Learning to walk normal after knee replacement

Posted by dkapustin @dkapustin, Mar 22, 2019

I'm 8 weeks PO from a RTKR and although therapy is coming along ok, I walk like my leg is made of wood. How long before you walked with a normal gait and is there any tips and tricks you can offer? I've asked PT but they are focusing now on my ROM and Quad strength. ROM is 110/0 and getting better as the weeks progress so I'm certain I'll get there.....just not as fast as some people have. It's the walking that is killing me! I walk like a one-legged pirate!

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@happyat76

Judi, I guess retraining the muscles that were cut during the TKR makes a lot of sense. Thanks for this tip. I must be patient.

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Happy - the surgeon makes a small cut into the quadriceps muscle to release the patella. This isn't terribly painful after surgery, usually only noticeable to the touch. It heals quickly.

One thing I didn't expect was the extensive bruising on my inside thigh that showed up after 3 or 4 days. The reason - they put a very tight tourniquet around the thigh to minimize bleeding inside the knee capsule during surgery. Makes sense and it didn't hurt much. But when my inner thigh turned red I was concerned with infection. I just wish they had told me to expect this. It's ugly but not a big deal and goes away quickly.

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Good morning. You are doing great! I am now 3 ½ months and just noticed that I am finally walking normally and no pain. I am at 150+ bend and doing my home exercises every day. I was skeptical and thought I would never get to the day. Yesterday I told my husband that I realized I am finally feeling no pain. I still ice twice a day and when I walk, i.e. at the grocery store, it does swell and get tight. Happy and healthy New Year - keep us posted on your progress! Cathyanne

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Wow...I'm not alone in recovery...peg leg walking, 12 weeks out RTKR. Heel to toe and sometimes exagerate the bend and lift to help focus retrain the brain!
2 TKR s, WOW, BRAVE!

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@contentandwell

@colleenscott I have had two TKRs done by different doctors.
The first and most important consideration is making sure you have the very best possible surgeon you can find.

That being done, have you considered a Conformis knee? My second TKR was with a Conformis knee and I have been very pleased with it. They actually take images of your knee and make the replacement knee to mimic it so the recovery is easier. I was fortunate because I live in southern NH and the developer of the knee is in Boston so I was able to have my surgery with him. If you happen to be in this area, he's wonderful. His name is Dr. Wolfgang Fitz.

I too have good things about the computer-assisted knee replacements though. They use a Stryker knee. I presume the model they use is excellent. I know that past Stryker knees have had some problems.

I have no idea what my first knee was. Back then I never even knew that was a consideration. I was very uninformed.
JK

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My Stryker replacement has been a nightmare pain stiffness never felt right although both X-rays and MRI are normal very disheartening

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@ruthblaze

My Stryker replacement has been a nightmare pain stiffness never felt right although both X-rays and MRI are normal very disheartening

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Where, by who was Stryker TKR done?

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@kneenee

Where, by who was Stryker TKR done?

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Dr Shapiro N. y U hospital muneola long island

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@ruthblaze

Dr Shapiro N. y U hospital muneola long island

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My surgeon used the Stryker/Mako robotic assistant and I'm very happy with my new knees. The accuracy of the cuts and placement of the prostheses are improved with Stryker. I would find a surgeon who has beed using the assistant for at least 2 or 2 years.

The robotic assistant or even the skill of the surgeon doesn't determine the results. The patient must put in a lot of work pre and post surgery, and for some it can take up to a year for everything to heal properly, although that's rare and it's much less if the patient is diligent.

That doesn't mean surgeons can't make mistakes. If I thought this was the case, I'd consult with a lawyer if there is no satisfaction from the surgeon.

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My right knee replacement was much easier on walking than my left but my left eventually came around at 6 months. My sit to stand function is still difficult with my left. And I have done all therapy swimming etc!!! After I worked with my PT on walking it did get better but my sit to stand function is still bugging me at 7 months!

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My best advice to you is to not be discouraged by those that are healing faster than you. And whatever you do, don't let anyone make you feel that it is something you're doing wrong. Maybe you're not exercising enough, maybe you aren't doing your PT, maybe, maybe, maybe. It's NOT your fault that it's taking longer. My first replacement went wrong and I had to have it redone. Then I had the second. I never was in that category of people who could do everything again quickly (and trust me I did all my exercise and PT) but I'm finally so much better and if you watched me walk, you'd probably never know. You'll get there! Give it time.

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Part of my issue was learning to trust my new knee.

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