TKR 1 of 12 months Down -This is me

Trying to elevate for any period of time early in your recovery will likely be too painful and you should avoid that.
I agree, in the early days I had to switch back and forth between my leg on my elevation wedge, and off it, until I could tolerate longer periods. Eventually I was able to sleep all night with my leg elevated.

I’m so sorry you’re hurting so much and I hope you get the help you need for it. :console2:
 
It’s more work for me having them come and I know I’ll overdo it bc it will be shame > pain waiting for them to get here.
Make sure your parents are waiting on you and not you on them!

I used the Lounge Doctor wedge during my recovery. This puts a gentle bend in your knee, which is much less painful. Lounge Doctor
 
Wow, Lupyhippie! You've been having a rough time...so sorry!
I hope you were able to get some sleep last night and things are going better for you today. Please let us know how you're doing once you're resting comfortably and have a minute to share an update. :console2:
@Lupyhippie
 
Hi Mods. I was able to change the title on my thread about 3 times but now there’s no edit key. As such I guess I’ll stick to a generic title please change to 3/3 TKR Ups, Down,
 
Day +5. I think I’m doing good. I was behind in my sleep bc of pain issues with Day 3 being absolute worst. We almost went to the hospital at 1am but I just loaded up on pain pillls. And I just kept light massage up. And miraculously it had gone away. After looking at it he decided it k had been a hematoma causing gttg
 
I changed your title for you to: 3/3 TKR Ups, Down.

These early days are miserable, but they do improve with time and rest, elevation, and icing. I found ice to be the best painkiller for me. I iced the whole time I was sitting or laying down. You can not over ice if you have a cloth between the ice source and your knee. I also kept my activities at a minimum. Since I was alone most of the time, my natural PT around the house was all I did as far as outside PT or exercises.
 
We’re happy to change your thread title for you. Just post what you’d like here and we’ll get it done.

The surgeons rarely tell patients, but Day 3 is usually the worst day for pain. Your body is in full rebound mode from the surgical trauma and any pain meds that had been placed in the incision area before closing will have worn off. This comes as a big shock to a lot of people who believe their reduced pain immediately after surgery is the way it will be and they will move quickly back to a normal life.

You’ll do better with pain if you take something for it on a regular schedule so there is always some medication in your body. If you’ll tell me what you’re taking, I can make some suggestions.

Has the bleeding subsided?
 
Hi bleeding has subsided some. Paint was way better the morning of day 4. Seems to have gone back up on Day 5. Jumped on here to reread the Dos and Donts as I’m questioning sleep positions and really wat I sb doing as home pt basically yelled at me for the way I was sitting and moving too fast and basically just breathing. My most comfy position when lounging (pre surgery) is reclined w both knees up and my iPad resting on top of my thighs. So it’s a strange feeling to haves straight leg. I have laid around only doing minimal,walks and movements hoping the swelling would go down some but it has not. Did not take narcotics until bedtime. Hoping I can sleep some. Mainly I feel miserable and gross and very sorry for myself right now. And after this awful Gene Hackman death in the news feeling depressed about aging. But I’m generally a positive person and know I’ll come out of this fink soon. Just feeling like everything is A LOT lately. Know I’m preaching to the choir here. But just feels like a very very long way to go and wondering why time passes so quickly when we are living our normal life but comes to a screeching halt when at times like this
 
This is tough because it’s the only thing you are focusing on right now…..and when you’re in pain, that’s normal. It’s also the loss of control. For most things we have some measure of control over what we do in life, but when you are trying to recover from surgery, your body is in charge and not you.

Post op blues are a read thing. See post #14 in your thread for a link to an article about that from our BoneSmart Library. It will pass.

Am I understanding that you are resting with your leg straight? This is not a good plan as it will usually result in pain if done for long periods of time. You should have your feet elevated “toes above the nose” and a slight bend to your legs. See the image in the Lounge Doctor ad in the banner ad at the top of the page. You can either purchase a foam wedge or use stacked pillows. We do recommend the Lounge Doctor, though, because it is scientifically designed to achieve the correct support for your entire leg. But, whatever you do, don’t spend a lot of time with your leg straight.

Please also know that it’s not good to skip all pain medications if you’re hurting. The pain signals your body that it’s injured (because there is inflammation where the pain originates) and your body sends extra fluid to that area to counteract the injury. Your lymph system is what removes the fluid (edema) and it is a rather slow process. When there is a lot of fluid, the lymph system backs up and you get swelling. That causes more pain and inflammation. It’s a cycle that the pain medication helps to break. So, if you don’t want to take prescription pain meds, give Extra Strength Tylenol a try. You want to take 2 500mg tablets every 6 hours on a schedule. This keeps pain medications in your system so it’s there to treat the ups and downs of pain throughout the day and night. This is 4000mg per day which is the maximum dose for acetaminophen. Be sure you aren’t taking anything else with acetaminophen in it such as cold or flu medicine or another pain medication.
 
