After knee replacement surgery

Posted by beatricefay @beatricefay, Jun 16, 2016

Had left knee replaced 9 days ago. Right knee two years ago. Having a problem with inflammation so hard to bend knee and exercise. Trying to ice and raise knee above heart. Doctor suggested getting compression hose. Anybody have this experience and can offer suggestions. So tired all the time from pain interrupting my sleep and painkillers. My insurance refused to pay for the painkiller recommended by surgeon so have to take one with more opiates. That’s frustrating. Two years ago it was covered but now too expensive for me to use. Seems the drug companies, not our doctors are determining what we use.

@amberpep

Four years ago I had a total right knee replacement. I took a spill in my kitchen landing on that knee about 5 months later, and whether that did it or not, I’ll never know, but after 2 more years of synvisc shots, all sorts of fluid withdrawals, etc., the doctor opted to do a revision RTKR …. meaning they redo the whole thing, but the posts that go up the femur and down the tibia are longer. It worked! Well, during the time I was recuperating from that one – I live alone so had absolutely no help, I took a spill over my computer wire and the outside of my left foot landed on a hard box …. that long bone broke, so they had to take care of that for several weeks; well, about 3 months later I did it again, broke the same bone! Well, I’m fine now, but ever since that experience my left foot and ankle swell every day (my right knee was the one with the surgery), and I don’t wear those short little ankle length socks around the house because my ankle really swells and it makes this huge round dent. I asked my doctor about it when I was in and she said, “well, whenever you’ve had surgery or an injury, it messes with the lymphatic system.” For some reason, that didn’t work for me as a complete answer. She didn’t think anything of it, but I just wondered “why?”
Anyone have any thoughts on this?
abby

Jump to this post

Hi there …. you said “MGH” …..You wouldn’t by any chance mean Montgomery General Hospital Medstar would you? That’s where I had my knee done in Olney, MD.
abby

REPLY
@amberpep

Four years ago I had a total right knee replacement. I took a spill in my kitchen landing on that knee about 5 months later, and whether that did it or not, I’ll never know, but after 2 more years of synvisc shots, all sorts of fluid withdrawals, etc., the doctor opted to do a revision RTKR …. meaning they redo the whole thing, but the posts that go up the femur and down the tibia are longer. It worked! Well, during the time I was recuperating from that one – I live alone so had absolutely no help, I took a spill over my computer wire and the outside of my left foot landed on a hard box …. that long bone broke, so they had to take care of that for several weeks; well, about 3 months later I did it again, broke the same bone! Well, I’m fine now, but ever since that experience my left foot and ankle swell every day (my right knee was the one with the surgery), and I don’t wear those short little ankle length socks around the house because my ankle really swells and it makes this huge round dent. I asked my doctor about it when I was in and she said, “well, whenever you’ve had surgery or an injury, it messes with the lymphatic system.” For some reason, that didn’t work for me as a complete answer. She didn’t think anything of it, but I just wondered “why?”
Anyone have any thoughts on this?
abby

Jump to this post

@amberpep, No, I am in New England and for us in New England MGH is Massachusetts General Hospital in Boston. It just never occurred to me that there might be other MGHs! I live in NH and so many people up here assume that the big city hospitals like MGH are cold and uncaring but I have found just the opposite. They have been positively wonderful there. If I lived closer I would go there for my PCP too, but during the day the commute can take two hours with traffic. As it is I go there for my Barrett’s Esophagus, and I go to a doctor at a “partner hospital” for ortho.

JK

REPLY

My knee replacement was 2 months ago. WARNING to anyone who considers themselves “Super Woman”. I have been doing PT for one and a half hours twice a day. Than riding the stationary bike 20 min. a day. I put 3 pd. weights on my ankles for my open chain exercises. NOT GOOD. I do ice three times a day. I am in a lot of pain morning to though out the night and my knee is very swollen. I refuse to take pain killer so I moan and scream with my PT. My ROM is at 140 but it is coming at a cost. As of today I am dropping the weights and decreasing the PT. Is any one else in this much pain after 2 months?

REPLY

I am sorry but I don’t understand why you would assume more is better. Pain is the body’s way of telling you to knock it off. Please don’t be offended, but do have other compulsive tendencies? What you are doing is harming yourself.

REPLY

You know by now that you have been overdoing it. Not surprised you have so much pain. Don’t know why you need to get past 120 degrees. I never did and never noticed any range of motion problems. Hope your pain subsides with your slowing down the exercise. A three pound weight was definately used too soon. Give yourself a break and get a new PT.

REPLY
@larie

My knee replacement was 2 months ago. WARNING to anyone who considers themselves “Super Woman”. I have been doing PT for one and a half hours twice a day. Than riding the stationary bike 20 min. a day. I put 3 pd. weights on my ankles for my open chain exercises. NOT GOOD. I do ice three times a day. I am in a lot of pain morning to though out the night and my knee is very swollen. I refuse to take pain killer so I moan and scream with my PT. My ROM is at 140 but it is coming at a cost. As of today I am dropping the weights and decreasing the PT. Is any one else in this much pain after 2 months?

