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[TKR] JDinCT Recovery Thread

Discussion in 'Knee Replacement Recovery Area' started by JDinCT, Mar 5, 2019.

  1. JDinCT

    JDinCT member
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    On Metro North train headed to NYC for my RTKR tomorrow morning at 8AM at Hospital for Special Surgery (HSS). Thought I would get ahead of the curve and create a recovery thread now before I'm well medicated.

    Good luck to all those with surgeries this month.... or any month for that matter.

    Special shoutout to @julie1968 and @GramNina with whom I'm sharing a surgery date.

    It will be great to enter the next phase of this journey .. ready to get the show on the road.

    Thanks to all those BoneSmarties that have helped me along the way so far!!
     
  2. GramNina

    GramNina new member

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    Thank you! Wishing you well,too.
    Great idea starting a recovery thread while unmedicated .
    Let the journey of recovery begin!!!
     
  3. Pumpkln

    Pumpkln FORUM ADVISOR Forum Advisor

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    @JDinCT
    All the best tomorrow, here is a copy of the recovery articles to give you a head start on your reading.
    The articles are short and will not take long to read.

    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 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.
     
  4. Spex10

    Spex10 post-grad

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    Good luck! See you on the other side (of the op!) This time tomorrow it'll be done!
     
  5. maryo52

    maryo52 FORUM ADVISOR Forum Advisor

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    Which surgeon do you have? I've seen two there over the years, just too logistically challenging to have my revision in NYC. Before you know it, you'll be beginning a new life.
     
  6. Bionic

    Bionic post-grad

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    I had my LTKR on 1st Mar so I'm not far ahead of you.
    Best wishes for a good recovery
     
  7. julie1968

    julie1968 member

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    @JDinCT praying for a easy surgery and good recovery
     
  8. JDinCT

    JDinCT member
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    Hello everyone... its official... according to HSS surgical staff... surgery went very well..:yay::yay:

    Surgery was about 1.5 hours and I spent about 5 hours is post-op recovery. Was a little slow getting feeling back from epidural. One unexpected reaction to recovery from epidural... I got very anxious waiting to get feeling and function back.... kinda weird...

    Got into my room around 3 PM and expect to be here until Friday.

    PT had me up with a walker around 5 PM.... I walked about 40 feet with significant assistance from the walker....:egypdance:

    so far... so good.... that was it for "PT" today. Tomorrow PT will be more "walking" and learning to negotiate 1-2 stair steps...

    I'm on IV pain med pump... with hydromorphone available to me on demand.

    I also just opted for a 5 mg Oxycodone to get ahead of some of the pain escalation. Long term pain relief …

    @maryo52 My OS is Dr. Figgie.... he is Chief of Surgical Arthritic Services at HSS. All I can say about HSS and Dr. Figgie is that my experience has been nothing short of excellent. This reflects the reviews I read prior to my surgical experience.

    Leg Pic.jpg Pain Pump.jpg
     
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  9. maryo52

    maryo52 FORUM ADVISOR Forum Advisor

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    I see the blanket warmer, one of my favorite items. The constant cooling of my knee made me cold, and those warm blankets help.
     
  10. Spex10

    Spex10 post-grad

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    So far so good then. The only way is up!
     
  11. JDinCT

    JDinCT member
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    Good morning everyone!

    First night with new knee seemed to go very well. The IV morphine drip will be decreased this morning and then totally discontinued later today. I will then transition to oral meds. I seem to be tolerating the oxycodone very well, so that is likely my go to pain meds going forward. Pain management so far has been very good going from about 1-3 in cycles.... but were are staying ahead of it. No nausea from pain meds so far. :thumb:

    I managed to get about 4 hours of good quality sleep during the overnight and rested with eyes closed in twilight another 3 hours. :yes!:

    So fare they have me doing the following PT in bed. Each exercise 10x/hr :
    1. Ankle Pumps
    2. Quadricep Set -Tighten and Hold for 5 seconds, then release
    3. Gluteal Set - Tighten buttocks and hold for 5 seconds
    So far, tolerating the above well.

    Overall... feeling pretty well so far.

    Thanks tp everyone for their well wishes, thoughts and prayers!

    The staff here at HSS continues to provide excellent care and assistance.
     
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  12. Jockette

    Jockette FORUM ADVISOR Forum Advisor

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    So good to hear how well you’re doing. That was a really good sleep you had there!
     
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  13. Bionic

    Bionic post-grad

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    It all sounds good to me.
     
  14. Lindylee

    Lindylee graduate

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    4 hours for the first night is great, glad to hear it's all going well so far.
     
  15. JDinCT

    JDinCT member
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    Afternoon update....

    I walked about 200 feet with assistance of a walker... once in the morning and once in the afternoon. Also had me do five stair steps up and down twice. Was not super comfortable… but not painful either. Will be going home with a walker for the near future.

    Assuming I do as well tomorrow morning, I will be discharged in the afternoon.

    Took out my catheter, morphine drip and incision drain around lunch time. I had about 1000ml from the incision drain over 36 hours.

    They increased my oxycodone from 5 mg every three hours to 15 mg every three hours since I'm off the morphine drip. Received a Toradol injection for inflammation in the afternoon. So far I'm tolerating all the meds well.

    The post-surgical dressing was removed and the incision looked pretty good.... hoping to get a few hours of sleep again tonight.... :fingersx:

    Incision 01.jpg
     
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  16. Momma-me

    Momma-me member

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    WOW that looks amazing!
    I wish you a smooth and speedy recovery!
     
  17. Momma-me

    Momma-me member

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    OH... BTW.. who did your surgery at HSS? (If it's OK to ask this question)
     
  18. JDinCT

    JDinCT member
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    Thank you @Momma-me …. Dr. Mark Figgie, Chief of Surgical Arthritic Services at HSS.
     
  19. sistersinhim

    sistersinhim FORUM ADVISOR Forum Advisor

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    Wow, for one day out you have very little swelling and your incision looks great. Just be sure to not overdo and cause yourself swelling and pain.
     
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  20. Bionic

    Bionic post-grad

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    Your incision looks good and no bruising but perhaps it's a little early for that.
     

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