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Knee & Hip Problems Message Board


Knee & Hip Problems Board Index


Iknow what you mean. I had surgery Nov 4th and still can't sit very long without pain. I suppose to go back to work the first of the year and am very worriedd about putting in a full day when I can't even go to a movie yet. Your doing better than me. My flex is at 8% and my bend at 98%. I was told that once I reach 100% bend it will be a lot easier. But I see that is not so by your info. I guess time will tell. I go for my 6 wk check up next week and I sure hope I still can get the good meds for PT.
How soon after the surgery can you start using moist heat? I think this might help the tightness and make it easier to do the flex exercises. No one mentioned this to me but sounds like a good idea as long as it's ok to do it now. I'm almost 2 weeks post op. Thanks.
I'm walking 3.0-3.5 MPH. I have now decided that I will workout possibly every other day and see how that goes. I'm also dealing with vericous veins that came on after my surgery. Yuk! Any suggestions for getting sleep at night?
14 days post op and all is going as expected, swelling itching a little pain with certain movements. Outpatient therapy starts monday and I have some apprehension as I have been through this before. Just remember they only hurt you for a minute at a time and most therapist are compassionate and have a sense of humoras long as you work with them. My original complaint of the bone on bone pain is gone, just like that. I talked to a lot of patients in the hospital at the PT area and all first knee patients were hurting and seemed to think things would magically go away. They do with a lot of work an understanding that the surgical pain goes away in short order. Try to get away from your pain meds as soon as possible, but if you are in pain make sure you use them and don't be afraid to ask for what you need your doc wont make you a junkie they know the limitations. This surgery is amazing and when taken care of properly will let you lead a life with very few restrictions, common sense will dictate that you don't want to tear up the surgeons work cause it is hard to fix.:wave::wave::wave:
[QUOTE=ladyscout;4146375]OMG - 14 days and you are feeling that chirper? This isn't your first so maybe that is the difference as you mentioned but the thought of a second knee is unthinkable right now. I have found that giving up most of the percocet and davorcet have helped my emotions calm down and accept the pain a bit better.[/QUOTE]


I'm 33 days post-op. I had a PT come to my house for 2 weeks after being released from the hospital. She finally told me that I would probably do well by myself since I have been active all my life. I taught step class, low and high impact aerobics (probably my downfall) and finally was certified to teach Pilates about ten years ago. With all that, I was not prepared with the pain and frustration of this surgery.

My workout is about 1 hour a day to very loud Disco music. I'm always flexing during the icing, about 5 times a day for 30-45 minutes. I also sleep with the ice machine on until the ice is gone. I'm afraid I'm going to be addicted to the sucking sound it makes. I limited myself to the pain meds in the beginning because I knew I would probably push myself with the PT. I take one pain pill a day about 30 minutes before my therapy. I hope they last until this mess is over.

I actually went out to our club on New Years Eve. My husband and I play golf,(one of the few activities recommended post surgery). I don't swim very well, so I guess I'll ride my cart into the sunset.

I appear to be the normal recovery. I don't use a cane or walker anymore, and I do drive to the store and back. Most of the time though, I have to go down after doing too much.

I also use a topical OTC gel called Arnica Montana. Even my doc was amazed when I went in for the staple removal. He wrote down the name. All the bruising was gone from the tourniquets they have to use in surgery. There were huge bruises on my thigh and calf, but they were gone in a week or so. It also helps with pain and swelling.

Let's keep everyone posted about our recovery.

Linda
[QUOTE=jmlm4245;4154217]I'm 33 days post-op. I had a PT come to my house for 2 weeks after being released from the hospital. She finally told me that I would probably do well by myself since I have been active all my life. I taught step class, low and high impact aerobics (probably my downfall) and finally was certified to teach Pilates about ten years ago. With all that, I was not prepared with the pain and frustration of this surgery.

My workout is about 1 hour a day to very loud Disco music. I'm always flexing during the icing, about 5 times a day for 30-45 minutes. I also sleep with the ice machine on until the ice is gone. I'm afraid I'm going to be addicted to the sucking sound it makes. I limited myself to the pain meds in the beginning because I knew I would probably push myself with the PT. I take one pain pill a day about 30 minutes before my therapy. I hope they last until this mess is over.

I actually went out to our club on New Years Eve. My husband and I play golf,(one of the few activities recommended post surgery). I don't swim very well, so I guess I'll ride my cart into the sunset.

I appear to be the normal recovery. I don't use a cane or walker anymore, and I do drive to the store and back. Most of the time though, I have to go down after doing too much.

I also use a topical OTC gel called Arnica Montana. Even my doc was amazed when I went in for the staple removal. He wrote down the name. All the bruising was gone from the tourniquets they have to use in surgery. There were huge bruises on my thigh and calf, but they were gone in a week or so. It also helps with pain and swelling.

Let's keep everyone posted about our recovery.

Linda[/QUOTE]

I'm 16 days out of my second knee. First was a year ago. I was worried that recovery wouldn't go as well as last time, but am doing very well. The walker is on the patio and the cane is somewhere in the house. The "too" many inches of snow over Christmas makes it necessary to take the walker when going out, falling is not an option. Last year I was working hard to recoup to get back to the classroom and do student trips. I was back to teaching chem in less than 6 weeks. This year I want to get back to doing volunteering, being independent with driving, etc.
The best advice is to do exercises and stretches at least twice a day. Yes it hurts, but gets better. Make an effort to walk without a limp. Remember, this new knee is more secure than the one we have been walking on before. There is pain, but different from what it was before.
Last time after the wound healed,I was able, to do warm water pool therapy and was able to continue on my own at the facility after the weeks of therapy were completed. Doing personal water walking and stretching therapy for 3-4 months after the new knee really helped. Good luck to all.
I'm sorry to hear that some of you have had difficulty with conflicting information from doctors and therapist. The hospital sent a notebook with and a recommended exercise schedule. It has been extremely helpful. Therapist have added to these. The hospital I went to also had a JOINT CAMP, where those of us who had surgery on the same day went twice a day and did therapy together along with our own coach. It really helped to encourage one another and be able to see others in the same position. This time I went to the same hospital because of the joint camp and its positive nature.
Good Luck to all.
Frannyia
I had my second knee on Dec 16. The other was Dec 15, '08. I was lucky and am lucky this time also and rehab went very well. I attribute this to beginning therapy at the hospital and continuing at least twice a day thereafter. Everyone is different and so is every knee. Stretching, icing, and working through the discomfort are important.

Last year, one of the best part of therapy was the warm water therapy pool. I did about 2 weeks of that before going back to the classroom last year (5.5 weeks after surgery). After that I was able to go workout in the pool at least twice a week, doing my own therapy for about 3 more months.

I am walking without walker or cane. When going outside in the snow, I will continue to take the walker for stability for a few more weeks. I also am doing stairs using the handrails.

Good luck to you. Don't be afraid to take your pain meds, just don't overdo them.

Frannyia
[QUOTE=Frannyia;4154485]I had my second knee on Dec 16. The other was Dec 15, '08. I was lucky and am lucky this time also and rehab went very well. I attribute this to beginning therapy at the hospital and continuing at least twice a day thereafter. Everyone is different and so is every knee. Stretching, icing, and working through the discomfort are important.

Last year, one of the best part of therapy was the warm water therapy pool. I did about 2 weeks of that before going back to the classroom last year (5.5 weeks after surgery). After that I was able to go workout in the pool at least twice a week, doing my own therapy for about 3 more months.

I am walking without walker or cane. When going outside in the snow, I will continue to take the walker for stability for a few more weeks. I also am doing stairs using the handrails.

Good luck to you. Don't be afraid to take your pain meds, just don't overdo them.

I really hate the pain meds. I really don't see how anyone could get addicted to them. Did you have a excessive amount of fluid on your knee? Sometimes it swells with fluid, mainly on the right side, and the only thing that helps is ice. How long does this last? Are you on any anti-inflammatory drugs? Aleve, celebrex, etc. After doing the blood thinning shots for 21 days, (my husband was the shot giver, and he was shaking with every shot. Thank God they're over!), I wonder if I should take an anti-inflammatory drug. I called my on call doctor today with no answer.

I walked about a mile yesterday with my sweet dog, and my hip and back are screaming at me today. Is it normal to have such hip pain? Please don't tell me I may need hip replacement!

Frannyia[/QUOTE]
The back and hip pain that someone mentioned, my therapist has told me comes from not walking quite correctly yet. Maybe they can give you some suggestions.

For swelling, have you continued to use the ted hose part of the time? I found they really helped. They aren't fun, but certainly make the legs feel better. I had used them prior to surgery to give my knee more support when teaching and on my feet a lot.

I also used them when traveling to keep swelling down. (I have had trouble with swelling prior, its hereditary.)

I have found some support hose that are like panty hose. They minimize that 'roll down' effect and are much more comfortable. I Googled them.

As to what I use for swelling now, Advil is the choice.

My biggest problem yesterday and today is that the steri-strips that replaced the staples are all coming off too rapidly. I have replaced them with butterfly closures for now. The surgical site just looks like it needs more time to heal and more support.
[QUOTE=Frannyia;4155096]The back and hip pain that someone mentioned, my therapist has told me comes from not walking quite correctly yet. Maybe they can give you some suggestions.

For swelling, have you continued to use the ted hose part of the time? I found they really helped. They aren't fun, but certainly make the legs feel better. I had used them prior to surgery to give my knee more support when teaching and on my feet a lot.

I also used them when traveling to keep swelling down. (I have had trouble with swelling prior, its hereditary.)

I have found some support hose that are like panty hose. They minimize that 'roll down' effect and are much more comfortable. I Googled them.

As to what I use for swelling now, Advil is the choice.

My biggest problem yesterday and today is that the steri-strips that replaced the staples are all coming off too rapidly. I have replaced them with butterfly closures for now. The surgical site just looks like it needs more time to heal and more support.[/QUOTE]

My staples were out in 2 weeks and although red it had closed properly. I used the Arnica Montana and it looks pretty good today. What are the Ted hose? I was not told about them. Will the advil also help with the fluid?

Linda
[QUOTE=jmlm4245;4155346]My staples were out in 2 weeks and although red it had closed properly. I used the Arnica Montana and it looks pretty good today. What are the Ted hose? I was not told about them. Will the advil also help with the fluid?

Linda[/QUOTE]

Advil won't help with the fluid. Keeping your leg elevated when possible will help some. The Ted hose are those support stockings they put on you in the hospital. I just got some better ones on line and wore them when working after surgery.
[QUOTE=ladyscout;4155402]I had shots to prevent blood clots for 10 days but after I got home from the nursing facility I just couldn't do it and stopped at 7 days. Figured I'd stay more active on my own - it worked - I'm alive.
I'm 7 weeks post-op. I go the PT, out-patient, 3 x's a week and to my gym the other days to ride the bike and get into the hot tub and exercise. I'm also having a heck of a time walking right. It's like learning all over again and my hip, back, neck are in so much pain. I'm still waking up, moving, stretching every hour of the night. I have been driving, carefully, and getting to the store (the cart is like a big walker!) and that lifts my spirits.[/QUOTE]

When I go to the store, I use one of the electric carts. You're right though, even going to the store is uplifting.

I walk alright, it's just painful. This surgery is no cakewalk, and most of us were really active before. We just have to get over the idea that we're in this mess.

Linda
Linda, we obviously went to the same hospital, possibly had the same great Dr. from SF.

Perhaps the terrible pain prior to surgery is why I felt such a difference post-op. Being very sensitive to the meds, and being able to get away from them asap did help emotionally. When back to work, moving and walking was wonderful. The stability of the new knee was a relief. My family, friends and students were so happy to observe the lack of pain and stability with which I was able to move.

I went to therapy yesterday. Rather than feeling like extreme discomfort, it feels more like when I have overexercised in the past and was just stiff. Things are improviing.

Good luck to all.
This week I had appointments with my surgeon and one with my PCP -- who was the one who urged me to have the surgery. I was able to tell both of them that having the surgery was the best thing I could have done!

Sure, it was difficult at first, and even after the immediate surgery and the PT, it was difficult with the back pain and with my shoulders from lifting myself up from low positions. Also the extreme tiredness. But over the weeks, everything came together. I never took pain meds for more than 5 or 6 weeks, and even then only before PT --- as I hated the way medications made me feel .

I am now 3 months/1 week post op, and altho I gave up the walker after 1 week, I began using my rolling cane less and less. It was about 2 to 3 weeks ago that I realized that I wasn't using it at all! AND -- today, in the supermarket parking lot, there were no carts halfway down the lot, so I walked by myself up to the store. First time in a long time I did that, as I was using my rolling cane about a year before the surgery.

My knee still feels like a block of wood, but my ROM keeps improving with daily exercise.

Would I do the other knee? Yes! But I wouldn't wait so long. Also, I would keep a log to track my progress. Quite an experience!
Good luck to you as you return to teaching. Last year I was lucky and returned in less than 6 weeks. Since it was over Christmas and semester test days, I really only lost 16 classroom days. (The Chem students were happy to have me back.) 3 and 1/2 months after surgery I road a bus (20 hr) though the night with students for a competition in Texas. We were gone 4 days and did the reverse trip home. I did wear the compression stockings when riding. That really helped with swelling.

This year I'm retired, but still may work with the student competition.

Tomorrow is 4 weeks. Yesterday I did 1 hr PT and 1 hr in the pool to do water walking and more PT. Last night both legs ached and cramped and today were a little stiff, but doing OK now.

THANK your husband for his encouragement. Mine started the 'heel-toe' thing from the beginning when I was walking in the hospital. Keeping that in our heads from the beginning certainly makes it come naturally more quickly. Those who know me are surprised that I walk without a limp. My fellow teachers commented when seeing me after 3 weeks that they couldn't tell I had a problem with my knee. My reply has been that this knee is certainly better than the old knee, why should I have a limp.

We all need to keep a positive attitude. Our neighbor stopped in last week. He is an inspiration to ALL. He has had 2 knees and 2 hips done. His commented that the former pain is gone. Yes the new ones ache, but the old ones gave him extreme pain. He did say that the knees had a harder rehab.

Good luck to all.
Mary
Hi - I am new to this board, and have read most of the What I wish I knew thread about TKR. I am 54, and seeing my surgeon and doing my hospital tour later today in preparation to surgery on my right knee on Tues, January 19. So many fears, and questions..... But have learned a lot on these boards following your progress. Please be patient with me, while I keep reading and asking questions before Tues. For now to bed, but will be on again tomorrow with questionsss. Thanks for sharing your experiances.
Grumpyathome (not just because of leg, there is a story behind the name...)
Bloomington minnesota R knee replacement - end of october surgery, similar problems, but my flexibility is a lot less - only 65 deg. cannot do most of the daily things - sleep, walk, up and down stairs. i lost over 30lbs. had to go to work this past monday, half time and when I come home I take a nap.
i can sit, but my leg gets crampy and stiff after a while, i stand up and walk a bit. cannot ride the bike - as the leg won't bend. Aquatics in a warm pool helps, but so far flexibility has not improved - only the way it feels to my mind.
coldnstuck
[QUOTE=coldnstuck;4162850]Bloomington minnesota R knee replacement - end of october surgery, similar problems, but my flexibility is a lot less - only 65 deg. cannot do most of the daily things - sleep, walk, up and down stairs. i lost over 30lbs. had to go to work this past monday, half time and when I come home I take a nap.
i can sit, but my leg gets crampy and stiff after a while, i stand up and walk a bit. cannot ride the bike - as the leg won't bend. Aquatics in a warm pool helps, but so far flexibility has not improved - only the way it feels to my mind.
coldnstuck[/QUOTE]

Hi there, I had my rt knee replacement on 25th October and saw the consultant yesterday and all going well, however it is still sore and need to rest quite a lot with the ice. However first day back to work today and absolutely worn out, only office work.

Regarding the exercise bike, I found that when first on the bike it is not possible to do a complete turn, BUT if you persevere by going backwards and forward as much as poss. eventually the leg does release gradually and will eventually do the complete round. I asked my physio why this is so and it was explained to me that the scar tissue settles, by moving this eventually some chemicals will break down and if the scar tissue is not manipulated you will end up with a stiff leg which will never return to normal as the scar tissue will settle . hope this makes some sense, it did when she explained it to me but prob in better words. however it does work and can now move my leg more or less to normal though still feels weird.

It surprised me how much it took out of me but although uncomfortable it is nowhere the pain that I suffered before, now waiting for the snow to go so I might actually walk, prob with 1 crutch due to confidence, to the local shop.

Hope things improve for you
[QUOTE=megsmum;4163894]Hi there, I had my rt knee replacement on 25th October and saw the consultant yesterday and all going well, however it is still sore and need to rest quite a lot with the ice. However first day back to work today and absolutely worn out, only office work.

Regarding the exercise bike, I found that when first on the bike it is not possible to do a complete turn, BUT if you persevere by going backwards and forward as much as poss. eventually the leg does release gradually and will eventually do the complete round. I asked my physio why this is so and it was explained to me that the scar tissue settles, by moving this eventually some chemicals will break down and if the scar tissue is not manipulated you will end up with a stiff leg which will never return to normal as the scar tissue will settle . hope this makes some sense, it did when she explained it to me but prob in better words. however it does work and can now move my leg more or less to normal though still feels weird.

It surprised me how much it took out of me but although uncomfortable it is nowhere the pain that I suffered before, now waiting for the snow to go so I might actually walk, prob with 1 crutch due to confidence, to the local shop.

Hope things improve for you[/QUOTE]

I'm beginning to feel like I'm some kind of robot and at the same time very fortunate. I started my PT the 3rd day after surgery. The day after my staples were out, day 12, I started the stationary bike. There was no effort in turning the pedal and I have eventually worked from 10 minutes on the first day to 30 (day 47). My daily routine consists of 30 minutes on the bike, 10 on the treadmill, and 1 hour of stretching and Pilates. I also walk my dog .9 miles at least 2x a week weather permitting. I think how you heal is based on your activity levels before. I was barely walking before the
surgery but was always very active before knee problems. Now I move like I never had a knee problem.

