TKR Panammaniac’s Recovery Thread

Day 6 and all is still well. Thinking I’m going to start ramping down the pain meds now. I already reduced from the max dose a couple days ago, now thinking it may be time to start the tapering process and just be taking Tylenol by week end. The pain has not been bad at all other than the day after surgery once the nerve block wore off.

I have a huge, and I’m mean HUGE bruise running from just above my knee all the way up to my hip area. Wow, I’ve never seen a bruise like that before. Im sure it’s mostly from having my leg propped up and all of the fluids draining in that direction.

Of all the little things, I’m looking forward to having the dressing removed this afternoon and actually being able to take a shower tonight.
 
You will LOVE that shower! Hopefully, you have a shower chair to help keep you safe. If not, make sure your wife is right there to offer her assistance.
 
  • Like
Reactions: shr
Very good. You should be just fine. Enjoy it! I sure did. I didn't want to get back out it felt so good!
 
  • Like
Reactions: shr
I enjoyed reading about your cat. Mine was like that too! Enjoy your shower. You will be exhausted after, but it will be worth it!!
 
I enjoyed reading about your cat. Mine was like that too! Enjoy your shower. You will be exhausted after, but it will be worth it!!

The cat has been an amazing caregiver. She’s been hanging out on my lap a lot. She does that anyway, but it’s been more than normal since surgery. It’s like she knows I’m healing from something but isn’t quite sure from what.

And the shower was amazing. It didn’t even tire me out that much!

90F670A1-21E8-4EF1-BE1C-72EEFBCA5E77.jpeg
 
I agree that our pets know when we are sick, down, or healing. Taking care of them helped me to recover. Their taking care of me helped my mood!
 
One week out now! Actually just a couple hours short of a week. I was wheeled into the OR at exactly 1 PM last Tuesday. It’s currently 9:40 AM, s this time a week ago I was taking my last steps on the bad knee and having a bunch of stuff stuck into me to prep me for surgery. Time sure goes by fast!

Things are still going well. Last night I chose to skip my oxy dose before bed and just max out the Tylenol. I had the oxy waiting at my bedside for me just in case I woke up in the middle of the night needing it. I did wake up around 2 AM but I felt fine, so didn’t take anything. I woke up again around 4 AM and was hurting a little, but not severely, so I just took another dose of Tylenol. I haven’t taken any oxy since. Everything seems to be fine. The pain I have is a little bit of constant dull ache, nothing stabbing or severe, and I can use my current best friend (the ice machine) to deal with that. It’s very good news to me that I could get off the narcotics after a week.

I got halfway decent sleep last night for the first time since surgery. My fitness tracker shows that I got 4 hours and 34 minutes of sleep last night, with a sleep score of 51 which is poor. But this was the first measurable sleep it logged since last Monday, so it’s progress. I’m told I can skip the elevation and even sleep on my side now, which helps a lot, except finding a comfortable position is still tough. Sleeping on my side means putting a little pressure on a very swollen thigh, which isn’t pleasant. A few more days of healing should help that problem.

The only thing is this morning I’m breaking into cold sweats at random times. I’ll just be sitting in my chair strapped into my ice machine and all of a sudden I have sweat dripping off my forehead and my T-shirt is all wet. It will last for a minute or two and then go away. It has happened to me 3 or 4 times this morning. I’m wondering if maybe it’s some mild withdrawal symptoms from cutting off the narcotics. I’ve read various things about that, with most of them saying you shouldn’t experience any major withdrawals if you’ve only taken oxy for a short time, like less than two weeks, but I guess anything is possible. Or maybe this is just part of the healing process and my body rebelling? I almost didn’t get sent home from the hospital last week because my blood pressure kept dropping at random times.

Outside of that, PT is going very well. The home PT I have for the rest of this week is encouraging but not pushing. I like that. She has observed that the big goal now is correcting my gait. My muscles have been trained to limp on that side, so they’re still tending to do that even though they don’t need to do that anymore. So a lot of work ahead on correcting posture and gait so that hopefully the other joints that were hurting me prior to surgery go back to behaving.
 
