Mako Robotic Arm TKR Day Two

Posted by saeternes @saeternes, Nov 27, 2019

Was discharged before 11AM making my entire stay under 24 hours. Lucky that the roads were clear and we made it home in a bit under 3 hours. However the vibrations from the road threw my knee into pain mode and I had to take the narcotic drugs before the time, by an hour. Interesting effect that I did not anticipate – a national freeway and no bumps I would have thought twice about before. Was able to walk up two flights of stairs, and using walker do a bit of moving around. I now realize how important it is to stay on top of the pain because if you wait to feel something, it will be too late and the pain will spring up like a baby dragon. So it now will be strict schedule for me at least for a week. Anyone else have that experience?

@saeternes I know they say you should take something as soon as you feel the pain to stay on top of it but frankly I never do. The doctors are so cautious with the number of meds they prescribe that I also tend to feel I want to preserve what I have until it is unbearable. So far that has actually worked out surprisingly well for me. It sounds as if you are doing all the right things though and that you are on top of it. I never could take the pain meds at night because they keep me awake, and that is when I most need them. For OTC pain meds I can only take acetaminophen so that doesn't help much. During the day I was able to handle the pain most of the time except when I did too much. The doctor initially gave me either oxycodone or hydrocodone, I forget which, gabapentin, and tramadol. He only gave me the first one for a very short time, and the other two just slightly longer. He wanted me to start weaning off them almost immediately by cutting them in half.
I hadn't heard about giving up the walker too soon but it makes sense.
I don't remember my doctor ever saying to wear compression socks, but then my doctor has different philosophies than many other doctors. He does not want the patient icing for the first 6 weeks because the cold keeps the healing blood from getting to the wound. I was fine with that, knowing how well-respected he was, and hearing from my physical therapist that he had an impeccable success rate. He also wanted very gentle PT which my therapist was in line with. My outpatient therapist did not know how to handle that though.
JK

REPLY
@babette

@ellerbracke

Hi and thanks for checking in! Yes, I'll be 7 weeks out as of this coming Friday. This experience has been completely different from the first disaster, which lasted 15 months. It's hard to describe how/why I know this is better. I just have a sense of well-being and slow, steady progress that I never had with my first TKR. At 2 weeks, I was at 0/110, had my stitches out and permission to drive by nearly 3 weeks out. Everything just feels in place and I'm approaching PT differently. I'm doing gentle PT with the support of my surgeon and a terrific therapist. My mood is better, my attitude is much more confident than it was the first time around. I still have some pain, usually at night and still take 10 mg Oxycodone so that I can sleep through the night. The only thing that's the same as before is that my scar is very sensitive. That said, it's improving much faster than it did before.

I'll start working on strength building and stamina next. (Surgeon and PT believe that early weeks are for working with mobility and flexion only w/ strength training coming later.) I still face stairs with trepidation (we have snow/ice on uncovered stairs in the winter here). I'm just beginning to take stairs the normal way even though I default to the step-together-step method a lot.

I attribute this all to the remarkable skill of my surgeon. He only does revisions and is a rising star in Boston (star may already have risen, actually!).

Jump to this post

@babette It really does my heart good to hear you doing so much better. I firmly believe that not only does the type of knee affect the results but even more importantly, the skill of the surgeon. You and I both had excellent surgeons.

I have my three year check-up on Thursday. My knee had not hurt since shortly after the surgery but unfortunately it and my other knee are both hurting now, since having fractured my femur. I presume that's because I am walking in a compromised manner. I sure hope things will improve soon, I really don't know what to do about this. The fracture exacerbated an already existing bursitis which is now quite severe.
JK

REPLY
@contentandwell

@babette It really does my heart good to hear you doing so much better. I firmly believe that not only does the type of knee affect the results but even more importantly, the skill of the surgeon. You and I both had excellent surgeons.

I have my three year check-up on Thursday. My knee had not hurt since shortly after the surgery but unfortunately it and my other knee are both hurting now, since having fractured my femur. I presume that's because I am walking in a compromised manner. I sure hope things will improve soon, I really don't know what to do about this. The fracture exacerbated an already existing bursitis which is now quite severe.
JK

Jump to this post

@contentandwell you mean your femur just fractured from walking? And why are you walking in compromised manner? Maybe there are lots of posts here that I am not up with.

I have found I still need the meds at 3/4 dose I had at the hospital, otherwise the deep ache gets unbearable. There is something I have not experienced before about pain from bone injury, I would almost call it existential at the risk of seeming absurd. Perhaps any kind of basic injury to the skeleton can do that. In any case, I feel suffering through it is as damaging as taking the meds, so I am going forward.

A nurse called this morning and told me the swelling was normal (whole leg). Sure looks weird. Having small bowel movements that are not really movements at all – my spraying toilet is a big help. Threw up my laxative as I had no food with it. May have to try something else. The nurse also told me the therapist may take off my ace bandage and take a look at the knee. Happen to anyone? There is a thick pad under the bandage, for any oozing that may come out of the wound, and I would love to get rid of that thing. Anyone else have such a set-up?

REPLY
@saeternes

@contentandwell you mean your femur just fractured from walking? And why are you walking in compromised manner? Maybe there are lots of posts here that I am not up with.

I have found I still need the meds at 3/4 dose I had at the hospital, otherwise the deep ache gets unbearable. There is something I have not experienced before about pain from bone injury, I would almost call it existential at the risk of seeming absurd. Perhaps any kind of basic injury to the skeleton can do that. In any case, I feel suffering through it is as damaging as taking the meds, so I am going forward.

A nurse called this morning and told me the swelling was normal (whole leg). Sure looks weird. Having small bowel movements that are not really movements at all – my spraying toilet is a big help. Threw up my laxative as I had no food with it. May have to try something else. The nurse also told me the therapist may take off my ace bandage and take a look at the knee. Happen to anyone? There is a thick pad under the bandage, for any oozing that may come out of the wound, and I would love to get rid of that thing. Anyone else have such a set-up?

Jump to this post

@saeternes it was not a spontaneous fracture, I fell from having a pre-syncope episode.

My walking is compromised because my hip and thigh are quite painful. I had a very good recovery from both of my TKRs, no unusual swelling. I hope yours will go down soon and that it’s not a problem.
JK

REPLY
Please sign in or register to post a reply.
  Request Appointment