post surgical fatigue and lightheadedness

Posted by rfkavesh @rfkavesh, Aug 12, 2011

I had total knee replacement surgery almost two months ago. My knee is improving with physical therapy, but I am totally fatigued and lightheaded when I walk. All blood and other tests have been normal, yet the symptoms of fatiigue and dizziness persist. Any advice??

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I think it would be a good idea to see a PT. I need to look into that. Also if I need to get knee replacements done I know there are exercises to do before the surgery so I'd like to do them as well. Thanks.

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@naturegirl5

Hello, @ktgirl Like you, I get impatient and want progress to go more quickly than my body allows for. The fatigue after surgery takes awhile and then you mention RA and meds which you said contribute to how you feel. I had two major surgeries in 2019. I had a hysterectomy (endometrial cancer) and then a total hip replacement. I injured myself by pushing too hard and that set me back. I didn't keep up with the stretching and exercises and once I decided it was worth it to go back to PT, followed by working with a personal trainer I began to see and feel the progress. It's a hard earned lesson to remind ourselves that nope, I'm not 21 anymore (I'm 69) and my body needs more healing time. Listen to my body. Can you request PT from your doctors? A PT I saw at Mayo Clinic suggested stretching that were yoga-based and very helpful. I still do them. I'm wishing you blessings as you move forward and hope the fatigue will continue to dissipate over time.

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I am 11 weeks in to my replacement I just about had everything I was to weak to do PT in th Hospital stayed in for four days . Lost a lot of weight fatigue I was left with things that move around in my foot. I walked out of the hospital that way.I have a very bad BACK what does anybody think about water aerobics. Ty

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@anklesurgeryguy

Hi JK, that’s very interesting re whipping head to one side very quickly. I have been reading & it seems as though vertigo is due to calcium leaking into the wrong location of the inner ear. And certain physical maneuvers + gravity can get that calcium back to where it belongs! I am seeing a specialist soon. Its just very bizarre that this coincided with my ankle surgery! Thanks!

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I have a suggestion for all the people here writing about their dizziness and or vertigo. Two words: VESTIBULAR THERAPY. It is like physical therapy but is focused on strengthening the entire balance system. I did it years ago and it saved my life. Most major hospitals offer it now. I also understand that it does not matter the cause or type of dizziness, it can help you.

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If you take over-the-counter sleeping medication as that can cause dizziness I found

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I have that kind of reaction after anesthesia but not really longer than 3 weeks. Find out what was in the anesthesia you had & you can probably do your own research on side effects.

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I had a Complete shoulder replacement and I am lightheaded and fatigued.

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@lilypaws

I had a Complete shoulder replacement and I am lightheaded and fatigued.

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Welcome back @lilypaws. When was your surgery?

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I’ve had plastic surgery 17 days ago (breast augmentation . Lower blepharoplasty and labioplasty) and I’m feeling dizzy specially when standing up from bed in the morning. All bold tests look fine but this is very frustrating. Nurse and dr say those symptoms should’ve already disappeared. Not sure what to think or do.

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@andreaecheverri77

I’ve had plastic surgery 17 days ago (breast augmentation . Lower blepharoplasty and labioplasty) and I’m feeling dizzy specially when standing up from bed in the morning. All bold tests look fine but this is very frustrating. Nurse and dr say those symptoms should’ve already disappeared. Not sure what to think or do.

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I’m sorry; that’s so frustrating. I feel everyone responds differently to surgery, anesthetic, and the related medications. And doctors tend to quote what’s “typical.” For example, I am a kidney donor, and they told me within 2 weeks people are back to their everyday activities because it’s a “minimally invasive” surgery. It took me MONTHS to be back to myself and I even had appetite loss and difficulty eating. That’s a little more extreme, but I just wanted to compare what the doctors said I “should” experience vs. what actually happened.

Both my mom and I experienced pretty severe fatigue after our surgeries (she had a knee replacement) and also dizziness. I have POTS, which can cause dizziness, and I also have central sensitivity which makes my body more sensitive to changes and I’m more likely to experience side effects and pain for a longer amount of time. She does not.

For both of us, it eventually got better with rest and slow, graded exposure to exercise, starting seated and then progressing to being upright.

As I understand it, it’s also pretty common to have fatigue after being in bed for a long time, but I’m not sure if that happened in your situation.

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@afternoonnapper1

I've found that fatigue is super common after any major surgery. Your body is engaged in healing and doesn't really want to go out and do much else! Listen to it. Be patient with it. In the grand scheme of things, two months isn't that long. You'd be surprised how quickly stamina is lost and how long it takes to build back up. Investigate the lightheadedness more in terms of exactly when it happens. Is it happening immediately after standing up? Blood pressure changes with body posture and that might play a factor. Also, you could be experiencing side effects from medicine that is new or new side effects from old medicine. Read your medication information pamphlets and see if those side effects are listed on anything.

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Also make sure you’re not dehydrated. That causes dizziness

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