Week #3 post TKR

Posted by amytro @amytro, Feb 24, 2019

Good morning! I am looking for folks to share their experience of the third week post-TKR. The first two weeks were very hard but I feel like I've turned a corner in week 3. Flexion is 113 and extension is 0. Still using pain meds on a regular schedule. PT is getting less excruciating, sleeping positions easier, etc. I'm now pretty much on the cane only, using the walker only to get me out of the shower. Does this sound right to others? Are you about in the same place? Mostly I'm interested in if you are still using the meds. I still need them!

Sounds like your on your way! I am 11 weeks post op and only have 87 degrees of flex. I have had a MUA 3 weeks post op and need to have it scoped for scare tissue removal but i have swelling, major burning and sensitivity of the knee cap as well a pitting edema of the leg. Docs are kind of at a lose of what to do. I sent my records and x-rays to Mayo Clinic in Scottsdale so am hoping for some answers very soon. I can not find any other docs to do a second opinion of my knee. I was on my meds for 4 weeks just for therapy and sleeping. I have since stopped taking any meds as they have discontinued any therapy to hopefully reduce swelling and hypersensitive nerves. Good luck with your progress!

REPLY
@hoover

Sounds like your on your way! I am 11 weeks post op and only have 87 degrees of flex. I have had a MUA 3 weeks post op and need to have it scoped for scare tissue removal but i have swelling, major burning and sensitivity of the knee cap as well a pitting edema of the leg. Docs are kind of at a lose of what to do. I sent my records and x-rays to Mayo Clinic in Scottsdale so am hoping for some answers very soon. I can not find any other docs to do a second opinion of my knee. I was on my meds for 4 weeks just for therapy and sleeping. I have since stopped taking any meds as they have discontinued any therapy to hopefully reduce swelling and hypersensitive nerves. Good luck with your progress!

Jump to this post

Wow, Hoover, you've had a tough time and I'm sorry that you're stuck right now. It makes me feel very lucky to be where I am in Week 3. I wish you solid answers to your questions and pain relief! Thanks for your reply.

REPLY

Hello. I just completed week 4 of TKR. Did in-home pt the first two weeks and then out to PT for the last 2 weeks, 3x a week, with exercises at home. I am only on Aleve, no opioids and have been that way for about two weeks. The Aleve seems to do the job, where the XSTylenol did nothing for me. No cane, that has been gone since about week 2. I do have a shower chair that I don't particularly need, but do like to sit in and have the hot water run on my knee. I do do my exercises religiously twice a day on days I don't have PT. My hospital experience was overnight and I was back home the next day, which was exactly what I wanted. The first two weeks were rough, especially sleeping, but a pillow lengthwise under my right leg seemed to do the trick for a bit. Now I am able to sleep on either side and occasionally find myself waking up on my stomach. Nighttime is the worst, probably because I do move around a lot. I usually ice it before bed, between an hour and an hour and a half. Just seems to work out that way. Have been driving since the end of week 3, doesn't seem to be a problem. My knee was measured at 114 degrees last Monday and total extension. Hope that has helped answer your question.

REPLY
@emb123

Hello. I just completed week 4 of TKR. Did in-home pt the first two weeks and then out to PT for the last 2 weeks, 3x a week, with exercises at home. I am only on Aleve, no opioids and have been that way for about two weeks. The Aleve seems to do the job, where the XSTylenol did nothing for me. No cane, that has been gone since about week 2. I do have a shower chair that I don't particularly need, but do like to sit in and have the hot water run on my knee. I do do my exercises religiously twice a day on days I don't have PT. My hospital experience was overnight and I was back home the next day, which was exactly what I wanted. The first two weeks were rough, especially sleeping, but a pillow lengthwise under my right leg seemed to do the trick for a bit. Now I am able to sleep on either side and occasionally find myself waking up on my stomach. Nighttime is the worst, probably because I do move around a lot. I usually ice it before bed, between an hour and an hour and a half. Just seems to work out that way. Have been driving since the end of week 3, doesn't seem to be a problem. My knee was measured at 114 degrees last Monday and total extension. Hope that has helped answer your question.

Jump to this post

Thank you, emb123. Sounds like you're doing really well! I appreciate being able to compare where you are to where I'm at currently! Continued success!

