How to Use the Leg Press After a Knee Replacement

After you have a knee replaced many people get concerned about what they can and cannot do physically. The orthopedic surgeon also in most cases will try and scare you to death concerning the replacement and re-injuring the knee if you are not careful.

No doubt there will be limitations after your knee is replaced after all, it was a major surgery and, your knee is no longer the original. After having my knee replaced in 1999 and being told that I had to settle for swimming and biking only I set out to discover what else could be done to get my legs stronger again.

Having worked out in the gym for years prior to the surgery, I knew with some temperance that I could go back to several exercises for the legs, and the one that I feel builds the most strength and gets some mass and size back in your leg at any age is the leg press.

The leg press while being seated protects your low back providing you use it properly and does all the balance work for your upper body so that you can concentrate on the movement and, the development of the quadriceps. The important piece of advice I can give you is that you want to use a weight that is light enough that you can get a full range of motion from so, weight is not as important as is technique.

With the leg press also, you can either work both legs together or, work them unilaterally. The leg press itself is a safe alternative to the squat not only for your back but will not put as much stress on the knee prosthesis itself.

Be sure you are medically cleared by your orthopedic surgeon prior to starting or continuing your exercise program. Also be prepared for your surgeon to advise against most exercises in the gym. Most are very conservative and, unless they workout themselves or have had a knee replaced they will advise you against weight training.

You have to be the judge yourself. Use light weight and go for higher repetitions instead of heavy weight and low repetitions. I use anywhere from 15-25 repetitions and stay with a weight from 185-235 pounds. Settling for a world of limitations should not be for you.

Source by Richard A Haynes


Knee Anatomy and Reasons for Knee Replacement

Knee replacement is a surgical procedure to resurface a knee that is damaged by arthritis. In this procedure, metal and plastic parts are used to cap the ends of the bones that form the knee joint. This surgery is considered for those patients with severe arthritis. There are a number of types of arthritis that may affect the knee joints. Osteoarthritis – a degenerative joint disease that affects mostly middle aged and older adults is one of the other reasons that cause breakdown of joint cartilage and adjacent bones of the knees. Another cause of knee damage is the inflammation of the synovial membrane and leads to pain and stiffness.

Well, the main goal of a knee replacement surgery is to resurface the parts of the knee joint that have been damaged. Usually when all the other methods fail, a knee replacement is considered.

Let’s first understand the anatomy of the knee

A joint is a place where two bones meet. The knee is formed by two long leg bones that are held together by muscles, ligaments and tendons. Further, each of these bones is covered with a layer of cartilage that absorbs shocks and protects the knee. The tendons are tough cords of connective tissue that connect the muscles to the bones. Ligaments are essentially the elastic bands of tissues that connect the bone to another bone. Some of these ligaments provide the knee with stability and protection of the joints. Some others limit the motion of the structure – like the forward and backward movement.

Essentially, the knee consists of the tibia which is the larger bone of the lower leg, the femur, which is the thigh bone and the patella – which is the knee cap. Other than these, it consists of the cartilage, ligaments, synovial membrane, tendon and the meniscus (acts as a shock absorber).

Reasons for a knee replacement

Knee replacement is considered only if other forms of treatment are ineffective. Some of the most common forms of treatments include anti-inflammatory medications, glucosamine, pain medications, limiting painful activities, physical therapy, cortisone injections in the knee joints and other injections that essentially add lubrication to the knee joint to make the movements less painful. Another important factor considered is the weight of the individual. Weight loss is one of the most recommended treatments.

During knee replacement, the doctor removes the damaged surfaces of the knee joint and resurfaces the knee joint with the prosthesis. This prosthesis is made up of metal and plastic. One of the most common types of artificial knee is a cemented prosthesis. The un-cemented ones are outdated and no longer used. A knee replacement surgery usually requires hospital stay and your doctor will suggest that you see a physical therapist so as to get the new knee back into action. A complete exercise routine is then finalized and you must religiously follow it. Once at home, the doctor will also provide you with a post operative care routine that needs to be followed. A replaced knee usually lasts for around 20 years.

