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TKR both knees

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Hi Kayekaye,
I think you need some pain management strategy (perhaps Bottomshadow's BoneSmart cocktail ) or perhaps something stronger. If you can't do anything now because your in constant pain then you won't be able to build up muscle before TKR. It really helped in my recovery to build up my Quads before surgery. I did PT for a few months knowing that I would need to rebuild muscle lost after surgery. I think just your general well being would benefit from being out of pain. I was in moderate pain before TKR, but was able to do exercise in moderation. My issues were mostly due to mechanics of the joint (limited ROM) but pain did stop me from walking very far or standing for any length of time. Hopefully others were in the same situation as yourself and can give you more relevant feedback.
 
My original OS---who I had been seeing for about 10-12 years, does not doe TKR's; I asked him, if he needed a TKR, who he would choose to do it. I figured that and OS would truly know who else is outstanding, and that he would also know who trust in the operating theater.
 
bottomshollow thank you I will try that. My nephew's wife has told me to mix them as well but now I have the cocktail right.

After reading up on here all week I was so encouraged. I don't want to sit all the time anymore. I will try to be more active and I have been exercising the muscles as shown in the other threads. It feels so good and is making my legs stronger, to lift them and not hurt the knee.

For the first time this year I walked down to the water at our beach 350 feet to get to the water. Sat on the dock for an hour. It was heaven. And I have suffered no repercussions for the walk so I am doubly glad. Don't know if I could walk down there alone though. It's fairly level ground but still...
 
My beach walk, looking from the dock to the road, 350 feet to the sand up there.
 

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bottomshollow said:
Kaye, 2 Tylenol 500mg along with a couple of ibuprofen do a better job--the Tylenol for pain and the ibuprofen for inflammation. Just not more the 4000mgs of Tylenol in 24 hours and not more than 3200mgs of ibuprofen. We call it the BoneSmart cocktail. This is all I have used since I was 3 months post op.
Click to expand...

@bottomshollow
Now I have a question, did you mean
2 Tylenol 500mg -each totaling 1,000mg? or
2 Tylenol 500mg - 2 totaling 500mg?

I use Ibuprofen 200mg each

Sorry I'm confused a bit. Thanks
 
Roy Gardiner said:
I am now 60 years old, like you, and six months post op, maybe now 95% recovered.

Go for it!
Click to expand...

I'm still searching for a doctor, the last one won't go for it. I don't understand. He said then I would need another one when I am 85 and they won't do it at that age so I would die in pain and crippled. My Mom lived to 97 and my Aunt to 104 so I just don't get it. Then my brother in law has his knees done over 20 years ago and they are still going strong with no problems at all and he is about 68 now.
 
Good luck in your search for a surgeon. I am very overweight but my size was never an issue. My doctor told me to get my knees fixed and then work on losing weight.
Congrats on your walk to the beach. Things that used to seem so simple are totally impossible when you’re in pain.
 
Thanks Dmgkag, I'm focusing on cutting out all the breads, pastas and starchy stuff and it's working.
Morning glory I am so glad to hear your doctor didn't wait to operate till you lost weight. I will read your posts, I'm interested in how it went.
 
KayeKaye said:
I'm still searching for a doctor, the last one won't go for it.
Click to expand...
You'll soon find another. The man who did mine looked at the X-rays and said, more or less, "OK, bone on bone, when do you want them done?"

KayeKaye said:
Thanks Dmgkag, I'm focusing on cutting out all the breads, pastas and starchy stuff and it's working.
Click to expand...
:thumb: Correct IMO, here's one I found today https://www.guardian.co.uk/business/2012/jun/11/why-our-food-is-making-us-fat?fb_action_ids=10151029397851468&fb_action_types=news.reads&fb_source=other_multiline
 
Has anyone used the new antigravity treadmill? I see one is in use at the PT I have gone to. Just wondering if it is useful
broken link removed: https://www.allinahealth.org/ahs/ski.nsf/page/AlterG

Defying gravity with the AlterG
The AlterG Anti-Gravity Treadmill provides a new standard of care in rehabilitation and training. By defying gravity, it gives patients the opportunity to exercise without pain, even while recovering from surgery or injury.

The AlterG's unique unweighting technology reduces the impact of walking or running, while the body goes through the normal healing process.