If it sounds like I'm bragging, I'm sorry. I am very happy with my progress and wish everyone could experience the joy I have when I'm able to do things I haven't done in years. Trust me, you all will experience the same and you will be so proud.

Thanks for letting me gloat a little. Keep exercising. My dr. said "no pain no gain".

Linda
Today is 2 months since surgery and last night was the first "kinda" decent sleep w/Ambien I've had. I'm on anit-inflamatories because I was doing to much so I've cut back and even told the PT people I don't want to push as much and I'm doing much better. I was in great shape before the surgery except for the bone on bone. Even did a 67 mile bike ride the month before. This has been one of the hardest things I've done. My whole body aches due to over-compensating for the operated knee pain. Since I've always been so active this "sitting around" has been awful. I do know that each day I'm a little better.
It seems everyone is doing fairly well - a few issues here and there - but for the most part everyone from the start has a great range of flexibility. Everything else appears to solve itself in time.

I started with low flex and continue to be there starting - today - on the 13th week. This situation makes it quite different then.

my nightly baths have become my daily PT sessions now, since being in the hot water seems to give me the right evnironment to push my leg. for the most part, the limited flex is what I have to work with - about 75-78 - and it is becoming difficult to either lay or sit or stand, the side of the leg both up and down from the knee is getting cramps, and difficult to walk.

Maybe in time it will improve - and i keep at it every day. But for me - it did not go the way of the prescribed path - work it while recuperating - it seems my knee wants to heal and then work it.

Have not slept for a long time, way before the surgery - and now I get up at least 5-6 times during the night if not more. The other leg has atrophied quite a bit and as I decided to just start moving, standing is very difficult.

Having lost much of the rest of the body muscles is another problem that i am now working on, as every muscle has atrophied quite a bit.

And on top of everything - going to work. I am glad we have a day off today, this week will then be a 4 day week.

I don't know why my flexibility is not there, I have worked so hard right after surgery and after manipulation ( at 4 weeks) that is almost incredible my flexibility has stayed about the same. Probably doing nothing would have yielded the same results and spared me all the pain of pushing the leg into bending.

I know that everyone is different, and am not comparing with anyone else, just observing how in my case the road to recuperation has been quite different than most of what I've read here.

This week I hope to get a second professional opinion as to how the knee is doing , I am starting to think I need to check everything out, maybe there is something that holds me back. And if there is not, then I just keep moving forward, hoping it will one day bend enough to make walking possible and riding the bike.

before surgery, my knee was in bad shape, and it is possible that it takes longer for the damage to repair inside and only then to make the knee functional. These are all speculations on my part, as i had no advice from someone that actually knows and understands how the healing hierarchy happens. Having been pushed into PT right after surgery apparently did not yield the expected flexibility results.

It is great to hear about the good results, and some of the symptoms of healing from the replacement surgery, it helps me figure outt I am also on the right path, just a lot slower than most.

spirits high, discipline in workouts and hope things will improve - wishing you all a speedier recovery with less pain and steady positive results. coldnstuck
Just curious to know if you were set up with the Continuous Motion Machine following surgery and for the next few weeks. I loved that machine and credit it with my early success with flex. The other thing I learned from my PT was to massage my knee. I do that about 2X a day. It really helps with the stiffness to get things moving. I'm three months out this week and having the other knee done in three weeks.
[QUOTE=ladyscout;4165037]Today is 2 months since surgery and last night was the first "kinda" decent sleep w/Ambien I've had. I'm on anit-inflamatories because I was doing to much so I've cut back and even told the PT people I don't want to push as much and I'm doing much better. I was in great shape before the surgery except for the bone on bone. Even did a 67 mile bike ride the month before. This has been one of the hardest things I've done. My whole body aches due to over-compensating for the operated knee pain. Since I've always been so active this "sitting around" has been awful. I do know that each day I'm a little better.[/QUOTE]

I wish I could take Ambien. I took one about 3 years ago and I was out 16 hours and diagnosed with a potential stroke at the emergency room. I remembered nothing about the incident. I flushed them. I'm among many who have adverse effects. My best sleep is from 10:00 PM to about 1:00 am. I then watch LMN, Law and Order and reruns or old movies on Starz until about 4:00 am. Then I sleep until about 8:00 am and start all over. I ice around 2:00 pm and nod off for about 15 minutes. I then do my 30-40 minutes on the bike/treadmill and an hour of the PT exercises.

I have been lucky enough to have the best orthopedic surgeons around. My ACL 10 years ago on my left knee was repaired by the Dr for the Carolina Panthers and this replacement was done by the Doctor for the local minor league baseball team. I have to give them credit for excellent work. I think it matters a lot with the recovery who your surgeon is.

Keep up the good work. My Dr said "no pain, no gain". I think he's right.

Linda
[QUOTE=joanne48;4166074]My husband had both knees done in August. He's back to work, he found that having PT teach him how to message the knee, helped tremendously. It's not a short recovery. By the sounds of it, you are doing great.[/QUOTE]

Actually I had the click thing going on and it felt like my knee was locking up.. I totally freaked and called my dr. who saw me right away.. turned out.. and this was I would say maybe four weeks after surgery.. because I was suppose to start PT that day.. and all I did was bend over to tie my shoe and the pain was OMG.. screamed for hubby and told him to straighten my leg out for me... lol.. it's funny now.. so we went to the dr... he said it's you knee breaking down the scar tissue.. it's a good thing.. while it might be a OUCH.. it's your knee breaking up the scar tissue that is building up.. which you don't want it to do.. Does it very very seldom now.. and I kind of get a forewarning now.. and I say don't you dare do that...lol.

Could be just your body breaking down the scar tissue building up in your knee... but ask your dr.:wave:
Its 5 weeks today. The PT said I was ready to go on my own Monday. No more directed PT. I will go in 2 or 3 times a week for warm water walking and exercise. Keeping up regular exercise at home is always very important.

The leg still aches some but Advil keeps it doing OK. Yesterday and today it was aching a little more. Probably predicting the ice storm we had last night.
I get up once or twice a night.

I agree with the person who commented on the continuous motion machine that was used right after surgery and during the hospital stay. That was a great help with flexibility.

The PT said massaging the scar with vitamin E really helps break down the scar tissue and reduce the scar. It did help the scar from last year's surgery, so am doing it again this time.

Good luck to all. We are all different. It takes a lot of perseverance.
[QUOTE=ladyscout;4168732]Wow - thanks! Those are two concrete suggestions I can do. I really appreciate it. I have a coffee can that I've used for another exercise so I'm ready! Off to the gym for my regular floor exercises (given to me by a friend who had this done) and 30 min. on the bike, then in the hot tub. I'm in So. CA and it is just pooring out - still![/QUOTE]

We have been watching the rain in CA. Hope those mud slides don't cause you any problems. The hospital where I had surgery gave at me a booklet of exercises. A couple others. 1. Put the coffee can under the knee, tighten the calf muscle and raise the leg. As you get stronger, put weights on the ankles.(15 reps twice a day.) I do this in bed before getting up and before sleep. 2. If doing straight leg raises, my PT said do only about 5,once a day because it puts a lot of pressure on the hips.

We are suppose to have rain here too. The average temp this time of year is 25, but today it is 33 and rising. The ice that has been on the trees is coming down like hail. My knee is really aching today, at the pool this morning, the PT said everyone was complaining of more aches than usual. It's the weather. Good luck. Mary
I'm now 3 months post Tkr. After a month my doctor would not give me any more pain meds. Ibuprofen and Tylenol just don't cut it. As of a week ago I still wasn't sleeping so my regular doctor finally gave me some sleeping meds. FINALLY a good night sleep which is now helping with the healing process. PT finished the end of December. Now I'm working out independently 4 times a week. Full body workout. One day Yoga, 3 days walking and weight lifting. I had to go to a chiro to get my hip back in alignment which has really helped. Now it is only my knee that hurts. I still don't have any feeling on the outside of my knee. Hope that comes back some day. I'm now just taking it one day at a time and happy my knee doesn't hurt quite as bad as before surgery. Good luck to everyone who is on this journey.
[QUOTE=mtb1218;4169964]I'm now 3 months post Tkr. After a month my doctor would not give me any more pain meds. Ibuprofen and Tylenol just don't cut it. As of a week ago I still wasn't sleeping so my regular doctor finally gave me some sleeping meds. FINALLY a good night sleep which is now helping with the healing process. PT finished the end of December. Now I'm working out independently 4 times a week. Full body workout. One day Yoga, 3 days walking and weight lifting. I had to go to a chiro to get my hip back in alignment which has really helped. Now it is only my knee that hurts. I still don't have any feeling on the outside of my knee. Hope that comes back some day. I'm now just taking it one day at a time and happy my knee doesn't hurt quite as bad as before surgery. Good luck to everyone who is on this journey.[/QUOTE]

Three months here too.. as of the 15th. No more therapy for me either.. for what she was doing I can do at home... really really didn't like her. I had my ACL repaired years ago and that PT was brutal.. the therapist really really worked you.. watched everything you did.. this one.. when I got there she said ride the bike for 10 mins. then she would give me some papers with the same exercises that they gave me when I came home from the hospital.. I would do those on my own.. she never even came in the room to see what I was doing.. then she would come in and massage my scar for like five mins. then I would do ice and stim.. (which I also have a stim machine to use at home).. so why go.. I have a gym where I live.. so I have access to a bike.. why should I pay a $30.00 copay for her to do nothing.. it was worthless IMO... granted in the beginning yes.. but I'm doing the same thing I was when I came home from the hospital. Done venting.. but I want to start doing some weight stuff as the only issue I really have is strengthening the knee.. I can walk up stairs really well foot over foot but still need to hold the railing with one hand..

I really need to start making a better effort though at exercising on a daily or every other day basis... the only thing I notice is when I sit too long it's killer getting going.. especially like at work.. or when I get up in the morning.

Sorry about your meds... mine said if I need them he will be more than happy to give them to me because he knows nights are the worst.. so he gives me 50 darvocets at a time.. last time I got them was Dec. 24th and I still have many left... but they are nice to have for those horrible days.

Hope you do well.. we all have our little grrrr's about this surgery but I think six months from now we will all be happy.

So glad to hear how others are doing.. sometimes I think I'm just be paranoid.
HI ! I am now 5 days out from surgery. Yesterday and today have been good and bad depending on where I am in the pain med cycle. On 2 percoset every 4 hours and it is almost like clockwork, that I start to hurt 45 mins before the new pills are due and then it takes about 45 mins to kick in. I tried to go to 1 1/2 this morning - big mistake, I'm not ready...
I am spending about 2 hours in the CPM 4 times a day with the cryro-cuff. I haven't figured out how to sleep in the ice cuff comfortably yet. In between, I do exercises, walk around the house w/ walker, and have meals. I usually doze some while in the CPM, cause sleeping at night is tough except during mid pill cycle. When I first set off with the walker, I am like a 90 year old woman (I'm 54), but about 10 steps into it I have a fairly normal gait. I think I am doing pretty well, except for the bouts with pain. Worse than before surgery, but I know it will get better. Aches like hell.

No visiting nurse since I got home on Friday - when I called this PM, they said, "Don't know why they scheduled Barbara, she's off this weekend..." Since, things seem to be OK, ( I can give myself the blood thinner shot, and changing the bandage is no problem) I told them they could wait until Monday, but that I wanted to make sure they had me in the system. Supposedly, both nurse and PT will be here Monday. My extension and flexion seem to be holding up OK. We'll see.

I've been getting a couple hours sleep with me on my side and and a thick king pillow between my legs, any other suggestions? Not much appetite yet - eating healthy, so I can take pills. Lots of fiber.... it's working.... Icing some with Ace Ice wraps during the night. I can't get out of the CPM by myself yet, so I get out of it at night so my husband can sleep. I think if I pushed it, I could get out, but not ready to push it yet, hopefully in a couple of days, and I am hoping the PT will have some suggestions. Even with the pain, my leg is more flexible than before.

The Doc told me that after she got in she saw that it was worse than the xrays had shown and that if either of us were concerned about doing the surgery at 54, we should not be. I was glad to hear that.

For the newbies, Several things that really worked for me ( and every Doc and hospital have their own ways....) I have a close friend in Virginia and she had her TKR 2 hour after me and we have been comparing notes since the evening of our surgeries and the differences were amazing.
1. Happy juice, followed by femoral block and spinal block, were excellant for surgery and recovery room. I was totally unaware, but the Doc said we chatted during surgery and then I snored... Woke up pretty clear and feeling OK. They leave the femoral in for 2 more days to keep the leg numb. Don't be afraid to push the morphine button the first day. When you get off the button. Ask for your meds, sleeping through a med is a big big mistake! Did not walk until second day, but got into PT and walking slowly. Make them keep up with your cold cuff and the CPM. Nurses understaffed, so when they figured out I was in pretty good shape, I saw much less of them. Push the button for the nurses as soon as you need something, it may be awhile before they get there.
I've got to get some sleep - my pills are just beginning to kick in. More later before I forget.....
Still Grumpyat home...
I also wasn't hungry but just thought it was because I wasn't doing anything. My partner would make nice meals and then get kinda mad when I couldn't eat them. Both knees- I'm just blown away with people that have to have two done. This is one of the hardest, most painful, things I've done. I'm 2 1/2 months out, still not sleeping, back ache, etc. I go to the gym 3 or 4 times a week - water walk, ride bike 30 min.,etc. I am planning on being in better shape. I'm an inspector for the Special Election on Feb.
2nd, going on a cruise March 26, camping in April in my trailer. This stuff helps me focus on "working out". I was in fantastic shape - doing a 100 mile bike ride the month before surgery - for 64+ but this has been tough to be so slow in recovery.
15 weeks out of surgery, doc wants to see me at one year anniversary, says my knee is in great shape, better than most, I work to push the limits and get the muscles strengh back, it is painful, but you have to do it
[QUOTE=mtb1218;4169964]I'm now 3 months post Tkr. After a month my doctor would not give me any more pain meds. Ibuprofen and Tylenol just don't cut it. As of a week ago I still wasn't sleeping so my regular doctor finally gave me some sleeping meds. FINALLY a good night sleep which is now helping with the healing process. PT finished the end of December. Now I'm working out independently 4 times a week. Full body workout. One day Yoga, 3 days walking and weight lifting. I had to go to a chiro to get my hip back in alignment which has really helped. Now it is only my knee that hurts. I still don't have any feeling on the outside of my knee. Hope that comes back some day. I'm now just taking it one day at a time and happy my knee doesn't hurt quite as bad as before surgery. Good luck to everyone who is on this journey.[/QUOTE]

good job!! my pain before the surgery is gone, have numbness on outside, sweelling comes and goes, doc said to put ace bandage around knee when I am going to be on my knee for a longer time

doc says it could be up to a year or more for the feeling to come back
Hi everyone I just finnished having my surgery, everytging seems to be going well, should be out of hospital Tuesday, them start physio, evryone keep looking at the glass half full because things could be alot worse, Keep on smilling even when things are the hardest
[QUOTE=ladyscout;4175128]From the spelling it looks like you're high on pain killers! My best to you. You have a lot of hard days ahead and can I suggest you keep a log. Then when you're down you can read where you were. Sometimes when you in the recovery we can't see the progress we've made. Good luck.[/QUOTE]

Too funny,

It does appear he's hit the morphine pump one time to many, but all of us have been there and know exactly what he's going through. It's the most painful surgery I've been through.

I was told Thursday by my doctor to slow down on my exercise. It's really hard to do since I've become somewhat addicted to the daily ritual. I guess they know best.

Keep safe
[QUOTE=jmlm4245;4175312]Too funny,

It does appear he's hit the morphine pump one time to many, but all of us have been there and know exactly what he's going through. It's the most painful surgery I've been through.

I was told Thursday by my doctor to slow down on my exercise. It's really hard to do since I've become somewhat addicted to the daily ritual. I guess they know best.

Keep safe[/QUOTE]


Actually that post read like I type on my blackberry at times... can't imagine anyone having a laptop with them in the hospital.. especially after this surgery.. and I have to admit.. hubby brought me my BB and I played on that the whole time I was in the hospital.. was good way to kill time.

Funny thing about those pain pumps... the lady next to me in my room was hitting her's like crazy.. guess she didn't realize you can hit it as many times as you want... doesn't mean your getting the juice each time...:D
[QUOTE=dinojen;4175332]Actually that post read like I type on my blackberry at times... can't imagine anyone having a laptop with them in the hospital.. especially after this surgery.. and I have to admit.. hubby brought me my BB and I played on that the whole time I was in the hospital.. was good way to kill time.


Funny thing about those pain pumps... the lady next to me in my room was hitting her's like crazy.. guess she didn't realize you can hit it as many times as you want... doesn't mean your getting the juice each time...:D[/QUOTE]


Jen,

First let me apologize for misreading and calling you a man. You are right. The nurses told me you could not get more than 6 pumps in a hour no matter how many times you hit it. I did have my laptop but couldn't use it until the day before I went home because of all the tubes. Truth is, I didn't really care if I talked to anyone.

You have a tough job ahead of you. It sounds like to me the block was still in, if you had one, when you posted. My block ran out at 3AM on the 3rd day. I though I was going to die. I actually wished death. (just kidding) on the 4th day all the tubes came out and I was able to take oral pain medicine.

It's 2 months today since surgery. I'm not having near the pain I thought I would have. I played 7 holes of golf last week. Afterwards, I iced and elevated and can't wait for another sunny day to try for 9 holes. My goal is to be able to finish 18 by April. I can't enter any ladies events until I can play 18 holes. Our club gives free ladies lessons on Thursday's and I've been able to make the first lesson this year. I need every lesson I can get.