Source by Sejal Kakadiya



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Knee Replacement Cost Guide

Knee replacement surgery has become quite common and more affordable in the last few years. It is now considered as a safe option for people with severe osteoarthritis of the knee joint. This is especially a boon for patients who have end-stage arthritis of the knee.

The constant increase in the number of patients undergoing knee surgery surgery can be attributed to a number of reasons, including the following:

Increased affordability: Now a greater number of patients prefer to opt for knee replacement surgery because the cost of implants has decreased significantly in the recent past.

Range of implants available: Thanks to advancements in medical technology, there are a number of knee implants available today to fulfill the individual needs of the patients. From implants with 180 and 360 degrees motion to 3D-printed knee implants, there is nothing that isn’t available to benefit patients with different severity of osteoarthritis.

Improved surgical outcomes: Open knee replacement is a thing of the past. Now, several new technologies are available that offer greater benefits and ensures positive outcomes. Thanks to minimally invasive technology, surgery is not that painful anymore. Nor does it take weeks of hospitalization for the patient to recover.

But still, the cost of knee surgery in the Western countries continues to remain on the higher side. For patients in such countries who wish to undergo affordable knee surgery, flying to the top medical tourism destination is an option. Some of these medical tourism hotspots for knee replacement include India, Thailand, and Turkey.

The Average Cost of Knee Replacement: Top Countries

The average cost of knee surgery in the Western countries may start from $30000. Further, it is seen that the cost of knee replacement surgery varies not only from country to country but within a country or a city as well. This is especially true about the US.

For example, the knee surgery cost in Dallas, US, may vary between $16,772 and $61,585, depending on the hospital. Paying a higher price for a procedure does not necessarily mean that the quality that the hospital offers to the patient is any better than the hospital that is less expensive.

There are several factors that can be attributed to the disparity between the pricing of the same procedure within the same city. Competition, state taxes, location, and the level of free care provided by the hospital are some of them.

The cost of knee replacement in India, Turkey, Mexico, Thailand, and Taiwan, on the other hand, is much more reasonable than in the Western countries. The cost drops by as much as 50 to 80 percent in these countries. This explains the patient mindset when they decide to travel to the overseas to get knee implants.

Type, Material, and Manufacturer of Implant

There are different types and material of knee implants available today to choose from. Each implant has a specific purpose and is most suitable for a specific patient group. For example, older adults can manage everyday activities with an implant that allows flexion of 110 degrees. However, younger adults may need a high-flex knee implant because of an excessive activity level.

Cobalt chromium alloy, titanium alloy, oxidized zirconium, and polyethylene implants are commonly available nowadays. Each implant material has specific pros and cons associated with them. They vary in terms of pricing, use, availability, and longevity.

Type of Surgery

An individual is either recommended to undergo (TKR) or partial knee replacement. The difference lies in the portion of the knee joint replaced during the procedure. The duration of hospitalization and the recovery period in the case of TKR is greater than that of partial replacement. Therefore, there is a direct impact on the total cost that the patient has to shell out of his pocket for the procedure.

Type of Hospital

Hospitals with the most advanced infrastructure and state-of-the-art technologies tend to charge higher than other hospitals. This is despite the fact that the experience and the qualifications of the surgeon handling the case could be the same. The cost also depends on the location of the hospital. Centrally-located and easily accessible hospitals are expensive than remotely located ones.

Experience of the Surgeon

The cost of knee surgery also depends on how experienced the surgeon is. Surgeons with vast experience are the most sought after. In fact, it has been scientifically proved that surgeons who perform more than 50 TKR a year have less than one-third complications rate as compared to those who perform less than 50 TKR per year.

Most patients prefer to be treated by a surgeon who is experienced. But there is an extra price that they must pay for it.

Rehabilitation Cost

Rehabilitation after surgery includes physiotherapy, which is conducted at an extra cost. The doctors usually advise the candidate to undergo physiotherapy for at least 6 to 12 weeks for better outcomes and pain relief. Each session of physical therapy may cost anywhere between $20 and $350, depending on the country where you are getting treated. Rehabilitation is an important aspect of recovery after knee replacement. Therefore, patients must take into consideration these expenses while planning for the surgery.

