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.

@daughter55

Same here. The other knee needs to be done but I’m not going to go through that, at least unless it becomes unbearable at a later stage. I’m 62.

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My husband's golf buddy, who is in his 50, had his left knee replaced in November 2017. His employer has very good health insurance. He was able to go to the best surgeon who is good in robotic knee surgery! He had no problems with his TKR by the robot and only a few months he was able to play 2 round of 18 holes of golf in one day! He kept saying he wish he had it done sooner because he had endured 5 years of knee pain whenever he played golf. I don't think Medicare will pay for robotic knee replacement?

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Why do you think it does not pay? Yes, Medicare does pay for it.

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@slapshoot1

I am also scheduled for a revision on my right knee. I have had my current replacement for 19 years (am 61 now). I have been informed that the surgery is 3 hours (so longer than original) but that rehab should be no different. I am scheduled for Thursday so we will see how it goes!

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Best wishes for a successful revision. I’m getting one on Oct 4. Please keep me in the loop of your recovery, pain and rehab. I’m worried. I’m 60 in 6 days. I had my first TKR for only 10 years. I played tournament tennis and I guess I wore it out. Dr. said the piece in the middle of the two metal pieces just disintegrated and my knee shifted sideways.

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@melslim

Best wishes for a successful revision. I’m getting one on Oct 4. Please keep me in the loop of your recovery, pain and rehab. I’m worried. I’m 60 in 6 days. I had my first TKR for only 10 years. I played tournament tennis and I guess I wore it out. Dr. said the piece in the middle of the two metal pieces just disintegrated and my knee shifted sideways.

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slapshoot1 thank so much for your reply. I’m not really sure how I found your answer but very grateful! ❤️

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@daughter55

I agree about staying off the TKR. However, as an aside, I often (daily) feel a sharp twinge of pain in my TKR. I am 3 years post-op. The “twinges” started 2days after surgery. Have had the orthopedic surgeon check it out twice, new set of x-rays, plus an ultrasound. Nothing found. I’m puzzled and frustrated.

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@daughter55 I would get a second opinion from a different orthopedic surgeon. Obviously the original would not want to admit that something was wrong from what he/she did. I have a friend who had problems and went two years in pain. It was the third orthopedic surgeon who finally diagnosed her problem and fixed it. She is great now.
I had my second TKR done last October and it is pain free. I do not have the flex I had hoped to have but it will do. I can even kneel on it, on a cushion.
JK

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@slapshoot1

I am also scheduled for a revision on my right knee. I have had my current replacement for 19 years (am 61 now). I have been informed that the surgery is 3 hours (so longer than original) but that rehab should be no different. I am scheduled for Thursday so we will see how it goes!

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@slapshoot1 Good luck with the revision. I presume the first one must have gone well since you went 19 years with it, so hopefully this one will too.
JK

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@ew100

My husband's golf buddy, who is in his 50, had his left knee replaced in November 2017. His employer has very good health insurance. He was able to go to the best surgeon who is good in robotic knee surgery! He had no problems with his TKR by the robot and only a few months he was able to play 2 round of 18 holes of golf in one day! He kept saying he wish he had it done sooner because he had endured 5 years of knee pain whenever he played golf. I don't think Medicare will pay for robotic knee replacement?

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@evw100 from what I understand, robotic is just that the surgeon is guided by a robotic type of assistance. The knee does not differ, nor does the surgery really, it just helps in the placement, etc. so increases the success rate. I am sure insurance and Medicare pay for it. They paid for my custom made knee which must have been more costly.
JK

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Might try CBD for pain, is the inflammation due to infection?

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How much cost knee replacement?

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I am suffering for osteoarthritis pain in my knee. i am afraid for this.

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@ronnie3716

I have a total knee replacement tomorrow. I’m pretty nervous. So many people respond immediately with
“The first two weeks are the worst, filled with pain” . Nice of them to share : /
Those of you who’ve had it, are those first two weeks really so bad?
Thank you for the video with legs raised against wall, super helpful.