Please keep us posted with your progress. We all have our own recovery rate. It sounds like if your posting from the hospital, you're on your way to a speedy recovery.

Linda
I agree. I had surgery mid October and I have to listen to my knee. When it has had enough I rest it. I go to the gym and pool three times a week and just bike and take short walks on other days. I have started back to work this week but only half days. I am a nurse and on my feet so I will take it slow. My flexion is still coming along, I am at 110, Doc says it will continue to improve for a year. I think slow and steady wins the race.
[QUOTE=corgi02;4176623]I agree. I had surgery mid October and I have to listen to my knee. When it has had enough I rest it. I go to the gym and pool three times a week and just bike and take short walks on other days. I have started back to work this week but only half days. I am a nurse and on my feet so I will take it slow. My flexion is still coming along, I am at 110, Doc says it will continue to improve for a year. I think slow and steady wins the race.[/QUOTE]

my surgery was oct 14, when I stopped PT at end of december I was 131, that is the max, I can go back to work if I can find work, was laid off job 10 months ago, pain for me is my back, the surgery really messed with my back, in 96 had a rear end drunk hit and run, damage my L5, worked my butt off for two years to get back into shape and get the pain to go away, now it is back and I am alot older, have to use hydro 5 for the pain, doing the same I did then to get the pain to go away, slow progress but is getting better, worse pain is sleeping on my side when I try to sleep, sleeping on my back my head gets kinked off to the side and I really hurt

my ribs where protuding out, they were so out of place, had my wife take pics of them when I was in hospital, my pain is anywhere from the shoulders to the hips

to make matters worse, in July 07 was rear ended by another drunk and damaged my neck, just my luck, have bad headaches from that one

I am a sports official, so I have always stayed in good condition and always on my feet

knee has recoovered very well, when I am on it for too long it swells and is painfull
[QUOTE=johng62;4174869]Hi everyone I just finnished having my surgery, everytging seems to be going well, should be out of hospital Tuesday, them start physio, evryone keep looking at the glass half full because things could be alot worse, Keep on smilling even when things are the hardest[/QUOTE]

just getting started, keep the leg moving, dont let scar tissue build, I was in on thur and home on sat, pain med was morphine to oxy to hydro

hydro is my only pain med now
I can really relate to your comments. My back, neck, and bottom have been in pain since the surgery on Nov. 17th. I didn't have any pain in those places before the operation though. I figure they must have twisted the heck out of me in the operating room. I'm closing on 3 months and it's no better! I'm hoping just time will heal it. I keep doing the exercises and hot tub.
I too have been having a lot of problems with my back - am now 10 1/2 months out. I have managed to cope by having a weekly massage for my back. Found that my legs are still giving me problems with fluid and swelling so having leg massages too. I believe the massages have really helped my back and it has improved further with the leg massages. Keep hoping it will settle fully in time. Our poor backs take a hammering before we have this surgery due to the lack of ability to squat etc and then post surgery we have to relearn to walk properly rather than limping. I feel all these factors cause all sorts of aches and pains later on as our bodies heal. I can now squat down to the floor to pick things up and am trying to retrain my body to do it without thinking rather than using my back all the time. I will get there I am sure.:confused:

Take care
Margaret
it's been a long 3 months(Nov. 2) since my TKR , like alot of people here I thought 2 months and back to work.......wrong!.Had a osteotomy in 2002 that was good for 7 yrs then tried synvisc injections that did not help one bit. TKR was the last option. Surgery went well pain meds helped alot . Now 3 + months out flextion is 120, extension is not so great about 3-5 with PT massage. going down stairs is a killer, still some swelling. After PT the next day is bad! Dr. released me to 6 hrs a day at work but paper mill I work in says they cannot accommodate those hrs. ( I work 12 hr shifts on cement floors)so it looks like I can go back 8 hrs a day on Feb. 15, not sure I can be on my feet that long.This has been so much more than I have anticipated. Next week will be my last of PT.Will be on my own then. Lower back is hurting , am walking fine, heel toe but think the extension is causing the pain. the knee aches all the time, never can seem to get it off my mind. Am glad I found this blog to see I am not alone in my thinking. Good luck to you all, will be checking back often.
[QUOTE=beerhunters;4178160]I have a good chiro who gets my spine back in alignment, also have to workout and with both I feel better, if I miss a workout or do not get regular adjustments to my spine, have to use more pain meds, I use hydro 5

hot tub and steam room do wonders for me, usually workouts are 2 hrs our so, back and forth from steamer, hot tub, and swimming[/QUOTE]

I am almost nine weeks out and can tell those who have had surgery more recent, the back pain is excruciating. But fear not, this too will pass. The real pain I have at this point is just above the kneecap and the right side of the knee. It swells and has fluid most every afternoon. I sleep with my ice machine going. I wake up about 2 times each night for about an hour and give it a break, but the ice is so soothing, I may never give it up.

I have a whirlpool bath that I use daily, but I also get massages weekly which help the back and legs. Keep the faith. We can do it. I can already take steps one at a time.

Linda
Had TKR surgery Jan 20th. Going on Day 17. Started PT on Day5. Had to upgrade to Percoset as Norco wasn't nearly cutting it. The recovery is incredibly painful!!! I don't sleep, even when I take Ambien. I do Percoset every 4 hours on the dot to manage the pain. I'm not on one of those machines and am wondering why my doctor didn't suggest one. My PT is 3x a week and I've done 6 sessions. I'm up to over 100 degrees flex, and don't know the stats on my extension, even though therapist saids it's not nearly as straight as she'd like to see it at this point. I do my excercises 2 x a day, and walk on crutches 2 (1/8th mile) x a day. I do ice very frequently.

My biggest concern right now is straightening the leg (I have several new excercises to help this now) and walking. When I walk, I can't push off my big toe, and when I do, my leg buckles. Seems I have a ways to go on these two issues.

This is the hardest thing I've ever endured, although I'm new to surgery and on the younger scale (41) for TKR. PT sessions are soul searching painful endeavors for me, but I feel they are working.

I'm looking forward of getting into a pool and doing some water excercises. Thanks for everyone's post here, as I've definitely learned.

I think this will be a very slow recovery, but I want to be able to drive by week 4 and get back to work, as staying at home with a one and 4 year old is making me nuts.
[QUOTE=HiMaintenance;4180351]Had TKR surgery Jan 20th. Going on Day 17. Started PT on Day5. Had to upgrade to Percoset as Norco wasn't nearly cutting it. The recovery is incredibly painful!!! I don't sleep, even when I take Ambien. I do Percoset every 4 hours on the dot to manage the pain. I'm not on one of those machines and am wondering why my doctor didn't suggest one. My PT is 3x a week and I've done 6 sessions. I'm up to over 100 degrees flex, and don't know the stats on my extension, even though therapist saids it's not nearly as straight as she'd like to see it at this point. I do my excercises 2 x a day, and walk on crutches 2 (1/8th mile) x a day. I do ice very frequently.

My biggest concern right now is straightening the leg (I have several new excercises to help this now) and walking. When I walk, I can't push off my big toe, and when I do, my leg buckles. Seems I have a ways to go on these two issues.

This is the hardest thing I've ever endured, although I'm new to surgery and on the younger scale (41) for TKR. PT sessions are soul searching painful endeavors for me, but I feel they are working.

I'm looking forward of getting into a pool and doing some water excercises. Thanks for everyone's post here, as I've definitely learned.

I think this will be a very slow recovery, but I want to be able to drive by week 4 and get back to work, as staying at home with a one and 4 year old is making me nuts.[/QUOTE]

just passed 16 weeks

tell your PT you have to have the CPM, that was a life saver for me, will be at least a month to drive when u go to the outside PT, mucho ice cant use too much

far more pain than I thought it would be, Keniso tape will help with the swelling to reduce it, my insurance would not pay for it, so I did and the PT put it on, it works wonders with the swelling

muscle strength and balance is the things you will need to be able to walk without fear

left hospital at 85 finished PT at 131, ten weeks late, no more than 130 or the joint could be dislocated and will have to have it done again

walking pretty good now, still have swelling, numbness, at about 3 months stopped using cane, when I went out in public took it with me for support in case I lost my balance or someone hit when I was walking, especially around crowds, people shop like they drive, dont pay attention to what is around them

to help straighten leg, hang leg with heel on pillow, do it at least 2 minutes and suffer the pain, leg is suspended in the air

do the stairs as much as you can, dont be in a hurry, but push the limits when you can
my worse pain is still my back from the surgery

I use the ice packs chiro ice,< edited >
RE:Sleep - A couple of nights a week I take Ambien (and it doesn't do much - maybe make me drowsy). It was just about a week or 2 ago that I noticed I was able to sleep on my side -- I've never been a back sleeper so not sleeping well has made this recovery process tiring (pun intended). I tried new age music, sleepytime tea, crying, relaxation exercises , medication, more crying. I got angry at the cats for being able to curl up & sleep with no problem! (Kidding) DSH (darling sweet husband) sleeps anywhere anyway mostly on back - GRRRR! So Then I would get up & get on the computer and read these messages & not feel so alone.

I forgot how long ago your surgery was but I'm impressed with your sitting & standing with no hand support so soon ~ Yea for You!! I remember trying and it just HURT and was so hard to do. Then at some point it didn't & now I show off to the cats or dog when I'm home alone -- Look No Hands!

Our upstairs is unfinished loft with a good staircase so I practiced going up and early on I could do foot over foot UP but coming down I'm still practicing! Just do not have a graceful descending gait ....... Yet!

UhOh -- Game's on Gotta Go!
Hi everyone I realy don't know waht to say to all of you, I had my surgery on Jan 28 2010
but I have to say out of the previous 7 surgeries that I had done on my knee including 3 scopes and 2 infections later i have to say that this was the best surgery I had, the doctor give me an epideral that I beleive was the best and used a nerve blocker so I did not feel any pain until the next day at about 9:30 at night, then it realy got sore so they give me morphine for the night and next morning I started taking percassets for the pain, I find that those are the best pill for pain control, the pain has been around 7 - 8 without meds and about a 3 with them, during the day if the pain is bad I will take 2 percs. if not I take 1 I can go usually about six of seven hours without meds, at night I take two percs. and a sleeping pill before going to sleep, that will be good until about 7 or 8 in the morning, then I usually wait about 1 to 2 more hours depending and how bad the pain is, I do all my exsices once a day but might repeat a few of them throughout the day, my wife will massage my leg for about 1/2 an hour, sometimes it realy hurts but its like a feel good hurt, I asked the dr. about the machine and he said that it was no good, the best is body wait excersis, but told me to take my meds 1/2 an hour before doing physio so I would be pain free almost, he also said that if your body is almost pain free it will also heal alot faster, I also told God the day before my surgery that I was leaving everything in His hands since He is the great physician and that no matter the outcome I tottaly trusted Him, so I also was worry free.
I pray that everyone will be able to lead pain free lives once again, whatever happens don't over do it with exsercis, you have to give your knee and the muscles around enough time to recover.
DON'T give up



[QUOTE=beerhunters;4180386]just passed 16 weeks
tell your PT you have to have the CPM, that was a life saver for me, will be at least a month to drive when u go to the outside PT, mucho ice cant use too much

far more pain than I thought it would be, Keniso tape will help with the swelling to reduce it, my insurance would not pay for it, so I did and the PT put it on, it works wonders with the swelling

muscle strength and balance is the things you will need to be able to walk without fear

left hospital at 85 finished PT at 131, ten weeks late, no more than 130 or the joint could be dislocated and will have to have it done again

walking pretty good now, still have swelling, numbness, at about 3 months stopped using cane, when I went out in public took it with me for support in case I lost my balance or someone hit when I was walking, especially around crowds, people shop like they drive, dont pay attention to what is around them

to help straighten leg, hang leg with heel on pillow, do it at least 2 minutes and suffer the pain, leg is suspended in the air

do the stairs as much as you can, dont be in a hurry, but push the limits when you can[/QUOTE]
without the cpm machine I would not have been able to recover like I did, there was just too much pain to have the strength to move my leg

the knee pain I had before the surgery has not come back, but my back pain is off the charts some times

it really did screw my back mucho pain
Just read many of your messages. Very enlightening. Thanks. I'm on day 14 and still have quite a bit of pain. I have an ajustable bed and put the foot end all the way up for night. That has helped tremendously with the pain and swelling at night. I'm taking 1 mg hydromorphone every 4-6 hrs. Is that much or little for controlling pain? I don't want to take more than I have to, but the pain is so bad sometimes. With my last surgery dr. gave me percocet which did not agree with me. Hydro does not give me the side effects. My exercises are going well and therapist is pleased with extension and flex. I had lots of trouble with my first TKR and had to have it re-opened and all plastic parts changed. That was 3 yrs.ago. It took me this long to be willing to do the other knee. Much courage to everyone!!
[QUOTE=ladyscout;4183483]OMG - you are on the computer on Thur. after Wed. operation? You are amazing and your spelling is perfect - are you on morphine or anything? Yeah, I laid in bed last night thinking I'll get a second opinion. This doctor came highly recommended by a friend that had both knees done - this guy did the second and she thought it was less painful and a quicker recovery. Take care of you.[/QUOTE]

You may have me confused with someone else. I did have my computer in the hospital, to check email, and read these boards, but that was in December, and it was 3 days after surgery before I checked it.

I'm supposed to have the left knee done, but I'm going to wait a few months. I need to know this one is going to continue to improve first.

Take care,

Linda
I'm on Day 23 since TKR surgery and can flex 120 and extension at 5. I'm worried about my extension and my therapist seems to be as well, so doing more grueling extension excercises. What a nightmare this extension is!

Trying to decrease my meds as well. Still doing 2 percoset at night time every 4-6 hours. Sleep time is still very brutal as I still am not comfortable on my back and sleeping on side is hit or miss. Plus, knee/leg pain seems worse at night:mad:. Down to 1 percoset every 4-6 hours during the day. I dread my night times. Doing 3 Ibuprofrens (800mg) a day as well.

Outside PT 3x a week still and excercises in my house twice a day. Walked 1/8th mile today without crutches--very slowly. Trying to walk without a limp which is really hard for me. Seems my extension is not making my gate/walking as normal as it should be.

I drove around my neighborhood yesterday to test drive the leg (right), and it tested well. I think I will drive at 4 weeks.

I want to get in the pool next week to excercise--any suggestions for pool excercises?

Good luck to all!
Hi Gang!
24 days post-op, Back from post-op appt with my Doc yesterday. Overall got a great report. She was happy with my ROM - 1 and 114, but wants me to work on both. When I asked about how long the pain would continue, she said," well you know we did basically cut your leg in half, so it's going to be a while." She also said that younger patients have more active nerves than her older patients (80's) so we (it's nice to be considered young at 54) generally have more pain longer. Lucky us.

I start outside PT on Monday and because I have stomach problems when I take Nsaids, I am staying on the Percocet a while longer. That means no driving until I can deal with the pain with Tylenol. I see her again in a month.

I had a rough morning this AM with the whole leg ache. Finally got in the bath tub and soaked. It felt sooooo gooood. I kept the surgical leg elevated some and then used the ice cuff after to prevent swelling. But it didn't really swell much and getting out of the tub was actually easier than before surgery. Took another bath this afternoon when the pain picked up again. Trying to cut back from 2 percocet to one and I can really feel the difference. Also do a lot of napping. I can move around great, just dealing with pain and fatigue. I am hoping that the outside PT revives me, without killing me.
Have a good weekend.
Grumpyathome.
10 days was walking without aide
driving after a month, standard trany
pain is still on going, sleeping pain is getting better
use hydro 5, too many, try to get by with IB 600, not much help
no more pt, no more insurance, no more money, no more job
working out at gym, best workout today, 3 hrs, steam room, whirlpool, swimming, situps, pushups, drinking alot of water
still have alot of issues with left groin, the place they put the needle to put me out, they did something, but dont know what it is
back pain is the biggest issue I have from the surgery, have pain I didnt have before the TKR, now at 17 weeks
healthy enough now to get back to work if I can find work
surgery at 56, now 57

what helps me the most is going to gym to workout, pain killers, staying regular, and walking as much as I can
Hope everyone is feeling great today! Well I am going back to work Monday the 15th restricted to 8 hrs(normally 12 hr shifts) 14 weeks since surgery, hope my knee will hold up on the cement floors. PT yesterday had 125 and 2 , not happy at all with extentioin, had the same problem in 2002 with osteotomy, pain is much better, still some stiffness when I get up in the morning. Any good suggestions for some good excercises for extention? I have tried everyting! Going downstairs is better as long as I take my time. I do 200-300 stairs a day at work, not looking forward to that. If I can't do it I will be back out in a heartbeat I've invested to many years to throw it all away by going back to work to soon. Work hard everyone it does get better, just takes a long time, alot long than I anticipated
[QUOTE=fantail;4185200]Dinojean do get a bike - I have found that since I have been really disciplined and use mine every morning I have finally felt 'on top of things' and that my life is becoming 'normal'.

I now go for days without having to take any pain killers and am doing most everything I want. I am 10 months out - nearly 11. I fell off a stool the other day and didn't panic, and landed awkwardly but no worries. I feel I have regained the use of my quads and they are noticeably stronger.

Another thing that has really seemed to help is regular massages of my legs to help get the muscles stretching and relaxing. They seem to really do me good along with the back massages. And, after all I've been through it's nice to have something positive happening physically. I still have my down days, but nowhere as frequently and can see an end to the journey I started at the end of March last year.

