BoneSmart® Hip / Knee Replacement Forum
Joint Replacement Patient Advocacy
and Online Community
  1. RATE YOUR SURGEON ON OUR NEW JOINT SURGEON LOCATOR

    Your opinion matters so please click on this announcement to find out how to rate the surgeons you have worked with

    You could also go to the Surgeon Locator via the blue nav bar at the top - find the tab "Surgeon Locator"

    Dismiss Notice

[TKR] Boogaloo is back!

Discussion in 'Knee Replacement Recovery Area' started by Boogaloo, Jun 22, 2019.

  1. Boogaloo

    Boogaloo member
    Thread Starter

    Member Since:
    May 23, 2011
    Age:
    60
    Messages:
    102
    Country:
    United States United States
    Hi Everyone!
    I was here 8 years ago when I had my ltkr done. I learned so much valuable information which helped my recovery immensely. I'm so grateful. I'm back having had my rtkr done last Friday, and wow, things have changed a lot in joint replacement surgery and recovery techniques.

    Firstly, I was tested for MRSA a couple of weeks before the operation, that didn't happen the first time.

    The morning of the surgery, I met with the Anesthesiologist and my surgeon and we decided not to use general anesthesia. Waking up from the surgery was a breeze compared to the first time. I had no pain or nausea.

    When the spinal block wore off I had some moderate pain, nothing crazy. Most of the discomfort has been due to the super-tight tape they put over my surgical dressing. It pulled my bruised skin something awful with each movement.

    I was amazed to find out that I had no sutures, actually there are sutures under the skin but not on the surface of the incision. A zipper closure is being used which keeps the edges of the incision tight up against each other. There is no incision pain or suture pain in my case. Wow!
    There is also a Pico negative pressure pump attached to the dressing.

    Another major change for me is that I am not injecting myself with blood thinners. Instead, the doctor has me on 81mg aspirin twice a day.

    The OS also ordered a CPM machine and an ice water compression/cooling device for use at home. I am blown away with how well they work.

    So far I am up, walking with my cane at home. I can handle stairs very well. No wobbling, the knee feels strong and stable.

    I take oxycodone 5/325 every 6 hours, Tylenol 500 every 6 hours between the oxy doses, and Gabapentin 400 every 8 hours.

    My pain is moderate to none, mainly on the bruised areas on the sides and back of the knee. Now that the dressing has been changed and the Pico device has been removed, it feels even better.

    I hope my post gives a little relief to those who may be experiencing anxiety over their impending knee replacement.

    Good luck!
    Boogaloo
     
    • Like Like x 6
  2. winemama

    winemama senior

    Member Since:
    Mar 31, 2019
    Age:
    66
    Messages:
    467
    Gender:
    Female
    Location:
    Ohio USA
    Country:
    United States United States
    Good luck, hope this recovery is gentle, but be prepared just in case, it is VERY easy to think you’re ahead of heal schedule and try and do to much.
     
    • Agree Agree x 3
    • Like Like x 1
  3. Boogaloo

    Boogaloo member
    Thread Starter

    Member Since:
    May 23, 2011
    Age:
    60
    Messages:
    102
    Country:
    United States United States
    Hi and thank you winemama,

    I'm in no rush. I'm retired and have good family support, thank God. There's no desire to overdo it on my part.
    :)
     
    • Like Like x 1
  4. luvcats

    luvcats senior

    Member Since:
    Jun 7, 2019
    Age:
    50
    Messages:
    437
    Gender:
    Female
    Location:
    Virginia
    Country:
    United States United States
    It's fascinating to me how variation there is between surgeons and hospitals in how the surgery is handled. Aren't the pressure dressings interesting? My husband had one after his bypass surgery. I guess it increases blood flow to the area. I hope my surgery goes as well as yours has.
     
    • Like Like x 1
  5. LaxMom

    LaxMom senior

    Member Since:
    Aug 7, 2014
    Messages:
    405
    Gender:
    Female
    Location:
    MA
    Country:
    United States United States
    Hi @Boogaloo - I am about a week ahead of you, also on my second knee. I agree with the big changes over time. My last one was 2014. I also had the spinal and maybe a similar dressing. I found that dressing was rough on sensitive skin and I actually had blistering around the site - all calmed down now. Negative pressure sounds interesting!

    Welcome to the second time around. I hope you continue to progress well. I look forward to reading your thread.
     
    • Like Like x 2
  6. Atlas_aus

    Atlas_aus member

    Member Since:
    Mar 31, 2019
    Age:
    56
    Messages:
    229
    Gender:
    Male
    Country:
    Australia Australia
    Amazing how things change over time. Sounds like you are on the way to a good outcome.
     
    • Like Like x 1
  7. winemama

    winemama senior

    Member Since:
    Mar 31, 2019
    Age:
    66
    Messages:
    467
    Gender:
    Female
    Location:
    Ohio USA
    Country:
    United States United States
    I’m also retired, I don’t think I could have done both my knees so close together, and knew I had to go back to work. Bravo to those who do
     
    • Agree Agree x 1
  8. marieltha

    marieltha senior

    Member Since:
    Apr 9, 2019
    Age:
    68
    Messages:
    252
    Gender:
    Female
    Location:
    Florida
    Country:
    United States United States
    Hi, thanks for sharing. Please tell us more about the ice system you are using. I have the Aircast Cryo Cuff Gravity Feed, originally issued by Air Force surgeon & hospital after 2010 knee meniscus surgery. I have used it for 2 PKR surgeries (2018 & most recently, Mar 27, 2019). I like it so much I bought the Shoulder Cuff and am using it for my shoulder repair surgery. Love its simplicity, portability, and most of all, the ergonomic design of the cuffs. Gel packs feel too heavy to me. My husband buys the ice and fills the cannister for me and for the first few weeks of recovery from the shoulder fix, also put the cuff on and off.
    Having said that, an electric one with adjustable cold water temperature might be worth buying. (Medicare doesn’t cover these anymore. )
    Which one do you use? Does it require you to put ice in it? Can you adjust the coldness? Can you set it up, leave the cuff/pad on, and turn the machine on and off?
     
