Total Knee Replacement and Rehabilitation: The Knee Owner's Manual
Author: Daniel J Brugioni
Complete with 145 exercises and nearly 200 illustrations and photos, this comprehensive guide helps readers navigate through the entire process of having one or both knees replaced. It explains what to consider when deciding on knee replacement, details the procedure, and provides extensive suggestions for the crucial postoperative rehabilitation. Patients will learn how to prepare their homes for rehab, and what to do, week-by-week, on the road to recovery.
Table of Contents:
Acknowledgments | xi | |
Introduction | 1 | |
The Need for a Book on TKA | 1 | |
The Authors' Personal and Professional Experience | 3 | |
Why This Book, and Why Now? | 4 | |
1 | Knee Arthritis: Why Do My Knees Hurt So Much? | 7 |
Osteoarthritis | 9 | |
Traumatic Arthritis | 10 | |
Rheumatoid Arthritis | 10 | |
Other Forms of Arthritis | 10 | |
Diagnosing Arthritis | 11 | |
Common Questions and Some Answers | 12 | |
2 | Treatment Options: What Can I Do to Get Rid of the Pain? | 15 |
Lifestyle Changes | 16 | |
Medications | 19 | |
Injections | 20 | |
Arthroscopy | 21 | |
Cartilage Replacement | 22 | |
Osteotomy | 23 | |
Total Knee Replacement | 24 | |
Selecting a Surgeon | 26 | |
TKA Surgical Technique | 26 | |
Bilateral TKA | 29 | |
Common Questions and Some Answers | 30 | |
3 | Getting Ready: Preparing Your Home and Yourself for Surgery | 33 |
Home Preparation | 34 | |
Basic Presurgery Home Exercises | 38 | |
Planning Your Postsurgery Exercise Program | 42 | |
Presurgery Exercises Using the Total Gym | 44 | |
Cardiovascular and Endurance Exercise | 49 | |
Weight Control | 50 | |
Walker, Crutches, or Cane? | 50 | |
Common Questions and Some Answers | 52 | |
4 | The Total Knee Operation: What to Expect Before, During, and Immediately After Surgery | 55 |
Preoperative Preparation | 56 | |
Blood Donation | 57 | |
Smoking | 58 | |
Medication Adjustments | 58 | |
Anesthesia | 59 | |
NPO | 61 | |
The TKA Surgical Procedure | 61 | |
The Recovery Room | 63 | |
The ICU | 63 | |
The Hospital Room | 64 | |
Dealing with Pain and Other Potential Complications | 65 | |
Preventing Blood Clots | 67 | |
The CPM Machine | 69 | |
Common Questions and Some Answers | 70 | |
5 | Postoperative Days One Through Five: Am I Ready for Rehab? | 73 |
Day One: Beginning Physical Therapy | 74 | |
First Attempts to Walk | 78 | |
Range-of-Motion Exercises | 79 | |
Breathing Exercises | 81 | |
Days Two Through Five: Continuing Physical Therapy | 81 | |
Care of Your Surgical Incision | 84 | |
Ice and Elevation | 85 | |
Personal Care | 86 | |
Discharge from the Hospital | 87 | |
Common Questions and Some Answers | 88 | |
6 | Week One: You Want Me to Do What?! | 91 |
Home Physical Therapy | 92 | |
Regaining Range of Motion | 93 | |
Range-of-Motion Exercises | 94 | |
Pain Control | 99 | |
Anticoagulant Medication | 100 | |
Restarting Your Regular Medications | 101 | |
Control of Swelling | 101 | |
Strengthening Exercises | 103 | |
Getting Around at Home | 109 | |
Get Some Rest: Your New Knee Will Thank You | 109 | |
Common Questions and Some Answers | 110 | |
7 | Week Two: Will I Ever Be Normal Again? | 113 |
Follow-Up Visit to Your Surgeon | 114 | |
Scar Management | 115 | |
Getting In and Out of the Car | 116 | |
Walking and Endurance Training | 118 | |
Stairs: No Longer the Enemy! | 118 | |
Home Physical Therapy | 120 | |
Home CPM Machine | 121 | |
Taking Charge of Your Own Rehabilitation | 121 | |
Range-of-Motion Exercises | 121 | |
Home Strengthening Exercises | 128 | |
Thera-Band Exercises | 130 | |
