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Rxercise Physical Therapy
United States
Приєднався 26 бер 2023
Hi, I'm Dr. Brian McGee and founder of Rxercise. I'm a physical therapist and my background is in orthopedics, sports medicine and sports performance. My goal is to provide a science-based resource for my patients as well as others who are suffering from orthopedic injuries and to help them get back to the things they love to do.
Disclaimer: These videos are for educational purposes only and does not constitute medical advice. The information in this content is in no way a substitute for medical advice. Work with your medical provider regarding any specific condition that you may have.
Disclaimer: These videos are for educational purposes only and does not constitute medical advice. The information in this content is in no way a substitute for medical advice. Work with your medical provider regarding any specific condition that you may have.
WHAT EXERCISES SHOULDER YOU BE DOING 8+ WEEKS POST OP TOTAL HIP REPLACEMENT SURGERY?
Most patients don't come to outpatient physical therapy after having their hip replaced. The surgery works so well, that the basic exercises that are given to patients at the hospital after their surgery are enough to get them back to daily life. However, most patients continue to show significant muscle strength deficits and balance deficits. These deficits can predispose patients to falling, loosening of the hip components and can limit their ability to advance to higher level function, hiking for example.
To gain strength and balance to the point where patients can engage in higher level tasks, the home exercise program must progress beyond the program that is given immediately after surgery.
That's what this program is for. These are the exercises that I most often use with my patients who are in this situation. They're about 8-12 weeks post op, they're doing reasonably well, but are lacking sufficient strength and balance to allow them to achieve the outcome they want. This progression of exercises can really jump start their progress.
We do need to be mindful of the post-op hip movement precautions. These limits are usually in place for 6-8 weeks from the date of surgery to allow for sufficient healing of the hip to allow for more rigorous movement. This time frame can vary from patient to patient, so work with your medical provider on the appropriateness of this program for you.
This content is for education purposes only. Do not use this content to self diagnose and/or self-treat any condition. Work with your medical provider on what treatment strategies are best for you.
To gain strength and balance to the point where patients can engage in higher level tasks, the home exercise program must progress beyond the program that is given immediately after surgery.
That's what this program is for. These are the exercises that I most often use with my patients who are in this situation. They're about 8-12 weeks post op, they're doing reasonably well, but are lacking sufficient strength and balance to allow them to achieve the outcome they want. This progression of exercises can really jump start their progress.
We do need to be mindful of the post-op hip movement precautions. These limits are usually in place for 6-8 weeks from the date of surgery to allow for sufficient healing of the hip to allow for more rigorous movement. This time frame can vary from patient to patient, so work with your medical provider on the appropriateness of this program for you.
This content is for education purposes only. Do not use this content to self diagnose and/or self-treat any condition. Work with your medical provider on what treatment strategies are best for you.
Переглядів: 38
Відео
DO THESE EXERCISES BEFORE YOUR KNEE REPLACEMENT
Переглядів 25514 днів тому
In this video, I demonstrate the home exercises that I most often use in my pre-op knee replacement program, or "prehab". Prehab is super valuable for patients who are undergoing a knee replacement as it maximizes thigh muscle strength prior to surgery. As you might imaging, those who go into surgery with good strength come out of surgery with good strength. Limited thigh muscle strength is a g...
PLANTAR FASCIITIS. WHAT WORKS?
Переглядів 792 місяці тому
The plantar fascia is a piece of connective tissue on the bottom of the foot that helps support the arch. If too much physical stress is applied to the plantar fascia, too repetitively, it becomes painful and inflamed. This often occurs when runners increase their mileage too quickly for example. Another example is when people start a new job that requires more standing and/or walking. In each ...
WHAT IS THE MOST EFFECTIVE TREATMENT FOR THE "FROZEN AND "THAWING" PHASES OF FROZEN SHOULDER?
Переглядів 383 місяці тому
Frozen shoulder, aka adhesive capsulitis is a condition where the connective tissue deep within the shoulder becomes super inflamed, stiffens and scars. This can be caused by injury, can occur after surgery, but most often is idiopathic meaning, there is no apparent cause. Frozen shoulder typically progresses through three stages Freezing - Frozen - Thawing. In the freezing stage that shoulder ...
