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TKR Ten weeks later . . .<<'

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So today I have rested up for long periods at a time, leg elevated, ice on at intervals, swelling not too bad, pain negligible. I have been up only to make a drink, go to the bathroom and to have tea. As soon as I stand up and start walking about my knee is just as swollen as it would be had I pottered about all day. I still cannot weight bear immediately upon rising and for the first few steps and there is nagging intermittent pain through the knee when I move. Whether I rest up or potter about, it seems to make no difference. I have good flexion and extension but have an abnormal gait and lean heavily to the L unless I use a crutch. I have pain in my back and hip, doubtless due to my poor gait. I think I probably had poor gait pre op

I am 3 months post-op today. Someone on another thread said that their life had got smaller due to the issues associated with their knee. Mine had too, which is what prompted my consent for surgery. When does it start to enlarge again?
 
I rang my insurers (NFU) prior to surgery and after changing my car to an automatic and they weren`t very interested
And what did I say? :yahoo::yes!:

I think the shin thing fits.
I did all those things with little effect. I really only started to improve when I saw my chiropractor.

Mind you, he's a nice looking chap and that helps!

[Bonesmart.org] Ten weeks later . . .<<'
 
Thanks Josephine, that made me chuckle. Now how can I contact your chiropractor?! :)

Any thoughts on the above? Could use some encouragement right now.
 
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When you can get out your world will get bigger. When you can do the stuff you love without pain the world will be great..
Can you get out at all? Everyone is different in recovery but I have been getting out since four days post op. Even riding in a car helped. I see you can drive now.. your confidence in that may be another matter.. I hesitate to pin anything normal on a time line as it could be discouraging..

Pick something you love to do not involving your home and try it. I think that your mind needs some confidence boosting... I can relate to that. I was staring at stairs for several days thinking "I'm gonna fall I'm gonna fall" if I did alternate steps with alternate legs... ie reciprocally. That never happened. Our minds can put us in knots.
 
Well,I see you're in 'the north'. Not Gateshead by any chance?
If so you're in dead good luck as that's where he practices!
 
Its good to get out and about. Otherwise you just sit (with leg up of course!) thinking about all the things you can't do. Well I do anyway. Can't wait to be able to drive again.
Looks like you could be in luck with that chiropractor! I hope so anyway although its hard to overcome the tendency to prefer an NHS practitioner. We're so anti private medicine over here.
 
It`s very true that the mind can put us in knots, also that sitting around can lead to a tendency to think about all the things we can`t do. I look out of the window towards the hills and I can`t remember the last time I was able to walk up them - and that has nothing to do with my TKR. The TKR, however, does offer hope that later this year I`ll be up there again - and on the bike, walking the dog, riding.

Yesterday evening was thoroughly miserable. I didn`t sleep well and as a consequence I wakened this morning feeling wretched and with my knee swollen and painful - unusual for the morning - and with a sore back and hip to boot. So I conclude that doing too much isn`t good, resting too much isn`t good so somewhere in the middle should be just right! All things in moderation.

Did you know I have a chicken-proof lawn? It`s impeccable! :rotfl:

Sorry, listening to Tim Vine on R4!
 
@Cratchit

I think you and I are in the same boat. I'm 3 month s post op this coming Tuesday. For the hip and knee pain trying using a heating pad. I had horrible tail bone pain and heat heating pad worked wonders. Just make sure not to use near your knee.

I've been horrible depressed, so started an antidepressant to get me over the next few months. Not necessarily the best route for everyone, but I felt my last.option

Getting out is good, we went for a ride, lunch and a visit with some friends yesterday and depression stayed in check. However can't be that busy every day

How did your 3 month checkup go?
 
I shall try the heat pad, thanks. I use one for my lower back when that starts squealing but will transfer it to my hip, as needed.

I`m sorry you`ve been/are depressed. Are the anti d`s helping or is it too soon to tell? I think it is an option to be considered when the need arises and as such it can be a good choice. You do what you need to do to get through this time; there`s no right or wrong way, just the way that suits you - and that`s good!

I haven`t had a 3 month checkup. I had one at about 6 weeks and have another appointment on the 27th Feb. I have an appointment with my manager tomorrow and she will probably refer me to Occupational Health which means I`ll have access to a bit more support, if I need it. Those of us in the UK don`t seem to have as much follow up as our fellow TKR gang in the US. Different system, I suppose.

I do hope you feel better soon and are able to get out and about, within reason - and without pain!
 
I've only been on the medications for six days, so to early to tell. My hubby this morning is making get up and go shopping which is going to be difficult due the position of my severe banding impacting my hip and now I have shin pain

Never ends
 
Aw, I'm so sorry. It really must feel like it`s never-ending. What's 'get up and go' shopping?
 
