TKR kmak's TKR recovery thread

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Yes it was very cold that hockey game I went to! It was in the afternoon. We ended up in the restaurant area with big window overlooking the rink. And, during the time outs, some of the team members spent more time waving to their small children on the other side of this window! A good time was had by all!
 
I'm grinning from ear-to-ear at the concept of having been *reset* overnight! Thanks for that @Polkadot! I was up into the wee hours last night due to contemplating some of the "what-ifs?" when I suddenly had an epiphany; phew! I came to the realization that as @SusieShoes Shoes just stated, this phase, which I shall refer to as "Phase Two," is the one in which we all seem to stew and chafe a bit regarding how s-l-o-w or stalled we've become. "The Thrill is Gone," and reality has set in. Though we've all come so many miles, the really BIG accomplishments are now behind us. Phase Two seems to require accepting our present plot-point, (nautical term) avoiding downer rabbit-holes, and in my case, just perfecting that which I CAN do. This requires a certain level of accepting we are where we are *supposed* to be. Needless to say, it helps to be relaxed about our present status. Adaptability=Success over the long haul.:fingersx:

Somewhere during the *Witching Hour*, I also realized I need attainable goals right now, not goals of possibly skiing 6 months down the road or swimming 20 laps again with ease. Those will have to wait until Phase Three or Phase Four and that has to be ok. I'll file them away in some dusty corner of my mental attic for much later viewing. :SUNsmile: They're simply not appropriate ideas right now, and only serve to frustrate. This type of thinking is akin to being a size 12 and trying to squeeze into the size 8 jeans....not going to happen. So, right now, I need to practice what's been so hard-won; stairs, the exercycle, kneeling, getting in and out of the bath tub, and of course, the very basic act of walking normally. I believe this is attainable. I want to execute all of these moves with more grace, and *normalcy*! And hey, this isn't such a bad thing, ya know? Ease versus struggle is my new focus. Gary, time and Bonesmart have given me the tools and I need to keep those tools handy and sharp. When I lose sight of these basics and misplace my tools, I go off the rails and I really don't like that neighborhood....it's downright scary!:scare:

As such, right now, I'm engaged on a daily basis with house-hunting online and it's a wonderful way to focus on something that isn't knee-centric. It's great fun, and I imagine we'll be making many trips "Up North," in the near future. If I have to lie in the back seat of the Geri-Car for a four hour drive, so be it. I'd like to spend some of Phase Two painting, but...all of my painting supplies are packed away for moving purposes and I'm a messy painter who needs a lot of space. As such, I'll stick with the new home search for now and hope we land where we are meant to be.:tada:
 
Well, you are just a youngster, Kathleen! I would be excited to join a BS bowling team, although you might not want me. Several years ago a friend talked me into a bowling league, and my average did NOT add to the team's standing or morale!

However, one can make lemonade out of lemons: Way back in my college days, I took a bowling class. After weeks of instruction, I was still the worst bowler in the class. I blame this on being left-handed, but it probably had more to do with being uncoordinated and awkward in front of a large group. :shocked: For the last few classes, we held a tournament, in which the worst bowler was paired with the best bowler, and so on. And "we" won the tournament!! (He was a ringer added to the class to help the instructor. His average was like 196). So I do have a plastic bowling trophy somewhere packed away, probably with my moth-eaten degree. BTW, many of the females were drooling all semester over my hunky partner. My other "prize" was that he and I ended up dating for a while after the class. We just never went bowling again.
 
P.S.: I'm so impressed with all of these posts today! We've come such a long way in the wink of an eye....overnight! We really can do this healing thing; Whoohoo!
 
Oh @kmak81230, I will be 65 soon and that number really has a legitimate *Senior Ring* to it, but...it's ok. I remember ruining the last 3 months of 49 with anxiety about turning a *stodgy* 50, lol. It was a "Blue Period," and Mistah bought me a lovely sapphire to commemorate this dreaded birthday. These days, I wear the ring with pride! Now, here's a very practical tip on how to survive dreaded B-Days with no real effort: On your B-Day, just realize you are not a year older, you're simply a day older than the day before. It works for me, so I hope it will for you as well.:yes!:

Like you, I can easily fall into *Hermit Mode* so I admire your efforts to just get out there and do stuff; woot!

Your Spin Class mentality and planned lack of certain movements for the day deserve applause! *Loud Clapping*
 
@Pheebs52, I am a woman of many stories. This has come out during my TKR recuperation. Who knew?!?

