Bilateral TKR 4 months, little progress

One month in and moving forward. Great progress to be proud of.
Keep listening to your body, stay consistent and trust the process...you're on your way!
Thanks for the update, Lakeandlass, it is nice to hear from you. :)
@Lakelandlass
 
Hi Lakeandlass,
It's been four months to date since your procedure. I hope you're doing well. If you have time, please leave an update, we'd love to hear from you.
Happy Spring…two days early. :wink: Hope you have a great season.:flwrysmile:
@Lakelandlass
 
Thank you for asking, Layla.

To recap, I had an arthroscopic op in November on my left knee, with resection of the lateral rim of patella that was overhanging the button and the impinged tissue underneath it. After that, many symptoms improved, including that walking became bearable; and 7 weeks later, I even managed a hill walk without pain (not a big walk, maybe 4 miles long, 1200 ft of ascent – but still: friends, views, fresh air). However, I still have an inflamed-feeling knee (it feels tight, resists flexion, swells up at the back, is warm to touch over the lateral side), and this becomes uncomfortably stiff if not moved – so still wakes me up a couple of times at night, though no where as frequent or as severely as before.

At my review appointment two months after the last operation, the surgeon said that he wasn't surprised at all that it was still inflamed, and expected this to slowly improve over the next few months. However, 4.5 months post-op, despite NSAIDs and regular icing all this time, it is still just as inflamed-feeling, so, while it is much better than for the 20 months after the replacement, and I am sure the mechanical problem of lateral patellar impingement has been corrected, I still have what feels to be ongoing, significant synovitis.

An added complication has been that my left hip has become rapidly more symptomatic, going from almost no symptoms in January to really painful now, and that is very much curtailing any walking at the moment. It is also twisting outwards, and I can't fully extend it, so that probably functionally impacts the knee. Good news is that I'm getting it replaced in a few weeks time – hope it goes as well as my right THR (and not as abysmally as my knees!)
 
Hello and Happy Weekend! @Lakelandlass
It's nice to hear from you! Thanks for the update.

I'm sorry you're still struggling at almost five months after your last procedure. While you've noticed improvement in the time between replacement and the last procedure, you're obviously not where you hoped to be at this point with ongoing synovitis.

Synovitis for anyone reading and unfamiliar -
Inflammation of the synovial membrane lining joints, causing pain, swelling, warmth, and stiffness.
Often triggered by inflammatory arthritis (RA), overuse, or injury, it commonly affects knees, shoulders, and feet. Treatment typically involves rest, anti-inflammatory medication, and rarely surgery.


Hopefully your knee will improve after the Left THR. As the hip deteriorates it does affect the way you walk likely placing more stress on your knee. The constant irritation may be leading to the synovitis. You may want to touch base with your OS for his thoughts on that, if you haven't already. It's unfortunate you're dealing with both knee and hip issues all at once. Let's hope this upcoming surgery will be the beginning of the end of the discomfort you're dealing with.

We'd love to support you on your hip journey and hope you'll join us on the Hip Recovery Forum for some encouragement as you're healing. If you'll share the date of your Left THR we'll add it to your signature. Thanks in advance.

Wishing you many days of comfort as you await your next surgery. :console2:

Become an Insider
 
Hi Lakelandlass,
As you hit this mile stone of six months past your last procedure on, Lefty, I hope you're doing better.
We'd love to support you on the Hip Recovery Forum, if you've had your Left THR.
Wishing you comfort and perfect healing with both your left knee and left hip.
Take good care! :)
@Lakelandlass
 
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