# 45 KNEE REPLACEMENT PHASE 3 OUTPATIENT THERAPY AUG 23 TO OCT 1

BIG THANK YOU TO MY OUTPATIENT THERAPISTS SUPERVISOR NIKKI, NOELLE, JILL, AND ANGIE. AND GOOD LUCK TO NOELLE IN HER FUTURE VENTURES. HER LAST DAY WAS SHORTLY BEFORE MY THERAPY ENDED. I APPLAUD HER PATIENCE, UNDERSTANDING, AND SKILLS WHILE WORKING WITH ME. SHE ALWAYS TOOK THE TIME TO LISTEN AND EXPLAIN THINGS TO ME.

MORE EXERCISES ADDED TO REGIMEN AND NOTES

WED., AUG 23 -TIP FROM NIKKI - TO RELIEVE PAIN WHILE SLEEPING PLACE PILLOW BETWEEN LEGS. MEASUREMENTS - BEND 106, STRETCH 10

AUG 24 - TOLD NOELLE THAT I WALKED A MILE. SHE AND THE OTHER THERAPISTS WERE AGHAST! SHE SAID THAT'S TOO MUCH RIGHT NOW. THEY WANT QUALITY NOT QUANTITY! SHE REMINDED ME THAT I NEED TO MAKE SURE EVERY STEP IS HEEL-TOE. 

 BICYCLE NOTES: 

DATE     RESISTANCE     TIME     DISTANCE

8/28                  1                 7 MIN           1 MILE

8/29                  2                 7 MIN           .7 MILE

8/31                  1                 5 MIN           .5 MILE

8/31 TO 9/3 - PAIN 7

TUES., SEP 5 NOTES - ADDED 1 LB WEIGHT TO ANKLES. NOELLE SAYS STRETCH IS FLAT. SHE RECOMMENDED I INCREASE OR CHANGE PAIN MED TO CONTROL PAIN BETTER. LABEL SAID 1 OR 2 TABLET EVERY 4 - 6 HOURS. I WAS TAKING 1 PERCOSET EVERY 6 HOURS. I CHANGED IT TO 1 1/2. NOELLE SAYS MY RANGE OF MOTION IS GREAT AND PAIN AND SWELLING IS NORMAL. 

LEG RAISES WITH TOE TURNED OUT ADDED TO HELP GOING DOWN STEPS.

RAISE ON TIP TOE EXERCISE NOTES - 9/4 TO 9/7 ABLE TO DO 10 WITH NO HANDS; 9/8 17 WITH NO HANDS; 9/9-9/10 ALL 20 WITH NO HANDS.

FRIDAY, SEPT 8 NOTES - INCREASED ANKLE WEIGHT TO 1 1/2 LBS.  

MON., SEPT 1 - STRAIGHTENING PUSH PAIN 10. I WAS TOLD THAT ICING HELPS NOT ONLY THE SWELLING BUT ALSO THE PAIN.

WED., SEP 13 - ANGIE DID EVALUATION. BEND 115, STRETCH 3. 1ST DAY SWELLING 4 CM CIRCUMFERENCE; TODAY 2 CM. RESULTS BEING SENT TO DR POLACHEK. 

BICYCLE NOTES: 

DATE     RESISTANCE     TIME     DISTANCE

9/5                     2                 7 MIN          .9 MILE

9/7                     2                 8 MIN         1 MILE

9/8                     2                 8 MIN         1.1 MILE

9/11                   2                 8 MIN         .9 MILE

9/13                   2                 10 MIN       1.2 MILE

9/15                   3                 10 MIN       1.4 MILE

PAIN MEDICATION - SEPT 21 - DR POLACHEK SAID PRESCRIBING LAST PERCOSET. I SHOULD START WEANING OFF OF THEM. DECREASED FROM 1 1/2 TO 1 EVERY 4 HOURS. SEPT 24 DECREASED MEDS FROM EVERY 4 HOURS TO EVERY 6 HOURS. 

BICYCLE NOTES: 

DATE     RESISTANCE     TIME     DISTANCE

9/19                  3                 10 MIN          1.9 MILE

9/21                  3                 10 MIN          1.9 MILE

9/26                  3                 10 MIN          2.2 MILE

9/28                  3                 10 MIN          2 MIN