TKA Total knee arthroplasty Main goal: restoration of ROM. Utilize prolonged low-load
LE Myotomes stretching, patella-femoral joint mobs, monitor for
DVT/infection, maximize quad strength ASAP.
Segment Action
L2 Hip flexion
L3 Knee extension Articular cartilage Trauma or degeneration Post-surg: Minimize knee ROM & monitor for DVT during
L4 Ankle dorsiflexion injury initial phase; ltd WBing for 3-4 wks; restricted running for 9
L5 Great toe extension months; early ROM & NWB exercise
S1 Ankle plantar flexion
Morton’s neuroma Thickening of nerve sheath • Forefoot paresthesia/intermittent Morton’s squeeze test Surgery
(common plantar nn) where nerve pain
divides into branches, commonly • Pain relieved w/NWBing
b/t 3rd & 4th met heads • Pain increases w/ compression
Diabetic neuropathy Diabetes; damage to blood • Impaired sensation in feet/hands
vessels; mechanical injury to • Slowed digestion of food in
nerves; autoimmune factors; stomach
lifestyle factors • Carpal tunnel syndrome
• Other nn problems