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PKR No physical therapy yet!

Sqirtle

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I don't have any idea if I'm doing things right or not. I had a partial knee replacement on Aug 3. Was released that same day. I've had no physical therapy except what I feel I can do on my own. Don't see surgeon until Aug 24th. Keeping ice on knee, elevate and trying to walk all I can inside house and a little outside.

Does this sound right to you all?
 

Pumpkln

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@Squirtle,
Welcome to the OtherSide!
You are doing great! You are only 8 days out from your PKR and are doing all the right things. Icing, Elevating, and walking around the house. That is all your PKR needs in the early days to allow your knee to heal from a major surgery.

Here is your copy of the Knee Recovery Guidelines, the articles are short and will not take long to read.

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!)​

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 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 a 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 history before providing advice.
 

Rockgirl4

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Many people don't do any PT until week 3-4, if at all now-a-days. It really depends on you and your Doctor. You are still so early in your recovery that all you need is rest, ice, and elevation---plus whatever you feel you can do. Don't let anyone force you to speed up your recovery or feel "behind." :)
 

Jaycey

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@Sqirtle you will notice that I have merged your two threads together as we prefer that members in recovery only have one thread.

This is for three reasons:
1. if you keep starting new threads, you miss the posts others have left you in the old threads
2. it often ends up that information is unnecessarily repeated
3. it's best if we can keep all your recovery story in one place so it's easily accessed if we need to advise you.

Please keep all your questions and updates on this thread. If you would like a new thread title just give a shout.
 
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Sqirtle

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I'm a little over a month now pkr. My therapist told me to only ice twice a day for 20 minutes each time. Does this sound like enough icing? He said something about could lead to "frostbite" if I did it any more than that.
 

Jockette

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You will not get frostbite if you keep a cloth between your skin and the cold source.

Some PTs don’t seem to realize the difference between icing an injury and icing after the extreme trauma caused by joint replacement surgery. Here’s an article about it that is in your Recovery Guidelines:
 

sistersinhim

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'm a little over a month now pkr. My therapist told me to only ice twice a day for 20 minutes each time. Does this sound like enough icing? He said something about could lead to "frostbite" if I did it any more than that.
I iced and elevated the whole time I was sitting or laying down. I had a dish towel between the ice pack and my knee. Most times it was hours at a time and I had no problems with it. Ice is a great pain reducer.
 
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Sqirtle

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Thank you so much for your replies. I feel the ice really helps me and I couldn't understand why he recommended for me to lessen it.

How long should I elevate my knee? I still elevate it at night and mostly when I sit. Can I elevate too much?
 

sistersinhim

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No, I have never heard of elevating too much. I elevated all the time I was sitting for at least 20 years. Just since my tkr have I been able to sit with my leg down. Elevating should be done any time you feel or see swelling. That will help the fluid out of your knee, leg, and feet.
 
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Sqirtle

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My physical therapist told me to use a rolling pin on my knee (avoid the knee cap) and it is helping me so much! It has helped remove those knots and the pain that goes with it. Hope this helps someone else!
 

sistersinhim

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My physical therapist told me to use a rolling pin on my knee
Be sure to be very gentle with that. You have a lot of traumatized tissue inside that knee. You must have found the right pressure since it's helping you. It's a trial and error thing.
 
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Sqirtle

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Yes you have to be very gentle when you do it! But I was amazed how much it helped my lower legs and all!
 

Celle

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My physical therapist told me to use a rolling pin on my knee (avoid the knee cap) and it is helping me so much! It has helped remove those knots and the pain that goes with it. Hope this helps someone else!
I'm glad using the rolling pin gently helped you, but it's not usual to do that and I wouldn't recommend it to anyone.

It's only just over a month since you had this major surgery If you leave your incision alone, all those lumps and bumps will flatten out naturally as time passes. That's all part of the healing that Nature does so well.
 
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Sqirtle

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The knots I was referring to were in my calves not my incision. I wouldn't recommend rolling near your incision or knee. Its the same principal as using a muscle rub in a bottle with a roller ball. Its really helping me and I'm thankful my PT told me about it.
 

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