TKR When to celebrate

Nomorelimp

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Hi all. I had a RTKR 12 days ago and am finding things one step forward and two back!

I feel lucky in that I don’t seem to have a lot of actual pain- it’s more discomfort - and start feeling edgy or jittery if I am coming up to time for meds.

Just started trying to walk round house today without crutches. I was feeling good today as I managed a bit more sleep last night. Most days I find it hard to lift the operated leg but todzy it felt better. Back to log leg this evening though.

Today I got dressed. I have not done that since my visit to physio five days ago.

Am I doing ok?
 

Jockette

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Hi and Welcome! Yes, you are doing fine. We all felt just like you do at this point.

I will leave you our Recovery Guidelines. Each article is short but very informative. Following these guidelines will help you have a less painful recovery.

Just keep in mind all people are different, as are the approaches to this recovery and rehab. The key is, “Find what works for you.“ Your doctors, PTs and BoneSmart are available to help, but you are the final judge as to the recovery approach you choose.

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
ice
take your pain meds by prescription schedule (not when pain starts!)​

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. At week 4 and after you should follow this

6. Access to these pages on the website

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

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 the 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 the member’s history before providing advice, so please post any updates or questions you have right here in this thread.
 

Jockette

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Please confirm your surgery date and we’ll make a signature for you. :flwrysmile:
 
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Nomorelimp

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Hi all
Just wondering when it would be appropriate to go out for a meal with a glass of wine to celebrate the new knee? Do you have to wait for the 6 week check up?
 

Jockette

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I don’t have an answer to your question, I was so miserable in the early weeks, going out socially was the last thing on my mind. I don’t care for wine, either, but I’m thinking not while you are on prescription pain medication.

Maybe just have a few friends over for dessert at your house?

By the way, I merged your newest thread with your original recovery thread, as we prefer that members in recovery have only one thread.

This benefits you because all your information is in one place, easy to find, and maintains a nice journal for you.

This also benefits our staff, as your information is all in one place, and we often go back through your thread for previous details, so we know what you‘ve been through which helps us advise you better.

So, please keep all your posts in this thread. If you’d like a new title, let us know what you want, and we’ll change it for you.

Many members bookmark their thread in their computer browser, so they can find it when they log on.
How can I find my threads and posts?

Best wishes on your continuing recovery! :flwrysmile:
 
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Nomorelimp

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Hi so I’m coming up to my 6 week checkup in 4 days. On Wednesday the physio told me to go back the pool. Yikes- the lift wasn’t working. It was 4 flights down and 4 back . I was in the pool for 50 minutes just walking or doing exercises. Since then I get a stabbing pain in kneecap when I lift leg and extend it. The physio who is normally very gentle has told me to keep going to the pool every day til I see him next week but I’m wondering if I should stop and just rest it? What do you think?
Also it looks like a tiny internal stitch might be coming through my healed scar. Could this cause infection ?
 

Jockette

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I had a similar experience with the pool and you can easily do more than your knee is ready for! My one and only pool PT was also 50 minutes long, with the PT giving me countless bending exercises to do. Then, to add insult to injury (literally) she had me do the steps out of the pool foot over foot. It was the first time I’d attempted that, and I was only 4 weeks post op. It took me 3 days to recover and sent me to the internet to google stopping PT and thankfully that’s when I found Bonesmart. Too many PTs have no clue about how to rehab a knee replacement.

That much time in a pool every day will most likely cause you a lot of pain, also.

Keep an eye on the stitch and be sure to tell your surgeon about it. You might want to give them a call and ask if they want to see you sooner than the 4 days. Usually it’s not a problem, but sometimes it can be.
 

WFD

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If it were me, I would stay out of the pool until the issue with the stitch is completely healed up.

Any open wound caused by the stitch coming to the surface is not a tunnel to the joint (I asked my doctor when the same thing happened to me), but you still don’t want to risk an infection.

The chlorine in the pool doesn’t kill everything - I once caught a bad case of conjunctivitis from a public pool.
 

lovetocookandsew

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If your knee protests an activity, it's telling you it's not ready for that yet. Back off it, give your knee some more healing time, then try a modified version of the activity to see of your knee is okay with it.

This recovery has it's ups and downs and we need to listen to our knees as they recover. Ignoring the signals they give is not a good idea. Sometimes your knee will be okay with something, only to protest the same activity the next time, so paying attention is a good idea for a less bumpy road to recovery.

The stabbing pain is your knee telling you it wasn't ready for all that. IMO, all those stairs alone were too much, let alone such a long time in the pool, then doing all those exercises....whew!
 
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Nomorelimp

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I had a similar experience with the pool and you can easily do more than your knee is ready for! My one and only pool PT was also 50 minutes long, with the PT giving me countless bending exercises to do. Then, to add insult to injury (literally) she had me do the steps out of the pool foot over foot. It was the first time I’d attempted that, and I was only 4 weeks post op. It took me 3 days to recover and sent me to the internet to google stopping PT and thankfully that’s when I found Bonesmart. Too many PTs have no clue about how to rehab a knee replacement.

That much time in a pool every day will most likely cause you a lot of pain, also.

Keep an eye on the stitch and be sure to tell your surgeon about it. You might want to give them a call and ask if they want to see you sooner than the 4 days. Usually it’s not a problem, but sometimes it can be.
Guys thank you all so much and particularly Jockette who replied early this morning ( in Ireland) advising me to call the doctor. I did and was told to come to the clinic this morning and they removed the suture. So because of that no more pool til it’s healed again. I can now have a relaxed weekend not bothered by the fear of infection. Thanks again
 

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