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[TKR] Julie's Journey<

Discussion in 'Knee Replacement Recovery Area' started by julie1968, Mar 8, 2019.

  1. julie1968

    julie1968 member
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    surgery went good yesterday but in recovery my heart rate went up extremely high for awhile so I ended up in ICU. Better today and hope to see PT and make a plan for home. Femoral block working good slept 5 hours last night.
     
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  2. Jockette

    Jockette FORUM ADVISOR Forum Advisor

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    Welcome to recovery, it’s good to hear from you!

    Hang in there they are looking out for you.

    I will leave you our Recovery Guidelines. Each article is short but very informative. Following these guidelines will help you have a less painful recovery.

    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
    the BoneSmart view on exercise
    BoneSmart philosophy for sensible post op therapy
    5. At week 4 and after you should follow this
    Activity progression for TKRs
    6. Access to these pages on the website
    Oral And Intravenous Pain Medications
    Wound Closure

    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 the 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 the member’s history before providing advice, so please post any updates or questions you have right here in this thread.
     
  3. Bionic

    Bionic post-grad

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    Glad the surgery was ok. I'm not sure if its unusual for the BP to go high. It seems most people where I was had gone the other way.
    Best wishes
     
  4. Lindylee

    Lindylee graduate

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    You're in the best place at present. I hope the heart rate settles and you're soon able to go home, glad surgery went well.
     
  5. JDinCT

    JDinCT member

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    @julie1968 Welcome to the other side.... hope everything settles down and you're on to regular recovery ASAP...
     
  6. catkin69

    catkin69 member

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    Lovely to see you on the other. Sorry you had a bit of a hiccup but back in the road to recovery now x
     
  7. julie1968

    julie1968 member
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    I got home last night slept about 4 hours. Femoral block comes out today so I'm sure more pain will kick in. Thank you for your suppoert. @catkin69 @JDinCT @Lindylee
     
  8. Jolease

    Jolease member

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    Hi@julie1968 glad your surgery went fairly well. I didn’t have the block the last 2 times due to nerve pain. I did have it the first. I would suggest getting on a pain management schedule before the block fully wears off. I’m trying to get my pain manageable. I’m very swollen and in huge pain at the moment. I got 3.5 hrs sleep last night in my own bed wich was nice but should of set alarm for meds as it’s catch up time now. I’ll be following your recovery , good luck xx
     
  9. snoots

    snoots junior member

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    It’s interesting to read how things are done in the US compared to here in the UK. Good luck and I am right there with you on this journey!
     
  10. julie1968

    julie1968 member
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    @Jolease I got the block out yesterday. Real sore but not throbbing pain. I did sleep off and on for 6 hours last night. Take my pain meds at times recommended. So far no severe pain. Praying your recovery gets easier. I have PT coming today not looking forward it that
     
  11. JDinCT

    JDinCT member

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    @julie1968 My initial PT as nothing more than a consult with the therapist reviewing the surgeons and hospitals PT recommendations and setting up a schedule going forward. Hope all goes well.... you might want to take this time to establish your boundaries on pain and discomfort threshold during PT to ensure both of you are on same page. In my opinion, it's best to get that established early on … and if you cannot come to a mutual agreement and understanding, you can move on to another PT that respects your boundaries.

    Best of luck!!… You Got This!! :thumb:
     
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  12. Jaycey

    Jaycey SUPER MODERATOR Moderator

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    I totally agree with JD - set the boundaries and do not let anyone force you to do anything. PT should never hurt. Unfortunately most PT have a "checklist" and they want to get through it as fast as they can to move to the next patient. That's when you suffer. You are not in training for anything. Your knee is healing.
     
  13. julie1968

    julie1968 member
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    @JDinCT thank you. I've been doing the exercises the hospital gave me and walked better each day. If this lady coming today isn't right for me I'm definitely get rid of her. So far no severe pain and I'm not trying to get any doing PT.
     
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  14. kneeper

    kneeper FORUM ADVISOR Forum Advisor

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    Sounds like you're off to a good start. Just listen to the knee and you'll be fine in PT.
     
  15. julie1968

    julie1968 member
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    I've been getting a severe headache in the back of my head and neck the last 3 days. I'm 6 days PO from TKR with spinal nerve block. My Dr said the spinal can cause the tension headache. Hoping they pass soon. Anyone else experience this?
     
  16. Bionic

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    @julie1968
    I have had 3 spinals and never had the headache problem but I hope yours disappears quickly. The TKR pain is enough in itself without this.
     
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  17. Jockette

    Jockette FORUM ADVISOR Forum Advisor

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    I’m so sorry you have this additional issue. Headaches can be just awful. I hope yours clears up soon.

    Rest as much as you can.
     
  18. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    I've known patients who experienced that. But it's nothing to worry about.
     
  19. maryo52

    maryo52 FORUM ADVISOR Forum Advisor

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    With the changes brought on by surgery and the meds, there is a need to increase fluid intake. Sometimes inadequate fluid intake can result in headaches. Just saying.
     
  20. catkin69

    catkin69 member

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    No headaches but I am getting neck pain which I am putting down to sleeping in positions I wouldn’t normally sleep in. I hope one day I can get back to my side, curled up in a ball sleeping!
     
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