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TKR Starting my journey

Loblady

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I’m happy I found this site. My reading has already given me hope and injected some reality into my expectations.
I had RTKR on September 10. I was supposed to go home day of surgery but added some drama by stopping breathing in post-op so I got a night in the hospital. It’s been pretty straightforward since then. Surgery was on a Wednesday and I was in physical therapy that Friday.
Prior to surgery, I had been going to PT while I progressed through cortisone and then gel shots. I’m 69 years old but an avid tennis player and, up until Covid, I played competitive doubles 3-4 days a week. I’ve already had 2 repair surgeries on my left knee but it was my right that seemed to cause the most pain when we stopped playing overnight. I think the sudden decrease in activity allowed the severe arthritis in my knee to rear it’s ugly head.
I’m making good progress with my movement. I can lift my leg onto the ottoman without help and I can go down to our laundry room and back up the stairs. I gave up the walker about day 4 and have a cane that I ‘forget’ to use around the house. I do the PT exercises as I see fit and have to be careful I don’t push too hard thinking that will get me back to tennis sooner. I still have a lot of swelling, bruising and a burning sensation that comes and goes. If I ever get more that a couple of hours of sleep, I’ll be a new woman!
Tomorrow is my first post-op visit with the doctor. I’m anxious to hear what his assessment is. Sorry if this is long but other’s posts have helped me.
 

newlybionic

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:welome: to Bonesmart. We are glad you found us. To get rid of the swelling and to help with pain in your knee make sure you are elevating and icing your knee as much as possible.

Let me give you a list of our knee recovery articles.


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
the BoneSmart view on exercise
BoneSmart philosophy for sensible post op therapy
5. Here is a week-by-week guide for 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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Loblady

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Thank you for all the info. I figure that the more I know, the better off I will be.
 

Jockette

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You are doing very well.

Be careful not to give up the cane too early, though, your knee is still very new and could use the support.

Go easy on the exercises, gentle movements are best this early.

If you take your time with your recovery and let your knee recover at its own pace, you will heal well and be back to your active life.
 
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Loblady

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I had my post-op doctor’s visit this morning. The xrays show that everything is aligned and looking good. He was impressed with how well I was walking down the hallway and with my range of motion as well. As the swelling goes down I’ll get more sleep when I can truly get comfortable. I can’t wait for that! The constipation issues are related to the narcotics and will improve as I decrease them. Also, once I’m off the Percocet completely and feel comfortable, I can start driving myself. I’m encouraged by all the news.
 

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