TKR Set-back

DLG333

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Hi,
This is my first post here. I am just over 6 weeks post of for my left leg tkr. I have a question. I have been coming along very well after a rough first month. PT going well, etc. A couple of nights ago I layed on my surgery side in bed for what was to be just a few minutes of a different position in bed. Unfortunately I fell asleep like that and have been in a lot of pain and setback to several weeks ago with swelling and a lot of stiffness. Would you think I could have done serious damage to my knee and should see my surgeon or just keep doing what I’ve been doing? I had to miss two pt sessions because of how my knee feels.
 

Jockette

Staff member since March 18, 2018
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Hi and Welcome!

I doubt you did anything serious to your knee, most likely you just upset those soft tissues that are trying so hard to heal from the trauma of the surgery. This type of thing happens very easily, this early in recovery.

You were wise to cancel PT until your knee feels better. You really only need gentle movements for mobility, to help your knee heal. Keep icing and elevating throughout the day and night so your knee/leg can heal.

Please give us the date of your surgery and we’ll make a signature for you. :flwrysmile:

I will leave you our Recovery Guidelines. Each article is short but very informative. Following these guidelines will help you have a less painful recovery.

Just keep in mind all people are different, as are the approaches to this recovery and rehab. The key is, “Find what works for you.“ Your doctors, PTs and BoneSmart are available to help, but you are the final judge as to the recovery approach you choose.

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
ice
take your pain meds by prescription schedule (not when pain starts!)​
If you want to use something to help heal the incision,
BoneSmart recommends hypochlorous solution. Members in the US can purchase ACTIVE Antimicrobial Hydrogel through BoneSmart at a discount. Similar products should be available in the UK and other countries.​

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

6. Access to these pages on the website

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 the 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 the member’s history before providing advice, so please post any updates or questions you have right here in this thread.
 

sistersinhim

Staff member since March 20, 2017
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@DLG333, please tell us the date of your left TKR. One of the staff will add it to your signature for you. Knowing this date and seeing it on all your posts will help us to better be able to help you. Others that had their surgery around the same time as you had yours will be able to relate to you and maybe offer some suggestions to help you with yours.
 

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