Avoid MUA in Alabama (Cindy’s Story) A Report from Program host, Mary Elliott In this episode of The Bee’s Knees, I hosted an inspiring conversation with Cindy, a remarkable individual who recently underwent total knee replacement surgery. Her journey is not just about the surgery itself, but also the challenges and triumphs that came along with her recovery. Cindy candidly opens up about her struggles post-surgery, specifically her frustration with the limited range of motion she was experiencing despite weeks of intensive physical therapy, where she could only achieve 72 to 74 degrees of flexibility in her knee. Feeling disheartened, she decided to seek a different approach after being warned by her doctor about the potential necessity of a manipulation under anesthesia (MUA) if her progress did not improve. As Cindy shares her story, she reveals how her turning point came during a visit to her beach house with friends, where the conversation shifted to alternatives to MUA. This led her to discover the X10 Therapy machine, which promised to provide a less invasive solution to regain her knee’s mobility without the pain and risks associated with surgical manipulation. Determined to avoid MUA, Cindy took action, deciding to try the X10 despite being nearly nine weeks post-surgery — a crucial time frame for optimal recovery. X10 Therapy I delve into the specifics of the X10 therapy, explaining how it operates by gently moving the leg just below the pain threshold, which can be particularly effective if used early in the recovery process. Cindy emphasizes the importance of starting therapy as soon as possible, which she advocates based on her own experience. She discusses the significant commitment she made, incorporating three sessions of X10 therapy into her daily routine. Each session, lasting about 30 minutes, proved to be more productive than hours spent in traditional physical therapy, allowing her to feel immediate relief and encouragement as she watched her progress unfold. Overcoming Challenges | A Happy and Surprised Surgeon Cindy illustrates her journey out of frustration and toward newfound confidence as she tracked her range of motion improvement. Initially starting at 50 degrees, she reached an astounding 110 degrees within just four weeks of consistent therapy, much to her delight and her doctor’s surprise. The overwhelming joy she felt walking into her doctor’s office after such remarkable progress is palpable in her recounting, confirming that her reluctance to keep her doctor informed turned out to be a non-issue as he fully supported her newfound success with the X10. The discussion also touches on Cindy’s transformation beyond physical recovery. She reflects on how regaining mobility removed the fear of disappointment and limitations, allowing her to reconnect with her family and indulge in activities she once thought were beyond her reach. With an optimistic outlook, Cindy expresses her enthusiasm for undergoing the same process for her right knee, fully ready to embrace her second round of rehabilitation with the X10. This episode not only shares Cindy’s incredible recovery story but also highlights the power of perseverance, open-mindedness, and the pursuit of alternative solutions in the face of medical challenges. Join us as we celebrate her journey to reclaiming a vibrant life post-surgery.

Why Knee Surgery Recovery Is So Hard for Women Under 60 The Paradox of the Efficient Body: Pathophysiological, Biomechanical, and Endocrinological Determinants of Compromised Knee Flexion Following Total Knee Arthroplasty in Women Under 60 Intuitively, chronologically younger patients with “efficient body mechanics” should achieve superior recovery. However, the physiological vigor defining a young, healthy female patient translates into a highly reactive immune and inflammatory response to the architectural trauma of a total joint arthroplasty. This biological efficiency acts as a catalyst for rapid soft tissue contracture. Furthermore, this demographic faces a unique convergence of physiological variables: perimenopausal endocrinological shifts, uniquely female biomechanical alignments (a wider Q angle), and a high susceptibility to amplified central sensitization to pain. The X10 Meta-Blog We call it a “Meta-Blog” because we step back and give you a broad perspective on all aspects of knee health, surgery and recovery. In this one-of-a-kind blog we gather together great thinkers, doers, writers related to Knee Surgery, Recovery, Preparation, Care, Success and Failure. Meet physical therapists, coaches, surgeons, patients, and as many smart people as we can gather to create useful articles for you. Whether you have a surgery upcoming, in the rear-view mirror, or just want to take care of your knees to avoid surgery, you should find some value here. Why Knee Surgery Recovery So Hard for Women Under 60 #mc_embed_signup{background:#fff; clear:left; font:14px Helvetica,Arial,sans-serif; }/* Add your own MailChimp form style overrides in your site stylesheet or in this style block.We recommend moving this block and the preceding CSS link to the HEAD of your HTML file. */ Subscribe to the Blog Here * indicates required Email Address * First Name Last Name

A Knee Recovery Nightmare! Right Total Knee Replacement My Physical and Emotional Fight Against Pain Hypersensitivity and Protective Muscle Guarding – written by Cathy Banovac – interview by Lisa Pelley and Mary Elliott – Cathy was coached by Erin Rempher, PTA My name is Cathy and I reside in Arizona. I am 57 years old, a homemaker, and have had a genetic history of chronic osteoarthritis.  From a very young age, I have always had a very low pain threshold.  Prior to the commencement of pain in my knee, I considered myself a fairly fit and active person…loved gardening, entertaining family and friends, cooking, crafting, playing golf, traveling with my husband, walking our dogs, and playing with our grandchildren. Life was good! Early Summer In addition to the normal aches and pains that come with aging, I began to experience more than usual pain in my right knee.  I was experiencing daily occurrences of popping/clicking, giving out when walking at times, difficulty negotiating steps or stairs, and nightly interrupted sleep due to pain.  Over the counter medications, icing, heat, etc. was no longer managing my symptoms.  Upon visiting an orthopedic surgeon for examination and subsequent imaging, I learned I was over 70% bone on bone in my right knee joint.  I was told I was looking at a total knee replacement.  I was preparing to head to Michigan for a family vacation on the lake with my kiddos in August, so was not happy to hear this news.  I convinced my doctor to give me a steroid injection just to buy me the time I needed to take my vacation.  He was reluctant and told me that he predicted it would do nothing to help my condition at the very least or, at the very most, last for a brief time.  