How to properly wear a knee brace

Such conditions cannot be guaranteed at home. At Pension Tul Grandpa, your elderly loved one will be treated like a patient who needs knee arthroscopy. All prescribed medications and treatments are taken into account, as well as the peculiarities of the patient's mental and physical condition.

Knee Arthroscopy: Is Rehabilitation Difficult?

To examine the damaged joint from the inside, the patient is sometimes recommended arthroscopy. A surgical instrument with a diameter of 2-3 mm is inserted through micro-incisions of 5-10 mm. The intervention is not only diagnostic, but also therapeutic. How difficult is rehabilitation after surgery?

A microcamera is attached to the end of the arthroscope and the image is transmitted to a monitor. To improve visibility, the joint is filled with sterile fluid. With complete visual information about the condition of the internal structures, the orthopedic surgeon can, if necessary

• remove damaged cartilage in osteoarthritis of the knee;
• remove areas of the meniscus;
• remove inflamed synovial membranes from the joint;
• perform other reconstructive procedures.

During arthroscopy, the joint is not fully opened. Two small incisions are sufficient for the arthroscope and other surgical instruments needed for the procedure, e.g. B. for suturing or removing the meniscus.

After arthroscopy, only a few visible scars remain.

What is the rehabilitation process like?

The advantage of arthroscopy over open surgery is faster recovery. The length of rehabilitation varies from patient to patient: it depends on general health, age and proper rehabilitation management.

The early recovery period is the time from the end of arthroscopic knee surgery until the drain is removed. Topical cold therapy is used for pain relief—a container or ice pack is applied for 30-40 minutes. Elastic bandages reduce the risk of vascular complications.

Instead of elastic bandages, patients can use compression knitwear. In difficult cases, orthopedic insoles or rigid splints can be used. It is also important to protect the leg from injury by handling it gently and placing a pillow underneath.

• The foot should be rested for the first few days after the arthroscopy, even if it feels better and the pain subsides immediately.
• It is best not to do physical exercises that put weight on the leg.
• Raising the leg slowly while lying down is an acceptable activity.

The first few days after the arthroscopy are the most important

How to choose an ankle bandage?

The ankle is heavily loaded every day. When walking, it must control the foot under its own body weight by transferring the load from the heel to the forefoot. Thanks to the ankle joints, we can walk safely and smoothly at the same time.

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How do I choose the right knee pads?

Of course, before buying a bandage, it is advisable to consult a specialist doctor. He or she will choose the right product for a patient with a specific problem. In general, elastic bandages should be selected according to the tensile strength, which is a specific problem.

Also read: How to choose a knee brace for any occasion?

Also read another article on how to treat abrasions and bruises.

Of course, an elastic bandage is more practical than a regular bandage. After all, it can be used several times, while a normal bandage is useless after the first use. Elastic bandages can also keep you warm, which is important for certain illnesses. While elastic pads are more expensive than traditional pads, they are also more effective.

Pads are available in different sizes. They vary in length and are usually between 7.5 and 10 cm wide. You should choose the size that is most appropriate for your particular condition. The length is also important, because the more layers, the more pressure the bandage exerts. As a rule, however, more than two layers are not produced, as the pressure on the connection would be too great.

In addition, the fastener is also important. In general, the most convenient means are those with a fixator. There are also pads with Velcro, but such fasteners wear out quickly. On the other hand, elastic bandages without secure fasteners can easily come loose, but with the right securing, such a bandage is also suitable. There are also products with special inserts.

Pay attention to the composition (the percentage of nylon is important). As a rule, cotton is used as the basis. But there are also bandages made of synthetic materials. It is not worth buying such a product, since plastics can cause allergies. However, athletes typically use non-natural materials because they are more durable.

How can I bandage my knee?

How does this procedure work? How is the knee bandaged? There is a guide on how to bandage the injured area:

1. The leg should not be strained.
2. The roll should be held in one hand and the loose end in the other.
3. The loose end should be placed at the back of the knee, below the hollow of the knee.
4. Bandage the leg along the crease below the ankle, lightly covering the loose end.
5. All layers slightly cover the previous layers.
6. Tighten the pad lightly each time, but not too tight.
7. Then fix the end of the bandage by tucking it under any layer.

Do this procedure with the lower part of the knee first, then wrap the upper part of the knee in the same way. It is important that the bandage does not get in the way or cause pressure. To do this, bend your leg a few times. It is not very difficult to properly bandage the knee with an elastic bandage. Of course, you won't be able to do it right away, but once you've practiced, putting on an elastic bandage will be much easier.