Incidental Costs

The patient may have to incur incidental costs in case of any complication. Additionally, the costs may increase when the duration of stay inside the ICU post surgery is extended. Like any other surgery, there are certain complications associated as well. Post-surgical infection delayed wound healing, deep vein thrombosis (DVT), and pulmonary embolism are some of the examples. The management of such conditions has an impact on the overall cost.

Other Costs

  • Unanticipated care and management of a pre-existing condition may add to the total bill amount.

  • The greater the number of days you spend at the hospital, the bigger is the billing amount.

  • Cost of private or single accommodation is greater than shared or multi-bedded accommodation.

  • Follow-up visits after discharge from the hospital cost extra.

  • Loss of earning resulting out of hospital stay and impact of surgery may add to the financial burden.

Tips To Choose A Hospital Overseas For Knee Surgery

Choose the country wisely. Countries that offer cheaper treatment do not necessarily compromise with the quality of medical services.

Choose the surgeon wisely. Do not choose someone who is experienced but charges a whopping amount.

  • Choose a surgeon whose clinic is less crowded. Surgeons who are hugely popular tend to remain busy and spend less time per patient. This may hinder personalized care that you may desire to have.

  • Seek help from a hospital or a medical tourism facilitator to arrange for additional needs. This may include accommodation, local travel, translator services, and hospital transfer.

  • Check the credibility of the hospital online before selecting one. Look for patient testimonials and Google reviews.

  • Check the accreditation of the hospital. Prefer to choose a hospital that is certified by Joint Commission International (JCI).

  • Ask for all the information beforehand about the type of implants that will be used. Also, ask for a detailed profile of the surgeon who will conduct the surgery.

  • Seek an estimate for potential costs associated with airline tickets, hotel, food, and other expenses.

Source by Siddharth Burman


Weight Training After Knee Replacement Surgery

After knee replacement surgery and once you have been cleared by your orthopedic surgeon to resume your physical activities, there will be some changes that will have to be added. Theses adjustments will involve more of the high impact activities such as running, and jumping for instance.

When it comes to resistance or weight training, you should be able to continue as you had previously with some adjustments made to exercises such as heavy squats, or heavy deadlifts. These exercises however can be safely duplicated by using the leg press with lighter weights along with reducing the weight used on the deadlift and using higher repetitions to protect your knee replacement.

Having a knee replaced however does not mean your weight training days are over in fact, there should be a concerted effort on your part to be sure you continue to exercises to keep up not only your strength but, also to increase your muscle mass which in turns helps to burn more calories.

By weight training, you are increasing your bodies metabolism which helps you control your body weight which is important to reduce the amount of force through your knee prosthesis.

Knee replacement surgery will not affect your upper body exercises. The modifications come only with the affected leg or legs. For instance, you should be sure to include exercises for both lower extremities like hamstring curls, seated leg curls and the leg press. Exercises for your hips are important as well such as the abduction and adduction machines that many fitness centers have along with low back exercises.

Hyperextensions are a great exercise for your low back, hamstrings and gluteal muscles all wrapped up in one exercise without adding any stress at all to your knee prosthesis.

Calve raises are also another exercise you want to add to both lower extremities to add size and strength to your lower legs. By strengthening your affected leg or legs, you allow your muscles surrounding the knees to absorb the force of your body weight when walking and not your knees absorbing the full force.

This is done by continuing to weight train after your surgery and building strength throughout your body.

Many knee replacement recipients may keep up their current body weight or add additional weight through lack of physical exercise. The ideal solution after surgery is to start an exercises program that encompasses not only weight training but also a cardiovascular component that will allow you to live your life without physical restrictions.

Source by Richard A Haynes


How Much Does a Titanium Knee Replacement Weigh?

