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[TKR] Irish471's Recovery Thread

Discussion in 'Knee Replacement Recovery Area' started by Irish471, Mar 18, 2019.

  1. Irish471

    Irish471 senior
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    Surgery went well!!! We showed up a few minutes early and were there before the outpatient crew. Lol! I am always late to everything, so this was a first.

    He ended up doing a total replacement. There were things that surprised him that didn't present on the xrays. He told my husband the details which his sleep-deprived brain forgot. Neither one of us slept at all last night. I am SO relieved it's finally done ! Time to focus on getting better. First up one that agenda is
     
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  2. Celle

    Celle FORUM ADVISOR Forum Advisor

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    Hi @Irish471 - you will see that I have moved your post from the pre-op threads and started a recovery thread for you.

    Please post any updates or questions about your recovery in this thread from now on.

    If you prefer a different thread title, just post what you want and we'll get it changed for you.

    Just in case you couldn't find your thread, here are the instructions on finding your thread,
    How can I find my threads and posts? . Many members bookmark their thread, so they can find it when they log on.

    I'm glad your surgery went well and I'm glad your surgeon went ahead and did a TKR when he found thta your knee was worse than he expected.

    Here is the recovery reading we give to everyone;

    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
    elevate
    ice
    take your pain meds by prescription schedule (not when pain starts!)
    don't overwork.
    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 a 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 history before providing advice.
     
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  3. Bionic

    Bionic post-grad

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    @Irish471
    Glad your surgery went well. Hope the pain is under control.
    Best wishes.
     
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  4. Jockette

    Jockette FORUM ADVISOR Forum Advisor

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    Hi and Welcome to Recovery! Best wishes for a great outcome!

    I’m so glad you got the total! I had a Patellofemoral 2 years ago and I’ve struggled every day since. This theory that it feels more natural because 2 of your compartments are your own did not come true, and neither did the “quicker recovery” they write about.
     
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    Last edited: Mar 19, 2019
  5. Lindylee

    Lindylee graduate

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    Hooray! Welcome to recovery. I hope they manage to control your pain levels and you're not too uncomfortable.
     
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  6. NavyGunns

    NavyGunns FORUM ADVISOR Forum Advisor

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    @Irish471, welcome and good luck on your recovery. Remember, this is a marathon event, not a sprint, so the more patience you have, the better.
     
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  7. CorpHippie

    CorpHippie junior member

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    Glad all went well!
     
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  8. Irish471

    Irish471 senior
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    Thank you, everyone! I am comfortably resting at home and just had visit from home physical therapist. Talked to the surgeon this morning and got more details on my surgery. There was a total loss of cartilage on the lateral posterior of femur and the cartilage of medial and lateral was at about 50%, so he knew the partial wouldn't get me very far and made the decision to go with the total. I am happy with that. I have a cementless implant that he said should last 30 years or longer! Sometimes the plastic pieces wear down and he would need to replace those. I hope and pray things continue to go smoothly. I am very pleasantly surprised so far ☺ Even the hospital stay felt peaceful and relaxing. Now, time for a nap.
     
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    Last edited: Mar 19, 2019
  9. gia2cats

    gia2cats junior member

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    You are doing so well and have a wonderful, positive attitude. I had the same sense of peace and calm after my TRK and recovered well. That’s not to say that you won’t have ups and downs but mine were not bad at all. Happy for you.
     
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  10. Lindylee

    Lindylee graduate

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    That's great news, so pleased for you. One day at a time now and you'll get there. Take care.
     
  11. Irish471

    Irish471 senior
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    Thanks everyone! I had a rough night and kept waking up my poor husband. Leg gets very stiff and uncomfortable when I elevate. I managed to take a shower unassisted this morning. Feels good to be clean Physical therapist is on his way here. Hoping he can help solve the elevation issue. I don't think I am doing it right. Really would love to take a nap. I am very sleep deprived.
     
  12. Momma-me

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    Wow! I am so happy for you and very impressed!!! Great news!
     
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  13. Celle

    Celle FORUM ADVISOR Forum Advisor

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    I wonder if you're keeping your leg completely straight while you're elevating? You don't have to. A little bend is OK, and it's much more comfortable.

    Have another read of this article and see if anything in it helps you:
    Elevation is the key
     
  14. Irish471

    Irish471 senior
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    @Celle , thank you!!! The elevation was stretching the leg way too much according to the article. I took things down to just the lounge doctor and it's much, much better. Thank you, again!
     
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  15. Celle

    Celle FORUM ADVISOR Forum Advisor

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    I'm glad the article helped. :yes!:
     
  16. JDinCT

    JDinCT member

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    @Irish471 Welcome to your recovery support group.... :)

    Hope your recovery is smooth and complete. There will be ups and downs along the way but you will persevere over time.

    All the best!
     
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  17. Irish471

    Irish471 senior
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    Gosh, everything was going good. Then the pain control injection they did into the joint wore off on Wednesday and we couldn't get the 12-hr extended relief Oxycontin until yesterday. So my pain got a little out of control for a bit. Bruising is making its way up my thigh and I am so sore.

    Today, I was supposed to stop round-the-clock icing and just go to 3x/day. This afternoon, I broke down and just sobbed. I hope to God I didn't make a huge mistake having this surgery. I tried to lift my leg and had a sharp, excruciating pain. I am thinking it was my incision being pulled.

    Swelling doesn't seem to be going down much despite all the elevation I do. I am really not on my feet much at all, mostly just for trips to the bathroom. I am just feeling overwhelmed, I guess and needed to share the rollercoaster of emotions with people who understand.
     
  18. Jolease

    Jolease senior

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    @Irish471 I was in your shoes not long ago, I never thought the swelling was going to come down. It’s very over whelming. Your only a few days out and it will get better! Having a shower unaided is a accomplishment! This is a roller coaster recovery. One day you think your on your way.. the next you take a step back.. in the end we all get through it especially with the help of Bonesmart. Do lots of ankle pumps & drink water to help with swelling.
     
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  19. Jockette

    Jockette FORUM ADVISOR Forum Advisor

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    I was very overwhelmed also. No one prepared me for this recovery.

    You should ice at least 40-60 minutes, and at least 4 times a day. Ice is a good pain reliever. Just be sure to have some type of cloth between your skin and the ice. You can do this over night, also. It’s ok with this type of post surgical swelling. This swelling could go in for weeks but it will settle down.

    I’m sorry there was a gap with your pain control and it got out of hand.

    Emotions are very strong right now. I did my share of sobbing also. There’s an article in the Recovery guidelines about it :
    https://bonesmart.org/forum/threads/post-op-blues-is-a-reality-be-prepared-for-it.7591/

    You are in the “angry tissue” stage, things will get better. :console2:
     
  20. Lindylee

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    Wondering if you did the right thing this early on is quite normal. It was 6 weeks before I could honestly say that I was not still debating whether I should have left well alone. Hang on in there, it will get better.
     
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