Hi I have been reading these posts since I returned home from hospital post LTKR on 8Dec 2014. On Monday I will be six weeks out. I decided to post as although I have been lucky this time initially, I noticed that many were discussing bakers cysts and I too have had these both withe the initial partial replacement and the revision total knee replacement and thought I may help to share my experience. Hx Sept 2013 arthroscopy to repair tear to medial meniscus with no relief. MRI followed showing rapid onset osteoarthritis bone on bone. Surgeon refused to do more as 'too young'. Oct 2013 second opinion and second MRI. Small fracture noted in addition to rapid onset osteoarthritis. Suggested partial (unilateral) knee replacement. Oct 2013 partial left knee replacement. Recovery good ROM 120+ Flexion, extension good. Bakers cyst following PKR. Lots so pain for 12 months. Off work (nurse/midwife). Nov 2014 final review (monthly reviews). Still experiencing lots of pain. Decision to do either double partial or total knee replacement. Eventually surgeon opted for a total as I need to go back to work. Note: for six months prior to TKR I attended gym with a rehab personal trainer and worked on strengthening muscles especially quads etc in preparation for upcoming surgery. Whether that worked or not is debatable but I wanted to give myself every chance of a successful recovery. Dec 8 2014. TKR. General anaesthetic only. Fentanyl day one for pain relief. Then tramadol and endone for next three days. CPM used day 2. ROM 90. Exercise, ice and elevate. Physio. Exercise. Flexion 110. Extension -1. Out of bed. Walker attempted. I carried it (it was in my way and annoyed me lol). Physio amused and went to get cane. Day three attempted stairs. No issues. Walked around ward. No issues. Home day four. Day six no longer required cane. Weeks one to four uneventful. Physio once a week. Flexion 120 week two. Extension -1 week two. Week five Flexion 128. Extension 0. Commenced Pilates machines with little or no resistance at physio. Exercises (only knee bend sliding under chair - ten reps x 2, extension ten reps x 2, leg lift as able,walking as able) under the watchful eye of personal trainer to ensure alignment etc and that I'm not overdoing it. Rest ice and elevate in between. Pain relief. Tramadol slow release twice a day and mersyndol six hourly as required. Issue: pain relief, difficult to get OTC Meds such as mersyndol from pharmacist. From week five only had paracetamol and voltaren (extreme reaction - stomach pain so ceased) which meant I only had panadol. This did nothing! Week 5. Went downhill due to inefficient pain relief. Spent three days in agony. Pain in back of knee excruciating and very tight stiff whole leg. Tears and frustration were my new mantra pfft. Six week appointment (four days early) yesterday with OS. Extremely happy with ROM etc and knee progress. Now have prescription for plenty of pain meds. Next OS appointment in six weeks. He said I can now work on strength and weight exercises at gym with personal trainer but refrain from bike as this will aggravate bakers cyst. Continue with leg extension and Flexion to maintain. Ice and elevate and rest re bakers cyst! He will review at next appointment and decide if anything further needs to be done then. I'm hoping swelling will decrease and thus it will resolve itself. Draining or cortisone injections don't appeal to me one bit! So, this week I have gone for walks, have done exercises twice a day and had plenty of rest,ice and elevation. Today I'm feeling much more 'normal' compared to the last five days. Cancelled personal trainer as I saw five am for the first five days this week and I was exhausted. Wow ! Ramble much? Anyway. I've read many of your threads and I'm intrigued how there are so many differing views though truly I believe the Bonesmart mantra really works and in general it has been the way my post op has been managed. Good luck to you all! I'm new to this and not sure if I'm doing the whole thread thing correctly but live and learn. I will get there!