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Discussion8 weeks post op TKR , is exhaustion normal still
Joint Replacements | Last Active: May 17 3:11pm | Replies (37)Comment receiving replies
Replies to "@sueinmn Thank you for your response. I think everyone has a different “normal”. I wouldn’t consider..."
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@skakle What a great question? As an active person and a hiker, you are accustomed to pushing yourself and having your body adjust. Now, in healing phase, your body is unable to accommodate you because it is using a great deal of energy just to HEAL. And your PT, even though it seems like it should be easy compared to what you are accustomed to doing, takes a lot of energy. Finally, if you are like many people after TKR, your sleep may still be disrupted by discomfort, so you are more tired during the day.
35-40 years ago as winter hit I would switch to training on a treadmill, and increase my time, speed, or elevation by 10% each week, and my body adjusted just fine. So a few years ago, I tried fast-paced walking after long illness, and attempted to use the same endurance plan - oof! It did not go well. At the same time I was working with an excellent PT to manage chronic pain, so we talked.
Here was the PT's advice (you and I are in the same age range):
Healing & recovery time increase as people get older.
Find your current maximum "non-crash" activity level, and do it for 2 weeks, then increase by 5% and see if you tolerate it. Do it 5-6 days a week if you you can, otherwise every other day .
After 2 or 3 months, try a hard push and see how your body responds - if you need a nap or have a day of fatigue, you can continue to try to challenge yourself. If you have a crash, go back to the conservative plan for a month and try again.
Does this sound reasonable to you?