Common Questions and Some Answers | 132 | |
8 | Week Three: This Isn't As Bad As I Thought It Would Be | 135 |
Outpatient Physical Therapy | 136 | |
Continuing Self-Directed Physical Therapy | 138 | |
Range-of-Motion Exercises | 141 | |
Futebol Exercises | 143 | |
Walking With or Without a Cane | 149 | |
Soft-Tissue and Scar Management | 151 | |
Common Questions and Some Answers | 153 | |
9 | Pool Therapy: The TKA's Best Friend | 157 |
When to Start Pool Therapy | 158 | |
Finding a Pool | 158 | |
Hot vs. Cool Water--or Both? | 159 | |
Getting Into and Out of the Water | 159 | |
How Long and How Often? | 160 | |
Range-of-Motion Exercises | 160 | |
Water-Walking Exercises | 166 | |
Water Plyometric Exercises | 169 | |
Swimming for Exercise | 173 | |
Pool Therapy with Other Exercises | 175 | |
Common Questions and Some Answers | 175 | |
10 | Week Four: I Made It to My "Olympics"! | 177 |
The Transition from Outpatient to Self-Directed Physical Therapy | 178 | |
Picking and Choosing from the Exercise "Smorgasbord" | 179 | |
Stationary-Cycling Exercises | 180 | |
Futebol Exercises | 180 | |
Exercises Using the Total Gym | 183 | |
Stationary Rowing | 189 | |
Ice vs. Heat | 190 | |
Starting to Live Again! | 190 | |
Standing Still | 190 | |
Sitting Tolerance | 191 | |
Driving | 191 | |
Returning to Work | 192 | |
Sleeping Through the Night | 192 | |
Daily Activities | 193 | |
Going for a Walk | 193 | |
Common Questions and Some Answers | 194 | |
11 | One to Three Months: Don't Stop Now! | 197 |
Reversing Muscular Atrophy | 198 | |
Preventing Injury | 199 | |
Range-of-Motion Exercises | 201 | |
Endurance Training | 201 | |
Soft-Tissue Mobilization | 203 | |
When Will I Walk Normally Again? | 204 | |
Exercises to Improve Walking | 205 | |
Preventive Antibiotics | 207 | |
Common Questions and Some Answers | 209 | |
12 | Three Months to Six Months: I Think I Need a Vacation | 211 |
Precautions for Living with Your TKA | 212 | |
Range-of-Motion Exercises | 214 | |
Strength and Endurance Exercises | 216 | |
Losing the Cane | 219 | |
Balance Training | 220 | |
Common Questions and Some Answers | 225 | |
13 | Six Months to One Year: I Should Have Done This Years Ago! | 227 |
Is It Time to Have the Other Knee Replaced? | 228 | |
Getting Stronger | 229 | |
Balance Training | 230 | |
Balance-Board Exercises | 231 | |
When Can I Start Doing ---- Again? (Fill in the Blank) | 234 | |
Common Questions and Some Answers | 238 | |
14 | One Year to Life: My Knee Is My Best Joint | 241 |
Common Questions and Some Answers | 244 | |
Appendix A | Potential Complications of Total Knee Arthroplasty | 245 |
Medical Complications | 245 | |
Surgical Complications | 246 | |
Revision of the TKA | 250 | |
Common Questions and Some Answers | 251 | |
Appendix B | Index of Exercises | 254 |
Range-of-Motion Exercises | 254 | |
Strengthening Exercise | 255 | |
Balance Exercises | 257 | |
Hot-Tub and Pool Exercises | 258 | |
Futebol Exercises | 260 | |
Thera-Band Exercises | 260 | |
Walking Exercises | 261 | |
Notes | 262 | |
Index | 264 |
So Easy Baby Food: A Personalized Guide to Making Baby Food at Home
Author: Cheryl Tallman
The Fresh Start Cworkbook introduces an easy-to-follow system for making all-natural baby food in 30 minutes per week. With over 40 recipes for fruit, vegetable and protein purees, hundreds of suggestions for creating meals, and tips for enhancing flavor with herbs, parents easily prepare foods that looks, smells and tastes better than any jar -- at a fraction of the cost.
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