Adrian F. Consulting

I had the pleasure working with Barbara in delivering medical exercise for pre and post total knee replacement surgery (TKR). Barbara saw me for 5 months prior to TKR to get her right leg as strong as possible. After a successful surgery in May 2023 at the hospital, Barbara worked with an amazing team of physiotherapists for 12 weeks at the Wellesley orthopaedic rehab clinic. After completion of initial TKR rehab, Barbara was up and moving. I had the pleasure once again working with Barbara for TKR post-rehab for 4 months to help her improve functional outcome measures for TKR. Approaching her 1 year follow-up with her surgeon we are both happy with the tremendous work that was put in to getting her to where she needed to be. There is still more work to be done but we are confidant that she will continue to improve over the next 6 months and be able to continue exercises safely on her own.

“I worked with Adrian before and after my knee surgery. It was the best thing I could have done. Working before surgery meant my knee and all the muscels in my leg were strong and in the best shape they could be for the surgery. After surgery I worked with the physio at the hospital and then I was given the OK to start working with Adrian again - once more my leg and knee are stronger than ever. After 12 weeks with working with Adrian through TKR post-rehab I have no pain and I am walking very well. I did have my surgery at Sunnybrook Wellesley but was fortunate to have a very good surgeon. They have a list of surgeons and you can decide who you want to use - however the wait list for each surgeon is different so time is a factor. You do have to work at the exercising before and after surgery for the best result and Adrian can do that with you - he has the knowledge and understanding of this procedure and will help through all the steps” Barbara B.

Here are some things to consider before getting Total Knee Replacement:

-Consult at least 2 Knee Surgeons, in order to decide what your all of your options are.

-Get imaging done so you understand what is really happening with your knee. This will also give you the ability to ask questions and understand what the information means when you discuss the results with your surgeons.

-TKR is a major surgery. Expect to complete 12-14 weeks of initial TKR physiotherapy (usually this is covered) discuss this with your surgeon. Expect a 12-14 week follow-up to discuss your physiotherapy progress.

-Post-Rehab strength training is highly recommended for TKR. 12-16 weeks right after initial physiotherapy is important to continue strengthening the knee to its maximum strength and reducing residual functional deficits.

-Expect a 1 year Follow-up with your surgeon to asses the integrity of the joint replacement and the full recovery of your knee. In most cases with a successful surgery, there should be no pain, full function, and full strength, and appropriate ROM (your surgeon will tell you what is most appropriate) in most cases expect 0 degrees of Knee Extension, and 120-130 degrees of Knee Flexion).

-Most of the hard work will happen right after surgery (12-14 weeks TKR Rehab), followed by 12-16 weeks of Post-Rehab).

*How do you know when it’s time for a knee replacement?

With the help and medical advice from your Surgeon you can decide if getting a TKR is right for you with the following indicators:

-You have severe knee arthritis causing significant pain and or loss of function. This can be confirmed through imaging.

-Nonsurgical / conservative treatments are no longer effective. These include physiotherapy, exercise, injections, and NSAIDs.

-Knee Arthroscopy (Micro-Surgery / Knee Debridement) no longer effective. Meniscus has been significantly damaged (non-repairable) and Knee Arthritis has accelerated significantly causing bone on bone pain.

-Your knee pain prevents you from doing normal activities or activities of daily living.

-You have severe pain, even when resting which may prevent you from sleeping.

-Your knee is consistently swollen.

Wishing A Very Merry Christmas & Happy Holiday’s.
Safe travels to anyone who’s traveling far to visit family.

Thanks to everyone who made this year amazing! Looking forward to a productive and great 2024. ☺️🎄😁🎄😄