One thing I have noticed is that my bionic knee has a greater extension than my natural one - was doing a stretch for both the other day and thought WOW! Hope that it won't affect my walking etc. I do have a few problems with the hip on the other side, maybe this is a factor???[/QUOTE]

WOW guess I'm not that far off... but I do know I need to get more serious about exercising and I don't mind the bike at all. My quads in my surgery leg was so weak prior to surgery it has taken longer for them to come back. I need to start doing my leg lifts which I hate.. I have a tens unit that I can attach to the quad and it is suppose to jump start your muscles and help them get revitalized.

Matter a fact I am sitting CROSSED LEGGED right now while I am typing.. can't believe it... just kind of looked down and thought wow.. didn't even realize I had done it...lol.

Still on my anti-inflammatory meds... doc. said should take them if I feel I need them as the swelling really doesn't go down for a good six months... my bionic knee still looks a little bigger than the other.. but that doesn't really matter to me.

My boss asked me the other day if I was still happy I did it... and I said definately, there are so many things I can do now just at four mos. post that I couldn't even think about doing prior to surgery.
Lady Scout,

I am the Pilates lady. I hope your book comes soon. Until it does, let me advise you that the hip flex exercise I described to you is not in the book, but it will greatly help your hip, back and neck. On the mat, if you can slide your foot up towards your butt, back and forth about 7/8 times then do 6-8 circles both ways, leg bent at the knee, while placing your right hand on the right knee. Do all the exercises very slowly to zen type music. That may be your only hope to move until the tendon is better or you have it repaired.

It's a real bummer to have this surgery anyway, but to not be able to exercise it must be devastating.

Linda
This board has been such a blessing to me and I'm sure, to lots of other also. I'm 6 weeks out from surgery and the last few days have been having more trouble with my knee swelling and my quads hurting really bad. Today my therapist took a tennis ball and massaged all the muscle area above my knee....at first it hurt big time but as he continued to work on it, it began to feel much better. He thinks the swelling was starting in the muscle area and then spreading down to the knee....I am supposed to massage the area 4 or 5 times a day and see if we can get this loosened up. I could actually feel knots and hard places. Maybe this will help someone else.

Also saw my surgeon and he found a little place where a stitch had not dissoloved (he used glue on the outer incision) so he had to snip it and take it out. So now he wants me to wait until Sunday before getting in the pool. I was disappointed but sure don't want infection...so will wait patiently.

Hope everyone is progressing and getting bettr.
[QUOTE=south girl;4190071]Hi Is anyone else out there around 4 weeks post TKR? Wednesday will be 4 weeks for me. I would love to hear how you are doing. I think I am doing fairly well as far as extension and flex are concerned but I get these awful spasms in my leg and knee, at times when I am trying to relax. I still take Hydromorphone 1mg. about every 8 hrs. I also feel a little thump when I first begin to flex my knee. Is that common? I see the therapist tomorrow so will see what she says, but I wondered what some of you would say that have been through it. (experience is the best teacher) Thanks and wishing you all the best. It takes a brave soul to go through TKR![/QUOTE]

Hey Southgirl - I'm Grumpyathome and had my surgery on 1/19/10. You will find my posts all over this forum. I also have varying aches and pains . My doc says it's going to be awhile til the pain goes away. I have PT tomorrow and know that I will ache even more after. But it will get better! Good Luck:p
Hi Southgirl. I'm HiMaintenance, and had my surgery 1/20/10. I've posted a couple of times on this board. I have 125 flex, and a couple of degrees to go on extension. Extension has been the hardest to get back to normal. I do bike for 15 min a day and walk 1/2 mile a day. I still am on Percoset, roughly 2 during the night, and one before PT (3x/week). I still can't get over the pain, as nights are my toughest. Nights are brutal for me. I'm getting stronger every day. First 2 weeks for me were absolutely brutal from pain and the PT (I've cried several times). Good luck.
Well, I'm in Mission Viejo and I had my surgery Nov. 17th. I was doing really well till I got a tendon/nerve rubbing on the implant. I've been on anti-inflamatories for the last 2 months and the last visit to the doc. was told no exercising at all! I'm getting a second opinion on the 2nd because I can't seem to get the doc. to tell me where I'm going next with this and it isn't getting better! I was doing 30 min. on level 4 a day on the bike, walking 3 miles around Lake Mission Viejo, etc. last month and now nothing. The pain is awful and I also haven't had a good nights sleep since the surgery - 3 months!!! I was just pushing through the pain but it isn't getting better.
[QUOTE=Grumpyathome;4191164]Hey Dinojen ! Glad to hear from you - Talked about my pain issues on Matter's TKR post, so won't repeat it here. Have the same issues as you with the sleeping positions... Good to hear you are doing well and had a good anniversary. Wish you were telling me that you had no pain at all. It would be something to look forward to. I am too impatient, I am only at 35 days post-op and I want to be better now!

My new PT is working on extension and I can already see and feel and improvement. So far she is working out great. I need to work out and walk more, but I am so tired from the Percocets.... and I know I am not eating enough, but just have no appetite. On the other hand, I am down almost 20 lbs since Christmas. So you take the good with the bad...

Have a good day. [email protected][/QUOTE]


Trust me the pain diminishes.. it really does.. the pain I have now isn't really pain.. it's just an annoyance and not even half as bad as i was before the surgery.. so this I will take... My doc. keeps saying by six months is when you really really notice the difference. Two more months to see if he was fibbing...lol.

Take care and I'll check in tonite.
Greetings from Alaska ~ So great to read of everyone's accomplishments & not feel so alone when I'm experiencing the same setbacks. I had my 6 week check-up last Tuesday at the 10 week mark! A month ago I could not have flown in a small plane & do those rickety stairs. My BiLat TKR was done in Anchorage which is 225 road miles from here & 117 as the eagle flies in what feels like a mini-van with wings! But my good news is the surgeon was really pleased with my progress. I too took my cane but did not need to use it and I had some fairly long walks in the airport & even on the medical campus between buildings. Went up to the surgical floor & saw a lot of the crew who took care of me. I must look much better w/o bed head & wearing street clothes! And not crying! I was able to walk down the hall & do a pirouette and when I came to the practice stairs that truly defeated me on days 2 & 3 in Dec. I went up foot over foot and really didn't mind that my descending was not very smooth! It was a super visit as I really could not imagine I'd be here (0 ext, 128-130 flex) 2 months later. They were the nicest group of people & I just sent a letter to their boss and cc'd to others at the hospital admin. My surgeon was excellent but the support staff are amazing special people. As are you all --

But then I woke up the next day ....... oh how sore my legs were OW OW OW. I tried my home exercises (OW OW) I had iceman'd & elevated throughout the night but push came to shove & I took two pain pills.

Which brings to this point -- I sooooo appreciate hearing that many of you still need something stronger than OTC tylenol or ibuprofen because the "break through pain" is absolutely the worst. The first month I lived by the pill bottle & my watch! Second month not as much. But at this checkup and even at PT the other day -- I was advised to get a stronger anti-inflammatory and that I really should not be needing narcotics . Well - yeah -- I wish that were so but when I'm in that much hurt I can't push through the pain. Somedays I do and it's like I never had the surgery. It hurts to move like it use to & I might not exercise for a couple of days because of it. I know some days that I have done to much to soon - once I've stretched & warmed up I really feel invincible! But am learning to pace myself. I went to my family practicioner and she was comfortable with a limited prescription of the hydrocodone. She said surgeons often leave the pain management up to the personal physician and not to take it personally that I still need something stronger. She was really sweet -- hello - you had 2 knees replaced! Like everyone says on these boards -- it does get better & I've seen proof of that in me, too.

Like dinojen - I get cramps too and ankle pumps & knee slides have helped me. The PT is talking about customized compression hose as my legs seem to have sprouted bumpy varicose veins and do feel very tired. I am heavy but am working out at Curves 2-3 times a week (very slow & careful with certain exercises - like I was in the beginning 3 years ago - I've dropped to the weight I was when I quit working out last summer and also lost some inches so that is encouraging), take slow almost daily walks with hubby & the dog (about 20 -30 minutes - chanting heel-toe heel-toe .... relax the shoulders ... bend the knees ..... swing the arms .....!)

Well - I am off to town & the library, post office, Curves. PS: my balance is not very good. At PT they have some machine that I stand on like a human joystick & move the cursor on the screen to different boxes or tracing circles. I've been walking on uneven surfaces -- kind of like gel filled circle things. I've been so focused on walking and flexing that I forget about balancing and scar care. Has anyone else had problems with that? If I got stopped for a routine check I'd fail a sobriety test (EDITED TEXT: not because I drink & drive I have strict standards about that and I won't while I'm on pain pills either) -- I can't stand on one leg very long if at all - much less shut my eyes & touch my nose. It's getting better with practice but it really surprised me as I took it for granted before the surgery.

Thanks for reading -- Keep getting weller & weller. I look forward to chatting with you again. Thank you soooo much for being here!
Hi all,
I really love getting on this site and reading what you are sharing. My question is Have any of you had TKR followed by hip replacement? Some of you may have read some of my posts. To reacap: I had bilateral TKR on Dec. 8. About 10 hours later I had bilateral strokes due to extremely low blood pressure. Then coma for about 7 days, followed by hospital therapy etc. I came home after 27 days and my knees are wonderful. I have very little knee pain BUT the strokes caused right side weakness and then the right hip (it was bad before surgery)got much worse. My pt people kept having to change/adjust my exercises because of hip pain. No bike riding for me because it irritates the hip. In fact, they all “heard” the hip grinding as I was trying to do the exercises etc, So, I am still on a walker. I do not have a lot of strength on the right side …and I don’t know if it’s the hip or the strokes. I think it is the hip. Sitting is very uncomfortable…sleeping is worse. I saw my surgeon last week . He is very pleased with the knees He will replace the hip as soon as my internist gives his permission. So, I am waiting for that. I am scared to death as I do not want to relive my last surgery difficulties. Yet, my hip is causing so much pain…groin, shin, ankle etc. It hurts to sit, hurts to sleep etc. I am trying to stay with no more than 3 Norco a day…but some days 3 just isn’t enough. I’d love to go to the heated pool at the park district but I don’t think I have the strength to walk without the walker in the pool Do any of you have any ideas of things I could do to help until surgery ?
Thanks for all your wonderful ideas and earlier posts. They keep me in touch with what is “normal” for many of us. I look forward to the day I can say I am on a cane or even...walking without one.
Jean
Okay all....it is always so great to read your posts and I always gain some insight. I am almost 8 weeks out from my surgery and am doing reasonably well I think. It seems to me like my biggest problem is the swelling. It seems like the knee itself does not hurt that badly until it start swelling. Ice does not seem to help that much at that point (except to freeze my leg LOL). I am taking vicadins at night and before therapy and darvocet the rest of the time. I feel like I am taking too many pain pills yet but my dr's think I am still doing ok with them. Does anyone have suggestions to alleviate or help control the swelling. HELP!!!!!!
[QUOTE=milliejs;4194299]I guess no one can hep....thanks anyway....[/QUOTE]

Sorry noone could give you some insight. My problem is not swelling, that has never been an issue so far. Mine is with all over ache. Have you tried elevating while you ice? I like to soak in a warm tub, but that won't work for you. My surgery was 1/19/10 so I'm a little behind you. Good luck - Grumpy
Hi all - it's 4:30am and I'm awake. Waiting for a pill to kick in. After an hour in a warm tub, I'm just about ready to try to go back to sleep. I did get to see the US 4 man bobsled team win Gold so that was good. My cat's awake to. She is good company during the night. Luckily, my husband is still in the guest room and from the looks of it will be for a while longer. Can't wait to be normal again - except I didn't sleep well before surgery either. Maybe sleeping all night is abnormal? Anyway, I don't know what I would do without these boards. It is so nice to know there are other people who are going through this or already are past this stage. Unless you have had this surgery, it is very hard to understand. You look like you should feel fine, but it just takes so long to totally recover. I know some folks, a couple of years out and they say that life does go back to normal and to be patient. But it's hard. I mean it didn't take this long to feel normal after a c-section and there was a lot of slicing and dicing there. Who would have thought that a leg would give you this much trouble, but appear to be practically normal except a zipper looking thing going down your kneecap?
Well time to try to sleep....Grumpy-but-not-Sleepyathome........
[QUOTE=milliejs;4194299]I guess no one can hep....thanks anyway....[/QUOTE]

milliejs: I just read your post regarding your swelling problems. I too had lots of swelling after surgery. I am now four months out, and guess what, I still have some right above my knee that doesn't want to go away. This swelling was my biggest problem from the start. It prevents flexion and moving ahead with range of motion. My Dr says it may take an entire year for all of it to go away, and maybe longer. He told me that some people just get it, and others don't, no reason to explain. What I did, and still do although less often, I make sure that I elevate it most of the time when I am staionary. I iced and used heat alternately. I also wore my compression stockings for over three months. Sometimes when I am at work, I still wear them, as I am a nurse and on my feet. If you feel stiff when you walk, I did too at your stage, and sometimes still. It does loosen up faster and stays loose longer though the more time goes by. Be sure you do your exercises everyday, ride a bike, and do lots of quad exercises, and short arc quad sets.
We tried everything from a very stiff compression bandage, to ace wraps, to estim, etc, and it continued to stay swollen. I think my Dr is right. although frustrating and uncomfortable, tincture of time is the best medicine. It just takes a long time for all of the swelling and inflammation to go away and that goes along with healing. I hope I have helped a little. I know how frustrating it is.
Afternoon.. just Dino checking in on us rehabbers...lol.

Doing pretty good. I didn't do the bike yesterday but I did the stairs.. two times.. there are 16 steps.. so I did 32 steps 6 times twice yesterday.. I thought that was enough.. Hubby says I need to quit acting to so scared.. heck I don't think he has hit concrete as many times as I have...lol.. Anyway.. it felt good for loosening up the knee, the only thing I noticed is when walking up at 4 mos. post I still don't have the strength in the knee to do it without using the railings. Just achy not much pain afterwards.

Feeling pretty good today... need to go out and do the stairs though, then tomorrow when I get home from work will go use the treadmill. I don't like the bikes we have.. it's not an excuse but the one at rehab had a back to it, these here at our gym don't and they are really uncomfortable to ride for this shorty.

Going to go back I think to those beginner exercises to each morning I think that will help a whole lot.. like I said before once I got up and got cocky about walking unaided I kind of slacked off on the exercises.

Love the sound of these gel cuffs you are all talking about, the icing makes your knee feel so good.

So next weekend when hubby comes home we are going on a bike try out, he wants me to find one I am comfortable with before buying it...

Packed his suitcase this morning and had to get on the floor and I was so impressed how much easier it is getting to get up off the floor.. woo hoo.. so little things mean alot when you can accomplish them.

Going to google Weight Watchers too and see if I can shed a few more lbs. Seems like I have hit a stalemate there...lol...:p

Hope everyone is doing well... Don't worry about the meds guys.. use them if you need them. I still take a darvocet when I am really uncomfortable.. especially at night.. I often wonder if our nights sleep will ever be like it was before surgery.

OK... back to the race and hockey game.. I'll check back later.. Hope everyone is doing well and healing fine.:wave:
As for watching the procedure.. I did the same thing on the internet. Hubby sent me a link, you could watch the actual surgery or a virtual one that you participate in.. it was really cool, so I knew exactly what was going to happen.. they walk you through the entire thing. It was a egghead link I do believe.. it's googable... (is that a word?) Was great information though.
Been reading lots of threads about TKR and picking up lots of info thanks to all the posts here. Doc told me I need a knee replacement - waiting for my appt with another ortho at large med center in Chicago now. I used to work there and this doc is likely the one who will do surgery if he agrees it is necessary. Scared of the whole process to be truthful ---------

thanks to info on this forum I started pre-op exercises. Figured it would help later and what the heck I need to strengthen the knee any way you look at it. Got book recommended on this forum from the library and found it really easy to read. Have read so many posts this last week or so and followed several people thru surgery and recovery via their posts. You guys are wonderful support to one another and I was very lucky to have found this site so early on in this whole process.

Millie - I looked in the book I have on knee replacement regarding swelling and the recommendations are of course ice and also elevation of the operated leg above the level of the heart (says one hour twice a day) and use of compression stockings or TED hose. Says the hose are easier to put one in the morning after you have been in bed and your leg is least swollen. Says to ask surgeon how long per day to wear and also that most surgeons will want you to wear them all the time except while sleeping & bathing. Hope that is of some help - I haven't been thru this all yet but the author is an ortho doc who has been thru TKR both as surgeon and as TKR patient.

Thanks again to all you guys/gals who have shared your experiences and I wish you all wonderful recovery and I will be trying to remember all I am learning here. As Arnold said "I'll be back!"

Rusty
[QUOTE=dinojen;4194788]
I still take a darvocet when I am really uncomfortable.. especially at night.. I often wonder if our nights sleep will ever be like it was before surgery.

[/QUOTE]

Dinojen I sleep WAY better than before surgery these days! I used to wake with pain every night before the op and these days I can go all night with no pain etc. it will happen - just give it time.

Margaret :o
God I wish! I haven't had a good nights sleep since Nov. 17th surgery. I toss and turn all night trying to find a comfortable position. I am using a Slumber Jack (backpacking pillow I had from my camping). It makes it easier to turn all night instead of using a reg. sized pillow. Seeing another orthopedic today for a second opinion on the severe pain in the outside part of my knee (something is rubbing on a nerve).
Hey Linda, Mary and all us tikr's.....I have to agree about the message board...it has saved my sanity I think....it seems like evey problem I have had has been talked about on here...so at least I know it is not just me. I think you 2 are a couple ofr weeks before me...mine was Jan 5. And yes, you have to be on antibiotics when going to the dentist. The aggravating thing is I went and had all this done in dec (before surgery) and now there is another cavity. So I am trying to tough it out till tomorrow (today is Sunday) and then hopefully get it fixed.
Hi guys... another first was accomplished.. woo hoo... and it was totally enjoyable... I am so happy...

