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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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TKR Exercise Is Critical

Hi everyone! One of my readers sent me this article about the importance of exercising after a total knee replacement. I thought it was interesting and wanted to share it again. The powerful data never grows old…

Exercise after knee replacement critical..
http://www.eurekalert.org/pub_releases/2009-02/uod-eak020209.php

It may be uncomfortable at first, but doing exercises to strengthen your quadriceps after you’ve had knee replacement surgery due to osteoarthritis is critical to your recovery. In fact, it can boost the function of your new knee to nearly that of a healthy adult your age.

That’s the finding of a University of Delaware study published in the February issue of Arthritis Care & Research.

The authors include Lynn Snyder-Mackler, Alumni Distinguished Professor of Physical Therapy at the University of Delaware, Stephanie Petterson, clinical faculty at Columbia University, Ryan Mizner, an assistant professor at Eastern Washington University, Jennifer Stevens, an assistant professor at the University of Colorado at Denver, and Drs. Leo Raisis, Alex Bodenstab, and William Newcomb of First State Orthopaedics in Newark, Delaware.

“It sounds logical that exercises to strengthen your knee should be a component of your post-operative physical therapy after a total knee replacement, but it’s not the convention at all,” says Snyder-Mackler.

“There are all of these old wives’ tales that strength training is a detriment to the patient and that the new knee should be treated delicately,” Snyder-Mackler notes. “Our study demonstrates that intensive strength exercise as outpatient therapy is critical to begin three to four weeks after surgery.”

Nearly 500,000 knee replacements, also known as total knee arthroplasties, are performed every year in the United States to treat severe knee osteoarthritis, the loss of the cushiony cartilage padding the knee. The joint disease leaves its sufferers with persistent pain and limited function, resulting in an overall diminished quality of life.

While knee replacement alleviates the pain of osteoarthritis and improves function, patients exhibit impaired quadriceps strength and function for such activities as walking and climbing stairs, and the levels remain below those of healthy people of the same age.

In a randomized controlled trial at the University of Delaware’s Physical Therapy Clinic conducted between 2000 and 2005, 200 patients who had undergone knee replacements were given six weeks of progressive strength training two or three times a week starting four weeks after surgery. Half of the group also received neuromuscular electrical stimulation (NMES).

Their function was compared to that of 41 patients who received conventional rehabilitation and home physical therapy. Quadriceps strength, knee range of motion, and gait were measured in such tests as timed up and go, stair climbing and a six-minute walk.

The group in the progressive strength-training program showed significant improvement in quadriceps strength and functional performance. They also demonstrated substantially greater quadriceps strength and functional performance after 12 months than the group that underwent conventional rehabilitation.

“This study clearly demonstrates the importance of surgeons encouraging their patients to be compliant with progressive quadriceps strengthening during their rehabilitation to enhance their clinical improvement and function post-total knee replacement,” notes Dr. Leo Raisis, a total joint surgeon and adjunct associate professor at the University of Delaware.

“Why undergo a $25,000 elective surgery and then not do as much as you can to get the most out of it and improve your quality of life?” Snyder-Mackler says. “Older people are incredibly motivated—they hurt after the surgery and they want to be better. They need to do this.”

Hope this helps others going through the same thing. Remember, you are not alone. Check back here often for further insight to help your tkr recuperation process.

Find interesting? Kindly share…Thanks!

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.






7 Ways to Speed Up Your Knee Replacement Recuperation

Hi my favorite readers. I have had quite a few readers approach me recently and inquire about ways to make the tkr recuperation easier. There is no simple approach, unfortunately. Sharing one of my more popular posts regarding this topic may help you. Good luck!

Having a total knee replacement surgery is only part of the process. Always remember that. How you deal with the recuperation to actually use your new knee is another part. It, actually, is the hardest part. Only you can determine the extent of your success.

  • Here are some ways I have noticed an improvement in my total knee replacement recuperation. My knee is getting better every day because of them. They may work for you. Here goes…

    * Every hour on the hour, get up and walk around. Even if it is for only a couple of minutes. You need to stand up and get your blood flowing. Your level of recuperation (and physical therapist) will determine whether you use a walking aide or not.

  • *Do as much as you can for yourself. Lower your reliance on others when you can easily do it yourself. You will only be hurting yourself.
  • *Know that it will be painful. You cannot get around having pain after a major surgery. Bummer.

    *Take a pain med prior to your exercise. I find that ½ hour beforehand works best for me. This will help make your exercise regimen go easier. Of course, your pain meds will decrease as time goes on and your level of recuperation increases. The sooner the better, I say.