FROZEN SHOULDER? GET YOUR MOTION BACK!
Переглядів 683 місяці тому
In this video, I demonstrate the exercises that I usually give patients who are at the beginning stages of frozen shoulder. This stage is typically quite painful and difficult to treat. Frozen shoulder is a condition in which scar tissue builds up in the shoulder and causes pain and stiffness. This can be caused by injury, can occur after surgery or more typically is idiopathic, meaning there i...
FIX TENNIS ELBOW PAIN!
Переглядів 294 місяці тому
In this video I demonstrate the home exercises that I most often give to my patients with tennis elbow, AKA lateral epicondylitis Tennis elbow is an overuse injury of the common extensor tendon in the elbow. Activities that involve repetitive hand use and/or strong grasp place a high demand on this tendon. With enough repetition and enough grip force the tendon can break down causing inflammati...
KNEE ARTHRITIS? TRY THIS PROGRAM!
Переглядів 394 місяці тому
Knee arthritis is a common condition in which the cartilage between the thigh bone (femur) and the shin bone (tibia) wears down. When this cartilage totally wears away, patients are said to be "bone on bone". When I see these patients they always ask, what's the point of PT? Why don't I just get my knee replaced? Because PT is really effective at decreasing pain associated with knee arthritis a...
ADVANCED STRENGTHENING AFTER KNEE SURGERY
Переглядів 495 місяців тому
In todays video, I demonstrate my intermediate to advanced home strengthening program that I typically use with my patients who have undergone an ACL reconstruction. One of the frustrations that I often experience when working with patients who have undergone an ACL reconstruction is that the patient's insurance coverage for physical therapy is limited and I am unable to see them as often as I ...
THE 3 MOST COMMON MISTAKES THAT LIMIT YOUR CORE STRENGTHENING PROGRESS
Переглядів 865 місяців тому
In todays video I’ll go over what most people do wrong with their core muscle strengthening and how this might affect their recovery from an episode of low back pain and/or their athletic performance and their efforts at future injury prevention. Also, I’ll demonstrate what I think are the 4 best foundational core strengthening exercises It has been my very consistent experience that people ten...
DECREASE BACK PAIN BY STRENGTHENING THE RIGHT WAY WITH 4 SIMPLE EXERCISES
Переглядів 706 місяців тому
Welcome to Rxercise! In this video I demonstrate the 4 foundational exercises I use with many of my patients who have low back pain. The reason I use these specific exercises is because they address weakness in the muscles that are typically weakest in those with low back pain while minimizing compressive force on the vertebra and discs which can be painful and counterproductive. Many tradition...
WHEN CAN YOU START RUNNING AFTER ACL SURGERY?
Переглядів 1047 місяців тому
In this video I breakdown the criteria and tests that I use with my patients to determine when they are ready to start running after undergoing an ACL reconstruction. The decision to return to running after undergoing an ACL reconstruction is both time-based and task-based. Time based: enough healing has to occur before a patient can consider returning to running. After an ACL reconstruction, t...
SCIATICA PAIN RELIEF
Переглядів 1027 місяців тому
In this video I demonstrate the exercises that I most commonly give my patients that are suffering from sciatica. These exercises, known as "nerve flossing" techniques are an effective way to decrease pain, numbness and tingling that often radiate down the leg in patients with sciatica. What is sciatica? The sciatic nerve is the largest nerve in the body. It originates from nerve roots L4 - S3 ...
ROTATOR CUFF REHAB - INTERMEDIATE LEVEL STRENGTHENING
Переглядів 1107 місяців тому
In this video I demonstrate my intermediate level rotator cuff strengthening program that I most often use with my patients who have had a rotator cuff repair. Depending on the size of the original tear, I typically start this program when patients are approximately 12 weeks post op. Obviously, work with your PT as to what's best for you. I also often use this program with my patients who have ...
