hi I'm Bob felt physical therapist
rather physical therapy we have the most
famous physical therapist on in a brand
our opinion of course Brad top five we
work with a lot of people who had
totally replaced great lots of thousands
and you know over time these are the top
five mistakes that we find people make
after they have their replacement done
and they're doing their rewrite so let's
start off with number one number one is
they don't focus on the right thing and
that's the thing they want to focus on
is they want to focus on getting the
knee as straight as possible and as bent
as far as possible right now scar tissue
is being laid down bread right after
this the surgery's being done so it's a
race against scar tissue it's the race
is to get that knee straight and the
race is to make it that deep and to many
people focus on the walking or the
strengthening all that's going to come I
can guarantee you that's going to come
but those two will not necessarily come
those are the ones you might have
trouble with soul to you the majority
your focus and time should be spent on
that range of motion range of motion up
what's number two and number two keep
your pain under control I'm working with
three different D patients right now and
it's amazing one has a pop with pain and
the other two are doing well is
controlled by their pain medications as
well as cold packs right and they use
them and they're consistent they take
them where they're supposed to they
don't try to avoid the pain pill and see
if they get away with it for a day and
then they come to therapy without pain
pills and then you cannot range them as
well you can't get anything done you go
ahead you know it's a waste of time so
you got to make sure that the pain pills
in place you have 45 minutes to an hour
before and you got to make sure it's a
pain pill that's going to work right so
otherwise it's just it's wasted time
right and cold packs we've got a video
axe yeah we got a video
how to make your own and how to use them
Bob can you put I'll put that alright
alright number three number three I find
so many people that again they got they
want to progress to a cane too quickly
they're starting off with a walker
usually and they started going to get to
the cane or the you know and I'll tell
them not to do this but yet next time
they come in they're using a cane and I
felt like it it's like I would not
generally this is my opinion Brad we'll
stop that like CD going to a cane until
your range is almost all the way there
already sure and my mother-in-law is a
good example she had knee replacement I
came to visit her hello my knee motion
got worse and I go what's going on and
found out she'd gone to a cane we went
back to the Walker and she started
making progress again so compensate with
that cane in that compensation goes the
other direction for you and the big
picture up number four breath this is
these aren't order I don't think is this
I think is one of the biggest things
that end us compare yourself to other
people's progress with their needs the
matter of fact Alice will fire five dot
three or four knees working at the same
week I will only sometimes I'll have
them schedule my schedule or say put
these two together if they're both the
same right and other personalities will
fit but if there's one that's not doing
well and one that's doing really well I
never want to see them together because
the one that's doing not so well is
going to compare themselves for the
right one or the one that's getting down
faster and they're going to feel
depressed and it's just a vicious human
nature and and I tell people everything
everyone I tell before we start brown
and everyone brings it up anyway and you
know the problem is someone's coming up
to them go on hello my me I was up
dancing in three weeks and the thing is
they weren't quite often but that's how
they remember
right the other thing is if you have two
needs done
let's say one you have one done they
later on you have another one one of
them is going to do really well in
comparison to the other right I mean
that's how it always is so it's just
it's beyond your control how quickly
these thing I know so and the whole
point is is 90 plus percent do very well
writer time exactly I just saw that as a
study you bad yeah and number five
number five is some people just stop
therapy too soon or don't go to therapy
I mean okay this is not therapy out of
need is one where you often need a
therapist because it's very difficult
for you to inflict pain on yourself I
hate to say it but knee replacements
it's one of the therapies where it is no
pain no gain most of them are not that
way right most of them were trying to
alleviate the pain but with therapy you
got to have something that's going to go
in there and stretch that knee and
you're not going to probably do it and
your spouse is not going to do it or
your family member is not going to do it
so you need to keep going with therapy
so don't get that wrong because
therapist no tricks that can make it
Bend easier is pain that's why you go
there but there's still going to be some
pain involved and remember Brad we're
not just pretty we're what are we about
we're we're really experienced and what
we're not pretty ugly well right let's
not let's not go there and so you want
to make sure you're going to subscribe
to us if you haven't already we're going
to give you videos on how to stay
healthy fit pain-free we're kind of like
mechanics for the body right exactly we
can give you a little tune-up yep - it
up turn up turn down all right comb your
hair thanks a lot