Nearly at the one month mark so I'll do an update post.
Still two crutches, Extension 0, Flexion 68. Itching comes and goes, mostly it's not bothering me, but when it comes on I can scarcely take my mind off wanting to scratch. I'm taking Targin 5mg, Nexium 20mg and Celebrex 200mg with breakfast each day and usually don't need anything else until bedtime when I'll take another Targin - not so much because of pain, but because it helps me to get to sleep and stay asleep without so much tossing and turning. My GP still has me off my Tritace blood pressure meds because one month out my BP is 128/80. Up from the early post-op days of 90/60, but not high enough to need lowering yet.
The quads are just starting to firm up and show some life. I rely heavily on other muscles to move my leg. Physio and consulting physician believe they have been in an atrophied state for 10 - 20 years - possibly longer. The original surgery was 36 years ago so it's possible.
Started a couple of new exercises at physio, between the rails I am now stepping up and down with the bad leg, trying to strengthen the quads. I am not expected to take the full weight, just press the quads. I also use an orange theraband - facing an upright, the band is tied into a circle which I step into then put just above my knee (the band goes around the back of the leg). I step far enough back to get a pull or good tension on the band and then bend the knee 10 - 15 degrees and straighten again. The aim is to strengthen the muscles where and when they do the most work - locking and unlocking. After I do this particular exercise I notice a reduction in the number of times my leg sort of gives out or locks up whilst walking. If I can get that under control I'm sure I'll graduate to one walking device - crutch or cane.
I use the overhead pulley with a sling under the lower femur to help with flexion. I pull up as far as I can and then assist with the pulley. This is still pretty painful with a sharp pain somewhere just below the kneecap towards the median - opposite side of the scar. It also pulls on the lateral side along the lower femur in what I'm guessing is either the Vastus Lateralis and/or the IT band.
One of the things I read about TKR that kinda grossed me out was the idea of a clunking sounds/noise/feel. Well as I've been going about doing stuff, I feel an occasional pop or crack - the usual noise/feel of the arthritic knee I lived with for ages and can remember thinking that's great, I'm getting back to normal. Except when I thought about it, I realized those bits that popped and snapped are gone now, what I'm getting is those clunking noises I was so worried about. Turns out it's a non-event.
It's early spring here in Melbourne Australia and my hubby is working on the getting the outdoor spa ready for action. It's cleaned up and the chemistry is nearly perfect. Two more weeks before I get the tick from my surgeon and can start hydrotherapy, really looking forward to that part of the program!