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] Fell on knee

Discussion in 'Knee Replacement Recovery Area' started by Dancersoon, Jul 27, 2019.

  1. suejan

    suejan new member

    Member Since:
    May 27, 2019
    Age:
    56
    Messages:
    17
    Gender:
    Female
    Location:
    Victoria
    Country:
    Canada Canada
    Im just over 10 weeks, and my extension got a little better each week, except week 4 when I got a little more swelling.
    I was worried too, but I was told I was doing fine. The last time I was officially measured at week 7 I was at 2-that was my last PT, but my extension is flat now, so I would guess 0.
    You had problems falling on your knee, I had problems with a DVT, but I think our numbers sound fine!!
     
  2. sistersinhim

    sistersinhim FORUM ADVISOR Forum Advisor

    Member Since:
    Dec 4, 2015
    Messages:
    17,776
    Gender:
    Female
    Location:
    Virginia
    Country:
    United States United States
    She might have schooling but we have personal experience...years and years of experience! Through this experience we learned that working through the pain is counterproductive. That pain is an indication that the knee is more inflamed. Inflammation causes swelling and pain. Swelling restricts ROM. The best way to get the ROM back is to do just gentle movements. Listen to your knee. If you do something and later on that night or the next day the pain and swelling is worse, then your knee isn't ready for that activity. Stop it for a few weeks then try it later. If you don't get a bad reaction, then your knee's ok with it. This recovery is always trial and error and a learning experience.
     
    • Like Like x 1
  3. Dancersoon

    Dancersoon junior member
    Thread Starter

    Member Since:
    Jul 27, 2019
    Age:
    58
    Messages:
    30
    Gender:
    Female
    Country:
    United States United States
    I was somewhat sore after pt yesterday and today after doing the two exercises I’m very sore and knee feels swollen. I think I’ll just ice and elevate today because I have pt again tomorrow.
     
    • Like Like x 2
  4. kneeper

    kneeper FORUM ADVISOR Forum Advisor

    Member Since:
    Dec 11, 2010
    Age:
    55
    Messages:
    12,262
    Gender:
    Female
    Country:
    United States United States
    She may know what the "average" is or "most people"; but many of our people on the forum have not been "average." Try not to let her scare you. Just keep working at it slowly but surely.
    I don't know why they think they have to scare us. Like we'll just sit around eating bon bons all day if they don't put the fear of god into us. :nah: Though you really do need to do some lying around icing and elevating--and come to thing of it a few bon bons may be therapeutic...:snork:

    My issue wasn't extension but I think my experience is kind of similar even so. I remember getting the scare talk re: my bend from my PT on the first knee at about week 4. I might need an MUA, frowns, etc. By week 6 as the swelling went down quite a bit I hit 90 and the PT still wasn't totally happy. I saw my OS that same week (might have even been the same day) and he was pleased (didn't measure) and said just keep doing more as the knee allows. And I continued to gain bend.

    A good PT (like my 2nd one) can help evaluate body mechanics and explain how everything is connected to everything else. I found some exercises helpful in that regard. So sure, the butt exercises might be useful depending on your situation.
    Most people find "slow and steady wins the race." Take what seems useful but don't take the scare talk too seriously.
     
  5. Dancersoon

    Dancersoon junior member
    Thread Starter

    Member Since:
    Jul 27, 2019
    Age:
    58
    Messages:
    30
    Gender:
    Female
    Country:
    United States United States
    @sistersinhim It’s not my ROM she’s worried about it’s extension. Says that’s a lot harder to get and if you don’t get it early on
    PT didn’t really hurt. I think I overdid by coming home and doing more than doing the two exercises today.
    No more! I’m icing and elevating for the next few days. Knee has not hurt at all until today.
     
    Last edited by a moderator: Aug 14, 2019
  6. sistersinhim

    sistersinhim FORUM ADVISOR Forum Advisor

    Member Since:
    Dec 4, 2015
    Messages:
    17,776
    Gender:
    Female
    Location:
    Virginia
    Country:
    United States United States
    Oh yes, I realize it's extension you are concerned about. ROM is bend and extension. Swelling also affects the extension. Mine was slower to come in than the bend, too. I just walked with longer strides, heal to toe and it did come back like it was before surgery after about 4 months or so. The only problem I have with it now is I have a Baker's Cyst but that has nothing to do with the surgery. I'm just prone to getting cysts.
     