ACL REHAB PHASE 3
Переглядів 828 місяців тому
In this video, I demonstrate the home exercises that I most commonly give patients who are approximately 1 month post op from an ACL reconstruction. The 2 main themes of this phase are: 1. We initiate balance training which is super important in regaining full knee function and... 2. We advance leg muscle strengthening, especially of the quadriceps muscle. Regaining quadriceps muscle strength i...
ROTATOR CUFF REPAIR REHAB EXERCISES. PHASE 4. BEGINNING STRENGTHENING. WEEKS 10-12
Переглядів 818 місяців тому
In this video, I demonstrate my beginning level strengthening exercises that I most often use with my patients that have had a rotator cuff repair. The strengthening phase typically starts somewhere between post-op weeks 10-12 depending on the severity of the initial tear. The main points to keep in mind at this stage of recovery after having a rotator cuff repair: 1. Strengthening needs to sta...
ACL REHAB PHASE 1. IMMEDIATE POST OP PHASE WEEK 1
Переглядів 849 місяців тому
ACL REHAB PHASE 1. IMMEDIATE POST OP PHASE WEEK 1
ACHILLES TENDONITIS - What works and what doesn't
Переглядів 599 місяців тому
ACHILLES TENDONITIS - What works and what doesn't
Rotator Cuff Exercises for Active Range of Motion. Phase # 3 Weeks 8-10
Переглядів 709 місяців тому
Rotator Cuff Exercises for Active Range of Motion. Phase # 3 Weeks 8-10
ROTATOR CUUF REHAB. POST OP WEEKS 6-8. PHASE 2
Переглядів 859 місяців тому
ROTATOR CUUF REHAB. POST OP WEEKS 6-8. PHASE 2
ROTATOR CUFF EXERCISES, PHASE 1, PROTECTIVE PHASE
Переглядів 11210 місяців тому
ROTATOR CUFF EXERCISES, PHASE 1, PROTECTIVE PHASE
Top 5 INTERMEDIATE LEVEL total knee replacement strengthening exercises
Переглядів 45610 місяців тому
Top 5 INTERMEDIATE LEVEL total knee replacement strengthening exercises
FIX KNEECAP PAIN! EXERCISES FOR PATELLOFEMORAL PAIN
Переглядів 22610 місяців тому
FIX KNEECAP PAIN! EXERCISES FOR PATELLOFEMORAL PAIN
Advanced Strengthening After Knee Replacement
Переглядів 4,2 тис.11 місяців тому
Advanced Strengthening After Knee Replacement
GET RID OF NECK PAIN AND IMPROVE YOUR POSTURE! 6 QUICK STRETCHES
Переглядів 33811 місяців тому
GET RID OF NECK PAIN AND IMPROVE YOUR POSTURE! 6 QUICK STRETCHES
ACL REHAB AT HOME - INTERMEDIATE PHASE STRENGTHENING
Переглядів 16611 місяців тому
ACL REHAB AT HOME - INTERMEDIATE PHASE STRENGTHENING
Get Your Knee Extension Back After Surgery
Переглядів 1,2 тис.Рік тому
Get Your Knee Extension Back After Surgery
If squats are too hard what should I do straight leg raises and quad sets?
If squats are painful, focus on lateral hip muscle strengthening (gluteus medius). So, straight leg raises to the side and/or side planks.
I noticed a few areas where I could help optimize your video to reach a larger audience. Would you be willing to discuss this further?
Very practical and well explained. Thank you.
Glad it was helpful!
Those are 2 versions of the same exercise. They work the same muscles. The foam roller version is a bit easier
I'm a shrugger. Guilty as charged. I have a question about the pinkys on the wall movement. Is this exercise more intense than the foam roller on the wall exercises? Or is it a case of the pinky exercise working something different in the shoulder?
Sorry for the late response. This exercise is the same as the version with a foam roller.
That was helpful - I'm almost 9 months post LTKR, 69 years old, and do phase 2-ish exercises most mornings that my PT gave me at 9 weeks out,, but I can definitely add some intensity to my routine with adding an exercise band to some of the leg lifts I'm already doing with light leg weights. Thanks!
