The recouperation from TKR was *so* difficult only using Tylenol!! I really feel that the only way that you can benefit from PT, especially right after surgery, is by using pain medication as often as needed! Because none of the three pain meds would agree with me (a rash with one, vomiting with another etc) I could only take Tylenol, which did*nothing* for the pain! Definitely, icing does really help! I didn’t have a machine, but I have heard that they are very beneficial! I know exactly how you feel with your other knee acting up! That is the same for me, but physically and mentally, I just can never put myself (or my husband!) through it again!!! That is awful that doctors in your area only allow for two weeks of pain meds! Every patient’s tolerance for pain is different and they should make allowances for that. If I were you, before I would consent to another surgery, I would get a couple of opinions and ask right up front what their policies are on pain meds. Be sure to tell them your history with your first knee surgery. I have heard that there is a procedure now for knee surgery called “lateral knee replacement” where they go under the knee cap in a different direction. The recuperation is supposed to be much easier, quicker, and a lot less painful. There is one dr in the Boston area who does this procedure but there is a long wait to see him, from what I understand. Wishing you lots of luck in your decisions! MaryAnn from Boston.