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[BILATERAL TKR] 9 months post op and new pain<^

Discussion in 'Knee Replacement Recovery Area' started by DLC1128, Oct 17, 2017.

  1. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    10 weeks out
    O-er! That's not nice!
    What about Tylenol? It's one of the best non-prescription meds on the market and terribly underrated. I suggest you try 1,000mgs 4 times a day (6hrly) and you can take that with the Naproxen.
    No it won't because ibuprofen is a fairly lack-lustre pain killer! And it has some pretty ghastly side effects.
    Medications: acetaminophen (Tylenol, paracetamol) and NSAIDs, differences and dangers. Naproxen is an NSAID too but one of the 'nonselective COX inhibitor' so less likely to have those side effects.

    Penetrex is a compilation of the following:
    Water (Aqua)
    Arnica Montana Flower Extract
    Helianthus Annuus (Sunflower) Seed Oil
    Glycerin
    Glyceryl Stearate
    PEG-100 Stearate
    Cetyl Esters
    Steareth-20
    Pyridoxine Hydrochloride (Vitamin B6)
    Methylsulfonylmethane (MSM/DMSO2)
    Glucosamine (Vegetable Source)
    Bilineurine Bitartrate
    Ethoxydiglycol
    Methyl Gluceth-20
    Cetyl Myristoleate
    Aloe Barbadensis (Aloe Vera) Leaf Extract
    Butyrospermum Parkii (Shea Butter)
    Boswellia Serrata (Frankincense) Oil
    Mentha Piperita (Peppermint) Oil
    Cinnamomum Camphora (Camphor)
    Melaleuca Alternifolia (Tea Tree) Leaf Oil
    Tocopherol (Vitamin E)
    Dipotassium Glycyrrhizinate
    Dimethicone
    Ammonium Acryloyl-Dimethyltaurate/VP Copolymer
    Phenoxyethanol
    DMDM Hydantoin
    Iodopropynyl Butylcarbamate​
    However, apart from all that, I saw a documentary not so long ago that investigated the claims of topical applications, specifically Voltrol Gel and Ibuleve, and proved beyond reasonable doubt that the substances actually don't penetrate much more than a very few mm into the skin. Certainly not into the deeper tissues, much less the knee joint! In short, pretty useless.
    So left is 110/0 and right is 106/-5 which is pretty okay in my book for 10 weeks out!
    Okay, that's good!
    Good, good
    And a stool to elevate your legs on I trust!
    Oh no, that's bad! I am so please you are not doing that any more. Truth to tell, there are LOTS of members on here who have done their TKR recovery yet done NO exercises at all! I recommend you read my recovery thread to see how little exercising I did for either knee! Knee recoveries UK style Parts I & II (Josephine). Yet despite this, we all had really good outcomes!

    Home exercises:
    Heel slides 10x2 times a day - two things here: a) your knees don't need any more of these. And b) you're doing them all wrong anyway! Read this Heel slides and how to do them properly.
    Hang my knees off the bed for extension for 10 minutes once a day - you don't need these either. ONe knee has zero and the other is very close behind.
    Stretching with my daughters help as she works my quads and hamstrings once a day - you shouldn't allow anyone to 'help' you do exercises. It's very, very bad for you.
    I confess I find exercises confusing. This forum talks about no exercise and yet I feel compelled to do something! - you need to control this. You're actually doing quite enough activity anyway and really don't need any of those exercises.

    So in summary, your approach is that if you're not doing exercises your doing nothing, is that right? So what about this
    That's not exactly doing nothing, is it? It's activity and that's all you need right not.

    Because of those exercises (on top of everything else) you are getting a 'stabbing pain that takes my breath away, stiffness that gets to me too. rate the stiffness at a 6 and have moderate swelling'

    Your activity is fine but you need to not cut back on exercises but cut them out! There are the cause of the pain, stiffness and so on that you are complaining about. Of course, stopping them won't mean those symptoms go away completely. It will likely take several weeks for it to abate but abate it will. Be patient!
     
  2. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    @rickj any of these acronyms you don't understand can be looked up in here abbreviations and acronyms but on this occasion I'll tell you - it's the Over Did It Club!
     
  3. rickj

    rickj junior member

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    Oh I should know! I’m pretty sure I’m in that club!!
     
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  4. DLC1128

    DLC1128 junior member
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    Hi Josephine!
    Thanks for all your advice! I will cut back on exercises ad continue the activity! Today I am cleaning out cabinets! But, I am taking frequent breaks and icing my knees during them.

    I'll keep taking the Naproxen and add Tylenol. It is slow and steady!
    Diana
     
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  5. sistersinhim

    sistersinhim FORUM ADVISOR Forum Advisor

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    Slow and steady is definitely the way to recovery!
     
  6. DLC1128

    DLC1128 junior member
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    Stiff, STIFF, STIFF! This is what I am most tired of! I understand all the pathophysiology behind why doesn't mean I have to like it! People keep telling me that it may last for "months". Well, how many months? 6? 9? 10? 12? I just want to be able to get up from a chair and out of my car without looking like an old lady with arthritis! (well, I probably am that but hey!)
     
  7. sistersinhim

    sistersinhim FORUM ADVISOR Forum Advisor

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    I hated that patience word! But, that's what it takes to get through this recovery. The stiffness is usually the last thing to go. That stiffness comes from the inside swelling. Once that is gone, so is the stiffness. Again I say that word...patience!
     
