The Bee's Knees

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. Visit our research page to view and download research studies to share with your surgeon or PT team. /* Scope everything to #x10-widget-container to protect site styles */ #x10-widget-container { all: initial; /* Reset only inside this box */ display: block; font-family: -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Helvetica, Arial, sans-serif; max-width: 800px; margin: 40px auto; padding: 30px; background-color: #CAF0F8; border-radius: 20px; box-sizing: border-box; } #x10-widget-container * { box-sizing: border-box; } /* Header Styles */ #x10-widget-container .x10-header { text-align: center; margin-bottom: 30px; } #x10-widget-container .x10-title { font-size: 28px; font-weight: 800; color: #03045E; margin: 0 0 8px 0; display: flex; align-items: center; justify-content: center; gap: 12px; } #x10-widget-container .x10-subtitle { color: #475569; font-size: 16px; margin: 0; font-weight: 500; } /* Flashcard 3D Logic */ #x10-widget-container .perspective-box { perspective: 1000px; max-width: 600px; margin: 0 auto; } #x10-card-wrapper { position: relative; width: 100%; aspect-ratio: 5/3; cursor: pointer; transform-style: preserve-3d; transition: transform 0.6s cubic-bezier(0.4, 0, 0.2, 1); box-shadow: 0 10px 25px -5px rgba(0, 0, 0, 0.1); border-radius: 16px; } #x10-card-wrapper.is-flipped { transform: rotateY(180deg); } #x10-widget-container .card-face { position: absolute; width: 100%; height: 100%; backface-visibility: hidden; -webkit-backface-visibility: hidden; border-radius: 16px; display: flex; flex-direction: column; align-items: center; justify-content: center; padding: 40px; text-align: center; } #x10-widget-container .card-front { background: white; border-bottom: 8px solid #0077B6; } #x10-widget-container .card-back { background: #0077B6; color: white; transform: rotateY(180deg); border-bottom: 8px solid #03045E; } /* Content Styles */ #x10-widget-container .category-tag { position: absolute; top: 20px; left: 20px; font-size: 10px; text-transform: uppercase; letter-spacing: 1px; font-weight: 700; display: flex; align-items: center; gap: 6px; } #x10-widget-container .card-front .category-tag { color: #00B4D8; } #x10-widget-container .card-back .category-tag { color: #CAF0F8; opacity: 0.8; } #x10-widget-container .card-text-front { font-size: 32px; font-weight: 700; color: #1e293b; margin: 0; } #x10-widget-container .card-text-back { font-size: 20px; font-weight: 500; line-height: 1.5; margin: 0; } #x10-widget-container .click-hint { color: #94a3b8; font-size: 12px; margin-top: 20px; animation: x10pulse 2s infinite; } /* Progress & Controls */ #x10-widget-container .progress-container { width: 100%; background: white; height: 10px; border-radius: 10px; margin-bottom: 25px; overflow: hidden; } #x10-progress-bar { height: 100%; background: #0077B6; width: 8%; transition: width 0.3s ease; } #x10-widget-container .controls { display: flex; justify-content: space-between; align-items: center; margin-top: 25px; } #x10-widget-container button { background: white; border: none; padding: 10px 18px; border-radius: 10px; cursor: pointer; font-weight: 600; color: #475569; box-shadow: 0 2px 4px rgba(0,0,0,0.05); transition: all 0.2s; display: flex; align-items: center; gap: 8px; } #x10-widget-container button:hover { background: #f8fafc; transform: translateY(-1px); } #x10-widget-container .nav-btn { border-radius: 50%; padding: 12px; color: #0077B6; } #x10-widget-container #card-counter { text-align: center; margin-top: 20px; color: #64748b; font-size: 14px; font-weight: 500; } @keyframes x10pulse { 0%, 100% { opacity: 1; } 50% { opacity: 0.5; } } /* Responsive Adjustments */ @media (max-width: 600px) { #x10-widget-container .card-text-front { font-size: 24px; } #x10-widget-container .card-text-back { font-size: 16px; } #x10-card-wrapper { aspect-ratio: 4/3; } } X10 Recovery Knowledge Master the science of Pressure Modulated Knee Rehabilitation Core Concept The Rehabilitation Gap Click to Reveal Fact / Definition The critical disparity between a mechanically successful surgery and the patient's actual functional recovery. 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

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.

Richard Tiemann shares his candid journey through knee surgery and the complexities he faced during his recovery. And how he got back into flying afterward.

It took a knee replaement and then an MUA for Dawn to sort out that typical recovery methods were not going to work. WALKING DOWN THE AISLE AFTER TKA

In Apri TKA Recovery was routine, but it soon spiraled into complications like excessive scar tissue and pain. POOR FLEXION

PT PUSHING TOO HARD (Knee Replacement Recovery). Rebecca found herself behind at three weeks after knee replacement surgery.

Knee Replacement Recovery for Women: Your Guide to Strength & Renewed Mobility - Meet Susanna | The Bee's Knees Podcast.

We have done some research recently on the incidence of MUA after TKA: Women This is considered a Literature Review.

More Than a Knee: Overcoming a Blood Clot, Surgery, and Setbacks. An interview with Kevin about his knee replacement, MUA and X10 recovery.

An honest look into Debra's difficult recovery process plagued by the development of excessive scar tissue. Knee Recovery in North Carolina.

Discover how Robert Douglas overcame multiple knee surgeries using the X10 therapy device, expert coaching, and faith.

After Three Knee Procedures, Finally a Rehab Solution. Lesle explains her knee recovery saga and then, finally, finding a solution.