Medical technology has come an incredibly long way over the past several decades. Individuals who are suffering from consistent and serious joint pain have more options available to them than ever before for getting relief from the pain and restoration of movement in hips, elbows and knees. Joint replacement surgeries are on the rise with younger patients than we have seen in the past. Many athletes are finding that years of abusing their joints have caused them to need a full knee replacement. One of the questions that many patients are asking is how much does a titanium knee replacement weigh?

Titanium is an elemental metal, meaning that it is not man-made. It is an extremely low density metal and does not corrode. Titanium has the lowest strength-to-weight ratio of any metal, which makes it especially useful for medical applications. Pure titanium is as strong as steel but weighs approximately 45% less. As a strong, lightweight and corrosion resistant material it is perfect for use in joint replacements. To construct a prosthetic knee, the material is melted down and then cast into the components which will eventually form the replacement knee joint. But how much does a titanium knee replacement weigh?

The light weight nature of titanium is actually one of the biggest benefits to using titanium. Although the weight of an individual knee replacement varies depending upon the size of the knee and the patient, they only weigh a few pounds. Ultimately there is no single answer for the question. The better question for your doctor might be how much does MY titanium knee replacement weigh. Each knee prosthetic is individually constructed to the exact measurements of the recipient. Just as every person’s knees are different and unique, so too is every titanium knee replacement.

If you are a candidate for knee surgery, you probably have many questions running through your head. Will I be able to walk again? How long will my recovery be? Will I be limited in my activities? What types of physical therapy will I be doing?

While there have been great advances in medical technology, a successful outcome is determined by the patient’s attitude and willingness to do the necessary therapy. Based on their experience, many doctors have somewhat low expectations for recovery and may not be very encouraging. It is up to the patient to find and follow an exercise program that has already shown proven results. Equally important is finding a trainer or mentor who has a positive attitude toward recovery from knee surgery and who can teach anyone the same mindset. Believing it can be done and working with someone who has already achieved the desired results is the key to returning to normal activities and remaining free from pain.

Source by Jerry Seaman


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Tips on How to Control Swelling After a Knee Replacement

I have run across many orthopedic surgeons who have told their patients that, the knee surgery itself was the easy part, the tough part is the rehabilitation after. The rehabilitation aspect will ultimately fall directly in the hands of the patient. Of course there is a part to play here in regards to the physical therapist, and hopefully the therapist can impress upon the patient through education that keeping the pain and swelling to acceptable levels is vital for a successful rehabilitation outcome.

Our knees after the surgery are very temperamental. In other words, it does not take much in regards to exercise or excessive walking around the house to set off a chain of events that can take hours if not days to get back under control.

Many patients are told after surgery that the rehabilitation and walking are important. Often you will hear “you have too get up and walk” that’s true but like many things, this is done in moderation.

This will mean many things to many people but taking a walk around the house every hour or hour and a half is all that is needed. To much time on your feet will cause excessive swelling and a slow down of the overall strengthening and conditioning of the affected leg.

If you find you must be up on your feet more often due the fact for there is no one in your home to assist you with cooking etc… Its is suggested you look into getting a pair of TED compression stockings to keep the swelling down. They come in several sizes and the pressure gradients vary but a local medical supply should have them in stock. Contact your orthopedic as well if further information is needed. many times your doctor will issue these himself while you are at the hospital before discharge.

Keeping your affected leg elevated is very important. How long to keep your leg elevated will vary between individuals, but in the first two weeks after surgery if you are not walking or exercising, the leg it should be elevated and it should be positioned higher then your heart for proper drainage of the area surrounding your knee.

Keeping ice on the knee is important as well. The ice is used for pain control and to decrease swelling. You really cannot overdue the ice. Many people will have questions on how often the ice should used and how long. Using ice immediately after exercise is the time its most effective along with foot elevation for edema control it will be the best one-two punch you can get to keep pain and swelling manageable.

