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.

@ellerbracke

JK: I envy you the ease with extension. I have longstanding back issues, and I need my legs to be balanced so I will not cause any more problems. I had arthroscopic surgery on same knee 11 months ago, and, being an overachiever, was so proud of my 130 degree flexion in no time at all, and I suspect that I neglected the extension a little bit. With all the walking for exercise, and gardening, etc., I do, the slight imbalance MAY have hastened the progression of arthritits to the point where pain was constant and limiting. So this time, I’m getting it straight before getting it bent (it’s ok anyway, around 110 to 115 after 4 weeks). As to opioids: same surgeon did 2 shoulder arthroscopies – 1 each side -, 1 knee arthroscopy, 1 knee replacement. Each and every time he was generous with prescription, and each and every time I returned the leftovers. I hate opioids with a passion, but nothing beats a decent night’s sleep when you had surgery and pain.

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@ellerbracke I envy your flex in such a short amount of time. Don’t neglect the exercises for this though. Mine has actually regressed. I thought I was doing enough nut obviously I was not.
My surgeon was extremely conservative about the narcotics, as is my PCP. I live in NH and there is a huge opioid problem so all of the doctors here are being very conservative, almost to a ridiculous extent. PCPs generally know their patients enough to be able to make a judgement. I needed some pain meds before a weekend and my ortho is an hour and a half away so he asked my PCP, who knows me very well, to give me a small prescription to get me through the weekend, but he would not!
JK

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So sorry you have so much pain. My Doc gave me Oxicodon, Its Very Effective. I'm not an addictive kind of person. All it does is keep me pain Free for quite awhile. I highly recommend it!
This and Vicodan don't do anything that would want me to b addicted. Wish there was not so much of a fuss cause Oxicodon is Best Pain med I ever had.
Also like diclofinate – takes a while to kick in but, effective and long lasting. Very Little harm to innards.

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Hi Beatrice ….. I'm sorry you're having so much pain …. a joint replacement is no easy surgery, that's for sure. About 5 years ago I had a knee replacement and my doctor gave me an Rx for Vicodin. I only took 1 or 2, and then switched to Motrin – 4 at first, and then 2. My maternal family, including my mother were all addicted to alcohol and I didn't want to chance it. About a year later, I had to have a "revision" meaning they did it all over again because something about the first one still hurt. That one has turned out beautifully. And, I did the same thing …. took Motrin. For me it worked even better than the Vicodin.
abby

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@amberpep

Hi Beatrice ….. I'm sorry you're having so much pain …. a joint replacement is no easy surgery, that's for sure. About 5 years ago I had a knee replacement and my doctor gave me an Rx for Vicodin. I only took 1 or 2, and then switched to Motrin – 4 at first, and then 2. My maternal family, including my mother were all addicted to alcohol and I didn't want to chance it. About a year later, I had to have a "revision" meaning they did it all over again because something about the first one still hurt. That one has turned out beautifully. And, I did the same thing …. took Motrin. For me it worked even better than the Vicodin.
abby

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@amberpep they are saying now that ibuprofen, which of course is what Motrin is, works pretty much as well as the narcotics. Unfortunately I am not able to take it being post-transplant. I presume it must conflict with the immunosuppressants. Tylenol is very little help. As I have mentioned my ortho is very conservative so I had very few opioids.
JK

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Hi – new here. To make a long story short, I'm a 54 year old female who had a running injury spiral into a total knee replacement in March 2018. I recently had an illness that planted me on the couch for 5 days and it has become very evident that the swelling & pain I have been complaining about since March gets significantly worse when weight bearing. Has anyone else had swelling and pain this far out from surgery and if so, what whas the cause?

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@melcpa86

Hi – new here. To make a long story short, I'm a 54 year old female who had a running injury spiral into a total knee replacement in March 2018. I recently had an illness that planted me on the couch for 5 days and it has become very evident that the swelling & pain I have been complaining about since March gets significantly worse when weight bearing. Has anyone else had swelling and pain this far out from surgery and if so, what whas the cause?

