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TOTAL KNEE REHABILITATION IN UTAH

KNEE REPLACEMENT REHAB – ROCK RUN PHYSICAL THERAPY

Utah’s Best Physical Therapy For Knee Replacement Surgery Post-Op Knee Rehabilitation!

The knee joint is the most commonly replaced joint in the body, with hip replacement a close second.

The decision to have knee replacement surgery is one that you should make in consultation with your orthopedic surgeon and your physical therapist.

Usually, knee replacement surgery is performed when people have:

  • Knee joint damage due to osteoarthritis, rheumatoid arthritis, other bone diseases, or fracture that has not responded to more conservative treatment options
  • Knee pain, swelling, or alignment problems in the leg that makes it difficult to get out of bed, walk a short distance, climb stairs, and performing a daily routine is difficult.

What is a Total Knee Replacement (TKA)?

What is a Total Knee Replacement (TKA)?

A total knee replacement (TKR), also known as total knee arthroplasty, involves removing the arthritic parts of the bones at the knee joint (the tibia, sometimes called the shin bone; the femur, or thigh bone; and the patella, or kneecap) and replacing them with an artificial knee. This artificial knee consists of a metal cap at the end of the femur and a cemented piece of metal in the tibia with a plastic cap on it to allow the surfaces to move smoothly. When appropriate, the back part of the kneecap also may be replaced with a smooth plastic surface.

How Can The Physical Therapist at Rock Run Physical Therapy Help?

Your physical therapist is an integral part of the team of health care professionals who help people receiving a total knee replacement regain mobility, knee strength, and return to normal activities. Your physical therapist can help you prepare for and recover from knee replacement surgeries, and develop an individualized treatment program to get you moving again in the fastest, safest, and most effective way possible. The recovery period will focus on preventing blood clots, limiting scar tissue, decrease joint pain and post operative pain, reduce inflammation, improve mobility with a walker or crutches at first, before transitioning to full weight bearing.

Before Knee Replacement Surgery

The better physical shape you are in before knee replacement surgery, the better your results will be (especially in the short term). A recent study has shown that even 1 visit with a physical therapist prior to knee replacement surgery can help reduce the need for short-term care after knee replacement surgery, such as a short stay at a skilled nursing facility, or a home health physical therapy program.

Before knee replacement surgery, your physical therapist at Rock Run Physical Therapy will:

  • Teach you an exercise program to improve the strength and range of motion of the knee joint and surrounding muscles.
  • Pain management techniques
  • Demonstrate how you will walk with assistance after your operation, and prepare you for the use of an assistive device, such as a walker.
  • Discuss precautions and home adaptations with you, such as removing loose accent rugs that could cause you to “catch” your leg on them when maneuvering with an assistive device, or strategically placing a chair so that you can sit instead of squatting to get something out of a low cabinet. It is always easier to make these modifications before you have knee replacement surgery.

As You Begin to Recover from Knee Replacement Surgery

The initial goals once you begin outpatient physical therapy are to manage pain, decrease swelling, heal the incision, scar tissue prevention, restoring normal walking, and initiate an exercise program.

Usually, our patients at Rock Run Physical Therapy accomplish this in the first 2 weeks if we see them immediately after discharge from the hospital. We then slowly ramp up your range-of-motion exercises, progressive surrounding muscle strengthening exercises, body awareness, and balance training, functional training, and activity-specific training to address your specific goals and get you back to the activities you love!

We tend to follow the orthopedic surgeons post knee replacement protocol with the main focus on preventing infection, helping patients bear weight, bend knee, and manage pain and swelling.

Range Of Motion exercises

Swelling and pain can make you move your knee less. At Rock Run Physical Therapy we will teach you safe and effective range of motion exercises to restore movement (range of motion) to your knee so that you can perform your daily activities. The typical range of motion is 0 degrees (fully extending the knee) to 140 degrees (fully bending the knee)>.

