Kneeling with artificial knee

Posted by ellerbracke @ellerbracke, Dec 7, 2018

I have touched on this in other messages, but not in a focused manner. As an avid gardener, kneeling is essential for me. Almost 3 months after TKR, things are generally going very well. I have forced myself to get used to the weird, “ball bearing/metal” feeling in the knee by not avoiding, but embracing times when it can be pushed/bumped against surfaces (soft, like side of mattress while making bed, hard, as in kitchen cabinet doors while cooking), and I sense a semi-acceptance of the odd sensation. I know many/most people simply don’t do it or can’t do it… I’m looking for those who are as stubborn as I am and want to find out how you managed to ultimately feel normal-ish.

@chigirl

Hi Justin, I was not told anything about kneeling or not. That's why I was so surprised by it. Mostly just kneel on Sundays at communion. I am having a second tkr Oct. 30 and was hoping the next one would be better, but it doesn't sound like it.

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@chigirl
I skimmed over some of the recent posts on this subject, and noticed that you are scheduled to have a second TKR in October. Of course I have no idea about your exact diagnosis, but I wonder if you have checked into stem cell treatment instead of surgery. I had never heard of this prior to my knee replacement, and I do not personally have any experience with it. However, in spite of a very successful TKR, I would definitely try anything else before undergoing a second one. Please do not take this comment the wrong way – many people have had both knees replaced and are very happy with the results. I just find that even a great artificial knee isn’t close to the original equipment!

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Yes, I asked my first surgeon about it but he didn't reccomend it. Besides I'm positive my insurance wouldn't cover it and that's a must. I do agree theres nothing like OEM.

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@chigirl

Sure I'd share but I truely don't know why. Maybe the meds? I was on tylenol, tramadol and norco same as at home before surgery; or maybe because I would be home alone. Actually, aside from the great meals (lucked out) I remember almost nothing from the first week. It all felt like a three week hospital stay because rehab was a hospital bed and same meds. Sorry I know this isnt much help.

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Hi @chigirl – I bet you are right that they kept you because you would have been home alone then sent you to rehab. Anyway, glad you are doing well now.

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@chigirl

Yes, I asked my first surgeon about it but he didn't reccomend it. Besides I'm positive my insurance wouldn't cover it and that's a must. I do agree theres nothing like OEM.

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@chigirl: OK. At least you knew about stem cells, and had this discussion with your surgeon. I feel like an imbecile of not having done more research prior to my TKR. Having had some shoulder (repair) surgeries in past years with phenomenal results, I was expecting the same from the knee replacement surgery. Never knew – or was led to by my surgeon – to possible alternative treatments before TKR. May not have made a difference, but I kick myself for not doing more research and more exploring of alternative options.
My bad.

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@ellerbracke

@chigirl: OK. At least you knew about stem cells, and had this discussion with your surgeon. I feel like an imbecile of not having done more research prior to my TKR. Having had some shoulder (repair) surgeries in past years with phenomenal results, I was expecting the same from the knee replacement surgery. Never knew – or was led to by my surgeon – to possible alternative treatments before TKR. May not have made a difference, but I kick myself for not doing more research and more exploring of alternative options.
My bad.

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found out about stem cells after my first TKR which has been bad. 5 years next moth and still swollen and painful. Surgeons think its lose and want to do it again. I did hear about stem cells and PRP and found prp to work the best. I have the injection once a year. Takes care of the arthritis and pain in the knee. Dont trust the operation. Have friends with success and failures. Not surea t this time what to do with the tkr. the thought of redoing it is not a good one.

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@cobweb

found out about stem cells after my first TKR which has been bad. 5 years next moth and still swollen and painful. Surgeons think its lose and want to do it again. I did hear about stem cells and PRP and found prp to work the best. I have the injection once a year. Takes care of the arthritis and pain in the knee. Dont trust the operation. Have friends with success and failures. Not surea t this time what to do with the tkr. the thought of redoing it is not a good one.

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@cobweb That's great that you are getting relief from PRP. I have actually never known anyone who had that, is it covered by insurance?
I think when you go to sites such as this and read about knee replacements you have to keep in mind that most often the people who are looking for information are the ones who have had problems. Those of us who have had great TKRs are much less apt to have a need to seek out information.
If at some point you do decide to have a second TKR just make sure you research and get the possible surgeon who you can. In my opinion, that is what makes the biggest difference in the success or failure of the surgery. I have never regretted having the TKRs. I was limited in how far I could walk before and now I can walk forever — well, almost.
JK

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@chigirl

Had a knee replacement nine months ago (January). When I kneel, i can feel the replacement and it hurts. Am I alone or is this normal?

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I have had both knees replaced
I can kneel on one but not the other
Don't know why
.

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@contentandwell

@cobweb That's great that you are getting relief from PRP. I have actually never known anyone who had that, is it covered by insurance?
I think when you go to sites such as this and read about knee replacements you have to keep in mind that most often the people who are looking for information are the ones who have had problems. Those of us who have had great TKRs are much less apt to have a need to seek out information.
If at some point you do decide to have a second TKR just make sure you research and get the possible surgeon who you can. In my opinion, that is what makes the biggest difference in the success or failure of the surgery. I have never regretted having the TKRs. I was limited in how far I could walk before and now I can walk forever — well, almost.
JK

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Some peoples insurance covers it. Mine does not. I will gladly pay $1000 not to go thru TKR again.

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@cobweb

Some peoples insurance covers it. Mine does not. I will gladly pay $1000 not to go thru TKR again.

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@cobweb: I thought I remembered you mentioning PRP at some point, and I’m glad it worked for you. As I mentioned, not that my second knee is about to go bad – based on time progression between shoulder surgeries (right-left),
I have about 3 years left – but I’m with you to not want another TKR, even though mine was average in pain, above average in mobility. And compared to permanent limited artificial knee functions, the money seems worth it if one can keep the old knee in working order without too much pain.

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You sound like me! I'm not gardening much, except for weeding, because I had my second knee replaced at 4 months. I have briefly knelt to look under my bed, using a pad, but its really uncomfortable. But doable when necessary

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@johnbishop

Here’s a link for them on Home Depot
https://www.homedepot.com/p/Husky-Gel-Soft-Cap-Knee-Pad-HD00148/304021291
Probably others similar would work

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I need a pair also. I love to kneel down w my grandchildren but can not stand the "feeling" of kneeling on these knees!! Both are done. I know this is a year ago but wanted to chime in.

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@curlsnj

I need a pair also. I love to kneel down w my grandchildren but can not stand the "feeling" of kneeling on these knees!! Both are done. I know this is a year ago but wanted to chime in.

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@curlsnj I can’t kneel without a pad, and with my flex not being quite 120 it’s difficult to do. That is the only thing that the flex affects though. I’m told it can be improved with a “lysis” procedure but I think I’ll just live with it.
JK

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I had both knees replaced in 2010. Kneeling to this day is something that I only due with knee pads (have found foam inexpensive work the best for me), or padding of some sort indoors (pillow, carpet). Just an odd feeling I don't care for. Will never be as stable, but I accomplish what I need to.

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Just a short response on the stem cells. I had it done with the cells taken from fat, it worked very well–not total relief but enough–but then I fell on my knee and that was the end of it. I would have tried it again if my insurance covered it but it does not. I know for some people it works for a while then stops, maybe longer or forever for others. I'm now at 6 weeks post-TKR and about to post an update. It certainly is far from normal now!

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I am a retired Physical Therapist. Perhaps I can shed some light, Squat walking is no longer part of football protocol. The reason is the amount of compression and twisting that damaged semi-lunar discs, cruciate ( femur to tibia) ligaments and ligaments on the sides of the knee, and fracture of the bone surfaces of the articular joint. A total knee, if subjected to off balance in the squat position, can still challenge the T-K replacement. The replacements are glued in, not screwed or nailed (Most generally) The tibia replacement has a part that fits into the shaft. This is occasionally subject to Hydrolitic Hyrolisis. (Melting). Sitting quadriceps exercises at home with padded weights is done (usually) sitting with the starting point 90 degrees. Other quariceps exercise, besides re-ed, can be squats. However, I had my patient and myself hold onto the sink. I put my castered walker seat in back of me. The squat was limited to just below the waist. Others might use a stool behind them to limit and control the squat. I have fallen and have had to knee, get one knee semiflex, while holding onto s chair (in front of me) and standing. It is a very hard position to get from the floor to standing. I used a mat table a lot. This puts you prone and on a soft surface. I would progress to going to my hands and knees for some exercises. And from hand and knees to a push to a double knee balance. This really challenges the knee rectus( 2 joint muscle and hip flexor thightness. Still, pressure on the knees was not pleasant. I did this as a method of enough strength and knowledge to enable me to get up in case I fell. The squats can also be done safely at the ballet or parallel bars in the gym. I would not suggest a lot of kneeling activity. Like a regular knee, you are subjected to injury, I would also suggest a lot of one leg balance control and use of the ballet bar if you are going back to Ti Chai. Balance and changes of position over the knees needs to be activated to and getco-ordinated control. Have a professional with you and make this part of your medicare or insurance paid activity during rehab. You have guessed by now that Core (pelvic) control and general arm and trunk strengthening is essential to your safe activity with total knees. Good recovery with lack of pain is stage I. Stage two is being aware that you still can injure the knee and you need to be prudent, Some of my friends ski on total knees. But all of them customize supportive knee braces to take up sudden challenges. I was a gymnast and diver. I can not use the spring board for a dive. The femur moves forward on the tibia going down hill. I avoid inclines without my cuff canes or a walker. I avoid kneeling and full squat except practice in how to get to the standing position from a fall. Wear your phone with a loop around your neck. Put your house key and store tabs on it. Avoid cramped sitting in a car. Avoid fast agility( changes of direction) activity. Yogi involves a lot of unusual ranges of motion. Some can be done. But sitting in a crossed knee motion is not one of them. Your Total knee is a gift. Use them wisely.

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