Oh Crachit! Have you never heard of 'get up and go'? It's much the same as 'stir your stumps'!
 
Aw, I'm so sorry. It really must feel like it`s never-ending. What's 'get up and go' shopping?


Lol. Sorry left out a word. Was supposed to read making me get up and go shopping.
 
@Spex10 Are you able to walk around without pain even though you haven`t a lot of bend? That should rebuild some stamina shouldn`t it? What about weights (little ones!)?

I`ve just had a call from Occupational Health and have been offered a physio appointment at the hospital. I`ve taken it but now I`m concerned that if it`s someone who knows naff all about post op TKR, they may want to try and inclict pain and damage. I`ll refuse anything I`m not happy with but I can`t be seen to be non-compliant. What do others think?
 
Thanks spex :) I`m just worried that I`ll have a physio like the one I had when I broke my leg originally. For whatever reason she thought was useful, she pressed down on my recently liberated (L) knee with such force and pain that I nearly shot off the bed. Her manner and attitude was so appalling I actually refused to see her again and was assigned a senior physio. This time I shall be much more vocal from the outset. Still not altogether at ease with the idea. Perhaps I should move!
 
God that sounds awful! No wonder you're wary of physio.
 
I am 12 weeks and 3 days post op. This is where I`m up to.

Mobility:
  • Can walk around the house unaided but my gait is not pretty and by afternoon I sometimes use one crutch to help my balance
  • ROM is roughly 120/0
  • I can walk a good mile outside with the dog (probably can without, too!) but still take one crutch for reasons of balance, also because of pain and swelling
  • I can almost walk upstairs without the crutch but cling to the handrail and kind of haul myself up. This is improving. Can`t even contemplate coming downstairs normally yet
  • I have issues with the tight band feeling around the knee but also extending above the knee.
  • I have tweaky kinds of pains or intermittent shooting pains through my knee.
  • there is pain just off centre right below my knee cap which disallows for walking from sitting or weight bearing for the first few steps. This is improving slowly.
  • my calf feels like it`s going to snap at times, especially when rising from sitting position or getting up from bed.
  • I changed my car to an automatic transmission pre op so I am able to get out and about, at least locally or within an hour`s drive. The bumps and breaking tends to unsettle the knee so I just take it easy
Analgesia:

I had been down to 1 - 2 x day of either Ibuprofen 400mg in the morning and Co-codamol 8/500 with Paracetemol 500mg at night. This worked well until shortly before Christmas when I started having pains in the shin and calf and through the knee, plus the swelling increased. I increased my medication to Ibuprofen 800mg in the morning; Co-codamol 8/500 with Paracetemol 500mg 6hrs after first dose of the day, Paracetemol 1g at teatime, Ibuprofen 800mg at night. I continued with this until yesterday. Today I have only taken Paracetemol 1g when I got up. So far, so good but I haven`t done much so far today. Will continue this 6hrly today and see how I get on.

Wound:

My wound is fully healed but oh good grief, it`s sensitive, especially at night. Everytime the bedsheet touches it it feels like I`ve been nettled really badly or someone is sticking very sharp pins in it. The top of the wound is a little hypertrophic and red; the bottom looks quite good. I massage this once a day with E45 but am beginning to wonder if this is contributing to the sensitivity

Sleep:

I am used to having broken sleep, sometimes wakening 2 - 3 times a night, on occasions I`ll be awake for 2 - 3 hrs. This doesn`t seem very different to how I was pre-op. I am a side-sleeper and was nearly euphoric when I discovered I could slide operated leg over non-operated leg at about 3 weeks post op and lie on my side to sleep, albeit for short periods at first. I used a small bean bag type thing to support my knee. Now I can lie on my side quite easily but it does drag on my operated knee when I turn over - and of course it inflames the wretched wound!

This TKR business is a way bigger deal than I could ever have imagined - and I`ve had a relatively uncomplicated journey thus far. I still cannot say I am at the stage where I`m glad I`ve had it done and don`t even want to think about the absent cartilage/ buckling and pain of the other knee which will also need replacing at some point. However, as someone elsewhere on this forum said, I chose to have this procedure in order to make my life bigger again so I am pressing on and looking forward to the time when I am truly able to reap the benefits.

And now, as my knee is yelping and unhappy, I`m off for the drugs, ice and easy chair!
 
You do sound in a bad way. I was never give crutches just 2 sticks. I don't use one round the house but do take one if going outside - as much more of a non verbal way to show others that I might be a bit vulnerable as anything else.
I'm sorry you need so much in the way of meds. You must be in a lot of pain. My leg feels well healed and strong but with what feels like a web of tissue sweeping round the knee preventing bending.
I'm expecting to need drugs after the MUA though
 
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