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  • knee-replacement (36K)

    About Total Knee Replacement

    Joint replacement is becoming more common, and hips and knees are the most commonly replaced joints. In 2006, 542,000 total knee replacements and 231,000 total hip replacements were performed.

    The new joint, called a prosthesis, can be made of plastic, metal, or both. It may be cemented into place or uncemented. An uncemented prosthesis is designed so that bones will grow into it.

    First made available in the late 1950s, early total knee replacements did a poor job of mimicking the natural motion of the knee. For that reason, these procedures resulted in high failure and complication rates. Advances in total knee replacement technology in the past 10 to 15 years have enhanced the design and fit of knee implants.

    Total knee replacement is often the answer for people when x-rays and other tests show joint damage; when moderate-to-severe, persistent pain does not improve adequately with nonsurgical treatment; and when the limited range of motion in their knee joint diminishes their quality of life.

    In the past, patients between 60 and 75 years of age were considered to be the best candidates for total knee replacement. Over the past two decades, however, that age range has broadened to include more patients older than 75, who are likely to have other health issues, and patients younger than 60, who are generally more physically active and whose implants will probably be exposed to greater mechanical stress.

    About 90 percent of patients appear to experience rapid and substantial reduction in pain, feel better in general, and enjoy improved joint function. Although most total knee replacement surgeries are successful, failure does occur and revision is sometimes necessary. Risk factors include being younger than 55 years old, being male, being obese, and having osteoarthritis, infection, or other illnesses.

    Physical Therapy Pre and Post Surgery

    There are a number of reasons why you should see a physical therapist before you consider a knee replacement and after surgery as well.

    • Physical therapy is proven to be a successful treatment for arthritis; therefore, a physical therapist directed program could help you delay or avoid knee replacement.
    • Seeing a physical therapist before surgery and going through a "prehab" program (a set of rehabilitative exercises before surgery) is proven to increase strength and speed the post-surgical recovery process.
    • Post-surgical physical therapy for knee replacement patients is a must. While most knee replacement patients experience a significant reduction in pain, almost all knee replacement patients suffer from considerable muscle weakness, loss of range of motion, and limited function. Seeing a physical therapist after surgery can greatly improve your strength, mobility and function.

    Give us a call to learn more about how we can help you.

Disclaimer

The information in this medical library is intended for informational and educational purposes only and in no way should be taken to be the provision or practice of physical therapy, medical, or professional healthcare advice or services. The information should not be considered complete or exhaustive and should not be used for diagnostic or treatment purposes without first consulting with your physical therapist, occupational therapist, physician or other healthcare provider. The owners of this website accept no responsibility for the misuse of information contained within this website.

Lona (6K)

Raul Lona, DPT, OCS, ATC

Dr. Raul Lona earned his Bachelor of Science degree and Certification as an Athletic Trainer from California State University, Fullerton in 1998. Raul received his Clinical Doctorate of Physical Therapy from the University of Southern California in 2001. He recently re-certified his Orthopedic Clinical Specialty in 2015 and is a member of the American Physical Therapy Association.

Dr. Lona has been published in subjects related to Lower Back Pain. As such, he specializes in treatment and differentiation of lumbar and hip disorders. In addition, Dr. Lona enjoys treating patients with ankle and foot disorders. Dr. Lona recently completed clinical training in Pain Science as it relates to rehabilitation and has become passionate about helping patients understand and manage their pain.

Most recently Dr. Lona earned his level 1 certification with Titleist Performance Institute (TPI). Improper alignment and movements predispose many patients and golfers to injury. Raul will use this certification to better help golfers avoid and more quickly recover from injury.

When not treating patients, Raul values his time with his wife and 3 kids. Raul is involved in coaching his kids' sports teams, including soccer and baseball. Raul regularly practices yoga and is passionate about fitness and health.

Edwards (5K)

Mariko Edwards, MPT, OCS

Mariko Edwards received her Master's degree in Physical Therapy from Mount Saint Mary's College in 2000. Also in that year, she started working for Rebecca Schraven (the founder of M3 Physical Therapy) where she flourished in the orthopedic rehabilitation setting. In her time with WLPT, she has developed collaborative relationships with referring physicians and other healthcare providers in order to ensure optimal patient care.