I made it through the trip, yet 3 weeks post-injection the symptoms had returned. No More Injections My surgeon declined my request for another injection, instead reiterating my need for the TKR.  Over previous years, I had witnessed my mother, father, husband and a few friends have knee replacement surgeries.  All came through their surgeries with what appeared to me to be a fairly pain controlled, timely recovery and successful return to their regular daily activities.  I was told I was on the younger side for this type of procedure, nevertheless, would greatly benefit from extended quality of life and return to desired activity, given my current quality of life and daily activity was becoming more diminished by the day. My Knee Replacement I underwent RTKR on September 25.  All went well and as expected with the surgery.  I was up and walking, began some light physical therapy exercises, and maintained post-op range and motion through use of a CPM while in hospital.  I was discharged to home on the third day post-op, with a couple of narcotic pain medications (initially Percocet/Oxycodone and Morphine) and directions to commence in-home physical therapy the following day.  My follow-up visit with the surgeon was scheduled for 6 weeks post-op.  Day one at home began my challenging journey of recovery, both physically and emotionally.  I experienced difficulty managing my pain even with narcotics and over the counter medications.  My swelling was as expected and able to be kept in check with anti-inflammatory meds and icing.  I experienced annoying side effects from the narcotics, i.e., headaches, nausea, constipation, and thus was bounced from one medication and dosage to another, none of which seemed to be the right combination or solution to my pain.  Out of complete desperation and in uncontrollable pain, I went to the emergency room after being home for four days post-op, hoping to get some relief. A Problem with the Surgery? I thought surely there must be something wrong.  A few hours later, together with a lecture from the hospital PT and some morphine, I was discharged back to home.  Back on more medication, I failed to again find relief from pain.  I was averaging about 2-3 hours of sleep per night and little sleep during the day.  My home physical therapist had her work cut out for her.  Over the next 4 weeks (twelve 45 min. sessions of in-home PT), I had yet to reach better than 85 degrees flexion and 10 degrees extension.  My in-home therapist said she spent most of those 4 weeks strengthening my calves, hamstrings, and quad muscles, all which were extremely weak.  Therefore, already I was approximately 4 weeks behind in range and motion advancement.  My pain was still very much out of control, all while I feared becoming more and more dependent on the narcotics prescribed. At the first follow-up appointment (six weeks post-op), my flexion was below 90 degrees and extension still not at the zero degree mark.  I was informed by my surgeon that I needed a Manipulation Under Anesthesia (MUA).  My knee felt very stiff, pain was still unmanageable, and I was stuck without advancement in physical therapy. Manipulation Under Anesthesia He took x-rays and made sure the appliance was not loose or slipping out of placement.  All was found to be in proper order and an examination found no infection that could be causing pain or other symptoms.  My surgeon had done his job.  I was told however, that he believed I was stuck due to scar tissue build-up and thus was in need of the MUA to break up the scar tissue.  This would also permit the ability to continue physical therapy, working towards achievement of the desirable degree of range and motion outcomes.  I underwent the MUA six weeks and one day post-op and immediately resumed PT the following day.  I was told not to worry about a reduction in my flexion and extension after having the MUA.  An MUA tends to put patients back about 3-4 weeks, so it is almost like starting all over again.  However, the idea is that advancement in range and motion should become easier now that the scar tissue has been broken up by the procedure.  I went to PT for 5 days in a row the first week following the MUA, did my home exercises faithfully on my own twice a day, then returned to PT three times a week for the next several weeks. After the MUA At the two week follow-up appointment post the MUA, I was still in unmanageable pain, still getting only 2-3 hours of uninterrupted sleep per night, and running every gamut of emotion and temperament.  My poor husband was beside himself and wondering whatever became of the woman he married 27 years ago.  My flexion was still only reaching in the low 90’s and my extension was no better either.  I was still experiencing great sensitivity to the touch anywhere on or around my surgical knee.  I couldn’t stand wearing pants or having any sheet or blanket covering my knee.  My pain was the worst at night, just when I was settling in for some restful moments on the couch watching TV with my husband.  I would suddenly be lifted off my seat with either pain that mimicked touching a lit match to my knee, or the stabbing of a knife, or the shock of a taser. Dealing with the Pain This pain varied and sometimes was relentless for several minutes.  I was in tears most evenings and headed to bed to ice or apply heat, which calmed the nerve pain somewhat.  I would take meds (Hydrocodone/Norco, Extra-Strength Tylenol, Ibuprofen,  Zofran (for nausea) Vitamins, a stool softener (due to Hydrocodone) and Gabapentin aka Neurontin.  I was soooo sick of taking medications.  I think my surgeon was beside himself as to how to control my pain and sensitivity, therefore, he recommended I seek help at a Pain Management Clinic for possible sympathetic blocks, as well as my medicinal pain management.  Both he and my physical therapist told me I was forecasting pain neurologically before any exerted physical effort on their part was made to cause any pain.  My intolerance for any amount of pain was prohibiting any measurable progress in my range and motion, thus scar tissue was building at a rapid pace.  Physical therapy continued to be a challenge as I protective muscle guarded any force applied by my therapist to get better R&M.  I cried through most of my sessions. Pain Management At my first appointment with the Pain Management Clinic, I met with the doctor.  Most people have sympathetic blocks in their back to relieve nerve pain, but the doctor I was referred to chose to recommend a Genicular Neurotomy, accomplished through a procedure called Coolief Cooled Radiofrequency Ablation.  I first underwent a test which involved Lidocaine injections in four areas surrounding my new knee.  The patient then logs their pain and activities over the following 72 hours.  A follow-up appointment with a Nurse Practitioner then reviews the log and determines eligibility for the ablation procedure.  At this appointment she chose to cut my medication cold-turkey for a couple of days as she deemed I was dependent on them, even though I was getting little pain control.  