Here are some tips on dressing technique:

1. The bandage must be wound correctly and evenly, otherwise micro-injuries may occur.
2. The bandage should be opened outwards to prevent premature stretching.
3. Each pad layer should not overlap the next by more than 50 %.
4. The bandage should be slightly larger than the injury - about 10 cm.
5. At the end of the bandage, the tightening should be slightly loosened.

Also Read: What Is Knee Joint Arthromotor And At What Price Is It Sold?

Find out more about joint ointments in another article.

Wrap the joint thoroughly and tightly so that it is well protected. That's how important the leg bandage itself is. A good fixation gives the bandaged knee the necessary immobility for a period of time and reduces the stress on the knee. That's why it's important to know how to wrap the bandage properly.

What parameters should be considered when choosing a product?

When choosing such products, it is important to pay attention to several details:

• The first thing to consider is the size of the retainer. It should fit snugly against the skin, but not too tight and not roll or slip when you move. To choose a model, the circumference of the thigh should be measured beforehand (10-15 cm above the knee), directly at the back of the knee and 5-10 cm below.
• Another selection criterion is the material of construction. Modern models are made of hypoallergenic, soft fabrics that reduce the risk of skin irritation, provide the necessary air exchange and prevent excessive sweating. The materials used are natural cotton, lycra or elastane, spandex, neoprene. These materials are durable, dimensionally stable and easy to care for. If you follow the rules for using knee braces, the fixators will last as long as possible.
• Costs. When choosing the products you need for recovery after a serious injury or surgery, to prevent the development of complex forms of arthrosis and arthritis, you should not skimp on the purchase. The price of an orthosis depends on the parameters described above. The more perfect the part is and the more comfortable it is to wear, the higher the price.

Types of braces, their characteristics

Comfort largely depends on the type of spacer design. Depending on this parameter, the products can be hard, semi-rigid or soft.

These variants allow complete immobilisation of the joint. They are a more comfortable alternative to a cast as they eliminate the possibility of muscle atrophy. They are recommended for rehabilitation after torn ligaments, meniscus surgery and fractures of varying degrees of difficulty.

In this case, the bandage provides slight immobilization. The main function of the product is to create a compression effect, thereby improving tissue blood circulation, micro-massage and uniform heat. Suitable for chronic lower limb diseases, arthritis and arthritis prevention, sports training and prolonged walking or footwork.

They provide moderate compression, which helps protect joints from excessive stress and helps prevent injury. Their compression effect is negligible. It is recommended to wear them in the later stages of recovery from surgeries and injuries to alleviate the condition of osteoarthritis and arthritis patients. There is a reputation that these models are better at helping with knee pain.

• with lateral reinforcement – equipped with additional rigid inserts on the sides, effective for sprains and dislocations;
• Cleft ligament joints – these joints allow movement of the joint and are suitable for long-term wear and are used in the event of serious injury, severe pain or after surgery.

How do you wear a neck brace?

A neck brace is worn on the bare neck and tightened to allow blood to circulate freely in the neck area. It is only worn during the day for sedentary work or physical exertion. At night, remove the orthosis before going to bed.

Only wear the orthosis on the advice of your doctor.

In the first few days, the orthosis should not be worn for more than 15 minutes. Your neck needs to get used to the collar. This will help avoid discomfort. Every day the wearing time should be increased.

The maximum wearing time for a neck brace is 7 days. However, this period is determined by the doctor and in some cases can be longer than a week.

If pain, discomfort accompanied by nausea or vomiting occur during ingestion, consult a doctor immediately.

contraindications

• skin diseases;
• open wounds, fresh scratches and abrasions;
• Heart attack;
• brain damage, e.g. B. after a stroke;
• circulatory disorders in the neck area;
• Tumors in the area where the orthosis adheres to the skin.

In all cases, a doctor should be consulted before fitting a neck brace.

Do I have to take off the orthosis at night?

Most orthoses need to be removed overnight. Unless your doctor says otherwise.

If your treatment requires the orthosis to be worn permanently, you must not take it off overnight. At most, you can loosen the orthosis a little before going to bed so that it does not constrict the blood vessels and impair the blood circulation in the arm or leg.

On our website you can choose and buy ankle, knee, wrist, finger or neck orthoses in Grodno. All models are shown in our catalogue.