Jump to this post

I have had a full replacement and partial. Yes it is a tough operation (partial not bad) and it took me a year to get OK. So be compassionate with yourself…my wife also had but did much better than me…women are stronger. It sound like u may be doing too much PT…the rest cycle is just as important as the PT. In my case I did PT only three times.The initial therapist was good but than the handed me off to a kid who was not good…there is tremendous demand and little supply. But since I am a yogi I went back to my practice with extra attention given to me by the instructor.But just don’t do as I did as there are many types of yoga and good/bad teachers.I recommend one yoga posture to help with the swelling and healing,”legs up the wall”. You can find how to do on the net. Also my doctor didn’t recommend a lot of PT…Mayo doctor…just movement Again be compassionate with yourself and perhaps less PT.Things will get better…I have had my total for over 10 years and do everything but run. I take dance and Zumba 5 to 6 days a week.I also have a personal trailer for strength training which includes exercises to build up the muscles around the knees.But I have been fortunate to have an excellent trainer…be aware there are many who can do more harm than good.If interested check with your local Y.

REPLY

I just read your post again and for sure you are doing too much PT.Who told u to use ankle weights…makes no sense to me. The bike (stationary) should be your primary tool. Start with a height that is comfortable and gradually or weeks lower it as the bend in your knee increases.And don’t PUSH gears..keep the gears low so there is very little resistance and gradually increase. I understand your moxie but you are trying to hard! Forget the no pain no gain therory,it’s wrong and unless you are a kid you must rest…I would say workout and rest the next day…just walk.

REPLY
@larie

My knee replacement was 2 months ago. WARNING to anyone who considers themselves “Super Woman”. I have been doing PT for one and a half hours twice a day. Than riding the stationary bike 20 min. a day. I put 3 pd. weights on my ankles for my open chain exercises. NOT GOOD. I do ice three times a day. I am in a lot of pain morning to though out the night and my knee is very swollen. I refuse to take pain killer so I moan and scream with my PT. My ROM is at 140 but it is coming at a cost. As of today I am dropping the weights and decreasing the PT. Is any one else in this much pain after 2 months?

Jump to this post

@larie Actually I was not in that much pain but I did not attempt to do nearly as much as you have been doing. I was able to get around pretty well but I have never regained the range of motion and that knee still hurts if I have to kneel on it or anything like that. I can’t help but wonder if mine would be better now if I had done all the things you are dong. 140 is phenomenal for ROM, mine never made it quite to 120. The PT I was working with would take hold of it and forcibly bend it to the point where I literally screamed. Then when she got to that point she would say my ROM was 118 or 119. If it is being forced like that then I do not think it really is MY ROM.

I am way overdue to have my other knee replaced, it was scheduled in 2014 but low platelets due to cirrhosis caused that to not happen. Thank to all of my pool exercising, bike exercising and other the knee to be replaced is a lot better than it used to be, but it still needs replacement. I hope to have that done in the fall. I am just waiting until my daughter finds a place for her wedding and sets a date. The doctor wants to do the replacement before addressing a possible revision of the knee which is more painful than that one. He is not the doctor who did my other one.
JK

REPLY
@larie

My knee replacement was 2 months ago. WARNING to anyone who considers themselves “Super Woman”. I have been doing PT for one and a half hours twice a day. Than riding the stationary bike 20 min. a day. I put 3 pd. weights on my ankles for my open chain exercises. NOT GOOD. I do ice three times a day. I am in a lot of pain morning to though out the night and my knee is very swollen. I refuse to take pain killer so I moan and scream with my PT. My ROM is at 140 but it is coming at a cost. As of today I am dropping the weights and decreasing the PT. Is any one else in this much pain after 2 months?

Jump to this post

Hi…@larie. 140!!!!!!!! I bet you didn’t even that much before the surgery. I say that because i was at 132 within several weeks of the surgery, but I was on the passive motion machine while in the hospital 3 days before they discharged me. Because I lived alone, I went to a nursing home for about……maybe two weeks. I got there on a Friday and he measured me then and I was already up to 110. But I was having some calf pain, so they ordered a sonogram on Monday and said not to do anything over the weekend until they were sure there was no clot. Tuesday I went back to therapy and jokingly I said how much did I lose laying in bed for 4 days. Now I was up to 123!!!!!!. Within a week I was up to 132 with essentially NO further attempts to increase it more. As far as I could tell, I ended up with the same ROM as I had before surgery and when the knee was still without any problems. I wonder why they don’t measure one’s ROM before they do the surgery!!!!!!!!?????? Then that could be a good goal to shoot for without asking the leg to stretch its muscles beyond what is your current “normal”. I am now in PT for a different problem and one day my current DPT measured it just for curiosity. Now it is above 132, but I forget the exact number. @gailfaith.

