TKR. Anxiety issues

Posted by judyleitzes @judyleitzes, Aug 19, 2025

I had a TKR 7 weeks ago and have been having moderate-severe “inner agitation” type anxiety. It’s very distressing to feel this sense of unease. Wondering if anyone has experienced this type of anxiety following knee replacement?

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Profile picture for Tracy @fwintracy

nme1985, I’m 68 and I’ve had 2 TKRs -1 in Jan 23, 1 in Jan 24. It’s definitely no fun but it is just as definitely worthwhile imo.

Your job is, 1. Be Positive! Our brain “hears” all our doubts, I believe and that simply cannot help our recovery. Say positive reinforcing things instead. 2. Do the PT like a madman! My mom was in her late 70s (former orthopedic nurse) when she had her TKR and told me (we knew I was headed for one) to do MORE than they ask. Do 12 reps if they ask for 10….that sort of thing.

Your attitude and focus on the work - more than they suggest! - is the key. You can do this and make it better.

I just restarted yoga after a 4 yr break because of the pain. It’s making a huge difference.

If you don’t do the work it will be a terrible result. My surgeon is a friend and he told me that is huge. It hurts, no lie, but it will get better.

Last comment is to choose a surgeon who SPECIALIZES in TKRs. Many can perform one but choose someone who makes that a focus of his/her practice.

Good luck and stop worrying. It’s not fun - neither is the near constant pain you have now - but you can make it better with your attitude.

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Excellent advice! I would add to get as strong as you can manage before the surgery. It will help later.

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Profile picture for Lawanna Bean @lawanna85

One thing I would add to that. I have a floor exercycle and I use it in the morning and before I go to bed to loosen up the muscles. A recumbent bike would do the same thing. I hope the picture helps you see what I am talking about.

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@lawanna85 Great idea, thanks for sharing! I always think about it but don't always get around to doing it. I needed the reminder.

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Yes, I experienced this same thing after my tkr. I also have PTSD and am on antidepressants and anti anxiety meds. The PTSD started years before my surgery. I felt my world was falling apart. Not only did I have serious pain from the surgery but also the horrible mental and emotional trauma. I am very sorry that my surgeon knowing my history, never warned me. I suffered through this alone because my psych provider wasn’t much help. When I finally learned why I was feeling so terrible I spoke with the nurse at my surgeon’s office about it. I was angry that the surgeon should have known and prepared me at least warned me. The nurse’s response was that not everyone has that. Needless to say I am leaving the surgeon and his staff. I wish now that I had never had the surgery.

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Dear Nancy, I don't know if this will help you, but I am finding that acupuncture from a really well-trained practitioner is helping me with anxiety and insomnia. Good luck

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Just had my right knee TNR on 6/17/2026, was not expecting this to be so intense. My body went into total shock right after surgery and this RN was rude and insensitive to my pain and my disorientation. Right now 16 days have passed, my nerves and high intensity reaction to noise it's still going on. Can't watch TV because can't concentrate on anything. Looking forward to healing and back to hicking with my girls. Really strong surgery not only to your physical but also emotionally and mentally. Hope you feel better soon!

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Profile picture for Lawanna Bean @lawanna85

I am 2 months out of a double knee replacement. Overall, I am doing really well. But one of the quirky things I am dealing with now is not being able to sleep at night because of tightness in my knees and calves, which I didn't expect. So I now have a routine before I go to bed. I use a heating pad on my knees to ease any tightness, I put ice on my thighs and the top of my foot to help any swelling. I sit on the edge of the bed and swing my legs for a few minutes and do my flexion exercise. When that doesn't work, I put a pillow, longways, under my calves. It takes time but most of the time I am able to go to sleep. Has anyone else had a problem with being able to sleep post TKR?

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@lawanna85 I am on my 3rd week of TNR and sleeping is a challenge. Can't wait to be back to normal again. Hope you feel better! ❤️‍🩹

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Profile picture for nancypatton @nancypatton

Yes, I experienced this same thing after my tkr. I also have PTSD and am on antidepressants and anti anxiety meds. The PTSD started years before my surgery. I felt my world was falling apart. Not only did I have serious pain from the surgery but also the horrible mental and emotional trauma. I am very sorry that my surgeon knowing my history, never warned me. I suffered through this alone because my psych provider wasn’t much help. When I finally learned why I was feeling so terrible I spoke with the nurse at my surgeon’s office about it. I was angry that the surgeon should have known and prepared me at least warned me. The nurse’s response was that not everyone has that. Needless to say I am leaving the surgeon and his staff. I wish now that I had never had the surgery.

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@nancypatton After my TKR, the anxiety went through the roof, and I knew it would happen since I googled so much and read stories..but then I mentioned it to my surgeon at an appt a few months after the surgery, and he said he'd never heard of it...SERIOUSLY?? I love this surgeon regarding the recovery (got through it physically pretty well) and there is hardly a visible incision (surgery was last November) but I still remember that horrible anxiety/crying/frustration..all 'mental' and now not sure if I would want to use him if I ever need the other knee done (however, the physical part of the surgery was superior) and I relied on my pain doctor to help me out with the 'mental.'...

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Profile picture for catheem @catheem

@nancypatton After my TKR, the anxiety went through the roof, and I knew it would happen since I googled so much and read stories..but then I mentioned it to my surgeon at an appt a few months after the surgery, and he said he'd never heard of it...SERIOUSLY?? I love this surgeon regarding the recovery (got through it physically pretty well) and there is hardly a visible incision (surgery was last November) but I still remember that horrible anxiety/crying/frustration..all 'mental' and now not sure if I would want to use him if I ever need the other knee done (however, the physical part of the surgery was superior) and I relied on my pain doctor to help me out with the 'mental.'...

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@catheem I have had surgeons all over the spectrum as far as awareness and empathy. I am fortunate to have an excellent ortho surgeon who is helpful as well. But there is an old adage that says something about surgeons preferring their patients unconscious...
What would I do? If I got the support I needed from the rest of my care team, I would probably go back to the technically excellent surgeon. On the other hand, I once had a surgeon who withheld medically important info from me, then called me a "whiny baby" when I protested his rough handling the day after surgery. I fired him in a heartbeat!

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