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[TKR] PJohnson Recovery^

Discussion in 'Knee Replacement Recovery Area' started by PJohnson, Feb 9, 2019.

  1. CAdesgirl

    CAdesgirl junior member

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    Oh, yes burning sensations and then the dreaded zingers. I find that the burning sensation is the first sign that my pain is going to increase so I immediately go for the ice machine. I had the zingers really bad yesterday. I'm choosing to see them as increased nerve activity which is a good thing.
     
  2. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    Did you read the articles left for you in the second post in second post of this thread? Clearly not as there is a very explanatory article in the about fatigue.

    I'd really like to offer you some structured advice but in order to do that, I also need to ask you some questions. Are you willing for me to do that?
     
  3. PJohnson

    PJohnson new member
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    No problem with questions. Has anyone used compression to control swelling?
     
  4. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    That's what the TED hose are for! But any compression hose will do

    Here y'go then!

    It would be very helpful if you would answer each one individually - numbered as I have done - in as much detail as you can then I'll come back as see where you are ....

    1. what are your pain levels right now? (remember the 1-10 scale: 1 = no pain and 10 = the worst you can imagine. And don't forget to factor in other forms of pain such as soreness, burning, stabbing, throbbing, aching, swelling and stiffness).

    2. what pain medications have you been prescribed, how much are you taking (in mg please) and how often?

    3. how swollen is your leg compared to these?
    ai63.tinypic.com_eta39s.jpg

    4. what is your ROM - that's flexion (bend) and extension (straightness)

    5. are you icing your knee at all? If so, how often and for how long?

    6. are you elevating your leg. If so how often and for how long?

    7. what is your activity level? What do you do in the way of housework, cooking, cleaning, shopping, etc., and

    8. are you doing any exercises at home? If so what and how often?
    This is the most crucial question so please help me by using the format I have left as an example
    (which means please make a list and not an essay!)

    Exercises done at home
    - how many sessions you do each day
    - enter exercise by name then number of repetitions of each
    etc., etc.

    Anything done at PT
    - how many times a week
    - enter exercise by name then number of repetitions of each
    etc., etc.
     
  5. PJohnson

    PJohnson new member
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    1. Resting pain about a 4, more of an ache than a pain. When doing sliding heel, about a 7 from approx. 60 deg and when the incision pulls it goes to a sharp 8.

    2. No prescribed pain meds. Tylenol only.

    3. Swelling is worse than moderate but not up to severe. Lower leg from knee down is hardly swelled at all. Knee is swollen to level described. Above knee seems O.K.

    4. I consider flexion at about 60 deg PT says 80 deg when he pushes, but it's extremely painful to get there. extension 5 deg or less

    5. Icing several times a day for approx 20 each

    6. Leg is elevated all night and several times per day for approx. 30-45 min. Swelling increases within 5 minutes of standing.

    7. I cook but husband does clean up, no shopping and light housework only, no vacuuming or sweeping.

    8. Doing heel slides 4 times per day but only 3 or 4 per session. Too much pain. My incision is spreading wider (not splitting open) and it feels like bubble wrap popping. I can do leg lifts without problem and sliding the leg to one side from the hip. I can extend the leg fine to less than 5 deg.

    9. PT once a week for 1 hr., heel slides (10) and he puts my foot on his shoulder and pushes (approx 5 and it really hurts), and leg extensions. PT says everything else is back to normal. He mostly just talks.
     
  6. maryo52

    maryo52 FORUM ADVISOR Forum Advisor

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    Ouch! Just hearing about a PT pushing a body part painfully makes me cringe. I had that experience in 2010/11 and NEVER AGAIN. My PT watches my face and asks often if something is painful. We stop if there is. Pushing a newly operated knee to pain is like trying to make a teenager clean their room! Most likely the result will be the opposite of what you want!!!!

    I am also icing for a couple hours at a time, at least twice a day. I'm not on my feet much. When I'm not I have my leg up always. I'm on a compression hose protocol. These efforts have meant much much less swelling than after my surgery in 2010.
     
    • Agree Agree x 2
  7. PJohnson

    PJohnson new member
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    I am really afraid I will have to have MUA. What was your result (pain, ROM etc.)?
     
  8. kneeper

    kneeper FORUM ADVISOR Forum Advisor

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    Try to keep your leg elevated most of the day. I notice you mentioned compression earlier. For my 2nd knee my PT had me try something called Tubigrip. More comfortable that the TEDs but still offering some compression for the swelling.
     
  9. sistersinhim

    sistersinhim FORUM ADVISOR Forum Advisor

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    I think it's way too early to even think about having a MUA. Your knee isn't even 1 month old and is still in the swollen, angry tissue stage. A swollen knee has bad ROM because of the fluid in the knee that restricts movement. The key to achieving better ROM is to get the swelling out of that knee. A MUA will just cause more swelling worse ROM. Please give your knee time to heal. It isn't even 1/12 of the way healed yet.
     
  10. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    Extra detail required
    What does are you taking and at what times of the day?
    Is the extension plus or minus?
    I asked for this to be in a list
     

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