I experienced severe withdrawal symptoms for two days. A Change in Medication I thought I was going to go out of my mind.  A change in my medication increased the Gabapentin I was taking, and I was found to be eligible for the ablation.  I underwent that procedure approximately 6 weeks post my first MUA, just before the Thanksgiving holiday.  I was told that I would still be experiencing pain for approximately 4-6 weeks, due to the fact that the ablation was going to make my nerves “angry” as they fought their temporary death.  I was also informed that this procedure is temporary as nerve endings most often regenerate themselves over a 6 month to 2 year period.  Some patients must undergo two or three of these procedures to get lasting relief. Unhappy News This was not happy news to my ears, yet I was still desperate for relief and reaching out for anything, and I mean anything, that would control my pain.  I returned to the pain clinic for a follow-up to the ablation procedure only to report pain still very bad and that I was still taking a boatload of medication, icing, heat to quad muscles to relieve cramping, and poor results in physical therapy sessions.  I was told to give it more time and come back in a few more weeks.   At my next follow-up approximately 3 weeks later, I discharged myself from the Pain Management Clinic.  I felt that their treatment plan was not successful for me and they had no other plan to offer other than continued reliance on prescription medication and time. When recovery goes wrong – Read More A Desparate Time After barely getting through the Christmas holidays, persisting in physical therapy and weaning myself down on prescription medications (since they didn’t seem to be having any great effect on my pain), I began to explore the possibility of medical marijuana as a solution to my pain control.  I have never tried marijuana and had little desire to smoke or vape it, but was interested in edibles they have out now.  I was desperate and finding myself sinking into anxiety, panic attacks and, at times, depression.  My family and my husband were becoming very concerned as I was changing into a person they did not know and they were at a loss as how to help me through my circumstances. Medical Marijuana Since medical marijuana is legal in the State of Arizona, I sought out a doctor with whom I met and applied for a patient card.  This process took approximately 3 weeks, including approval of my application through the Arizona Department of Health and Human Services.  Upon receiving my card, I met with a licensed nurse at a dispensary to become educated about the various products and my specific needs.  She was recommended by the doctor who signed off on my patient eligibility and works with a number of cancer patients to help control their symptoms.  We met for over an hour.  She was extremely patient with me, educating me about cannabis (which I knew little of) and gave me recommendations to try.  I purchased three of her recommendations.  I also decided to try getting a light massage once per week.  The massages lasted for approximately three weeks before I decided to suspend them, as I found them not helpful enough to warrant the expense. Little if Any Improvement Having done everything I was asked to do in my recovery and still making little if any gains, I found myself in a very dark place emotionally, desperate to end my pain, and I was done!!  One day, I was occupying my time, in between home therapy and out-patient therapy sessions, searching the Internet for anything that might literally save me.  When in answer to my prayer, I came across several website postings about a therapy called X10.  I shared some of it with my husband, my parents and my kids.  They encouraged me to explore it more.  After reading some of the patient blogs and watching a few of the videos that I could access, I made my first contact with PJ Ewing by emailing him.  PJ responded very quickly telling me that the X10 Therapy and machine was not yet available in the State of Arizona, but he provided me with some other resources.  I was initially devastated by this news, but I almost immediately decided that I was not going to accept that response.  I instantly thought to myself, “Well, if it is not available in AZ, then maybe I can travel to wherever it is available. Not Taking ‘No’ for an Answer This time, I placed a phone call to PJ and we talked for over an hour.  As it so happened, in our conversation I discovered that the X10 headquarters is in Franklin, MI, and I had family who lived in Rochester, MI.  PJ was more than gracious in discussing all the parameters and specifics of the possibility of travel to Michigan to undergo the X10 program.  To say the least, after completion of my discussion with PJ, I heard God say “Not yet, Cathy, I still have a plan for you on this earth.”  I discussed the possibilities with my husband and shared them also with my son and daughter-in-law, exploring their permission to have me as a houseguest for 2-3 weeks.  Of course, they couldn’t have been more gracious and welcoming. Pain Still a Big Problem My pain was still out of control, I continued out patient PT three times a week with slow or little advancement in my R&M, had my six week MUA follow-up with my surgeon only to be told I was facing a second MUA.  I told my surgeon and my physical therapist about the X10 Therapy website I had discovered, and PJ sent me the clinical data to share with them.  Each of them, I am grateful to say, told me they had looked at the data and were “intrigued” by the therapy plan.  Both encouraged me to pursue it as an option for me, yet both also strongly indicated that enough time had passed between my first MUA and the ablation, therefore, still recommended I have the second MUA before commencing X10 Therapy. Turning to X10 Therapy after a Second MUA Once my husband and I had made the decision to pursue this plan, the wheels began to roll quickly.  Initially, I scheduled the 2nd MUA and a flight out from Phoenix to Detroit by myself the next day following the MUA.  I notified PJ of my  plans and he began to put things in motion by placing me in contact with Mary Elliott, Melissa, Mike, a therapy Coach, Erin a Physical Therapist, and Marty, a technician for machine home delivery and set-up.  The X10 Therapy approach is really a “team” approach to wellness, in addition to the machine itself and the technological programs it delivers to the patient. The Second MUA Was Coming Up As the days approached the 2nd MUA, I became extremely anxious and experienced a couple of panic attacks.  I began to stress about the MUA pain, having gone through one already.  The thought of flying alone, even though my son would be there to meet me at the other end of my flight, and having to get through a 4 hour flight plus 1 hour car ride to his home in pain, had me scared beyond belief.  I was consumed with thinking about how I would manage my pain.  Should I just knock myself out to sleep on the plane?  What if that didn’t work?  What meds could I then take if in pain?  