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[BILATERAL TKR] Thank you

Discussion in 'Knee Replacement Recovery Area' started by Claud, Feb 10, 2019.

  1. sistersinhim

    sistersinhim FORUM ADVISOR Forum Advisor

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    There should be no serious rehab. Doing what you are doing now, especially with your being alone, will get you plenty of exercise. That is PT without a therapist telling you what to do. It worked fine for me foe 11 knee surgeries! As you start to feel better you will naturally do more walking. That is the best PT there is for your knees! @SusieShoes, tell her about your walking program.
     
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  2. SusieShoes

    SusieShoes FORUM ADVISOR Forum Advisor

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    It’s true. My OS says walking is the best rehab, and he provides all his patients with a walking program. The goals are appropriate to stage of recovery.

    Though I did a few weeks of PT mostly to get out of the house, I focused on the walking. Just circuits around the house at first. At a month I started walking outside by walking down my driveway and back. Three times a day.

    A few days later I walked the driveway and the sidewalk to my neighbor’s driveway and back. Every second day I walked farther. The next driveway, then the next. And back. It’s always twice what it sounds like. Twice a day.

    After a few more months I was walking two miles a day. Once a day. And I went for longer walks from there.

    The main thing is the program was gradual. I was very deliberate about adding distance in small increments at first. Later I would add longer distances to test my limits. But not at first. The first months were a little at a time.

    At no time were my knees in pain from this walking. Other things, yes, like the time I made a reflex leap to escape a dog. And also from PT a couple times early on. It’s all on my thread. But never hurt just from the walking.

    My rehab was fun and easy. My knees are almost two years post-op, pain-free, strong, and have great ROM. Walking works.
     
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    Last edited: Feb 12, 2019
  3. CAdesgirl

    CAdesgirl member

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    Hi, Claud. Welcome! I agree with everyone else about snacks. I found that fruit was good to keep handy. I also have Nature Valley bars and Girl Scout cookies handy for when I don't feel like being "good". I worried about weight gain because I put on 15 lbs after my surgeries in 2013-2014. I've lost 2 lbs during this recovery probably because my appetite was gone for the first few weeks. I imagine I'll find it again soon enough.

    My only other advice is to make sure you have enough to occupy your mind. The days can last forever if you're not keeping your mind busy.
     
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  4. Claud

    Claud junior member
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    Well it’s officially 1 week 1 day From BTKR. surgery

    The burning and stinging in my left knee has diminished but still there
    My right knee is still very swollen and stiff. Ice ice ice
    My ROM is about the same from Tuesday

    But the big issue was this am when I was trying to make myself breakfast I started to get very fussy and confused (I call it stage one to a pass out) then stage 2 kicked in - cold sweats . I immediately sat down and drank water and ate a slice of toast... did not get into stage 3 (lights out) but I felt I was close.
    I just sat still and drank water.. it passed and I went to my recliner
    By the time PT came to my place I was better. My BP was low but going up
    We did simple walking and she demanded I rest today as she figured I did too much yesterday. She said listen to your body—-just like you guys say.

    Today just did simple walking and up and down a couple of steps
    That’s it. Except for elevate and ice.
    I am still amazed at how low my pain is in respect to the pain I had 4 months ago for my hip replacement rehab.

    Mind you I’m not complaining
    But I think with that in mind I did too much yesterday.
    Live and learn
    Don’t want to water off my new knees early in our journey as we are going to be hanging out together for a long time....
     
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  5. gia2cats

    gia2cats junior member

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    @Claud,

    You seem to be doing great after a bilateral. And on your own, too.

    Maybe if you drank a big glass of water before you got up, that would help. We all get a little dehydrated during the night and with the trauma of surgery, it’s no wonder you came close to passing out. Not sure how much blood loss you had during surgery, but that would decrease your circulating volume in your body and cause your BP to be low.
    Just a thought.
     
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  6. Claud

    Claud junior member
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    One quick question
    I’m 8 days post BTKR. I am still elevateing and icing my knees with the polar machines all day long.
    Does everyone still ice all night long as well...
    Please advise
     
  7. Claud

    Claud junior member
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    Great idea Gia
    I drink during the night
    But getting a good amount down just before I get up makes sense
    Thanks
     
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  8. sistersinhim

    sistersinhim FORUM ADVISOR Forum Advisor

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    I iced all night long for at least 6 weeks or more. It kept the swelling and pain down considerably. When the water started to warm up my knee would start hurting and wake me up. I'd replenish the ice bucket and go back to sleep as soon as my knee cooled back down and the pain lowered.
     