Mistakes in the rehabilitation period

The time it takes for a patient to regain mobility in the leg depends on the type of surgery performed and can range from a few weeks after arthroscopy to six months for arthroplasty.

Some patients complain of a lack of knee mobility after the operation and blame the doctors for a poorly performed operation. In some cases, the problem lies in the individual characteristics of the operated person, when even a carefully planned rehabilitation is delayed and complicated by a negative pathogenesis.

However, the most common cause is non-compliance with the schedule and terms of rehabilitation therapy, as well as ignoring the recommendations of the specialists who performed the operation. Careful adherence to the rehabilitation team's recommendations regarding the specific program, recommended exercises, and treatments increases the chances of a successful recovery.

General guidelines

In order for the rehabilitation process to be successful, the following rules must be observed

• Follow any recommendations of the orthopedist or rehabilitation therapist;
• comply with the prescribed duration and frequency of all treatments;
• regular check-ups and diagnostic tests as recommended by your specialist;
• Try to bring the knee joint into an elevated position more often;
• always wear a brace, knee brace, bandage, or other support prescribed by an orthopedist;
• take the prescribed medication
• if necessary, have a massage with lymphatic drainage.

In the first few days after returning home, it is important to limit mobility and use crutches to get around. Rehabilitation takes place at home, but it may be necessary to see a specialist to control appointments.

What should a person with an artificial knee joint consider?

Life with an artificial joint will be different and will have some limitations. A person with an artificial knee joint has to take care of his artificial joint throughout his life. In order for the mechanism to last longer, so that one can confidently return to an active life and live comfortably for another 15-20 years (approximate life expectancy of a modern implant), the following medical recommendations should be observed

• Get enough exercise: Both too little and too much physical activity are equally harmful to the joints;
• Include in your diet foods rich in minerals and natural building blocks necessary for bones (fish, linseed oil, sesame, poppy seeds);
• Walk more often; by the end of the third month you can walk up to 4 hours a day (with occasional rest on a bench) and take at least 10,000 steps a day;
• Slowly increase your physical activity (especially in the first year after the endoprosthesis);
• take fitness classes, carefully walk on a treadmill and train on a stationary bike;
• Don't forget to wear a knee brace when exercising;
• Cycling, dancing (but not fast dancing), rowing and bowling are allowed;
• green light for yoga, Pilates, stretching, and body balancing classes;
• swim, do water aerobics 2-3 times a week;
• Watch your weight, fight every extra pound;
• avoid injuries;
• Walk in comfortable orthopedic shoes that stabilize the ankle;
• at the slightest discomfort, let alone pain, go to the doctor.

Do not do it!!!

• categorically reject extreme sports, martial arts, skiing, mountaineering and team contact games;
• try not to overload, overcool or overheat your foot;
• Do not lift more than 10 kg;
• do not squat or cross your legs (keep your legs shoulder-width apart when sitting);
• Don't just twist one knee to one side; Twisting movements should be performed with the whole body;
• Don't stand on your feet for more than 30 minutes;
• do not sit on deep armchairs, low sofas or armchairs.

If the rehabilitation period goes smoothly, the patient returns to a normal rhythm, his quality of life improves, he moves freely and even forgets to care for his operated leg. And this is where the catch lurks. An artificial joint is a mechanism that wears out. A second operation is more traumatic, difficult and often associated with complications. Therefore, the patient should be concerned about the longevity of their new knee, and proper care will help them in this.

Functions of compression garments

This type of clothing is prescribed for prophylactic and therapeutic purposes. Every venous disease is associated with a significant enlargement of the veins.

The principle of compression clothing is based on the pressure difference that occurs in the limbs. The lower leg receives an average of 70 % of pressure, the thigh about 30 %. The veins are compressed, the blood is pushed outwards, the blood flow is stabilized.

The compression generated from the outside by the correctly selected knit gently and gradually compresses the vein walls. This makes possible:

• to improve the quality of blood circulation in the body's vascular system;
• to normalize blood flow, and therefore blood pressure;
• reduce blood viscosity;
• gradually reduce the diameter of blood vessels;
• to improve the nutrition of tissues in the body;
• reducing the risk of blood clots;
• Reducing the visibility of venous networks and spider veins;
• Reducing swelling and pain.

In other words, the compression knitwear prevents the veins from expanding due to their own elasticity and the pressure exerted on the body.

When is compression underwear necessary?