What about my leg position – straightening and bending?  How would I get help from curb, through security, to gate, onto plane and the same again when arriving including a stop at baggage claim?  How am I going to sleep at night?  Is this therapy going to put me back in unmanageable pain again, even though the X10 Therapy information says I am in control?  What if it doesn’t work?  Can this end my knee recovery nightmare? And on and on and on…! Making Plans After talking it over with my husband and doctor, it was decided that I would delay my trip to Michigan for one week following the 2nd MUA.  I would continue outpatient PT immediately following the MUA, but have some time to consult with a psychologist concerning my sleep depravation, fears, anxiety/depression and develop a plan to manage my pain, as well as talk to the airline for special assistance to help solve my transportation needs.  My husband decided to make the trip with me for a couple of days, just to get me settled and started with X10 Therapy.  Armed with a revised medication and travel plan, I notified the X10 Team of my change in start date and all were extremely understanding and accommodating.  I had the 2nd MUA  on January 18.  I continued outpatient PT for three more sessions, in addition to my own home exercises twice per day.  My daily sleep and pain control was managed better and I was counting the days until our departure date.  It simply could not arrive fast enough! Friday, January 19 This will remain a very important and pivotable day in my life.  My journey towards healing, life anew and well-being would begin that very day.  Having endured a comfortable flight and having managed all the transportation arrangements with ease (kudos to Delta Airlines), we arrived at my son’s home ready to commence what I can now claim as my own personal miracle.  Within an hour, Marty arrived with a smile, this technological marvel known as the X10 machine, and a thorough first orientation/training session filled with words of encouragement and confidence.  I was on my way, although until I began to see results (which were really displayed within that first session), I Had Hope I was still cautiously optimistic about where I was headed.  Could I really achieve the flexion and extension goals I was unable to achieve thus far with any of my existing recovery methods?  Would this therapy really enable me to manage my pain comfortably with mild medications?  Could I trust my X10 therapist and her plan for me?  Would the X10 team really be there for me when I needed them?  Was the X10 therapy the answer to my prayers?  Would I really be returning home in as little as  just over 2 weeks time to see my surgeon’s and physical therapist’s jaws drop as they witnessed my flexion and extension reach what we all thought would be skeptical results, but instead blow them away with incredible success?  It would not be long before I could actually acknowledge to myself that the answers to each of those questions would be a resounding YES! 110º Flexion Once I was able to reach the 110 degree mark for flexion, it was decided that I would add 5 min a day on the stationery bike. As I felt comfortable, I was able to increase that time in small increments and add another bike session in the evening.  While my progress was measurable daily, I did experience some cramping in my right thigh and calf, dealt with some bursitis in my right hip for about two weeks, and waking with some right leg pain some nights. Taking Care of Myself I found icing and elevating regularly after each exercise session, icing my hip, heat on my upper thigh at night, Tramadol 50 mg. only twice a day with Ibuprofen and Acetaminophen alternated during the day, and Theraworx Relief foam massaged in the cramping areas once or twice a day helped keep my discomfort manageable.  In addition, I spent some resting time researching dietary recommendations for inflammation and pain.  I incorporated tumeric, magnesium, Osteo Bi-flex, 100% Cherry or Pineapple Juice, Vitamin B6 & B12, Vitamin C, Vitamin D3, Zinc, fresh berries and decaffeinated tea with ginger, lemon and honey in my daily diet.  I also decided to limit carbohydrates and sugar intake in an effort to keep my inflammatory response in check. One Week In After one week on the X10 and with constant reassurance and communication from all of my X10 team, I could actually begin to call this journey and the X10 Therapy my miracle.  I had breached the 100’s for flexion after starting at 55 degrees, and reached 0 degrees at the end of the first session on my extension, previously at 8 degrees.  My fears, anxiety and uncertainty soon gave way to renewed love for life, joy at gaining confidence in doing daily activities again, sharing my daily success by telephone with family and friends, and hope for the future.  The almost daily contact from one or more of my X10 team members answered any questions that arose, provided authentic cheerleading for my cause, and motivated me to press on for better and better results. Working with My Coach Mary called often to check in with me and was my calm and steady encourager.  My conversations with her were uplifting and kind of like talking to an old friend, casual and comforting.  My PT, Erin, made a home visit to discuss my history and offered varied strategies for increasing my flexion degrees, as well as made adjustments in my therapy plan due to some bursitis that I had recently developed in my right hip.  She was careful to make the appropriate adjustments to my therapy plan.  She and Mike (my strengthening coach and with whom I also met in person to go over exercises), together modified my plan by delaying some of the exercises, while still permitting three sessions a day for range and motion growth. Conclusions As I approach my last day of sessions on the X10 Therapy machine and a return home to Arizona tomorrow, I write my story to encourage anyone who has experienced one or more of the circumstances that I experienced subsequent to a total knee replacement.  I am happy to report that I was successful in breaking through some of my scar tissue, reaching 0 degrees for my extension and 117 degrees flexion.  My gait is much improved and, as I have returned to walking without a limp or dragging my surgical leg, the pain in my hip and lower back has also improved greatly. My knee recovery nightmare has finally come to an end. Some Rehab Insurance I will continue outpatient therapy immediately upon my return home in order to solidify my current range and motion, and even further improve my flexion as I am able.  I write this also as a means of paying it forward to future patients of the X10 and in grateful appreciation to my X10 Team, my family and my friends who affirmed, guided, encouraged, and yes, celebrated, my X10 Therapy journey of success.  The proof, as they say, is in the pudding, which is said to mean that you can only judge the quality of something after you have tried, used, or experienced it.  