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I’m not a medical pro, On whose advice you should heed, So please beware that, What works for me, May not suit your need. (aka Waiver of Liability)


Information provided on this site is meant to complement and not replace any advice or information from a health professional.
The intended mission of the site is to help people dealing with total knee replacements and other physicalities realize they are not alone.

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Memorial Day 2013

For all my readers. Memorial Day is not just about the long weekend, parties, or bbqs. Remember the true meaning of this special holiday.

Memorial Day 2013

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Leg Extension Machines & A TKR

Hi my favorite readers! Recently, some of you have posted comments and concerns about using a leg extension fitness machine after a total knee replacement. Instead of replying to each comment individually, I thought it would be appropriate to comment here. Here is my story. It may be similar to yours…

I have seen these machines in fitness gyms and other public health venues. I wouldn’t touch them with a ten foot pole. The configurations look different than that found in the PT machine I used during my recuperation process.

During PT, the machine made it possible for me to use my tkr leg. My leg was not positioned in an unnatural manner. In fact, the machine was configured so my leg was actually only slightly bent at the knee. This allowed me to simply slide my tkr-side foot underneath the cushioned pad. It was not uncomfortable at all. I started with zero weight and only increased it to – if I recall correctly – 10 pounds.

While using the PT machine, I mainly felt my quads and hamstring muscles working. I felt no discomfort in my patella, or knee cap, area.

Fast forward to the fitness gym leg extension machines. In order to use these torture devices, my tkr knee needs to be bent to more than 90 degrees. That is the starting position. This just is not possible. My tkr knee does not bend more than 93-95 degrees. (And…no…I am not considering, nor never have, a manipulation. There are other posts on this flexibility subject.)

There is no way in blazes I am going to put myself into that position and risk injury. So…I avoid the machine.

While doing research into leg extension machines, I found an interesting article on the Huffington Post site. I have included a link below. Do your own research and you may be quite interested in what you find on this topic.

http://www.huffingtonpost.com/-dr-joseph-horrigan/leg-extensions-knee-pain_b_3269330.html

Keep Improving!

AUTHOR NOTE: Booktoots’ Healing helps total knee replacement patients find support throughout recuperation and beyond. Its mission is for patients to understand they are not alone in their ordeal with either a tkr or other physicality concerns. The site is owned and operated by Marie Buckner, a published author and tkr patient who has been living with various physicalities for over 30+ years. She enjoys sharing her experiences to help others going through the same thing.

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Using Weights to Straighten a TKR

Some readers have asked me lately whether I used weights during my tkr recuperation. I have written articles about this before, but thought it was time to discuss it further. The answer is “yes, I have”. Weights were used in a variety of ways. Below is how I used weights to straighten my tkr.

One exercise involving weights was done by sitting in a firm chair. I’d have another firm chair directly in front of me, about three feet away. I’d extend my tkr leg onto the other chair. My tkr knee would be in the center portion of the separated chairs. Or, I’d sit on my sofa and extend my tkr leg onto my coffee table with the same space underneath my tkr knee.

Then, when my knee was as straight as it would be, I’d put a towel over it. I’d then put a two-pound ankle weight on top of the towel, directly on top of my tkr knee. OUCH! Sometimes that was a DOUBLE OUCH!! It needed to be done, however. I started with a two-pound weight, but gradually increased it to five pounds. And, I do mean gradually. I never did more than five pounds since I received great results with only five pounds.

Once the weight was on my tkr knee, I’d keep it on for about one to two minutes to start with. This would be increased to ten minutes (but only after about three months post-tkr surgery).

This is one way in which I used weights to help straighten my tkr leg during rehabilitation.

Hope this helps others going through the same thing.

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Happy Mother’s Day 2013!

Happy Mother’s Day to all my readers who are mothers of all creatures – human, animal, fish – you name it. Take the day to pamper yourself and enjoy!

A Simple Thank You

Hi my favorite readers! I wanted to take a moment and..once again…thank you for taking the time to visit my site. For those of you leaving comments, you have made an important role in having this turn into a very beneficial and user-friendly site. It couldn’t be done without you.