These products are prescribed by specialists when vein problems are identified. Depending on the complexity of the situation, a specific type and class of compression garment will be prescribed.

• Venous diseases: thrombophlebitis, varicose veins, thrombosis, lymphedema. The stages of these diseases require the wearing of elastic underwear with a compression effect to minimize the risk of venous thrombosis and improve the patient's overall well-being.
• Postoperative use allows for a faster recovery phase. Despite bed rest, the blood circulation in the vessels is actively maintained by the external compression created by the elasticity of the underwear.
• During pregnancy, compression knitwear normalizes pressure in the lower limbs and improves blood circulation. It eliminates the feeling of heaviness in the legs, swelling and almost completely eliminates the formation of blue veins.
• In the postpartum period, the compression band keeps the abdominal muscles in shape, prevents internal organ prolapse and allows the mother to recover quickly.
• During sports training, the body's fatigue is reduced and pain during unusual or high exertion is prevented.
• Stockings or pantyhose should be worn prophylactically in order to maintain optimal well-being on long flights or when sitting down.
• Compression stockings are also used in dietetics as an additional means of weight loss and drainage. Stockings and tights promote the breakdown of fat deposits, smooth the skin relief through micro-massage and tighten the upper layers of the skin.

Are there any contraindications?

Compression stockings are not a panacea for vascular problems. It is therefore important that the specialist receives comprehensive information about concomitant diseases when selecting the product.

Wearing compression clothing is prohibited in chronic arterial diseases associated with vasoconstriction. These include atherosclerosis, aortitis, Raynaud's syndrome and polyneuropathy. It must also not be worn in the case of diabetic foot, trophic ulcers and arthrosis.

Daily Movements

• It is important to protect the operated shoulder.
• It is important to keep a straight back.
• Do not put weight on the affected shoulder, even when standing up.
• Make sure the work surface is no higher than the elbow joint.

• After about 6 weeks it is still possible to stand up without pain with the support of the operated arm. Until then, only the healthy arm can be used.

• Since the muscles of the operated arm were immobilized for some time, their physical performance is weakened. Therefore, it is not advisable to lift heavy weights. The only exception is therapeutic exercises developed by the doctor.
• In the first period after the operation it is forbidden to lift more than one cup of tea. Gradually, over time, it becomes possible to lift objects that are not heavy, but also no heavier than your arm.
• The same recommendations apply to pushing and sliding movements.

• While wearing the orthosis and after removing the orthosis, the pain when raising the arm upwards persists. If you follow your doctor's instructions, you will gradually regain full range of motion in your arm.

• Up to the sixth week after the operation, you can only hold the handrail with the hand that is outside the orthosis. The operated hand can then also be used.

• If the work is purely administrative in nature, it can start a few weeks after the operation. If the work is physical in nature, it must be approved by your doctor. This is related to how quickly the shoulder muscles recover, but no earlier than 6 weeks after surgery.

progress in recovery

Once the brace is removed, you may worry that your shoulder will feel weak and difficult to control. Don't worry, this is because you haven't moved your shoulder for a long time; You must try to move it daily to make it work faster again. You can move the shoulder with the help of the other arm or with the help of another person.

• When applying the bandage, the same recommendations apply as for the arm in the orthosis, with the addition of lifting the operated arm at the elbow. You can also put the sore arm in the pocket area.
• For example, you can use the injured hand to brush your teeth, use deodorant, wash your face, shave, and comb your hair. However, all these activities can be carried out with the help of the healthy arm.
• The affected arm can also be exercised while doing housework. Appropriate activities include: wiping dust off surfaces and reaching for small objects. Every movement should be supported by the sound arm.

Please note! It is necessary to move the affected arm every day, but with support.

The movement of the operated arm becomes safer and no longer requires support.

• When dressing, all operations, including closing the bra behind the back, can be performed with both hands.
• Both hands are also used for all processes in personal hygiene.
• Raising the arm to grasp objects above the shoulder is allowed.
• It's important to maintain proper posture, otherwise you may experience muscle tension.

Gradually use both hands in all daily activities and practice proper movements. This strengthens the arm and increases range of motion.

Please note that this guide is intended as a guide only. If you have any questions, please consult your doctor.

• How to properly wear a knee brace.
• How to wear a knee brace for osteoarthritis.
• Application of the knee brace.
• What is an orthosis?.
• What are knee braces?.
• What is an orthosis?.
• What is a knee brace?.
• How much does meniscus surgery cost?.