REPLY
@larie

My knee replacement was 2 months ago. WARNING to anyone who considers themselves “Super Woman”. I have been doing PT for one and a half hours twice a day. Than riding the stationary bike 20 min. a day. I put 3 pd. weights on my ankles for my open chain exercises. NOT GOOD. I do ice three times a day. I am in a lot of pain morning to though out the night and my knee is very swollen. I refuse to take pain killer so I moan and scream with my PT. My ROM is at 140 but it is coming at a cost. As of today I am dropping the weights and decreasing the PT. Is any one else in this much pain after 2 months?

Jump to this post

Hello my name is Flor I hada knee replacement on 2012and I never used wieght on my leg . My all therapy was sitting on a chair and walking. And my knee is incredible. Hope you can find the exercises that help you. The pain was gone in 2 months. Much luck

REPLY
@niazumbanut

I just read your post again and for sure you are doing too much PT.Who told u to use ankle weights…makes no sense to me. The bike (stationary) should be your primary tool. Start with a height that is comfortable and gradually or weeks lower it as the bend in your knee increases.And don’t PUSH gears..keep the gears low so there is very little resistance and gradually increase. I understand your moxie but you are trying to hard! Forget the no pain no gain therory,it’s wrong and unless you are a kid you must rest…I would say workout and rest the next day…just walk.

Jump to this post

I have a question. I had a TKR 8 weeks ago and my scar is very sensitive. I’ve been rubbing vitamin E oil and lotion on it a couple times a day. Did anyone ever experience this? If so, how long did it take to feel “normal”?

REPLY

Hi gmajen61,,,, I am replying to what you didn’t say as opposed to what you did say! After 8 wks post TKR, is your only concern about the scar? If your replacement and the joint is doing fine, consider yourself very fortunate. How much bend do you have at this point? Hopefully you have close to maximum bend at this point with little of no pain that prompted you to have the surgery in the first place! If you are healing from what most people go thru after TKR, you apparently heal fast and the skin will follow suit. I was talking to someone the other day about her about husband’s response to his TKR. He was in physical therapy and he called his therapist a physical terrorist! I had both knees done 2 years apart and when I showed up in about two weeks at the surgeon’s office for a post surgical check, the nurse asked where was my cane. I never needed one and she said they were going to put me on a pedestal in the waiting room! If I am reading between the lines correctly, I am very happy for you. Hope to hear as how you are doing! @gailfaith

REPLY

Hi gailfaith — Thank you for pointing out to me how blessed I am with my knee replacement! I have some very minor concerns, and to put it in perspective, my concern about the scar is minor, too. My knee is coming along as expected for 8 weeks post-op, and in general, I’m doing very well. My range of motion is 107, and I’m working hard to increase that number. Thanks very much for your reply!

REPLY
@niazumbanut

I just read your post again and for sure you are doing too much PT.Who told u to use ankle weights…makes no sense to me. The bike (stationary) should be your primary tool. Start with a height that is comfortable and gradually or weeks lower it as the bend in your knee increases.And don’t PUSH gears..keep the gears low so there is very little resistance and gradually increase. I understand your moxie but you are trying to hard! Forget the no pain no gain therory,it’s wrong and unless you are a kid you must rest…I would say workout and rest the next day…just walk.

Jump to this post

Hi gmajen61, I think the sensitivity is very normal. Mine was sensitive for about a year. At first it was VERY sensitive but gradually faded each month…as the color of the scar faded. I am 18 months post op from a PKR. I have great bend in the knee but still have trouble kneeling. I can hike again! Last month I did a 5 mile hike in the mountains that had a steep elevation gain, so not being able to kneel is an ok trade off. Best of luck to you!

REPLY
@niazumbanut

I just read your post again and for sure you are doing too much PT.Who told u to use ankle weights…makes no sense to me. The bike (stationary) should be your primary tool. Start with a height that is comfortable and gradually or weeks lower it as the bend in your knee increases.And don’t PUSH gears..keep the gears low so there is very little resistance and gradually increase. I understand your moxie but you are trying to hard! Forget the no pain no gain therory,it’s wrong and unless you are a kid you must rest…I would say workout and rest the next day…just walk.

Jump to this post

@gmajen61m I think have a pretty good pain tolerance, I was a redhead and have read that is a redhead trait. I have no recollection of my scar bothering me at all. I thought I felt normal fairly soon, I did definitely within a couple of months but my knee was not well done and I have never gotten the range of motion that I should have gotten. I discovered that the surgeon I used has been replacing with the same knee for @ 30 years. Now really, I think in that amount of time there have been improvements. My next knee replacement will be done by a stellar surgeon. But back to topic, the pain was not bad and I was able to get around well, it’s just that I never did regain the ROM and that knee does hurt. I am pretty darned sure that my experience is not typical.
JK

REPLY
Please login or register to post a reply.