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Bilateral TKR BTKR- bionic woman

Working hard and pushing our bodies is a mindset that doesn't work for TKR. I've never had another surgery or injury, but I've heard plenty of people here in BS wonder why they are in pain a day after PT. If we really think about what has happened to or knees, it makes sense to let them heal from surgery before moving forward and pushing so hard. I went to PT and enjoyed it, but not until two months after TKR surgery with non-aggressive therapy.
 
T It's so hard to believe that less is more...and yet here are so many of you saying exactly that.
It's really true. A little goes a long way, especially early in recovery. I found increasing activity and any exercises very gradually to be the thing that worked best. And not many repetitions of anything.
 
Ok you all are awesome!!!!

Canceled PT this morning and only went to my post op appt. Got staples out and X-rays taken. Saw PA and asked how I was. I said lets get through everything we need to talk about and then we need to talk about pain management. She goes, why don't we start with that? I said, because I am so miserable I will cry and we'll never get through the appt. she handed me a box of tissues and said...go for it....

Long story short, I'm back up to 2 dilaudid every 3-4 hours. She isn't worried about my progress. Told me to back off the intensity of PT and amount of exercises I'm doing and that I will be "thankful by Thanksgiving".

I kid you not it has done everything for my mental outlook to be back down pain wise. I came home, got in recliner and put ice machines back on both knees and that was that.

All of your posts make sense about inflamed tissues and healing and exercising on a sprained ankle....and so on.

Thank you!!!
 
I'm glad you had a good appointment and the pain is manages better.
 
That's great that the PA took time to discuss pain management with you and has you back on the meds you need to be comfortable. He also seems to have the right idea that less exercising is what is going to help you now.
 
I am glad your appointment went well and you were able to get the help you needed with the pain. Doesn't it feel great to have the staples out?
 
Wonderful that you have better pain control now and are backing off some on the pt! I pray you get more relief as time goes on. Less is more!
 
I am nine months out from my BTKR and doing great. I really empathize with your struggle to get support for your pain control. Unfortunately for me, I was taken off Percocet and Tramadol three days after surgery, because it was thought that they were causing breathing problems--turns out, four months later, it was anemia caused by blood loss during surgery. I went through the process using ice, Tylenol and a once-daily anti-inflammatory medication, Mobic. Not fun.

After three initial home PT appointments, I was transferred to outpatient PT and had three sessions before my check up at about four weeks. The PT reports were so good, that the surgeon stopped my PT.

Except for a three-month bout with pain around my left kneecap, I have had a steady, positive recovery. The kneecap problem was diagnosed as being acute inflammation--more ice and anti-inflammatories. So far, so good. I will find out on our next steep hike at a National Park. ;-)

Good luck to you and your healing journey. It is a long recovery ahead of you, but it does get better.


BTKR - December 28, 2015
 
I can relate and am so glad you found help! I struggled too, and for almost 3 weeks had poor pain control since I got the brush-off at my OS' center. Had to get to the level 5 gatekeeper to finally get heard and helped... so glad you got better relief, for good! You are fortunate to have a PA that knows their stuff!
 
referee54, I certainly agree... when I first joined Bonesmart, I thought I was alone in my pain misery, but here I also discovered that others have had the same struggles. In my case, from talking with other people who have gone to the same ortho clinic, it sounds like the docs there are great surgeons, but they really don't want to have to deal with the people side of the equation! Just the bones, muscles, medical stuff. And they've not hired a patient advocate or support person, as some other clinics in this area have. So, the people equation, with pain, unexpected issues, emotional struggles, etc. isn't addressed, isn't dealt with, is avoided at each turn. The result is patients who are hurt, angry, frustrated and feel left adrift. I keep waiting for my survey from them to get here, but I just ran into another friend, a yoga teacher who had a TKR there a few months ahead on me, and she said she never got a survey! So, I guess they really don't want to know what they could improve! (Maybe kinda proves my point, I suppose...?) Maybe I'll create the survey they should send out, answer it, and send it in! Maye they'd like it and use it? At least, I'd have had my say!
 
Have definitely turned a corner at the 2 week mark. Needing less pain meds....have continued to back off on exercises which has no doubt contributed to the lower pain.