Glad it was helpful!
Ok. I’m going to do these things. 14 weeks out and want to get stronger
Great! I hope that this program is helping!
That's great! I don't know anything about alfalfa supliments.i wonder what nutrient it restored? Glad she's doing well!
This comment is not healthcare advice but rather a personal experience.... My mother suffered terribly from knee pain for decades. When she began taking alfalfa supplements at 30 it was like flipping a switch. Pain off. Active lifestyle on.
Thank you so much. I'm an exercise teacher, and I often see restricted ROM in knee flexion even months after surgery. This is great advice.
I'm happy to hear that this video was helpful for you! Any suggestions on additional content that might help you?
Nice! And in fact, a lot of your intense training is what we do in ballet 😊
Oh cool!
would love to see your exercise modification for a bilateral TKR
Great suggestion. I'll get to work on that. It might be a while as I gave a few other video ideas in the pipeline
I am 81 yrs old and I can’t see myself doing this…..this is fine for younger people but us ild timers ….need something different.
Ok. I'll work on getting a less advanced program together
80 & I'm with you!
Try the new video "intermediate exercises after knee replacement" which I recently published
Great work very helpful!
Glad it was helpful!
Nice practical exercises. Thanks
Always welcome
Thank you!
You're welcome!
2:56
Very well explained. Thanks so much. On on day 4 of recovery.
You are so welcome!
1yr post TKR… still having pain going down steps. Exercise everyday. Any recommendations?
How's your knee flexion?
@@Rxercise 135
Your knee flexion is good, so if stairs are difficult, it's probably due to quadriceps muscle weakness
@@Rxercise I have never missed one day of quad exercise since 2/15/23. I was in PT from mid Feb until 12- 1-23 - nine mths. I have exercised all of my life and am in dire to return to what I love to do. Thank you for responding
Are you doing quad. Strengthening every day?
When do I start these exercises
Immediately after you return home from the hospital. I start these exercises with most my patients on day 1 of outpatient PT, depending on their level of ability.
Thank you so so much. I’m 4 weeks out . I do feel stuck. If I really really concentrate and move slowly I can walk pretty well. Some pain. I do seem to get impatient and have the tendency to walk faster which causes me to limp. I then get some pain behind my knee. I think it’s my hamstring or tendon. I’m not really sure. I’m still doing PT 2x per week but I’m definitely going to try these exercises.
This is a common report from my patients a 4 weeks out. Progress up to this point tends to be incremental, and it gets frustrating. I find that somewhere around 4-6 weeks post-op, patients tend to turn a corner and the pace of progress increases. Hang in there!
Im glad you find these helpful!
Thank you doctor for your nice and very precise information regarding these advanced exercises for strengthening replaced knee Me a lady of 59 years old undergone tkr on my right knee 2 year s back found this video very helpful I am doing fine but I am always worried about my longevity of my replaced knee as I am bit younger So I do exercises every day and found these exercises very helpful Thank you sir once again
My biggest struggle is getting up and sitting down on the couch and keeping the knee bent
This is a common challenge. Keep working on your quadriceps muscle strength!
Yes I’m struggling had my surgery November 2023 and I’m struggling with bending and extension even after manipulation still going to PT and I’m trying to keep it together mentally and not get discouraged
Sorry to hear that. Keep working at it. I know it can be discouraging. Don't let it get you down. Don't neglect your thigh muscle strength. Working on quadriceps muscle strength (squats) can help improveknee flexion
@@Rxercise Thank u so much 🙏🏿
Thanks for sharing
Start at 3.52 for exercising
Thank you
Struggling with nerve pain
Sorry to hear that. Are you working with you surgeon on that? Sometimes pain management can help
Great explanation of exercises, thank you. R. TKR 2wk4d ago.
Glad it was helpful!
Well presented, and looks like a great program, I actually have my TKR tomorrow and was looking for a nicely structured program for getting back to normal. I'll follow phase 1 and see how it goes.
