The E3 Rehab Podcast 173. Total Knee Replacement Rehab w/ Chris Hughen and Marc Surdyka
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Nov 5, 2024 Marc Surdyka, a Doctor of Physical Therapy specializing in total knee replacement rehab, joins Chris Hughen to dig deep into crucial pre-operative tips and early post-op care. They explore the importance of personalized rehabilitation plans and discuss the controversial role of ice and CPM machines in recovery. The conversation emphasizes transitioning through assistive devices and returning to high-level activities after surgery. They also highlight maintaining fitness for prolonged knee replacement longevity, balancing activity with recovery.
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Pre-TKA Recommendations
- Consider exercise, movement, and lifestyle adjustments to manage knee OA symptoms before considering TKA.
- Prioritize improving knee strength and tolerance to maintain desired activities.
TKA Consideration Timeframe
- While 6 months of non-operative management is generally recommended before TKA, consider individual needs and quality of life.
- Pain duration and its impact on activities should be prioritized over imaging results alone.
When to Consider TKA
- Consider TKA when knee pain significantly limits daily activities, social life, and mobility.
- Discuss surgical options when modifications and rehab fail to improve quality of life.