Will be 5 mos. post op on the 15th of this month and I made my first trip to the MALL... OMG OMG OMG... you have no idea how long it has been since I have been to the mall. I'm dead serious.. I shopped places that had carts to hold on too.. Target, Walmart, TJ Maxx.. was terrified of getting in the mall and not being able to get out and that was even before surgery..

So yesterday we hit the mall... got two pairs of shoes.. woo hoo.. and one wasn't tennis shoes... I am doing a happy dance... lol... I have lived in tennies just because I felt safe in them. Then headed to the home goods department and did some damage there... went up and down the escalators.. have to admit I was kind of freaked the first time.. but was fine... I took my cane with me just because it was the first trip.. and didn't want to make a fool of myself. Have to admit by the time I got home yes I was sore and tired.. I always did hate the hard floors in malls.. hard on your feet.... lol. Hubby was very proud of me... Even celebrated with a margarita when I got home...:p

Today I was sitting on the sofa.. and I was moving my leg around and heard all this clicking or crunching.. and I thought was the heck is that so I did a few exercises, bending and straightening it out.. and poof it was gone.. and knee felt fine.. think it has alot to do with scar tissue.. that's why it's important to keep it moving. I had some really really scary clicking in the beginning and that's when I was told about the scar tissue.. it's your knee doing what it is suppose to do.. breaking up scar tissue... not a pleasant feeling but once you break it up.. knee sure feels better.

That's about all my news.. just had to share about my outing to the mall.. it sure did feel good.. and we didn't even use a handicapped parking spot.. I walked from the parking lot to the mall.. I am so excited...

Will check in later... gotta do a few things... then I'm going to watch the Oscar's..

Hope everyone is well and feeling better each day... I am so happy I did the surgery.. each day I learn something new I can do that I couldn't so before.. only thing I notice is hubby's car is harder for me to get in than mine.. weird and they are both SUV's... I don't get it.. but I'm not complaining... lol
LadyScout,

I'm so sorry for your problems. Some of the things I did were kinda silly, but they helped me. I put on up tempo (disco) music and did a lot of marching in place. I would then go to the stair case, and walk up and down the first step like I used to do in step classes. I can't help but think the clicking, which I have from time to time, is scar tissue. When I have the clicking, I get in a warm tub with aches and pains bath salts, Wal-Mart has a really good selection or buy epson salts and just add a few drops of eucalyptus oil and massage oil and do lots of knee to nose bends. After a few moments, the clicking goes away for me.

I have been told by my Doctor, who jokingly likes to tell me he's the reason I'm doing so well, that all the exercise I'm doing is the reason for my speedy recovery.

Keep trying as hard as possible to move the knee and know there will be pain. I have talked to people who were still having clicking pain after a year. This surgery is the worst I've ever had. I also like to "what if" at times. What if this surgery was not available to me and I had to suffer like my grandmother did? She would have a hoe in one hand and lean on a crutch with the other because she loved her garden so much. At night her knees would be the size of cantaloupes with no relief in sight.

I'll be thinking of you,
Linda
Ladyscout, I wonder if your "crackling" is the same thing I call "clicking". It started the day I got my staples out, while I was walking out of the doctor's office. It seems like the answer you got from the surgeon you saw, is the same answer I've gotten from everyone I've talked to---the nurse practitioner, three physical thearpists and the orthopedic nurse---they all say the same thing....it isn't unusual, lots of people get it, it goes away in some people and others have it forever. Not what I wanted to hear.

I am having lots of problems with PT and what I call "outings". After either PT or a short pleasant outing, I am so stiff and in so much pain, I am pretty much usless for the rest of that day and all of the next. My PT and I agreed to take the PT down a notch to see if that helps. I figure it must be better to be able to do the at home exercises daily, than to do too much PT one day and nothing the next. I just tried my bed exercises and could do them---and had PT yesterday, so I think it did help not to push me too hard. I realized I had been letting her push me beyond the point where I was feeling a lot of pain====why? Because I am such a goody two shoes and didn't want her to be disappointed in me.

I have not even tried to go up or down stairs. My balance is so bad, I can't imagine doing that.

I am 7 weeks past surgery.....I figure my age and weight (lots of that) add to the problems I am having. I am 69.....and I am very heavy. Okay 280.
This isn't just a clicking sound. It is a grinding feeling. I went to the surgeon and he said it was a ligament rubbing on the implant and he had to cut parts of the ligament away with orthoscopic surgery. The implant plastic was too dense to cut away he said when I asked. He had "talked" to associates he said about the problem since he had never encountered it. He has never done this surgery :-( I was to have the surgery on April 8th but then cancelled to see what else I can find out to do. Very down about this.
My computer is really slow tonite so I apologize in advance if this has been posted before - I can't do a search: I'm 3 months post bi-lat TKR (Dec 9th). Was doing really well until I really overdid it 2 weeks ago. Still did some PT 2Xs a week & mostly rested, iced & elevated for 10 days. Just when I was ready to start ramping up I got a terrible head/chest cold with some G.I. stuff. I had a flu shot 3 months ago so don't think that is it. However, I have felt horrible & only able to do home exercises mostly in bed (I think I did 150 heel slides today -- not all at once!!!) My knees feel like they are locking up. I stand up as much as I can - we've had blizzard conditions lately so I did get outside to shovel where the plow can't go. What do others do when they get sick & really can not exercise? I dn't have treadmill or bike here at home and think I might still be contagious so haven't gone out (darling sweet hubby has done shopping & got me some over the counter remedies). I did do some stairs really really carefully but it's not enough. I'm starting to feel like I did when I first had the surgery -- it hurts to stand up, it hurts to walk. I'm probably overreacting and will feel better in a few days & once I start back to working out regularly all will be better but right now: UGH! Thanks again all of you for being here when we need you!
[QUOTE=ladyscout;4201906]This isn't just a clicking sound. It is a grinding feeling. I went to the surgeon and he said it was a ligament rubbing on the implant and he had to cut parts of the ligament away with orthoscopic surgery. The implant plastic was too dense to cut away he said when I asked. He had "talked" to associates he said about the problem since he had never encountered it. He has never done this surgery :-( I was to have the surgery on April 8th but then cancelled to see what else I can find out to do. Very down about this.[/QUOTE]

Ladyscout,

Maybe all of us can asks our Ortho's if they have ever encountered this problem. It would scare me to death to have someone do a surgery that has never done it. I live in Central Texas. I had the best surgeon around. I would travel miles and miles to get a good resolution.

Linda
Alaskelly,

It makes me so sad to hear the problems some are having with their TKR. Did you have both done at the same time? I had my surgery on Dec 1st. I got a stomach virus the 3rd week for 3 days. Maybe a blessing in disguise since it had me running (literally) to the bathroom. It sure got my knee moving.

My PT brought a mini bicycle that set on the floor for my out patient therapy. When I stopped the in home PT, I purchased my own. They are completely mobile, in fact they fold up and fit in a closet. I ordered mine on line. They cost about $30.00. Mine had a timer and a way to increase the tension. I started out at 10 minutes and increased to 30. I now go to my gym and use their bicycle. Keep warm, it sounds like you live in the frozen tundra.

Linda
Alaskelly,
I am 8 weeks post op and can only offer one thing. When I was sick any time prior to surgery, everything hurt. Nothing out of the ordinary there. I have pushed myself in therapy but not to the point of exhaustion. I woke up this A.M., went about my business. Started to walk the dog and realized, it was the first 15 minutes that I hadn't thought about my knee since long before the surgery. I realize I may be unusual but every day is better than the one before. Small setbacks are nothing to be concerned with. I had them, we all do. Just don't get discouraged.

Bill
[QUOTE=beerhunters;4200930]21 weeks, feel confident about doing just about anything, still have limp in left leg, knee feels good, swelling and pain go with my activities

biggest pain is back, have pain I didnt have before the TKR[/QUOTE]

DITTO... no back pain before.. but have it now. PT says it's from the adjustment to your gait with your new knee... not sure how much I believe that.. but she is probably right.

I do know prior to surgery I had this "drop foot" thing going on besides being bone on bone.. and now that whole drop foot thing is gone... and I'm walking pretty normal. Hubby says he will see me limping occasionally but it's usually when I'm tiring out.

Let us know if you hear any other reasons for the back pain..
[QUOTE=mzfitz40;4203953]I had myTKR on Feb 16th. It is not what I expected. I had a great deal of pain when they took me off the morphine after 12 hrs and put me on oral meds. They went through a load of meds before they found one that worked. They sent me to PT where I went into a crying jag. I was transfered to a rehab facility where I got PT & OT for a total of 3 hrs aday. After 5 days I was sent home and a therapist came to my home twice a week for thereapy and protine tests. After 2 weeks I began going to a out patient PT facility. I have completed on week there and when I am feeling whinny they pretty much look at me like I am crazy. I know we all heal at different rates but its hard not to be frustrated by this process. At my one month point I can walk with a limp, can take the stairs one at a time and have an 80 degree bend. That has not improved in 2 weeks. I am constantly moving my knee, massaging the scar and stretching the thigh muscles. They all seem very tight and on the verge of a charlie horse. My outer thigh goes cold and pins & needles when I lay down. I've developed a feeling of cold further down my leg just about mid calf.
I am taking only Ibuprophen & Tylenol for pain and inflamation. I still have difficulty going to the bathroom. I only have a few more days of taking coumadin for which I am glad. But I still have calf pain when I sleep.[/QUOTE]

Yes, you need more meds. The surgeon is the place to go.

The hospital I was in gave a booklet of exercises to do an at what time. PT started in the hospital the 1st day after surgery at JOINT CAMP.(A group of people in the same boat.) That really helped.

The first was and still is sitting in the recliner with a cookie sheet under my foot and leg. It makes sliding the foot to bend the knee a lot easier. At first I used a towel or belt to help me slide the foot up toward my body. Then it gets easier and you can do it without the towel. This is done about 20 times three times per day.

There are a lot of other exercises that were recommended. I did all of them religiously and was very lucky to progress rapidly.

If you have a place to get water therapy, that may help you.

Good luck. ( I am 90 days out and doing very well.)
Oh please hang in there! I am now at 17 weeks and just really feeling better. I am and have always been extremely active and this time has really depressed me -plus I'm up for more surgery due to a ligament rubbing the implant. I'm not glad I had the surgery but I had no choice with bone on bone. Maybe down the road. It will feel better each month though the months didn't seem to go fast enough. I hated that I was wishing it was bedtime during the day and wishing it was morning during the night. I wasn't comfortable either place. I'm more comfortable now both during the night and the day - not great but better. It does get better. I keep hanging onto the people who are ahead of me on the time-line. I use a "slumber jack" - backpacking pillow - between my legs/knees to sleep. Haven't had pain killers since just after the 3 week point - emotionally wasn't good for my attitude and did little for the pain. Hang in there - like what else are you going to do? :-)
[QUOTE=frankly;4204560]I haven't written for a long time because I thougth someone had reported my message as a bad post. I thought that because it has a little green light that seems to be "lit", just above the place where it says to report a bad post. I just went through a lot of messages to see if anyone else had these green lights. I have them on all of my messages. But so does Frannyia....in my computer, she has them on all of her posts too. What do they mean? If I offended anyone, I am so sorry. But I can't figure out what I did wrong. I thought it was only my last message, but now that I've gone back, I see that it is in all of my messages. I really like this site. There are so many useful posts. I am still having such a hard time. I am scheduled to go back to work next Monday and I don't see how that is humanly possible. We do not have "light duty" on my job. I either do the job or don't. I have lots of sick leave, so that isn't an issue. I've sort of reached the place where I am afraid I am never going to get better. I try to do a lot of exercises, every day. My knee is so stiff, so hard, so swollen, and from time to time, so painful. I am kind of in shock. I try not to get too depressed. It will be 8 weeks this coming Friday.[/QUOTE]

Frankly,

Don't get discouraged. I have had ACL, Rotator cuff, Hysterectomy, several broken bones and double bunionectomy (with horrible results), and they don't hold a candle to the TKR. My surgery was December 1st, and even though I had a good recovery it was the most painful surgery I have ever experienced. At 8 weeks I was still in a lot of pain. One thing. You need a good GP. Orthos don't really have much sympathy and will only give pain meds for a brief period. My GP filled me a script for pain. She was the first to inform me that Orthos were oblivious to pain. Keep working the knee everyday. I've seen several post on this board saying the old adage "no pain no gain" doesn't apply to TKR. I beg to differ. How is it possible to rehabilitate a bionic knee without pain?

Linda
[QUOTE=jmlm4245;4205244]Frankly,

Don't get discouraged. I have had ACL, Rotator cuff, Hysterectomy, several broken bones and double bunionectomy (with horrible results), and they don't hold a candle to the TKR. My surgery was December 1st, and even though I had a good recovery it was the most painful surgery I have ever experienced. At 8 weeks I was still in a lot of pain. One thing. You need a good GP. Orthos don't really have much sympathy and will only give pain meds for a brief period. My GP filled me a script for pain. She was the first to inform me that Orthos were oblivious to pain. Keep working the knee everyday. I've seen several post on this board saying the old adage "no pain no gain" doesn't apply to TKR. I beg to differ. How is it possible to rehabilitate a bionic knee without pain?

Linda[/QUOTE]

How do you rehab a bionic knee without pain? With drugs! Seriously. My ortho wouldn't dream of cutting me off my pain meds. I am 5 weeks post op and nowhere near stopping them. My rehab is going fine.
[QUOTE=frankly;4205389]Linda and GaterGal....thanks for your replies. I am still on pain meds---vicodan.....which I feel is like next to nothing. I do think that one has to be very careful not to experience too much pain with this recovery. My first (at home) physical thearpist even told me that. I am having such an up and down recovery. I can do so much but I am still so worn out; my knee hurts so much; I never get a decent night's sleep; my knee gets so stiff, I can't do leg lifts. I feel like I am a failure. I am afraid I am not doing enough exercising. I try really hard to exercise off and on all day and then the next day, I am practically incapcitated. Today is one of my "bad" days and I am so miserable. I have an appointment with the surgeon's nurse practitioner, tomorrow. I am praying that he agrees that I am not ready to go back to work. I have another issue that probably doesn't help much--COPD. I figure it messes with my energy level. I can't walk very long with out having to sit down. I just want to throw myself down some place and cry and cry and cry. How silly is that?[/QUOTE]

It's not silly. What's silly is thinking you can recover from TKR in a heartbeat. I watched a video online before surgery just to be informed what was going to happen. I know most people would cringe at the thought, but I thought it was important to know what the doctors were going to do. It's not pretty, but it educated me to know this was no drop in the bucket. My husband thought I was gory. I knew that I would have excruciating pain in my quads and calfs because they have to cut into the muscles above and below the kneecap. It takes a long time for those muscles to rehab and heal. The only way to speed up the rehab is to work those muscles. That's why I say to those who say "no pain no gain" are foolish to believe such nonsense. Rehab can be painful, but rewarding when you can go up and down stairs like most people can;
Linda
[QUOTE=frankly;4205389] I just want to throw myself down some place and cry and cry and cry. How silly is that?[/QUOTE]

I think you would find that we have all been there. I am at 4weeks and still have crying jags. It doesn't help that I am peri menopausal and exhausted either.
Like you I can not get comfortable to sleep. I am up almost every 2 hours all night long and its a fight to get comforatble again.

I did get my surgeons office to prescribe darvocet for me but have found it jacks me up so I still can't sleep on it. I took it today before PT and found it did little to mask the pain. I still cry when they stretch my knee. I know I have to do this. I've had a little reduction in the swelling but the therapist thinks I may have an adhession. I get a pinching feeling on the left inside of the knee. I hope I don't require other surgery. This is my 3rd operation since June and I'm shot.
does anyone have trouble with itching, from the frist day after the TKR, I have been itching alot, so they changed my pain killers, they tought it was making my skin too dry, itching was better, but no good enough, here at 5 months it is gettting worse again, I still use pain killers hydor 5-500 for back pain from the surgery, my guess is too much acetaminophen

back pain it getting better, weather is changing here, sometimes in sixties now, laid off job so no work, no money, no insurance, too old to hire and too young to retire

america, what a country:-)
[QUOTE=jmlm4245;4205244]Frankly,

Don't get discouraged. I have had ACL, Rotator cuff, Hysterectomy, several broken bones and double bunionectomy (with horrible results), and they don't hold a candle to the TKR. My surgery was December 1st, and even though I had a good recovery it was the most painful surgery I have ever experienced. At 8 weeks I was still in a lot of pain. One thing. You need a good GP. Orthos don't really have much sympathy and will only give pain meds for a brief period. My GP filled me a script for pain. She was the first to inform me that Orthos were oblivious to pain. Keep working the knee everyday. I've seen several post on this board saying the old adage "no pain no gain" doesn't apply to TKR. I beg to differ. How is it possible to rehabilitate a bionic knee without pain?

Linda[/QUOTE]

2 many surgeries you have had, this TKR is by far the worse pain for me after 4 knee and double hernia, so true about the orthos as for pain, it was 3 months for me before I had a noticable pain relief, now at 5 months
I have to agree the the other person. It is 17 weeks and I'm just getting real pain relief. I still have the rubbing ligament on the implant but the TKR itself is noticably better. In fact the pain has subsided so much I'm putting off the surgery on the ligament because I'm enjoying the fact that I can at lest get around pretty well. Just can't handle more pain and rehab at this moment.
[QUOTE=beerhunters;4206293]does anyone have trouble with itching, from the frist day after the TKR, I have been itching alot, so they changed my pain killers, they tought it was making my skin too dry, itching was better, but no good enough, here at 5 months it is gettting worse again, I still use pain killers hydor 5-500 for back pain from the surgery, my guess is too much acetaminophen

back pain it getting better, weather is changing here, sometimes in sixties now, laid off job so no work, no money, no insurance, too old to hire and too young to retire

america, what a country:-)[/QUOTE]

The Morphine in the pump makes me itch terribly,:dizzy:
[QUOTE=jmlm4245;4205244]Frankly,

Don't get discouraged. I have had ACL, Rotator cuff, Hysterectomy, several broken bones and double bunionectomy (with horrible results), and they don't hold a candle to the TKR. My surgery was December 1st, and even though I had a good recovery it was the most painful surgery I have ever experienced. At 8 weeks I was still in a lot of pain. One thing. You need a good GP. Orthos don't really have much sympathy and will only give pain meds for a brief period. My GP filled me a script for pain. She was the first to inform me that Orthos were oblivious to pain. Keep working the knee everyday. I've seen several post on this board saying the old adage "no pain no gain" doesn't apply to TKR. I beg to differ. How is it possible to rehabilitate a bionic knee without pain?

