A 6-month retrospective on my TKR

Posted by ellerbracke @ellerbracke, Mar 9, 2019

Just some thoughts about my TKR, reasons for certain decisions, and results. If this topic should be posted in the “just want to talk” group instead of here, I’m sure the mentors can move it.
Also, I wanted to mention right from the start that I have had tinnitus for several years, which can be aggravated by pain medications, especially long-term, so that really was not ever an option.
Here it goes - and I have to go way back to lead up to TKR.
10 years ago I suffered ever increasing severe pain in my right shoulder and arm. MRI showed bone spur, and rotator cuff tear. During repair surgery it also turned out that the biceps tendon had been worn down and was too damaged to repair, so it was cut and released. Normal recovery, back on tennis court within 4 months, total recovery and 100% back to normal within a year.
5 years ago same problems started on left shoulder. Instead of waiting and suffering, and potentially messing up the tendon as well, repair surgery on that side. Identical recovery, 100% mobility within a year.
Forward to 2017: rather sudden, severe pain in right knee. Went from slight twinges to intense pain in the span of 4 weeks. The leg would buckle when I tried to walk on it since it was that painful. When I tried to do my standard 2-mile walk in the morning, I had to turn back after 20 yards, could not do it. Cortisone injection, no relief. MRI showed osteoarthritis, meniscus tear, cartilage damage. Based on the excellent results with both shoulder procedures I easily consented to arthroscopic surgery, of course expecting the same wonderful results. Not this time! In spite of doing everything the PT people recommended, the knee kept hurting. 5 months after surgery I tried hyalunic injections - no improvement. I was able to walk with varying degrees of pain, but only on level ground. Absolutely impossible to walk down steps in a normal fashion, or to walk downhill (had to turn sideways!), and uphill in pain. That brought me to the decision to have the TKR 11 months later.
Now, 6 months have passed, things are mostly going very well. However, there are definitely limitations as to what I can do, and I sometimes question whether I jumped the gun by having the replacement done in the first place. On the other hand, once I had been in pain for over a year, and not a fan of or candidate for long-term pain management with medication, it seemed like the best option.
Perhaps there are others who are also ambivalent about having had the TKR, or who decided to not do it? And what alternative did they chose? Not that I can undo the surgery, but who knows when the left knee decides to follow suit and starts acting up........

Interested in more discussions like this? Go to the Joint Replacements Support Group.

@ellerbracke

@ssbionicknee and JK: thanks for input. I am actually doing pretty well overall (was discharged from PT at about 10 weeks, have been doing water exercises and workouts and swimming 3 or more times a week since week 5 after surgery), have excellent ROM, finally got the knee straightened out at 4 months... BUT: I miss being able to kneel like I used to, I hate having become pretty cautious when I walk outside in my garden (tree roots, gopher holes, vines sneaking along the ground), I dislike having to adapt how to pull off socks or tight jeans, and mostly I am tired of aches and some pain. At this point I don’t want “not too much pain”, or “only aching for a few hours”, I want NO pain, ache, twinge, stiffness, at all for a change. Hoping I will get there sooner or later. That is why I mentioned my shoulder surgeries in the initial post: full motion, full strength, and absolutely no pain after recovery. Was expecting the same from TKR.

Jump to this post

Yes, I hear you! I too have had many surgeries that I have recovered from 100%.
TKR is so weird. I try to articulate the vast differences in it and all my other surgeries- there are so many. I’m 6 months out too. I wonder if I will ever be able to kneel. Will the numbness ever go away. Even my gait is not natural and I do PT daily. Trying very hard to be positive! There is so much I want to do.

REPLY
@colleenyoung

Welcome, @smclemore. Members, like @dkapustin @artscaping @contentandwell and others, have some helpful tips in these related discussions:
- Learning to walk normal after knee replacement https://connect.mayoclinic.org/discussion/learning-to-walk-normal-after-knee-replacement/
- TKR #2.....Lessons I am learning. https://connect.mayoclinic.org/discussion/tkr-2-lessons-i-am-learning/
- Flexibility and Range of Motion after TKR https://connect.mayoclinic.org/discussion/flexibility-after-tkr/

@johnbishop are there any other discussion threads that might be useful to list here?

SmcClemore, are you currently doing exercises with your physiotherapist that you can do at home? Which ones are your favorites?

Jump to this post

Thank you! This is tremendously helpful!

REPLY
@suecutuli

Yes, I hear you! I too have had many surgeries that I have recovered from 100%.
TKR is so weird. I try to articulate the vast differences in it and all my other surgeries- there are so many. I’m 6 months out too. I wonder if I will ever be able to kneel. Will the numbness ever go away. Even my gait is not natural and I do PT daily. Trying very hard to be positive! There is so much I want to do.

Jump to this post

@suecutuli: A long time has passed since the post you are referring to. About 3 1/2 years! So: I don’t really think about my TKR knee anymore. It works perfectly, and I treat it like a “normal” knee. Except - you guessed it: I still don’t like to kneel. It is possible, as long as I have some soft padding under the kneecap, e.g. small pillow, triple-folded towel, but I still avoid it if I don’t have to do it. Not sure if anyone ever gets comfortable with this. Perhaps because I have no natural padding, but then again, most people don’t carry extra inches on top of the kneecap. Above, below - but not there. I still don’t jog/run, do not usually walk/hike steep downgrades, but other than that I’m AOK.

REPLY
@suecutuli

Yes, I hear you! I too have had many surgeries that I have recovered from 100%.
TKR is so weird. I try to articulate the vast differences in it and all my other surgeries- there are so many. I’m 6 months out too. I wonder if I will ever be able to kneel. Will the numbness ever go away. Even my gait is not natural and I do PT daily. Trying very hard to be positive! There is so much I want to do.

Jump to this post

@suecutuli : Sorry, I should have addressed your current concerns more. Yes, the numbness will go away. PT person told me that some people will have numb spots from quarter to pencil eraser size, permanently. I don’t. Numbness went away fairly quickly. Gait: yes, major concern. My TKR knee simply would not straighten out, in spite of doing a superb job of bending. So my PT guy absolutely forbid me to do any exercise-type walking until the knee extension was ok. He said it would just mess up my back and hip, so I reluctantly did not walk. Started water exercise program and swimming until I got the ok to walk.

REPLY

So depressing. 4 months out of tkr. Dr wants to do miss. What it read it doesn't do much. My room is 105. My knee is stiff. I limp. I can't find anyone near me at all that does mfr. So I am just stuck. I would have never done it if I had known all this. Should have read more. Very upset and see Dr tomorrow. I have cpm machine for now but when I say no to miss I bet he sends it back.

REPLY
Please sign in or register to post a reply.