Bilateral TKR XKV8R's BTKR recovery thread

Visiting with your construction friends sounds like a good idea. But I'll tell you I didn't shop for the first 4 weeks after surgery, then of course the infection came and it was another 2 months before I went into a store. So with my unconventional recovery it's hard to tell what I could've done. I will say that elevating and icing helped me with pain and swelling.
I had the blues, that's for sure, mostly because I just wanted my life back. It took a while to get back to normal, but don't push it too early because it can set you back. Not getting on the excavator was wise.
 
Maybe you can do some other short "construction therapy" type visits. It does help your mood to get up and about a little, but like you said it takes a long time before you're up for much. Do you have a friend you can bum around at the hardware store with for a half hour?

For me at 4-6 weeks it was getting a ride to Walgreens to get lotion or some other odds and ends--then I'd have to come home and rest with ice. but it felt good.
 
I was thinking along the line of kneeper right before my infection hit, a short trip to the drug store. My plan was to try a new hair color while I was off work, but I never got to a store to choose a color. So I'm still gray...
 
An update, that some may find interesting...

Yesterday, was 6 weeks from surgery. I had an appointment with the doctor today. In anticipation of my appointment today, PT did up an evaluation yesterday which I guess they faxed to the doctor. He asked how things were going, how was PT going? I told him what I'd posted above, about overdoing it at PT last week, and that I'd taught myself a lesson about overdoing it. I mentioned that I'd been to PT yesterday, and was a little stiff this morning. Doc told me to take the rest of the week off from PT! Don't do any at all. We also discussed whether he'd prescribe more PT than the sessions already scheduled for next week, and he didn't think he needed to.

Other than that, they took X-rays, which the doctor said look "perfect." He manipulated my knees this way and that, and I said I could feel the parts creaking in there, which he said was to be expected.

As I was leaving, I asked the assistant about going back to work. He told me that at this point, they say if I want to run a marathon, I'm allowed to run a marathon. It all depends on what I feel I'm able to do.

And now, an interesting twist...

I went back to my friend's place today, where I did the "construction therapy" I mentioned above. They crew was putting the finishing touches on his garage. Once they packed up and left, my friend and I went out for lunch, and of course some of the conversation was about how I'm feeling. I said that I know there's no way I'm going to get into any of the bigger machines and work just yet, but that in the event of an emergency, I do think I could make it into a mini-excavator and do a few hours work.

Half an hour ago, my phone rang. It was the superintendent from one of the sites I've been working on. There's a sewer problem, in a really tricky spot, on one of the units that I dug the ditch for. The plumber tried, but couldn't get it cleared, so chances are that it'll need dug up. It's a job for the mini-excavator. My friend that built the garage has also been the one covering for me at work. Now that I have no PT for the rest of the week, my schedule is clear. Whether he digs, or I dig, I'm going to be there. I'm really, really, REALLY, trying to resist the temptation to tackle this problem myself...

(That last line was put there just to increase the suspense. It would be stupid for me to try and do that. I'm crazy, but I'm not stupid. :))

(I think...) :chinstroke:
 
It is tempting to get back to normalcy, but is there any chance of hurting your knees or "over doing it"?
 
"Hurting", as in causing pain, or "hurting" as in doing damage?

I know that if I overdo it'll cause pain. I've already proven that to myself. I got the impression from my conversation at the doctor's office that I'm well enough that I'm not going to damage anything (unless I do something clumsy like falling off the machine, that would have caused damage anyway.) The former will stop me before I can accomplish the latter.

(And it's a fact that the leading cause of occupational injury to operators is slips and falls getting on and off their machines. A friend broke his tailbone getting out of a machine, and was never able to fully recover.

I'm certainly not as steady as I was pre-op. Slipping and hitting my knee four years ago was what led to my first visit to my orthopedist. I'm not anxious to repeat that experience and put a dent in this expensive new hardware.)
 
That seems like an important part of your answer--can you climb up and down safely, meaning without falling?Can your pt help you simulate the climbing in a (hopefully) safer environment?
 
So, over-doing could be the result of you getting on the machine? Have you seen the huge dump truck things that they're using at the Shell site?
 
Well, since it's 10 weeks today since surgery, I figure I owe everybody an update.

So, over-doing could be the result of you getting on the machine? Have you seen the huge dump truck things that they're using at the Shell site?

I apologize @KarriB and @jarabas, I'd intended to reply. I must've gotten sidetracked.

Yeah, some of those trucks are so big that once you get up off the ground you pretty much just climb a set of stairs to get to the cab. As for me getting in and out, see below.


Progress report.

I'm feeling pretty good. I've been considering that there's a point in recovery when one feels about the same as they felt before the surgery--the post op problems have diminished to the point where they're equal to the problems that motivated the surgery in the first place. I'm thinking I'm pretty close to that benchmark right now. Maybe not quite there, but pretty close.

