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!

@johnbishop

@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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Thanks John really appreciated the information sent, will be my bedtime read tonight. It's a wonderful group & very informative and great supporting each other

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Hi Good for you!!! That sounds about right-although I was with the walker longer because my other knee is just as bad if not more so-very unstable on moving around at first. (Getting that one replaced in a couple of weeks). Your recovery will not necessarily be in a straight line. You will be improving then hit a wall of pain and stiffness. Don't let it get you down. This chat group will be very helpful to let you know the full gambit of what you can expect.

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I am feeling no pain.

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I Hit 3 weeks on Wednesday and pain wise it’s getting better but my ROM is 0/80 degrees and going over that hurts like hell

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@captjamesh

I Hit 3 weeks on Wednesday and pain wise it’s getting better but my ROM is 0/80 degrees and going over that hurts like hell

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@captjamesh Unless your doctor or physical therapist doesn't feel it's right for you, push yourself as much as you can. I regret now not pushing myself harder. My flex is right around 120°, give or take a degree or two. I really cannot kneel upright without something to lean on. I wish I could. My orthopedic surgeon said he could do lysis on me but I really don't want to go through another surgery no matter how minimal it is so I have resisted.
JK

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@ellerbracke

@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!

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I am curious how you were able to get in the pool at 4 weeks. I am at week three and had my staples removed at 2 1/2 weeks. I still have steri scripts and scabs on the incision. This is what happened with my first knee which my doctor thought was healing on schedule like this one. I know my incision will not be completely healed by 4 weeks. Did you cover your incision when swimming?

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I couldn’t go back to water fitness for 6 weeks. Scabs weren’t gone til then.

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I had TKR 3 weeks ago and was off my cane the last few days and getting around pretty well. I am still taking oxycodone, flexeril for muscle spasms and gabapentin for nerve pain. I had home PT for the 1st two weeks and Monday I begin outpatient PT. Full flexion is at 0 and ROM 107. However, today I stepped off a curb with the wrong foot and a shooting pain went through my knee and I can barely put any weight on my leg. I’ve iced it for several hours but it still hurts. I’m scared I damaged my knee or a ligament or something. Has anyone had this experience that they can share ?

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@rknee

I had TKR 3 weeks ago and was off my cane the last few days and getting around pretty well. I am still taking oxycodone, flexeril for muscle spasms and gabapentin for nerve pain. I had home PT for the 1st two weeks and Monday I begin outpatient PT. Full flexion is at 0 and ROM 107. However, today I stepped off a curb with the wrong foot and a shooting pain went through my knee and I can barely put any weight on my leg. I’ve iced it for several hours but it still hurts. I’m scared I damaged my knee or a ligament or something. Has anyone had this experience that they can share ?

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@rknee, I can imagine you're concerned. I'm bringing @contentandwell @johnbishop and @artscaping into this discussion. However I think they'll agree with me that you should call your surgeon tomorrow morning. If you have a patient portal, send a message tonight. You want to be safe rather than sorry. I'm might think that icing is a good thing to continue to do and keep your leg elevated when you can.

Do you have PT scheduled for tomorrow?

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@colleenyoung

@rknee, I can imagine you're concerned. I'm bringing @contentandwell @johnbishop and @artscaping into this discussion. However I think they'll agree with me that you should call your surgeon tomorrow morning. If you have a patient portal, send a message tonight. You want to be safe rather than sorry. I'm might think that icing is a good thing to continue to do and keep your leg elevated when you can.

Do you have PT scheduled for tomorrow?

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Yes PT tomorrow. I’m not sure I can do much if it hurts this much tomorrow.

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@rknee

Yes PT tomorrow. I’m not sure I can do much if it hurts this much tomorrow.

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Good evening @rknee. How unfortunate that you injured your brand new TKR. Icing and elevating would be first on my list. Reduce the pain as much as you can and just stay off it. I would check in with my PT or in my case MFR therapist before showing up and request advice about a need for X-rays. If there is fluid building up around the knee or a banker's cyst filling behind the knee…..you will need some help to remove and reduce the inflammation.

Please let us known the results tomorrow. We can be your cheerleaders.
May you be free of suffering and the causes of suffering.
Chris

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@rknee

I had TKR 3 weeks ago and was off my cane the last few days and getting around pretty well. I am still taking oxycodone, flexeril for muscle spasms and gabapentin for nerve pain. I had home PT for the 1st two weeks and Monday I begin outpatient PT. Full flexion is at 0 and ROM 107. However, today I stepped off a curb with the wrong foot and a shooting pain went through my knee and I can barely put any weight on my leg. I’ve iced it for several hours but it still hurts. I’m scared I damaged my knee or a ligament or something. Has anyone had this experience that they can share ?

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@rknee – Do you mean you stepped off of the curb with your leg with the TKR? If so, that is the correct sequence – Up with the good leg and down with the bad (TKR) leg. Curbs and steps with no railings are still a little difficult for me even though my TKR was a year and half ago. I would definitely call your surgeon or care team as soon as possible to make sure everything is OK.

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