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TKR Am I The Only One

tngal

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I had my left TKR 7-23-19. I did really well with PT and ROM. I had 135 ROM within 3 weeks. Hardly any pain. Going up and down the stairs within 3 weeks as well. My issue is that my entire left leg feels tight thoughout the day and now my good knee is doing the same thing. Muscles feel knotted up. When rising it takes a few seconds to get stable. I do my exercises everyday. I know that not everybody has the same issues but concerned that this tightness is still a issue. Any suggestions
 

Roy Gardiner

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:welome: to BoneSmart

Maybe (a) massage or (b) more stretching exercises may help. Good knee going 'bad' is probably just reaction to your new gait. It will go away, unless that knee too is arthritic.

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
elevate
ice
take your pain meds by prescription schedule (not when pain starts!)
don't overwork.

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
the BoneSmart view on exercise
BoneSmart philosophy for sensible post op therapy

5. At week 4 and after you should follow this
Activity progression for TKRs

6. Access these pages on the website
Oral And Intravenous Pain Medications
Wound Care In Hospital

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.
 

Tykey

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Hi, what's happening is not untypical if you do too much too soon. Doing exercises isn't required, in fact they can do more harm than good. Your ROM is already great.
For starters, tell us what exercises you are doing. You need to be patient and let your poor knee heal before you abuse it.
If you are unsure, your good leg is having difficulty coping with your activity level, no wonder your poor TKR is complaining.
Listen to your body!!!
 
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tngal

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The only exercises that I do is side leg lifts about 30 both sides. I do 20 leg lifts from sitting position for 5 seconds each both legs. I'm not really overdoing the exercises I just do them to loosen the legs up.
 

Tykey

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I think you may still be overdoing the exercises. Side leg lifts are difficult, and probably not a good idea at this time, I wouldn't do them. They certainly won't do anything much to improve your knee. Many of us do no exercises at all and recover with no issue.
Roy's suggestion about your gait is valid, many of us have that issue, and it's about this time in recovery we address this issue with great results.
 
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tngal

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I can go up and down stairs ok but slow but I notice when I step off of my back porch which is only one step to go down my foot and leg feel like all one piece with no movement of ankle. My ankle is starting to feel weak this past week but the step issue has always been there. I am 27 weeks out. Any ideas
 

lovetocookandsew

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My ideas are time and patience along with a big dose of Stop the Exercises!, at least for now, and give your knee a break. if it's not helping, and even hurting, it's your knee telling you it's not ready for that activity or exercise yet. Listening to the responses from our knees is necessary to see what we can and cannot do at any given point in our recoveries. If you try something and have no bad reaction from your knee over the next day or two, then it's usually okay to continue that. But if your knee protests in any way, it's better to step back and save that activity or exercise for a later date.

The tightness could be some internal swelling as a form of protest from your knee at the over-doing. Try cutting back on the exercise, and it wouldn't hurt to elevate and ice it some even at this date.

As for the pain in your good knee, it may just be a response to a wonky gait. I had the same issue, so, when I was in for some x-rays of my replaced knee I asked my OS to also order some x-rays of my good knee to check it as it was hurting quite a bit also. My good knee is perfect, it just doesn't like the way I'm walking right now due to some issues in my operated knee. It never hurts to run it by your doctor when you're speaking to him or in for a visit, but I'd try the above suggestions first.
 

Rockgirl4

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Sitting leg lifts are extremely hard on your thighs/hips. I have lower back issues and do a ton of core stretches/exercises, outside of TKR "stuff." Even then, my "back" PT told me to NEVER do sitting leg lifts. It's hard on all of your lower body and doesn't accomplish anything that can't be done with a different exercise. I HAVE done them years ago and it tightened everything in my butt/hips to the point of being uncomfortable because they require a ton of strength from so many muscles. I can't imagine doing them after a TKR. :yikes: They are also not good for your lumbar spine.
 

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