Linda[/QUOTE]

is the TKR mor pain than child birth, my sister tells me child birth is the worse pain she has had
I had all the same concerns and I can't believe that I'm telling you to "push" it. I had the tightnest behind the knee also and thought it was awful. I "pushed" through it like your PT said. The 88 isn't a great number but I understand manipulation while under is very, very painful when you come out of it. I worked and worked at both straightening the leg and bending it - both were painful. I still have that rubbing of the ligament but I'm not going to have more surgery till about Sept. I'll see if it loosens up ...and I can't take any more pain than what I have now for a while.
[QUOTE=HiMaintenance;4207924]Gloria, every now and then I'll get a very sharp debilitating pain in my knee (like someone is stabbing my leg). I'm 8 weeks out. The pain is horrible, but I think it's getting less and less now...maybe once a day. I do one darvecet before my PT. I do one motrin usually after the day while icing (I love to ice!). Physically, I'm doing extremely well, just trying to get my strength back now. I'm going skiing next week (very light beginer runs with my wife), so I'm sure that will take a ton out of me. I don't know how your rehabing with 2 young kids, but hang in there!!!![/QUOTE]

Thanks for letting me know I'm not the only one with this stabbing pain. My PT massaged the heck out of my IT band today and every other muscle in my knee. Just woke up feeling very sore so a hot bath at 1:30 in the am hits the spot. I did try to quit the meds cold turkey but find one at night time seems to take the edge off.

Did you say you were going Skiing next week? Aren't you worried your gonna tear your knee apart. I think we are about the same age and I know I have some ideas of what I want to be doing once I recovered but your braver than me. I don't want to have this surgery again for a very long time. Sorry for worrying I'm a mom of 4 can't help it.
:I was told today that I need total knee replacement of both knees. I have thryoid problems and currently weigh 315 lbs. I want to lose weight before surgery because I don't think it will do any good if I don't. I have a great doctor that understands how much they hurt. I take 4 10mg percocet a day and at least I can still get around without my walker. I am 50 years old and am not excited about the thought of both knees being replaced.:)
I would hate to try to do 2 knees at a time. Both of mine are bad, but I'll do them one at a time. Is there no medication for your thyroid that will help with the weight? I was 30 lbs. overweight due to inactivity from the knees. I can now ride the stationary bike for 30 minutes a day and have lost 20 lbs since my surgery Dec 1st. I hope you can lose some of the weight before the surgery. It will be so much easier for you. My doctor said about a year before the surgery while we were trying shots, minor surgery, all the conservative things you do to prevent TKR, that the stationary bike was the only aerobic exercise that was acceptable for knees. I was such a slug at the time though, all I wanted to do was wait for the TKR. This, coming from a serial exerciser. I taught step classes, low impact aerobics and Pilates for years in my 30's to 50's. I now am back to my exercise addiction.

When is your surgery? Keep in mind that although the recovery will be brutal, you will feel so much better and wonder why you ever waited so long.

Linda
[QUOTE=cmason75;4210147]:I was told today that I need total knee replacement of both knees. I have thryoid problems and currently weigh 315 lbs. I want to lose weight before surgery because I don't think it will do any good if I don't. I have a great doctor that understands how much they hurt. I take 4 10mg percocet a day and at least I can still get around without my walker. I am 50 years old and am not excited about the thought of both knees being replaced.:)[/QUOTE]

I just had mine done 5 weeks ago today. I will be 50 in a few months weighted in at 312 at time of surgery, have lost 15 lbs so far. So I celebrated being under the 300 mark.
Recovery is tough. I had arthoscopic surgery on my left knee in November so it would be strong enough to handle the strain of having the right TKR. It has done well.
Lucky for me my bone was hard enough to have the replacement joint with the metal mesh which will allow the bone to grow into the posts making for a sturdier knee and less chance of it losening up in 10 years.
I remained fairly mobile up until the surgery. No range of motion issues just swelling and pain when doing alot of walking or weight bearing activities. These things I was told will make a differentce in how you recover.

I did have a point where I wasn't sure this was such a smart thing to have done. But I am over that wand was able to break through the pain last week to finally reach a 93 degree bend after being stuck at 88 for 2 weeks.

Having this site to compare my recovery and get information from others going through it has been priceless.
[QUOTE=cmason75;4210147]:I was told today that I need total knee replacement of both knees. I have thryoid problems and currently weigh 315 lbs. I want to lose weight before surgery because I don't think it will do any good if I don't. I have a great doctor that understands how much they hurt. I take 4 10mg percocet a day and at least I can still get around without my walker. I am 50 years old and am not excited about the thought of both knees being replaced.:)[/QUOTE]

I have thyroid problems also and am now bi-bionic. The first in Dec 08, the second in Dec 09. Both went very well. Following Physical therapists suggestions is very important and doing exercises religiously. As others have said, it takes a lot of work, but the results were worth the effort. There are no set rules. Everyone is different.

In my case the original pain before surgery was unbelievable. When a coworker was surprised that at four weeks out I didn't limp , I just replied, "It's better than the old one, why should I."

Good luck to you.

Mary
[QUOTE=cmason75;4210147]:I was told today that I need total knee replacement of both knees. I have thryoid problems and currently weigh 315 lbs. I want to lose weight before surgery because I don't think it will do any good if I don't. I have a great doctor that understands how much they hurt. I take 4 10mg percocet a day and at least I can still get around without my walker. I am 50 years old and am not excited about the thought of both knees being replaced.:)[/QUOTE]

At the risk of sounding like a pollyanna ~ YOU CAN DO THIS! ~ you will be soooo glad you did. A year ago I was celebrating being 50 and 300 lbs (a loss of 50 lbs) - some discomfort in my knees ("pre-arthritic changes") but I figured that was to be expected. And then they "blew out" over the summer -- both of them. Had my consult in Sept. was afraid of bi-lat TKR surgery so put it off til Dec. 9th. I am over 90 days out & doing very well. This board is priceless -- PRICELESS -- for support, knowledge & education. I saw in others posts that they've lost weight -- me too (and I had gotten back up to 321 when I had the surg. because I wasn't able to exercise & I had "given up" until after the surgery) I did do the pre-op exercises they suggested & think that helped with recovery. It's an amazing journey the rehabilitation process -- I'm doing things I didn't think I ever could again. Our bodies are amazing !!! Hang in there and know we will be there for you.
i've just been told by my surgeon that i need to have total knee replacemant surgery on my left knee. i have been a letter carrier for the last 24 years. i had a torn meniscus with arthoscopic surgery 3 years ago. my surgeon then told me that replacement surgery would be in my future. i've tried everything to postpone this surgery, injections, antinflamatories etc. just wanted to know if it is possible to wear out the new knee from walking too much. i walk 7 to 8 miles a day delivering mail. just wondering if i can continue to do my job

thanks
[QUOTE=mzfitz40;4216139]Now at 6 weeks. I have finally reached a flex of 100 degrees. However, the stretch by PT was so bad this week that I could not sleep or do anything the next day. It was so swollen I sat with it iced all day. Extention is only at 4. I have 3 more weeks of PT and hope to make it to 120 degree flex and 0 extention. It is still very painful with use and PT is a killer but I am progressing. Dr gave me darvocet for pain which is pretty much useless. A mood elevator perhaps but nothing for pain. I 've decided to stop trying to sleep at night.I'm going to try breaking my day into thirds to see if I can get enough cat naps to get me through this sleepless period. Very tired of being tired and it effects my mood considerably. I too thought I'd be better than I am at this point. It doesn't help to see those on this list who are contemplating skiing at 8 weeks out.
I've been told time and time again to stop gauging my self to others we all do it at our own pace. I think alot of the anxiety could be reduced it they would just tell us honestly what the recovery is actually like, instead of us having to find others who have /or are going through it for our eduation.[/QUOTE]

Hi Mzfitz - Hang in there - I agree - skiing???
I am at 10 weeks - and at about 115 and almost to 0 (but haven't had a measurement lately - PT like to eyeball it and only measures just before Doc visits) I have no problem doing her exercises, but then I get home from PT and sleep for 2-3 hours. And lots of muscle pain later and the next day. I still have highs and lows, some days I feel practically normal for a while and think that I am over the hump, but then later the pain starts again and I have no stamina - still taking 3-4 norco a day which might have something to do with it. The pain is less than before surgery, and I feel better but still not myself. I am getting a little more sleep at night, but like last night went to bed a midnight (with a norco and half an ambien), woke up at 3 and watched TV for an hour or so then back to sleep until 8:00am, waking up to look at the clock occassionally. My leg gets so stiff at times. So I can relate to how you are feeling. It does get better, but a 10 weeks I would have thought I would be further along...I have been told 3 months is real turning point - I hope so...

A morale booster for me is that there are a couple of ladies at my PT who had surgery months before me and are way behind me in flex and extension - they are really struggling and a real morale booster for me - not nice I know, but I'm a little mean... So as we keep being told, recovery is differtent for all of us. I agree about being tired of being tired and of hurting. If I had not had this website, I would have thought that something was seriously wrong with my recovery, because no one (not even my wonderful Doc who I love) tells you what it's going to be like.
Nap when you can and keep working at it. We will get there! Grumpy
[QUOTE=purple161616;4215427]i've just been told by my surgeon that i need to have total knee replacemant surgery on my left knee. i have been a letter carrier for the last 24 years. i had a torn meniscus with arthoscopic surgery 3 years ago. my surgeon then told me that replacement surgery would be in my future. i've tried everything to postpone this surgery, injections, antinflamatories etc. just wanted to know if it is possible to wear out the new knee from walking too much. i walk 7 to 8 miles a day delivering mail. just wondering if i can continue to do my job

thanks[/QUOTE]

you should have problem doing your job, walking is good for the knee
[QUOTE=mzfitz40;4216139]Now at 6 weeks. I have finally reached a flex of 100 degrees. However, the stretch by PT was so bad this week that I could not sleep or do anything the next day. It was so swollen I sat with it iced all day. Extention is only at 4. I have 3 more weeks of PT and hope to make it to 120 degree flex and 0 extention. It is still very painful with use and PT is a killer but I am progressing. Dr gave me darvocet for pain which is pretty much useless. A mood elevator perhaps but nothing for pain. I 've decided to stop trying to sleep at night.I'm going to try breaking my day into thirds to see if I can get enough cat naps to get me through this sleepless period. Very tired of being tired and it effects my mood considerably. I too thought I'd be better than I am at this point. It doesn't help to see those on this list who are contemplating skiing at 8 weeks out.
I've been told time and time again to stop gauging my self to others we all do it at our own pace. I think alot of the anxiety could be reduced it they would just tell us honestly what the recovery is actually like, instead of us having to find others who have /or are going through it for our eduation.[/QUOTE]

I thought much on your last paragraph. And I think if I had been told the "truth" I might not have had the surgery. I truly trust my doctor & his medical team but if they had been brutally honest about what other patients self-report i would have never done this! That's why I'm soooo glad this board exists -- I've been to some others like this -- but this has been "the one" that I have gotten the most out of. I get angry when people tell me to hang in there during a tough time in my life but afterwards .... I discover that's exactly what I did. And believe you will also. Yeah - skiing. I was 110 degrees flex @ 6 wks. also and poof - a couple of weeks later over 120. Someweheres on this thread is someone who talked of "bend envy" and it's true -- I remember not having 90 and being sooooooo envious of the people who had surg. AFTER me that were already over 100 degrees. Silly! Keep on keepin on!
Dear Hank:

I think that you are such a Brave Soul for having both knees done at the same time. (I follow the knee posts even though I have had hip replacements, not knee replacements.)

Yes, this is a wonderful site for people having joint replacements. I could not have gotten through my two hip replacements without the encouragement of reading this site. Before I even had a hip replacement the first time I had a lot of information and was ready for the surgery. That wouldn't have happened without this site. (I had just one hip done at a time.)

It sounds to me like your recovery and rehab are coming along just fine. Joint replacements require great patience, and we all are individuals in how long it takes us to get back to what is normal for us. Read the "old" postings too!

I hope you will keep reading the postings and find encouragement and hope in them.


Shirley H.
Dear Hank:

Hi again. It has been my personal impression in the last two years of reading this wonderful site, that many who have had joint replacements are going at things far too hard and becoming over tired and trying to rush their recovery and rehab.

In my own case, I have been cautious and careful and was sure not to overdo every day, alternating work around my apartment with lying down on the bed and resting.

I never kept at one activity too long so that I did not exhaust myself. Maybe this is a function of my age, now being 80 - and also because I have no one else living in my home, being a widow. I take care of my kitty which does require a certain amount of attention and effort, but other than that, there is no one here to show off for and I think that has been a good thing. I do all my own work and driving to appointments and shopping.

I did not rush to abandon my walker and cane and think that has been very wise.

Hank, when at the store, try using a shopping cart in lieu of your cane or walker even though you have them along. Shopping carts give wonderful support. I also always take my cane along when going out in my car, because surfaces in stores and parking lots can be bumpy and I don't want to risk being put off balance by other people.

When you are feeling discouraged, try to remember how you felt at first right after the surgery and I suspect that you will then realize how far you have already come.

Please keep us posted on how things are going with you. One of these days you probably will be posting to encourage others.

Shirley H.
Purple,
I had both of my knees done a year apart. Each one reacted slightly differently but I have to say that after 8 weeks, I was willing to say I was glad I did it. By 12 weeks I was back on my feet full-time as a teacher/costume designer (a job that keeps me on my feet all day.) While several people here have had longer recovery times or more difficulties, I found the process really worthwhile. I felt like I regained my life ( hence a 10 shopping day for work this week!)

I will say that though my surgeon said the main work of recovery (time in therapy) would be between 8 and 10 weeks, he also said it would take up to a year to feel totally normal again. And he was absolutely right. There is a difference when muscles and nerves have been cut. It occasionally feels weird. But I wouldn't trade it for the arthritis pain. I have three friends who have gone through the process. One had grumpy moments but she always has. A second was so happy (not that he didn't suffer some during recovery) that he couldn't wait to have the 2nd done. A third, who had a range of health issues, doesn't seem happy at all. It's absolutely varied person by person. Because you walk and walk as a letter carrier, I think you will be a good candidate for a good outcome. Walking has never been a real problem for me since the surgery.

My Two Cents
Linda
[QUOTE=scribytoo;4217693]Purple,
I had both of my knees done a year apart. Each one reacted slightly differently but I have to say that after 8 weeks, I was willing to say I was glad I did it. By 12 weeks I was back on my feet full-time as a teacher/costume designer (a job that keeps me on my feet all day.) While several people here have had longer recovery times or more difficulties, I found the process really worthwhile. I felt like I regained my life ( hence a 10 shopping day for work this week!)

I will say that though my surgeon said the main work of recovery (time in therapy) would be between 8 and 10 weeks, he also said it would take up to a year to feel totally normal again. And he was absolutely right. There is a difference when muscles and nerves have been cut. It occasionally feels weird. But I wouldn't trade it for the arthritis pain. I have three friends who have gone through the process. One had grumpy moments but she always has. A second was so happy (not that he didn't suffer some during recovery) that he couldn't wait to have the 2nd done. A third, who had a range of health issues, doesn't seem happy at all. It's absolutely varied person by person. Because you walk and walk as a letter carrier, I think you will be a good candidate for a good outcome. Walking has never been a real problem for me since the surgery.

My Two Cents
Linda[/QUOTE]
Hi Linda

Thanks for your "two cents" . I really appreciate your thoughts. I am awaiting the Dept. of Labor to approve my surgery. My surgeon tells me he is going to use the Otis Knee. It relatively new. I have to have a special MRI where they take exact measurements of my knee and a 3-D image is made. This allows the surgeon to have exact measurements of my knee prior to surgery. The thought being less time in surgery, a better fitting knee, and less recovery time. Have you or anyone on this site heard of have had this new type of knee? Any thoughts would be appreciated. I'm so glad I found this site. A little nervous, but excited at the same time to finnally be pain free (I hope)

thanks again
marlene
[QUOTE=Silver Swan;4217596]Dear Hank:

Hi again. It has been my personal impression in the last two years of reading this wonderful site, that many who have had joint replacements are going at things far too hard and becoming over tired and trying to rush their recovery and rehab.

In my own case, I have been cautious and careful and was sure not to overdo every day, alternating work around my apartment with lying down on the bed and resting.

I never kept at one activity too long so that I did not exhaust myself. Maybe this is a function of my age, now being 80 - and also because I have no one else living in my home, being a widow. I take care of my kitty which does require a certain amount of attention and effort, but other than that, there is no one here to show off for and I think that has been a good thing. I do all my own work and driving to appointments and shopping.

I did not rush to abandon my walker and cane and think that has been very wise.

Hank, when at the store, try using a shopping cart in lieu of your cane or walker even though you have them along. Shopping carts give wonderful support. I also always take my cane along when going out in my car, because surfaces in stores and parking lots can be bumpy and I don't want to risk being put off balance by other people.

When you are feeling discouraged, try to remember how you felt at first right after the surgery and I suspect that you will then realize how far you have already come.

