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[REVISION TKR] Revision to TKR <^

Discussion in 'Knee Replacement Recovery Area' started by Momma-me, Jun 8, 2017.

  1. Softtail

    Softtail senior

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    At last some good news for you yippee. As for getting pain meds , I am sorry you have landed in an area of US where pain management is still in the dark ages , at least as far as your provider goes. Here is hoping your new PT scores a touchdown with whoever she is trying to get you the proper pain treatment with.
     
  2. sistersinhim

    sistersinhim FORUM ADVISOR Forum Advisor

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    Your OS needs to get out of the business of TKR! He is so obsolete that he belongs in the dark ages. Ignore that uncompassionate man. You know what to do. What a blessing you have such a good PT. You'll do well with this person.
     
  3. KarriB

    KarriB FORUM ADVISOR Forum Advisor

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    I’m so glad you have a reasonable PT! What a relief! Have you considered calling your PCP for help with the pain meds?
     
  4. eelainea65

    eelainea65 junior member

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    Sorry. This was actually a reply to a much earlier post of yours. My bad. I blame the drugs. *face palm*

    1) Not understanding that expectation myself. I was discharged yesterday and was also kept level in bed. Did PT twice. Fortunately he didn’t push for flexion. They (OHSU) was also all about extension at the start. But was told to elevate “ramp style” at home. You were told six weeks?! Sounds like something special/extenuating (pun unintended =P )circumstances in your case.
    2) I had one meltdown at hospital around 10 PM on first night. (They always happen in evening/wee hours of morning!) They upped me from 5 mg to 10 mg of oxycodone. However, I am ALSO taking 1000 mg (two tablets) of Tylenol (acetaminophen) every eight hrs. I also take 81 mg of baby aspirin 2x daily for anti-clotting purposes. I had the good fortune to use a cold therapy unit (“icing machine”) during my stay. Wish insurance would cover renting or owning one! Aside from that, my other go to is a popsicle. The cold sensation in my mouth helps distract from pain in knee.

    Hope you’re managing better now!

    Elaine
     
    Last edited: May 4, 2019
  5. Irish471

    Irish471 senior

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    @Momma-me , that’s wonderful news about the home PT!!! Your OS was so mean! You know, every time an OS or PT mentions MUA, I feel like their tone reminds me of a parent scolding a child. I mean, cmon, we are gown adults! Don’t talk to me like I just tracked mud through the house. It’s condescending :no-fin:

    Hang in there! I hope the meds come through for you :beg:
     
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  6. Momma-me

    Momma-me member
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    Thanks for the support everyone! Fingers crossed!

    I was wondering, after your TKR... did you feel more pain on one side or the other... or was the pain just everywhere?
    Almost ALL of my relentless pain is on the medial side. Basically, from the incision, inward. Nothing else really hurts, just the one half of my knee. That seems weird to me
     
  7. FCBayern

    FCBayern member

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    Most of my pain was on the medial side as well, I asked my PT if that was common and he said yes, the medial side is what has most pain for almost everyone.
     
  8. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    An interesting observation. The truth of it is that our surgeons have no responsibility for our aftercare once we are discharged from hospital. In fact, there is letter sent by the hospital officially handing over the care to the GP and giving all the information about the patient's care and treatment in the hospital so he knows what's what. That aftercare includes pain management, wound care, suture/staple removal and anything else that might crop up. Only if there is something amiss that the GP feels should be brought to the attention of the surgeon would he then make contact the with him.
     
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  9. Didot

    Didot junior member

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    In Australia I find it similar. I have seen my surgeon twice (and in theatre for my MUA). He has zero involvement with what happens at PT, pain was controlled by my GP and work certificates too. He is basically not interested. He’s done his part - the rest becomes my problem. I might add he has a poor bed side manner but is considered by all to be the best in the area. Waiting list to see him are months long.


    Sent from my iPad using Tapatalk
     
  10. Irish471

    Irish471 senior

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    Interesting to hear how different our health care systems are and how they operate!

    @Momma-me , yes, I had lots of medial pain. The whole lateral side was numb, though, so maybe that’s why??? It’s starting to ‘wake up’ and I can feel more nerve type stuff happening on that side now. Every week, there will be a different pain in a different area. Just when you think you’re finally figuring it all out :heehee:
     
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  11. Jolease

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    My partial was all medial pain as that was where the partial was.This tkr it’s worse on lateral side, also behind the knee. I agree with Irish though, new pains seem to pop up each week.
     
  12. Jockette

    Jockette FORUM ADVISOR Forum Advisor

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    It would be intesting to get a copy of your surgical report, it may explain why you have pain in certain locations.

    I learned by reading mine that my surgeon had also done a lateral release during my surgery. If my surgeon ever told me that I don’t remember.

    And I still have a lot of discomfort in that lateral area.
     
  13. Momma-me

    Momma-me member
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    Yes our healthcare systems are very different! Even GPs in the US though are afraid to prescribe any type of pain meds. A true travesty for them that are in need of it!

    @Irish471 Yes, my lateral portion is numb as well. (??) And sharp, burning pain in the medial side. I wonder why?
    It would be interesting to get a copy of the surgical report. Never thought of doing that. I feel a little better tho knowing that might be more common. I thought maybe something was wrong in the medial side. It truly feels like a shark bit into my leg.
    I’m SO thankful that my surgeon stuck to his word tho and did no scraping with this left knee arthroscopic. It’s actually been feeling better than I had expected it to feel one week out.