Last edited:
  • Like
Reactions: shr
I would email your doctor and let him know. I would break out in the chills but not sweating. What doctor do you notify your Ortho or your PCP? Low blood pressure most likely is why you had to wear the compression stockings. That was the same for my husband after surgery. On a side note, you are doing so well. Sunday was the first time I drove since the surgery. It felt so good to be out and about. It sounds like you have a very understanding PT.
 
Sleeping on my side means putting a little pressure on a very swollen thigh, which isn’t pleasant.
I found putting a large, soft pillow under my leg helped reduce the pressure on that leg.

the big goal now is correcting my gait. My muscles have been trained to limp on that side, so they’re still tending to do that even though they don’t need to do that anymore.
Yes, that's the case for many of us. Coping with pain from that arthritic knee causes us to contort our bodies int an odd alignment. Then suddenly, after surgery, all the muscles and soft tissues need to figure out what to do.
It takes time, but it will come. It's a good idea to continue to use a walking aid to help you better align your body until your gait improves.
 
I would email your doctor and let him know. I would break out in the chills but not sweating. What doctor do you notify your Ortho or your PCP? Low blood pressure most likely is why you had to wear the compression stockings. That was the same for my husband after surgery. On a side note, you are doing so well. Sunday was the first time I drove since the surgery. It felt so good to be out and about. It sounds like you have a very understanding PT.
I haven’t had any more cold sweat episodes since this morning, but it’s something I’m going to keep close watch on. My blood pressure still isn’t fully back to normal. The PT has been taking it on her visits and I’m still a little low. I think I might have reactions to certain meds and/or anesthesia. I was in recovery for over 5 hours because of it, and was actually surprised I was still sent home. By then I was resigned to the fact I’d probably be admitted for the evening. I’d bet if I had taken my BP this morning when I had one of the episodes I would have found my BP dropped again. It’s a little bit concerning but my doctors are well aware and keeping a close watch.

It was the strangest thing. I remember being wheeled into the OR and seeing the big clock on the wall. It was exactly 1:00 PM. I remember thinking “ok, so I’ll be waking up around 3:30.” Then I remember waking up and seeing the recovery room and thinking “ok, it’s done.” I remember hearing the nurse saying “your surgery is done. You’re in recovery.” Then as things came into focus I saw a clock that said 4:45. I thought “there must have been a complication during surgery” but I wasn’t ready to talk yet. Then they led my wife in, and the first thing she said was “you gave us a little scare.” I had no idea what was going on yet and couldn’t even ask what just happened. I was fully awake and alert, knew exactly where I was and what time it was, yet at the same time I knew something was a bit amiss and didn’t have the strength to figure out what it was.
 
  • Like
Reactions: shr
Low blood pressure is not uncommon after this surgery, mine dropped a bit after my surgery also, and my PT ended a session because he was concerned. This was the day after surgery and I was still in the hospital. (5 years ago there weren’t as many same day surgeries as there are today.)
 
  • Like
Reactions: shr
When I had my tkr I was allowed to sleep on my side but I did use pillows lengthways. I didn’t need compression stockings thank goodness and there is some new research which shows their benefit is negligible.
 
  • Like
Reactions: shr
When I had my tkr I was allowed to sleep on my side but I did use pillows lengthways. I didn’t need compression stockings thank goodness and there is some new research which shows their benefit is negligible.

I’ll have to keep playing with my sleep techniques. Everything just feels very different. I have a 6” long incision that’s still not and sensitive and still has staples in it, and I have a lot of swelling and bruising. Nothing feels comfortable and everything is an adjustment. I tried the pillow between the legs trick last night but couldn’t make it work. Maybe I just need to find the right pillow. I’ll get there. I hardly napped today at all so I should be able to sleep fairly well tonight.
 
