Eight months and still a Big Mistake

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WHS

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Blue Ridge Summit, PA
The Big Mistake (updated from December 20, 2008)

I am 58 year old male with bilateral TKR in June. I have been an athlete all of my life and spent considerable time preparing for this event. Thus, I felt well prepared going into surgery. I selected a surgeon with an outstanding reputation for whom replacement rate was well above average. The hospital was rated number one in orthopedic surgery in Pennsylvania.
Bone was worn down on left knee along with scar tissue from previous surgeries made surgery longer than expected. Recovery was very difficult with pain and a very bad reaction to pain meds. I completed all PT as requested and continue with PT. I have 122 degrees of bend in both knees with 0 degrees extension in right knee and 0 degree extension in left knee. Pain continues particularly after being on my feet for any time. Specifically, knees begin to tighten and become stiff with decrease in range of motion. Going down steps and getting up from sitting is a real struggle.
My PT (up until January) schedule has been two hours nearly every day with an hour plus on the stationary bike then lifting and stretching. I doubt there is anyone working harder. I am also doing acupuncture and massage therapy.
At eight months things should be better. All of this was suppose to improve my quality of life. Instead I am worse off. Doctor has no answers. I had a 2nd opinion from another Doctor in the same practice who indicated it will take longer. My opinion is that this has been a disaster and I am much worse off now that I was a year ago. I regret the decision to have the knees replaced. I'm not seeing many ways out of this but can't imagine living with this the rest of my life. I am really angry about all of this!
Has anyone had trouble with Zimmer knees? Can anyone recommend a surgeon who can provide solid information on what is happening to my knees?
 
Hello again, WHS. Sorry to hear you are in the doldrums.

Well, to start with, still having pain at 8 months is not uncommon. It can last up to 12 or even 14 months.
Plus, the problem is almost never to do with the implants but if it is, it's more to do with the way they were inserted not the items themselves.

I'm interested in the fact that you are having these problems in both knees, if it was even remotely to do with the implants or the surgeon's surgery, that would be most unlikely to be the case. That only leaves that you are doing far too much and not allowing your knees time to rest and finish healing. So can I ask why you are doing so much PT and stuff? Two hours PT, an hour on a bike and more - seems incredibly excessive to me, almost athletic level. Has it been ordered by the surgeon, the PT?
 
Josephine

I have dramatically reduced by workout routine since mid December. That is the most frustrating part. I was doing too much so I cut back considerably and now, two months later, I can not report much improvement.
 
WHS
I am so very sorry to hear of your continued pain. I would probably try to get an opinion from a surgeon in another group not associated with your surgeon
Judy
 
So was that the PT you used to do or what you are doing now?
 
So what is your regimen now?
 
I am very sorry to hear about your troubles.

I am 54---I had a bilateral tkr back in 11/07--I, too, was very athletic; I played college football and officiated basketball, football, and baseball---all at the college level for over three decades. (That is what helped burn my knees out.)

While I can still umpire, my officiating days are done...running is out of the question; but in terms of my life, my quality of life is much, much, better. I ride my bike whenever and wherever I can.

I am in , my 32nd year as a professional educator, so I am on my feet a great deal---I still had a slight limp up to April of last year, and int May I still had on-and off stiffness. However, I am happy---exceptionally happy, with the outcomes of what I had. I hope the best for you.

I would suggest that you get your charts and see another OS who specializes in TKR's and see what he has to say. A second opinion is in order, I believe.

Tim C.
 
Hey ref! Good to see you back!
 
I worked very hard at PT---but I didn't work two hours a day. An hour a day, 2-3 times a week at the PT, and maybe an 1/2 an hour to 3/4 a few other days on other exercises and stretching. You do have to allow your body to rest and to heal.

My PT appointments were normally on Tuesday and Thursday. Monday I would ride a bike for about 30-45 minutes. Tuesday was grueling, and I would rest on WEdnesday. Thursday was grueling, and Friday i would ride a bike and use exer-bands. Same for Saturday. Sunday I rode lightly or rested.

Tim C.
 
WHS
I'm sorry to hear that you are having so much trouble, and i must admit it scares me a little. I also would recommend seeing someone in a different office. What you are saying is exactly how my knee feels at 11 weeks. How is the swelling and inflammation? i had some problems with inflammation. Hope you can find some answers.
Mike
 
Two hours a day of PT is alot! Even when I was working to get my ROM back and my strength back, I do not think that I could---or would, do two hours a day of PT. Two hours a day to me sounds like the Bataan Death March!

I did look at PT the same way that I looked at training for reffing, etc---but I looked at the intensity of my training rather than the amount of time that I trained. I also listened to my PT's that applauded me and warned me when to back off.

See another MD, let him see your PT regimen, and see if changes may be in order---good luck to you!

Tim C.
 
Hi Ref
I to have been a Official until 11/24/08 when i had RTNR, I made through most of the 08 season but had to give back my last 5 games and any possible playoff game i might have got. Alone with the rehab, knowing i can no longer be a High School football Official has made this whole thing a lot harder for me. I'm 55 and loved working H.S. football more than anything i have done. Good luck being an upmpire, but make sure you get out of the way!!! I was a wingman for most of my games.

Mike
 
Hey---Mike!

I was a LJ for some of my career, and then I moved to R. I can still work the plate, but running is out, so football and hoops are done.

Sorry to hear about you having to give up a playoff game---I know how hard you work for them and how hard it is to give them up.

I actually backed off of reffing FB as my son was a four-year starter onthe varisty team, so I gave up all of my Friday?/Saturday night games...then the lower level games a few years later. I reffed D-1 college basketball and worked all over the Midwest...and I have umpired baseball for 36 years. I am getting ready in a few years to give that up, too.

I was lucky---I was selected to work the state finals here in Ohio in FB, Basketball, and Baseball...but i look at officiating differently now. I you get the Official's Quarterly Magazine, you may have read a few of my articles.

Hang in there---trust me, it is all very worthwhile.

Tim C.
 
I, too, played college football mostly without my ACLs. Also, I officiate T&F, and was a professional educator. I waited until retirement to have TKRs. I really thought this was going to improve things. How disappointing!
 
It will, WHS. Give it time but it will!

And that sounds better! Some of thse inflammations or 'itises' can take ages to clear up. Remember the mantra, ice, medicate, rest etcetera, etcetera, etcetera .....
 
Tim
I will get some of the old magazine out. Lots of good articles in them. i like to look back on them and take them to pre game. Congrads, sounds like you had a very fulfilling career. It was very nice talking to you, if you wouldn't mind i would love your email, i really enjoy talking to veteran officials.
[email protected]

Thanks
Mike
 
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