REPLY

Hi @amytro – I am 3 1/2 weeks post surgery for a left TKR. Surgery was 1/29. I had in-home PT the first 2 weeks and did my first week of out patient PT last week. I have full extension of my knee and was at 128 degrees flexion when I started outpatient PT. (Both of my physical therapists think I'm a little ahead of schedule on reaching that level in 2 weeks and I'm happy with it!) I have been using a cane since the 2nd week. This week I was able to do a 1 mile walk outside in my neighborhood. I do PT twice a week with the therapist and on my own every other day.

You mentioned that you still need pain meds. When do you need them most? I am still taking 4 oxycodone tablets a day – 1 in the morning since I wake up stiff, 1 before PT, one about dinnertime and one before bed. I need every one. In the next week or two I will try to cut out the dinnertime pill. I wish there was another option but the Extra Strength Tylenol does nothing for me and they won't let me take any NSAIDs. I had a bad reaction with some internal bleeding so I can't even take the Celebrex I was on to start with. My therapists have always said it takes 8 weeks for tissue to heal and 12 weeks for bone to heal so I was thinking I was about average there, although I applaud @emb123 for getting off of the opiods so quickly.

Oh… in terms of sleeping, it's still a little awkward for me. I sleep best if I elevate my surgery leg. My sleep preference is on my side and I can't do that comfortably yet.

REPLY
@emb123

Hello. I just completed week 4 of TKR. Did in-home pt the first two weeks and then out to PT for the last 2 weeks, 3x a week, with exercises at home. I am only on Aleve, no opioids and have been that way for about two weeks. The Aleve seems to do the job, where the XSTylenol did nothing for me. No cane, that has been gone since about week 2. I do have a shower chair that I don't particularly need, but do like to sit in and have the hot water run on my knee. I do do my exercises religiously twice a day on days I don't have PT. My hospital experience was overnight and I was back home the next day, which was exactly what I wanted. The first two weeks were rough, especially sleeping, but a pillow lengthwise under my right leg seemed to do the trick for a bit. Now I am able to sleep on either side and occasionally find myself waking up on my stomach. Nighttime is the worst, probably because I do move around a lot. I usually ice it before bed, between an hour and an hour and a half. Just seems to work out that way. Have been driving since the end of week 3, doesn't seem to be a problem. My knee was measured at 114 degrees last Monday and total extension. Hope that has helped answer your question.

Jump to this post

Hi @emb123 – Welcome to Connect! You are a rockstar. I am impressed with how quickly you got off opiods. I wish I could take ALEVE but sadly I can't do NSAIDS because of the potential for stomach bleeding. I'm also impressed with your commitment to doing PT twice a day. It really does make a difference in getting the flexion/extension back. Way to go. You must have a great strength and balance to have gotten off of your cane so quickly. Are you using anything for stability now? Best of luck as you continue to recover.

REPLY

Thank you, Debra……I knew from the getgo that I wanted OFF opioids as soon as I could get off them. Not using anything for stability now, but PT does give me balance exercises which are very testing. Thanks again. Hope you recover quickly, too.

REPLY
@amytro

Thank you, emb123. Sounds like you're doing really well! I appreciate being able to compare where you are to where I'm at currently! Continued success!

Jump to this post

You, too!

REPLY
@debbraw

Hi @amytro – I am 3 1/2 weeks post surgery for a left TKR. Surgery was 1/29. I had in-home PT the first 2 weeks and did my first week of out patient PT last week. I have full extension of my knee and was at 128 degrees flexion when I started outpatient PT. (Both of my physical therapists think I'm a little ahead of schedule on reaching that level in 2 weeks and I'm happy with it!) I have been using a cane since the 2nd week. This week I was able to do a 1 mile walk outside in my neighborhood. I do PT twice a week with the therapist and on my own every other day.

You mentioned that you still need pain meds. When do you need them most? I am still taking 4 oxycodone tablets a day – 1 in the morning since I wake up stiff, 1 before PT, one about dinnertime and one before bed. I need every one. In the next week or two I will try to cut out the dinnertime pill. I wish there was another option but the Extra Strength Tylenol does nothing for me and they won't let me take any NSAIDs. I had a bad reaction with some internal bleeding so I can't even take the Celebrex I was on to start with. My therapists have always said it takes 8 weeks for tissue to heal and 12 weeks for bone to heal so I was thinking I was about average there, although I applaud @emb123 for getting off of the opiods so quickly.

