Yesterday was my dad's 6 week post-op checkup with the surgeon. Dad walked in from the parking lot and down several long hallways using only his cane. The doctor was very happy with dad's progress and range of flexion...118 degrees in the right knee and 113 in the left. He gave dad permission to start driving if he likes. His incisions have healed up very well and the X-rays of his new knees show all is well with the prostheses.
While we are of course very happy with dad's progress, we don't want to mislead others into thinking his journey has been without any pain or frustration. We have actually had a fair share of that! My dad started out being very aggressive with his therapy and by around week 3 he had a total crash and burn. He pushed himself so hard that the degree of pain, inflammation and swelling set him back a good week or more. It took quite some time for dad to understand that he made more progress when he listened to his knees and backed off the endless exercise. Slowly we were able to get dad into a better pain management schedule and more frequent periods of rest, elevation and icing.
Dad also had to readjust his expectations for when he would be able to get back to his farm duties. He quickly realized that the recovery process would take much longer than he first thought. Even though he is further along in terms of range of motion, he continues to experience significant stiffness and soreness. It is frustrating for him to be totally pain free immediately after resting with legs elevated and iced, only to have the stiffness and soreness return after sitting or standing just 15-20 min. The stationary bike helps to loosen things up again but still not for long enough.
Dad completed a 4 week/12 visit Home Health physical therapy session and now has just started a 6 week Outpatient physical therapy program. He will have another follow up appt with the surgeon the first week of March, which is also the week of his 86th birthday. I expect dad will be heading back to his farm soon after that, but hopefully by then he will be able to manage on his own and slowly return to his farm duties.
I am attaching a photo of dad's new knees...! We found out that his left kneecap was in such terrible shape it had to be replaced but the surgeon was able to leave his original right kneecap in place. Prior to surgery his right knee was the "good" knee and the left was in the worst shape. Now the right knee gives him the most discomfort and stiffness even though it has the better flexion! Go figure!
In spite of dad's frustrations with the slow process of healing, the surgeon has assured him he is doing just fine and he has every reason to believe that dad will achieve his goal of returning to independent life working his farm!
P.S. I just had to add a photo of my dad charging his dead car battery after a brutal cold spell we had with his car sitting in our driveway. Cold weather, Sore knees, walker and all could not prevent him from "taking care of business" !
I think I figured out how to upload video to YouTube so let's see if I can link a couple videos of dad here also.