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Knee & Hip Problems Message Board


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I had TKR of my right knee the end of October. I thought I would be back to work after about 4 weeks but I'm still not. It is very difficult to sit for any length of time and I sit at a desk all day for my job. Anyone have any suggestions? My PT is going well. Flexion is 120 degrees and extension is at 0 so I'm moving along. It is still hard to sleep through the night and sometimes I have insomnia. When I do all my PT, I pay for it with swelling and stiffness. I still consistently use a bike and I'm walking a mile every day. For some reason, I just can't settle myself down to attempt to go back to work. Depression and anxiety have been a slight problem because I thought I would be further along than I am so that doesn't help matters any. My doctor will no longer prescribe any "good" meds so I'm stuck with Tylenol! That barely takes the edge off when I do my PT. :(
It's 51 days today. I think I did too much. I'm getting ready to ice and elevate. I'm really addicted to exercise now. I have to scale it back a little though. Maybe 6-7 days a week is too much. I took a group ladies golf lesson today. Good thing it was a putting lesson. One of the ladies also had TKR a few years back and said she was still swelling after 6 months. She's a pretty good golfer, so maybe there's hope for my game.

You guys seem to be recovering well. I think what devastates me is the time it's taking to recover. I have recovered from other surgeries so much faster. Trouble is, I'm going to have to have the left one done pretty soon.

Linda
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.
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=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=mtb1218;4141179]I had TKR of my right knee the end of October. I thought I would be back to work after about 4 weeks but I'm still not. It is very difficult to sit for any length of time and I sit at a desk all day for my job. Anyone have any suggestions? My PT is going well. Flexion is 120 degrees and extension is at 0 so I'm moving along. It is still hard to sleep through the night and sometimes I have insomnia. When I do all my PT, I pay for it with swelling and stiffness. I still consistently use a bike and I'm walking a mile every day. For some reason, I just can't settle myself down to attempt to go back to work. Depression and anxiety have been a slight problem because I thought I would be further along than I am so that doesn't help matters any. My doctor will no longer prescribe any "good" meds so I'm stuck with Tylenol! That barely takes the edge off when I do my PT. :([/QUOTE]
My advice is "get on with it" . . . Now! (:~) That will do more for your rehab and outlook than you can imagine. I had right knee done Jan 11 and left knee done March 1st. The latest one is not going as fast as the first but is close. I am 67 and quite pain tolerant. Using X Tylenol during the day and one vicodin at bedtime. I have been frustrated by lack of sleep until last night. Slept 6 hours! Hooray . . . Finally! Had minor sleep problem like this with knee #1. Take a cooler and ice with you to work or if they have a freezer at work, cold packs. Ice at the desk and use a stack of books or small stool to elevate. You can get a lot od PT at the desk and you will be so happy getting back into it the "handicap" will disappear soon. Do get a temp parking sticker for handicap spot and use it until you suddenly find you are Ok. Sleep and attitude will get you healed faster than any PT. It may never be "18 year old perfect" again but you will be back if you make it happen.
[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





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