    @Jockette my very first surgeon “attempted” a lateral release on me as well when he did the arthroscopic. Never even knew that until the MRI I had done before my second surgery which pointed that out. Weird. And wrong.
     
  14. Momma-me

    Momma-me member
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    Small Update: PT came today. Again some gentle stretching. Gaining a tad more ROM. Went outside with the walker today for the first time with PT. The sun and light breeze felt like heaven on earth.
    Doing well with small steps, heel toe and good extension on heel strike. I am having problems bending on the swing through, but that's because Im still in pain and of course, its super duper tight.
    But, overall, I feel pretty proud of that only 1 week out.
    Doing good balancing between walking, light stretching, icing and elevating.
    The pain is still there when I move, try to get in and out of bed, etc.. but atleast I am close to pain free when I am icing and elevating. Last week, even that was unbearable. I'll be honest, last week was BRUTAL for me but thankfully... I'm moving forward slow and steady! :thumb:
     
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  15. FCBayern

    FCBayern member

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    @Momma-me Completely agree the first week is really bad. :holysheep:My second week was pretty rough, but not nearly as bad as the first. By the end of week 3 I was getting by with Tylenol, mostly because my OS wouldn't prescribe any more narcotics. :unsure: By the beginning of week 4 I would have stopped the narcotics if had any. It does get better.:wink:
     
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  16. Celle

    Celle FORUM ADVISOR Forum Advisor

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    IT's normal (and inevitable) for the lateral part of your knee to feel numb.
    This article explains:
    Numb area after TKR: how long will it last?
     
  17. Momma-me

    Momma-me member
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    NEED TO RANT FOR A SECOND:
    I texted my PT and told him not to come tomorrow. I felt really good during PT (well, not "good" obviously, but not worse), but today I am super sore. Sharp, stabbing pain in medial area is worse. I have been doing alot of resting today. I have been in good spirits the past couple of days and actually not at all tired, but today... feeling pooped.
    Anyway,... PT texted back and said pain is expected, and to counter it with ice and elevation. That we need to keep working to stay mobile and get good movement and strength back. (???)

    UGH.. I know I can just say no, and forget it. And I might do that at some point, but I know the push back will cause my OS to be angry at me, and right now, I need them to be helpful and I'm afraid, at even only one week out, they will stop my pain meds, which I absolutely still need at this point. So, it's walking a line.
    The really obnoxious thing tho... is that because I wish to rehab in a different manner (more the BoneSmart way), my healthcare team assumes I'm just being lazy. I'm the LEAST lazy person ever.... I never sit still, never let grass grow under my feet, and "no pain, no gain" actually is a motto I stand by under most circumstances. But NOT IN THIS CASE.
    Just because I have a different opinion, AND DO NOT FEEL THAT PT ONE WEEK OUT (or EVER) 5 TIMES PER WEEK IS REASONABLE or effective, doesn't mean I'm lazy!!!!!
    Who prescribes PT 5Xs per week??? Who on earth feels this is appropriate?
    Already the OS wants to send me to a pain specialist!! WHAT THE HECK! Why? There is NOTHING WRONG WITH ME... I just want everyone to relax.. and leave me alone!
    I'm ONE WEEK OUT FROM SURGERY!

    Thank God for this forum because I would feel like a piece of sh#t if I just listened to everyone around me.

    OK... done. Thanks for listening.
     
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  18. Celle

    Celle FORUM ADVISOR Forum Advisor

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    You're 100% right and I hope the rant made you feel a bit better. :friends:

    You don't have to blindly follow orders. You can do it your way. That is your right, because it's your knee.
    Saying no to therapy - am I allowed to?

    Not all surgeons think the same way as yours does.
    My surgeon doesn't allow any PT at all for the first month after a knee replacement. He says your knee needs that time, to start on its journey of healing. For that month, we rest, ice and elevate our leg, and walk around the house.
    After that month, we just go to PT once every 2 weeks, where we are shown a few new exercises to do at home.
    His patients all do well and achieve good ROM, as I did, and he hasn't had to do a manipulation to help with ROM for the past 4 years. I think that speaks for itself.

    He is the "go-to" surgeon, to whom other surgeons send their patients with problem knees, so he knows what he's talking about.
     
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  19. Jockette

    Jockette FORUM ADVISOR Forum Advisor

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    “Pain is to be expected”-done, you have that.

    Increased pain from exercise is not what you consent to.

    The more you go along with PT, to any extent, the more likely you will need those meds.

    Not letting the PT come will allow your knee to not be additionally irritated, and by default will help lower your pain level.

    Maybe you’d actually do better with a pain specialist? Just a thought.
     
  20. sistersinhim

    sistersinhim FORUM ADVISOR Forum Advisor

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    I had discomfort in that area for months. After my 6 month checkup I requested my surgical report. When I read that I found I had, had a medial release. That explained that extra pain. Why didn't my OS tell me that? So many of them are good surgeons but bad communicators.

    I join in with the others. Don't let PT push you around. You are the one that has to deal with the pain and swelling, not them. The main thing is that exercise at your early stage causes more inflammation and that causes more swelling and pain. It is counter-productive. If you feel you have to have the PT, then do about 1/10 of what they want you to do.
     

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