Please keep us posted on how things are going with you. One of these days you probably will be posting to encourage others.

Shirley H.[/QUOTE]

Hi Shirley, thanks for the tips. I must say I admire you for all the strength you have at your age. I'm only 63 and complaining about all my pain. I need some of your courage.
Happy Easter
[QUOTE=Grumpyathome;4218606]At 10 1/2 weeks on rt knee, it's all kind of based on when I have PT. Morning of PT it's usually pretty good, the exercise feels good and is doable - but later - oh boy- the aching kicks in. Next day is bad, then I have a good day and then back to PT and it starts over again.
I'm taking about 3 hydrocodone a day, but try to space them out so I can drive the 10 minutes to my mom's nursing home, see her, then drive back, take a pill. The rest of the time, I let my husband drive me. She is at the stage in Alzheimer's where each day it is questionable whether she will know me or not. Seeing what the disease has done to her makes a TKR seem pretty trivial.

Now that the weather is getting nice, I try to warm up the spa or get in the tub - usually a couple of times a day. I am getting tired of being tired or hurting, but the ROM is improving and I can do all sorts of things that I haven't done in years. Yesterday, I got in a lounge chair we have that I hadn't been able to get up from for at least 3 years. So things are improving! I keep hearing that 3 months post op is a major time for improvement. Hope so...

Gater - are you in FL too? Haven't heard from Matter or JerseyBoy lately - Jersey ought to be getting home pretty soon -

Happy Easter. Grumpy[/QUOTE]

Can't believe you are 10 1/2 weeks already.. probably seems longer to you though.
Glad to hear you are doing so well..
It's amazing how each month you see things getting better and your ability to do things that you weren't able to do before surgery.
Went back to therapy.. have it twice a week at 9:30. New therapist.. much better than first. She also suggested when sitting in a chair put your leg behind you for a while several times a day.. it will really help your ROM. Mine is at 118 but she said she would like to see a little more and that it shouldn't be problem so I've been doing that at work and the new exercises she gave me to work on the quads and my balance. Otherwise.. I have no complaints at all.

Anxious to hear from Jersey too.. wonder how it all went.

Are both you and Gater in Florida... all my kids live in Navarre up in the panhandle.. long way away from California..:(


Hope everyone is having a great Easter... will check back later..
Hi to all my good tkr friends and new thr friends,:wave:
All is well. It is Monday evening and the hip surgery is over. It went very well. The anethesioligist suggested a spinal for this one and I said I was OK with that. I was awake the whole time, had a great recovery room experience and all went well in the hospital.. I got home on Friday late afternoon, was really tired Sat. Went for a walk outside Sat. in our 70 degree weather(very strange for Illinois) before Easter dinner. :cool: The family brought in food for Easter at our house with two daughters and 5 grandkids under 8 doing most of the work. It was a wonderful day. Today I started with the nurse from a home care agency(blood draws etc. due to warfarin meds) and will have pt tomorrow with a person from the home care agency. All in all it has been a great experence. I am stiff and sore, tired and lethargic, but I am glad it is all over with.:p
Thanks for all your good wishes. It is because of the great info on these boards that I felt confident enough to face all of this head on. :angel:
[QUOTE=Jeanob;4219605]Hi to all my good tkr friends and new thr friends,:wave:
All is well. It is Monday evening and the hip surgery is over. It went very well. The anethesioligist suggested a spinal for this one and I said I was OK with that. I was awake the whole time, had a great recovery room experience and all went well in the hospital.. I got home on Friday late afternoon, was really tired Sat. Went for a walk outside Sat. in our 70 degree weather(very strange for Illinois) before Easter dinner. :cool: The family brought in food for Easter at our house with two daughters and 5 grandkids under 8 doing most of the work. It was a wonderful day. Today I started with the nurse from a home care agency(blood draws etc. due to warfarin meds) and will have pt tomorrow with a person from the home care agency. All in all it has been a great experence. I am stiff and sore, tired and lethargic, but I am glad it is all over with.:p
Thanks for all your good wishes. It is because of the great info on these boards that I felt confident enough to face all of this head on. :angel:[/QUOTE]

I didn't know you were having THR! Sounds like it is a tad easier than the knees? Glad it went well for you!
[QUOTE=milliejs;4219744]GAH.....you have absolutely no idea how much I enjoy your posts and how much I learn from them....I am at 12weeks and am finally beginning to feel like a human being again. I am still taking vicadons but less of them...still having some trouble with the knee swelling which in turn causes more pain. I am close to being dishcharged from PT. I have exercises that I do at home, and someone donated a schwin airdyne bike for me to use so I do ~10 min a day (most days) and I am using the warm water therapy pool 3 or 4 times a week. It all helps. [U]Now a new thing has cropped up. I have developed a scaly patch on my knee.. it is just below the knee cap and to the right side of the scar. [/U]Have you heard anyone else having this. I absolutely do not want to call the dr's office again unless I absolutely have no choice. I'm sure they think I am paranoid as it is LOL.

Hope everyone is doing ok[/QUOTE]

Hi - sounds like we are at similiar places in recovery, I almost feel normal at times and then I twist funny and then I remember - except for the scaly patch. Haven't heard of that before... Is it itchy? Are you putting cream or vitamin E on your scar and knee? That might help... Could be from the chlorine in the pool - I know that our YMCA therapy pool uses a lot of chlorine which can be very drying. If it continues, I'd ask the Doc - paranoid or not. You might ask your PT - I know that my PT sees a lot and is very knowledgeable about wound care.

Today I had PT and so far, and it 12:30 AM, the pain and ache is pretty low (sometimes the pain meds don't take care of it but today they have). I have taken 3 norcos today ( which is one less than I can) and tomorrow if it's feeling good, I will try cutting them in half. But I take it one day at a time and try and do a little more each day. I see my Doc during PT on Thursday so I am hoping that my extension and Flex will have improved.

The swelling has never been too much of a problem - my surgical knee is a little more swollen than the other, but not as bad as before surgery. I do ice at least once a day if not more with my gel wrap.

Good luck with the scaly patch - let me know what you find out. Grumpy
[QUOTE=milliejs;4219744 I have developed a scaly patch on my knee.. it is just below the knee cap and to the right side of the scar.


I think I have what you are talking about. a few inches down from the scar and a few inches out. I remember noticeing a hard lump after surgery there I assumed it was a blot clot, perhaps caused by someone holding too firmly on my calf. I also had hand prints which were visible allover my legs following surgery. Anyway, I have developed a hard, discolored and somewhat dry patch where this hard lump was. I suffer slight edema in my calves and believe this is a result from the combined effects.
[QUOTE=Grumpyathome;4219768]Hi - sounds like we are at similiar places in recovery, I almost feel normal at times and then I twist funny and then I remember - except for the scaly patch. Haven't heard of that before... Is it itchy? Are you putting cream or vitamin E on your scar and knee? That might help... Could be from the chlorine in the pool - I know that our YMCA therapy pool uses a lot of chlorine which can be very drying. If it continues, I'd ask the Doc - paranoid or not. You might ask your PT - I know that my PT sees a lot and is very knowledgeable about wound care.

Today I had PT and so far, and it 12:30 AM, the pain and ache is pretty low (sometimes the pain meds don't take care of it but today they have). I have taken 3 norcos today ( which is one less than I can) and tomorrow if it's feeling good, I will try cutting them in half. But I take it one day at a time and try and do a little more each day. I see my Doc during PT on Thursday so I am hoping that my extension and Flex will have improved.

The swelling has never been too much of a problem - my surgical knee is a little more swollen than the other, but not as bad as before surgery. I do ice at least once a day if not more with my gel wrap.

Good luck with the scaly patch - let me know what you find out. Grumpy[/QUOTE]


Went to the warm water therapy pool this afternoon and when I was leaving I saw my dry land physical therapist and asked him to look at my knee. He thought maybe the water alsol. He recommended Gold Bond lotion and said if it gets any bigger after using the lotion to go see my family doc. He didn't think the surgeon would really pay much attention to it. So that is my plan for now. Grumpy, when did u have your surgery. I know you said but I don't remember. Actually, I don't remember much about the first two months LOL. And I have to ask...what are norco's?????
milliejs - My surgery was Jan 19,'10. Norcos are hydrocodone and 325mg of tylenol - they come with diffent amounts of hydrocodone - mine is 7.5 mg. Not as strong as percocet. So this morning I took a 1/2 of one. then went to take some measurements of the room my mother is moving into from her asst. living room into the memory care unit. So I wasn't expecting to be doing much - I got there, and suddenly today turns into moving day. So I was walking back and forth from one end of the nursing home to the other caring stuff - more walking than I've done since before surgery. So I am exhausted, not to mention the mental exhaustion trying to explain to my mother why we were moving her to a new room (it's a locked area, so the dynamics are different - but her condition necessitates the change)
Needless to say I took a whole norco when I got home and my leg really aches...

Hope the gold bond works - let us know. Grumpy
OMG - I so feel for you! My mother died about 13 yrs. ago from Alsheimers (sp.) To be doing the surgery recovery plus the "taking care of mother" deal is tough. Hang in there.
[QUOTE=alaskelly;4211160]At the risk of sounding like a pollyanna ~ YOU CAN DO THIS! ~ you will be soooo glad you did. A year ago I was celebrating being 50 and 300 lbs (a loss of 50 lbs) - some discomfort in my knees ("pre-arthritic changes") but I figured that was to be expected. And then they "blew out" over the summer -- both of them. Had my consult in Sept. was afraid of bi-lat TKR surgery so put it off til Dec. 9th. I am over 90 days out & doing very well. This board is priceless -- PRICELESS -- for support, knowledge & education. I saw in others posts that they've lost weight -- me too (and I had gotten back up to 321 when I had the surg. because I wasn't able to exercise & I had "given up" until after the surgery) I did do the pre-op exercises they suggested & think that helped with recovery. It's an amazing journey the rehabilitation process -- I'm doing things I didn't think I ever could again. Our bodies are amazing !!! Hang in there and know we will be there for you.[/QUOTE]

Hello Everyone! :wave: I came across this site by chance on Google and am so happy I did! I just spent the last SEVERAL hours reading all the messages. I have much to learn, and some notes are inspiring and some are a bit frightening. I am scheduled for double knee replacement on April 20th. I had hoped to put off this surgery until the fall, but one of my bad knees just gave out on me crossing the street and have been in pain for the last two weeks.:eek: Now I just want to get things started and hope to get back to living a "life" again someday. Alaskelly, your letter was so inspiring for me and just wanted to thank you for your positive attitude!! :angel: Anyone that I tell that I'm having a double knee replacement is HORRIFIED! Had me thinking I was making the wrong decision, but after talking with my regular physician and the Rehabilitation Director, I do feel a bit better about it. Wish me luck and I'll continue watching for all of the wonderful achievements.
Hi BearSher,
I read your post and it looks like your surgery is coming up next week. Just wanted to say I hope all goes well and keep us posted. I also wanted to tell you that a lady I met at PT had both of her knees done at the same time and she did better than I did with just one! A lot of folks also say it is better to get it over in one surgery. Good luck to you and we will be watching to see how you do.
BearSher,

I feel bad I haven't posted for a while. My surgery was 12/1/09 and I have recovered so well, I don't have many problems to post. I have not had pain meds in weeks. I only used them when I did my daily exercise after the 2nd month. I played 18 holes of golf last week, the first time in 8 years. Nine was my limit.

I wish now I had had both of mine done at the same time. But, I have had some surgery failures, and my husband was afraid of complications if I did both at the same time. I now have to do it again. I'll probably have the other knee done in a few months.

I wish you all the best and will have you in my thoughts.
I also need both knees replaced, but it takes one knee @ a time. My dad took about 9 mos to be able to move about any way he pleased after the 1st knee surgery. Then he had the other knee done and was doing 100% after about 7 months. He is retired so he didn't have to worry about being replaced at work (a major concern of mine). Oh sure they HAVE to give you back your job, but there is always the convienent excuse to let you go afterwards but that is another thread. My dad has since worn out both knees, they both only lasted about 10 years. I am told that "newer technology" should give me 15-25 years....hmmmm 58 + 15 = yep that mite be enuff!
today is 6 months to the day, knee is working fine, pain goes with activities, first time I mowed the lawn this year, it had a good workout 6000 sq ft of lawn, dont know how much I walked but it was alot, 57 years old

the front and outside of left knee still have some numbness, the scare is sensitive, biggest problem I still have is my back from the surgery, the day after my ribs were sticking out, the surgery messed with my back alignment, the pain killers I use are for that, when it gets too bad the hips and legs hurt alot

when I go to the chiropractor and he puts me back in alignment I am great until it happens again
:wave: Hi there BearSher! Thank you for your kind words. I,too, came across this site from Google & I just can not say it enought: it has been my lifesaver! I can't begin to name the folks that have inspired me & made me feel as though they were writing to me -- Grumpy @ Home for sure, beerhunter, msfitz, I should have scrolled back through & written names down ~ Sorry for those I didn't name as you all have made this journey bearable. No matter what time of the day or how I'm feeling -- this is where I go. My family & friends have been so kind & supportive but after the 2nd month they were ready to move on. Now when I meet people who are post op -- not necessary knees or hips -- I am so more sympathetic & understanding. Healing takes time and will not be rushed! Good luck -- next week right? We'll be thinking of you & look forward to hearing how it goes!

Kelly in Alaska




[QUOTE=BearSher;4222883]Hello Everyone! :wave: I came across this site by chance on Google and am so happy I did! I just spent the last SEVERAL hours reading all the messages. I have much to learn, and some notes are inspiring and some are a bit frightening. I am scheduled for double knee replacement on April 20th. I had hoped to put off this surgery until the fall, but one of my bad knees just gave out on me crossing the street and have been in pain for the last two weeks.:eek: Now I just want to get things started and hope to get back to living a "life" again someday. Alaskelly, your letter was so inspiring for me and just wanted to thank you for your positive attitude!! :angel: Anyone that I tell that I'm having a double knee replacement is HORRIFIED! Had me thinking I was making the wrong decision, but after talking with my regular physician and the Rehabilitation Director, I do feel a bit better about it. Wish me luck and I'll continue watching for all of the wonderful achievements.[/QUOTE]
[QUOTE=BearSher;4226130]Hi Corgi, Alaskelly, and Grumpyathome: Thank you all again for your wonderful and helpful comments. I feel like I have made some new friends and it DOES help. I think unless you've gone through it, you really don't know how it feels....I'll soon find out! :(
It really helps reading what you're all going through so that I have SOME idea what to expect. 5 days...tick, tick, tick!! :)[/QUOTE]

Bearsher - Hi - if you have not looked at my thread " TKR - things it would have been nice to know beforehand" it might give you some info on getting your home ready. I wrote it right after getting home and them updated it a week or two later. Some of it is commonsense, some of it was the percocet, but a lot of it is stuff that really made it easier for me or were things that I hadn't thought of, but would have been easier to do beforehand. Good luck on your surgery. Grumpyathome:)
I'm at 5 months (Nov. 17th - why do we all remember the exact day we had the surgery?) and finally rode my carbon fiber road bike with "flat" pedals today. Did 20 pretty flat miles and feel great! The ligament that is rubbing is the really only bad pain - but bareable till I think I have to have more surgery on it. Heading out again tomorrow and then with my ride group on Sunday for the easy ride - just 20 miles. Still sleep with a small backpacking pillow between my knees at night and still uncomfortable. Keep pushing yourself it works!
[QUOTE=BearSher;4226130]Hi Corgi, Alaskelly, and Grumpyathome: Thank you all again for your wonderful and helpful comments. I feel like I have made some new friends and it DOES help. I think unless you've gone through it, you really don't know how it feels....I'll soon find out! :(
It really helps reading what you're all going through so that I have SOME idea what to expect. 5 days...tick, tick, tick!! :)[/QUOTE]

Heh BearSher,
This is the best site for making friends who know what you are talking about, and also to compare what you are feeling so that you don't feel you are alone or going crazy. NO ONE can really know what this is like unless they have been there and done that, so to speak. The posts about what you should have ready for when you get home, etc are excellent. I wish that they would have been written when I had my surgery. They are right on. The best advice I can give you is measure your progress by the week, not by the day or you will feel you haven't progressed at all. When you start stacking up the weeks and looking back, you will be so happy and surprised.
Not kidding, this is hard tough work to get down this road, but it will be so worth it. Good luck to you. We will be thinking of you, let us know how you are.
It makes sense they would want you to take it for a gyno exam because they snip a little piece of your lining to send to the lab. I've heard of diabetics having to stay on the antibiotics for life because they are prone to infection. My surgeon gave me these guidelines.
Antibiotics needed for life when any dental work, skin boils or infected lesions or cuts, foot procedures (especially ingrown toenails). Big problem for diabetics.
Breast biopsy & pap smear only if infection is present,
Needed for 6 months post joint replacement genitourinary or gastrointestinal tract procedures(Upper or Lower GI's, biopsy, sigmoidoscopy, cystoscopy, colonoscopy, cone biopsy).
Any Surgery or Cardiac Catherization you must inform your surgeon you have a replacement.
For eye surgery no antibiotic is needed unless there is a cutting of the eyelids or surrounding tissue. So inform your surgeon just to be safe.
Hope this helps.
[QUOTE=davebeemster;4242934]I am at 18 weeks tkr of the left knee and working in the trades full time. I have been back to work for 6 weeks and I AM STILL GETTING A LOT OF SWELLING. is this normal for someone who is on their feet for 12 hours a day. I still have pain too. does any else feel this way?[/QUOTE]

I'm 6 months Post-op and still have swelling. There's fluid on the right side that goes away with the ice machine they sent me home with. I fall asleep with it on every night. I also have popping from time to time but only have pain when I over-do. I just started injections in my left knee hoping to stave off TKR on that one a little while longer. I really don't want to go through this again. I also started acupuncture. My Ortho gave me the name of a licensed one for a wrist problem as well as other pains I'm having. The wrist needs surgery also, but will require 3 months in a cast and I'm not doing that in the hot Texas Summer.

