Setback 7 weeks after TKR

Posted by cindymattern @cindymattern, Nov 19, 2022

I was doing so well and my ROM was 110. I went to PT one day and the therapist gave me like 4 new exercises to do...stairs, several squatting exercises etc.. and I had a huge setback. My leg really hurt the next day to where I could barely walk and things were so tight. I literally cried at my next therapy appointment my leg hurt so bad. I did take a Tylenol 3 because the pain was so bad and that has subsided somewhat however now I still can barely bend my knee walking. I can ride my recumbent bike and do some things around the house. Anyone else experience this? Did they give me too much at one time?

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Profile picture for deejgeorgette @deejgeorgette

I am just about 8 weeks out. The last week has been murder! I have such a pain when I walk on the outside of my knee! I am exhausted. Is this normal?

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@deejgeorgette

You have a long way to go, but would make appointment with surgeon and find out why so much pain on outside of knee. Better see than sorry. Are you icing it after exercise? Icing reduces inflammation, inflammation can cause issues. Icing must be done religiously.

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I’m due for 1st knee replacement in 4 weeks. Have been told already some patients will be recommended to receive treatment for scar buildup breaking under sedation. The treatment causes muscle pain for first couple of days after the procedure but allows for a notable improvement in knee mobility. IDK if I will be a candidate until my first week post checkup from my surgeon. From the beginning my doctor has told me you must keep moving.
You may want to discuss this with your doctor. Blessings and best to you.

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I am 6 weeks post TKR. I have been in same situation as you after physio this week. Took a days rest from my exercises, took ibuprofen and iced it a lot.
Today I am back exercising and walking, knee tight and have discomfort but a lot better from yesterday. I break up my exercises during the day, don't too much. I ice three times a day and before bed and during the night too. Hope this helps.
Its 2 steps forward and 2 back gor me someday.

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Dear Jo, Welcome to a very large crowd. You aren't alone in having complications and setbacks after TKR. While you are visiting doctors asking what has gone wrong, be sure to bring up the words bursitis and repetitive strain injury. They aren't glamorous, but these ordinary injuries are very common for people trying to exercise in recovery. Bursitis is really easy to diagnose. If the doctor doesn't test for it by applying some gentle pressure to the bursae around your knee, be sure to speak up and ask her/him to do so. Curing it is a matter of time, rest, ice, gentle stretching, and lots of patience. It can be a sign of repetitive strain injury from too much or the wrong kind of exercise. A sports injury specialist might be the best kind of doctor to see when you are recovering from leg surgery. Good luck to you. I wish you a complete recovery.

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Profile picture for pat9892 @pat9892

I’m due for 1st knee replacement in 4 weeks. Have been told already some patients will be recommended to receive treatment for scar buildup breaking under sedation. The treatment causes muscle pain for first couple of days after the procedure but allows for a notable improvement in knee mobility. IDK if I will be a candidate until my first week post checkup from my surgeon. From the beginning my doctor has told me you must keep moving.
You may want to discuss this with your doctor. Blessings and best to you.

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@pat9892
If this is manipulation under anesthesia (MUA) procedure, I think if your range of motion hasn’t reached 90° yet it is a good idea to do it. Don’t wait longer than 8-12 weeks post TKR or you may run risk of bone fracture, and make sure you are confident of your surgeon (# of times they have done the procedure, and make sure he/she doesn’t bend knee too far). Most importantly, go directly to PT after the procedure, and have 10 days of PT after with a competent PT. Best outcome this way. Hope you’ll do well without all of that. Most people are good with regular sessions of PT for 8-10 weeks as soon as you’re able after TKR.
I’ve had (1) TKR, an MUA with a fracture 8 weeks after only achieving 50° ; revision and scar tissue removal 7 months later, followed in 8 weeks with an MUA. I’m worst case scenario, and pretty well versed on some of these issues.
Good LuckWishes to you!

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@ spinner2. Wow, thank you for the information. I’ll be sure and talk to my orthopedist about that. I’m pretty confident about his ability. He has already replaced two hips within the past several years. That’s all he does our knees and hips and has been doing them for quite a long time.

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