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Bilateral TKR I did it!

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Also, I am pretty maxed out on pain pills - 1-2 Percocet every 4 hours and 50mg of Demerol also at 4 hour intervals use instead of percocet when I need a break from that - sometimes the Demerol works better in daylight hours for me. All those long acting pain pills make me nauseous. I have never needed so many pain pills in my life! Glad to have them, but hate that zombified, addled, brain fuzz feeling... Makes me feel like a weirdo when I try to socialize with the seniors here. I feel pale, dry mouthed and like one eye droops slightly lower than the other... Well, that may be sleep deprivation too. My own personal Woodstock here - only with hours of home renovation shows instead of groovy tunes.
 
I remember when a friend took me to Starbucks a week or so after my surgery, and I was so stoned that I rested my head on my cane while I waited for my Caramel Macchiato. lol The things we do for Java! :bicycle2: "You can reach me by Railway... I don't care how you get there, get there if you can." That's a beautiful song written by Brenda Russell, and sung by Oleta Adams. I'm not sure if she was singing about coffee, but it makes sense when you haven't had any. :mcoffee:

May you maneuver through the sea of seniors and get your sip tomorrow! :beer:
 
Hello, I am getting my staples out on Tuesday and was wondering if anyone knows how long after their removal I can swim?
I know I'll have to wait three days after they are out to shower.... I am staying an extra week at rehab- they have a pool here that is grossly under used... My scar looks clean and closed so far. Did anyone go swimming a week after their staples were out?
 
Yaaay for you getting an extra week for rehab ....more cacooning! From what I understand basically wait till you have no scabs before swimming - hope this helps xxx
 
The advice I got matches that of Dieselilly - once the scabs are healed up, you should be good to go. I just went swimming today - did all of 12 lengths, but pretty much consecutively. I used to do lots of frog kick/breast stroke, but the new knees don't move in that direction so much. The water will feel soothing when you get in.

I'm glad you get an extra week at the rehab facility. But why wait to shower? Do you mean shower without having to cover up your incision? I was showering 2 weeks after my surgery, but had to wrap stuff over the incision & the whole thing was a bit of a production.

I had to laugh at your comment about home reno shows. That was my "drug of choice" after surgery as well.
Take care!
j
 
Bah on the blocked coffee run. better luck next time.:mcoffee:
 
Today I had my staples out. 90 in total and it stung like a tiny bug bite each time. I can't believe it's been two weeks and already I've walked to the kitchen several times without my walker just because I forgot I needed it. All good news and glowing from my surgeon with the exception that my left knee is forming a bit of an adhesion and doesn't want to bend. When I try to bend my left knee it really, really hurts. On a scale of 1 to 10 it's a 10. I was told the only way through this is to push through the pain and break through the scar tissue. Has anyone else had to do this? Having just had my staples out I'm scared that when I bend my knee the incision will simply split open ... so I had them put Steri-Strips down the entire length of the scar.
I'm a little nervous about this whole adhesion deal. How hard should I be pushing my need to bend? Looking for some advice.
Jesse
 
Wow, Jesse, so much going on for you ...
#1. All pain meds are not equal. If one is making you sick, ask for another. But it's soooo important to get the pain under control.
#2. Sleeping ... boy, do I hear you there. Relaxation CD's helped me, spoken word, music, ocean sounds.
#3. Swimming. I asked my doc very specifically about that at both my pre-surg and post-surg appointments. They said four weeks.
#4. How hard should you be pushing the knee ... I believe that all the experts on here say if it hurts, don't do it, that there is no deadline for getting ROM back.

Hope that helps!
 
...my left knee is forming a bit of an adhesion and doesn't want to bend. When I try to bend my left knee it really, really hurts. On a scale of 1 to 10 it's a 10. I was told the only way through this is to push through the pain and break through the scar tissue.
Josephine is qualified to comment; my guess is that it's a bit early for that. But pushing through pain is something BoneSmart never advises, for sure.
 
Well, I have read all the articles on here about ROM and the 'six week window' for adhesion..... Soooo, I think it may be a bit early to worry - I think my approach may be to keep the knee moving as much as possible but not to the point of sharp pain.

- I was also told my bones are rather thin. Being on prednisone through adolescence, this is not news to me... However, it is new to have osteoporosis and worrying about how it might effect the longevity of my implants... Has any one out there had a long term knee replacement with thin bones? I hope I can hold it together.
 
Jesse, you are doing wonderfully. Everyday there will be some improvement, sometimes very small, but improvement all the same. I know from reading so many posts I have been blessed with not much pain and I am sorry you are having so much. Praying for you Lil' Chicklet for a quick and smooth recovery.
 
