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TKR Full moon and Friday the 13th!

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oops, here they are!

First are the mantras ....
- rest, elevate, ice and take your pain meds by the clock
- if it hurts, don't do it and don't allow anyone - especially a physiotherapist - to do it to you
- if your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again
- if you won't die if it's not done, don't do it
- never stand when you can sit, never sit when you can lie down, never stay awake when you can go to sleep!

Next is a FAQ (Frequently Asked Questions) thread.

And then the articles in order of importance .
Group A
The importance of managing pain after a TKR and the pain chart
Myth busting: no pain, no gain
Swollen and stiff knee: what causes it?
Progression of activity for TKRs

Group B
How Long Does Healing Take ......
Chart representation of TKR recovery
Energy drain for TKRs
Elevating your leg to control swelling and pain
Using ice

Group C
Knee Replacement - Where Am I in Recovery?
So What Is It Going to Take? The Five “P’s” of Knee Recovery
Work “Smarter” and not “Harder”
About recovering a knee - from one who knows!
Some suggestions for home physio (PT) and activity progress
Myth busting: The "window of opportunity"

Group D
MUA (manipulation under anaesthetic) and adhesions
It's never too late to get more ROM!
It's Worth the Wait for ROM
Myth busting: on getting addicted to pain meds
Post op blues is a reality - be prepared for it
Sleep deprivation is pretty much inevitable - but what causes it?
 
Thanks so much for that! I found the article about Progression of Activity extremely helpful as were the others. They do to seem to tell you what you are supposed to do or can do at what stage. I suppose that this is because everyone is so different in their recovery but it is really helpful to have a guide like that! I have now read the articles several times and all are great! I don't think it will be the last time that I refer to them!
I am pleased with my recovery but like everyone would like it completed. However, today I have been the Grumpy Old Woman that my avatar indicates! :bored: I am going to have a rest with the dog! :puppysmooze:I did do Hydrotherapy when I had the Right Knee done the first time and did find the water to be warm and soothing but found that I kept getting chest infections so discontinued. My ROM is at 120 degrees for the Right leg and nearly the same for the Left one so I really have nothing to complain about in that area. The cold weather seems to be affecting my knees today so will try to keep warm... just got back from the shop and lunch! :sleeep:
 
Question: Can someone explain the Member rating to me....Member....Junior... Graduate etc?
 
That would have been a huge commute for work and as you say a big toll on your body with temperature and time changes! I'm having a "Grumpy" day today but I think the weather is playing a part in that as well! Cold, cold, cold! Thankfully tomorrow is a new day!
 
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The ratings are related the number of posts that each person has made. I am not sure of the numbers, without looking them up---but, for instance, someone might become a Graduate after 1,000 posts. Again, that is not the actual number.
 
Heading out to PT soon. I was hoping to sneak a nap in mid morning because sleep was elusive last night, but it didn't happen. Oh well, maybe later. I have no puppies to snooze with, but my cats have worked out a rotation that seems to work out just fine.
 
The recumbent bike at PT is fixed! Hurray! PT went well today, and it somehow felt easier. Of course I'm paying for my enthusiasm tonight with a burning knee. As soon as I take the ice off, I can feel the heat radiating off it. It's like my own personal sun. I'm even getting a "tan" from it. My dad noticed the color change when he stopped by for a visit today, and this is a man whose color scheme encompasses an 8 pack of crayons. I know burning is just another type of pain based on my reading, but I'm beginning to wonder if this heat is normal. I see my doctor on Wednesday and will ask him then.
 
@H2OPoloMom My husband's knee still gets really warm after PT and after he overdoes it. I would think as long as it cools down with ice it should probably be okay. You are inflaming aready inflamed tissue. I haven't noticed my husband's knee getting self tanned. That is odd! Is it red or tan? If red along with the heat you might want to give your doctor a call about it.
 
It's red when it's hot and usually after icing it settles down and the red goes away. Sometimes the redness and heat extend up my inner thigh, but again the red and heat usually go away after icing for awhile. I must have really done a doozy at PT and pulled my cryocuff off in my sleep because it's hot again...
 
Hi @H2OPoloMom I totally agree with @tiredwife you really must get that checked ASAP. This is purely to rule anything sinister like an infection or something. That's very good advice you were given there. It may just be like you say it's reacting the to pt yesterday.

If you are concerned about this you could tag Josephine into your thread and ask her. She has oodles of experience in this field and is the one most of us turn to for advice. What she doesn't know about orthopaedics isn't worth knowing! She is amazing and she is still working later in life, which makes her advice current/up to date. If you do tag her after you've typed @ and her name, as you do this her avatar is the cutest ginger kitten I've ever seen, you will know you have the right person.

I'm no medic but it does sound as though you are right in what you are thinking and the fact that it responds to the icing is a good sign. Yet I would tag Josephine in if you are still concerned. She would far rather you ask than not!

Take care
Love Nana moon 27 xxxx
 
Ha ha! Leave it to cats to work it out! Ater all it's their bed not yours.. Right? I am grateful for our dog who loves to snuggle and keep me company. I got no sleep last night either but not too tired yet. Hubbie took me for a drive to our local beach this afternoon where we had a coffee and snack. Though the breeze was cold and the waves very choppy it was lovely to get out and blow some cobwebs and some of the grump away! I made sure that I didn't overdo things and took my cushion to help get up out of the cafe chairs. I am finding it painful when I get up out of a lower chair so try not to sit in them or take my cushion with me.
 
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My knees also burn a bit but usually after times when I have walked too much or exercised. However, here's a new mantra for you " any doubt get it checked out!" It's easier to get get the doctor to check and nip anything in the bud rather than worry about about whether it's an infection or not.
 
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Thank you all for your concern! It has finally settled down:ok:. It was a a rough night though. At some point, cranky hot knee started cooling down and cramping up instead, repeatedly. I guess I'll just have to have someone make me a smoothie with some banana in it for me. Note to self: keep enthusiasm to a minimum at PT.

The beach sounds like a great place to blow away the cobwebs and grumpiness! Sounds like a lovely date:)
 
@H2OPoloMom Because my husband's PT is 3 days a week an hour long, on days he is swollen or having a bad day he slows his movements down and pauses between exercises, doing this he is actually doing less at PT but the therapist doesn't seem to notice.
 
So glad to hear that the cranky hot knee is settling down for you! Sorry about the cramping though! Yes the beach certainly did blow the cobwebs and grumps away. Being winter the waves were wild but made me feel so much better! Hang in there!
 
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@plnppl he does it on purpose to slow the pt down, so he isn't so tired afterwords. It isn't often, just when he is swollen or having an off day. Usually he overdoes it. We tell the therapist if any exercise causes pain to his hips, new knee or bad knee and he listens pretty good and will find something else for him to do. It's just some days he will get up swollen and the PT is too early to do much icing and elevating before hand, last time he forgot to take his declofenac so all his joints were hurting. I usually carry his tylenol with me, so he took some after PT.
 
I did bring it up at PT one time, but at the time, it had started to happen less often. I think I just overdid it on Friday because I felt good and I could. My knee was kind enough to remind me that just because I can doesn't mean I should. So I am taking a knee enforced day off- not that I normally do much, but today I will do less, somehow. I can appreciate better the progress that I had made now that I am reminded of where I had been.
 
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