    • Agree Agree x 1
  9. Benay

    Benay graduate

    Member Since:
    Apr 13, 2019
    Messages:
    624
    Gender:
    Female
    Location:
    SoCal
    Country:
    United States United States
    So glad to hear you're doing so well.
     
    • Like Like x 1
  10. Celle

    Celle FORUM ADVISOR Forum Advisor

    Member Since:
    Nov 19, 2011
    Age:
    77
    Messages:
    33,398
    Gender:
    Female
    Location:
    New Zealand
    Country:
    New Zealand New Zealand
    Welcome to recovery again @Boogaloo .

    It sounds as if you're doing well.

    Here is the recovery reading we give to everyone with a new knee:
    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
    5. At week 4 and after you should follow this
    6. Access to 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.
     
    • Agree Agree x 1
  11. lisabl

    lisabl member

    Member Since:
    Aug 17, 2018
    Messages:
    142
    Gender:
    Female
    Location:
    High Wycome
    Country:
    United Kingdom United Kingdom
    I am glad you are so positive and doing well at such a difficult time in the recovery.
     
    • Like Like x 1
  12. Boogaloo

    Boogaloo member
    Thread Starter

    Member Since:
    May 23, 2011
    Age:
    60
    Messages:
    102
    Country:
    United States United States
    Hi Marieltha

    I am using a rented cooling unit. It circulates cold water at 43 degrees Fahrenheit. The tech who set it up for me says it's just a basic unit. No timer or anything like that. It's just strap it on. Plug it in and flip the switch. Let it run for 30 minutes, then switch it off and wait another 30 minutes before using it again.
     
  13. Boogaloo

    Boogaloo member
    Thread Starter

    Member Since:
    May 23, 2011
    Age:
    60
    Messages:
    102
    Country:
    United States United States
    Thank you Lisabl.
     
  14. Boogaloo

    Boogaloo member
    Thread Starter

    Member Since:
    May 23, 2011
    Age:
    60
    Messages:
    102
    Country:
    United States United States
     
  15. Boogaloo

    Boogaloo member
    Thread Starter

    Member Since:
    May 23, 2011
    Age:
    60
    Messages:
    102
    Country:
    United States United States
    Hi LaxMom.
    I hope your recovery is progressing well. I had a minor but very painful setback yesterday. I was going downstairs and I forgot to step down with the foot of my operated knee first and I over-flexed my operated knee. I didn't fall, thank God, but I thought I would pass out from the pain. Fortunately. My daughter was near and she helped me back to bed where I immediately applied ice and elevated the knee. The pain dissipated quickly. I called my surgeon, the visiting nurse, and my PT. They all had the same opinion/advice which was to ice, elevate, take the pain meds and watch for bleeding or severe pain and swelling. Thankfully, my knee has settled down and it just feels the way it did before my misstep.
    It gave us quite a scare though!
     
    • Like Like x 1
  16. winemama

    winemama senior

    Member Since:
    Mar 31, 2019
    Age:
    66
    Messages:
    467
    Gender:
    Female
    Location:
    Ohio USA
    Country:
    United States United States
    Ouch
     
    • Funny Funny x 1
  17. luvcats

    luvcats senior

    Member Since:
    Jun 7, 2019
    Age:
    50
    Messages:
    437
    Gender:
    Female
    Location:
    Virginia
    Country:
    United States United States
    Ouch. So glad you didn't fall though!
     
    • Agree Agree x 1
  18. marieltha

    marieltha senior

    Member Since:
    Apr 9, 2019
    Age:
    68
    Messages:
    252
    Gender:
    Female
    Location:
    Florida
    Country:
    United States United States
    Good “no fall” reflex! My OS emphasizes practicing balancing on one/each leg before surgery. Can’t do much w the bad knee, but the good may need to save the day, as yours did.
     
    • Like Like x 1
    • Agree Agree x 1
  19. sistersinhim

    sistersinhim FORUM ADVISOR Forum Advisor

    Member Since:
    Dec 4, 2015
    Messages:
    17,755
    Gender:
    Female
    Location:
    Virginia
    Country:
    United States United States
    Amen, praise God you didn't fall! You gave yourself what we call a MWOA, (a manipulation without anesthesia! Don't be surprised if your knee becomes more stiff and sore the next few days. You are doing the right things now, just keep on doing them the next few days. I know you said it feels better right now, but may not tonight and tomorrow.
     
    • Agree Agree x 1
  20. Boogaloo

    Boogaloo member
    Thread Starter

    Member Since:
    May 23, 2011
    Age:
    60
    Messages:
    102
    Country:
    United States United States
    Hi again everyone.
    Today my zipper closure was removed. It's such a relief! It wasn't painful at all. Unfortunately, some spots near the bottom of the incision have not closed up yet so the surgeon had to apply steri strips to keep them covered while they continue to heal. He also renewed my oxycodone prescription to my surprise since I've heard so many patients are being denied opioid pain relievers. All in all I feel good. Just a little tired from the trip to the surgeon.
     
    • Like Like x 3

Share This Page