TKR 9/24/19 - Day 1 - Arrive at surgery center 6:00 am. Meet with anesthesiologist and given IV. Next memory is hearing husbands voice talking to a nurse. It is noon. Some ginger ale and I’m waking again at 4:00 pm. The OT/PT is there with some activity and lessons on how to use cane and walker. After doing some kicks and stairs, I’m ready to be released with a walker and an ice machine to go. By 5:30 the same day, I am walking up 4 steps into house with a cane and 7 steps to second floor.
Recovery has begun. Pain meds include Dilaudid (2 every 6 hours), extra strength Tylenol 3 hours after Dilaudid, Meloxicam every morning, Gabapentin every evening, and 81 mg aspirin 2x a day.
Day 2 - Not too bad. With husband as diver, I am in thecar with walker and off to my first PT session. Rocking a bike, kicks, quad squeezes, toe lifts, heel sides and leg raises. ROM 105. I think I’ve got this! Pain minimal.
Day 3 - Awoke to extreme light head and nausea. Called doctor, He said to try cutting back on meds and to skip PT this day. This is when Pain became a bear.
Day 4/5 - Tried taking only 1 Dilaudid before therapy and the Tylenol. Every 6 hours. Also 1 Dilaudid before bed. I used ice around the clock for 30 minutes at a time. Was managing the okay CONSTIPATION. Another call to doctor. Despite taking a stool softener, I was in discomfort. I was told it was the meds and I needed to stop because “pain never killed anyone”. I was told to get some Miralax and do a suppository if that didn’t work. Now I’m down to I Dilaudid a day and the Tylenol. Looking back, I should have insisted talking to doctor instead of asssistant.
Day 6 - After a great therapy session and using only a cane, I had the worst pain ever. Ice, elevation and rest was not helping with Tylenol every 6 hours. I’m in tears for the first time. I did not call doc. I began taking 1 Dilaudid every 6 hours, adding back the Gabapentin and the meloxicam. Pain still unbearable.
Day 7 - PT very hard and painful today. ROM 111. About 20 full rotation on stationary bike. Not sure I can do this. Have gone back to using walker except for stairs.
Day 8 - the Miralax finally works. The pain meds seem to be working again. I still have a lot of strange pain from burning to stabbing, to aching and soreness from my thigh to my calf.
Day 9 - PT is brutal, My ROM went backwards to 107. I’m tired and in pain that ebbs and flows from calm to sharp. How long does this last? I’m tough, But this is wearing me down. Am I pushing therapy too hard? The therapist said I was actually doing awesome. I had started my own pre-hab in July by going to gym 3 days a week and working on quads. I don’t feel awesome.
Day 10 - Pain is bearable today. Actually back to using can and making some cofee and getting a snack on my own. I’m taking 1 Dilaudid 3x a day with Tylenol in between if I need it. I also added the Gabapentin and the Meloxicam back into my meds.
Day 12 - At PT I’m doing full rotation on stationary bike (about 20 rotations in 10 mins). I have 111 degrees bending. I can do this. Therapy is rough. On my off days, I continue at home with a less rigorous version of my PT. Icing less and moving around the house more.
Day 13 - I did the bike a home today beginning with the rocking. I was able to do 3 very slow backward rotations. At the end of my 10 minutes of stretch rocking I was successful with a forward rotation, so I did 4 more. More I’d soreness and a pull than actual pain. finally I have my meds working with me.
The lesson here was NOT to Stop taking the meds as prescribed. I always think I can do it by myself. The Physxian Assistant that I talked with both times on the phone did not help matters. I will talk to my doctor about this.
Day 14 - Wow, what a roller coaster ride! Pain is minimal. ice seems to become more deterrent than help. Dull ache when the cold hits. Doing away with ice machine and relying on gel packs wrapped in a towel. more comfortable that the coldness of ice machine. Swelling is almost gone. There is not as much bruising as I anticipated. Hopefully I won’t have anymore backslides.
Recovery has begun. Pain meds include Dilaudid (2 every 6 hours), extra strength Tylenol 3 hours after Dilaudid, Meloxicam every morning, Gabapentin every evening, and 81 mg aspirin 2x a day.
Day 2 - Not too bad. With husband as diver, I am in thecar with walker and off to my first PT session. Rocking a bike, kicks, quad squeezes, toe lifts, heel sides and leg raises. ROM 105. I think I’ve got this! Pain minimal.
Day 3 - Awoke to extreme light head and nausea. Called doctor, He said to try cutting back on meds and to skip PT this day. This is when Pain became a bear.
Day 4/5 - Tried taking only 1 Dilaudid before therapy and the Tylenol. Every 6 hours. Also 1 Dilaudid before bed. I used ice around the clock for 30 minutes at a time. Was managing the okay CONSTIPATION. Another call to doctor. Despite taking a stool softener, I was in discomfort. I was told it was the meds and I needed to stop because “pain never killed anyone”. I was told to get some Miralax and do a suppository if that didn’t work. Now I’m down to I Dilaudid a day and the Tylenol. Looking back, I should have insisted talking to doctor instead of asssistant.
Day 6 - After a great therapy session and using only a cane, I had the worst pain ever. Ice, elevation and rest was not helping with Tylenol every 6 hours. I’m in tears for the first time. I did not call doc. I began taking 1 Dilaudid every 6 hours, adding back the Gabapentin and the meloxicam. Pain still unbearable.
Day 7 - PT very hard and painful today. ROM 111. About 20 full rotation on stationary bike. Not sure I can do this. Have gone back to using walker except for stairs.
Day 8 - the Miralax finally works. The pain meds seem to be working again. I still have a lot of strange pain from burning to stabbing, to aching and soreness from my thigh to my calf.
Day 9 - PT is brutal, My ROM went backwards to 107. I’m tired and in pain that ebbs and flows from calm to sharp. How long does this last? I’m tough, But this is wearing me down. Am I pushing therapy too hard? The therapist said I was actually doing awesome. I had started my own pre-hab in July by going to gym 3 days a week and working on quads. I don’t feel awesome.
Day 10 - Pain is bearable today. Actually back to using can and making some cofee and getting a snack on my own. I’m taking 1 Dilaudid 3x a day with Tylenol in between if I need it. I also added the Gabapentin and the Meloxicam back into my meds.
Day 12 - At PT I’m doing full rotation on stationary bike (about 20 rotations in 10 mins). I have 111 degrees bending. I can do this. Therapy is rough. On my off days, I continue at home with a less rigorous version of my PT. Icing less and moving around the house more.
Day 13 - I did the bike a home today beginning with the rocking. I was able to do 3 very slow backward rotations. At the end of my 10 minutes of stretch rocking I was successful with a forward rotation, so I did 4 more. More I’d soreness and a pull than actual pain. finally I have my meds working with me.
The lesson here was NOT to Stop taking the meds as prescribed. I always think I can do it by myself. The Physxian Assistant that I talked with both times on the phone did not help matters. I will talk to my doctor about this.
Day 14 - Wow, what a roller coaster ride! Pain is minimal. ice seems to become more deterrent than help. Dull ache when the cold hits. Doing away with ice machine and relying on gel packs wrapped in a towel. more comfortable that the coldness of ice machine. Swelling is almost gone. There is not as much bruising as I anticipated. Hopefully I won’t have anymore backslides.
Last edited: