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Bilateral TKR Look Mom, No Crutches!

newlybionic

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Your mom is doing great. You can’t compare yourself to anyone else. Your knees each had their own problems and even between both your knees I’m sure there’s differences.
 

sistersinhim

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I've heard it said that many older people have less muscle mass so there will be less soft tissue to swell and to heal. I don't know how true it is, but it seems to make sense to me.
 
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Mrs. Ciz

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@Moriah
Yay!!! Congratulations!!! I could do the recumbent bike at my PT clinic all the way around, but I can’t get my regular bike pedals to go all the way around yet. I am doing this!!!!
 

Roy Gardiner

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On another thread:
I ordered a bike trainer stand for my road bike last week.
:thumb:
It should be delivered tomorrow. I want to get back on my bike because it helps so much with range of motion. Last time I tried (3 or 4 weeks ago) I couldn’t get the pedals all the way around. I will get there!
If your leg is stiff and swollen then using an exercise bike for training is not a good idea; but you can still use one for mobility exercises - even if you can't make a single rotation!
  • Set the bike to zero resistance
  • Set the saddle as high as possible and rock the pedals back and forth as far as you can with discomfort but no pain
  • Repeat several/many times a day, but don't go mad. Diminishing returns will apply; my guess is that half a dozen reps would be enough
  • And if you get any pain or swelling in the 24 hours after doing this, cut it down until you don't

With full rotation:
  • Set the bike to zero resistance
  • Set the saddle low enough so that a single rotation is a challenge; difficult but not painful. When a rotation becomes easy right from the start, lower the saddle a max of 1cm.
  • Gently turn the pedals, through discomfort but without pain.
  • Continue until the knee is 'warmed up' and the rotation is now easy, or for 2 minutes, whichever is the shorter time.
  • Repeat several/many times a day, but don't go mad. Diminishing returns will apply; my guess is that half a dozen reps would be enough
  • Do not pedal fast or for more than 2 minutes, this is a stretching exercise, not training.
  • And if you get any pain or swelling in the 24 hours after doing this, cut it down until you don't
Here is a bit more chat and some pix and how 'healing' and 'training' are different
 
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Mrs. Ciz

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At 18 weeks post op, I’m still not sleeping through the night. I wake up every 1.5 to 2 hours to roll over, readjust the pillows, reposition because I’m sore. I’ve been back at work since week 13, and I’m tired. I’ve been taking Unisom and 15 mg of melatonin for the past 3 months, but they are not working. So I asked my GP for some Ambien. She said no. She was wants me to try Trazodone (an antidepressant) because it’s non addictive. I have my doubts about this. Have any of you ever taken it successfully for sleep?
 

Spacedust

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I had thoracic outlet syndrome several years ago (very painful shoulder and neck; tingling in my hand) and had issues with sleep as the pain would flare up and be difficult to control. Trazodone was prescribed for sleep for me, and it worked pretty well - better than my usual go-tos of melatonin and Unisom.
I did have a little problem with dizziness initially (a common side effect), so keep that in mind.
 

Jane66

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Hi @ Mrs.Ciz

How are you doing with the sleeping now ? Was trazadone helpful ?
I'm still in wide awake land despite it being midnight

I have noticed you have been online a few times, so I thought I'd say hello.

Kind wishes
 
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Mrs. Ciz

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Hi @Jane66
YES! The Trazodone is helping. I’ve taken it for 5 nights now and my sleep is getting better dan each night. I went from waking up 6 to 8 times a night to only 2 to 3 times a night and usually that last wake up is about 30 minutes before my alarm goes off.

At 18 weeks I had my last follow up visit with my surgeon yesterday. It went well. My right knee is still lagging behind my left knee in flexion and extension, but it’s getting closer. The behind the knee tight hamstring pain is finally gone!!! He was happy with my left knee and told me to keep stretching and doing heel slides for the right knee. He said it would continue to slowly improve over the next 7-8 months. And if at that time, I still wasn’t happy with the right knee, I could do MUA. But he did say those don’t always work either.

