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!

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

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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!

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@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!

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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!

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@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!

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Thank you nancyjw for your words of encouragement. Just what I needed!

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??? I’m skipping though recent posts, this came up pretty much unconnected. What am I missing here? Without having to read endless previous posts? Sounds like some sort of private drug ad, doesn’t it? Again, no idea, no context, but reads weird.

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I agree! Totally not necessary or related to my reply to stp258.

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@ellerbracke

??? I’m skipping though recent posts, this came up pretty much unconnected. What am I missing here? Without having to read endless previous posts? Sounds like some sort of private drug ad, doesn’t it? Again, no idea, no context, but reads weird.

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Thank you @ellerbracke and @nancyjw. That was an odd post and I presume misplaced. It has been deleted. When you see such posts, please feel free to click the Report button in the bottom right corner of the post. This brings it to the attention of the moderating team as high priority.
Together we keep the community safe.

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Dear Amytro, sounds like flexion and extension
are excellent. Also, your use of the cane and walker
were about where I was .I didn’t use “meds “
during the day. I used a combination of Tylenol
And Motrin during the day.I reserved the hydrocodone only at night in addition to Tylenol and
Motrin .I also took 5 mg Ambien . It’s so critical to
get a good nights sleep. Overall sounds like you’re right on track

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@chickenhaslips

Dear Amytro, sounds like flexion and extension
are excellent. Also, your use of the cane and walker
were about where I was .I didn’t use “meds “
during the day. I used a combination of Tylenol
And Motrin during the day.I reserved the hydrocodone only at night in addition to Tylenol and
Motrin .I also took 5 mg Ambien . It’s so critical to
get a good nights sleep. Overall sounds like you’re right on track

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@chickenhaslips I too reserved the “big guns” for bedtime. My ortho was very stingy with prescription pain relievers. Unfortunately the only OTC pain reliever I can take is acetaminophen which is not very effective.
JK

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@nancyjw

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!

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Hi Nancy, thanks for your reply. My issue at beginning week 4. Post, is something called tight band syndrome. I read the comments under that blog and got very discouraged. My PT told me to increase stretching exercises and don’t give up. My knee has never been stiff as you described yours, but tight, like a band around it. Just curious, did you ever have that? Thanks again. This is tough emotionally, physically and mentally, since I chose this route.

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@lucbeau

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

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Yes l feel your pain with standing & moving your leg, time & self nurturing is essence. I'm post opp 8wks can stand for 7mins idle while ironing, my leg does manage ok for 20mins moving walking. I had beening going hydro pool x3 wkly but feels good while I'm exercising but pay for it later leg swells up pain heightens. Wkly massages to brake up scare tissue. My range of movement approx 93% very swollen, painful & stiff leg. Been off crutches wk 2, pain relief is Ostio Panadol & ice packs. I find self massaging regular moving & Physio exercises x3 daily help. But I'm staying postive & looking forward to full range of movement nil pain as we all want to achieve. Hopefully we can support each other in saying in due time, as we are all different. But biggest question l seek is a Computer navigatied knee replacement better than non- navigated, what's everyone's thoughts & feedback please.

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@klarnold

Yes l feel your pain with standing & moving your leg, time & self nurturing is essence. I'm post opp 8wks can stand for 7mins idle while ironing, my leg does manage ok for 20mins moving walking. I had beening going hydro pool x3 wkly but feels good while I'm exercising but pay for it later leg swells up pain heightens. Wkly massages to brake up scare tissue. My range of movement approx 93% very swollen, painful & stiff leg. Been off crutches wk 2, pain relief is Ostio Panadol & ice packs. I find self massaging regular moving & Physio exercises x3 daily help. But I'm staying postive & looking forward to full range of movement nil pain as we all want to achieve. Hopefully we can support each other in saying in due time, as we are all different. But biggest question l seek is a Computer navigatied knee replacement better than non- navigated, what's everyone's thoughts & feedback please.

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@klarnold, I had my right TKR done in April 2019 and when I first looked into TKR I was hoping to have the computer assisted surgery but my Mayo surgeon was not one who uses it for knee replacement surgery. I am extremely happy with my results though. I had a friend who just had her knee replaced at the same Mayo location using the computer assisted surgery and it went really well also. She is excited to have her other knee done soon. Here's some information on the topic from 2018 that you might find interesting.

If Computer-Assisted Surgery Is More Accurate, Why Isn’t It More Prevalent?:
https://www.exac.com/if-computer-assisted-surgery-is-more-accurate-why-isnt-it-more-prevalent/

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