Mariko is a board-certified orthopedic clinical specialist, a certified Pilates instructor and a certified Kinesio Taping practitioner. Her expertise in these various methods has contributed to her ability to provide successful patient outcomes for a variety of conditions. With knowledge, compassion, skill and a sense of humor, Mariko continues to guide her patients on the road to recovery.

Mariko participated in and enjoyed sports and athletics throughout her life, from team sports such as softball to individual training in Pilates. Since becoming certified in Pilates in 2005 she has utilized this method is not only rehabilitating her patients but also as a student herself. She believes Pilates is the perfect form of exercise for patients of all abilities and fitness levels. She particularly enjoys training and conditioning prenatal and postnatal women.

Mariko is a wife and a mother of two amazing daughters who contribute to her ability to teach with patience and understanding. Her hobbies include supporting her favorite teams, the Lakers, Dodgers and Chargers and nurturing her knowledge of all things pop culture.

Hisamune (5K)

Chris Hisamune, PT

Chris Hisamune graduated from California State University, Northridge in 1983. He has 30 years of experience helping people achieve their goal of feeling and moving better, with 10 of those years dedicated at M3 Physical Therapy. He accomplishes those goals primarily through manual orthopedic skills. He specializes in alignment and postural dysfunctions. Chris's clinical interests include training for better body use through movement training and prevention of disorders associated with Osteoporosis.

Roberta Brehm

Roberta Brehm, PT

Roberta grew up in Ventura County and graduated summa cum laude from Mount St. Mary's University in Los Angeles. It was during college that she first was introduced to the healing power of physical therapy when rehabilitating from martial arts injuries. After college, she volunteered a year in post-Katrina New Orleans.

She attended physical therapy school in Boston at the world-renowned MGH Institute of Health Professions where she spent clinical rotations in a variety of settings. These included a chronic pain treatment program, a geriatric-focused therapy clinic, and a final rotation at the University of Michigan hospital in both inpatient and outpatient rehab settings. She graduated with a Doctor of Physical Therapy degree.

Since graduation, she has worked mainly in outpatient physical therapy but also has spent some time in skilled nursing and home health rehabilitation. She also sees lymphedema patients. In November 2017, she received her Reiki II attunement. In her spare time, Roberta enjoys Pilates, yoga, spin classes, singing, learning the Celtic harp, and travel.

Munesha Lona

Munesha Lona, PT, DPT, PCS

Munesha obtained her Doctorate in Physical Therapy from the University of Southern California in 2001. Her passion for treating pediatric patients extends across a multitude of treatment settings, including inpatient, rehab, and medical units within a school setting. She earned her Pediatric clinical specialty in 2007. Munesha enjoys exercising, traveling, and spending time with her husband and three kids.

Kristina Bond

Kristina Bond, PT, DPT

Kristina Bond earned her Bachelor of Science degree in Biology from California Baptist University in 2014. She then went on to receive her Doctorate of Physical Therapy degree from the University of Alabama at Birmingham in 2017. During her time in Alabama, Kristina completed clinical rotations in a variety of settings including inpatient, outpatient orthopedics, and pediatrics. She also worked with the research department at Lakeshore Foundation, a paralympic training center. Kristina has been published in subjects related to telehealth for patients with Parkinson Disease, and involved in the research of adaptive fitness for people with disabilities.

In her spare time Kristina enjoys spending time with her husband and son, hiking, playing sports on the beach, ice skating, and traveling. She is passionate about promoting health and fitness in the community, and helping people of all ages to reach their goals.

Mariedet Leano

Mariedet Leano
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Stephanie Martinez

Stephanie Martinez
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Joshua Jackson

Joshua Jackson
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Scott Fleming
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Korina Martinez
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Bayron Garcia

Bayron Garcia
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Alexis Mendez

Alexis Mendez
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Monica Kirste

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Aubrey Adams
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Bret Papas
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Diane Glezerman
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Rick Feldman

Rick Feldman
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