Thank you..

If you feel this site can help others going through the same thing, kindly share it.






Saga of the Metal Femur Rod

Hi my favorite readers. While working on my long overdue book, I came upon some information I forgot about..it’s an excerpt from my book about being in a body cast. Here it is:

My femur sure has been through the ringer. I keep forgetting about different things, since there are so many.

For instance, upon initial hospitalization, I was put into traction. The weights were on the foot-side of my bed and my leg was in a sling. My thigh was in the sling, actually. The cloth sling kept moving, so I needed to keep pulling it back under my thigh.

It turns out that my femur bone was not aligned properly. This caused a 1” overlap, which resulted in my left leg being shorter than my right leg. The initial fracture was about 2-3” above my knee.

Fast forward six months. My femur was not healing fast enough, so I was told, so surgery was recommended. Orthopods wanted to put in a metal femur rod with a bone graft to speed the healing process.

The bone graft was to come from my left hip. And…the rod was to be inserted from my left hip area. There is a 2” incision located at the point where the hip and femur meet…on the front of my body. And, another 6” incision along the outside of my left leg.

Well…fast forward again. I refractured my femur about an inch above where the rod ended. The rod needed to be taken out. There is a 1” scar on my left hip area where this was done.

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Total Knee Replacement Recuperation

Hi my favorite readers. Here is an interesting guest post written by Richard Haynes, a physical therapy professional. It contains a wealth of information that can benefit your tkr recuperation. Enjoy!

Once you have gone through your total knee replacement your work really has just begun. In fact, your surgeon will tell you that the surgery was the easy part, the hard part is the physical rehabilitation. What will determine your overall success after surgery will depend on the concentrated efforts both you and your physical therapist put into your treatments.

Your physical therapist will be in charge of providing the exercise knowledge and expertise along with pain management skills in helping you get to a speedy recovery. You will be in charge in putting forth both the physical and mental effort needed to get the results you need to be both pain free in the long term and fully functional.

In many cases most of you that have gone through this elective procedure have the self-motivation that is required to succeed and understood that before going into surgery. In other cases that I have come across, some do not fully understand what they have just gone through and, do not understand the mental discipline and toughness that needs to be acquired to have a successful rehabilitation experience.

An idea that will help everyone tremendously is to ask your surgeon to get you registered for a pre-operative class that explains what will be involved not only during your hospital stay but, what will be expected during your rehabilitation as well. These classes not only instruct you with pain management techniques after your hospital stay but, are also attended as well by a physical therapist that will guide you as to what you can expect after surgery and, what to expect once you get home.

Once you get home after a brief hospital stay, you will be seen by a therapist who will evaluate you and get you started on your home rehabilitation program. Your therapist should provide you with a detailed home exercise program with picture handouts that are easily followed and understood. In many cases, your hospital rehabilitation department may have issued you a home exercise program as well.
What needs to be stressed here once you are home is that your dedication to the exercise program and your discipline to getting the necessary work done will determine your final outcome. Your physical therapist will provide the instruction and motivation as to why you must follow the program as instructed but you must apply the work and that cannot be done for you.

I recommended to patients that they complete the home exercise program provided two times a day. In some cases therapists will stress three times a day however, in my years of following TKR patients I do not see any advantage in doing the exercise three times a day. If you do the exercise’s correctly two times you will achieve your rehabilitation goals.

What you want to remember is more is not better here. In too many cases I find patients that feel the more exercises they do the faster they will rehabilitate themselves. What you are doing in fact is setting yourself up for a painful experience for the next few weeks that really you did not need to experience in the first place.

Knee replacement surgery is painful enough by itself without self-sabotage by over doing the exercise program. Keep the communication lines open between your physical therapist, nursing staff and of course your surgeons’ office to help answer any questions that are bound to come up during rehabilitation.
If you understand the fact that you and you alone are now responsible for your final outcome, you will have a better chance in having a successful outcome after surgery and begin living your life pain free once again.

