Truth about Total Knee Replacements

Posted by rickraleigh @rickraleigh, Jul 31, 2021

Your new knee will never feel as good as your original old one

For most people it takes a full year to get most of the benefits of the surgery

Many people experience a clicking sound when walking for years or forever after the surgery

You should do physical therapy for a year after the surgery to get the best range of motion results even though your therapist will discharge you after several months.

There are no studies which will tell you what activities you can do after TKR. Is doubles tennis OK? Golf? What you read online varies. There are no clear answers.

Many surgeons are finished with you after the surgery. If you have issues with the surgery's aftermath, they may not be that helpful.

The scar is big, and no amount of ointment (vitamin E, etc.) will substantially reduce it.

Good news: If you had bad knee problems before the surgery your knee will feel a lot better after the surgery.

Interested in more discussions like this? Go to the Joint Replacements Support Group.

Did anyone get blood clots after tks?

REPLY
@mammalynne

Hang in there I’m at 17 Weeks also and just this week I’m starting to see progress. Still not great but I just saw my Ortho and he said it takes a full year to completely heal. I was getting discouraged but it is getting better. Good luck to you ps I’m 66

Jump to this post

Thank you for sharing that. I’m at the same time frame and have been worried that something could be wrong. My ortho says the same, as do several friends - all of us in our 70s. I guess patience is key but here I thought I’d be dancing and hiking at 3 months!

REPLY
@anadarko

Neuropathy in my right foot has gotten much worse since I had a right TKR. Have you heard that can be a result of the TKR?

Jump to this post

I have heard that but my last TKR doctor didn't mention it. I now have it in both feet. The other foot has had 4 ankle fusions and that's why I have the neuropathy in it. Also, the 2 pinched nerves in my back add to it.

I'm so grateful someone invented the rollator. It keeps me steady when I walk. Also, the neuropathy isn't painful very often. How about yours?

guitarlady

REPLY
@jfearon611

I understand that there are unknowns such as the individual's propensity to build up scar tissues based on their body's immune response, but .... is it also possible that the surgeon's expertise and interaction with his patient could help to mitigate some of the negative outcomes? My surgeon who operates out of the "supposedly #1 orthopedic hospital in the US... (World?) did not afford me the time of day when I reached out to him before the 6 weeks appointment that was scheduled.
He refused to do imaging such as ultrasound, Ct scan, MRI that would identify the presence and an amount of scar tissue that seemed to be building up 2 to three weeks after the procedure. Why would a medical professional wait 6 weeks before checking in on a major incision? Why would he refuse to respond to the patient's request for additional imaging? Research says that procedures such as arthroscopy is best done within 6 weeks of the operation.
He then proceeded to perform an arthroscopy without any imaging to predetermine the areas that needed the attention.
We need to stop blaming ourselves and scar tissue buildup as the reason why some of us are experiencing such pain and discomfort after tkr. There are procedures that can be done to help us to heal better. Of course, that is where your surgeon (and insurance) comes into play. Many of them are not telling you the options that are available for helping (mine didn't) and I had to do my own research and actually force the issue. My healing is still not complete, but I believe that I am better off having done the post operation procedures. After all, these are modern times, and I believe that technology is advanced enough to help those of us who are experiencing tkr post operation issues.
I hope that we will continue to stay positive and advocate for ourselves and that additional research will result in improved outcomes for us in the near future.

Jump to this post

Thank you so much! I needed to hear that.

REPLY
@guitarlady

I have heard that but my last TKR doctor didn't mention it. I now have it in both feet. The other foot has had 4 ankle fusions and that's why I have the neuropathy in it. Also, the 2 pinched nerves in my back add to it.

I'm so grateful someone invented the rollator. It keeps me steady when I walk. Also, the neuropathy isn't painful very often. How about yours?

guitarlady

Jump to this post

It does ache at times

REPLY

I posted last week but am so much better a week later. I’m not as depressed. My bend today at pt on day 16 was 117. My only issue now is my heart rate is elevated most of the time even at rest, 85-115. It was 130 at pt but decreased fairly quickly after. Dr doesn’t seem concerned. He said it’s my pain, meds and stress. Anyone else have this? I’m walking with no cane or walker but tend to throw my foot out to the left when I step. That’s my next goal: to walk properly. My pt guy said I had one of the best recoveries he has seen, so I’m thankful. Still just don’t feel myself… hungry but don’t want to eat, etc. So tired. Take lots of naps. My main message is that weekly we all will see progress. I think I need prayerful patience. All of your posts really help me not to feel so isolated. Thank you!!!

REPLY
@guitarlady

I have heard that but my last TKR doctor didn't mention it. I now have it in both feet. The other foot has had 4 ankle fusions and that's why I have the neuropathy in it. Also, the 2 pinched nerves in my back add to it.

I'm so grateful someone invented the rollator. It keeps me steady when I walk. Also, the neuropathy isn't painful very often. How about yours?

guitarlady

Jump to this post

My neuropathy across my foot is worse.

REPLY
@anadarko

Neuropathy in my right foot has gotten much worse since I had a right TKR. Have you heard that can be a result of the TKR?

Jump to this post

I hadn’t heard it and dr said surgery didn’t impact it but mine is worse also.

REPLY
@jdth

I hadn’t heard it and dr said surgery didn’t impact it but mine is worse also.

Jump to this post

I wonder if some doctors gloss over the truth about adverse TKR things? Have other patients here commented on this?

REPLY
@jdth

I posted last week but am so much better a week later. I’m not as depressed. My bend today at pt on day 16 was 117. My only issue now is my heart rate is elevated most of the time even at rest, 85-115. It was 130 at pt but decreased fairly quickly after. Dr doesn’t seem concerned. He said it’s my pain, meds and stress. Anyone else have this? I’m walking with no cane or walker but tend to throw my foot out to the left when I step. That’s my next goal: to walk properly. My pt guy said I had one of the best recoveries he has seen, so I’m thankful. Still just don’t feel myself… hungry but don’t want to eat, etc. So tired. Take lots of naps. My main message is that weekly we all will see progress. I think I need prayerful patience. All of your posts really help me not to feel so isolated. Thank you!!!

Jump to this post

Jdth,
It's good to hear you've improved and are not so depressed. It's easy to get down when you don't feel right.

What food have you found that you enjoy post TKR? After my last one in '23, chicken noodle soup hit the spot. Other things looked good but I found I'd take one bite and get turned off. Rich things were a no-go for a long time. I lost some needed pounds, but it's not a happy way to do it, is it?

I have balance issues so am using a rollator anyway.

REPLY
Please sign in or register to post a reply.