Watch 2020 JRAD Videos

TKR Post op complications^

OP
OP
S

smatsmax

new member
Joined
Jun 4, 2019
Messages
13
Age
46
Gender
Female
Country
United Kingdom United Kingdom
Thanks supersonic
It may be an option, your right, she needs constant reassurance
 

KarriB

FORUM ADVISOR
Forum Advisor
Joined
Apr 20, 2015
Messages
11,968
Age
63
Location
Pittsburgh, PA
Gender
Female
Country
United States United States
I think your mom needs a super understanding PT who’s willing to work with her lack of confidence and anxiety concerning her own mobility. The spasms can be surprising, but it seems to me if she’s using the leg consistently the spasms will eventually become less and less. Walking around the house every hour is suggested here on BS. Is someone at the hospital getting her up and walking that frequently?
 
OP
OP
S

smatsmax

new member
Joined
Jun 4, 2019
Messages
13
Age
46
Gender
Female
Country
United Kingdom United Kingdom
She has to have the in-house physio at the hospital, we're not allowed to bring in outside pts. But she is getting it nearly every week day. I told her think of the number of spasms as a finite number and the more she has the less she will have to come.

It's hard for the nurses to find time to walk her but she's starting trying to use the toilet again rather than a commode so is walking a bit more. And my brother and I walk her when we visit but she often chickens out.

It's a hard balance trying to get her to move but not bully her into it.
Fingers crossed she starts improving soon. Thanks for all your help.
 

KarriB

FORUM ADVISOR
Forum Advisor
Joined
Apr 20, 2015
Messages
11,968
Age
63
Location
Pittsburgh, PA
Gender
Female
Country
United States United States
Has she tried the stretching Josephine suggested?
 
OP
OP
S

smatsmax

new member
Joined
Jun 4, 2019
Messages
13
Age
46
Gender
Female
Country
United Kingdom United Kingdom
Hi KarriB
She has no quads so finds it difficult to stretch it straight

I'm just going to have to hope things get better soon, at a complete loss now. She complains when she doesn't have physio and now she is having it every day shes complaining that it's too much and she's in agony. Poor nurses can't win....
 

Jockette

SENIOR FORUM ADVISOR
Senior Forum Advisor
Joined
Aug 29, 2017
Messages
17,824
Age
64
Location
Delaware
Gender
Female
Country
United States United States
This is a very tough recovery for all of us.
she complains when she doesnt have physio and now she is having it every day shes complaining that its too much and shes in agony.
Too much PT can indeed be agony, been there, done that that. Not all therapists are the same. She needs mobility movements, not lots of exercises that cause her pain.

I am going to tag @Josephine to come and advise you about PT.
 

Josephine

NURSE DIRECTOR EMERITUS
Nurse Director
Joined
Jun 8, 2007
Messages
84,937
Age
78
Location
The North
Gender
Female
Country
United Kingdom United Kingdom
She's 8 weeks out - what some would say is the peak of the painful period.

If I ask you some questions about her recovery, would you do your best to answer them?
 

Josephine

NURSE DIRECTOR EMERITUS
Nurse Director
Joined
Jun 8, 2007
Messages
84,937
Age
78
Location
The North
Gender
Female
Country
United Kingdom United Kingdom
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.
 
OP
OP
S

smatsmax

new member
Joined
Jun 4, 2019
Messages
13
Age
46
Gender
Female
Country
United Kingdom United Kingdom
Thanks Josephine
I'll try and answer for mum as best I can
I will double check meds when I go and see her in hospital later on today.


1. 6 or 7 normally but up to 10 with a spasm.

2. Paracetamol 500mg 4 times a day
Codeine 60mg 4 times a day
oral morph when needed.
Topical ibuprofen gel
Diazapam 5mg
Was on ibuprofen 400mg 3 times but been stopped in favour of the topical gel.

3. Moderate swelling

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

5. Yes, I've packs on and off most of the day

6. Only on the bed, not elevated above that. We were elevating at home but not now In the hospital.

7. None, hardly able to walk to the toilet. Often having bed pans instead.

8. Exercises done

Quad squeezes 5 -10
Heel slides 10
Ankle flex 10
Towel under ankle 5

Varies wildly depending on pain levels, sometime just a little walking , before the fall she was walking down and up steps very well.
A couple of sessions she's not been able to get to, usually after a particularly bad spasm that leaves the leg very painful. Even a small jolt in a wheelchair can start a spasm. She is terrified of the spasms so now does very little.
 

Josephine

NURSE DIRECTOR EMERITUS
Nurse Director
Joined
Jun 8, 2007
Messages
84,937
Age
78
Location
The North
Gender
Female
Country
United Kingdom United Kingdom
OP
OP
S

smatsmax

new member
Joined
Jun 4, 2019
Messages
13
Age
46
Gender
Female
Country
United Kingdom United Kingdom
More detail required - sorry
Oral morphine not sure what dosage only available in the hospital here in the UK.
How often is that?
Not sure, only when she's in lots of pain usually after physio. Which she is having a break from now.
How often is that used?
Not sure as I don't have access to her meds file
That's only flexion. I did ask for extension as well - if you can get it.
65 degrees is all I know, what measurement is it for flexion?
Yes but how often is that and for how long?
Again I'm not sure as I'm not with her 24/7 anymore.

Sorry, I'm not much help am I?
Meds seem to change daily, with what she feels she needs.
 
OP
OP
S

smatsmax

new member
Joined
Jun 4, 2019
Messages
13
Age
46
Gender
Female
Country
United Kingdom United Kingdom
She had another cramp today, docs aren't sure if they are cramps now or whether it's shooting pain, It's so upsetting seeing mum in such pain.

They are putting her on amitriptyline now hoping it will help with anxiety and the pain. We're having to find somewhere else for her to go now, the hospital are discharging her. Just when she starts to get some mobility she gets another 'cramp' .
 

Josephine

NURSE DIRECTOR EMERITUS
Nurse Director
Joined
Jun 8, 2007
Messages
84,937
Age
78
Location
The North
Gender
Female
Country
United Kingdom United Kingdom
I always suspected it was 'just' post-op pain.
 

Benay

graduate
Joined
Apr 13, 2019
Messages
655
Location
SoCal
Gender
Female
Country
United States United States
I really hope she is feeling better soon. So sad to see your mom in pain.
 

New

Active Antibacterial

BoneSmart #1 Best Blog

Staff online

Forum statistics

Threads
51,509
Messages
1,382,734
BoneSmarties
32,242
Latest member
Ant
Recent bookmarks
0

Top Bottom