TKR LTKR 12/1/23 recovery

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Thank you for your reply! can’t see that tunnel quite yet, I am sure looking forward to that day. Being home all day is difficult, although at my stage I still can’t stand or walk long enough to go out. I am doing all the necessary care such as icing, elevating and taking the pain medication although no more oxy, and 1 Tramadol a day and 1gm Tylenol q8 hrs.

I thought I would be able to do more ADL. This will prepare me for my second knee, which I’m hoping to do in April 2024.
 
This is a tortoise-wins-the-race recovery. Slow and steady.
 
Hello,

I am 5 weeks post LTKR today. Yay!!! It’s sure has been a journey. Pain past few days has improved but boy o boy the stiffness/tightness is in full bloom. Did anyone else cringe when standing up! It feels like a tin man that can’t get enough oil.

Question- My ROM is fine, is it on par to only be able to stand in place for 2-3 min, and walk @ 10 min intervals. I was hoping by now I could stand & walk longer. Any suggestions on wearing a knee sleeve. I was thinking this may help with some of the tightness. I have worn these for years. The extra support always felt better.

Thank you!
 
Hi!
You're doing really fine for where you are in your recovery!
The feeling of tightness is something many of us experience for months; it DOES diminish over time.
The tightness and stiffness are usually more intense after sitting with the feet down or standing still. At 5 weeks I couldn't sit in a chair comfortably for more than about 15 minutes and YES it hurt to get up and for those first few steps. It's normal, and variable - on my first TKA getting out of bed was three minutes of agony, until 12 weeks out when suddenly I just got up and walked! With my second TKA, I never had that kind of intensity, but it took months longer to be able to sit for 30-45 minutes.
In terms of walking.... at 5 weeks a 5-10 minute walk is pretty typical. And for me, those 5 minute walks were the best therapy for painful stiffness.
Welcome to the roller coaster of knee replacement recovery!
 
Good day!
Just to clarify the tightness & stiffness I am experiencing @ week 5. It is always present on standing & walking. It doesn’t diminish in intensity but pain wise it’s more manageable. I understand upon arising and moving some folks say it goes away. Mine has been there since day 1.

Any further thoughts. I have always had tight IT band & hamstrings, so I wonder if that is contributing to tightness as I have good ROM?

Thank you
 
Probably. I struggle with a similar issue: IT band and piriformis tightness. After my first TKR, I found that regular therapeutic massage (2x/month) helped me get over the hump. Just be sure to check with your surgeon before you try it.

That said, remember that your knee surgery has changed your body's alignment -- affecting all the soft tissues in your leg, hip and back. Your body needs time to adjust to this new alignment. Just relearning proper gait can make it feel as though you are using a whole different set of muscles!
It does improve, with movement and time. :flwrysmile:
 
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I keep walking 5-10 min despite the stubborn pain from the knee tightness/stiffness, My entire day is short 5-10 min walks, knee elevated and ice. I wish walking would ameliorate the discomfort & pain it doesn’t but I know how important it is.

Looking to a day of no discomfort & pain. Not sure what else I can do.

Thank you
 
Is this NORMAL? Every step I take there is constant tightness throughout the knee which after 5 min I have to sit from discomfort & pain. The tightness doesn’t get better with ice, elevation, bike, stretch; it is always there and hasn’t changed in weeks. The tightness is throughout the knee. I get no relief from any modalities, I am following BoneSmart protocol.

Stiffness equates to ROM, mine ROM is on track. It feels like my ligaments & tendons cause a squeezing tourniquet throughout the knee. I know stiffness is common but is tightness an indication of something else!

Any insight or experience with similar issue is appreciated posted.
 
Tightness is very common and can last for months. Some of us have it above the knee, others around the entire knee. It does very gradually resolve. With my first TKR, my tightness didn't really go away until about 4 months out.

Check out this article:
 
Thank you for the information.

If others experienced this I love to hear. It is self limiting as i can’t stand long enough to do an errands and limited on ADL. Unfortunately Tylenol doesn’t help.

Looking for hope & better days.
 
I definitely had it for months. It was the last thing to leave me and I complained about it for months.

If you type tightness and/or stiffness in the search engine in the upper blue bar, you will find hundreds of complaints about that very thing.
 
I am a couple of weeks ahead of you and I definitely still have both stiffness and my knee feels very tight most of the time. I felt better when, in one of the posts, a moderator said that of all the comments she sees about how people's knees feel post TKR, the complaint of tightness was probably the one she heard most often! I was surprised and comforted by that fact.
 
I hope your recovery is going well and the tightness is not impacting your ADL to much. With the extreme highness the furthest I can walk at 6 weeks is 10min. Standing in place not yet. I know the importance of walking so I walk in my home several times through out the day.

Does your tightness impact your ADL or ability to get to the store. Thank you
 
Hello there
A Happy Tuesday to both you and @AnnYo
It's so nice to have others recovering right along with you in real time. I found it to be such a comfort and also reassuring to be experiencing the same symptoms or sensations most often.

Elevation and Icing is key ladies.

The swelling can last for months, but to remain comfortably mobile you need to get that leg up, toes above nose and ice to help reduce the swelling which results in the tightness.

It is our lymph system that rids the body of fluid (swelling). So you want to get the fluid to the lymph nodes in your torso area so your body can more quickly process it. The lymph system works rather slowly on its own and much more efficiently with the assistance of gravity. The fluid isn’t draining into the hips, but contained with the lymph system and moving to the torso and lymph nodes located there.

BoneSmart FA, CricketHip, is involved in Therapeutic Massage and has shared this exercise to assist in manual lymph drainage. This gentle, yet effective therapy will help prime your lymphatic system to move fluid and inflammation away from your leg, which in turn will help your range of motion and pain - you may want to give it a try and please tag her if you have any questions. She's very helpful.

While lying supine, take deep breaths...deep, as in breathing in to a count of 5, 4, or 3 seconds, whatever is most comfortable for you. Hold that breath for another count of 5, 4, 3 then blow out completely, still using the count that's comfortable for you. A series of at least 6 reps may help get the excess swelling to move. To ensure you are taking proper deep breaths, place your hand on your naval and watch while taking in your breath, if doing this properly you should see your hand move up. Repeat this whenever you feel up to it during the day or night. Lying flat (supine) is best as the lymph nodes seated in your groin are less restricted, allowing for better lymph flow.

In addition, after the breathing exercise, place your hands lightly on your upper thigh, at the crease in your groin and lightly stroke upwards towards your naval.
Be patient because it can take the body time to respond.

I read this recently - After a sports injury or surgery, lymph vessels can become overwhelmed with the demand placed on them. When tissues are swollen, deep tissue techniques may actually cause damage to the lymph vessels and surrounding structures. Lymphatic massage is often the treatment of choice, because it helps the body remove proteins and waste products from the affected area and reduce the swelling. This helps reduce pressure on cells and allows them to reproduce faster to heal the body.
 
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I found in my early days when caught in a waiting line, I'd walk in place. That helped to relieve the terrible ache that standing caused.
 
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I suspect that 10 minutes of non stop walking at six weeks isn't unusual... If you're walking 1/2 speed it's 1/4 mile; if you're walking quarter speed 1/8 mile.

My ortho during the earliest days of recovery wanted me to take very short walks every hour. Early on when I was icing and elevating around the clock, that was just my routine.

As I got more active in the house, I did those very short walks even more often, because the tightness got so bad if I was sitting up that I needed to get up and walk 3-5 minutes every 20 minutes or so.
 
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