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The bees knees

Discussion in 'Knee Replacement Pre-Op Area' started by Bionic, Oct 17, 2018.

  1. Bionic

    Bionic post-grad
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    This is my first post on the knee forum although am a regular on the hip side having a right THR on 13th July 2018.

    I have had lots of knee pain over the years and since my car accident in 1985 have always needed to use a soft mat when kneeling down. However, since my THR my left knee has been so much worse. Pain killers don't seem to touch it and it's permanently swollen and feels hot.

    I get my xray results tomorrow and expect it to show that I need a replacement but don't see the OS until 1st Nov. If I am to have surgery it will be a long wait on the NHS.

    Is ice likely to help in the interim?
     
  2. bottomshollow

    bottomshollow ADMINISTRATOR Administrator

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    moved 8.jpg @Bionic, from the knee recovery forum into the knee pre op forum where it rightfully belongs. Ice certainly can't hurt in the interim.

    We are here to help in any way we can: answering questions and concerns; supporting and encouraging you from start to finish; giving you a place to vent, whine, complain if you need to; sharing experiences with one another; and having fun and some laughs along the way.

    Take care and keep us posted. We care.
     
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  3. Bionic

    Bionic post-grad
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    Xray results showed that there is wide spread degenerative changes to all components of the left knee. When I asked what this actually means the Dr said OA and it does need a replacement.

    So now I need to wait for the OS consultation on 1st Nov where he will decide between my left hip or my right knee first and then tell me the bad news of how long the NHS waiting list is :-(

    I just have one question for the time being. Once you have the op does the OA go away straight away as it does for THR?
     
  4. SusieShoes

    SusieShoes FORUM ADVISOR Forum Advisor

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    Oh yes, once you have a total knee replacement, the osteoarthritis is completely gone. Cut away. Replaced with artificial parts. No more arthritis. :) Same for the hip or the knee.
     
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  5. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    Have you put your name on the list for a cancellation?
     
  6. Bionic

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    @Josephine,
    I haven't put myself on the cancellation list yet. I decided to wait to until I see the consultant on 1st Nov. His secretary has already confirmed that I was put on the NHS list when I had my private hip consultation back in June so I am someway down the list already. I will report back again after the consultation
     
  7. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    Actually it doesn't matter how far down the list you are. When they have a cancellation, they can work their way through quite a number of patients before they find one who is able to respond. I've had a couple of surgeries like that. One I had only been put on the list the week before when they rang and asked if I would go in the very next day! The sec said she had rung about 10 people who either didn't answer the phone or weren't able to take the spot before she got me. You can never tell!
     
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  8. Celle

    Celle FORUM ADVISOR Forum Advisor

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    Yes, it's a good pain-killer pre-op as well as post-op.
    And yes again!
    The surgeon will remove all the tissue that is affected by OA.
    You'll have post-op, surgical pain afterwards, but that will gradually decrease, and awful bone-on-bone pain should be gone for ever.
     
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  9. Bionic

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    Saw the OS today and he said, against his better judgement, he will do the left knee before the left hip. The hip X-ray does show degeneration but I don't have any pain. The knee, apart from being very painful is always very swollen and I can barely put any weight on it.
    Surgery isn't going to be until around April though :-(

    He has told me to give it a month and then to pester his secretary for a cancellation. He said cancellations come up all the time but that there are others in the queue before me.
     
  10. Jaycey

    Jaycey SUPER MODERATOR Moderator

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    @Bionic The best thing you can do is just call that med sec at least once per week. I did this pre-op RTHR. By the time I finally got my date I felt was was good friends with the secretary. She knew I was struggling and we both celebrated when she could finally give me a date.

    Fingers crossed you get an earlier op date.
     
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  11. Bionic

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    I am in quite a lot of pain with my duff knee. I have tried arcoxia, ibuprofen, paracetamol, co-codomal but nothing seems to work. When I saw the OS yesterday he suggested Tramadol or morphine. I did have ora-morph after my hip op but found it left me nauseous. I am very reluctant to take any opiates anyway. Were ay of you in a similar situation and if so what did you do?
     
  12. Celle

    Celle FORUM ADVISOR Forum Advisor

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  13. Bionic

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    My knee op is likely to be in March. Whilst I am waiting I am thinking about what is to come.
    Question - when you have a knee replacement are there any restrictions on what you can do, other than anything too painful. Things like 90 degree restrictions that you have for posterior hip replacement come to mind.
     
  14. Jockette

    Jockette FORUM ADVISOR Forum Advisor

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    I don’t remember any restrictions. Just what Bonesmart says, “if it hurts, don’t do it.”

    It’s a tougher recovery than a hip, is what I have been told.
     
  15. Celle

    Celle FORUM ADVISOR Forum Advisor

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    True - and that's because the knee is a more complex joint than the hip.
    TKR or THR: which is more difficult surgery for recovery?

    To give you some idea of what we recommend for recovery after a knee replacement, here is the post-op reading for knees:
    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
    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

    Please don't be overwhelmed by the list. The articles are not long and they and contain information that will answer many questions and help you make your recovery much easier on your knee and on you.

    We are here to help in any way we can: answering questions and concerns; supporting and encouraging you from start to finish.

    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.
     
  16. Bionic

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    I have 2 THR from 2018 that I am still recovering from and am due the TKR in March. When could I reasonably expect to go on holiday, including a flight?
    I won't book anything until after the op but planning a relaxing holiday will give me something to look forward to.
     
  17. Celle

    Celle FORUM ADVISOR Forum Advisor

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    I wouldn't go on holiday until about 6 months post-op. By then, you should be able to do most activities. Until then, you will probably still have to restrict some of your activities.

    Here's an article about Flying soon after surgery
     
  18. Bionic

    Bionic post-grad
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    Thanks for that information @Celle. I guess the best I can hope for is a good summer here
     
  19. Bionic

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    Saw the OS today, as part of my 6 weeks hip checkup, and we made a date for the knee surgery.
    19th March 2019
    OS stressed to me that the knee recovery would be more difficult/painful than the hips.
    I then saw physio where we discussed my hip. He was very pleased with me, but getting on to the knee, he also stressed that it would be more painful than the hips.
    Hmmm feeling a bit scared now.
     
  20. Celle

    Celle FORUM ADVISOR Forum Advisor

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    While it's true that recovery from a TKR is harder than from a THR, it's not that bad. It does take a long time, though, so you'll need lots of patience.
    TKR or THR: which is more difficult surgery for recovery?

    I've had 3 knee replacements and I'd have another if it proved necessary.
    Pain can be controlled, and PT should not hurt. If it hurts, it's the wrong sort of PT.
     

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