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[TKR] No Energy. Passing out couple times

Discussion in 'Knee Replacement Recovery Area' started by drsmagic, Jul 3, 2017.

  1. nensi

    nensi senior

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    Hey there @drsmagic ! I was a few days behind you, my surgery was on June 30th, bilat. It's hard being patient now, isn't it? I am also a slow learner with ROM and Celle (and others) have convinced me to focus on functionality - what I can do - and not hitting the magic numbers. Swelling really responds well to ice and elevation, that is really noticeable in the morning after a long period in bed.
    How long are you icing and elevating during the day?
     
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  2. drsmagic

    drsmagic junior member
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    I ice using the recirculating ice machine couple times a day. Elevating is difficult as I find it very uncomfortable, I should probably put a couple of pillows under my feet. How do you elevate?
     
  3. sistersinhim

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  4. drsmagic

    drsmagic junior member
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    6 week anniversary: able to bend my knee to 117 degrees, still lot of stiffness and pain especially when I wake up. Am able to walk for 10 minutes but results in pain and stifffness, same if I sit for too long.
    Couple new things to report
    1) knees make a clicking sound when I walk at every step, don't know if that's normal
    2) My sodium levels in blood are low and I am seeing a kidney specialist, will keep you posted. Read that this occurs quite frequently after a tkr. Anybody else experience this?
     
  5. Celle

    Celle FORUM ADVISOR Forum Advisor

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    This article explains the clicking knee. It's quite common, and nothing to worry about, as long as it doesn't hurt.
    Clicking/clunking knee joint after surgery

    My sodium levels went right down after my last TKR. They had me on restricted fluids and advised increasing the salt in my diet for a few days. That did the trick. I hope the kidney specialist is able to help.
     
  6. sistersinhim

    sistersinhim FORUM ADVISOR Forum Advisor

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    To this day, my knee clicks, but it doesn't hurt while when I hear it.
     
  7. drsmagic

    drsmagic junior member
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    Will be 4 1/2 months since TKR. Have started to regress in the last month or so. Experienced sharp pang of pain
    While turning in bed on medial side of knee and ever since have been feeling more stiff and losing ROM. Also pain when I try to bend my legs towards my thighs.Out of therapy since 6 weeks and mainly ride exercise bike and do heel slides and leg raises. I don’t know if I should push harder and bend my knee or give it rest. My next dr appointment is in early Jan, wonder if should see dr earlier.
    I am able to walk 1/2 mile easily, but knees stiffen up if I sit for 15/20 minutes.
     
  8. Celle

    Celle FORUM ADVISOR Forum Advisor

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    You probably just twisted your knee into a position it didn't like and it has responded by swelling up, thus decreasing ROM.

    This should be temporary and, rather than increase the exercise, you need to rest,ice and elevate it, until it settles down again.
    At 4+ months, you really don't need to still be doing exercises anyway. Your normal ADLs (activities of daily living) are enough exercise for your knee.
     
  9. kneeper

    kneeper FORUM ADVISOR Forum Advisor

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    The knee stiffening up after sitting is normal. Like most things with this recovery you will notice it gradually improving.
     
  10. Polkadot

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    I had some regression, too. You probably overdo and then have to backtrack to get the swelling down. It's scary, but important to relax and keep balancing your activity with rest. Your knee is in charge, and you have already found out that it tells you when it's unhappy. When you are sitting, are your legs down? Can you sit with legs elevated for that amount of time without stiffness? I seem to recall that at about 4 months, I had to sit with legs up on my Lounge Doctor most of the time if I was watching TV or using my iPad. I didn't always ice, but I did keep those legs elevated much more than I wanted to. It's great that you can walk a fair distance without repercussions.
     
  11. skigirl

    skigirl SUPER MODERATOR Moderator

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    i think you have gotten good advice. Whenever you experience pain and increased stiffness, your knee is telling you to slow down for a few days. More rest, ice and elevation. Once the swelling subsides, start your activities slowly again.
     
  12. SusieShoes

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    I had that very same pain —medial knee pain after turning in bed— in my left knee. That annoying pain lasted several days before going away. These incidental pains are going to happen. If we use our knee in a way, or position, it doesn’t like, it gets cranky. It complains, it swells. All we can do is elevate, ice, and try to settle things down again. Part of the grind of recovery, I’m afraid.
     
  13. drsmagic

    drsmagic junior member
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    Will be close to 6 months now after TKR on 6/26/2017, had to see OS because pain was increasing, he prescribed me meloxicam(Mobic) 15 mg and said looks like I have scar tissue and they may have to remove it. Can you diagnose scar tissue on a XRAY, thought you would need an MRI. I have to see him again after I finish 30 days of meloxicam. Side problem was he removed my bow leggedness, which caused a change in Gait and now have pain in my ankle, but will deal with that later.
    Can scar tissue be massaged away, and should I ask for more PT, I stopped after 10 weeks around mid September.
    I do 2/3 times a week exercise bike of 25 minutes and maybe treadmill for 20 minutes.
     
  14. KarriB

    KarriB FORUM ADVISOR Forum Advisor

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    What is your flexion like and where is the pain? @Josephine may have an answer for you.
     
  15. sistersinhim

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    You are less than halfway through a year-long recovery. If you are having pain, I'd say to cut down on your activities and ice and elevate more. Your knee isn't happy with what you are doing, so it's time to give it it's much needed rest.

    I'm agree with you that it sounds strange to be able to see scar tissue on an xray. Let's see what Josephine has to say.
     
  16. drsmagic

    drsmagic junior member
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    My flexion is about 115/120. Pain is in medial portion on left side of right knee, probably where the meniscus used to be. I tend to try to flex my knees as far as I can while sitting on couch with legs resting on seat.Doing This increases my flexion specially after wake up or have been sitting for long.
     
  17. funkymuse

    funkymuse senior

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    @drsmagic Do you have pain inside your knee cavities when you do this? When I flex to far, I get pain... I imagine from pushing against the swelling...
     
  18. SusieShoes

    SusieShoes FORUM ADVISOR Forum Advisor

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    Your flexion is excellent at this point. I hope you can find out what’s causing your pain.
     
  19. sistersinhim

    sistersinhim FORUM ADVISOR Forum Advisor

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    @drsmagic, at less than 6 months your bend is great! But, to have some pain now is normal. You aren't even halfway through a year long recovery! It's very possible that your OS had to do more work on your medial side. Mine has always been more fussy than anywhere else on my knee. When I got my surgical report, I saw that he had done a medial release. That explained my centralized extra pain!
     
  20. KarriB

    KarriB FORUM ADVISOR Forum Advisor

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    Yes, as everyone said, your flexion is good and will continue to improve with just daily living. I can’t imagine you have scar tissue with 115. Riding the bike is great in my opinion, just be sure the tension is low to not put too much pressure on your leg. Riding at 0 tension will help to keep your knee loose. I find walking on a treadmill painful, but I can easily walk 2.5 miles outside with no pain at all. Others have mentioned the same to me, that the treadmill tends to bother them.
     

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