  8. KarriB

    KarriB FORUM ADVISOR Forum Advisor

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    Getting up and out of a sitting position was difficult for a quite a while. As a first grade teacher I was up/down a lot and never felt good about it. It took a full year for it to come naturally. Remember this is a new part your body is becoming accustomed to using along with the healing that’s still happening even though you can’t see it.
     
  9. kneeper

    kneeper FORUM ADVISOR Forum Advisor

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    Yes, though it diminished over time, I'd get stiff if I stood for more than about 20 minutes at a time or sat for an hour. At 3-6 months, my leg would feel like a (achy) log after standing to teach a class for an hour or so.
    The good news is that month by month I could "work it out" with a few steps (for sitting) or sitting for a few minutes (for standing). I'd say it took about a year to become a non-issue.

    Doesn't help you right now, I know. But there is light at the end of the tunnel.
     
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  10. Kayaknlady

    Kayaknlady member

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    I’m 14 weeks post op and have stiffness, especially in the morning. I find riding a stationary bike really loosens up the knees and I’m ready to move. I take naproxen in the am as well.
     
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  11. kmak81230

    kmak81230 post-grad

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    As others have said, the stiffness is one of the last things to go -- I think I stopped being so stiff after getting up or after sitting for a long time around the 6 month mark. I'm just over 8 months and don't really notice it anymore. Like Kayaknlady said, the biking helps to get things loosened up - or just walking it out.
     
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  12. rickj

    rickj junior member

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    Hi DLC,
    So I’m 13 1/2 months cooked now.
    Stiffness is a minor thing now, although if I’m sitting in the car for an hour or more, I still get a little stiff and have to walk it off. It may be like this for the rest of my days, oh well!
    So in my recovery , For the last few months, I’ve felt about 90 percent healed, and the process seemed to slow down. I still go to the gym 4 times a week and bike (stationary) some elliptical,knee type machines ( geared for quad muscles and hamstrings) although I feel like I am close to the finish line, whatever the hell that might be, it feels like the improvement is quite slow, maybe slower than my first year.
    Not complaining mind you, I could hardly walk,the few months pre-surgery. But I was concerned about why my quad muscles particularly in my left knee would feel real sore when walking downstairs most of the time. These muscles should be healed by this time, dammit!
    Then I re-looked up scar tissue. I had been working the area around my knees with these little yoga balls, but I decided to really amp up how hard I worked the “sore“ spots with these yoga balls.
    I’ve been doing this for about a week and a half and my God! What a huge difference in how my knees feel.
    So I’m having a longer and longer stretches of not even thinking about my knees , They’re feeling stronger, and that old dirty word, patience , keeps knocking me on the head. In essence after a little over a year knees are still improving..
     
  13. DLC1128

    DLC1128 junior member
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    Hi, I am nine months post op bilateral TKR and recently started experiencing new pain in my right knee. I've also lost a little ROM in that knee as well. It has always been the knee that has lagged behind the other one but recently it has expressed annoyance more often.

    I have been to my surgeon and he placed me on a steroid pack but it has done no good. He wants to inject the knee or consider MUA, but I don't want either of those. I'm really more worried about the possibility of an infection that may have set it but thinking that nine months out that shouldn't be a problem.

    Any thoughts?
     
  14. Celle

    Celle FORUM ADVISOR Forum Advisor

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    Hi @DLC1128
    You'll notice that I have merged your newest thread with your original recovery thread. It's still less than a year since your surgeries and your previous thread might throw some light on your current problems - I'm sorry you have new pain.
    For several reasons, we prefer that you only have one recovery thread:
    • That way, we have all your information in one place. This makes it easier to go back and review your history before providing advice.
    • If you keep starting new threads, you miss the posts and advice others have left for you in the old threads, and some information may be unnecessarily repeated
    • Having only one thread will act as a diary of your progress that you can look back on.
    So please post any updates, questions or concerns about your recovery here.
    Don't worry that we won't see your question because, between us, the staff read all new posts every day.
    If you need an urgent response to a question, just tag a member of staff.
    How to tag another member; how to answer when someone tags you

    If you prefer a different thread title, just post what you want and we'll get it changed for you.

    Here are the instructions on finding your thread, How can I find my threads and posts? . Many members bookmark their thread, so they can find it when they log on.
     
  15. Celle

    Celle FORUM ADVISOR Forum Advisor

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    I'm sorry your right knee is causing you problems now. I think it's a good idea to ask @Josephine for her advice.
     
  16. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    Sorry about this - let's see if we can get to the root of it.
    Can you show me the site of this pain using this chart?

    aa knee-references-horz.jpg



    And then I'd really like to offer you some structured advice but in order to do that, I also need to ask you some questions. Are you willing for me to do that?
     
  17. DLC1128

    DLC1128 junior member
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    The pain is in my right lateral side on the outside of the of the right knee. It comes and goes but is getting worse and not better. Also, there is still some swelling in my right knee as well. Not sure how else to describe it.
     
  18. DLC1128

    DLC1128 junior member
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    RickJ how are you working the scar tissue? That might make a difference for me...

    Thanks!
     
  19. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    @DLC1128 this is no good - I need the references from the chart. If you don't understand what I mean, look at the smaller of the two images which explains it.
     
  20. DLC1128

    DLC1128 junior member
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    It is in the RF1 D&E portion of my knee.
     

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