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Originally, total knee arthroplasty (TKA), or replacements, were for older people who had often begun to slow down or limit physical activities. However, the population of patients undergoing TKA is getting younger and more active - and more ethnically and culturally diverse, requiring the ability to flex the replacement in ways previously not needed. The authors of this study wanted to identify articles in the literature that reviewed the postoperative range of motion of TKA. Among the articles one reviewed TKAs for stiffness and flexion (bending) contracture before the surgery. The findings of that study were that the more limited the flexion and the stiffer the joint before surgery, the more reduced the flexion would be after surgery. Another study, looking at physiotherapy after surgery, determined that postoperative physiotherapy was particularly important, especially now that hospital stays after surgery are shorter than they have been in the past. The study also notes that the ef...
Pain and snapping along the outside border of the knee can be caused by a variety of problems. It could be iliotibial friction syndrome, meniscus tear, degenerative joint disease, or even a loose fragment in the joint. In this report, the case of a 21-year-old female with a painful snapping of the left knee is presented. She had the symptoms for seven years. Evaluation and treatment by a variety of doctors and physical therapists were not helpful. She had to give up all sports and recreational activities. Any activity involving knee flexion or extension seemed to set it off. Even walking became a painful process. Her goal to return to running seemed impossible. She was seen by the authors of this case report (an orthopedic surgeon and a physical therapist). After a thorough examination, it was determined she should try another round of physical therapy treatment. The therapist used a trial of manual therapy, taping, icing, and a knee immobilizer. Conservative (nonoperative) care was uns...
About two months ago, I injured myself during kickboxing. I think I was doing a squat and turned my knee inward.
My knee hurt afterward, but I figured that maybe once I had my next dose of Humira, it would feel better. This was kind of nonsensical because while I’ve had knee pain with my arthritis, it hasn’t been one of the more significant areas of my body impacted by my arthritis.
So I let it go. My Humira dose came and went, and my knee still hurt.
I wasn’t really paying that much attention to the knee pain, but the kicker (no pun intended) was when, in another episode of kickboxing, I did a side plank (if you don’t know what that is, see: http://www.mayoclinic.com/health/core-strength/SM00047&slide=12 ), putting all of my weight on my knee, and it completely collapsed.
After a week of the pain getting worse, I went to the doctor, and was told that I had misaligned my kneecap. I was sent to p...
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