Good Morning Lupyhippie,
I am sorry you're dealing with pain and swelling and it's bringing you down. Completely understandable.
If you plan to stick with your PT, you may want to consider a conversation mentioning the tension you felt during your last session and ask how the PT and you can work together to make your sessions run smoother. If they understand your expectations and respect your requests, you may be able to continue your partnership. If you're both clear on your limits and feel you can work as a team and not against one another, it can work. Hopefully you're able to agree on a way forward, working together with a measure of respect for one another. If you don't feel that's possible, either step away for now, or try to find someone you have a better understanding with from the beginning.

As far as GH, while sad, he was in his nineties and led a very active, full life. At your age, you still have much life ahead of you. If anything take inspiration from him and keep doing whatever brings you joy. Stay engaged with the world and focus on making the most of the time you have. As they say "age is just a number" but how we live each day is what actually counts. It may be awhile before you're able to be as active as you desire, but you will get there!
Big hugs, Lupyhippie! :friends:
@Lupyhippie
 
Thanks for well wishes. And yes all I’m focusing on is pain. Guess I was getting concerned if running out of pain meds since these drs are so weird. Loved the suggestions switching to extra strength Tylenol vs the arthritis kind which is XR. I had been resting toes above knows but then got confused at what the PT was saying about “lock knee” an and other things. I made my own lounge doctor and it’s been great so knowing there’s not aproblem I’ll go back to this today. I am indeed blue and teary. Told ny husband today maybe I should just go to a rehab center since he has a lot going on w our son who is also here at our house and undergoing hip sx next week. Definitely feeling out of sorts. But will heed the good advice given abd go take one of the pain meds now. Shower is on the horizon for later today. Which should also help. Thanks everyone. Going to try and not focus too far into the future and just find something good to watch on tv. And maybe a book to read. Lovely weather here in Florida so hopefully open my doors later. Thanks.
 
Your plan sounds perfect. As Jimmy Buffet says, a “change in latitude brings a change in attitude.” A refreshing shower, opening the doors to the fresh air, and finding something fun to do to engage your mind may be just what you needed to change your outlook on things. If you have your son there who is facing surgery of his own, I suspect you might have that weighing on you a bit as well. If so, remember he’s younger and he’s fortunate to have your hubby to help if needed. He’ll be fine and you can focus on “you.” If the weather is good, maybe you can sit out in the sun for a while too. That always helps to lift spirits.
 
Day 6 today (Sunday). Will have been one week by noon tomorrow and I’ve turned the corner today. Yea it hurts. Yes it’s swollen. Yes I still have to take pain medsBUT I can tell my brain is back. Spirits lifted somewhat and not all doom and gloom. It’s the first time I feel like I got this. I can. Do this. Yea u it ts a long way off but the clarity helps. Will be able to better logic thu
 
Getting rid of that brain fog is a huge step! Being able to get lost in a book or a good movie helps us forget the pain and discomfort for a few minutes. That is a big benefit! You go, girl, enjoy that new baby knee!
 
Happy One Week Anniversary, Lupyhippie!
I remember setting my first milestone as "one week post op" In those first couple days, it felt like an eternity away. Then the weeks just began clicking on by. I know you get it since this isn't your first rodeo. Glad your spirits have lifted as well as the brain fog. You're right, you can do this, you are doing this and you can look forward to the brighter future you're facing. Life is good. :egypdance:
Happy Monday!
@Lupyhippie
 
Day 3 happened to me this time and it HURT!!! Made me cry it was so bad !!
 
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I’m so sorry you got the pain surge. Were you able to get it under control pretty quickly? How are things going for you now?
 
Hello everyone. Officially 2 weeks post op tomorrow 3/17. This has been ROUGH! I felt like such a wimp having to ask for more Vicodin (hydro morphone). If I miss a dose around the 6 hour mark it’s hard to play “catch up “. I’ve been doing minimal exercise except for physio that comes around. 2 then 3x. He doesn’t push said my numbers are good at -3 /110. But it still just hurts and I feel sick. It’s never off my mind and I feel like the same as post op day 1 w my hip. So I’m dragging fr this contd pain. BUT baby granddaughter arrived home yesterday so that’s lifted my spirit even better than anything.
Will be ready to get this saturated dressing off tomorrow hear his thoughts about recivery.
This one as Many have reported is just Rough

Happy healing
Lisa
 
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Good Morning Lupyhippie,
I am sorry you're off to a rough start. Please try not to feel like a wimp requesting a refill in pain meds. Adequate pain control is necessary so you're able to remain comfortably mobile. Unmanaged pain can lead to decreased mobility which can result in stiffness. Pain thresholds vary from person to person. What's tolerable for one may feel debilitating to another. If you need the Vicodin, remember it's only temporary. Your doctor will monitor your usage to minimize any risks associated with the meds. Make sure you're icing and elevating as often as possible as that will help with pain also.
But it still just hurts and I feel sick
Sick as in nausea? If so, nausea and vomiting are common side effects of Vicodin. Per Cleveland Clinic, gastrointestinal discomfort is frequently reported. If you feel this applies, it is important you discuss this with your OS so they can tailor a pain management plan better suited to your needs. You may do well with a Non-Opioid medication replacement.
Wishing you comfort and a good day!
 

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