Knee Replacement - Getting Prepared

Posted by Fjkphx @fjkphx, Jun 27, 2018

I will soon have first knee replacement. I wonder what type of info the surgeon should be presenting regarding the new knee. He has not offered and I have not asked. Also wonder what level of care any of you required post surgery. I live alone and wonder what kind of challenges I will face. Thanks for the input.

@johnbishop

Hello @fjkphx — welcome to Mayo Connect. Thank you for starting this discussion. I'm also looking at a possible knee replacement but have not had my appointment yet to discuss the different options. I found a couple of Mayo Clinic videos that answered a lot of questions on knee replacements that you may be interested in.

Mayo Clinic's Approach to Knee Arthritis – Both Surgical … – YouTube
https://www.youtube.com/watch?v=4Mk9GZ7-Dz8

The FAQs of Knee Replacement Surgery with Dr. Ortiguera – Mayo Clinic
https://www.youtube.com/watch?v=kKLNfnKgjNI&index=16&list=PL3A5R5osulIQxfgSwCDqVuTtOJXnKnDT-

@fjkphx if you don't mind my asking, what is your biggest concern or question about having a knee replacement?

John

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Good, Sound Advice! I, too, have been through much of this.

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@fjkphx

My TKR is scheduled for 8/17/18. It's a big relief to finally get this thing going. For those of you who have had this, what would you say are the biggest challenges the first week?

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I had a TKR in 2013 and a second one 5 months later. The second one was much easier because I knew what to expect. I was able to manage more without help at an earlier stage. You really should have someone stay with you for at least a week or so and someone to drive you to appointments the first couple of weeks. I'm not much for pain meds, but I did use them the first week. Since I couldn't drive for a couple weeks, my physical therapist came to my home. That was a Godsend. Make sure you continue all prescribed exercises, and walk around the house, as prescribed. By a week, I was just using tylenol and by two weeks. I was walking outside without a cane. I used a Walker to get to bathroom and around the house the first week.

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@fjkphx

My TKR is scheduled for 8/17/18. It's a big relief to finally get this thing going. For those of you who have had this, what would you say are the biggest challenges the first week?

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@mimi99 welcome to Connect. Thank you for sharing your experience with both knee replacements. It's really helpful to others, myself included. I am currently waiting for an appointment with a knee specialist to look at a possible knee replacement. I've been working on some pre-knee replacement surgery exercises as well as the physical therapy exercises needed after the surgery. I know they are both needed to help make the surgery rehab go smoothly.

John

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@beatricefay

The biggest challenges will be pain and difficulty sleeping. That will improve over time. I was advised to always take my pain medication on time and not wait until the pain got worse. It's easier to deal with pain before, rather than after it gets bad. Also, don't forget to take those stool softeners. Good luck. Let's hear afterwards how it went.

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@fjkphx, If you are struggling with your range-of-motion exercises, I was given a knee brace that had knobs to turn that would bend your leg for you to assist my exercises. Have ice packs in ready supply as well. Beyond that, the thing I wish I would have done differently when I had mine was to push myself a bit harder in the beginning with the exercises that were given to me to improve my range-of-motion. You don't want to push yourself too far and damage it, but there will be some pain and that is OK. I also rearranged my house and furniture a bit to make everything more accessible for the first few weeks when things are the hardest. If you don't have a stool or chair in your shower, I reccomend getting one of those, for safety reasons, along with a shower handle if your shower does not already have one.

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I'd also recommend a reacher that can be used to pick up things from the floor. I needed it when I had my hips done, but also found it useful with my knees. I still use it at times.

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@johnbishop

Hello @fjkphx — welcome to Mayo Connect. Thank you for starting this discussion. I'm also looking at a possible knee replacement but have not had my appointment yet to discuss the different options. I found a couple of Mayo Clinic videos that answered a lot of questions on knee replacements that you may be interested in.

Mayo Clinic's Approach to Knee Arthritis – Both Surgical … – YouTube
https://www.youtube.com/watch?v=4Mk9GZ7-Dz8

The FAQs of Knee Replacement Surgery with Dr. Ortiguera – Mayo Clinic
https://www.youtube.com/watch?v=kKLNfnKgjNI&index=16&list=PL3A5R5osulIQxfgSwCDqVuTtOJXnKnDT-

@fjkphx if you don't mind my asking, what is your biggest concern or question about having a knee replacement?

John

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Hi @johnbishop – Thanks for posting this! Dr. Ortiguera is my orthopedic surgeon and I'm having my second knee replacement early next year. He is excellent. I enjoyed watching his video!

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I am getting ready to have my left knee done I had the right one done 2012 ,I had to spend three months in a rehab/ rest home.it was not fun .so I am not looking forward to this.

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@jenna16bella

I am getting ready to have my left knee done I had the right one done 2012 ,I had to spend three months in a rehab/ rest home.it was not fun .so I am not looking forward to this.

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Hello @jenna16bella, you may notice I moved your discussion and combined it with a discussion titled, "Knee replacement – Getting prepared."

@jenna16bella, if you are comfortable sharing, what led to needing to be in a rehab/rest home for three months? Is that what has been suggested for your upcoming knee replacement for the other knee?

