knee manipulation

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Hello
I had a rtkr on May 1. I went to see my os two weeks later and he was talking about a manipulation. He gave me a week of agressive therapy went from 82 to 90. Went back to see him and he wasn't to happy. He has given me another two weeks to improve.  He just wants me to get the most out of my new knee which is understadable. I really don't want to do this. I talked with my pt and asked about pool therapy. So I have been going on my own twice this week. It seems to help. I have a book total knee replacement which showed some exercises to do in the whirlpool and then walking in the regular pool. Has anyone had this done and what were results? I am told some people get big numbers and others remain the same. The pain and more aggressive therapy is what I am told will be for a couple of weeks. If  I don't get this done will I always be at those numbers? Can I improve this over time? Please help I don't know what I am going to do.
thank you
Earthlady

[defender]

Like you i have just had TKR surgery and after five weeks of following all the exercise routines i have a badly swollen knee and restricted movement.

My physio has informed that the surgeon will carry out manipulation some time next week ( like you i am not looking forward to it).  I note that it was July when you posted your comments on this web site. I would be interested to know how you are today.

Thanking you in advance
Ron
Lancashire UK

[sonu78]

Hi,
Though we are having a lot of advancements taking place in our field, it is really not possible to replace the nature's gift.
Once you have an artificial total knee replacement, you are expected have good range of movements and activities as close as possible. But this does not mean that you can run about all over the place as it would have been with a normal joint.

[Shelly3582]

I had a lt. Total Knee replacement 5/17/07, and a manipulation on 10/25/07, while the Dr. was able to break up a good amount of scar tissue and had my knee to 110 degrees under anesthesia.  I did intense physical therapy every day for 14 days and then every other day for 14 more days. When I finished with PT my range of motion was only 85 degrees and the debilitating pain I have had since surgery returned.  The manipulation procedure of course cause me no pain and my surgeon filled my knee full of anesthesia so I had about 18 hours pain free.  When the anesthesia wore off it was painful but I just took my pain medication and did my PT faithfully.  Unfortunately, the manipulation did not help me and by one month later I was back to the horrid pain & 85 degrees of flexion.  On Dec 7, 2007 my surgeon removed massive scar tissue arthroscopically and is hopeful that this will take care of my pain & limited ROM.  All componets looked good and he felt no need for a revision TKR.  Today as I write this my pain is back and my motion is about 65 degrees.  I hope your manipulation turned out well and that things are going well for you.  I have been on Opiods for pain and am following with a Pain Mgmt Dr. for my pain meds as my orthopedic Dr. is being pressured by his clinic manager to get me off of the Opiods.  So many people do not understand the importance of having your pain controlled.

Shelly3582