I absolutely cannot wait to share my experience and demonstrate my range and motion achievement in person to my surgeon and PT Team back home in Arizona. Thanks be to my God, to all of my support team and to X10 Therapy… life is good once again! To read about total knee replacement for a younger population, click here. The X10 Meta-Blog We call it a “Meta-Blog” because we step back and give you a broad perspective on all aspects of knee health, surgery and recovery. In this one-of-a-kind blog we gather together great thinkers, doers, writers related to Knee Surgery, Recovery, Preparation, Care, Success and Failure. Meet physical therapists, coaches, surgeons, patients, and as many smart people as we can gather to create useful articles for you. Whether you have a surgery upcoming, in the rear-view mirror, or just want to take care of your knees to avoid surgery, you should find some value here. #mc_embed_signup{background:#fff; clear:left; font:14px Helvetica,Arial,sans-serif; }/* Add your own MailChimp form style overrides in your site stylesheet or in this style block.We recommend moving this block and the preceding CSS link to the HEAD of your HTML file. */ Subscribe to the Blog Here * indicates required Email Address * First Name Last Name

Joyce Jackowski’s Journey to a New Knee Recovering with Agility: Joyce Jackowski’s Journey to a New Knee In the latest episode of The Bee’s Knees Podcast, host Mary Elliott sits down with Joyce Jackowski, a Florida resident and competitive dog agility enthusiast who recently reached the four-week milestone following a total knee replacement on her right knee. For Joyce, the surgery wasn’t just about ending pain; it was about reclaiming a lifestyle defined by movement. After temporary injections failed to provide lasting relief, Joyce realized that to continue running with her dogs, she needed a permanent solution. Her story is a testament to the power of preparation, discipline, and finding the right technology to aid in recovery Choosing a recovery path was a deeply personal decision for Joyce, influenced heavily by her husband’s difficult experience with a traditional recovery that required a painful “manipulation under anesthesia”. Determined to avoid a similar fate, Joyce followed the advice of a friend—another dog agility competitor—and looked into the X10 machine. Despite her surgeon’s initial skepticism, Joyce was drawn to the results she saw online and decided to take charge of her own rehabilitation by bringing the X10 into her home. “My goal was to get back to being able to do all of my dog sports… I have been past the curve for all my measurements this whole time.” – Joyce X10 Therapy The first two weeks of recovery were a significant mental and physical struggle, marked by intense post-surgical pain. Joyce found herself questioning the decision to have surgery as her daily schedule became entirely consumed by a rigorous cycle of X10 sessions and physical therapy exercises. However, her discipline paid off quickly. Her home physical therapist noted that she was “way above the curve,” reaching normal range-of-motion measurements much faster than average. Today, Joyce’s flexion is at 122 degrees, firmly within the normal range of 120 to 125 degrees. “The X10 machine really helped, but the component that makes this program above the top was having the coach support.” – Joyce Overcoming Challenges | The Human Element of Recovery Beyond the technology of the X10, Joyce credits her success to the human element of her recovery: Coach Kim. Having a dedicated coach to provide emotional support, technical advice, and even simple lifestyle tips—like listening to music during sessions or taking a drive to escape the “cabin fever” of recovery—made all the difference. This support system helped Joyce navigate the “down times” and corrected her when she was over-extending herself, such as the time she mistakenly tried to walk down the street the very night she returned from the hospital “Do your exercises. Do them even if you don’t feel like it… Give yourself a break, but do not take a cheat and do not do it at all.” – Joyce Now four weeks out, Joyce is walking without a cane inside her home and looks forward to returning to the dog sports she loves. Her advice to others facing a similar journey is simple: stay disciplined with your exercises. While it is okay to give yourself a mental break on tough days, she emphasizes that you must never “cheat” on the work required to heal. By combining the right tools with a relentless drive, Joyce has turned a daunting surgery into a successful first step back toward her passions.

Get Quick Answers About X10 Based on Published Research Below you can get quick answers about the X10 based on numbers research studies that have been published over the years. 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Shuffle Reset Card 1 of 12 (function() { const cards = [ { cat: "Core Concept", f: "The Rehabilitation Gap", b: "The critical disparity between a mechanically successful surgery (implants aligned) and the patient's actual functional recovery (mobility/strength). X10 bridges this gap." }, { cat: "Technology", f: "PMKR", b: "Pressure Modulated Knee Rehabilitation. Unlike passive machines (CPM), PMKR uses active biofeedback to work *with* the patient's pain threshold to gain range of motion." }, { cat: "Statistic", f: "MUA Reduction Rate", b: "X10 users see a Manipulation Under Anesthesia (MUA) rate of { document.getElementById('x10-cat').innerText = deck[cur].cat; document.getElementById('x10-front').innerText = deck[cur].f; document.getElementById('x10-back').innerText = deck[cur].b; document.getElementById('card-counter').innerText = `Card ${cur + 1} of ${deck.length}`; document.getElementById('x10-progress-bar').style.width = ((cur + 1) / deck.length * 100) + '%'; }, 200); }; window.nextXCard = function() { cur = (cur + 1) % deck.length; updateXCard(); }; window.prevXCard = function() { cur = (cur - 1 + deck.length) % deck.length; updateXCard(); }; window.shuffleXDeck = function() { deck.sort(() => Math.random() - 0.5); cur = 0; updateXCard(); }; window.resetXDeck = function() { deck = [...cards]; cur = 0; updateXCard(); }; updateXCard(); })(); Sources: X10 Knee Recovery Research Claims.docx Continuous Passive Motion after Knee Replacement Surgery – X10 Therapy, https://x10therapy.com/continuous-passive-motion-knee-replacement-surgery/ The effect of continuous passive motion after total knee arthroplasty on joint function STUDY Are Computer-Controlled, Pressure Modulated Knee Rehabilitation Machines Valuable Following Knee Arthroplasty? – Iris Publishers, https://irispublishers.com/gjor/pdf/GJOR.MS.ID.000510.pdf A New Non-Surgical Alternative to Manipulations Under Anesthesia Following Knee Replacement | Iris Publishers, https://irispublishers.com/gjor/fulltext/a-new-non-surgical-alternative-to-manipulations-under-anesthesia-following-knee-replacement.ID.000528.php X10, In-Home Prehabilitation Increases Post-Surgical Range of … https://irispublishers.com/gjor/fulltext/x10-in-home-prehabilitation-increases-post-surgical.ID.000538.php X10 Therapy References and Resources,  https://x10therapy.com/x10-therapy-references-and-resources/ X10, In-Home Prehabilitation Increases Post-Surgical Range of Motion, Quadriceps and Calf Strength – Iris Publishers, https://irispublishers.com/gjor/pdf/GJOR.MS.ID.000538.pdf A New Non-Surgical Alternative to Manipulations Under Anesthesia Following Knee Replacement – Iris Publishers,  https://irispublishers.com/gjor/pdf/GJOR.MS.ID.000528.pdf Open Access online Journals | Reprints | Eprints | Iris international Publishers, https://reprints.irispublishers.com/view-reprints.php?rid=17 X10 Research | The Clinical Evidence Behind X10™ – X10 Therapy https://x10therapy.com/research/ The effect of prehabilitation on the range of motion and functional outcomes in patients following the total knee or hip arthroplasty: A pilot randomized trial – ResearchGate,  STUDY Manipulation for stiffness following total knee arthroplasty: when and how often to do it? | Request PDF – ResearchGate