  • Like
Reactions: shr
Hi panammaniac, I’m a side sleeper, but it took about a month before I could sleep that way. At first it wasn’t comfortable at all, and later it was, but only for a few minutes at a time. During that time I used it as a much needed ‘break’ from sleeping on my back all night. I would lay on my side as I was winding down, and when it became uncomfortable (usually just as I was drifting off) I’d turn onto my back. Then if I woke up in the night I’d often lay on my side for a bit even knowing I probably wouldn’t sleep that way. It’s just nice to be in a different position for a bit. Now I’m able to sleep that way a good part of the night, but it did take a while. So be patient and keep trying and you may find that one night soon it is comfortable again!

I will add that key for me is a king size pillow that goes from the top of my thigh all the way to just below my feet (even if my legs are straight). So I put that between my legs to turn on my non-operated side and my surgical leg is fully supported and padded and the pillow stays put. Then if I turn on my back, the pillow goes under both legs for some elevation, and occasionally I pull it away completely and just sleep flat on my back with my legs stretched out. It’s nice to have some options to change up the position throughout the night. Anyway, hope this is helpful. Sweet dreams!
 
Last edited:
@JusticeRider Thanks for the helpful tips! Things are slowly getting better. For the past couple nights my fitness tracker has registered some measurable sleep - only about 4 hours of it, but huge improvement from having no measurable sleep for almost a week. I do have a king sized body pillow and that helps a little. It’s a matter of finding the right position for everything, and I can’t seem to stay in any one position for very long unless I happen to fall asleep. And then it’s an hour of jostling to find a new comfortable position. I’m just resigned to the fact that this is how it’s going to be for a while until I slowly progress back to normal. I’m home alone during the day now so I can nap all I need to.
 
  • Like
Reactions: shr
Day 8, and I took myself off the oxycodone two days ago. What I feel now I’d describe more as discomfort than pain. A lot of dull ache. Some discomfort in the hip and lower back from a lot more sitting than normal. It is certainly manageable without the narcotics, and I’m happy to be off of them sooner rather than later. For me at least, trading a little bit more pain and discomfort for not having the side effects of the narcotics is a good tradeoff. I don’t plan on going back.
 
My wife observed today that while my mobility is still pretty limited, I’m already getting up out of my chair faster and easier than I was pre-surgery. When I had to get up it used to be a process. “Hmm, do I really want to get up? No not really because it’s gonna hurt.” Scoot up to the edge of my chair, sit there for a moment contemplating getting up, then brace myself and “1-2-3 up,” which was usually accompanied by a loud crack that everyone in the room could hear, and an “ow” from me. Now, less than 2 weeks out, it’s grab my walker just for balance and power up out of the chair, no biggie.

My PT tells me I should be transitioning from a walker to a cane by tomorrow or Monday. She wants to get my quads woken up a little more first. She doesn’t want me on crutches because she’s working on correcting my gait, and crutches aren’t really conducive to that. Although she did say that if I go out in public to anyplace semi-crowded, I may want to use crutches for that, or the walker, just because those are good visual signals to people that I'm injured and need space and probably other help. People are apparently far more likely to give up a seat in a restaurant lobby if you’re on crutches as opposed to carrying a cane.

I’m starting to sleep a little. The last 3 nights I’ve had just under 5 hours of measurable sleep according to my tracker, with sleep scores around 48-50. It’s a step in the right direction. I may try sleeping in my own bed on Friday night. I’m concerned about my wife getting a good night’s sleep with me still doing a lot of jostling for a comfortable position.

Everything is going great and I feel like I’m well ahead of the curve. Still not rushing anything because I know the new knee can humble me quickly, but feeling good about everything!
 
Last edited:
  • Like
Reactions: shr
Too funny!! Your description of getting up from a chair. I was reading it to my husband - it is EXACTLY what I do, especially the lingering on the edge before you decide to go for it. I'm guessing a large percentage of us on here do the same.
Sounds like you're making great progress. Keep it up. Looking forward to the other side myself!!
 
  • Like
Reactions: shr
Back
Top Bottom