  9. Claud

    Claud junior member
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    Thanks sistersinhim
    I will continue to ice day and night for the months to come. whenever I’m not using them.
    It’s a pain getting frozen bottle swaps at night...but it’s worth it in the long run ! Or should I say walk
     
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  10. sistersinhim

    sistersinhim FORUM ADVISOR Forum Advisor

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    Oh yes, it's well worth it! Ice feels so good it's almost sinful! :heehee:
     
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  11. Claud

    Claud junior member
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    How long a break between icing does anyone do
    My Pt said ice till pack get warm then rest knees to increase blood flow for healing for about an hour or two then back to icing.

    How does this sound to all?

    I’m still making amazing progress
    I noted my right hip area is aching a little. It was replaced 9-27-18
    I think the hip is just a baby and is now trying to find its correct alignment with my two new knees

    Any input on that ?

    Have a wonderful day guys !! ☀️
     
  12. Jockette

    Jockette FORUM ADVISOR Forum Advisor

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    Josephine usually advises to ice 45-60 minutes, preferably 60, and at least 3-4 times a day. Overnight is good, too.

    So I would think this plan sounds good. You can also tweak it to your comfort level.
     
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  13. Jaycey

    Jaycey SUPER MODERATOR Moderator

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    You are absolutely right, your hip is still in healing mode. Added to that everything is trying to settle post BTKR.

    Sounds like your recovery is going very well!
     
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  14. Roy Gardiner

    Roy Gardiner FORUM ADVISOR Forum Advisor

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    Smart woman!
    I iced during the day, not much at night and not for long. Recovery was still pretty good -- it's just what suits YOU that counts.
    Yes, your body will be making major adjustments to the new geometry, this takes time and causes all sorts of weird aches and pains. They all go away.
     
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  15. sistersinhim

    sistersinhim FORUM ADVISOR Forum Advisor

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    I iced all the time I was down, day and night. I used an ice machine with frozen bottles in the 'tank'. It circulated wonderfully cold water into a baffle that was wrapped around my knee. I was addicted to ice!
     
  16. Claud

    Claud junior member
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    Thank you so much guys for your help and experienced based advise
    I’m sooo glad I found this site
     
  17. Claud

    Claud junior member
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    Hi guys
    Tomorrow marks week 2 of my new knees
    I keep up with my exercises , icing and elevating etc
    Pain is not that bad and managed well with my pain meds
    I’m awaken more at night with having to go to the bathroom then anything else....keep those fluids going

    The question I’m presenting is the nagging stiffness around my knees.
    It did last week also include my upper calf but for most part is all around my knee now.
    I can get easily beyond 100 degree flex but dam it’s like this massive ace wrap tightened all around my knees making bending frustrating at times

    Is this stiffness normal two weeks out
    Any tips on helping resolve issue
    If someone experienced the same then how long did it take for it to go away.

    Sorry I’m pitting myself . Been a crappy weekend with snow and cold

    Lord when I get back to normal don’t let me near a zoo. I think I’ll go and let all the caged animals out... I know how they feel

    Well thanks for putting up with me
    Any answers to my questions will be greatly appreciated...

    Sincerely
    Caged in Massachusetts
     
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  18. traceys

    traceys graduate

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    Oh that band feeling. I remember it well.
    It does go away.. I remember the day sitting here and suddenly realized.. where did it go and when??? The days I do too much and it swells I get it back a bit but it’s so short lived.

    The stiffness holds on forever. Often the last thing to go. It doesn’t take much for that to surface- especially in the mornings.

    But your flex is fantastic!!!
     
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  19. Jamie

    Jamie ADMINISTRATOR Administrator

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    Don't worry about gaining weight with all your snacking. It may seem like you're eating a lot but your body is using a lot of energy to both heal and do all your daily activities. You'll be fine.

    One snack I enjoyed with my knees were the flavored prunes that come in a big resealable pouch. They taste great, are healthy and really give you that "bathroom boost" that can be important when you're on pain meds or spending a lot of time in the recliner.

    It sounds like you're doing very well, except for that fainting spell. Keep the water and small snacks often going!
     
  20. Didot

    Didot junior member

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    You’re able to exceed 90, which at 5 weeks now for me is still a dream. It feels like I’m walking with a balloon filled with water around my knee and when I try to bend it, it simply cannot. You’re not alone!!


    Sent from my iPad using Tapatalk
     

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