Anyone had any success with acupuncture?

Linda
I am at 16 weeks. I still have swelling after being on feet for any period of time. No pain, however. Will be seeing the Doctor tomorrow and will inquire about the swelling. It is somewhat disconcerting, since this is why I decided on the surgery in the first place. The lack of pain makes it worthwhile. That is a long time to be on your feet but, you have to do what you have to do.
You guys are incredible. I had arthroscopy surgery on my left knee in November and the TKR on the right in February. Both knees are week but I am back doing almost as much as I did before the surgeries. I have an issue where I still feel like a tendon is pulled tight from the out back of my knee running all the way to my ankle. When I force the knee flat with stretching I get a sharp pinch on the upward bend. When I relax the leg my ankle doesn't want to drop like a normal ankle does on its own. If I make it go in that position I feel a tightness all the way up and behind my knee. There is no real pain except the pinch. Anyone else have this happen?
I also feel like the knee is not "hinged" equally on both sides. When I walk it comes forward on a outward swing. I am getting more flexation and extension than a few weeks ago. BUT I have turned down an invitation to my nephews wedding which is over a 3 hrs drive both ways.

Having difficulties sleeping but a little better than before. I've been wanting to go to Ireland and have to get strong for that. I pulled out my Tony Little gazel for lazy/ rainy days. I live in a very hilly area and sometimes the hills are just too much. Has anyone used one of his machines since thier surgery? I don't have access to a bike, hot tub or pool.

Sleepless along the Susquehanna
[QUOTE=corgi02;4226896]Heh BearSher,
This is the best site for making friends who know what you are talking about, and also to compare what you are feeling so that you don't feel you are alone or going crazy. NO ONE can really know what this is like unless they have been there and done that, so to speak. The posts about what you should have ready for when you get home, etc are excellent. I wish that they would have been written when I had my surgery. They are right on. The best advice I can give you is measure your progress by the week, not by the day or you will feel you haven't progressed at all. When you start stacking up the weeks and looking back, you will be so happy and surprised.
Not kidding, this is hard tough work to get down this road, but it will be so worth it. Good luck to you. We will be thinking of you, let us know how you are.[/QUOTE]

[FONT="Arial Black"][/FONT]
Hi All: :wave:

Just an update to tell you that I had a very successful Bi-lateral surgery April 20th and came home on the 13th after staying at a WONDERFUL rehabilitation home for my 20 (Medicare) days. I've been very fortunate not to have a lot of pain and try not to take any pain killers, except for before PT. The most troubling problem...even more than the knees...was constipation from the Norco!! :eek: Horrible experience!! If anyone is contemplating the surgery, all I can say is the "ANTICIPATION" is worse than the actual surgery. I couldn't imagine being away from home for all that time, but the time goes quickly and I think that is the major rehab time! They really kept me busy with 2 PT and 1 OT, plus an hour each leg on the CPM machine. There were several ladies that didn't want to stay and went home against the PT's wishes. I hope they don't regret it down the road. I now have home health for a couple of weeks and then have to look into rehabilitation places close to home.
Still looking at all the new posts and will keep in touch. Thanks for all your well wishes pre-op!!
BearSher
i am 6 days post surgical for a Total Knee Replacement . I am having HELL so many problems. Firstly I have had lowgrade fevers from the day after surgery until now. Behind my knee the pain is excruitiating and left the hospital on the 16th of May. Surgery was on the 13th of May. Today is the 19th of May and I have the following things to report. Please review and see if anyone experienced any of thease things. Any Suggestions and comments welcomed.

1. lowgrade fevers since surgery
2. yeast infection due to iv antibiotics in the hosp
3. need to not only take coumadin but also a blood thinner shot.
4. urine has some blood in it.....reddish brown urine probably from the blood thinners
5. severe pain behind knee... extension is -8
6. not so much pain on kneecap
7. can flex upon leaving the hosp at 90% with assistance.
8. Been able to walk well with walker, sit, stand, with minimal pain
9. lotz of swelling to surgical site.
10. can lift leg on bed without assistance with some pain.
11. Can only take tylenol 3 i throw up from everything else
12. appetite is bad
13. tired all the time
14. constipated

Just to mention a few things.....

Please help
Dear Nervous,

Unfortunalty, what you are experienceing is par for the course. I am only 3 months oout from the surgery so I can remember all the pain yet. You probably have the blood in the urine from the catheter, the infection could also be a result of the same. Drink plenty of water. Cranberry juice will help.

The loss of appettite is common as is the constipation. Try enema's of warm water to keep even a little moving and in a few days take a few correctol. I found I had to do this for several weeks just to be able to go. I never waited more than 4 days. If I didn't go I took one correctol. Worked like a charm without a lot of stomach pain. Cause lets face pain is something you don't need more of at this point.

You should be on more than tylenol. It is not enough for the pain especially after PT or at night. Talk to your Dr to get something stronger. There are a lot of options. If you are sticking with the 3 tylenol every 4-6 hrs add 2Ibuprophen half way through and keep them staggered. Thats what my Dr prescribed and it helped after I came off the heavy meds. ANd remember to always ICE , ICE , ICE. I would got to bed with my ice packs and leave them on until the middle of the night and then switch them out for a fresh set.
I also was so exhausted I started to sleep 3-4 hour a few times aday instead of trying to sleep 8 hours. It hurt less to lay a shorter period of time and I slept better because the pain meds lasted through this shorter stretch.

I had more pain in the back of my knee then the front. You will learn that is because they cut nerves and the numbness on the outer side of the knee will take a long time to get better. As nerves mend you'll experience new twinges of pain. As the swelling goes down the knee may feel less steady. It takes time to build the muscles back up. The thigh muscle which was split takes a long time to heal and strengthen back up. The swelling is going to be there for a long time.

I also took Coumadin and Lovenox shots. But only for about 2 weeks total. I went to a rehab facility for 7 days after the surgery. I insisted on this because my insurance covered it and I had no one to care for me once at home. I too could pretty much get around like you but even after a week of daily PT I was only at abaout 80 degree bend and I think 18 degree extention.
After 2 months(3x a week) of PT I managed between 100-105 degree bend and between 4-5 degree flex. I only recently began going up and down the stairs foot over foot instead on on foot at a time. This all takes time and they don't prepare you for all the pain and hard work ahead of you. But hang in there it does get easier and you will do better. Go ahead and cry when you need to and don't be embarassed if its in front of anyone. This is probably one of the hardest things you'll ever do. Its frustrating because its it takes so long to see progress and when you do it will be in small incriments. Celebrate them!. And NO ONE who hasn't gone through this will come close to understanding what you're going through and most of us loose our supporters after a few weeks. Thats whats so great about this site, We're here for each other!

Hope this helps!
Melissa
Zimmer "Gender Solutions"
[QUOTE=nervous12345;4249257]i am 6 days post surgical for a Total Knee Replacement . I am having HELL so many problems. Firstly I have had lowgrade fevers from the day after surgery until now. Behind my knee the pain is excruitiating and left the hospital on the 16th of May. Surgery was on the 13th of May. Today is the 19th of May and I have the following things to report. Please review and see if anyone experienced any of thease things. Any Suggestions and comments welcomed.

1. lowgrade fevers since surgery
2. yeast infection due to iv antibiotics in the hosp
3. need to not only take coumadin but also a blood thinner shot.
4. urine has some blood in it.....reddish brown urine probably from the blood thinners
5. severe pain behind knee... extension is -8
6. not so much pain on kneecap
7. can flex upon leaving the hosp at 90% with assistance.
8. Been able to walk well with walker, sit, stand, with minimal pain
9. lotz of swelling to surgical site.
10. can lift leg on bed without assistance with some pain.
11. Can only take tylenol 3 i throw up from everything else
12. appetite is bad
13. tired all the time
14. constipated

Just to mention a few things.....

Please help[/QUOTE]

Hello, and welcome to this great site. You will find many helpful people here.

First let me say, 6 days post TKR is pretty soon to be expecting great things. This is a long process with a lot of hard work. I'm 6 months PO and still have swelling and fluid from time to time.

1. Low grade fever: As long as it's low grade it will probably go away soon. The Tylenol should help. My Ortho prescribed antibiotics which you will probably have to take for every procedure, even teeth cleaning, for years to come.
2. Yeast infection. This message board probably has a topic to help you with that.
3. Blood thinner. We probably all had to do the coumadine shots. It's to keep you from forming clots which could be more serious than the surgery.
4. Blood in urine. That doesn't sound like it's knee related. Drink plenty of water to flush out the kidneys. Check the message board.
5. The pain behind the knee will go away soon. I turned my ice pack around to the back of the knee from time to time. My worst pain was from the quad area and back. You will have to push through the pain to get extension. I warmed my knee with a heating pad before PT. That made the exercise easier.
6. No appetite: I was able to lose 20 lbs in my post op doing the PT. Your appetite will come back. Trust me on this one. I also used that time to try to eat healthier. The TKR not only saved my knee, but gave me a new beginning to a healthier lifestyle. I have cut down on all my BP medicine, bad Cholesterol is down. better HDL.
7. Tired all the time. Your body has gone through a traumatic ordeal. It may be weeks before you feel normal. I still have periods of fatigue. Keep in mind most on this board will tell you their Ortho's told them it was normal to take a year to completely recover from this surgery.
8. Constipation. It's from the pain meds. Try a stool softener temporarily until you can stop the pain meds.

All and all, you sound like you're doing pretty good for 6 days PO. Keep us informed as to your progress and know that we have all been through the same experience and will help any way we can.

Have you expressed these problems to your Ortho? At six days the stitches are still in so you should see him/her pretty soon.

Keep positive. It will be over soon.

Linda
That was a great post and so true. It makes me feel better I am not just making this up and feeling sorry for myself. I am used to being active and moving around quickly and now here I am after six months still complaining.
I had a difficult time with appetite -- had none and if food wasn't placed in front of me I probably would not eat. That was something new for me. I lost several pounds and to the point that it was noticed and I looked haggard. No one in my entire life had told me I looked too thin, I'm usually fighting the weight as I gain easily and am not tall. Not a large eater, but love sweets at night. Well, the appetite finally came back and I am now where I shoud be and hope not to gain. Had my daughters not come into town and did a lot of cooking and freezing in small containers for me I probably would not have eaten at all. While they were here they just put food in front of me and said - EAT. I did. Thank goodness for daughters.
I'm still not comfortable and stairs are difficult going down on the good leg. Luckily I have a ranch home with the washer and dryer upstairs so I need to go to the basement just to use the treadmill which I try to do at least once a day if only for a half mile. I go to the gym to use the incumbent bike almost every day and ride for a half hour. Bending the knee is pure torture for me, but I try to do it. I would like to have more out patient therapy, but one session can be almost $200. and I'm not prepared for that. I can do the exercises on my own other than the bending very well. I can get to 120 on my own with difficulty and 130 with the PT doing it. He claims that is as far as I will ever go.
I did as someone suggested and Googled Bogs looking for a live chat. So far no response and I don't think there is such a thing available any longer. Whoever suggested this - thank you for thinking of it. I never use Bogs so would not have thought of it. Should I ever come acrosss anything similar I will try to post what info they will allow on here.
Thank you all for any info you have and pass on.
I do have one odd thing. In the past I have been a BIG reader of books. I'm finding that I cannot concentrate long enough to read a book. I have read only one all of this time and that was because my nephew brought it to me while I was in rehab and wanted a report. I did read that and that has been it. I can glance through a magazine and do crossword puzzles, but cannot get back what used to be one of my favorite past times. I have a friend who is also a big reader and said after her hip surgery replacement she couldn't read for a year. I have no clue why that is. I'm going to try taking a book with me while I'm on the bike as that is so boring since I'm not interested in watching the TVs or listening to music.
Hi Barb70
I am the one who suggested reading blogs. My thought was that some of the women (they are mostly women) post their e-mail addresses and it seems to me they are inviting correspondence that way. I did not mean that you would find live chat sites on blogs!

Some of these bloggers live in isolated areas and might welcome an e-mail correspondence. The blogs usually have a place for comments on their posting and you could also leave your e-mail address and see if someone responds.

Strangely enough, I too used to be an avid reader, but since having the surgeries the past two years, I am not good at reading much anymore. Even the daily paper seems to be too much for me. It could be that surgery does take a lot out of our bodies - of which we are not aware. In my case I have moved to the city and although only about 5 blocks from the main city library, I can't get there on foot and don't wish to drive and find a parking place. Heavy city traffic.

Please have another look at blogs and see what you can find in the way of establishing human contact.

Shirley H.
I'm a Newby too, but hope I can help, or sympathize, with you with a few of the problems you are having. I had bi-lateral surgery on April 20th. First of all....6 days? I hope you are somewhere with continuing care. I went to a rehabilitation home and most of these problems were addressed. I understand the lowgrade temperatures are very common and nothing to worry about. I was given some tylenol when my temperature got to 101. They said the temperatures can last about 10 days, but I still had a lowgrade (99) 20 days after. Re the yeast infection...were you catherized (spelling??)? That can cause an infection which should be watched by your doctor. 90 degrees after 6 days?? I'd say that's really good! The rehab home where I stayed, some of the women couldn't even get that after a couple of weeks. (Patience!!) Swelling....again, very understandable! Realize what our bodies went through. Liifting your leg without help at 6 days...I would say that's great!! I think after 6 days, I had to have help lifting my legs to get back in bed. I'm taking Norco and I know the feeling of nausea. I was very nauseated (again, spelling?) one of the days in rehab and just slept for the whole day. They gave me ... can't think of the name ... that white peppermint medicine that lines your stomach and that really helped me. I only took it twice, but it really helped put me back in order. CONSTIPATION!!! Been there!!!! I think that was the worst pain, discomfort that I had through this whole thing!! They were giving me stool softners at the hospital. When I left there after 4 days and went to rehab, they left that off my medication list. I found out the hard way!! I would ask your doctor about perscribing that for you. I'm taking Colace for now...at least until I'm off my pain medicine. That's what causes the constipation from what I'm told. I'm also told the pain medicine is what causes loss of appetite. I'm just now able to actually think of food without getting an upset stomach! Tired? I think that's understandable also. Our bodies have been through a lot of trauma. Plus, if you're like me, it's not easy sleeping at night. I try to take cat naps when I can. I hope this helped a little... I know there are a lot of great people on this site and hope they'll add their comments. All I can say is have patience and take one day at a time. Best Regards, BearSher
[QUOTE=Grumpyathome;4249792]Hi Nervous12345 - I read your post and to be honest most of it (except the fever and blood in the urine) looks to be standard operating procedure for a TKR recovery. Read what the other ladies and guys have said, they have most of it covered.

One thing I did about the constipation in addition to some doses of stool softeners, is I kept a tub of pitted prunes next to my bed and snacked on them - often... I also ate a lot of fruit - bananas, applesauce were easy and my favorites. I always tried to have a little of something before I took a pain pill. I didn't get my appetite back until a couple of weeks ago, and I'm at 4 1/2 months. I lost 25 lbs and would like to keep it off.

You need the pain pills - talk to your doc. The first month or so is very painful. Don't try to be brave. I started with Percocet, then went to Norco, then arthritis tylenol. Yes there was probably some addiction, but I tapered off slowly and am now fine. I take tylenol and an occassional Norco - (1 in the past month after a 12 hour day at Disney). I can not take NSAIDS, so I am stuck with tylenol or the hard stuff.

My first week post op - I wrote a post "TKR - what it would have helped to know beforehand". it has been updated as I progressed. You might find it helpful, some of it you have probably already already experianced. Also, a lot of stuff has been covered in Matter's post "TKR".

Be Patient! This is a long process. Whenever I complain to my Doc, she says " It takes a year!" I know that I really didn't start to feel human again until about 4 months.

Grumpyathome[/QUOTE]

I am now at 7 months, the only pain I have is the back pain caused by the surgery, the day after my back was hurting so bad, ribs sticking out, something happened and it stills give me issues, the chiro puts them back in and I get immediate relief untill it happens again
nervous,

I'll be PO 7 months on the 1st of June. I played 24 holes of golf on Friday, cleaned my closet (it's big) Saturday, boxed up 60 pairs of pants for charity and played nine holes Sunday. I'm down 2 sizes and almost had "pants on the floor" several times so cleaning my closet was dire. I remember the excruciating pain that I went through the first month. But little by little the hurting stopped. There was an old song I loved way back when called "One Day at a Time". I found myself humming that tune a whole lot in the first few months. Finally one day I woke up, and no pain. I still ice when I overdo, but mostly I just feel so glad I had the surgery, my ongoing comment to friends and family is, "why did I wait so long?

Keep up the good work. You will get better everyday. Remember, we are all here to help and support you.

Linda
I felt so much for you. I'm also active - did a 100 mile bike ride 2 months before the surgery - couldn't walk but could bike. I also felt like an invalid! I stopped all pain pills at about 2 months because I was soooo emotional and the no BM's were both killing my spirit. I'm back to biking (30+ miles), traveling, etc. I still don't sleep well (need a backpacking pillow between my knees) and I have back pain (didn't have this before) and I also have a tendon/ligament rubbing that causes me terrible pain but.....the actual knee is really shaping up (6 mos. PO). I'm trying to wait out the ligament deal till Sept. to see if it takes care of itself - if not surgery. Can't deal with surgery again yet. I did formal PT about 2 months (2x a day on my own also) , then went to the gym on my own. I felt I could decide what I needed. I have 130+ and great straighting my leg. Hang in there - get off the pain medication and your emotional and BM will start returning to normal. I did take Ambien to sleep. That pill works for me and a good nights sleep is so important to feeling well.





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