Everyone who goes into surgery for a total knee replacement (TKR) knows the leg is weak from pain and disuse. When and how does muscle strength come back after the operation? Studies show that many patients have weakness and loss of function that can go on for years. Electrical stimulation of the muscles improves strength in young adults. What effect will it have on older adults after a TKR? Physical therapists enrolled patients who were having both knees replaced at the same time in a study of electrical stimulation. Having subjects with both knees replaced gave researchers a chance to use electrical stimulation on only one side. Results were then compared to the patients' own knee that did not get electrical stimulation. Two groups were formed in this study. One group received the same exercises for both legs. The other group received neuromuscular electrical stimulation (NMES). The NMES group did exercise on one side and exercise along with NMES on the weaker leg. Everyone started th...
Total knee replacement (TKR) surgery can do wonders for an arthritic or damaged knee. But TKR is hard on the muscles around the knee. Surgery and the down time after surgery often cause these muscles to lose strength. Weakness is especially bad in the thigh muscles. Much of rehab after TKR involves strengthening the weak muscles around the knee. Electric muscle stimulation (EMS) can help muscles gain strength. It seems odd that simply passing an electrical current through a muscle can build it up, but it's true. EMS is sometimes used to regain strength after spine injuries. EMS has also been shown to help athletes build muscle. These authors tested using EMS in the thigh muscles after TKR. Fifteen patients were given EMS treatments after TKR. They were hooked up to EMS for four hours a day over six weeks. They also had the usual physical therapy. A second group of 15 patients received just the usual therapy. Both groups were checked for walking speed, walking effort, and knee function b...
I am 52, oxygen. asthema, and severe copd. I have started to have very sharp very painful stabbing pain on left side of my head temple area, almost above the ear. it stabs very quickly without warning. for a few seconds to a minute, then goes away for about 10 mintues and then it happens again. It started this morning. what can it be? Vonnie.
What you're describing could be ice pick headaches. You can find more information in Ice Pick Headaches - The Basics . That said, nobody can confirm that via the Internet, so you really should see your doctor about these pains.
Good luck, John Claude Krusz and Teri Robert
To review other questions from our Ask the Clinician Column, browse the Ask the Clinician archives .
If you need help finding a Migraine and headache specialist, visit our listing of Patient Recommended Specialists .
About Ask the Clinician :
Dr. Krusz is a reco...
You should knowAnswers to your question are meant to provide general health information but should not replace medical advice you receive from a doctor. No answers should be viewed as a diagnosis or recommended treatment for a condition. Content posted by community members does not necessarily reflect the views of Remedy Health Media, which also reserves the right to remove material deemed inappropriate.