  7. Dancersoon

    Dancersoon junior member
    Thread Starter

    Member Since:
    Jul 27, 2019
    Age:
    58
    Messages:
    30
    Gender:
    Female
    Country:
    United States United States
    I have been pretty much pain-free up until this point. I was four weeks out yesterday. Since PT my knee is hurting me and Stiff all the time. I told Pt I wouldn’t be back for two weeks.
    She’s having me flex my foot on my bed and tighten my quad as tight as I can and push knee down into the bed using my thigh muscle.
    hoping to straighten out my knee.
    I’m also riding the bike slowly for 10 min. She also had me use a sheet around the feet of the knee and pull the knee as close as I could to my butt.
    I got to 115 from 105 in the office but it’s all causing me pain. Should I just stop everything for a week, and ice and elevate?????
     
  8. Jaycey

    Jaycey SUPER MODERATOR Moderator

    Member Since:
    Jan 27, 2010
    Messages:
    28,614
    Gender:
    Female
    Location:
    Yorkshire
    Country:
    United Kingdom United Kingdom
    As we have already advised several times on your thread I think you should stop all this forcing your knee - not for just a week - stop all of it.

    Let that knee settle and once it has work on your own to gently achieve ROM. All this forcing is only increasing the swelling and pain.
     
    • Like Like x 1
    • Agree Agree x 1
  9. Jockette

    Jockette FORUM ADVISOR Forum Advisor

    Member Since:
    Aug 29, 2017
    Messages:
    12,629
    Gender:
    Female
    Location:
    Delaware
    Country:
    United States United States
    I agree.
     
  10. kneeper

    kneeper FORUM ADVISOR Forum Advisor

    Member Since:
    Dec 11, 2010
    Age:
    55
    Messages:
    12,262
    Gender:
    Female
    Country:
    United States United States
    Yes, there's no need to do things on an arbitrary basis. If 10 minutes on the bike aggravates the knee do 5 minutes and/or take a day off. Remember that all your ADLs as well as exercises count as exercises.
     
  11. Dancersoon

    Dancersoon junior member
    Thread Starter

    Member Since:
    Jul 27, 2019
    Age:
    58
    Messages:
    30
    Gender:
    Female
    Country:
    United States United States
    What I want to know is how I’m the heck are we suppose to walk without a limp when we still have swelling???
     
  12. ElanorG

    ElanorG post-grad

    Member Since:
    Sep 2, 2012
    Age:
    63
    Messages:
    1,312
    Gender:
    Female
    Location:
    Virginia
    Country:
    United States United States
    My knee still swells but I don't limp. Is your knee incredibly huge? Are you favoring it because you are afraid to put weight on it? Or are you favoring it because of pain? For both of my knees I was encouraged to work on walking correctly (heel, toe, etc.) right from the beginning with the walker. As time went by and the knee could take more weight any limp went away. This was something we would on in PT was walking correctly and having the knee work in a normal fashion. Has anyone been working on this with you?
     
  13. Jockette

    Jockette FORUM ADVISOR Forum Advisor

    Member Since:
    Aug 29, 2017
    Messages:
    12,629
    Gender:
    Female
    Location:
    Delaware
    Country:
    United States United States
    The limp will ease up as you heal and your swelling goes down. Don’t stress over it. No one worked on gait with me, it came along naturally and is fine now.
     
  14. sistersinhim

    sistersinhim FORUM ADVISOR Forum Advisor

    Member Since:
    Dec 4, 2015
    Messages:
    17,776
    Gender:
    Female
    Location:
    Virginia
    Country:
    United States United States
    As you heal, you will naturally become more secure walking on your new knee. That will get rid of that limb. Try not to worry about it, it will disappear when your knee is ready for it to!
     

Share This Page