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TKR Beaverturtle Recovery Log and Questions

beaverturtle

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I am almost 6 weeks into my TKR, right knee. Though the surgeon didn’t say this specifically, I think the recommendation was more to repair an extremely “valgus” situation. I couldn’t put my feet more than 15” together. I’ll upload an X-ray eventually.

Here are my biggest concerns tonight. I have read about exhaustion and I am wondering when it gets better. I can walk about 750 steps before I have to take a rest, and on a good day I can accumulate about 3000 steps. I need to take a nap every afternoon. I feel guilty about this. I live alone, and so no one is bugging me, but I bug myself.

My second concern is lower back pain. I understand that it’s related to the fact that it’s because
muscles that haven’t been used in decades are getting a workout. What have members found helpful? Stretches? Sleeping positions? Pain killers? I’ve been off oxycodone for 4 weeks, but I don’t know how much ibuprofen I should be taking (Aleve doesn’t work as well for me).

Any and all suggestions will be gratefully considered.
 

Pumpkln

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@beaverturtle ,
Welcome to BoneSmart, and the otherside! :welome:

I have read about exhaustion and I am wondering when it gets better.
Exhaustion is normal, your knee is recovering from a major surgery. Your are only 6 weeks out from recovery not even 1/4th of the way through this yearlong+ recovery. Go easy on yourself, nap, stop and rest when you need to, your knee with thank you for letting it heal.
Your need to rest and nap will decrease slowly over time, suddenly you will realize, I don't need to stop and rest, and am no longer napping. It is your bodies normal response to get you to stop and rest so you can heal.

My second concern is lower back pain.
Stretches? Sleeping positions?
Both stretches and sleeping positions will help with you back pain as will short walks. Bob Andersons stretching book is a good source for stretches.

Here is your copy of the Knee Recovery Guidelines, the articles are short and will not take long to read.

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
ice
take your pain meds by prescription schedule (not when pain starts!)​

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

5. At week 4 and after you should follow this

6. Access these pages on the website


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.
 

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