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[REVISION TKR] HELP - 16 months out and in pain<

Discussion in 'Knee Replacement Recovery Area' started by Scheherazade, Oct 8, 2015.

  1. Josephine

    Josephine FORUM ADMIN, DIRECTOR Administrator

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    Gosh that's high for how far you are.
    For something else, I presume? You do know that Naproxen is an NSAID which is not only bad for your stomach but also a very poor pain killer. Is there any reason you can't take Tylenol? If it's okay, I suggest you take 1,000mg 4 times a day and you can take that with the Naproxen.
    Okay
    That's kind of okay. Could be better.
    I trust you were using a cloth or towel between your skin and the ice pack, yes?
    Okay
    Oh not good!
    Nor any PT?
     
  2. Josephine

    Josephine FORUM ADMIN, DIRECTOR Administrator

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    So that is what you are doing now but can you answer those questions again for the 6 weeks after the revision? Best as you can, of course. And I will need to know all the exercises and PT you were doing too.
     
  3. Scheherazade

    Scheherazade member
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    I am not doing any PT and I didn't do any after the revision.
    I just initially did heel slides and then leg lifts on my own. I was doing quite well until about the 7 month mark.

    At the 6 week mark I had already begun only relying on a cane occasionally. Progress was very much on target until 7 months.
     
  4. SusieShoes

    SusieShoes FORUM ADVISOR Forum Advisor

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    I'm so sorry to hear of the trouble you've been having. It boggles my mind that you could be doing well until seven months and then have so much trouble. Did the second opinion OS have anything to say? Also, have you been tested for metal allergy? Just wondering, because that is the sort of thing that can show up later.
     
  5. Scheherazade

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    I was tested for allergies before the second surgery - and was not reactive to the metals. The explanation given by my revision OS, that my tendons around the knee cavity stretched out, is consistent, or at least not inconsistent, with being initially okay and then becoming unstable. The components were not unstable, but there was laxity nonetheless, according to the operative report, and it was the same in both knees.
     
  6. Josephine

    Josephine FORUM ADMIN, DIRECTOR Administrator

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    Well those are exercises! So how many were you doing and how many times a day?
     
  7. Scheherazade

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    10 heel slides on each side, twice/day
    5 building to 10 leg lifts once/day I stopped both of these after about 5 weeks, as I was progressing so well.

    When I was five months out I began working first ten, then 15 then up to 30 minutes/day at a slow pace on a rowing machine 3 to 4 times/week, but I stopped doing this because my left knee began to hurt (that is the problematic one).
     
  8. Josephine

    Josephine FORUM ADMIN, DIRECTOR Administrator

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    Building up to? And then 10, 15 as well as a rowing machine! Honey, at that stage you supposed to be reducing them! So no wonder you have/had this pain. Stands to reason. Definitely you joined the ODIT (over did it club)!
     
  9. Scheherazade

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    That doesn't make any sense, as I was fine after I stopped doing the heel slides and leg lifts, and was fine for another 4 months, walking easily for many blocks. I didn't start experiencing pain at all until 6-7 months after the revision surgery.
     
  10. sistersinhim

    sistersinhim FORUM ADVISOR Forum Advisor

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    Wasn't that when you started using the rowing machine?
     
  11. Scheherazade

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    I started using the rowing machine at 5 months. But I stopped that after a month and haven't done it or anything else other than walking a block or so a few times/week for the past 3 months.
     
  12. Scheherazade

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  13. SusieShoes

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    Knee pain is a sign of inflammation and rest is the best treatment. It sounds like you did a good job of healing your knee early on, because you said for 4 months or so you were easily walking several blocks. The rowing machine appears to be the exercise that derailed your recovery.

    I personally loved rowing machines before my knees got bad. I haven’t used one since my surgery, but I understand the appeal. They really work the leg muscles. You wanted to get those muscles working and stronger to help stabilize your loose tendons. That’s understandable. However.... I think the machine was too hard on your knee and the result was the return of inflammation.

    If your OS has pronounced your implants to be in good order, then your best bet is to rest that knee. Ice it, elevate it, and get the inflammation down. Let it heal. Walk as your knee tells you is enough, but not too much. Once your knee settles down again, you can resume gentle exercise and very gradually build up those muscles you need for greater stability.
     
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  14. Scheherazade

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    Thank you for that response.:flwrysmile: I still don't understand why my knee continues to get worse three months after I've stopped all exercise, and begun to once-again experience an ever-shrinking world.:sigh: If I have to walk more than one block, it does help if I wear a knee brace. Does that suggest anything?
     
  15. Celle

    Celle FORUM ADVISOR Forum Advisor

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    That is a very old thread (2011).
    Now, we tend to advise not to use the rowing machine so early - it does put quite a strain on your knees.
     
  16. Scheherazade

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    Third OS says it is tendons surrounding knee cavity ("rubber bands") which became lax and the only option left, other than taking everything out and starting with a whole new much more restrictive replacement, is to wear a hinged knee brace all the time. Maybe the tendons will retract, eventually, or else I will be wearing the brace pretty much for the rest of my life. Sigh. But not my fault, just how my tendons were constructed, according to the docs.
     
  17. Celle

    Celle FORUM ADVISOR Forum Advisor

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    That sounds liked a lot of baloney to me - the explanation of a surgeon who doesn't want to get involved in doing anything to help you.
    No, I'm not buying that.

    Take a break for a little while and then I think you need to seek yet another opinion.
     
  18. Scheherazade

    Scheherazade member
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    To be clear, the doc didn't say it wasn't HIS fault, I was saying it wasn't MY fault.
     
  19. Celle

    Celle FORUM ADVISOR Forum Advisor

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    I agree. Of course it isn't your fault. :friends:
     
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