Mayo Clinic Connect
Hi I'm 6 weeks out here of tkr. I'm only at 90 to 95 in flex and sleep is non existent.is this s normal and does anyone have any hints how to help.
Liked by Debbra Williams, Volunteer Mentor
Welcome @cgbi.. So glad you came into this Connect community where there are so many caring and supportive people. I had a TKR in April 2017 and I totally understand your discouragement and fear. It is hard at first. From my experience, I'd say that at 6 weeks, you need to be icing often, doing your PT as you can, and being very forgiving of yourself. Did I mention that it is HARD at first. I promise you that it will get easier. What is the hardest part for you right now? We have a bunch of people here who have had TKRs. I'm going to tag @contentandwell who has been through this too. Maybe she has additional advice. I'm going to to also ask you to check back in 2 weeks from now. I'll bet you are going to see a world of difference. I know I did between 6 weeks and the 8 week mark. Wishing you sound sleep and relief from discomfort!
Liked by John, Volunteer Mentor
@cgbi Sleep would have been a problem for me without medication. That was really the only time I did take any medications.
My doctor has a great track record, but his philosophy is quite different than typical. He does not believe in icing for the first six weeks. It does bring the swelling down a bit, but it also prevents the healing blood from getting to the site, delaying healing. He is also opposed to rigorous PT.
After my second TKR, I had more pain than after the first one but it suddenly lifted, almost overnight, and then I was able to walk all over the place! My TKR was on October 25, 2017. I was walking all over NYC on December 8th. I was really upset a week or so before that because we were going to NYC for my daughter's wedding reception and I thought I wouldn't be able to be on my feet much but I was amazingly fine.
My flex is still not what I would like. I saw my ortho last week and he said he can do a small outpatient procedure that will give me better flex so I think I will do that after the first of the year.
So, stay positive, and hopefully your recovery will be as good as mine was.
Liked by John, Volunteer Mentor, Debbra Williams, Volunteer Mentor, ellerbracke
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To cbgi: I agree with 2 previous posts that even 1 week at your stage can make a huge difference. I’m 7 weeks out, and super lucky. Low pain levels, still wake up once or twice a night with twinges, but ok. Perhaps 2 Aleve/week if it gets rough. I would concentrate first on getting some sleep – that to me was more debilitating than anything else. Flex may take a while, depends on many variables. I was made to do pre-tkr exercises 3 weeks prior to surgery, and I believe that the muscle tone-up helped with quicker improvement afterwards. And for me it was more productive to do fewer heel slides, but hold them for at least 5 seconds in the bent position. Other than that, I hope that your recovery speeds up from here on out!
Liked by John, Volunteer Mentor, Justin McClanahan, Debbra Williams, Volunteer Mentor
Thank you all,
I'm going to do my best, but it just doesn't feel like I'm getting the progress I should be. I'll check in in about a week. Thanks
I am surprised by this approach of not icing, and not really pushing PT initially. Perhaps a worthwhile option. Hosever, part of the reason to apply ice frequently, at least in the first 3 weeks or so, was to minimize pain. I wonder how one would compensate for that …. more pain meds?
@ellerbracke my doctor was not too generous with pain meds either, the current thought being that ibuprofen does just about as good a job. Unfortunately, being post-transplant, I can only take Tylenol which is not an anti-inflammatory, but I managed. I admit, at times it was not easy, but if I can take something at night I’m OK.
As I said before, my in-home PT person was totally respectful of the doctor because he had worked with his patients before and had seen the success rate. He managed to help me a lot with PT that was within the parameters.
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