How's the knee feeling?
amazing, keeping a close watch on my meds and I am out of pain, dropped the narcotics today in favor of Tylenol 3, so far so good, I am keeping a diary of my meds, excesize, and pain levels through out my recovers@@Rxercise
thank you....i now nderstand the rationale of each movement
Great!
Getting up out of a chair that is lower and no arms.
Great! Your quadriceps muscle strength is increasing!
Your dog is confused as it thinks you want him/her to get on the chair
Thank you!
You're welcome!
This is just what I need at this point in my recovery from TKR. After my quads woke up at 17 days, I improved flexion quickly, and I’m able to do 120 degrees with a seated heel slide now at 4 weeks. My extension, however, is stuck at -5 degrees. Thank you for your videos.
I hope this program helps!
Target, walmart, most sporting goods stores
Im glad that helped!
Where can I get a roller like that?
19 PO. Knee bending!!!
you're 19 days post-op?
@@Rxercise yep!! Be 3 weeks on Tuesday.
How's you range of motion?
@@Rxercise just hit 90 degrees, bending is extremely difficult. Always feels so stiff
90 degrees at 3 weeks PO is pretty good. Keep working at it!
8:45 is it supposed to hurt the bottom of my feet when I am doing this last exercise bending my knee with the band?
No. It shouldn't hurt. Are you performing the exercises with shoes on? The arch support in a tennis shoe should help
@@Rxerciseoh! That was it is. I was doing it without shoes on.
Awesome!
Thanks!
No pain, no gain...it truly is about getting back to what we love to do. Thank you, Dr. Mcgee, for your knowledge and your time spent helping others to get back to it.
Thanks for the comments! I really appreciate it, and you're right (at least to a degree) on the no pain, no gain. After a knee replacement there is no substitute for effort in PT and with the home exercises
Awesome! Thank you.
You're welcome!
Dr Brian, I have this issue that's not getting fixed and no 1 understands it either. When I brace my abs I get sensations behind my legs and under my feet like yanked tight wires, it also happens when I hip hinge and its at its absolute worst when I brace my abs plus hip hinge It also happens upon long walks or on the leg extension machine Its been almost 3 years I can workout even front planks causes the wires sensation Any idea what might be going on with me, before all this happened I was doing a lot of core exercise for way too long, also deadlifts and I used to feel the in my upper back
It sounds like you may have a pinched nerve. Do you have any history of low back pain, lumbar spine injury?
@@Rxercise I did have mild disc bulges in lower back L4-L5 and L5-S1, 2 in neck and one T2 bulge But I have the sensations in both legs and feet symmetrically and I aways pass the leg raise and slumps test and my reflexes are normal too
It might be a central, diffuse disc bulge. This could explain why the symptoms occur with abdominal bracing as this increases compressive force on the intervertebral disc. This could also explain why the slump test is negative. Neurodynamic stretching may help. I plan to put a video together for that
@@Rxercise looking forward to it Dr, but do think I'll ever be able to dealift again? Though all my other disc bulges were lateral to the left. I already had 5 mri prior to this issue so I wasn't able to do a new one
With modification, for sure. Returning to heavy dead lift might be tough depending on age
Where exactly do u place the Swiss ball under the pelvic bones or under the stomach?
Start with the ball under the stomach as this is easier. As you gain strength, place the ball under the pelvis to increase the intensity of the exercise
Great sir thank you
I'm doing these very exercises to strengthen my core for a few months now , and my scoliosis is improving. Also my lower back is getting stronger. Thanks
That's great!
That's great to hear!
Will my exercising be as effective even if i don't have Thee-Cutest-Doggo-Ever-on-the-English-Isles as my workout buddy?! 😍
The exercises will still work, but the dog really helps!
@@Rxercise 😁
Great videos! Keep them coming!
Will do! what topics would you find useful/interesting?
@@Rxercise Along the theme of videos you've been publishing. Maybe some dealing with calcification of the Achilles tendon, lose shoulder joints, safe neck strengthening exercises, anterior pelvic tilt.
Thanks! I appreciate the compliment!
Superb introduction. Many Tubers don't bother to mention it.
Glad you liked it