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 ButylcarbamateHowever, 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!