relationship coach by nature. I would like to give my therapist some constructive feedback about her approach and her energy (I can tell she's&nbsp;nervous and trying to&nbsp;look competent,&nbsp;but it comes across as aggressive), but I don't want to cross the line and I also don't want to embarrass her in front of her colleagues. Suggestions? I think she knows her stuff, but she needs to focus, stay with the patient she is working with (she flits around a lot and yells at me from across the room while working with someone else) and use more empathy even as she is pushing for the best results. </DIV><DIV>&nbsp;</DIV><DIV>Thanks for any and all feedback. </DIV>]]>
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   <pubDate>Sat, 05 Sep 2009 08:15:15 +0000</pubDate>
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