Quick Summary Tools, resources, and articles related to knee replacement surgery and recovery here. We cover meeting with your surgeon and questions to ask, pre-surgery email series, the many resources in our KNEE LIBRARY, and a number of patient accounts of their recoveries. 2026 Knee Replacement advice here. Is this for you? If you or someone you know is even just thinking about knee replacement this is the article you want to read and share. Millions of people do this surgery each year, but you want to go into it “eyes wide open.” This article helps allay fears and prepare you for a life-changing event. 2026 Knee Replacement We have nine musts here for anyone planning on knee surgery recovery. You may want to bookmark this page for future use as it will be valuable all through the process of having a knee replaced. So, let’s get started. Online Knee Assessments – Should You Have a Knee Replacement This short written test will give you some answers and guidance when it comes to knee replacement surgery. There are twelve questions. Carefully consider your answers. You cannot go back and change them once you have made your selection. You do not need to share your name or email address. Although, if you do, we will send you some helpful information about knee replacement and recovery. Click here to explore this further: Should I Consider Knee Replacement Questions to Ask Your Surgeon To be honest we don’t care how impressive your surgeon is. How esteemed is his schooling. And how many of your friends told you to pick one particular surgeon. This is your knee and recovery problems come from even the most recognized surgeons. We have first-hand experience with patients from the biggest name surgeons out there. Be confident and persistent and inquisitive… make sure you get all your questions answered. Click here to explore this further: Questions to Ask Your Surgeon The KNEE LIBRARY THE KNEE LIBRARY is Open 24 Hours. You don’t knee a library card and you never need to return a book. All we ask is that you learn about your knee, surgery alternatives, and the best surgery and recovery solution for you. We want you to be the smartest person on the block when it comes to knee health. Click here to explore this further: The Knee Library 2025 Knee Replacement Preparation Email Series Did you prepare for your school tests? Plan for your wedding? Book your hotels and plane tickets in advance of your vacations? It is exactly the same when it comes to knee surgery. Once you have your surgery date you want to sign up immediately so you do not miss any of the series. It begins about six weeks before surgery and runs right up to your surgery date. You need some knowledge and specific tools before you enter that operating room. We have you covered right here. It is our business to help you recover well after knee surgery. Sign up below… It’s free and could make a big difference in your recovery. Click here to explore this further: Pre-hab and Pre-Surgery Email Series Preparing for 2026 Knee Replacement Surgery – with PTA Yvonne LaCrosse A must-see 10-minute video included here. There are many things you can do prior to surgery to help yourself be as prepared as possible and therefore help to make your recovery process as easy as possible. We have for you here and now what you need to know before knee replacement surgery, broken up into three parts. Part 1 Prepare Your Body Part 2 Prepare Your Home Part 3 Make a Plan Click here to explore this further: Preparing for Knee Replacement Surgery What about Going for Two? Sometimes it may be that you actually need both knees replaced. That was the case with Donna. She thought long and hard about it and decided to do a bilateral knee replacement instead of just one knee at a time. This is not right for you if you have other important health concerns, but if you are healthy there are millions of good examples of happy bilateral knee replacements out there. Here is one. Click here to explore this further: Donna’s Decision to Go for Two Gather Practical Information from Actual Knee Patients We have many wonderful private discussion groups, but this is the one of you are considering a 2026 knee replacement: Knee Surgery Recovery & Rehab. Lovely people who are happy to share what they have experienced. If you have already decided to do two knees at once we also have a Bilateral Knee Replacement group that you can find at the link below. Click here to explore this further: Join Knee Surgery Recovery and Rehab Asses Your Knee Condition (Early and Often) We have crafted numerous online knee assessments that you can do yourself to get a handle on your knee condition. These are tests that you can do now, just prior to surgery and afterwards to track your progress. A talented development team built these tools… take advantage of them. Click here to explore this further: Assess Your Knee Condition The Bee’s Knees Podcast Stories, articles, interviews of knee surgery and recovery… and life after surgery. We focus on the patient in this weekly podcast. Our objective is to improve the whole knee replacement (and other knee surgeries) experience from months before surgery to months afterward. In the pod, you will also learn about the pre and post-surgery tool, The X10 Knee Recovery System™. Click here to explore this further: The Bee’s Knees Podcast SCHEDULE A CALL WITH AN X10 KNEE COACH One last thing to do prior to booking your 2026 Knee Replacement is to call us at X10 Therapy. We’re not here to convince you to use the X10 for your recovery, promise. That said we are here to help you in any way we can with the expertise that we have developed for those having a knee replaced. Don’t hesitate… in 15 minutes we can give you peace of mind and some great tips for your recovery. Click here to explore this further: Schedule a Call with an X10 Knee Coach The Meta-Blog We call it a “Meta-Blog.” We step back and give you a broad perspective on all aspects of knee health as with this article on ‘2026 Knee Replacement.’ In this one-of-a-kind blog, we gather together great thinkers, doers, and writers. All our work is related to Knee Surgery, Recovery, Preparation, Care, Success, and Failure. Meet physical therapists, coaches, surgeons, patients, and as many smart people as we can gather to create useful articles for you. This is for you if you have a surgery upcoming, or in the rear-view mirror. Or maybe you just want to take care of your knees to avoid surgery. Executive Editor: PJ Ewing To subscribe to the blog click here. #mc_embed_signup{background:#fff; clear:left; font:14px Helvetica,Arial,sans-serif; }/* Add your own MailChimp form style overrides in your site stylesheet or in this style block.We recommend moving this block and the preceding CSS link to the HEAD of your HTML file. */ Subscribe to the Blog Here * indicates required Email Address * First Name Last Name The link to the research study as presented in the blog episode is here: Conversion to TKA from UKA Risk Factors. Two resources for you below. Both are email series that we created to help those who need some additional thinking for pre-surgery and post-surgery.

An MUA in NYC A TKA and then a Struggle [PJ Ewing] This episode of The Bee’s Knees features a compelling discussion with Dan Heaney, who shares his personal journey through knee surgery and the ensuing recovery process. Dan’s surgery took place on March 24th, and he recounts the initial challenges he faced, including complications with scar tissue that hindered his mobility post-operation. Despite expectations of a smoother recovery, Dan found himself struggling as his knee remained locked at 85 degrees, leaving him frustrated and uncertain about his future. As Dan describes, he sought guidance from his surgeon, but was met with disappointing advice that seemed to leave him at a standstill. His determination drove him to research alternative recovery solutions, leading him to discover the X10 therapy machine. After a pivotal weekend of frustration and desperation, Dan took matters into his own hands and reached out to the X10 team, initiating a turning point in his recovery journey. X10 Therapy Throughout the episode, Dan emphasizes the dramatic impact the X10 machine had on his rehabilitation. Upon obtaining the machine, he diligently committed to using it three times a day, which quickly translated into notable progress. The support he received from his physical therapist, Candice, further fueled his motivation. With consistent use of the X10, Dan saw his knee range of motion improve from 85 to 125 degrees in a relatively short time, radically transforming his outlook on recovery and life post-surgery. Overcoming Challenges | Advice for Future TKA Patients The conversation touches on the mental and emotional strain of navigating the uncertainties of rehabilitation. Dan shares the profound sense of hope that emerged from his experience with the X10 machine, contrasting this with the despair he felt when relying solely on traditional physical therapy. He vocalizes a desire to inspire others in similar situations to seek solutions and maintain hope during difficult recovery processes. As the episode progresses, Dan reflects on the relationships he built during his recovery and the emotional rollercoaster associated with the fear of losing mobility. His story encapsulates not only the physical challenges of post-surgical recovery but also the psychological battles that accompany them. By the end of the episode, Dan celebrates his newfound ability to return to daily activities, including running and surfing, highlighting the life-altering effects of taking charge of his rehabilitation. Dan’s Recent Wedding – Congratulations!!! In conclusion, Dan’s success story serves as a powerful testament to the importance of persistence, innovation, and self-advocacy in recovery. His experience illuminates the potential for rehabilitative technologies like the X10 to yield transformative results, urging listeners not to hesitate in exploring all options available for their recovery.

BACK TO FLYING AFTER KNEE MANIPULATION A TKA and then a Struggle [Mary Elliott] In this episode of The Bee’s Knees Podcast, I have the pleasure of speaking with Richard Tienan, who shares his candid journey through knee surgery and the complexities he faced during his recovery. We dive into Richard’s experience, starting from the initial surgery on May 7th, which presented unexpected challenges that led to a manipulation under anesthesia. This procedure was essential for improving his mobility, and Richard reflects on how pivotal it was in his recovery process. Richard’s insights on the X10 therapy machine are particularly valuable. He describes how this innovative device assisted him in achieving and tracking his progress post-manipulation. Unlike traditional methods that leave you guessing about your range of motion, the X10 provides real-time feedback on degrees of bend. Richard emphasizes the importance of understanding your limits and recognizing progress, which not only aids in recovery but also boosts motivation. Through his detailed recounting, listeners gain understanding on the physiological and psychological aspects of knee rehabilitation. X10 Therapy We delve into Richard’s struggles with both bending and straightening his knee, highlighting how he found particular comfort in the X10’s monitoring capabilities. His revelation that he reached a remarkable 123 degrees of knee flexion within three weeks of his surgery illustrates an inspiring turnaround, especially after hitting a plateau at 110 degrees prior to his manipulation. Richard discusses both the emotional highs and the physical discomfort of this journey, stressing the significance of resilience and the role of goals in rehabilitation. Overcoming Challenges | Advice for Future TKA Patients In addition to Richard’s story, we explore the supportive role of his wife, Patty, and emphasize how having a support system can make a notable difference in recovery. Through her encouragement and the advice from his telemedicine coach, Richard stayed focused and driven. This episode provides practical tips and shared experiences that can guide anyone facing similar surgical challenges. Richard’s journey exemplifies the power of determination, the importance of professional guidance, and the necessity of tools like the X10 in recovering mobility post-surgery. The episode wraps up with Richard sharing valuable insights to motivate others undergoing knee surgery. His suggestion to massage the thigh during therapy sessions to alleviate discomfort is particularly noteworthy, showcasing adaptation and resourcefulness. As Richard now looks forward to returning to previously enjoyed activities, including flying, he leaves listeners with an uplifting message about reclaiming freedom and joy in daily life. This episode serves as an essential resource for anyone navigating the complexities of knee surgery, offering hope, practical advice, and the reassurance that positive outcomes are possible with the right tools and support.