The best thing about the appointment was that he gave me a letter to take to my school that said I am supposed to limit my time on the stairs for the duration of the school year. Even though I can go up and down stairs normally now, it is so easy to over do it. My school let me use the empty 1st floor cafeteria as my temporary classroom (due to Covid kids are eating in our classrooms), so I didn’t have to go up and down from the 3rd floor several times a day, but they recently started pressuring me to move back to the 3rd floor. Now even if I do move back upstairs, they are going to change my duty schedule so I don’t have to go up and down multiple times a day.
 
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Jane66

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@Mrs. Ciz .

Thanks for your message,it's really good for me to be a bit more patient and look at the members who have had their procedures before me and are all 'getting there '.

Excellent news regards your appointment and hope it makes work life a bit easier.

Sounds like some really positive steps in your recovery ( no pun intended ).

Apart from the insomnia I feel I am very slowly improving.

I'm on a new prescription for zopiclone, a weeks supply so trying not to use them all this week. I will speak to my doc about trazadone next week. It's just miserable not being able to sleep well.

Anyways keep in touch.
 
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Mrs. Ciz

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@Jane66
This is such a loooooong slooooooow recovery. I was totally unprepared for how long it would take to feel normal again. Occasionally I will have rare times where I don’t think about or feel my knees, but most of the time they don’t feel much better than they did before the surgery. That said, if I hadn’t had surgery, they would have continued to get more and more painful instead of less and less painful. I like less and less painful better, and I know I’ll get there eventually!!!

I'm glad you got something to help you sleep. I was getting desperate being back at work with no sleep. I should have talked to my GP a month ago.
 

newlybionic

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I’m happy to hear your Trazodone is working for you and you got a letter for your school so that you can be able to keep down the number of steps you’ll have to do.
 
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Mrs. Ciz

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Ok, I know clicking and clunking are normal. I can sometimes hear/feel the components clunk when I move. But yesterday at 20.5 weeks post op, I heard something different/new in my right knee. While I was making the bed it started making a loud ticking sound when I walked. This has never happened before. It doesn’t do it with every step I take but it is doing it a lot. I heard it again this morning too. And I’m sore in a new spot on the right knee - at the very top of the shin bone where it becomes the knee on the medial side. It is sore to touch there and sore when I lay with that side touching the mattress. There is a bump there too. It could be swelling, but it feels pretty firm.

I know I’ve been a little busier that usual over the past 20 days cleaning, shopping and getting ready for the holiday, but I haven’t done anything crazy that would cause implant issues. I did trip a little when my left foot caught the leg of the coffee table when I walked by it on Wednesday night. I started to stumble but didn’t fall as I was able to catch myself with a few quick steps, and it didn’t hurt at the time other than my poor stubbed toe. The loud ticking started the next morning. I hope this is nothing to worry about!
 

sistersinhim

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I did trip a little when my left foot caught the leg of the coffee table when I walked by it on Wednesday night. I started to stumble but didn’t fall as I was able to catch myself with a few quick steps, and it didn’t hurt at the time other than my poor stubbed toe. The loud ticking started the next morning. I hope this is nothing to worry about!
I bet you this stumble has caused your knee to have some extra inflammation and more swelling inside it. That's probably where the clicking is coming from. Spend extra time icing and elevating it and see if you can get that fluid out. Once that goes away you should not be able to hear the clicking as loudly.
 
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Mrs. Ciz

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A quick update - so far the New Year has NOT been good to me. On Jan 2nd I started feeling like I had the beginnings of a sinus infection. By the next afternoon (1/3), the congestion had moved down to my chest and the sinus headache was worse. Since I was supposed to go back to work the next day teaching in a face to face classroom, I decided to get a Covid test just to be on the safe side.

My covid test was positive.

I’ve been super careful, didn’t see anyone over the holiday except my 3 immediate family members, and they all tested negative. No idea where I picked this up. I’m on day 5 now and doing ok. It feels like a sinus infection with mild bronchitis. However, my legs are aching all over and keeping me awake all night long.

Knees - I’m 6 months post op. Left knee is doing really well. Right knee won’t straighten. I stretch it out multiple times a day to help with extension and so I don’t limp. I may have been overdoing the stretching over Christmas break because the right hamstring has started bothering me again. It gets so sore.

I’ll try to keep you all updated.
 

newlybionic

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I’m sorry to hear you tested positive for COVID. I hope that you begin to feel better soon.
 

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