    *Set a goal for your knee flexibility. Find a ‘hash mark’ on the floor that you want to stretch your foot to. Lift your leg farther than an earlier attempt. Your physical therapist can help with this.

    *Keep icing. After every exercise bout, ice your knee area. The best is a simple ice pack. Or, frozen peas and carrots work well.:)

    *Elevate. Keep your leg elevated when not exercising. This helps the healing.

    Recuperating from a total knee replacement takes work, time and effort. Stay with it and you will only benefit. Remember to check back here often to realize that you are not alone.

    Find interesting? Kindly share…

    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.







    “I Know I Can Do It”

    I have mentioned before about the importance of having a positive outlook while going through recuperation. Sometimes it is easier said than done. We all know that. Everyone is entitled to get depressed or experience other negatively-oriented emotions. Your overall mental state determines your ultimate success, however..

    Upon doing research into games for handicapped individuals, I came upon this enlightening article I wanted to share. It just goes to show the importance of maintaining the proper attitude.

    Enjoy!

    Here is the link:
    http://www.cureourchildren.org/sports.htm

    Scroll down on the page and see an article titled..”I Know I Can Do It”. It’s worth taking the time to read…:)

    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.






    Enjoy Your Memorial Day

    Happy Memorial Day to all my USA readers. Remember to pay your respects to those who have sacrificed their lives to give us our freedoms.

    Remember this day is about more than having picnics and barbeques. Celebrate the true purpose.

    For some interesting reading that provides more insight into this federal holiday, please visit this site:

    Memorial Day – In Memory of Our Honored Dead

    MemorialDay

    Thank you…

    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.

    Find interesting? Kindly share…







    Book Purchasing Update

    Hi everyone. There seems to still be some confusion about ordering my books. Here’s the scoop just to clarify everything:

    When purchased directly from my website, with payment via PayPal – the books will be transmitted to you when I receive payment notification. I do not currently have the software capable of allowing instant downloads. Hence, the books are NOT immediately downloadable.

    You will receive a thank you email from me. If I do not have immediate access to the files (I do not sit in front of my computer 24/7..:) ) – I will notify you of a time frame. More than likely, you will receive the book within 24 hours after your payment has cleared.

    I hope this clears up any confusion. All the details are located on my Books Page, but I thought a separate post may also be helpful to those so interested.

    Thanks again for all of your support. Have a great one and remember to keep returning to this site for further insight about a number of topics.

    Find interesting? Kindly share…

    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.






    Overdoing It: Are You Doing This?

    Hi my favorite readers! I was just thinking about writing a post about how to tell when you are overdoing it, when a rescue team was called to the hot tub. It turns out a lady overheated while sitting in the tub. She didn’t realize she was overdoing it. I don’t know how it turned out, but hopefully she is home staying cool.

    So..how do you know when you are overdoing it? When first recuperating from a total knee replacement, knee swelling and warmness are common symptoms. So is pain. So is pain. (The double entry is purposeful.)

    I remember asking my physical therapist for an answer. She mentioned that if there was pain for more than two hours after exercise, it signified overdoing it. OK. More than one source confirms this two-hour period for being a gauge. So, I’ll buy that.

    Now…how about the times not affecting a tkr, or total knee replacement? Like when one is sitting in a hot tub, wet or dry sauna, swimming or exercising in the gym? What about pregnant woman, those with diabetes, etc.? Hotter temperatures can easily lead to heat exhaustion or heat strokes without any physical exertion involved.

    I had someone tell me to put a cold towel on my head while sitting in a sauna to withstand hot temperatures for longer periods of time. I can see how a cold head might help out. But, my question is…how can you tell when you’re overdoing it? If your head is cold, does that mean the rest of your body isn’t getting overheated? How can it? What if the nerves in someone’s cervical area, which send signals from your neck to your body are severed, or damaged, so proper transmission is hindered?

    Anybody have an answer?

    Anyways…overdoing can result from too much exercise, too much heat, too much food, too much anything..to be truthful. When doing research into overdoing it, I came up with a list of signals to look out for. This applies to the general population who do not have any predisposed conditions, like a fractured C-1.

    Loss of appetite
    Visual field impairment
    Sleep disorders
    Mood disorders like irritability..(yeah, I’ll blame it on that..:) )
    Heart rate fluctuations like murmurs
    Excessive fatigue
    Incessant sweating or lack of any sweating
    Shortness of breath, dizziness or breathing difficulties
    Difficulties focusing and concentrating
    Muscle cramps and spasms
    Chest pains
    Nausea and vomiting

    It is imperative that you know your body so you can more easily notice when things aren’t feeling or going correctly. At least, that’s what I’m told.

