Guest viewing is limited

TKR LTKR 5 Years After RTKR

BothKnees

Insider
Joined
Mar 1, 2025
Messages
10
Age
55
Gender
Male
Country
United States United States
55 years old. Yes, and this is my second TKR. The shortest way to explain how I got here at this age is that I was athletic and angry, with a chip on my shoulder about being average-sized. I like to say that I spent the first 35 years of my of my life imitating an airborne missile. Jump off a roof? No problem. Be the first one to hit that jump? Of course.

I had grown up skateboarding and skiing. I loved pickup basketball as others like cocaine. I snowboarded more than 1000 days between 1992 and 2005. I kept playing basketball...I just couldn't stop.

Had my first menisectomy in 1991, on the left. Didn't phase me or change me. When I finally dragged my aching knees to the doctor in 2005, he told me that major adjustments were needed because my knees, only 35 years old, were in terrible shape. He did a double menisectomy and asked me to limit running and eliminate jumping. I continued both. My feet started sliding and shuffling, but I kept playing basketball. I was terrible at that point even; I literally had no idea how to pivot away from all of high-impact activities that I had used to identify myself.

It was a relatively short path to inactivity from there...starts and fits of a cycle of forcing the issue, suffering a bone-on-bone event, resting, trying again...wash, rinse repeat. I refused to change.

Slowly, more terrible days than tolerable days left me unable to do anything active beyond golf. And when golf came to a point where I was a terrible golfer just limping around, I finally conronted my reality. I had defined myself by my active and athletic pursuits and didn't know how to adjust.

In that spirit, I had a RTKR in March, 2020. I had asked to have both at once. My doctor saying no was the best thing ever decided for me. I chose the right knee first because it had the deepest, most consistent ache. Within 3 days of my surgery, COVID shut the world down. On drugs, overwhelmed, and on my own for a directed home-rolled PT, I really struggled. I don't do opioids well, either, so all of my issues were magnified. I made very little progress. I tried to fight but I battled excessive inflammation, limited ROM, and depression. I had an MUA at 8 weeks because I was failing at PT. It hit me hard.

I fought back as hard as possible. I literally worked through tears almost every day. I reached 0/113, where I remain...never fully reached target flexion.

I was supposed to have the LTKR at the 6 month mark (after the RTKR). But at the 5 month mark, I had an emergency appendectomy. I was feeling cursed. The only positive I had in my mind was that the appendectomy would delay the LTKR, which was I dreading with my very soul. I was terrified of it.

Post appendectomy, I was surgery-phobic. I delayed. I delayed some more. I delayed almost 5 years.

Had the LTKR February 18. Today is day 11. I am at 5/85. I just got home from a cane-free walk. I ditched the opioids after day 4. I have almost no pain, only tightness as the residual inflammation slowly leaves. My spirits are high, my progress is amazing. The difference between the two recoveries is night and day, and that has me excited for progressing every day. I delayed so long that my post-op pain and my pre-op pain weren't far off. It's hard to objectify that in advice form, but I would for others if I could. I see the light at the end of the tunnel, and it is already making me excited about being active again. I am spiritually reinvigorated by this.

I bore with you all of this to both share my story and to give you some hope in your own recovery. No two people are the same in this path because no two surgeries are alike, even in the same person. No matter where you are on your journey in this, you can do it, or you can turn it around...both.

Keep wanting it, keep working for it, and never judge yourself harshly for not reaching a day's goals. This is a marathon with the pressure of a sprint. Keep the marathon mentality, though.

Let's Go!!!!
 
Hi, BothKnees and welcome to our BoneSmart community. We’re glad you joined us and decided to become a member of the Insiders Club so you could receive the full benefit of our forum and premium services. We just implemented this 2-tier membership program and are still in the process of ramping up some of new things we think will help you as an Insider. So, stay tuned as we get the program fully implemented.

If you provide us with the dates for your knee replacements, we’ll get a signature in place for your profile box. This is important as it easily lets everyone know what joint procedures you’ve had done and when. You can include other joint surgeries with the TKRs, if you have had other things done.
 
Hi and Welcome!

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. (Administrative Note: For those reading this thread, please be aware that these links are a premium service and only available to Insiders Club Members).

