0:00
so oh you got it awesome what was wrong with it yeah yeah yeah yeah no it works
0:19
so let me see we talked yesterday about kind of lifting that leg let's see what you got
0:26
okay take a break take a break um so i'm going to show you
0:34
have you ever seen one of these okay so the idea behind it is it's designed to help bend the knee
0:47
uh how tall are you okay perfect so what I'm going to do is I'm going to open it up a little
0:56
bit it's really designed to do both it can go into extension and it can go into flexion
1:00
um today is the really I mean it's been 24 hours a little more than 24 hours since
1:07
the manipulation uh I told you yesterday today and tomorrow probably be the most
1:13
painful days but i want to get this set up so that we have options okay perfect so obviously
1:27
these are designed to go like this is a left side knee brace can't use it on the right side because
1:36
of the way it's shaped in there. I want to see can you bring that over just a little bit that's good
1:43
I don't want you to slide out of the chair. What does that feel like? I'm going to slide the lower
1:53
piece up. Let me steal that back
2:22
So you didn't get much sleep last night. I haven't got much sleep in the last month
2:28
Yeah. You feeling lightheaded or dizzy or anything? I was earlier this morning, but before I could get all of my medicines down
2:40
Okay. Let's see. The leg's definitely a little more swollen
2:55
I know that plastic piece under there. The hard part is always getting it kind of fitted while you're sitting, but that's okay
3:09
I just want that to kind of hold position. That calf muscle is sore
3:25
no you when you twist it a little bit it hits something okay okay okay i'm gonna lock i get
3:34
jerky every once in a while yeah you you've never been a jerk but you get jerks okay so basically
3:43
and it's not exactly where we want it yet but that's okay what happens is this guy
3:50
as i twist it what you're gonna feel is you're gonna start to feel a little bit of pressure
3:55
movement right right as i turn this it's working on the bend so what i want you to do for me and
4:03
i'll kind of support it go ahead and bring your foot back toward you just a little bit
4:08
yes yeah this foot that it and then stay there that all i can do that fine by myself and so what i going to do is i going to kind of bring it to where you are right now There a little gauge here but I not too worried about that
4:27
I want you to feel a little pressure, but I don't want you to feel pain
4:31
Because I'm just getting an idea of where you're starting, you know
4:36
This will also help us track progress as you're improving. So at this point, let's see if we can go just a little bit more in terms of back
4:51
There you go. What does that feel like at that point
5:09
Nothing yet? Okay. I can feel a little movement, but I can't really tell anything
5:18
Okay. Let's pick up the leg and bring the foot back a little more
5:25
And if this piece underneath is pushing in there too much, you just tell me because it's kind of sitting funny on the feet
5:50
Let's see if we can pick that foot up one more time. Perfect
5:55
You know, so each time we pick up your foot, the foot's sliding back, the knee is bending
6:00
a little bit more. Just to give us a baseline, I'm going to leave it right where it is
6:09
so at that level we're at 55 degrees of flexion you don't feel much in the knee just yet
6:25
you feel a little pressure down here from the pad okay what I'm gonna do
6:32
but it's comfortable okay I'm gonna give it just a little more
6:43
and then I'm gonna let it just stay like that we're gonna let it just stay like that
6:57
it's warm in here but it's not so much warm outside yeah
7:05
I'm so slow outside I wear something comfortable oh for sure you have to
7:18
so last night you got home how did you do getting out of the car last night okay okay
7:48
doing yeah and uh i didn't have a a little ball like you right because i had a tennis ball perfect
7:58
and a tennis ball you could if you could and it's going to do yeah massage and girl at the same time
8:03
so i've got those two things excellent excellent it's the little stuff it's stuff like that like
8:11
every hour or two you do a little something um you can't do it all at one shot because then it
8:17
just makes you sore and uncomfortable and I think little bites of exercise is what we want
8:25
Yeah, now what we was trying, I have a belt that I tie around my ankle, not tying, you
8:31
can move it and you get in bed and raise the this way you stay straight in bed Right This one here I start inching up Okay And pulling on the rope or on the belt at the same time right
8:47
Yeah, yeah, and you're doing that to improve the bend Is that yeah
8:57
Right, right Right, right perfect perfect those are my highlights yeah i love it let me see i want to put this loop
9:13
under your foot and i want to see if i can figure out a way to get this guy so he's not
9:33
yeah yeah that's a better position um it's under the seat but the seat's not pushing it into the
9:46
back of the knee so now what i'm going to ask you to do you can loop that over you can hold it however
9:52
you want use that to give it a little bit of pull back toward you if we can slide that foot in a
10:01
little bit more awesome I'm gonna go ahead and turn this up just a little bit
10:15
what does that feel like okay must be doing it wrong yeah yeah it is
10:31
is trying to find there we go I'm gonna give it a little more
10:43
what I do is once I hear the velcro start to pull a little bit then I know
10:48
that we're getting snug I'm gonna take another measurement So I said we were at 55 before, we're at 75 now
11:09
Yeah. You know, last week, when Skip was coming, I could bring it back to 77 on my own
11:19
Okay. On my own. Okay. Then when he had assist, we went from 77 to 83
11:28
Right. That's where we held it, at 83 at that point. 83 is great i mean just just 75 right now without much agony is is good you know so i'm just gonna
11:40
turn this wheel you stay right there what we'll do is we'll give it another kind of minute or two
11:46
i'm watching the clock up there and this is i mean a little bit of watching paint dry
11:53
watching grass grow but that's what it is what you used to do for work okay
12:12
well that's a way to do it wish more people would do that these days
12:33
all right let's give it another little pull Awesome. And then just let it rest there
12:52
So this is something we experimenting with today And then what we going to do is I probably going to give it to you to start using at home the best range of motion you had when your therapist at home was pushing was 83 right do you
13:20
remember what how close to zero you got when it was going straight okay
13:25
but he might not have made an issue out of it to me sure
13:35
what i'm going to ask you to do i'm going to leave it where it is
13:41
can you just move your knee side to side almost like you're you're bringing your knees together
13:47
you can think of yeah yeah there you go yeah yeah i'm more interested in going in anyway like if you
13:55
could kiss your knees and relax bring them together that's it what does that feel like
14:03
perfect i can tolerate that i'm gonna grab something for you if i can find it
14:17
just take a break I'm gonna put this in here but don't worry about doing anything with it yet
14:33
okay can you squeeze that little ball and then relax and let's do like 10 squeezes
15:03
the muscle yeah yep yep right don't forget about me
15:15
and i think that's the thing you know it's trying to manage the muscle pain that you've
15:23
been feeling that tourniquet kind of pain wrapping around the thigh um the the pain
15:30
back here when I was touching and some of the stuff you have going on out here
15:35
And top of the arch too. Yeah, yeah. That comes and goes
15:40
and it stays for a while at first. Right. I try to do slide outs
15:48
Yeah. Sometimes it helps. Yeah. Okay, give that a break. i want to get one more measurement this will be the last one we do and i'm going to take
16:03
everything off take the device off let's lift it okay you just do your best to relax
16:15
so right there we're at 81 without me you know we're at 81 so let's i'm going to take the
16:28
pressure off this got down to if i go with the top number it's at two so we'll use that for
16:36
reference i'm going to take this pressure off yeah yeah there you go
16:47
it was kind of locked in there absolutely it's like a pressure release valve alright
17:00
let's get that guy off all is good in the world again