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TKR Ten weeks later . . .<<'

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@Cratchit - please can we have a link to that article? If you quote or reference anything, we do like to know where it came from, who wrote it, etc.
 
Thank you @Cratchit . I'm going to ask @Josephine what she thinks of the article (link above). She might even know some of the surgeons mentioned.
 
Actually that article is from the Daily Mail (not exactly peer reviewed material!) and dated 24 September 2010. I know all the surgeons mentioned and Paul Allen was a registrar of mine back in 1987!

Cratchit said:
So this explains my (now ex) bow leg!
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Not really. The reason for bow legs or knock knees is the damage done to the top of the tibia. As the cartilage wears away and the joint becomes bone-on-bone, the wear continues but on the bone. This is what accounts for the deformities. However, as a direct result of this, then what Richard Grogan said about the ligaments become diseased as well also applies.

[Bonesmart.org] Ten weeks later . . .<<'
 
So what I'm understanding is that even though it's not a peer reviewed article (they were not conducting a study), what the quoted surgeons said was happening, with tendons and ligaments, has merit - even if the arthritis and tibial damage happens first, as Josephine mentioned. It's an interesting piece of information and gives us another piece of the puzzle - and a little more understanding of the complexity of these surgeries. Thanks for sharing @Cratchit!
 
It is indeed! It was simply an article from a daily newspaper that l came across during a lit search, not a piece of research, therefore there was no requirement for peer review, plus l knew the source would be ridiculed hence l didn't include the reference. Nevertheless l felt the piece contained enough useful information to be of benefit to others as well as myself therefore l included it in my recovery thread. It was not intended or considered as an academic piece of work. In my case the tendons and ligaments were damaged in the accident and OA developed as a result of the trauma so it's a bit chicken and egg for me.

Thanks @L.I.T.
 
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@Cratchit......I'm checking on you to see if you're feeling any better. Been thinking about you and hope you're having some sunnier days.
 
The other day, someone mentioned in a thread that their PT had advised against icing for longer than 10 mins at a time as ice can inhibit healing. I thought this was interesting and did a quick search which seemed to confirm that the physio`s advice was correct. Even the guy who invented RICE has reviewed his former advice.

Here are two of the articles I found though there are many others:

broken link removed: https://webmail.tiscali.co.uk/cp/ps/Mail/ExternalURLProxy?d=tiscali.co.uk&u=oscar62&url=https://www.drmirkin.com/fitness/why-ice-delays-recovery.html&urlHash=6.831048424749951E-69

broken link removed: https://webmail.tiscali.co.uk/cp/ps/Mail/ExternalURLProxy?d=tiscali.co.uk&u=oscar62&url=https://physicaltherapyweb.com/paradigm-shifts-use-ice-nsaids-post-acute-soft-tissue-injuries-part-1-2/&urlHash=-2.7709791317725636E119

I found it really interesting as apart from the advice about the ice, it agrees with the BoneSmart mantras in regard to rest, elevation and gentle exercise only until/unless condition allows. Some of the research and articles are based on sports injuries but the basic principles of healing would seem to apply equally to TKR because of the soft tissue injury.

What are others` thoughts?

(Mods please remove if not allowed)
 
@Jamie Notwithstanding Storm Doris which is blowing a hoolie out there and has obliterated all semblance of sunshine, today is a little better, thanks. The swelling and pain has decreased a little overnight but then I did clobber it with Codeine which The Knee seemed to like! Got a physio appointment tomorrow. Thanks for asking :)
 
Shame you couldn't rub some Codeine ointment straight on to your knee (if such exists!). Do you still ice it at all? I read on one of the threads that ice might not be the universal saviour it was once thought to be. It seemed to help me.
 
@Spex10 I have been icing intermittently for a while but not consistently as I didn`t find any real benefit from it. This week while The Knee has been misbehaving, I have tried icing but tbh, it really didn`t make any difference. I do use Ibuprofen gel sometimes if the pain is localised but yesterday I took the codeine as the leg from thigh to ankle was complaining, as was my back and hip.

The only thing I have done differently in the last few days is to try and manage without my stick as I`m due back on a phased return in 10 days time and won`t be able to take Sticky McStickface on to the ward on my clinical days. Without the stick I can manage short distances though still need it for a few steps when I`ve been still for a while but any more than that and I start limping and this has an effect on my back and hip. The pain typically runs down the front and back of my knee and wraps around the calf in such a way as to make those first few steps unbearable. Then I get going and it`s fine. I accept that this is par for the course given the damage and deformity I had pre-operatively and the need for the soft tissue to relearn a way of walking which is different to the last few years.

Have others had a similar experience? What do you think of returning to work in 10 days time? My thoughts are to postpone for a week or two as I`m still in pain and using the stick.
 
Interesting information. My right knee was bow legged and my left knee was knock kneed (doctor called it a windswept deformity), yet the outer muscles/ligaments on the right knee were so tight after surgery. I guess maybe my doc over tightened them? Or maybe I was just so used to them being loose that the tightness they were supposed to was not comfortable for me.
 
How can you go back to work on a busy ward if you really need a stick? You wouldn't be much use to patients and your manager might actually see you as a risk (sorry!). I bet they could find you some office type work. Is there any research you could help out on?
 
@Cratchit It's always something with these new knees. Things can be so different from one week to the next. I hope you feel better soon! Hugs!
 
Interesting.. along the lines that fever is not always something that needs to be reduced as the macrophages are killing germs.
Anyway it makes me feel better in that I didnt ice hardly at all after the first weeks..
 
I am so sorry that your stick is still your BF.. my stick was useless.. I used it till about week 3 but hubby pointed out that my gait was better with no stick or for long walks two hiking poles. The lone stick was torquing my back and made walking a mile a torture. Now four or five miles is no problem.

I am sorry you are still having pain.. You and I have about the same dates of surgery.
 
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