    Overdoing it is a foreign field to me, since I’ve had a fractured C-1. Personally, I don’t realize I’m overdoing it until I cannot function properly. That is why I keep track of my pulse, time spent engaged in activities and other external signals. Even those fail sometimes.

    Whenever in doubt about any situation, I always place safety first. I would much rather be a “wimp” than someone in the emergency room.

    Hope this helps others going through the same thing. Find interesting? Kindly share…..Thanks!

    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.








    Happy Mother’s Day 2016!

    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!

    Happy-Mother-s-Day 2016

    bird moms

    Find interesting? Kindly share…

    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.






    Rated One Of The TKR Best: Sharing An Accomplishment

    Hello everyone. I am very proud to announce the news of – for the third consecutive year – being rated as one of the top total knee replacement blogs online. Healthline.com has honored my site with this prestigious and honorable accomplishment. I could not have done it without your support and sharing.

    I opened up my email today and received this inspiring message:
    “Congratulations! Your blog has made Healthline’s list of the Best Total Knee Replacement Blogs of 2016! Healthline’s editors selected each winner based on their reach to educate, inspire, and empower their readers with frequent updates and high quality information.” Doesn’t get much better than that, does it? 🙂

    total knee replacement best blogs badge
    Healthline

    Some background on Healthline, as taken from their website: “As the fastest growing consumer health information site — with over 40 million monthly visitors — Healthline’s mission is to be your most trusted ally in your pursuit of health and well-being.” I can attest to its being a very informative and helpful website, containing only verifiable, realistic information in many medical areas.

    Here is what they wrote about my blog in their listing:

    Booktoots’ Healing

    “If you’re looking for advice and information about total knee replacements from someone who’s undergone one, look no further than Marie Buckner’s blog, Booktoots’ Healing.

    Marie’s posts are incredibly personal, and deal with an array of subjects related to joint replacement surgery. Her recent posts deal with post-surgery issues like how to perform chair yoga, do balancing exercises to help get used to your new knee, and use resistance bands for better joint health. Others discuss what your expectations should be regarding the aesthetics of your knee after replacement surgery.”

    For more insight into other blogs receiving this proud acknowledgement, click on this link:
    The 8 Best Total Knee Replacement Blogs of 2016

    Once again, thank you from the bottom of my heart. This blog started as a way for me to feel less alone about my tkr experience. It has since developed into a wonderfully supportive international community. Thank you..

    Find interesting? Kindly share…

    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.






    TKR Nerve Damage: Some Insight

    Hi everyone. I have had quite a few inquiries about dealing with nerve pain after a tkr, so thought I would pitch in and provide some feedback. As I have mentioned before, I had developed very noticeable bone spurs on each side of my left knee, the knee that was finally replaced. The bone spurs dug into my nerves and caused quite extensive damage, technically known as severe neuropathy. Anyways….

    There are extended times when the pain is either completely unnoticeable or slightly uncomfortable. When I swim, the pain is almost nonexistent. In fact, I had gone for so long without any pain, I forgot that the possibility was there.

    Then, I attended a workout known as Body Pump. The workout can be adjusted to individual preferences. I chose to use very light weights of five pounds.

    The workout consists of squats, pushups, planks, arm lifts, and other maneuvers that result in a whole-body set. Motions go from slow to fast-paced. It is a versatile workout program.

    My squats were very shallow. Part of that was due to having decreased tkr mobility. I have a 93-degree bend in my knee. I did wall push-ups so I didn’t have to get onto the floor. No problem. None of the arm maneuvers were a concern. I felt very good after the workout.

    The next day was another story. My nerve damage reminded me it was there. It is now a month afterwards, and I still have the remnants. I know it could be much worse, but it is an annoyance.

    I hope this helps others going through the same thing. I must reiterate, the nerve damage is not caused by the total knee replacement surgery.

    Find interesting? Kindly share….

    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.






    Website Development Help Wanted..

    Hi everyone. Are you familiar with how to develop a landing page, write and place powerful subheadings, tags, and other viable website development tools? If so, I sure could use your help.

    I am looking to work with a website development expert who can guide my site and I towards higher levels of readership, search engine efficiency, and other viable subjects. Please be able to explain technical terms in easy-to-understand language that a non-tech person can comprehend. 🙂

    Please contact me either by posting a comment below this article, or by directly sending me an email. My email address is: marieb@booktoots.com.

    Thanks for reading, considering my offer, and responding. If you are not able to provide this insight, perhaps you know of someone who can. Kindly share the news with them.

    Find interesting? Use any of the below icons to spread my website development request across the Internet. Just click and share…

    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.