BTW, your post (the long one!) holds amazing and right-on thoughts. I've bookmarked it to return to. I'll need to read it over several times to let it really sink in. Really, really needed during this Phase 2 for me.

@SusieShoes, I've also bookmarked your reply. I agree with Kathleen that your thought about "the luxury of wanting more" is well worth contemplating; I also resonate with your "too much time between rewards." Thank you!

This Phase 2, as Pheebs has coined it, is challenging. Right about the time we feel we should now be contributing more to our family, to society, or at least getting out every day to interact with the world, we receive messages from the universe--or at least from our knees--that we may not be as ready as we thought to reassume the mantle of engaged living. Boo, hiss!

I don't know about the rest of you, but the past 4 months has been a humbling exercise in accepting help while looking for all the world like a pampered slug. So Phase 2 comes out of nowhere, and aha! The zinger is that in this phase, we STILL need to be kind to ourselves; we can't just hop up and repay the world for our time-out; we STILL need understanding and help from our significant others; and I'm suspicious--highly suspicious!--that to get through this with sane brains, we actually need to increase doing things that are pleasurable to us. As Susieshoes said, the rewards our knees give us are fewer and farther between. This leaves more time for worry and frustration to set in. We need some interim rewards! This is hard for me (because I don't have a large Italian family who won't leave me alone,maybe? :SUNsmile:), but I'm going to need more wine (have only had a glass or two since I stopped the meds a month ago), more friends, more movies and fun outings, and more occasions of self-indulgence.
 
@Fire wolf - Did you have to remind us that there are more weeks ahead of us than behind us :gaah: - just kidding.
I agree that probably wasn't so helpful! :nah: I guess it was an attempt to find hope in the TKR wasteland that we are wandering through!:headbang: It didn't help me much either! :tantrum2:
Glad today was, or at least started out to be a better day for you! As far as you raising the seat for spin class, when I was in PT they always wanted the seat up as far as possible so that leg would be as straight as possible when pedals were at lowest point, as it was supposed to help more that way. Doesn't make sense as I was always lowering seat in all former knee rehab situations to get that flexion, but it seemed to work out well for me. I would say put your comfort 1st so you can enjoy it, rather than have it feel like you are working in PT. :yes:
 
Lots of good posts here, it's so nice to chat with those of like mind.

All the people I personally know who have had tkr just look at me and ask if I'm "doing my exercises " or if I'd done PT. They, and my other friends who haven't had tkr think that is the answer to everything recovery-wise and that I am way behind schedule.

Even though I know better it's still embarrassing to not be as far along as they are/were. 2 friends had theirs done after me. I gave up trying to discuss the Bonesmart way with them because I got tired of the disapproval that I was not "exercising".

So many Americans seem to be brainwashed about PT!

In 1998 my son was a jr in high school and broke his leg playing basketball. Back then he didn't go to PT. He healed great. He broke the smaller of the 2 bones in the calf. We saw a sports orthopedic doctor who told him when he could walk without a limp he could play basketball again. I think within about 7 weeks he was playing again, wearing his air cast for protection. All without PT!!! Unheard of today.

While I'm sorry there are so many of us taking the scenic route here, I am glad I'm not alone and all of you understand.
 
Agreed with all of you - I think this A++ personality will try to chill a bit as it comes to the knee in Phase 2 - besides I can always spend more time swinging both arms when I walk as well as walking in a straight line. :walking:This little walking friendly doesn't even have arms - what's up with that? Whoever ever gets to Phase 3 first let us know what it's like and what to expect. It's not a race.
 
Hi Smarties,
Just got back from my girls reunion and back to wifi land so I could read your posts. Can I just say I am thankful that you have all so eloquently written exactly how I was feeling but had not verbalized even to myself!
This Phase Two embarrasses me a little as I hate to think that anyone perceives me as "milking my injury" but it sometimes feels like that when folks ask how you are doing, see your healed scar, ask how long it's been and then you have to own up to your limitations. We all know on here that we still have limitations but they are hard for others to understand when you say it's been xxx months since surgery.
Hopefully our rewards although smaller will be more satisfying in this next phase. I'm going to go with that!

Just one other comment re hockey. It is a great game whether you are a player or a spectator. I love nothing more than watching a well matched game. As a Canadian it is in my blood! We have our "arena clothes" to make sure we stay warm and cheering your team also warms you up lol!
I applaud you Kathleen @kmak81230 for wanting to play but I would give yourself just a little more time. You want to make sure your knee is strong for those quick starts and stops!
 