Strengthening exercises

Weakness of the muscles of the thigh and lower leg could make you need to still use a cane when walking, even after you no longer need a walker or crutches. At Rock Run Physical Therapy we will help determine which strengthening exercises are right for you after knee replacement and during your outpatient physical therapy. In addition, we may use Blood Flow Restriction Therapy to accelerate healing using the non-invasive power of Growth Hormones.

Body awareness and balance training

Specialized training exercises help your muscles “learn” to respond to changes following a knee replacement, such as uneven sidewalks or rocky ground. When you are able to put your full weight on your knee without pain, your physical therapist may add agility exercises (such as turning and changing direction when walking, or making quick stops and starts) and activities using a balance board that challenges your balance and knee control. Your program will be based on the physical therapist’s examination of your knee, on your goals, and on your activity level and general health.

Functional training

When you can walk freely without pain, your physical therapist may begin to add activities that you were doing before your knee pain started to limit you. These might include community-based actions, such as bowling or golfing. Your program will be based on the physical therapist’s examination of your knee, on your goals, and on your activity level and general health.

The timeline for returning to leisure or sports activities varies from person to person; At Rock Run Physical Therapy we will be able to estimate your unique timeline based on your specific condition.

Activity-specific training

Depending on the requirements of your job or the type of sports you play, you might need additional rehabilitation that is tailored to your job activities (such as climbing a ladder) or sports activities (such as swinging a golf club) and the demands that they place on your knee after knee replacement surgery. Your outpatient physical therapist at Rock Run Physical Therapy can develop an individualized rehabilitation program for you that takes all of these demands into account.

Further Reading

At Rock Run Physical Therapy we believe that you should have access to information that could help you make health care decisions and also prepare you for your visit with your surgeon.

The following articles provide some of the best scientific evidence about physical therapist treatment of TKR. The articles report recent research and give an overview of the standards of practice for treatment both in the United States and internationally. The article titles are linked either to a PubMed abstract (summary) of the article or to free access to the entire article so that you can read it or print out a copy to bring with you when you see your health care provider.

Patients with TKA Who Receive Outpatient Physical Therapy Soon After Knee Replacement Surgery Recover More Quickly Than Patients Who Receive Home Physical Therapy First

http://www.apta.org/PTinMotion/News/2017/1/23/TKAHomePTVSOutpatientPT

Bade MJ, Kohrt WM, Stevens-Lapsley JE. Outcomes before and after total knee arthroplasty compared to healthy adults. J Ortho Sports Phys Ther. 2010;40:559–567. Free Article.

Topp R, Swank AM, Quesada PM, et al. The effect of prehabilitation exercise on strength and functioning after total knee arthroplasty. PM R. 2009;1:729–735. Article Summary on PubMed.

Kirkley A, Birmingham TB, Litchfield RB, et al. A randomized trial of arthroscopic surgery for osteoarthritis of the knee [published correction appears in: N Engl J Med. 2009;361:2004]. N Engl J Med. 2008;359:1097–1107. Free Article.

Moffet H, Collet JP, Shapiro SH, et al. Effectiveness of intensive rehabilitation on functional ability and quality of life after first total knee arthroplasty: a single-blind randomized controlled trial. Arch Phys Med Rehabil. 2004;85:546–556. Free Article.

 

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Immediately Following Surgery



The goal of the first 2 weeks of recovery is to manage pain, decrease swelling, heal the incision, restore normal walking, and initiate exercise. Following those 2 weeks, your physical therapist will tailor your range-of-motion exercises, progressive muscle-strengthening exercises, body awareness and balance training, functional training, and activity-specific training to address your specific goals and get you back to the activities you love!

Range-of-motion exercises. Swelling and pain can make you move your knee less. Your physical therapist can teach you safe and effective exercises to restore movement (range of motion) to your knee, so that you can perform your daily activities.

Strengthening exercises. Weakness of the muscles of the thigh and lower leg could make you need to still use a cane when walking, even after you no longer need a walker or crutches. Your physical therapist can determine which strengthening exercises are right for you.

