Total knee replacement

Posted by whitewords @whitewords, Apr 19 10:40pm

Hi everyone where ever you are, so I’m 6 weeks post op on my right knee, I’ve got my ROM at about 85, but I’m not complaining, the pain is so horrendous, it’s making me depressed, I’m in Australia so the medication would be different to the US, my doctor told me that I’m on some pretty serious medication, but it’s just not working, the burning sensation is worse to when that epidural wore off. I had my other knee replaced about 8 months ago and the pain was nowhere near as this.
I’m only getting maximum 5 hours sleep a night because I wake up in serve pain.
It’s really dragging me down.

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Profile picture for lynnc75 @lynnc75

hi there - glad to hear you are improving, bit by bit. Sorry to hear you had to have an MUA. I have had a revision surgery - pretty invasive. Which ice machine did you get, if I may ask? Thank you.

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The best kind. A hand-me-down from my neighbor. Some physicians order them.
So much better than ice packs for sure. So soothing.

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Profile picture for cbphoenix71 @cbphoenix71

Hi @vucci
For me, doing tkr 4+ months ago was a well thought out decision. I did my research. So many great and encouraging responses helped calm my fear. It’s not an easy surgery, so start preparing yourself mentally and physically. Do the pre-exercises and the post exercises. An ice machine is your best friend. Pain control is essential. I am grateful that my husband was my biggest help after I got home from the hospital. From day 1, use your walker to move. Baby steps every half hour. ( I was motivated) . Words cannot express how my quality of life has improved.
Best wishes!

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Your story sounds so much like mine aside from 2 factors: 1. I was prescribed crutches. I kinda wonder if that contributed more to my knee staying bent? I was up and at ‘em very quickly.
2. I still developed scar tissue and had to have the MUA.

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Profile picture for heyjoe415 @heyjoe415

Hi lilaj,

Good for you for your persistence in recovery. No two TKR patients are alike, and no two TKRs on the same patient are alike. It takes work to recover, hard work everyday for about 1-2 months. But each day gets better (less painful) and the result is worth the effort.

Great work!

Joe

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it took me four months before I had no more night
pain and could sleep. My life was at a standstill for
those months. Yes, each knee is different even on the same patient. I feel well now.

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Profile picture for cathymw @cathymw

Your story sounds so much like mine aside from 2 factors: 1. I was prescribed crutches. I kinda wonder if that contributed more to my knee staying bent? I was up and at ‘em very quickly.
2. I still developed scar tissue and had to have the MUA.

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Hi Cathy,
So sorry to hear about the above issues after tkr surgery. I am at a loss as why you were prescribed crutches. Never heard of this. It’s a walker and walking stick. I hardly used the stick . I was able to use the hallways of my home and condo building hallway to hold on to. My advice to you is to continue your exercises and to move as much as you can. Wishing you all best.

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Profile picture for lynnn @lynnn

it took me four months before I had no more night
pain and could sleep. My life was at a standstill for
those months. Yes, each knee is different even on the same patient. I feel well now.

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Hi Lynn,

I admire and respect your perseverance. Surgeons play it safe and tell us recovery from TKR can take a year. Technically that's probably true but I think people who do all the suggested rehab can expect to see results in 2 to 6 months.

Do you sleep on your side with a pillow between your knees? This is quite good for the back.

Again, congrats on a job well done and for persevering in spite of daily/nightly pain.

Joe

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Profile picture for heyjoe415 @heyjoe415

Hi Lynn,

I admire and respect your perseverance. Surgeons play it safe and tell us recovery from TKR can take a year. Technically that's probably true but I think people who do all the suggested rehab can expect to see results in 2 to 6 months.

Do you sleep on your side with a pillow between your knees? This is quite good for the back.

Again, congrats on a job well done and for persevering in spite of daily/nightly pain.

Joe

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thanks, Joe. Pain was at night and now pleased it is behind me. Seems recovery varies a lot for everyone.
Knee architecture differs so affects healing. I hope you are doing ok now.

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I am grateful for the reports on TKR as it helps to hear about the variation of recovery. Im 7 months into a TKR and certainly have similar notes but on the adverse. Residual pan is the order of the day for me. My scar is horrendous and the cut is still quite sensitive. I had 5 months of PT which was great but I expected to be far advanced than this as per 2 previous surgeries (not TKR) recovery was a breeze. The first 6 weeks of recovery made me hopeful I was progressing very well. I was walking without any assisted devices only days following the surgery and the Therapists were all marveled at my strength and recovery Not sure what happened but I feel like Im at a stand still. There is still a small amount of swelling, a good night sleep would be a miracle and bending my knee to 110 I would wear a badge for most successful!! I went back to my surgeon for a check that all was well and I was told this is normal but I didn't fell comforted. I just keep feeling something is wrong. I hope I am not right with this feeling.

I keep pushing, praying and believing this is going to get better. I'm trying to loose weight, walk a little in the water on the beaches, eat healthier and keep praying to God for complete healing. I have to get this right... I need my full recovered knee to work and live well. I saw a post here that encouraged me to loose weight and eat better and I am trying it!!

Hoping we all can get the full relief we were looking for when we did the TKR.

All the best!
Leah

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Profile picture for ddsack @ddsack

There are two parts to being able to kneel after TKR's. First is getting back the ability to bend your knee to the needed arc, this depends a lot on putting in enough push through effort during early PT. Some people may not achieve this due to excessive scar tissue or other complicating conditions.
The second is understanding that you are kneeling on a piece of metal which pushes on the surrounding tissue when you put pressure on it, so yes -- it will feel very uncomfortable unless you use a thick soft padding under the knee. When gardening, I use a boat safety cushion with loops that I can drag behind me. When I kneel, I try to position my kneecaps over the edge of the cushion, so I am actually putting pressure below the knee cap along the leg, not on the knee itself.

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Like the idea to have knees over edge of pad. I'll try it! I have full range of both my knees 0 to 125°

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Profile picture for lynnn @lynnn

thanks, Joe. Pain was at night and now pleased it is behind me. Seems recovery varies a lot for everyone.
Knee architecture differs so affects healing. I hope you are doing ok now.

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Good news Lynn I'm so glad you're not having pain anymore.

It's very true - each patient is different and recovers differently, and the same is true for each knee on the same person. Ultimately I believe a TKR is an absolute miracle at removing daily pain. Even so, it is a traumatic surgery (that's redundant....) and healing takes time, long after the incision has healed, and there are small risks that could create big problems. Fortunately, modern joint replacement is very advanced and recovery times have gone down. But again, surgery is surgery.

I'm just glad you're feeling better!

Joe

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