Richard Haynes PTA, CPT.
Richard is a physical therapist assistant that specializes in total joint replacement recovery in the home health sector in southwest Florida. Richard has worked in the field of physical therapy since 1995 and graduated from Saint Petersburg College. Having had a total knee replacement himself in 1999, he understands and experienced first-hand the trials and tribulations that can go with rehabilitation.
Richard also can be reached at mailto:richard@richardhaynes.com/contact.

Richard can also be reached via his website at:
http://www.richardhaynespta.com

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How Modern Technology Harms Us

Back in the 1920′s, Thomas Edison was warning people about how he envisioned science becoming out of control and beginning to harm people. I think we’ve reached that point. Modern technology has advanced so rapidly and provides a wealth of amenities to make life easier. It also is making us a dumber society full of brainless drivers. In particular, I am speaking about the modern gadgetry found on new automobiles.

Modern technology is turning drivers into robots that are not smart enough to properly operate their own car. Visions of the Jetsons come to mind..only, the drivers I have seen are not even that smart. Some young female driver cut me off the other day, without turning her neck so much to see me. She was looking straight ahead when she pulled into traffic. So, I had to slam on my brakes to avoid hitting her. That’s good defensive driving and a testament to my good braking system. However, after I honked my horn, she turned and saw me, stuck out her tongue and flipped me the bird. That’s just one story about disrespectful and stupid drivers. It happens all the time, as I’m sure you have your own stories to tell. I’m not even getting into the amount of drivers who text or use their cell phones while driving or who sit in their cars texting after they are done pumping gas (while others wait in line).

Case in point…a parallel parking device that parks the car for you. If you cannot perform this function, DON’T DRIVE!! Give me a break..Drivers are not supposed to learn how to judge the distance between cars, from the curb or maneuver their car into a position? How is this device supposed to make life easier for fellow drivers?

Here’s another one. There’s a computer chip that checks whether anyone, or anything, is behind you. The purpose of this technology is to make pulling out of a parking space or driveway easier. It’s supposed to lower your chances of hitting someone due to having blind spots or poor visibility. Here’s a hint…if you cannot turn your neck enough to look behind you…DON’T DRIVE!! How about checking your car’s surrounding area and making certain it is clear before jumping in and backing up? Is that too difficult? I think not. How about doing what pilots do and yell “CLEAR!” prior to moving the car?

I have seen more than one individual drive while wearing a soft neck collar. One friend said she felt comfortable doing this and couldn’t understand what the deal was. I know of someone else who has a fused neck (with screws and plates) and is unable to turn his neck at all. He still drives (and flies a plane) and ridicules me because I refuse to drive or fly with him.

Or, if you are too lazy to use proper driving techniques to operate your vehicle…DON’T DRIVE!!!

What happens when these high-technology devices fail and people have to use their driving skills to get by? It’s a sad state of affairs, indeed.

Off note:
I saw a road sign the other day that stated…”Pull over for emergency vehicles.” WHAT??!! This has to be a roadside sign? How stupid have drivers become? What happened to learning that important fact during your driver’s training class? Don’t people put what they learned on their driving test to “real life” driving situations? What is currently being taught?

Another point…drivers who operate a vehicle without the capability of being able to turn their neck. Whether it be a fused neck, neck injury requiring a collar or brace, or any other physical reason..driving without being able to turn the neck is dangerous and stupid. It endangers the lives of the driver, passengers, and other motorists on the road. And…don’t tell me that it’s no big deal to drive while wearing a neck collar or having your neck fused. I don’t buy it. Tell that to the person laying in a hospital bed due to you not seeing them while driving.

Motor vehicles are not toys. They are deadly weapons that deserve respect and proper handling. People need to learn that. Having modern technology take the place of common sense good driving is utter stupidity, in my opinion.

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Ways to Naturally Relieve Scoliosis Discomfort

Hi my favorite readers! Having lived with scoliosis (curvature of the spine) for over 35 years, I have found there are a number of ways to naturally ease the discomfort level without taking prescription pain killers. Hopefully, you will find some of these useful for your situation. They range from physical activity, stretching, to meditation.

