BossK's recovery thread

Everyone says, there's no way of knowing what caused the infection, but I always wonder and it makes me put off my left knee. I had a high fever 102-103 about a month after TKR surgery andseeping out of a closed incision. I still take a daily antibiotic and see an infectious disease dr.
 
I've had the same knee replaced twice in 8 months. I'm in a different situation but I can tell you that tiredness was more pronounced with the second one because of 2 in 1 year. That being said I would have my second knee done in a second if you could so then I could fully get back with my life.
 
BossK, I am with you. OS said I needed the other knee done in 2017, but I cannot imagine doing this again.

Ah, I remember the days when we accumulated sick leave, now we get two weeks a year with no carryover, so it is short term disability for me.
 
Happy belated Thanksgiving, all! I WAY overdid it with my first long car ride to spend Turkey Day at my mom's, trying to stay upright to help with meal prep, and playing games afterwards. Lots of couch time ahead.

@ks1960, where do you teach? I hate using up all my sick days at once, so in my current thinking, I'm aiming for summer 2017 and just writing it off. That way, no sub plans! But goodbye travel. Not sure if this is a good trade yet. Short term disability here means 1/2 salary, and since my husband teaches too, it's not an option we can afford to live on.

Someone asked me if the knee feels any better, but at the moment it does not. It feels like my worst arthritis days times 10. I'm assuming that's just because of the extra stress I put on it, and I'm only 3 weeks in, but when can I expect the achy-ness to go away? Or does it come and go with activity for the duration?
 
If you have enough days you could have the TKR done a month or so before school is out. That may give you some time to vacation before starting again. I hate to think about using a whole summer to recuperate.
 
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@BossK - I am not a teacher, just a corporate drone.

Like you, this is still way worse than the original arthritis pain and I just want it to go away.
 
Chin up guys! It gets better. I just realized that my knees are already 100% better than before surgery. I am able to stand and walk with no pain. If I'm on my feet too long they get sore but nowhere near the pain I had before and they are getting better all the time. It is a long, slow process for most of us.
 
Yes, one month is still very early in this recovery. Right now it seems like a huge mistake, but it will get better. Time is what you need along with lots and lots of patience.
 
I am a educational assistant and I pretty much gave up all this past summer for my ltkr, after our daughter's wedding early in June, I planned it a few days after. Thought I would have plenty of time to recover and for the most part I did other than the one set back with my incision. It's going to be a long school yr, without our yearly vacation that we missed out on this yr. But for financial reasons I thought it was the only way to work it all out also. In hind sight if I had to do it over again, I guess I would do it all the same, but allow my self more time at the tail end I went back to work at 9.5 wks, would have put it off till 12. Think it may have been a little easier than the uphill battle it's been. Do what ever will provide you with the most recovery time, without it costing you loss wages.
 
@zzevi, we are trying to beat the insurance company at its own game by getting both done in the same year, but like you I dread kissing summer goodbye. I may just do it the last three weeks of school since most students have checked out by then anyway. Haha.
 
Ugh. I've reached saturation point at 5 weeks tomorrow. It seems the swelling never changes and I did absolutely nothing yesterday! Any tips?
 
Many TKRs have swelling for months, so it is very normal you have swelling at 5 weeks. When I went back to teaching mornings only my knee would swell from being active all morning. I often iced as I drove home and spent most afternoons icing and elevating. Here's what you can do at 5 weeks, but still elevating most of the day. When my swelling was BAD I elevated toes above nose by laying flat of the sofa with my legs on the sofa arm. I'd put an ice pack on my knee and lay there for an hour or so.

Weeks 4 and 5 - add to previous
Increase walks to out in the garden or street; to 20mins or longer if you feel up to it.

Additionally activity:
Gather a little bit of laundry, or put it in the machine OR take it out but not all of it
Now you can do a little dusting and tidying; do a little meal prep (for yourself not the entire family!)

Weeks 6 and onward
- add to previous
Start taking car trips to the shops but keep them short and sweet at the start, no longer than 15-20 minutes
Take at least one 5 minute rest while you are out.

Activity: a very little ironing, washing, meal prep but get someone else to clear up after. Wash up but someone else clears the table, brings you the dirty dishes, dries and puts them away after, NOT you!!

Week 10 add to previous
Bed making and changing sheets, cleaning bedrooms etc., can wait now by which time, all things being well, you should pretty much start getting back to normal but don't rush it. If you do and you start getting pain and stiffness in your knee, that's a sign your knee doesn't appreciate what you're doing, that you're rushing ahead too fast. Slow down, right down, and start again. This stage might last until week 14 or even 16 but if it takes a even longer, don''t worry about it.
 
Thanks, @KarriB! I have been pretty active, I see, as I look back over your list. How about heat coming off of it? It's not burning, just very warm, but I'm not alarmed there is some infection as the incision is clean and flat and healing nicely.
 
TKRs can be warm for a few months, so no worries. Cut back on your activity, you are still very early in this recovery period. My OS recommended I return to work at 12 weeks, that means you're not at the half way point yet. This is a long recovery, requiring lots patience. If you need to get out make sure whatever you do you can prop up your leg because keeping it down means swelling and swelling means less ROM. When I needed some normalcy we would go to breakfast or lunch but I sat in a booth so I could prop my leg on the bench beside me (I was in an imbolizer). If you have a theater nearby that has recliner seats, go to a movie and take some ice with you. It was all about keeping my leg elevated because it ached and got tight with swelling.
 
My operated knee felt warmer than the other knee for almost a year. I think it's a sign that healing is still going on, under the surface. Remember that complete healing of all the soft tissues can take as long as a full year.
 
Ok, new reason to panic- I have discovered a cracked and possibly broken tooth! I think I recall having to be on antibiotics for 5 days before any dental work?? I have calls in to both the OS and the dentist this early, but was wondering if anyone else here has had this type of experience after TKR??
 
Some surgeons say that you need to have antibiotic cover for dental work, but others don't.
The AAOS and ADA say it isn't necessary:
Dental antibiotics: Evidence insufficient to recommend prophylactic antibiotics for dental procedures
The bacteria in your mouth are not the ones usually implicated in joint infections.

My OS prefers his patients to use antibiotics, but my dentist is adamant that they aren't necessary.
I compromise, by taking them only for invasive procedures, such as root canals and extractions - although i haven't used them for my last two root canals and I have encountered no problems.

One thing thing is possible for emergency dental work - to take a high antibiotic dose, once only, one hour before the dentist starts his/her work.
 
My OS says screw the ADA, the OSA does recommend antibiotics any time you open your mouth, including cleaning.
I think your surgeon is misinformed - see the article I have posted, above.
 

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