Good morning Jesse,
Good job getting your staples out :) you should feel a bit better with your bend. Your re-hab
Sounds wonderful, glad you can stay another week.
Those shows are addictive :heehee: you'll probably continue watching forever.
Keep up the good job in p.t...
Thinking of you & sending best wishes,
Diana :flwrysmile:
 
Sounds like you're on the right track Jesse. You might ask your rheumy about the osteoporosis.
 
I don't know what happened, my knees have a mind of their own, and sometimes that is a good thing. Had all my staples out yesterday and was so scared of my scar might open that I basically had the nurse cover my entire scar in Steri-Strips. Didn't want to push bending my knee so I only did physio once in the morning and took a couple walks.... Woke up this morning to my once a week addition of new exercises, my physio wanted to see how my bend was coming along, so I cautiously dangled both my knees over the edge of the bed and ... no pain. I let them dangle there for two minutes waiting for the stabbing pain to appear on the inside of my left knee… But it didn't. I mustered up the courage to push my knee back a little further and still no pain! Hallelujah, whoop-dee- do!

I've been looking in to the longevity of joint replacements in people with osteoporosis. My research so far shows that taking bisphosphonate drugs greatly improves how long the replacements will last. Bisphosphonate drugs slow The osteoclast cells that take away old bone in the bone building process. I am just about to turn 32 and have shied away from these drugs as you cannot be pregnant after you take them for 4 to 5 years and I wanted to leave that window of motherhood open, but I think I am ready to settle into the idea that the only babies I will make in my lifetime are art babies.... Choices, choices.

I have had my joint replacements because of degeneration from rheumatoid arthritis. I got an email yesterday from the arthritis society, September is arthritis awareness month in Canada and they have asked me to be this years female spokesperson. I'm not sure what it all entails except that I will be telling my story in some TV radio and print interviews. I'm definitely up for the job. As everyone on this forum knows having a positive attitude is what gets people through disabilities, surgeries etc. but people don't generally talk about what a positive attitude actually is. I believe a positive attitude stems from our beliefs about ourselves and the perceived value of our role in a family or community - I really want to talk about how the difficulties of mobility and pain test us and bring out our strengths,such as imagination, adaptability, being able to roll with the punches and humility. I think anyone who has suffered from mobility issues begins to realize that a large part of our identity is wrapped up in how and why we move - From dancing to our personal gait, the ability to cook for ourselves and others or being able to care for our pets etc. etc. The loss of mobility can also be the loss of identity and how we come to deal with this creates character and immense inner strength. A positive attitude comes from Learning we are more than just our bodies, we are delicate and formidable beings regardless of the physical. Our bodies are a vehicle for expression and there are an infinite number of ways we can express our selves. we must learn to take care of the part of ourselves that is separate from our bodies as well as the vessel that carries it. It is easy to stay positive when we know how much more than just a physical being we truly are.

Something like that.
Bye for now
 
Did anyone go swimming a week after their staples were out?
I don't think you should be contemplating swimming this early in recovery - and that's nothing to do with whether the wound is healed or not.
However, it is new to have osteoporosis and worrying about how it might effect the longevity of my implants...
It's not usually a problem. Please don't waste your time worrying about it.
exception that my left knee is forming a bit of an adhesion and doesn't want to bend. When I try to bend my left knee it really, really hurts. On a scale of 1 to 10 it's a 10. I was told the only way through this is to push through the pain and break through the scar tissue.
Not on your Nellie! You're only about 3 weeks out and all that is stopping your knee from bending is swelling and pain! I notice no-one has given you the recovery articles so here they are.

You should especially read the first group which includes one on the swollen leg.
First are the BoneSmart 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!

And here are some very crucial articles
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?
Activity progression for TKRs

Healing: how long does it take?
Chart representation of TKR recovery
Energy drain for TKRs
Elevation is the key
Ice to control pain and swelling

Home physio (PT) and activity progress: suggestions
Myth busting: the "window of opportunity" in TKR
Myth busting: on getting addicted to pain meds
Post op blues is a reality - be prepared for it

And wise words from members who have shared their experiences ...
Where are you in recovery?? (TKR)
Five “P’s” of knee recovery
TKR: work “smarter” and not “harder”
Recovering a knee - from one who knows!
It's never too late to get more ROM!
It's worth the wait for ROM
 
Thanks Josephine! I have actually combed Through almost every article on the forum. I do think it is good to read them more than once. They have been very helpful. I learned so much from this site it has almost made my recovery seem easy! It has definitely helped me be patient. learned how to handle my nausea and not to push my ROM too quickly. Actually, today my left knee has seemed to bend magically and of its own volition. Thanks for the reassurance about the osteoporosis. It helps immeasurably. It is also incredibly interesting to see the differences in attitudes between surgeons and PT's in different countries! I must say, I heart the attitude of the medical system in the United Kingdom.
 
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