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Climbing Stairs After TKR

Joint Replacements | Last Active: Aug 22, 2022 | Replies (63)

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@heyjoe415

Hi everyone. I had a left TKR in March and within 6 weeks, was going up and down stairs with little discomfort.

In July I had the right TKR. It's five weeks out - my ROM is good at 129 degrees, extension is 1 degree. Problem is, I have a lot of pain right behind the kneecap and up into the quad tendon. It's a sharp pain. I did so well with the first TKR I thought this one would be the same.

It's five weeks, so should I be concerned, or just be patient and stick with the PT and at-home exercises. Oh, I'm a 67 yo male. Thanks all! Joe

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Replies to "Hi everyone. I had a left TKR in March and within 6 weeks, was going up..."

If I’ve learned anything over the past 20 months it’s that each knee is different! I was 3months between surgeries and in retrospect, the first was a breeze. I am heading into revision surgery for the second one in a few weeks. On the one hand there’s benefit to having the experience of the first knee, on the other hand it can be misleading. Just keep doing your PT and concentrate particularly on the areas where you have the most discomfort.

Hi Joe,
Have you had the same sharp pain behind the kneecap since the surgery, or has it come on in the last few weeks of PT? Does your PT person have an idea what factors might be causing that specific location to hurt, and does any sort of massage or manipulation help at all, even temporarily? If nothing improves in a week or two, I would probably try to see the doctor, or maybe consider a new physical therapist if the doctor sees no problem.

Each TRK can be different. My 2nd TKR flexion range is just slightly under that of the first TKR. It may be because that leg was straightened a bit because I was getting so pidgeon-toed due to my knee pain so surgery was a bit different. Or maybe I had such good results on the first one that I took the whole PT process more lightly and did not press myself as hard at home after PT was over for the 2nd.

Sorry you are experiencing pain! You are so early in recovery I would just give it more time. I still use a massager called Theragun which helps a lot. Use about twice a day. Unfortunately I am a year out and will be having a bone scan for unexplained pain on outside of knee. I have had it all through recovery. Good luck.