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[TKR] Received TKR today.

Discussion in 'Knee Replacement Recovery Area' started by dmichael21, Dec 12, 2018.

  1. dmichael21

    dmichael21 junior member
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    Feel good, nerve block working well. I was in a chair and did some walker action and pulled off 107 degrees with a lot of help from therapist. Tomorrow will bring lot more pain once the block goes away.
     
  2. Jaycey

    Jaycey SUPER MODERATOR Moderator

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    Welcome to the other side!
    Please do not push this ROM or let anyone push you. Doing so will only lead to more swelling and pain.

    Please read these articles. I think you will find that the slow and steady approach works much better.

    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
    elevate
    ice
    take your pain meds by prescription schedule (not when pain starts!)
    don't overwork

    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 Activity progression for TKRs

    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.
     
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  3. Spex10

    Spex10 post-grad

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    Welcome to the other side. Give that poor new knee a chance to recover from the trauma of the op before being rushed into action. Don't let PTs bully you.
     
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  4. dmichael21

    dmichael21 junior member
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    I’m sitting here and I found some great articles on pain management and realized I’m making some mistakes. This is no cake walk and I have to back down on PT. Pain and stiffness is horrible.
     
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  5. Jaycey

    Jaycey SUPER MODERATOR Moderator

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    @dmichael21 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.

    When I read your first post on this thread about getting "help from PT" I did wonder whether we would see you here again talking about pain management. There really is no need for excessive PT. If you focus on getting your pain and swelling managed everything else will fall into place. Just remember - you are not in training. Your knee is healing. Once healed you will get back to all the activities you love.
     
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  6. skigirl

    skigirl FORUM ADVISOR Forum Advisor

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    I am glad you are backing down on PT. Really, you just had major surgery and your poor knee has had tissues moved, bones sawn and an implant pounded into place---does that sound like a person who needs the knee to be bent? Of course not. The actions of that PT will cause more pain and swelling which results in pain and stiffness. That is one Pt who needs some more training in the current way to rehab a tkr.

    At least you are on the right track now. don't let a poorly trained PT bully you. Remember someone graduated at the bottom of the class!!

    TKR: Ceasing aggressive physical therapy after surgery

    In-Patient Rehab Not Always Needed After TKR

    Efficiency of immediate postoperative inpatient physical therapy following TKR
     
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  7. Roy Gardiner

    Roy Gardiner FORUM ADVISOR Forum Advisor

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    :thumb: PT can be helpful but is not essential, do less rather than more. Nothing wrong with NONE!
     
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  8. Jockette

    Jockette FORUM ADVISOR Forum Advisor

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    :heehee:
     
  9. sistersinhim

    sistersinhim FORUM ADVISOR Forum Advisor

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    Merry Christmas!
    I hope your knee will calm down once it recoups from all those exercises.
     
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  10. dmichael21

    dmichael21 junior member
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    Today I had an excellent physical therapy session. I was able to get to 90 degree flexion and was excited about that. Today seems to be a good turning point in my recovery.
     

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  11. skigirl

    skigirl FORUM ADVISOR Forum Advisor

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    I am glad to hear it. Remember it is not a real rom unless you can do it yourself unassisted.
     
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  12. sistersinhim

    sistersinhim FORUM ADVISOR Forum Advisor

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    It is very early to worry about ROM right now. It's great that you can do this, but if it causes you pain and swelling tonight or tomorrow, then it's too much for your knee right now. Healing it should be your #1 priority for the next month or so. ROM will improve naturally as you use your knee everyday just doing your daily activities.
     
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  13. dmichael21

    dmichael21 junior member
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    I’m masking my pain with oatmeal cookies.
     

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  14. Jockette

    Jockette FORUM ADVISOR Forum Advisor

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    I assume you shared with your friend, there!
     
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  15. dmichael21

    dmichael21 junior member
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    I’m approaching week 3 and it’s a mental challenge at this point. I’m trying to survive on extra strength Tylenol and I elevate almost constantly and I use my Polar Care Cube with frozen water bottles on and off 24 hours a day , I can’t last more than 3 hours in a bed and I use a recliner. I’m hitting 92 degrees with help and 5 extension and I’m able to do stationary bike with the tension turned all the ways down, takes awhile before I can pedal through
     

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  16. Jamie

    Jamie ADMINISTRATOR Administrator

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    If you're saying that you are still having pain with the Extra Strength Tylenol, how about letting me know what dose you're taking and on what schedule? Perhaps I can help you with the pain management. When you respond, be sure and tag me @Jamie so I will see it quickly.
     
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  17. kneeper

    kneeper FORUM ADVISOR Forum Advisor

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    You're right that it's a mental challenge--the big thing is patience and listening to the knee. You don't necessarily need "help" to get your ROM. Doing your rotations on the bike will continue to be helpful but be patient--more is not necessarily better at this point in your recovery. You're doing fine.
     
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  18. dmichael21

    dmichael21 junior member
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    Well this morning I had a very brutal PT , I have to be honest it may of really helped me, I was shown 3 more exercises and that’s how I hit 100 degrees bend. I laid on my back and with both my hands under my leg I pulled my knee towards my chest and at that point the therapist took my foot and kindly assisted me into a eye watering bend resulting in 100 degrees. The Tylenol I’m using is 500 mg 2 every 6 hours, I did take an oxy 5 mg a half hour before PT at home visit. Now I’m icing like there is no tomorrow.
     
  19. sistersinhim

    sistersinhim FORUM ADVISOR Forum Advisor

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    Have you read our recovery articles that were left for you. This is way too aggressive for a baby knee. I think you should back off and let your knee heal before doing anything like this again for a month or so.
     
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  20. dmichael21

    dmichael21 junior member
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    Practicing stairs and it’s easier to go up than down.
     

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