Body awareness and balance training. Specialized training exercises help your muscles “learn” to respond to changes in your world, such as uneven sidewalks or rocky ground. When you are able to put your full weight on your knee without pain, your physical therapist may add agility exercises (such as turning and changing direction when walking, or making quick stops and starts) and activities using a balance board that challenge your balance and knee control. Your program will be based on the physical therapist’s examination of your knee, on your goals, and on your activity level and general health.

Functional training. When you can walk freely without pain, your physical therapist may begin to add activities that you were doing before your knee pain started to limit you. These might include community-based actions, such as crossing a busy street or getting on and off an escalator. Your program will be based on the physical therapist’s examination of your knee, on your goals, and on your activity level and general health.

Activity-specific training. Depending on the requirements of your job or the type of sports you play, you might need additional physical rehabilitation in Utah that is tailored to your job activities (such as climbing a ladder) or sport activities (such as swinging a golf club) and the demands that they place on your knee. Your physical therapist can develop an individualized rehabilitation program for you that takes all of these demands into account.

Rehabilitation Programs Experiencing Pain?

Patient Testimonials

We are committed to providing the best physical therapy experience with the highest quality of care for optimal results. See what real patients have to say about us!

When I first came in to Rock Run I had so much pain in my left shoulder I couldn’t sleep. At the end of my therapy I sleep without pain, and the pain in my shoulder is significantly less with my day-to-day activities. I worked in physical therapy previously so I had very high expectations. Rock Run exceeded all my expectations! The staff are amazing! I would highly recommend Rock Run for Physical Therapy needs.

5 Stars

Michael M.

— Michael M., Posted July 23, 2021

The staff at Rock Run was amazing. They were all so fun and caring.
Jerrin was very instrumental in my quick recovery. He gave both Johnny and I exercises to do at home that were helpful.
I would highly recommend Rock Run to anyone I need of physical therapy.

5 Stars

Johnny & Diane H.

— Johnny & Diane H., Posted July 22, 2021

The people here are the best. They really make you work so you can become better at doing things. I can do things now that doesn’t hurt like it use to. I will come back if I need PT again.

5 Stars

Luella K 2021

— Luella K., Posted July 21, 2021

Best experience I have had with Physical Therapy. Great balance of pain control and progress. I limped in the first time and could jog out today! With a little more work I’ll be running soon!

Thank you!

5 Stars

  • Sarah R.
— Sarah R., Posted July 19, 2021

It has been so many years since I have been able to do any physical activity that I lost hope in the physical therapy. Since starting my treatment with Rock Run I have gained mobility, confidence, as well as my life back. Thank you for giving me back my freedom!

5 Stars

Kayla L. 2021

— Kayla L., Posted July 15, 2021

I was skeptical at first but my improvement changed my mind. The diagnoses and treatments were spot on. They teach you how to heal yourself. Stick to regiment and you will see results. I enjoyed the staff and our conversations. Truly a great experience.

5 Stars

  • Bryan B.
— Bryan B., Posted July 14, 2021

I remember I was very hesitant with going to therapy. My fiancé and my co workers all told me for a year I should and at least give it a try. As the pain got worse, I gave in. Even though the pain is still not gone fully, I was not disappointed. Everyone worked very hard to help with the pain and I felt like they actually cared, which they did. We did multiple things and exercises for multiple pains in my body. I felt like I made friends while here. They cared about my interests, my job and life. Always asked about how my book was going and about my wedding. With all their patients, I enjoyed that they took the time to learn my name and all about me. I definitely do not regret my decision on going to Rock Run.

5 Stars

Makayla W. 2021

— Makayla W., Posted July 12, 2021

This is the best place ever for physical therapy! Everyone is so curious and knowledgeable. The exercises given are what you need. I do not want to ever go anywhere else. I have developed a great rapport with this group.

5 Stars

Ginny R. 2021

— Ginny R., Posted July 9, 2021

I came in with a broken neck (C2) in which my mobility was really bad. With the PT I have been able to go from immobility to being able to do what I feel comfortable trying and sometimes I’m successful. Can play a round of golf and not be afraid of hurting myself again. Truly never thought I could do the things I am doing now. Truly amazing thank you so much

5 Stars

Troy G. 2021

— Troy G., Posted July 8, 2021

This is my second total knee replacement. And both experiences exceeded my expectations! I am able to go up and down stairs better now than I have been able to in several years. I can walk without limping for the first time also. I recommend Rock Run PT to everyone and I am grateful that they are so close to my work and home. Everyone is very professional and they are fun to work with. Thanks for treating me like a “VIP”!

