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TKR Advice for Round 2

Sara61

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Would appreciate advice from those who have been there/done that on their 2nd knee what have you done differently from your first surgery.
I'm now awaiting a surgery date for my right knee, although I'm not as nervous as the 1st time round there is still a inkling of doubt and anxiety :scaredycat:
I'm hoping that having a positive attitude will help me get a good outcome as my 1st surgery, although recovery did take a good 12 months and the clicking is still present that the best I can pray for the right knee too x
 

Susie-Q

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I had my first TKR 11 years ago so things were a bit different this time than before. Last time was a robot-assist and this time I believe the robot did most of the surgery. Last time I had a CPM machine, this time not. Taking aspirin this time post-op so I am able to take Advil. I think this time I am taking less narcotics than the first time. I had a nerve blocker this time too with a small ball of medicine that automatically was released into my leg to deaden the nerve going across the top of my knee.

You know what to expect this time so that is good. You might have forgotten just how painful it can be (I had) so keep on top of the meds and you should be fine. Don't try to be a hero and get off your meds too soon, you will need them. Take it slow, realize you will take awhile to recover and let your body do what it knows how to do: heal
 
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Sara61

Sara61

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@Susie-Q thanks for that, yes I'm hoping that having had it done before, it will be easier this time round at least I know what works and what to ask for, the dreaded pain, I know will be not great..we seem to have a very short memory in that respect, but as I have a good strong left knee hopefully my right will be just as good, it will be the same surgeon/private hospital doing the operation. Today I received confirmation that the op will be at the end of November :flabber: at least by the Spring I'll hopefully be walking again :praying: now I need to start reading my past posts and getting my house/home in order at least its the winter months so quite nice to be stuck at home, plenty of time to relax and heal and I will do it the BoneSmart way x
 

BBCG

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Hi Sara61! So you, too, are headed for #2, which I just did 5 months ago, as well…

I was waay better prepared this time, and feel free to read my thread for #2, as I listed some of my preps. I had to be very much more prepared this time due to my husband’s more recent challenges & disabilities and his inability to care for me that he did before. So, some of my prep was thus related, but a bunch was not.

I pre-made and froze a bunch of meals, hired a shopper/driver/errand runner for 3x a week over 4 weeks, and worked with my OS to change the meds I would take after finding out with #1 that the then-used opioids do not work to relieve pain for me! A friend came and stayed with us for 4 days/nights, to help and see how well my husband could do those things he really would need to do…

I healed way faster and better this time, with much less pain!

Will say more but gotta take my puppy out!

Back now… but in fact, I healed so much faster with OUT the awful opioids because my pain was much better controlled, I wasn’t as sleepless, I wasn’t as anxious, the surgeon’s office had a decent post-care person in place so you could get answers and help, etc. Oh! And a friend also signed me up for a MealTrain, too, so I had dinners delivered 3x a week which was wonderful!

I’m only 5 months out now, and we got a puppy a month ago, so that’s proof I’m waaay better off with #2! Puppies are very good at letting you know if you can’t keep up with ‘em!

So, ask & I bet there are a bunch of us who came in to #2 much more ready and able to contend with the results much better prepared.
 
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newlybionic

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I found that the second surgery went more smoothly. I had less pain and better range of motion. I hope you experience the same thing. I think that since we know what to expect it makes the recovery easier.
 
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Sara61

Sara61

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@BBCG and @newlybionic - Thank you both so much for your encouragement, this is so good to know.
Fortunately my husband is a tad younger ( 4 years) than I, plus he is super fit and healthy so like last time he will look after me so to speak, as he still has to work he will set me up for the mornings and then be home with food early afternoon's, he too is on dog walking duties, luckily my daschund is very sweet and just loves to snuggle, she was very good on my first journey
Aid wise I'm pretty much sorted, ice bags in freezer and toilet seat raiser ordered, I kept my crutches from my last surgery, now I just need a definite date of surgery, hopefully soon as now ready to be done & dusted and on the other side xx
 

BBCG

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Oh good! A friend set up a MealTrain for me; if you’re the primary cook, would that be helpful? I just asked for dinners (you choose which meals, times, days, any food restrictions, etc.) 3x a week. I found out who the good cooks, or efficient cooks were amongst my friends and discovered several new-to-us recipes!
 