Physical activity.
Any activity that involves excessive jostling of the spinal column is a no go. Any activity that involves excessive pressure or stress on my spinal column does not work well with me. Hence, no jet skiing. I found that out the hard way. That activity involves way too much vertical spinal movement with hard landings for me to be comfortable. The same can be said about horseback riding.
* Swimming is an excellent physical activity to engage in to ease scoliosis discomfort. The water’s natural buoyancy supports body weight, taking pressure off the spinal column and joints. Some of my favorite exercises include:
· lifting my knee to my chest,
· holding onto the pool side while pulling my legs in, and
· simply using the water as a resistance against my legs.
* Stationary rowing is another good physical activity to engage in since it strengthens my back and upper body muscles. Movable rowing allows me to stretch my back, which helps my scoliosis. The same goes for snowshoeing.
* Stationary bicycling helps my lower back and scoliosis. I feel the stretch in my glutes and lower back. It’s not fun, but it works.
* As far as calisthenics go, I use ankle weights. I simply lay flat and do leg lifts. My leg lifts are to the side and straight up. I can feel my lower back muscles working. I know that helps my scoliosis.

Stretching
Stretching is fantastic for improving flexibility, hindering muscle stiffness and reducing pain. This provides an immeasurable benefit. Some of the stretching exercises that work will for me are the following:
* Lay on my back and lift my legs to my chest. I grab my knees and pull them forward until I feel the stretch in my lower back. This feels remarkably wonderful.
Laying on my side and bringing my leg forward to my chest. Again, I do this until I feel my lower back stretch.
* Lay on my back, and put my arms out sideways at shoulder length. I grab onto something to use as a foundation (like table legs, or bed sides). Then, I bring my knees to my chest. I then rock my legs side to side by holding my upper torso still. I do this until I feel a strong stretch as my lower back loosens up. Sometimes, for an extra stretch, I straighten my legs while on one side. This works great in easing any scoliosis discomfort. In fact, this is my personal favorite.

* Tai Chai provides me with a variety of stretching positions to ease my scoliosis discomfort. One particular movement involves clasping both hands and moving them overhead. Then, turn the upper torso to the right, bend to the right, and hold for a few seconds. Move back to center, and then turn to the left. The lower back stretch is wonderful from this movement.
* Another Tai Chi movement involves simply holding a ‘pretend’ ball in front of me- one hand above the other. Then, I bend to the waist level. The next movement involves keeping the bend while moving it to the right side. Same goes for the left. This move can also be done with an exercise ball. Tai Chai is a simple, yet powerful way to stretch out muscles.
* Speaking of exercise balls, these are fantastic for all-body stretches. I find that laying face down and then face up on one does wonders for alleviating my scoliosis discomfort. Laying face up with the ball across the center portion of my spine works equally as well. The stretch can be enhanced by raising arms overhead.
* Doing a simple toe-touching maneuver helps. By slightly bending my knees, I can slowly bend forward until my palms reach the floor. Holding this position until I feel my back muscles loosen greatly helps.

Meditating
Finally, meditating every day for a bit is a great way to calm the mind while also loosening the muscles.

DISCLAIMER:
This article only contains suggestions based on my personal experience in alleviating my scoliosis discomfort. They may not work for you. I will not be held responsible for any negative consequences resulting from someone following my suggestions.

NOTE: Marie Buckner, author and owner of Booktoots’ Healing, is a published author of over 2000+ articles, white papers, manuals, business communications, cookbook series, ezines, and ebooks. She holds an advanced university degree in business administration.

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Thank You

Hi my favorite readers! I wanted to take a moment and thank everyone for visiting and participating on this site. After recently reviewing a number of sites that are classified as tkr knee forums, I can confidently say that you are different from the rest. Most sites have comments posted with no one responding. Other sites simply contain outdated information. You have made this site work.

Thank you. Good luck and keep on working!

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