PT told me that the insurance had approved them up until March 4th, and that I didn't need another prescription, so I've continued with that. Most of what they want is simply laborious now, as opposed to being any kind of challenge. The exception to that would be lunges, which they added the week before last, and sit/stands. (I did a quick search for that term, and it doesn't jump right out at me. Maybe there's another term for them? It's where you get up from a sitting position to standing, without using your arms to assist.) Those I can accomplish, but with difficulty, and some discomfort. They're only asking for ten each, and a few times I've told them I couldn't do that many. They are, however, getting easier every time, so I'm getting the feeling of progress.

One problem that's surfaced is my left foot. I think I mentioned above that my left knee used to be the better of the two, but it's the one that's being slower to recover. My sister, the occupational therapist, and the folks at PT have both said that the pain in my left foot might be due to the fact that my knees are now both straight, and my foot is having trouble getting accommodated to that, since I was probably compensating somewhat, pre-op. The past few sessions at PT they've had me walking on the treadmill, but standing with my right foot on the side, using only my left to walk. It seems to be helping somewhat. I have no doubt that part of the reason the left knee hasn't recovered as well is that I'm favoring that leg because of the foot discomfort. This wasn't an issue at the time of my last visit with the doctor, but it is now. I'm seeing him again in the morning, so I'm going to see what he has to say.

The good news is that I went back to work today. Well, not to actually *work*, but to see how things are going to be when I do. I got into and out of all the machines with little problem. I spent some time walking around on some pretty rough surfaces, and while I didn't feel nearly as steady as I'd like to, it gave me confidence that it'll be manageable. When I went to get out of the truck after the 45 minute drive home, I was awfully stiff, but honestly, it wasn't much worse than I'd have felt after the same drive 11 weeks ago. I'm thinking later this week and next week of putting in a few half days, just to phase myself back into the daily grind. We'll see how that goes.

Also, PT measured my ROM today. 120 on the right, and 110 on the left. Going the other way, both were just a few degrees shy of straight, so I'm feeling pretty good about that too.
 
Fantastic report. I like your analogy of feeling the same amount of discomfort as before surgery. The pain is there - just a different kind of pain. Good luck phasing back to work. I have a problem with my left foot. (RTKR) I have favored my right so long and used the left as the strong leg, that my foot developed a bone spur on the 5th metatarsal (bottom of foot below the little toe). I had surgery on it before my RTKR, but it has come back. it is amazing what our bodies do to keep us up and going.
 
Sounds like everything is moving along nicely. I also have a problem with my RTKR foot. I think it's plantar fasciitis, but I don't want to see/look for another doctor (podiatrist) right now.
How great that you can get up and down from the machines! I would definitely phase back into work because the energy drain will hit big time when you up your activity level regularly.
Hey! At least you haven't had tons of snow and ice to worry about!
 
Congrats--this is a very encouraging report! I am just a week after you (and one knee tkr.) I think by next week I will also be back to about my pre-surgery mobility. Better in some ways--no arthritis pain, right? I just started work part time, 5 hours, every other day, and I really recommend this. It gives the knee a day to recover. It can get very stiff, sore, and swollen by the end of my work day. Good luck on your return and I will look forward to comparing notes.
 
Phasing in sounds like the way to go. Congratulations on your progress so far!
 
Update on the foot pain--The doctor looked at it, felt here and pressed there, asked if it hurt, and said there seem to be some bone spurs in there, and it's just some arthritis. His recommendation is to ignore it.
 
Update on going back to work...

I went in on Tuesday, with the intention taking it a little easy. Guess how that worked out.

The first thing I was asked to do was to trench for a gas service line to one of the new houses. My first question was, "Do I have to expose the main line, or is the gas company going to do that?" (As you might imagine, you just don't dig around a live gas main with an excavator. You need to stay at least 18" away, and shovel the rest.) The answer was, of course, that I had to expose the main. So, in my first hour back, I did about half an hour's worth of machine work, and half an hour down in the ditch, digging with a shovel.

The rest of the day wasn't as bad, but between one thing and another, I was probably on and off the machine 30 times, and at one point walked about 300 yards back to my truck.

Surprisingly, I felt pretty good at the end of the day, even to the extent that once I got home I did a little work in the yard, and then made dinner. Once I was done with that, I really needed to get off my feet, but all in all, I think the day did me more good than harm.

I had PT this morning, and pretty much goofed off the rest of the day, but it's back to work again in the morning...

Edit to add: Oh, one thing I did do at home this afternoon was to remove the toilet seat riser from the master bathroom. My wife didn't particularly like it, so she's been looking forward to it going away. I'm to the point now where I can get along without it, so I decided to make her happy.
 
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I'm glad your return to work went so well. Glad, too, that your knee seems to have coped with it. :yes!::yay:

Remember to confine PT to days when you aren't going to work.
 
Thanks.

Actually, what I've determined is that I feel worst getting out of the truck after the hour long drive to the jobsite in the morning. My knees seem to get really stiff from that hour of sitting still. Once I get to work and start moving around they loosen up. The drive home isn't quite as bad, and of course, by then I'm tired as well.

And as it's been said elsewhere here by others, though there's discomfort, it's different than the bone on bone arthritic pain. That's gone. (At least from my knees.)

I know I'm still far from 100%, but at this point, I'm certainly feeling as good as I was before the surgery.
 
It's good to hear that you're doing so well. :yes!::yay:
 

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