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December 11, 2004

Knee Replacement Follow-up

I have three clients, all at different stages of recovery, from knee replacement surgery. Everyone is recuperating nicely--all their MRI and CT scans are coming back normal, but my latest client (I'll call them KR3) seems to be in an inordinate amount of pain.

I had heard from one of my clients that their aunt had undergone knee replacement surgery and had formed a lot of scar tissue. They had to go into the knee again and cut some of the scarring to reduce pain and improve mobility.

I've seen KR3 twice before and have gained some comfort in the joint, but no increased range of motion (the ideal is 115 degrees). I worked for an hour softening the quadracep muscles, doing deep tissue in knee attachments and stretching the hamstring muscles.

KR1 came in the following day, and on a lark I checked the mobility of their patella. Theirs was as mobile as the opposite knee, which got me thinking about the aunt from paragraph 2.

Friday, KR3 called to say that their knee was much improved and hoped for another appointment that day. They had slept much more comfortably that night and believed they had gained a degree or two in range of motion.

I checked their patella--it was nearly frozen in place. I worked around the patella, more deep work directly in the knee attachments and cross fiber friction in the quadriceps. The hamstrings remained supple from Wednesday's session. With a little added mobility in the patella, the client left the session feeling good and was able to bend the knee with more ease.



Posted by linda at December 11, 2004 12:02 PM

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