Just keep in mind all people are different, as are the approaches to this recovery and rehab. The key is, “Find what works for you.“ Your doctors, PTs and BoneSmart are available to help, but you are the final judge as to the recovery approach you choose.

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
ice
take your pain meds by prescription schedule (not when pain starts!)​
If you want to use something to help heal the incision,
BoneSmart recommends hypochlorous solution. Members in the US can purchase ACTIVE Antimicrobial Hydrogel through BoneSmart at a discount. Similar products should be available in the UK and other countries.​

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 to 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 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.
 
In reading your introduction, I’m excited for you to begin regaining your life again. It does sound like you’re well on your way.

My only caution would be to keep in mind that success is best achieved when increases in your activity and exercises come gradually over time. Knowing your past approach to life, I can see you may be tempted to push yourself more than you should in the first 6 months to a year after this major surgery. This is a time to listen to your body. It will tell you when you are ready for a bit more challenge and it will also let you know if you’ve overdone things and needs to scale back for a few days or weeks before attempting something new.

You’ve got this. And we’re here to help you reach an enjoyable life once more.
 
If you read the guideline articles posted above, please note that the “Elevate” link isn’t working right now. We are attempting to get the problem resolved so you can view that article.
 
Left out an important (mental) aspect. I was originally scheduled for 2/25 but due to a cancellation, was offered 2/18...on 2/17.

Though it required some scrambling, the dread stage that I was spared resulted in me having far less anxiety than I would have on the normal schedule. It was just luck, of course, but it sure has helped.
 
55 years old. Yes, and this is my second TKR. The shortest way to explain how I got here at this age is that I was athletic and angry, with a chip on my shoulder about being average-sized. I like to say that I spent the first 35 years of my of my life imitating an airborne missile. Jump off a roof? No problem. Be the first one to hit that jump? Of course.

I had grown up skateboarding and skiing. I loved pickup basketball as others like cocaine. I snowboarded more than 1000 days between 1992 and 2005. I kept playing basketball...I just couldn't stop.

Had my first menisectomy in 1991, on the left. Didn't phase me or change me. When I finally dragged my aching knees to the doctor in 2005, he told me that major adjustments were needed because my knees, only 35 years old, were in terrible shape. He did a double menisectomy and asked me to limit running and eliminate jumping. I continued both. My feet started sliding and shuffling, but I kept playing basketball. I was terrible at that point even; I literally had no idea how to pivot away from all of high-impact activities that I had used to identify myself.

It was a relatively short path to inactivity from there...starts and fits of a cycle of forcing the issue, suffering a bone-on-bone event, resting, trying again...wash, rinse repeat. I refused to change.

Slowly, more terrible days than tolerable days left me unable to do anything active beyond golf. And when golf came to a point where I was a terrible golfer just limping around, I finally conronted my reality. I had defined myself by my active and athletic pursuits and didn't know how to adjust.

In that spirit, I had a RTKR in March, 2020. I had asked to have both at once. My doctor saying no was the best thing ever decided for me. I chose the right knee first because it had the deepest, most consistent ache. Within 3 days of my surgery, COVID shut the world down. On drugs, overwhelmed, and on my own for a directed home-rolled PT, I really struggled. I don't do opioids well, either, so all of my issues were magnified. I made very little progress. I tried to fight but I battled excessive inflammation, limited ROM, and depression. I had an MUA at 8 weeks because I was failing at PT. It hit me hard.

I fought back as hard as possible. I literally worked through tears almost every day. I reached 0/113, where I remain...never fully reached target flexion.

I was supposed to have the LTKR at the 6 month mark (after the RTKR). But at the 5 month mark, I had an emergency appendectomy. I was feeling cursed. The only positive I had in my mind was that the appendectomy would delay the LTKR, which was I dreading with my very soul. I was terrified of it.

Post appendectomy, I was surgery-phobic. I delayed. I delayed some more. I delayed almost 5 years.

Had the LTKR February 18. Today is day 11. I am at 5/85. I just got home from a cane-free walk. I ditched the opioids after day 4. I have almost no pain, only tightness as the residual inflammation slowly leaves. My spirits are high, my progress is amazing. The difference between the two recoveries is night and day, and that has me excited for progressing every day. I delayed so long that my post-op pain and my pre-op pain weren't far off. It's hard to objectify that in advice form, but I would for others if I could. I see the light at the end of the tunnel, and it is already making me excited about being active again. I am spiritually reinvigorated by this.