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@melcpa86 My second TKR (total knee replacement) was in October 2017, I just had my one year check-up last Thursday. My first was six years ago. I had more pain after this one than after the first so my ortho was seeing me every two weeks to keep track of it, he is very good. It suddenly lifted at about the 6 week mark, and things went much better then! At any rate, I think you should make an appointment and see your ortho just in case there is something wrong, I don't think it should bother you for that long. It's always best to have them evaluate it. I was very pleased that mine stayed on top of it until it was better. If anyone is in the Boston area, I would highly recommend him. He is actually very well known beyond the Boston area, and is the primary developer of a custom made replacement knee.
Now, the one I had done more recently is great. We were on vacation recently and I was walking over six miles a day! The knee that was done 6 years ago does still hurt a bit after that much walking but the one I had done last year was tired, but painless. Unfortunately it never did get the desired amount of flex, but the doctor said he can go in, in an outpatient procedure, and snip some scar tissue that will help with that. I think I will do that after I have addressed a couple of other, unrelated issues.
JK

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@melcpa86

Hi – new here. To make a long story short, I'm a 54 year old female who had a running injury spiral into a total knee replacement in March 2018. I recently had an illness that planted me on the couch for 5 days and it has become very evident that the swelling & pain I have been complaining about since March gets significantly worse when weight bearing. Has anyone else had swelling and pain this far out from surgery and if so, what whas the cause?

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going on 6 years from operation and still have swelling and pain. I do more biking than walking and that helps with pain. IF i had know i would never have had the operation. Second knee i did stem cells and i am happy with the results.
The cause is unknown. Surgeon had no idea of what to do, so i put up with it, ice is what i do. I use no pain pills.

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@cobweb

going on 6 years from operation and still have swelling and pain. I do more biking than walking and that helps with pain. IF i had know i would never have had the operation. Second knee i did stem cells and i am happy with the results.
The cause is unknown. Surgeon had no idea of what to do, so i put up with it, ice is what i do. I use no pain pills.

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@cobweb I had a friend who put up with a serious amount of pain for two years, until she got a second opinion. The new doctor found the problem and fixed it, and now she is so much better. Have you tried getting the opinion of a different orthopedic surgeon? It is possible that someone else may be able to find the problem. No one should have to put with that much pain for so long after a TKR.
JK

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Congratulations on your the great success with your knee replacement, @contentandwell. You should be a poster child for TKR! It sounds like you have had some great surgeons who have excellent technique with this type of surgery.

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@hopeful33250

Congratulations on your the great success with your knee replacement, @contentandwell. You should be a poster child for TKR! It sounds like you have had some great surgeons who have excellent technique with this type of surgery.

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@hopeful33250 my second surgeon is positively great. I had hoped to have the TKR in 2013, prior to my cirrhosis diagnosis, but as I lay there waiting to go into surgery, IV in my hand, the surgeon came to me and told he couldn't do it because my platelets were too low, which is a symptom of cirrhosis.
Initially when I had been in his waiting room there were people from other parts of the country there to go to him, he has such a great reputation. For some reason on his info it did not say that he was certified so I didn't use him for my first TKR. He is of course, just did not include that info.
JK

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I'm scheduled for a total knee replacement surgery on April 5th and have been doing pre-op exercises for 3+ months along with my daily morning wake up routine. I ran across an application that runs on a smartphone to help with prehab and rehab – Peerwell — https://www.peerwell.co/. Has anyone used this app on your phone or tablet?

I have an appointment with my primary doc tomorrow who has to give approval for the surgery (hopefully) and am planning to ask him about it. It looks like it costs $49 which is not bad if it helps or provides more tips for the rehab. I'm always a little skeptical of these things but it seems like a good idea.

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@johnbishop

I'm scheduled for a total knee replacement surgery on April 5th and have been doing pre-op exercises for 3+ months along with my daily morning wake up routine. I ran across an application that runs on a smartphone to help with prehab and rehab – Peerwell — https://www.peerwell.co/. Has anyone used this app on your phone or tablet?

I have an appointment with my primary doc tomorrow who has to give approval for the surgery (hopefully) and am planning to ask him about it. It looks like it costs $49 which is not bad if it helps or provides more tips for the rehab. I'm always a little skeptical of these things but it seems like a good idea.

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@johnbishop I haven't heard of peerwell but I am curious, if you are on Medicare why do you need approval from your PCP? I never needed that. I did check with my transplant team and they changed my immunosuppressant because one tends to retard healing, then I was switched back a month or two after the TKR.
JK

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