WALKING DOWN THE AISLE AFTER TKA A TKA and then a MUA [Mary Elliott] In this episode, I speak with Dawn, who shares her personal journey navigating the challenges of knee replacement surgery and the hurdles she faced during her recovery. Dawn, only 55 years old, initially experienced a meniscus tear and osteoarthritis, which led her orthopedic surgeon to recommend a knee replacement to prevent further issues down the line. Despite her initial reservations about being so young for such a procedure, she chose to move forward, seeking relief from her increasing pain. Dawn outlines her struggles post-surgery, particularly with bending and flexing her knee, which became a significant roadblock in her recovery. After multiple home therapy sessions and outpatient treatments, she found herself regressing instead of making progress. This period of frustration was compounded by her timeline—her daughter’s wedding was approaching, and she felt a pressing need to improve her mobility quickly. X10 Therapy As our conversation unfolds, Dawn reveals that after a manipulation under anesthesia, which was necessary due to the stiffness and scar tissue buildup in her knee, she discovered the X10 machine. This device promised a gentler approach to therapy compared to traditional methods that left her in pain. Once she started using the X10, her progress transformed dramatically. With its programmed gentle movements, she was able to achieve improved flexibility in a supportive manner. Overcoming Challenges | Advice for Future TKA Patients Reflecting on her experience with the X10, Dawn highlights the significant progress she made in just a few weeks. From starting at 55 degrees of flexion post-manipulation, she reached an impressive 110 degrees shortly after, which was a major milestone for her. The emotional and physical journey culminated in her ability to walk her daughter down the aisle without assistance, a moment deeply cherished amidst her recovery challenges. Dawn’s story is one of resilience, determination, and the importance of finding the right tools for recovery. She advocates for the X10 machine, emphasizing that its gradual approach to motion can significantly aid those struggling with post-surgical rehabilitation. As we wrap up, she encourages others facing similar hardships to remain open-minded and proactive in seeking out effective solutions that can help reclaim their independence and quality of life. Her journey illustrates that sometimes, the right tool can make all the difference in promoting healing and regaining autonomy.

THREE MONTHS AFTER TKA: POOR FLEXION A Podcast Featuring Chuck Penny and Mary Elliott (host) In this episode of The Bee’s Knees, I have the privilege of hosting Chuck, who shares his transformative journey through total knee replacement and subsequent challenges he faced with recovery. Chuck’s story underscores the complexities of knee surgery and rehabilitation, and it’s a vital conversation for anyone facing similar challenges. He recounts that his surgery in April initially seemed routine, but soon spiraled into a hurdle-ridden path marked by complications like excessive scar tissue and pain. The key turning point in Chuck’s recovery came when he was introduced to the X10 therapy machine after experiencing significant setbacks post-surgery, including the denial of a necessary manipulation procedure by his insurance company. It was alarming for him as the pain returned and mobility decreased dramatically, dropping from an initial success of 113 degrees of flexion to merely 95 degrees. In this challenging moment, Chuck, fueled by anxiety about his quality of life and desire to return to an active lifestyle, researched mechanical knee therapy options on platforms like YouTube, leading him to discover X10. He explains how this machine operates on the principle of offering feedback while also ensuring that recovery remains within a manageable comfort level, moving beyond the idea of traditional, painful rehabilitation. X10 Therapy Chuck delves into details about his misgivings at the start and how the X10 machine fundamentally shifted his experience, enabling him to engage with the rehabilitation process on his own terms. The therapy allowed him to perform sessions multiple times a day while receiving real-time guidance from his coach, Candice. This personalized support proved to be instrumental in recalibrating his expectations and accelerating his progress, eventually leading to a breakthrough session where he achieved an impressive 120 degrees of flexion. Furthermore, he emphasizes that having control over his recovery without the excessive pain typically associated with rehabilitation has been a game changer. Overcoming Challenges | Advice for Future TKA Patients The discussion transitions to Chuck’s reflections on his initial decision to undergo knee replacement surgery. He shares heartfelt advice for potential patients, stressing the necessity of patience and persistence. Emphasizing that even though the surgical path is daunting, the rewards can be life-changing, he endorses the value of being informed and seeking additional resources like X10 therapy to enhance recovery. Chuck’s optimistic approach, despite the setbacks, serves as an inspiring reminder that the journey of healing, particularly after major surgery, is often fraught with obstacles but can ultimately lead to the lifestyle and activity levels one aspires to regain. As this episode concludes, Chuck’s story not only provides insights into the importance of innovative rehabilitation solutions but also highlights the role of community support in navigating the often-overwhelming journey of recovery. I hope his experience resonates with listeners and offers encouragement, reminding them that they are not alone in their struggles and that with the right tools and support, recovery is indeed possible.