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Revised PKR to TKR Patellofemoral PKR with Ehlers Danlos hypermobility

That photo! :heehee:
Thankfully the pain has eased...even if only a little.
The walker, even though very useful was the first thing I wanted to ditch. Clunky ol thing makes you feel older than your days and a little pathetic. Hopefully tonight you have more restful sleep. :fingersx:
Happy Saturday, Mochapup!
@Mochapup
 
Question re independence:

I live alone with my dog, and my Dad flew in to help me for June 4 RTKR.. He will be here through June 23, at which point my Mom
could trade places with him, or I
could go it on my own. I have a small
Studio apartment, so no room for
Both parents. We aren’t sure how
soon I can be driving safely and getting groceries and getting dog outside. If I am on my own and not driving, I would
Still have in-home PT for a couple more weeks. Wanted to see how others fared in similar situations. Any suggestions?
 
Here is a thread with helpful tips for recovering on your own:

bonesmart.org

Home Alone After Surgery

I've started this thread at the suggestion of @snowleopard . Some people have to manage on their own when they come out of hospital. It is possible to do so, with some prior preparation. This thread is for people who manged on their own, to give tips and information about how they managed...
bonesmart.org bonesmart.org
 
If you have to walk your dog and cannot order groceries in or have a friend pick things up for you, I recommend you allow your Mom to come help you out at least until you can drive. You’ll have to decide when you are up to walking the dog…..depending on stairs or length of walks, that could be a problem for you for a while. You need to be sure there is no risk of the dog seeing another dog or animal and bolting on you during the walk. It’s important to not risk a fall. There may be a neighbor or dog walking service you could hire for a while or opt to board the dog until you feel safe and fully in control.
 
Jockette said:
Here is a thread with helpful tips
Click to expand...
Thank you! j
Jamie said:
recommend you allow your Mom to come help you out at least until you can drive.
Click to expand...
we had a phone powwow this morning and Mom will be able to do the switcheroo with Dad if I need more help past his stay. It’s the most time they have been apart other than when I had hip surgery.❤️
 
Protein question:

The home nurse mentioned it’s important to get at least 60g of protein daily. I get a fair amount as I eat eggs, milk, chicken, fish, yogurt etc. Maybe not 60 g a day though. Would it be beneficial to add protein powder?
 
Mochapup said:
The home nurse mentioned it’s important to get at least 60g of protein daily. I get a fair amount as I eat eggs, milk, chicken, fish, yogurt etc. Maybe not 60 g a day though. Would it be beneficial to add protein powder?
Click to expand...
You might first try totaling up your meals using one of the many apps that are available. If you eat all those things you may very well be above 60g depending on portion size. You will also get a fair amount of protein from sources like grains and vegetables.

If you are below your target, you could just add more of the above good protein sources, or vegetarian sources such as corn and beans, which add many other nutrients as well.

That said, protein powder is easy to use and smoothies can be delicious. Just don't let it replace healthy food.

(I've kept a detailed food diary since 2015 and have found it very informative)
 
WFD said:
That said, protein powder is easy to use and smoothies can be delicious. Just don't let it replace healthy food.
Click to expand...
Agree with @WFD that good food is better than supplements unless you are struggling to eat because of some health issue/ poor appetite.
If you have a slow cooker- healthy stews/ soups are good.
 
For a comprehensive look at nutrition needs both before and after surgery, please refer to BoneSmart’s Nutrition Guide. You can find information by clicking on the NUTRITION link in the blue tool bar at the top of the page. You definitely do have an increased need for good quality protein right now as you recover. If you want to supplement, drinks such as Glucerna, Boose, or Ensure are advisable over protein powders because they contain more nutrients that your body needs.
 
The thing I don't like is blanket statements about protein need that don't account for the different needs of a 5 foot tall 130 pound person and a 5 foot 10 inch 250 pound person!

Grams of protein per, say, every 20 pounds of weight might be a more helpful.

(Yes, I do have the same gripe about medicine dosing.)
 
That’s a reasonable argument, Janet. I don’t know that I’ve ever seen anything in nutrition that gives goals by weight.
 
mendogal said:
The thing I don't like is blanket statements about protein need that don't account for the different needs of a 5 foot tall 130 pound person and a 5 foot 10 inch 250 pound person!
Click to expand...
That makes sense!
 
Hot spot in one area of knee.

I noticed that the lower lateral area on the front of my knee feels hot. Not noticeably red. I am almost one month out and wonder what can cause this.

I have noticed that my non-op knee is super painful-today it hurt so much walking that I feared the kneecap might snap. It has no cartilage and has just a few mm of bone. It will be next on the replacement schedule when the right TKA has healed. Would a patella brace help?
 
Mochapup said:
noticed that the lower lateral area on the front of my knee feels hot. Not noticeably red. I am almost one month out and wonder what can cause this.
Click to expand...
My operated knee had warm/ hot spots for about a year. It used to worry me and at about four- five weeks I was sufficiently concerned to persuade my GP to do a blood test to rule out infection ( C reactive protein).
I never did this- but I read of someone on BoneSmart who used a surface thermometer to monitor the changes in skin temperature over the joint. I found my knee did vary in temperature- generally being cooler after rest/ elevation and hotter after exercise.
It is probably normal- the new joint stays hotter and more metabolically active on scans apparently for up to two years.
Having said that, if you get new hot ( not just slightly warm) areas- particularly if accompanied by redness or swelling- then definitely get them checked out.
 
Hot spots are a normal part of the healing process. As EalingGran says, having them come and go should not be a worry for you. However, if it’s accompanied by pain, swelling, or redness (especially if it’s an expanding area), you should have it checked out.

It might be worth it to try a sleeve on your unoperated knee to help provide some extra support when it’s bothering you. As your right knee is healing, you’ll normally be increasing your activity which may irritate the left knee. When this happens, it’s a good sign to slow down a bit for a day or two and let the left leg recover so it can help support you. Ice and Tylenol can help too.
 
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