The AlterG lowers the impact on joints and muscles during exercise. People who have used the AlterG say it is like "running on air."

Persons who may benefit from the AlterG
The AlterG safely enables physical therapy for lower extremity patients who have been approved by their physicians for at least 25 percent partial weight bearing and who are allowed to flex and extend their hip, knee and ankle through a limited range of motion.

These patients may be training through an injury or recovering from surgery of the hip, knee, ankle or foot.

There are additional uses such as gait training in neurological patients, weight control and reduction, and strength and conditioning for older patients.
 
Just stopped by my PT and got some info from her. I'm going to use this thread to talk to myself, if that's ok. :biggrin: but others are welcome to join in...

Dr. B. sends many patients to her and she has had only success with his patients. She was surprised he is having me wait 10 years and loose weight as his patients are heavier than me and younger and older. Odd.

St. Croix Courage Center for swim therapy is good for knees, warm pool. Need referral from doctor to use the pool.

All of her (PT) patients were one knee at a time, none were both knees. She feels it is too hard to recoup with both knees. (!)

Continue the knee exercises they gave me, do as much before so recoup is easier. But don't aggravate the meniscus tears.

Expect 6 months for recoup, or more.

Dr. B. will ok up to 1 month in home PT, not her though.
 
Dear KayeKaye,
Welcome and don't feel frustrated or alone.
I've been getting arthrocentesis, prednisone shots, and then finally synvisc injections for years trying to hold off on the replacement surgery. My rheumatologist (bless his heart!!!!!) has been telling me for years that replacement surgery is in my future. Everything helped a bit for a short while....and then I just made my decision to just do it. I went to the OS that I researched and chose, and he told me to lose 30 pounds. I KNOW that it is not easy. As you do. CONGRATULATIONS on your great weight loss!!!!!!!! I lost the 30 and have my surgery date. I'm nervous about the recovery, but I am doing this.
I just wanted you to know that you are not alone.
Best of luck and best wishes!!!
 
KayeKaye said:
Just stopped by my PT and got some info from her. I'm going to use this thread to talk to myself, if that's ok. :biggrin: but others are welcome to join in...

Dr. B. sends many patients to her and she has had only success with his patients. She was surprised he is having me wait 10 years and loose weight as his patients are heavier than me and younger and older. Odd.

Continue the knee exercises they gave me, do as much before so recoup is easier. But don't aggravate the meniscus tears.

Expect 6 months for recoup, or more.

Dr. B. will ok up to 1 month in home PT, not her though.
Click to expand...
I had multiple meniscus tears as well as bone on bone. My OS took a look and said TKR was the way to go. Yes, I may need a revision down the road since I'm on the younger side, but these knees last a long time.
I've gone from barely being able to hobble to being able to walk with zero pain.
My OS warned me as well that full recovery could take up to a year. You can be doing quite well at 6 months but still have some healing to do.
 
kneeper said:
I had multiple meniscus tears as well as bone on bone. My OS took a look and said TKR was the way to go. Yes, I may need a revision down the road since I'm on the younger side, but these knees last a long time.
I've gone from barely being able to hobble to being able to walk with zero pain.
My OS warned me as well that full recovery could take up to a year. You can be doing quite well at 6 months but still have some healing to do.
Click to expand...

Thanks. I'm looking forward to walking and even swimming again. Even a year would be fine compared to what I have had. :yes 4:
 
Thanks Nyland. And congrats on your weight loss. They want me to lose another 50 and I know I should but after the PT told me she had heavier patients with success I'm perplexed and need to find a doctor ok with it.

My husband just ran into an old friend tonight who sent me her doctor's brochure and that is where I had the MRI. It says he has done over 25,000 hip and knee surgeries and over 1,000 shoulder and rotator cuff surgeries. He looks older so he has done this a few times. I just wonder why they gave me the MRI when it didn't show anything and an Xray at the next place showed everything. Serendipity.
 
Well I looked up said doctor, Dr. T. and his ratings were dismal, 2 star out of 5. Seems no one likes this guy.

So then I looked up the previous doctor that I didn't like because he wants to wait 10 years, lose weight and do shots. Dr. B. and he was 5 stars out of 5. Seems everyone liked him. My husband wants me to keep trying with this guy but I just don't know. Will be thinking about it...
 
Now the quad exercises have started a new pain in my left kneecap. ugh.
 
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