The amount of time you spend walking around your home or outdoors is extremely important immediately surgery. Getting up is good but this as well has to be in moderation. Body fluid is affected by the law of gravity and will pool in the lower portion of your leg or legs. if you find that you have to spend considerable time up on your feet, take the time that is needed then get back to where you can elevate the leg as soon as possible. I recommend also that if the swelling and pain are consistent and remains a chronic condition, to take an entire day off your feet with the operated foot elevated and you will see and feel a remarkable difference. Taking the day off means also that you hold the exercises as well. I assure you that you will do more good then harm by doing that. The problem would only lie if you decided to take several days off and not get in your walking or exercises that you would fall behind on your rehab.

Remember, ice, elevation, wearing a compression stocking on the operated leg and close monitoring of the time spent on your feet those first two weeks will determine how much pain and swelling you will encounter. If you are someone that retains fluid easily in the first place, your doctor may prescribe a diuretic like lasix to rid the body of the excess fluid, and prescribe the compression stocking before you leave the hospital.

Try this combination for starters and follow the suggestion of your physical therapist for the education needed to make the knee replacement as successful as possible.

Source by Richard A Haynes


Pain Relief – The Amega Amwand is Getting Incredible Results

Pain Relief is a subject near and dear to many people’s hearts. Unfortunately, way too many of you are forced to live with pain every day of your life. Below is just a small list that so many of you can identify with:

  • Arthritis Pain Relief
  • Joint Pain Relief
  • Back, Neck, Knee Pain Relief
  • Hip Pain Relief
  • Headaches
  • Foot Pain Relief
  • Injuries
  • and so many more

The amount of pain medications taken on a daily basis is astronomical and most of the time they only offer temporary relief from your pain. And for some of you these medications no longer have any effect whatsoever.

A Pain Relief Breakthrough

Well I have great news for you! Getting rid of your pain is no longer a problem. There is a brand new technology available that can help your body get rid of your pain very quickly. And there are no drugs involved whatsoever.

This technology is called Amized Fusion Technology. It is used to create an amazing product called the Amega Amwand. The amwand is about the size of a pen and resonates at what is called Zero Point Energy.

By pointing this device at the area of your body where you have pain, your cells are reminded where they came from. And where they came from is a healthy state and they are encouraged to return there. Once that happens (in a matter of minutes), your body is able to return to ‘source’ from within. When that happens it is able to reduce and then get rid of the pain that it is having.

Since the end of the wand is radiating this zero point energy, you rotate the wand in a clockwise motion over the painful area for a minute or several minutes depending on your pain level. Most people see there pain decrease from a level 8 or higher to a lever 2 or 3 in a matter of minutes. A few more minutes and the pain is usually gone entirely!

Now the Amega Amwand did not do any healing, it merely encouraged your body to heal itself. This is something that most of you never expected to experience in your lifetime.

Source by Bob Hughes


Is It Arthritis or Rheumatism? Distinguishing Rheumatism From Arthritis in Homeopathy

By definition, according to the Oxford Dictionary, rheumatism is “inflammation and pain in joints, muscles or fibrous tissue.” Arthritis is “painful inflammation and stiffness of joints.” The key difference here is that, although both affect joints, rheumatism also affects muscles and fibrous tissue (arthritis only affects joints). Most of the time people do not distinguish between the types of pain or the causes-they call it all “arthritis.”

Is this important to know the difference? Yes.

Both arthritis and rheumatism can affect any joint in the body; however, the usual first places where arthritis is noticed is in joints that are used more often than others, such as the fingers, neck and knees. Rheumatism can affect any muscle and joint but is more often noticed in areas where there is frequent over-use (arms, upper back, hips, legs).

Causes and Usual Medical Care

Arthritis pain and stiffness are usually caused by a decrease in the space between joints, then a decrease in the cartilage that covers the ends of the bones resulting in bones rubbing on bones. The usual medical care is a Non-Steroidal Anti-Inflammatory Drug (NSAID) such as motrin or ibuprofen. When the degeneration of the joint becomes severe, if the joint can be replaced, it is.

Rheumatic pain is caused by inflammation of the affected muscle, joint or tissue. This is usually the result of over-use, repetition or using an affected part “the wrong way.” For example, a common area of rheumatic pain in those who use computers a lot is in the trapezius muscle of the upper back of whichever arm the person uses the mouse. The frequent motion of the arm from the mouse to the keyboard and back again. This repetitive motion is made worse if the mouse and the computer are on different heights-then added is the use of the arm the wrong way.