Many Knee Surgeries, Finally a Rehab Solution. Lesle explains her knee recovery saga and then, finally, finding a solution.

Kevin's Bilateral Knee Replacement and Recovery. One knee right after the other. Smooth. Seamless. Done! Next stop: the golf course.

Elizabeth, Active Duty Air Force, solves a lot of damage to her knee with the X10. ACL, MCL - there was a lot to rehab. Solving Ligament Tears with X10 Therapy.

Looking for Performance after your knee replacement surgery. This is for you. Knee Replacement Performance Six Years Later.

Protective Muscle Spasm | What to know | How it Works | Physical Therapist Solutions to this pervasive problem.

Football Coach Harlon Barnett from MSU saw tangible progress in his knee replacement recovery using the X10 Knee Recovery System™.

Recover After MUA (Manipulation Under Anesthesia), knee recovery with PTA Candice Cawood on The Bee's Knees Podcast

Bob shares his remarkable journey with the X10 machine, detailing how it aided his post-surgery recovery for both knees. X10 Therapy

Mari's Knee Flexion | Solving Knee Recovery | Solving Knee Flexion with the X10 Knee Recovery System.

Managing a Difficult Recovery | An interview with PJ Ewing on the radio program Solutions for Seniors. The Bee's Knees Podcast.

Avoid Manipulation Under Anesthesia with Therapist Halima Curry | The Bee's Knees Podcast

Dr. Ference Fixes a Very Troubled Knee | Karri Baase's Story. Dr. Robert Ference | A true devotion to healing.

How to Avoid MUA | A Patient Recovery Story About Knee Manipulation Under Anesthesia and Two Knee Replacements. Nicole's Story.

Robi Stuart, (Defensive Tackle Knee Recovery) at a division 1 school in mid-Michigan | a frustrating knee recovery. The X10 solved it after 9 months.

Dr. Larry Freedman, a retired dentist used the X10 machine and home care physical therapy to aid in his recovery. LATEST KNEE REPLACEMENT RECOVERY TECHNOLOGY

Partial TKA 8 Day Recovery? | In this episode, I speak with Jeff Gladstone, a physician who recently underwent knee surgery. The Bee's Knees Podcast.

77 Year Old | A Bright Future After Total Knee Replacement | Mary Elliott interviews Michigander Nancy Sarowski (from the beautiful Northern Michigan) about her total knee replacement and recovery.

Mindy Avoids Manipulation Under Anesthesia in Michigan. At six weeks post surgery things were definitely not looking up. Problem solved, MUA Avoided.

Adele Martz Home Health for Knee Replacement. | Adele shares her transformative experience with knee replacement surgery.

In this episode, I interview Steve Hansen about his knee recovery experience. He chose bionic knees after playing pickleball caused increasing pain. Steve emphasizes the importance of a supportive healthcare team and the effectiveness of the X10 machine.

Bob's Knee Replacement with X10 Therapy | The X10 Knee Recovery System in Michigan. Medicare coverage in Michigan through X10 Home Health.

Pat's Knee Recovery with X10 Therapy | X10 Therapy is on the job for Pat for his total knee replacement recovery in the state of Michigan.

2,500 Miles For Knee Recovery, Rick's incredible story of recovery from total knee replacement. Sometimes it takes great lengths to get that knee to bend.

Avoid MUA 12 Weeks Post Surgery (Dianne's Story) | From X10 Therapy | Available in 20 states solving difficult knee surgery recoveries.

Avoid Manipulation After Anesthesia (12-weeks after knee replacement). Dianne in Oklahoma, facing MUA after her knee replacement... avoids it with X10.

LAPD - Back on the Job After A Long Knee Recovery. The Bee's Knees Podcast covers surgeons, patients, physical therapists all working together to recover from knee surgery.

Double TKA | Knee Recovery Done Right. Ron Tracy and Mary Elliott discuss Ron's knee replacement on both knees and his recovery with the X10 Knee Recovery System™.

X10 to the Rescue. Henrietta's Account of Knee Surgery Recovery in Texas using the X10 Knee Recovery System. Learn more at x10therapy.com.

Mary Elliott, The Bees Knees Podcast host, interviews Dr. Meredith Heisey, orthopedic surgeon, about her knee replacement surgery and recovery.

Home Health with X10 Therapy. Podcast and radio host PJ Ewing interviews PTA Kaitlyn Gelen from X10 Home Health.

Knee Replacement and Then Rapid Scar Tissue. Listen to this episode of The Bee's Knees Podcast about Alisa's recovery after total knee replacement.

Bucket Handle Meniscus Tear (Solving the Recovery). Learn how Patrick solved the MUA, Manipulation Under Anesthesia, and these injuries using The X10 Knee Recovery System.

We are pleased to share this interview from The Bee's Knees Podcast and KNEE RADIO 1. Podcast host PJ Ewing interviews Larry Sallings from Texas. PJ and Larry explore getting back to life a year after TKA.

X10 Therapy Update 2021 (Research, Home Care, Medicare Coverage). Mary Elliott and PJ Ewing discuss new developments at X10 Therapy and X10 Home Health.

Halima Curry Getting Ready for Knee Replacement Part 2. The long-awaited part two episode of Halima's wisdom about what to ask your surgeon, what to know, how to get ready for knee replacement surgery.

X10 Therapy on ABC TV (WXYZ). Jenn Schanz interviews Mary Elliott. X10 Therapy solves knee surgery recovery at home - covered by Medicare in SE Michigan.

Nick had an incident during his police work where his knee gave out on him. At that moment he realized that he could no longer do the job with his knee in its compromised condition. That started him on the road to total knee replacement.