Oh… in terms of sleeping, it's still a little awkward for me. I sleep best if I elevate my surgery leg. My sleep preference is on my side and I can't do that comfortably yet.

Jump to this post

Hi Debra. Congratulations on your success. I take the opioids all day at 4 hour intervals. If I miss, it takes twice as long to catch up again on pain control. I do PT at home 4 times a day. With sleep discomfort, it’s helpf to have a steady course of them. Tylenol doesn’t do much for me at all. I want off of them but not quite yet. My doctors have been supportive- surgery was only 2 weeks ago. Thanks for your reply. I look forward to walking outside when the ice and snow go away!

REPLY

@amytro I wish I could remember better where I was at three weeks post-TKR. I do know that I took oxycodone for about a month, just at bedtime and also took tramadol and gabapentin, in very small doses. Also, I only used a walker for about a week and then went to a cane occasionally but pretty much walked independently. I did have significant pain for a while, about six weeks, during which my ortho was keeping close track of me. It lifted suddenly, almost overnight! I have been great ever since, despite not having quite the flex I would like. I am slightly under 120. I have been thinking about having the lysis procedure but wondering if it's worth it since I am doing pretty well without it.
JK

Liked by amytro

REPLY

@amytro : it’s been a while, but I do remember some specifics about my TKR recovery. I was off opioids totally within 9 days (5 days as scheduled every 4 to 5 hours, then tapering off). Also added some XS tylenol in the beginning. Another 6 days of tylenol (which unfortunately does not seem to help) since I was still ordered to take aspirin for 14 days after surgery, then aleve and ice. I probably did get off the oxycodone too soon, but I simply can’t deal with the constipation….. In-home PT 3 times, every 3rd day, then outpatient PT, about every 7 to 10 days, 3 sets of 20+ minute exercises on my own each day for 5 weeks, then reducing to twice a day until 8 weeks, now still some basic stretches etc. every day. Off walker 4th day, off cane within 8 days. Since I did not get full extension for a long time, my PT limited my outside walking in order not to cause back/hip problems, but I was able to walk 1/2 mile (with cane handy, but not using) on the 8th day after surgery. Lots of strength and flexibility exercises in an indoor pool at week 4, major factor in reducing pain and increasing ROM in knee. Highly recommend that, if you have access!. Your progress sounds really good, and I am glad that your pain is subsiding. Time is a good healer!

REPLY

"I probably did get off the oxycodone too soon, but I simply can’t deal with the constipation….." This was a problem for me as well post surgery but when i started using prescribed Polyethylene Glycol 3350, NF powder for oral solution, had no more issues when taking oxycodone….

REPLY

Hi I had knee replacement 6 days ago. Been managing pain fairly well except when I go from a lying position to try to stand. Once I start to lower my leg to floor i start to get extreme pain below knee on front of leg. If I can hold out and stand for 1-2 min I can start to walk and pain seems to subside. It feels like leg is going to explode. I have tried several different things but not much success don’t know what to do. Anyone had any similar issues

REPLY

Hi! I am not quite three weeks post-TKR. I’ve been fortunate to not suffer with extreme pain, mostly manageable with four 325 Tylenol daily. I did take a small amount of Tramadol at nighttime the first week. While my PT has been progressing well, (full flexion and 111 degree ROM), I struggle with staying positive about long term outcomes. I have such stiffness and of course swelling. I know it will take time, but quite anxious. My best to all of you!

REPLY
@stp258

Hi! I am not quite three weeks post-TKR. I’ve been fortunate to not suffer with extreme pain, mostly manageable with four 325 Tylenol daily. I did take a small amount of Tramadol at nighttime the first week. While my PT has been progressing well, (full flexion and 111 degree ROM), I struggle with staying positive about long term outcomes. I have such stiffness and of course swelling. I know it will take time, but quite anxious. My best to all of you!

Jump to this post

I am now almost 13 weeks TKR. I too struggled with stiffness, swelling and lack of sleep. I can tell you it does get better. Keep icing and moving. Do your exercises and you will be amazed that all of a sudden you are able to do things without thinking about them. I was discouraged at times especially with the stiffness. It still gets stiff but not as often and once I get going the stiffness lessens. I know 3 months seems like forever but you will be surprised. I know I am! Good luck and keep moving!

Liked by klarnold

REPLY
Please login or register to post a reply.