TKR Yikes! Ive been gone

Mtdoodles

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I just joined this forum and am learning a lot! 3 weeks out, august 10
I have had a major pain on the side of my knee for over a week. Feels like a muscle strain. Surgeon’s office referred me to pt. Pt thought it was a strain from walking more intentionally . Yesterday pt “worked” the area .
Ye gads! I can barely walk today. Wondering why I didn’t say ‘too much’ to pt???
 

GZGirl22

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We sometimes let it happen the first time, but then -- when we pay the price-- we become more proactive at controlling our own recoveries. Sorry you had to experience this. What have you been doing up until now that may have caused strain?
 

Jaycey

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@Mtdoodles Welcome to BoneSmart! Early days for you. Ice and elevate to decrease inflammation.

I'll leave your recovery guidelines here for you:

Knee Recovery: The Guidelines
We are all different, as are the approaches to this recovery and rehab. The key is, “Find what works for YOU.“ Your doctor(s), physiotherapist(s) and BoneSmart are here to help. But you have the final decision as to what approach you use.

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 Activity progression for TKRs

6. Access 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 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.
 

Sisterpat

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:welome:Mtdoodles! Congratulations on your new knee, and, like all infants, you need to treat it gently. You will need to take control to protect it from harsh therapists who might work it too hard. You are the boss and you are in control, so don’t be afraid to speak up. You saw the unfortunate results of too aggressive therapy. Slow and easy is the BoneSmart way. It works for many, many people.
 

Ma Dudd

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Hi Mtdoddles,I sympathise with your needing to retrain how you walk,I always did the heel toe routine but I didn’t realise that when they replace the joint its aligned straight when before it might have been out a bit but that then causes a knock on effect on all the muscles and tendons .I managed to get tendinitis of my Achilles,dam painful ,I am having to put ibuprofen get 10% on it and support/ stretch it gently. Take it really slowly ,do what you think is right for you and follow the bonesmart advice ,I can attest it works
 
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Mtdoodles

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Ok! This is true. 2 different times in the past 2 days, I have totally forgotten my walker and gone to another room! Must be getting closer to the other side, a world without a walker!
 
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Mtdoodles

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Almost 5 weeks out! Everything is going slow and steady. I ice and elevate a lot.
My knee is still warm. Is this normal?
Thank you!
 

Irongirl56

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Your knee will feel warm for quite awhile. I am 12 weeks out and still have a warm spot. as long as there is swelling will have some warmth. Very normal.
with regards to relearning how to walk, i had to do the same but think I was rushing it a bit. I was really trying to walk well starting at 3 weeks, heel toe etc but still had swelling and stiffness and not much ROM.
Now at 12 weeks most of my swelling is gone and I have decent ROM and extension (124/-1), my gait is normalizing quite well on its own.

I have to ask about your name mtdoodles as I have 3 doodles. does it mean Montana doodles? Are you a breeder or just a doodle fan as I am?
 
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Mtdoodles

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Thanks Irongirl.
My gait is much better, heel~toe is almost automatic!
Im a doodle breeder in Oregon
 

Irongirl56

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do you have a website? Ours are getting older and will be looking again at some point. I have 3 goldendoodles ages 8, 9, 10, all upwards of 90lbs. They are a handful but such wonderful dogs.
 
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Mtdoodles

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Wondering if rain effects anyone else’s knee. We have been significantly dry since this past February . This week rain and poof! My relatively painfree knee is back to constant hurt.
Any thoughts?!
 

Gingerbread

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When I took care of the elderly (23 years of my now 26 year nursing career) I would laugh (lovingly) when they said they knew it was going to rain because their arthritis was acting up... I never knew this would be ME!
My joints, my spine, all know the change in barometric pressure. It's an ache that just arrives, or settles in, so to speak.
I am hoping my new knee will get a reprieve. I think it will not, but I have a feeling it will be better than it was! There's no more bone on bone or spurs to activate the surrounding tissue :)
 

Sara61

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My husband can tell if the weather is changing by the way I walk, ( hobble more like it ) my right knee especially does not like the colder damp months, funnily my new left one doesn't react to the change in the weather, so fingers and toes crossed that this will soon be a thing of the past :praying: :praying:
 
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Mtdoodles

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Its been 3 months since my tkr. I started pt 3 months ago as well. My recovery has been moving along well, patience, ice, elevation
My question is how long to stay with Pt? I go 2 times a week and do pretty much the same routine every time. I know it’s totally up to individuals, i just would like some guidance. Im ready to bike! Hop on my Pelaton!
Thank you for any thoughts, advice!
 

hawk2go

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My experience was that PT discharged or released me when I met a goal or ran out of benefits.

How are you feeling? Are you cycling at PT? I just made 2 months and I test my limits all the time - trying "new" things or adding/expanding the things I'm already doing.
 

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