5 Stars

Clive I. 2021

— Clive I., Posted July 7, 2021

My therapy at Rock Run has been very beneficial as I have improved my stability, range of motion, and balance. I have had 2 total knee replacements in the last eleven months. I feel so much better as I do my daily activities and I’ve increased my ability to walk, stand, and do household duties. I appreciate the staff at Rock Run for their dedicated and professional care.

5 Stars

Jessie B. 2021

 

 

— Jessie B., Posted July 3, 2021

They’ve done a great job. Always greeted with a smile. Fun to talk to. Always happy to help me through the paces. Conveniently located except when the wind blows the wrong way… PU dump!

I can walk without a walker and get to where I want to go. Thought the scraping was very beneficial. Thanks for helping me through the recovery process. Thank you for the encouragement and smiles.

5 Stars

  • Steve G.
— Steve G., Posted July 1, 2021

My experience at Rock Run has been great. The folks I have worked with have been wonderful. They have pushed me into being comfortable with walking, stairs, standing and balance. Which I have had trouble with doing post-surgery. I now feel confident doing all those things. This has been wonderful and very friendly. I truly have enjoyed doing the work and even the hard things have improved. Thanks to all of you for the smiles and friendship, you guys are great!!!

5 Stars

Susan F. 2021

— Susan F., Posted June 25, 2021

I came in due to my right shoulder weakness after an injury 8 months before. Within 6 weeks, I was back to normal function. The stagg was aweseome no matter who I had for the session. I would highly recommened to anyone to come here for rehab after an injury of any kind.

5 Stars

Bonnie B 2021

 

— Bonnie B., Posted June 20, 2021

I came into Rock Run with 2 herniated disks. I had very limited motion and couldn’t sleep through the night. The team at rock run was excellent. In only a couple of visits, I saw significant improvement. They do a great job and I would fully recommend them.

5 Stars

Dan B. 2021

— Dan B., Posted June 19, 2021

I love these guys. I broke my tibia, fibula and ankle and started at Rock Run before I could even put any pressure on that leg and I’m now walking 13 weeks later. I probably still have another month to go but it seems like a miracle to me. They listen to me and adjust the program according to the things I need the most. They are always encouraging and kind and easy to work with. I hope to never need them again but if I did I wouldn’t hesitate to return to Rock Run Physical Therapy.

5 Stars

  • Pete B.  2021
— Pete B., Posted June 18, 2021

My visits were so good and it helped! My shoulder was so stiff when I started, and I couldn’t move it. Now I can move it all around and it doesn’t hurt anymore. The ladies are so good and nice here. I will come back if I need to.

5 Stars

Robin. S 2021

— Robin S., Posted June 17, 2021

I felt well taken care of. All of my concerns were discussed and addressed fully. Everyone is so knowledgeable and personable. Thank you!

5 Stars

Stephanie J. 2021

— Stephanie J., Posted June 16, 2021

I had a great experience. The attention I got was beyond expectation. I have been to other PT clinics and I never got as much attention as I did here. I enjoyed coming in for PT every week. I learned a lot of new exercises and I have a new outlook on my shoulder rehab. I never thought I would be able to get back to where I was pre injury but now I know I can thanks to the knowledge and patience of the members of Rock Run. I have recommended this place to others and I will continue to recommend Rock Run. Thank you to all the people here.

5 Stars                                      Mark S. 2021

— Mark S., Posted June 3, 2021

Jerrin and Alec were great helping me with exercise and stretches to help me gain better strength in my core and hip and improve my hip and leg mobility. I had great difficulty walking after sitting for a long care ride and now I can do it without the weakness and pain that I previously experienced. It was all a good experience for me.

-Maxine P.

5 Stars

— Maxine P., Posted May 31, 2021

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