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TKR Going backwards

Lizzylo

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Hi, I am 13 weeks TKR, and up until the last 2 weeks have been in an Airbnb for 5 months awaiting our house settlement. During this time I had my TKR.
But then we moved!!
It is nearly 2 weeks and other than being so tired and aching (I sure can’t do it like I could at 30).
I have been realistically lifting, bending, placing , re-placing. I have been super busy and crave for a day on my the couch.
I have found my ROM has DECREASED quite significantly and asking for opinions as to whether this is a normal stage?
I feel the need for an anti inflammatory but physio said I shouldn’t as it confuses the knees natural healing. I usually only take two - maybe 4 Panadol for pain a day.
 

Jockette

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Hi and Welcome!

Our ROM is directly related to swelling, and with all that you’re doing, your swelling has increased, reducing your ROM. That is not going backwards, it’s cause and effect.

I know how difficult moving is, I’ve moved 10 times in 39 years! Try to take some time for yourself, to put your feet up and rest. Icing during that time could also be helpful.

If you can take Tylenol, it’s a great pain reliever for post op pain. I took 1,000 mg every 6 hours, around the clock (yes, a dose during the night) as it works better if you take it regularly, rather then occasionally. Check any other medication you are taking, to be sure that medication doesn’t have any Tylenol in it, so that you don’t go over the 4,000 daily limit.


I will leave you our Recovery Guidelines. Each article is short but very informative. Following these guidelines will help you have a less painful recovery.

Knee Recovery: The Guidelines
1. Don’t worry: Your body will heal all by itself. Relax, let it, don't try and hurry it, don’t worry about any symptoms now, they are almost certainly temporary
2. Control discomfort:
rest
ice
take your pain meds by prescription schedule (not when pain starts!)​

3. Do what you want to do BUT
a. If it hurts, don't do it and don't allow anyone - especially a physical therapist - to do it to you​
b. If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again.​


4. PT or exercise can be useful BUT take note of these

5. At week 4 and after you should follow this

6. Access to these pages on the website

The Recovery articles:
The importance of managing pain after a TKR and the pain chart
Swollen and stiff knee: what causes it?
Energy drain for TKRs
Elevation is the key
Ice to control pain and swelling
Heel slides and how to do them properly
Chart representation of TKR recovery
Healing: how long does it take?

Post op blues is a reality - be prepared for it
Sleep deprivation is pretty much inevitable - but what causes it?

There are also some cautionary articles here
Myth busting: no pain, no gain
Myth busting: the "window of opportunity" in TKR
Myth busting: on getting addicted to pain meds

We try to keep the forum a positive and safe place for our members to talk about their questions or concerns and to report successes with their joint replacement surgery.

While members may create as many threads as they like in the majority of BoneSmart’s forums, we ask that each member have only One Recovery Thread. This policy makes it easier to go back and review the member’s history before providing advice, so please post any updates or questions you have right here in this thread.
 

sistersinhim

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It's not surprising that your knee has lost ROM with all you have been doing. Your swelling has increased. Think of your knee as a garden hose. Shut off the nozzle and fill up the hose with water. Can you easily bend it? Nope, but drain out the water and you can roll that hose right up.

Take lots of breaks and ice and elevate your toes above your heart. Once the swelling comes down your ROM will improve.
 

Celle

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Hello @Lizzylo - and :welome:


As the others said, the increase in swelling and decrease in ROM of your knee are directly related to the amount of extra work you've been doing with moving house and settling in to your new house.

It takes a full year for complete recovery after a knee replacement and you asked a lot of a relatively new knee.
Now that you're in your new home, treat your knee to a lot of extra rest, ice and elevation - that should help to bring down the swelling and, thus, increase your ROM again.
ROM can continue to increase for a year, or even longer, after a knee replacement, so you still have plenty of time.


Please will you tell us the full date of your knee replacement and which knee it is, so we can make a signature for you? Knowing the exact date will help us to advise you appropriately in the future.
Thank you.:flwrysmile:
 
OP
OP
L

Lizzylo

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Op was 5 May 2020
Left knee
 

sistersinhim

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Thank you for the date. I've added it to your signature and added you to the May Marvels team. In that thread you will find all those that have had their joint replacement in May.
 

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