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@jenna16bella

I am getting ready to have my left knee done I had the right one done 2012 ,I had to spend three months in a rehab/ rest home.it was not fun .so I am not looking forward to this.

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Jenna, I hope your left knee goes well and your rehab goes better than last time. Hopefully this time around you will be on your feet, bending the knee and feeling no pain much sooner than last time.

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@jenna16bella

I am getting ready to have my left knee done I had the right one done 2012 ,I had to spend three months in a rehab/ rest home.it was not fun .so I am not looking forward to this.

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Hi @jenna16bella – So sorry to hear about your last TKR, but truly in medical technology years, the difference between 2012 and 2019 is HUGE. I had my first TKR in 4/17 and my second January of this year. In that time, my orthopedic surgeon had moved from traditional surgery to robotic arm assisted surgery which makes it much more accurate – resulting in less loss of bone, less pain, and quicker recovery time. My second knee proved that true for me. On every measure, I was further ahead this time than last – I quit taking pain meds sooner, I got released from PT sooner, I was able to manage all of the functional tasks (like climbing stairs and balance) sooner. I am hoping this will be true for you. Can you share what caused you to have to spend 3 months in rehab last time? Will you talk to your surgeon about your previous experience and see if he anticipates any improvement this time?

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@jenna16bella

I am getting ready to have my left knee done I had the right one done 2012 ,I had to spend three months in a rehab/ rest home.it was not fun .so I am not looking forward to this.

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@jenna16bella I will be thinking of you when you have your TKR, when is it? I hope all will go well and you will not need to be in a rest home or rehab center for long, or at all. After my first TKR, I did go to a rehab hospital for 6 days. It was helpful, but I didn't bother with that after my second TKR.
Keep in touch so we can cheer you on when you have your TKR.
JK

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I wanted to know if there is pre-physical therapy needed prior to my surgery.

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@sunburned2020

I wanted to know if there is pre-physical therapy needed prior to my surgery.

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Hi, @sunburned2020 I have had two TKRs and before the second one I asked my orthopedic surgeon about pre-surgery physical therapy. He asked if I was doing any exercises then. I was, both water exercises/jogging and riding my recumbent bike. He said that was perfect, that pre-PT would do no more than that, so if you have a bike, ride it, and if you can go to a pool which is probably not possible due to the current situation, then water jog. He likes both of these because there is no impact.

After the TKR he wanted me to do my bike for 30 minutes a day, 5 days a week, skipping two consecutive days for rest and recovery.

Every doctor does tend to have their own opinions and preferences though so you should check with your doctor to see if he feels those would be helpful for you. My doctor is very highly regarded but he does have some different opinions than some other orthopedists. He does not want the patient to ice after the TKR because ice prevents healing blood from getting to the wound to help heal it, and he only wants gentle PT.
JK

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@sunburned2020

I wanted to know if there is pre-physical therapy needed prior to my surgery.

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Hello @sunburned2020, Welcome to Mayo Clinic Connect. You will notice that we have moved your post to an existing discussion – Knee Replacement – Getting Prepared so that you can meet other members who can share their experience.

I had my right knee replaced a year ago in April and upon the recommendation of my Mayo Clinic care team did pre-surgery exercises that they recommended. I believe the pre-surgery exercises along with post surgery exercises made my recovery much easier.

Mayo Clinic's Approach to Knee Arthritis – Both Surgical … – YouTube
https://www.youtube.com/watch?v=4Mk9GZ7-Dz8

The FAQs of Knee Replacement Surgery with Dr. Ortiguera – Mayo Clinic
https://www.youtube.com/watch?v=kKLNfnKgjNI&index=16&list=PL3A5R5osulIQxfgSwCDqVuTtOJXnKnDT-

Here are some of the pre-surgery knee exercises that I found and used most of them for about 3 to 4 weeks prior to my surgery:
https://www.allinahealth.org/health-conditions-and-treatments/health-library/patient-education/total-knee-replacement/preparing-for-surgery/before-surgery-knee-exercises
Do you already have your knee replacement surgery scheduled?

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@johnbishop

Hello @sunburned2020, Welcome to Mayo Clinic Connect. You will notice that we have moved your post to an existing discussion – Knee Replacement – Getting Prepared so that you can meet other members who can share their experience.

I had my right knee replaced a year ago in April and upon the recommendation of my Mayo Clinic care team did pre-surgery exercises that they recommended. I believe the pre-surgery exercises along with post surgery exercises made my recovery much easier.

Mayo Clinic's Approach to Knee Arthritis – Both Surgical … – YouTube
https://www.youtube.com/watch?v=4Mk9GZ7-Dz8

The FAQs of Knee Replacement Surgery with Dr. Ortiguera – Mayo Clinic
https://www.youtube.com/watch?v=kKLNfnKgjNI&index=16&list=PL3A5R5osulIQxfgSwCDqVuTtOJXnKnDT-

Here are some of the pre-surgery knee exercises that I found and used most of them for about 3 to 4 weeks prior to my surgery:
https://www.allinahealth.org/health-conditions-and-treatments/health-library/patient-education/total-knee-replacement/preparing-for-surgery/before-surgery-knee-exercises
Do you already have your knee replacement surgery scheduled?

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yes, I am scheduled to have Surgery June 25th, I had not heard from Mayo regarding any appointment scheduled until I asked.

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