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What kind of exercises can I do before surgery?

4/11/2014

 
There are many different types of exercises to do before knee surgery. The trick is in HOW you do them. Do you repeat the same movement over and over? Do you zone out as you 'get them over with?' Do you do them while watching TV or talking on or looking at your phone? Whatever you practice, that's what you'll get good at. So if you practice moving while 'zoning out' . . . you get the idea. 
So, let's look at what's going on when you zone out. Can you do it right now? take a moment, zone out. 

How do you do that? What are your eyes doing? where are they focused? are they turned inwards? is your jaw tight or slack? are you sensing your contact with the chair? how are you breathing?

Now, keep asking these same questions, and direct your eyes to look somewhere in the room other than the computer screen, so that you are attending to the sensations inside you, as you simultaneously take in your surroundings. 

Are your eyes working differently as you do this? Are you 'seeing' both outside and inside of your self?

Now, begin to look down towards your belly button, very SLOWLY. If you lose this sense of seeing 'outside' and 'inside,' return to the start position, PAUSE, then slowly look down towards your belly button. The 'inside' will include the sensing of the front of you shortening and your pelvis rolling back. The 'outside' will include everything in your visual field as your head and eyes lower. Continue practicing this, breathing out as you look down, in as you return to looking directly ahead. Now reverse that to breathe in as you look down, out as you look ahead. Go back and forth, reversing your breathing, so that you can sense which way is easier.

Now, get up from your computer, and sense how your feet are making contact with the floor. Walk around a little.

If you practice bringing your full attention to your movements, you will move with less effort and coordinate your whole self in all you do. Continue practicing zoning in and out till you can be in either state any time you want.

NEXT TIME: Progressing the chair movements to include your legs and feet.

'Granny Gets A New Knee,' is now available through Amazon.com in US, Amazon.EU, in Europe, and on Kindle and Kobo. More bookstore outlets to come.

Knee Replacement

3/25/2014

 
This blog series is devoted to sharing my experiences with people approaching this major and challenging surgery. 

After years of working with people after knee replacement surgery, developing a program to restore mobility without increasing pain, I finally wrote it all down and am on the verge of publishing, 'Granny Gets A New Knee and a whole lot more.' Though the title character is a woman, this gentle way of teaching improved body mechanics is as effective with men as with women, with both younger and older students. 

Why do I need to learn the exercises before surgery?
It has never made sense to me to wait until after the surgery to teach exercises to someone who is recovering from the anesthesia and surgery, experiencing pain, and under the influence of pain medication. Practicing movement lessons prior to surgery can help decrease pain and increase confidence, and allows for an immediate start to active mobilization of the knee. CPM (Continuous Passive Motion) machines are no longer routinely used in the 48-72 hours after surgery as research found no significant long term difference in mobility. I think the impulse was sound, but that ACTIVE movement, and more specifically, movement of the knee integrated into the functioning of the whole person, is extremely valuable in the first hours, days, weeks, and months after surgery.

Next time: 'What kind of exercises can I practice before the surgery?'
'Granny Gets A New Knee and a whole lot more,' will be available April 2014. 

'I limped for 10 years before I had the knee replacement.  After surgery and three months of traditional therapy, I had persistent pain.  Louise taught me how to walk again, how to carry myself.  I don't hurt any more, even after all these years. It's magic! Thanks, Louise. 
                                                                                                                                         ~ Sharon B. Traveler

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    Louise Chegwidden is a Physical Therapist and Feldenkrais Teacher®

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