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I am in my 6th-7th week after bilateral total knee surgery.I found the first 2 weeks far better than other weeks cause the anaesthetic drugs aren't worn off yet and whilst in hospital they consistently dose you up pretty good. After rehab and when home I hate it. They gave taken me off tablets too soon I feel , sleepless nights nausea, etc I am at 112 both knees though and physio is going good

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@dementmt

I am suffering for osteoarthritis pain in my knee. i am afraid for this.

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@dementmt Hi, I have no idea what knee replacements cost, my Medicare and supplemental paid it all.

I have had two knee replacements, done at different times. My doctors will not do bilateral. I did very well after the first one as far as pain and recovery were concerned but I never got the flex in my knee that I hoped for. It's very functional, just not quite as good as I had hoped. I blame the PT I had that time for that, and that I did not do the exercises at home as much as I should have.

I had more discomfort after the second knee replacement but that suddenly lifted, almost overnight, and now the knee feels great.
I have no regrets at all about doing either of them, even the second one despite the fact that at that point I had exercised a lot and that helped my knee because the exercise strengthened the surrounding muscles. So when I went into surgery that knee was not in tremendous pain, but it did prevent me from walking long distances.

I would definitely advise you to exercise the knee as much as possible beforehand, it will help with your recuperation — my ortho loves water exercise, basically water jogging, and the recumbent bike. Also, if you are overweight by much I would try to lose some weight.

Good luck with it, and do not be afraid of it. If your knee is painful you will be happy with the results. I assume you know the surgeon has had good results. You may also want to know what knee he uses. That can make a difference.
JK

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@stretchystretch

I am in my 6th-7th week after bilateral total knee surgery.I found the first 2 weeks far better than other weeks cause the anaesthetic drugs aren't worn off yet and whilst in hospital they consistently dose you up pretty good. After rehab and when home I hate it. They gave taken me off tablets too soon I feel , sleepless nights nausea, etc I am at 112 both knees though and physio is going good

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@stretchystretch They do not let you stay on the opioids for long these days due to the opioid crisis. There is a general feeling that people get as much relief from ibuprofen as they do from the narcotics. That was a problem for me because I can only use Tylenol and that is not nearly as effective as NSAIDs.
JK

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@gailfaith

Hi. My knees are now 10 and 12 years old. And I had it back when they used the passive motion machine so that made it easy, but if you can get to a gym and sit on a stationary bike, and adjust the seat (low) so when you peddle is stretches (bends) the knee a wee bit, then keep lowing the seat as you can. That works as your passive machine. Do it several times a day if you can. for 10-15 minutes at a time. I ended up with 132 degrees of bend, !!!!!!!! , and walked without pain almost from the start. Best wishes. @gailfaith

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Gailfaith: I’m 2 weeks post tkr on right knee. Usual issues, pain, stiffness, but already improving. Current numbers for flex/extension are 114 and 8. Working more on extension now, flex will come along later, based on previous arthroscopic surgery on same knee. BIG question: went to PT today and was told that 125 degrees flex is about the top limit, quote “since implants are not designed to go much above that and may even be damaged or fail if pushed too far”. Did anybody caution you about bending too much? Any problems doing so?

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@ellerbracke

Gailfaith: I’m 2 weeks post tkr on right knee. Usual issues, pain, stiffness, but already improving. Current numbers for flex/extension are 114 and 8. Working more on extension now, flex will come along later, based on previous arthroscopic surgery on same knee. BIG question: went to PT today and was told that 125 degrees flex is about the top limit, quote “since implants are not designed to go much above that and may even be damaged or fail if pushed too far”. Did anybody caution you about bending too much? Any problems doing so?

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@ellerbracke @gailfaith Gail, your flex is amazing! Were you young when you had the TKR? I think for us who are older that amount of flex does not happen frequently. I am at about 120 on one of my knees, and not quite there on the second one. I thought by doing the recumbent bike as close up as possible I would achieve more but it did not happen, in fact I think I regressed a bit after PT.
I never heard that 125 was max. I know that 120 is the minimum they hope to see patients achieve.

Good luck eller with your PT and don't stop doing it, or let it go. That's the key I believe. I honestly thought I was doing enough but now I realize that I was apparently not. Thankfully though, I do not have any pain from that knee. I have my appointment in October, it will be a year then, and I am really curious to see what my flex is. I never had a problem at all with extension.
JK

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