I am posting a very good five week report particularly to give heart to anyone who is morbidly obese but who has found a surgeon to agree to do a knee replacement. It took me three tries and eight years to find a surgeon who would do the operation on me because of my weight. He gave me a knee called an LCS knee, which is an older kind of replacement, but is supposed to stand up better to the stresses of the additional weight.
For my check up today, the orthopedic dr agreed to see me a week early, since I'll be travelling for the next two and a half weeks. We did X-rays and he pronounced them to be perfect! A little of the "caution" is going out of my cautious optimism. I've been almost afraid to believe that this is working. Also had therapy today, and the therapist is going to wait another two days to measure, but said he was very happy with the look of my bend and the extension was decent although probably still a few degrees from zero. I've been exercising on a recumbent bike and a nustep in my garage on very low resistance. Today we tried me on a regular exercise bike, and my operated leg was able to easily handle it. The non operated leg, not so much! Oh well, that's for another year.
I had several questions for the surgeon. He said I may swim when I go to the mainland next week, but suggested I wait until the three-month mark to get into a hot tub. I asked him about flu shots, and he also recommended waiting until the three-month mark for that. He said I can start using scar cream, as the scar is healed over. So all good news.
Things that are still problem areas include severe sensitivity of the scar, especially at night. I haven't tried the saran wrap, but I think I shall. I also still tire easily. I am up and about late morning, doing errands, visiting my parents, and going out for my quiet me-and-a-book lunch. Then I rest a few hours, do a half hour of exercise, rest a couple more hours, then am up and about doing daily living things for a couple hours before resting for the night. Gentle stretches during the day whenever it occurs to me. So perhaps a total of five to six hours up and around on my feet or sitting up. This tires, but doesn't exhaust me. There are areas of pain around my knee here and there, sometimes more than others, some pain in my upper outside thigh, but not in the back of the calf which is the only area where the surgeon was concerned (blood clots). Still a lot of stiffness and tightness. The hip pain from my old bowlegged and stiff knee is getting better with the stretching, but can be painful at times.
Standing now is painless. It used to be so painful as to be almost impossible. And where I used to drive the short parking lot with the grocery store at one end and the restaurant at the other, today for the first time I told myself, you can walk that now! You don't need to plan your day around minimizing walking! I'm taking two extra strength tylanol pm at night, two plain ex strength when I wake up, and two in the late afternoon. Plus still doing aspirin for another week. I have several norcos in reserve for my trip in case the driving and swimming require something stronger at night. I still elevate most of the time when not on my feet, and ice for an hour three times a day. I am still using a cane and walking very carefully and deliberately to get the correct gait.
Other than ice paraphernalia, my favorite recovery item has been my foam elevating leg cushion. I've used it constantly, and throw my legs around on it a dozen different ways. It's going to be so beat up by the time I'm done!
I'll post about how the swimming goes next week. I know we're never completely out of the woods regarding infection possibilities, but at this point things are looking pretty good.
One final thought for anyone heavy who is contemplating this. Although I was never able to control the eating part of my weight problem properly, the one thing I always did was exercise. Ever since I retired, I've been exercising on my nustep at least an hour a day at least five days a week. This summer I even stepped that up for three months before the operation. Most days this summer I would do water exercises for an hour, exercise on my nustep for an hour, and do weight bench exercises for a half hour. I don't know to what extent that's helped in what's been a remarkably good recovery from the operation, but it certainly didn't hurt anything, and I heartily recommend it.
Best wishes to us all!