Many of us were worrying (needlessly) last night as to whether or not we were doing *enough* physically to ensure a good recovery. As such, I know you'll all be pleased to hear Gary's thoughts on this very subject today during my PT session. He would like me to do more, but with qualifiers. He told me to do more of anything that is *natural*, specifically, walking, cycling, stairs and bending to retrieve something from the floor. You know, the things knees were actually made to do. :wink: Sound familiar @sistersinhim? LOL! More time perfecting what I am capable of now. He does NOT want me to join a gym, swim, ski, play soccer (I don't) or engage in any type of sport from jogging to tennis at this juncture. Why? Because lots more healing needs to take place. Period. I can review those activities with him or the OS at 6 months and 9 months, or 12 months if it takes that long, but not yet....much too soon.

I'm just a few days shy of 4 months and according to him, I'm right on target. I laughed and told him about my difficulties this week with the bike and stairs and also mentioned the heel slides I tried last night seemed to indicate less flexion. He measured. Apparently, my fat, currently achy knee, is now at a very proud 105 flexion! What? Last time it was measured, several weeks ago when I felt quite good, much better than now in fact, it was still at 98. I actually didn't believe him and felt certain he'd made a mistake, so he measured again, and again, 105! This was done in the much hated, prone heel-slide position with no *assistance* from him whatsoever; just me and my knee. Frankly, because it's still ouchy, I didn't even really try all that much. Sitting, it measures at 108!

So, how can this be? It's swollen, it's a bit painful, it feels stiffer, tighter and looks fatter, yet...these are the numbers. As he insists, *popping the adhesions* from my bike mishap is the answer. Hmmm. I asked if I would ever be rid of the blasted things, and if so, how would I know? I mean, really, is this ever going to stop? Answer: Yes, it will stop. You have a few more. I can feel them. We work on them every time you come here. Huh, who knew? Certainly not me! He's never once hurt me, so obviously this is a covert or covfefe move on his part, lol. According to him, the rest of my flexion (and this would apply to extension as well for those who suffer with that issue) will just come through *natural activity,* over ......can you guess? Hahaha, yes, of course you can. Time. The Great Healer. The Bonesmart Healer.

He did say that once I am around 115-120 (yes, I will get there and so will all of you) my question about knowing if all are gone becomes moot. If one can *move and groove* at those latitudes, it simply doesn't matter if you still have some adhesions. Makes sense, right?

According to him today, and my OS a few weeks ago, swelling will continue for at least up to 6 months, very possibly up to 9 months, and for some people, up to a year. It's ahem, *normal.* He says it shouldn't keep us from being active in a *natural* way, we should simply respond appropriately with ice, elevation and perhaps modify the length of time for walks, cycling and so forth. Sound familiar?

In summary, for any here who may sometimes feel conflicted about the Bonesmart way, his is an objective, professional and very experienced, outside voice who subscribes to all Bonesmart theory.

Feel better about yourselves now? :happydance: I do!:yes!:
 
Thanks for sharing your great improvement @Pheebs52 - 105 is outstanding. After all, you are on the fast track. So glad Gary was able to give us some additional perspective on this journey through Phase 2.

Welcome back @Canada35! Hope you had a splendid time with your friends. As @Polkadot reminds us, we need more friend and social time (and more wine) in Phase 2. :beer:.

@Fire wolf - yes, I expect the high seat works on extension while the low seat pushes flexion. Maybe I'll alternate during my class.
 
Glad to see a few of you have benefitted from Gary's perspective and wisdom. He really is a PT Maestro!
 
Go Gary! I wish he was my PT. We'd have soulful talks and solve the world's problems. Maybe brainstorm a reality show: Bend the Knee! His advice is dead on. I've done really well -- and all my exercise is natural. Walking, mostly. But also crouching to pick things up, going up and down stairs more often, getting in and out of my low car, and just using my legs to get up out of chairs. Just what knees are meant to do. Occasionally there's a muscle pain, or a little more swelling, but it goes away in a day or two.

And hockey is so fun! I enjoy it (we go to Flyers games) but Mr. Shoes despairs of me because I have trouble following the puck. He's sure I'll get hit one of these days. Our seats are perfectly placed for if the puck flies over the glass. I remind him his job is to protect me.

Yay for Phase Two! It's a bit of a drag, but it sure beats Phase One.
 
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