I bore with you all of this to both share my story and to give you some hope in your own recovery. No two people are the same in this path because no two surgeries are alike, even in the same person. No matter where you are on your journey in this, you can do it, or you can turn it around...both.

Keep wanting it, keep working for it, and never judge yourself harshly for not reaching a day's goals. This is a marathon with the pressure of a sprint. Keep the marathon mentality, though.

Let's Go!!!!
Not boring at all! Inspiring!
 
Boy, I totally get what you're saying about the updated surgery freeing you from any anxiety. We often tell people that the hardest part of joint replacement surgery is the wait to get there. Once you're on your way to the hospital, things just click along and then you're home and in recovery. The medical teams are usually so proficient at their job that the process is pleasant in many ways....especially knowing that at the end of everything you'll have a new joint and very good prospects for getting your life back.

I'm happy this worked out for you.
 
Day 16. Yesterday was a very good day of PT for me, with the result being that I met my individual flexion and extension goals and continue to progress nicely.

The differences in experience between my right knee (5 years ago) and this one (current) are amazing...a great reminder of the wide variability in recoveries.

It this stage last time, I was struggling monumentally. This time, I'm being smart about holding back a bit because it's very tempting to overdo it (definitely the tendency that got me into this knee predicament in the first place).

First post-op doc appt. is this next Monday. Eager to the strips off (ITCHY!!!) and finally see the scar.

Can't wait to be healthy again but I do see the light at the end of the tunnel now.
 
You’re doing GREAT! And I can tell you’re much wiser about activity and exercise levels this time around. This is a good thing. Surgical procedures have changed even in just the last 5 years and part of your improved experience may be related to that. But resisting doing too much too soon is perfect. If you listen to your body (it IS in charge of the healing process 100%), it will let you know when it’s ready for a bit more challenge or needs a bit of a rest.
 
The differences in experience between my right knee (5 years ago) and this one (current) are amazing...a great reminder of the wide variability in recoveries.
I had the same experience with my two TKRs. I think, like you, I learned a lot during the first recovery about setting realistic expectations and NOT pushing too soon.

You've got this, @BothKnees !
 
Happy Friday! Thanks for the update.
You're making wonderful progress and thankfully you're mindful of your limitations which should help you avoid set backs spending time in the ODIC (Over Did It Club)
I wish you the best with your appointment on Monday, I'm sure your OS will be pleased with your progress.
Enjoy the weekend, BK!
@BothKnees
 
Happy One Month Anniversary, Lefty! Happy Five Year Anniversary, Righty!
I hope you continue to enjoy progress and your appointment went well.
Have a wonderful week, BothKnees!
@BothKnees
 
Thank you. Today was day 30. 107 and 0 and doing well. Adhesion break up started at today's PT. Eager to submerge in the hot tub ASAP.
 
Happy one month knee-versary! Keep up your progress!
 
Eager to submerge in the hot tub ASAP.
Please do check with the office of your OS before you do this, IF you haven't already. My OS was strict about everything, and using a hot tub was on his list. Timelines will vary from surgeon to surgeon in their recovery protocol. I only want to make sure you receive a nod from your OS beforehand.
Thanks for the update...enjoy the weekend, BK!
 
Eager to submerge in the hot tub ASAP.
Please do check with the office of your OS before you do this, IF you haven't already. My OS was strict about everything, and using a hot tub was on his list. Timelines will vary from surgeon to surgeon in their recovery protocol. I only want to make sure you receive a nod from your OS beforehand.
Thanks for the update...enjoy the weekend, BK!
Yep...staying patient until after the visit with my surgeon, so haven't submerged just yet.
 
Being able to take a shower post-RTHR was my biggest joy!
 
Hot tub stretching has been a god send!

0/113 as of this afternoon, with tomorrow being the 7 week mark. Still battling some inflammation, and exhausted after PT sessions, but content with how it is going compared to the right.

Onward!
 
That’s great news, @BothKnees. How about sharing exactly what you’re doing in the way of exercises in the hot tub that are working well for you.
 

Staff online

Back
Top Bottom