Still hard to sit with legs bent and not elevated for more than 10 -15 min. Have been encouraged to increase my tolerance for that by PT....thoughts?

Curious on a couple things (yes I know I'm thinking ahead here LOL)

1) In a desk job sitting 8-10 hours/day....at what week have people gone back to work? (Yes I can ice and elevate, but realistically to be fully back at work I need to be able to sit for hours at a time)

2). Driving...short distance mea (1-3 miles) in the suburbs....what week have people started driving again (presuming either bilateral or RTKR)?

3). Icing...I have an ice machine for each knee. I'm no longer needing to change the froze. Water bottles in the middle of the night. I'm ok in the morning with it not being cold (which is how I knew I made progress). During the day I have the ice machines on almost all of the time. It just feels good. Should I start to wean off that and do 1 hour on and one hour off? In recliner elevated during the day when not walking in the house here and there or at PT. is that ok?

Thank you!!
 
Glad you have turned a corner with your healing.

Still hard to sit with legs bent and not elevated for more than 10 -15 min. Have been encouraged to increase my tolerance for that by PT....thoughts?
I found all of a sudden my leg was better down for longer and longer times. When I first got home, I could hardly stand to put my leg down to do anything.

1) In a desk job sitting 8-10 hours/day....at what week have people gone back to work? (Yes I can ice and elevate, but realistically to be fully back at work I need to be able to sit for hours at a time)
We recommend 12 weeks off, for a desk job 10 weeks should be OK, everyone is different. Be sure you can elevate your leg, and ice from time to time. Phased return to work

2). Driving...short distance mea (1-3 miles) in the suburbs....what week have people started driving again (presuming either bilateral or RTKR)?
When you are off pain meds, for a BTKR your reaction times will need to be fast enough to brake in an emergency situation. Ask your OS at your next visit, or call.

3). Icing...I have an ice machine for each knee. I'm no longer needing to change the froze. Water bottles in the middle of the night. I'm ok in the morning with it not being cold (which is how I knew I made progress). During the day I have the ice machines on almost all of the time. It just feels good. Should I start to wean off that and do 1 hour on and one hour off? In recliner elevated during the day when not walking in the house here and there or at PT. is that ok?
No need to wean off the Ice machines and elevation, keep your knees happy. You will just use ice less and less as your knee heals.
 
Hi Aspenglow... I went back to work far earlier than recommended here, as I didn't find BoneSmart until about my 3rd week... so I had not built in taking as much time off as I know my new baby knee would have thought correct... I was back working at about 6 weeks, part-time. My job is part desk-type and part on my feet in my store, so icing often didn't happen and elevation could often happen but never for long periods of time. But, almost every evening I can work at home, from my recliner! There, I could elevate my knee to its ideal, ice it as soon as I got home... That seemed really to help.
As for driving, my ROM has been slower than many people experience, since it seems my knee swells inside really easily and constantly. So, I also didn't drive very early, since my ROM took so long to get right away. I have a friend with a BTKR who drove at 3 weeks, but for me, it was 6 weeks to driving. And, at 4 months (almost) I still come home to elevate my leg, so no reason to stop that unless I need to go get something...
 
I have to share...and know you will all tell me I'm unrealistic LOL....

Today I had PT, went out for lunch after with a friend and then to a local craft store. I lasted 15 min in the store. As long as I was walking I was fine. Standing in one place = painful. I'm 17 days PO with bilateral.

Go ahead and tell me I'm crazy to expect anything different LOL. It gave me a sense of what lies ahead....reflects how tired I am of being at home.....and how completely unrealistic I am to think I could go shopping!
 
Yep you were crazy to think you could do that much 17 days post op, and your knee is telling you to slow down a bit.
Perhaps limit yourself to 2 activities for now.
 
I often went out to eat after PT or a Dr appt. but never shopping. Sometimes you just need to see what's happening in the world and feel a part of it.
 
Ha! I knew someone would tell me I was nuts!!! It's interesting how I'm starting to get stir crazy. I envisioned myself enjoying this downtime (aside from the pain).
 
But I always propped my leg up while eating out, otherwise I was miserable in 10 minutes.
 
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