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TKR 8 wks out from RTKR

clucas

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So, I am 8 weeks out from a right total knee replacement. My surgery was September 3rd 2019. I have never had a problem with bending as the day after surgery I had 94° Bend. Tell my troubles to be with extension. Took me almost 7 weeks to get to zero and still working on this. The hardest part I have is walking from a straight leg to bend as in your normal gate. I find I have pain at the Joint line on the outside which makes it feel like I can't lift my leg all the way when I am tyeing to walking normally. Has anyone else had this sort of problem on their recovery?
 

Macknit

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Hi there, I also had a September 3rd surgery, mine was a Right TKR. Someone will answer you soon and send you a recovery update with several links....be sure to read those, they are so helpful! My pains are constantly moving, depending on any activity I may end up doing, my extension has varied, but the less aggressive any PT or even walking too long, the better my flexion and extension are.

My outer joint line is very tender and my PT said it was the IT band...I now get a weekly massage of the leg. It really helps.
 

sistersinhim

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@clucas, welcome to Bonesmart. Extension for many of us comes in after the bend does. If you think about it, those tendons and muscles behind the knee are really large and it will take time for them to stretch out. I helped mine along by doing longer strides with a heel to toe gait. It worked, but it did take time.

The following are our basic guidelines and should help get you started. As you read more on other members recovery threads, you’ll get a better perspective of what to expect and what not to do, especially regarding PT.

Knee Recovery: The Guidelines

1. Don’t worry: Your body will heal all by itself. Relax, let it, don't try and hurry it, don’t worry about any symptoms now; they are almost certainly temporary
2. Control discomfort:
rest
ice
take your pain meds by prescription schedule (not when pain starts!)​
3. Do what you want to do BUT
a. If it hurts, don't do it and don't allow anyone - especially a physical therapist - to do it to you
b. If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again.
4. PT or exercise can be useful BUT take note of these
5. Here is a week-by-week guide for Activity progression for TKRs


The Recovery articles:
The importance of managing pain after a TKR and the pain chart
Swollen and stiff knee: what causes it?
Energy drain for TKRs
Elevation is the key
Ice to control pain and swelling
Heel slides and how to do them properly
Chart representation of TKR recovery
Healing: how long does it take?

Post op blues is a reality - be prepared for it
Sleep deprivation is pretty much inevitable - but what causes it?

There are also some cautionary articles here
Myth busting: no pain, no gain
Myth busting: the "window of opportunity" in TKR
Myth busting: on getting addicted to pain meds

We try to keep the forum a positive and safe place for our members to talk about their questions or concerns and to report successes with their joint replacement surgery.

While members may create as many threads as they like in a majority of BoneSmart's forums, we ask that each member have only one recovery thread. This policy makes it easier to go back and review history before providing advice.
 

jeffjob

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@clucas I had similar issues. My left knee was completely straight from day one but I struggled with flex. My right knee (done 6 weeks after) was just the opposite. And I really struggled with IT band and hamstring issues. PT worked on it and what they did helped briefly but it really took time for it to get better.

I did do some leg extensions, across chairs to help extension but it really took time for things to stretch out.i am at 0 extension but it still can feel stiff at 5 months. My walking and gait are very good however.

Hope this helps.
 

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