I had my left TKR done 4 weeks ago tomorrow. I've had my right one done 2 times, once at 35 and then again at 50... basically all a result of a car accident when I was 20 breaking both femurs and compound fracture below right knee. Arthritis caused by trauma. I thought since I had been through this before a couple of times I knew what to expect, maybe I forgot. It just seems so hard and there are days I get very depressed. Maybe things aren't moving fast enough and still painful. I seem to have good days, where it feels pretty good, although still stiff, and then days like today, where it really bothers me and feels unstable and very sore. I am walking gingerly without aid and I have 120' and 0' so I think I am doing well with the ROM. I got to PT 3x a week. I still take pain killers (Norco 2x a day). Having a really hard time at night, can't get comfortable, not much sleep, a deep ache that goes from mid thigh to mid calf and pain killer doesn't seem to help this. Am I expecting too much too soon? Is it reasonable to be taking pain killers at 4 weeks out? I feel if I push too much I pay for it with pain and swelling, so am taking it easy. I did try and go into work but only lasted 1½ hours at my desk..this is after taking an hour to get ready and then driving in..so was already feeling bad when I got there. I can work at home, so I do right now, I might attempt it next week. For those of you experiencing this now, am I at the right stage 4 weeks out? I really like this forum, great support and information.