Rick951

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@Sara61 I had my 2nd (LPKR) July 1st 2020 so I am just over a year out from my 2nd PKR. I found the 2nd was a breeze compared to the first. I knew what to expect when I had strange pains. I knew not to panic if something was not what I expected. My mindset was also much better! I was NOT expecting to recover in record time!
I rented a Game Ready Ice machine / compression device. I set up our spare bed room as my recovery cave. I had a TV, hospital type table for my laptop, lounge doctor leg wedge, and Ice compression machine.
For this one time was not relevant, I slept when I was tired. In my mind, my only job was to keep Ice in my Game ready, and relax and let my body do it's thing. I did my rehabilitation exercises randomly when I felt like it. My pain meds were Tylenol Tramidol and ice. I went through 500 lbs in 5 weeks. I only took Oxy 2 times. I NEVER pushed rehab to the point of pain! I pushed to discomfort and stopped.
I went into the 2nd one thinking, "I have a good excuse to relax for a while". It worked!
I wish you the best of luck for your 2nd!
 

BBCG

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@Rick951, you and I did almost the same thing and it really worked well for me, too! I borrowed my ice machine (in this case a Polar Cube, like last time), had my recliner set up by the window so I could watch the birds, had my helpers trained for refilling feeders, and, also like you, used only Tramadol, Tylenol and ice and elevation. So much better, faster and easier a recovery!
 

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I switched physical therapists to someone less aggressive and more communicative for the second knee. I had also learned that heavier duty pain meds made me nauseous so I skipped those and started with tramadol. I did more prehab exercises for the second knee. And did less intense pt afterwards. My first guy wanted me to do 3 sets at a time of multiple exercises. It took almost an hour and was too much early on. I did one set at a time 2 or 3 times a day the second time and more frequent icing. I did have an easier time with the second knee but really I don't know if these changes made the difference. Maybe the second knee was less damaged or the surgeon had a better day...
 

MARYCOOL

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I am so happy reading this thread! It sounds like the second one is much easier! I, too, know exactly how to prepare, and I still have everything from before. I have the same surgeon at the same surgery center, which is comforting.
The biggest difference is that I now have a walk in shower! Like my hubby told me "this ain't your first rodeo". I find myself looking forward to having my 2nd knee in less than a month !
Be well!!
 

ihavetwins

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@Sara61 Everyone’s practical prep advice is spot on. I waited 8 months to have my 2nd knee done and it was definitely less stressful knowing what to expect. I skipped formal PT on my 2nd knee and my ROM at 5 months is coming along as expected.

What I noticed most is how quickly I forgot how much time it takes to recover and I kept comparing my progress to Knee#1. This recovery has felt slower, perhaps with a bit more discomfort, and the clicking is really annoying this time around. I’m also not at the same level/intensity of activities. This has been frustrating but I also have to remember each knee is different.

Being patient with yourself is the best advice I can offer! Take care.
 
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Sara61

Sara61

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Thank you all for the great encouragement, I finally have news I am meeting the surgeon on Wednesday the 3rd of November plus meeting the nurse afterwards, as I recall from my previous surgery I think, the next step is the knee scan to order the components and then surgery so I think most likely in 2-3 weeks. Part of me is relieved but part a tad anxious... so fingers and toes crossed :praying: I will know more very soon x
 

patriciad

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I second all the great advice you’ve been given already and 2nd time around your expectations are more realistic I think.
Just remind yourself of how much better and stronger your first TKR felt after full healing and look forward to that with your 2nd.
 

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