Rheumatism can also be brought on by stress or emotional turmoil. Typical medical treatment for rheumatism is an NSAID and rest. There is no surgical option as there is nothing to replace-there is no damage to the joint.

A Homeopathic Case

Dan, 75, was a healthy farmer whose complaint was upper back pain. He had gone to his chiropractor who stated it was arthritis and recommended calcium supplements and chiropractic care. When he failed to improve, he sought my care as he didn’t want to “go the medical route.”

As the chiropractor didn’t take x-rays, there was no way to prove if Dan had arthritis or rheumatism. An x-ray would’ve shown the decrease in joint space, thus confirming arthritis.

Based on the case, I determined that Dan’s problem was rheumatism. His pain occurred after lifting sacks of feed, during intercourse and when faced with an emotional upset (they were trying to sell their farm and house). The pain was not constant, not weather-contingent and there was no stiffness. Pain did not radiate but was centered between the shoulder blades and was restricting. When he had emotional turmoil, the pain came on suddenly and was severe. During intercourse or after lifting the bags of feed, he had to stop and rest to alleviate the pain. Occasionally he took a baby aspirin which helped (he was averse to taking medical drugs); but he was concerned with all the bruising he was having (a side effect of taking aspirin).

There are 3 key homeopathic remedies that help with typical rheumatic pain: Arnica montana, Ruta graveolens and Rhus toxicodendron.

Arnica montana is great for sprains, strains, backaches and muscle aches.

Rhus toxicodendron is for achy joints, low back pain, and pain between the shoulder blades.

Ruta graveolens is the one of the best remedies for joints and tendons. Great for repetitive-use injuries.

I initially gave Rhus tox based on Dan’s symptoms and findings in his evaluation. I also recommended Glucosamine supplement to help stabilize the joints of the upper back, and to stop taking the Calcium supplement. A month after taking the Rhus tox, Dan’s symptoms had only improved slightly. He didn’t take the Glucosamine because of the cost.

At the time I was doing a study of Cell Salts and decided that Calcarea fluorica was very similar to Dan’s symptoms, which was very similar to Rhus tox (ex. better with heat and after motion). The thing that stuck in my mind, however was that Calcarea fluorica had a mental symptom that matched Dan: groundless fear of financial ruin or poverty.

Dan and his wife were retired from conventional employment, keeping up a farm, planning to sell the farm and house. Every time the phone rang and it was the realtor, Dan had great anxiety. His anxiety stemmed from the fear of becoming homeless and losing all their money. This was groundless because if the house sold, they’d have money. They already planned to buy a condo or rent an apartment once the house sold. Their retirement benefits were sufficient even without selling the house. Even Dan felt his concerns were baseless; but those were his anxieties.

I gave Dan the Calcarea fluorica and it helped wonderfully. He still had times of increased pain, but those were far less frequent than before. He also stated he didn’t have as much anxiety when the realtor called.


Although Arnica, Rhus tox and Ruta can help with both arthritis and rheumatism, distinguishing between the 2 ailments can help the practitioner narrow down the remedy that will best assist with healing-or will help point to a different one that would be more effective, as in Dan’s case.

The degeneration of arthritis will often require a deeper-healing remedy as well as nutritional support (to help rebuild the joint) whereas rheumatism often responds to a more superficial remedy or cell salt without the need for nutritional support.

A Special Note about Rheumatoid Arthritis

Rheumatoid Arthritis is a condition where the immune system attacks the joints causing them the swell and deform. It is an auto-immune disorder that requires constitutional healing and will not likely respond to any of the 3 common joint remedies mentioned in this article. Rheumatoid Arthritis requires a homeopath’s help.

Disclaimer: The information provided is for educational purposes only. It is important that you not make health decisions or stop any medication without first consulting your personal physician or health care provider.

Source by Ronda Behnke