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!

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

@djl1955

i am at two and a half weeks since TKR – right knee. I have been walking with a cane for a week now , and probably no longer need it.
I am able to walk for probably 15-20 MIN before I get tired. Knee and foot still swollen although that is getting better each day. FINALLY ,
have slept an entire night last night – without jumping from the bed to the couch to the recliner. That's been the toughest part for me, just
could not get in a comfortable position to sleep '- hopefully the sleepless nights are behind me. I was prescribed oxi and tylenol but have stopped both about a week ago – not taking any pain meds now, I do take tylenol PM to help sleep before bed. I have lost a good bit of weight since my appetite is not what it was , not sure if that is common or not. If I lose enough weight I am hoping that it will not be necessary to do the second knee … we will see , I don't even want to think about that now. Anyway , I have PT every day coming to the house , and will start out patient PT next week . I have 95 degrees bend as of right now .

Jump to this post

Sounds like you are doing good. Did you have Robotic Surgery? At one of the Mayo Clinic’s?

REPLY
@ktgirl

I'll have to look at it again. There is so much info to look at. I hope I can recover ok. I'm kind of anxious and nervous about it. Thanks for responding.

Jump to this post

You will do just fine – try not to dwell on it , it will only make you more nervous. Just think of how much relief you will be getting without being in pain or having limited movement. There is no getting around the fact that the first two weeks are rough , everyone I have talked to says the same thing . BUT , rough does not mean you will be in excruciating pain 24/7 – they will give you meds to make you comfortable – I am two and half weeks – almost three
and I drove to work this am – it was actually my left knee , I originally put my RIGHT knee – kind of ironic that my right knee was always my bad one – until the last year . Anyway – you will do fine just be uncomfortable for a couple of weeks. Hopefully you have a recliner – or couch – that is comfortable that you can lie back on – important to try to elevate the leg and ice ..ice…ice… -and you don't want it so low that's its tough for you to get up and down . Hopefully you have someone at home that can help you for a few days after surgery – you will need some help getting changed etc . Good luck – don't fret – you will do fine !!!

REPLY
@mercuryrose

Sounds like you are doing good. Did you have Robotic Surgery? At one of the Mayo Clinic’s?

Jump to this post

Yes, robotic surgery , not at a Mayo , had it at a local hospital here in Mass.

REPLY
@djl1955

You will do just fine – try not to dwell on it , it will only make you more nervous. Just think of how much relief you will be getting without being in pain or having limited movement. There is no getting around the fact that the first two weeks are rough , everyone I have talked to says the same thing . BUT , rough does not mean you will be in excruciating pain 24/7 – they will give you meds to make you comfortable – I am two and half weeks – almost three
and I drove to work this am – it was actually my left knee , I originally put my RIGHT knee – kind of ironic that my right knee was always my bad one – until the last year . Anyway – you will do fine just be uncomfortable for a couple of weeks. Hopefully you have a recliner – or couch – that is comfortable that you can lie back on – important to try to elevate the leg and ice ..ice…ice… -and you don't want it so low that's its tough for you to get up and down . Hopefully you have someone at home that can help you for a few days after surgery – you will need some help getting changed etc . Good luck – don't fret – you will do fine !!!

Jump to this post

Thank you. That helps a lot. I've had two other surgeries. Total shoulder and elbow surgery. It's never easy.

REPLY
@djl1955

Hi there … and good luck with the surgery . Actually the home PT is every other day now, and that will be over in a few days , I will then do outpatient PT twice a week . I would be surprised if you are only having PT twice a week right after surgery , I bet that is after the first couple of weeks . The PT the first two weeks require much more than twice a week , as far as I know. Good luck !!

Jump to this post

So do you have someone come to your home to do your pt the first week or two? I assumed I'd have exercises to do at home and go to outpatient pt a couple days a week.

REPLY
@ktgirl

So do you have someone come to your home to do your pt the first week or two? I assumed I'd have exercises to do at home and go to outpatient pt a couple days a week.

Jump to this post

Yes, the PT folks came to my house every day I think for the first week , then it was every other day , and the visiting nurse was twice a week. The nurse was a waste of time , just took vitals etc . I had my last home PT a few days ago , and start outpatient this week . Its three weeks TODAY . I assume you will have home PT just like I did for the first week or two especially if you are not going into a rehab ? Are you ? A couple of my friends that had TKR were sent home with a motion machine that kept the legs/knee moving 24/7 even as you slept , I was not – I guess there is a change of thought as far as the effectiveness of that , maybe folks were too reliant on the machine and did not do much on their own. A good buddy of mine was 5 days in the hospital , then to rehab for a week , constantly on the machine , and was at home for a couple weeks after that – he was really not out walking on his own for a month. I was NOT on the machine , was one night in the hospital , did not go to rehab, and was walking without a cane/walker before two weeks . Maybe the robotic surgery they do now is more accurate and the recovery is quicker . who knows Just anxious to put this in my rear view mirror – and start getting back to normal . Good luck with the surgery .

REPLY

They haven't said anything about at home PT. Maybe when I go to the meeting next Tuesday they will say something. Sounds like a good idea to have someone come to my home.

REPLY
@djl1955

Yes, the PT folks came to my house every day I think for the first week , then it was every other day , and the visiting nurse was twice a week. The nurse was a waste of time , just took vitals etc . I had my last home PT a few days ago , and start outpatient this week . Its three weeks TODAY . I assume you will have home PT just like I did for the first week or two especially if you are not going into a rehab ? Are you ? A couple of my friends that had TKR were sent home with a motion machine that kept the legs/knee moving 24/7 even as you slept , I was not – I guess there is a change of thought as far as the effectiveness of that , maybe folks were too reliant on the machine and did not do much on their own. A good buddy of mine was 5 days in the hospital , then to rehab for a week , constantly on the machine , and was at home for a couple weeks after that – he was really not out walking on his own for a month. I was NOT on the machine , was one night in the hospital , did not go to rehab, and was walking without a cane/walker before two weeks . Maybe the robotic surgery they do now is more accurate and the recovery is quicker . who knows Just anxious to put this in my rear view mirror – and start getting back to normal . Good luck with the surgery .

Jump to this post

Just another question. Did your insurance pay for the in home pt? I'm one year short of Medicare but I have pretty good insurance. I've also heard that machine isn't recommended too much. Thanks again for your help. You've been very helpful.
Carol

REPLY
@ktgirl

Just another question. Did your insurance pay for the in home pt? I'm one year short of Medicare but I have pretty good insurance. I've also heard that machine isn't recommended too much. Thanks again for your help. You've been very helpful.
Carol

Jump to this post

Hi Carol …. Yes the home PT was paid for by Insurance . I am 66 , have medicare part A only , and have blue cross to cover the rest – I always get confused who pays what LOL …. but the PT was fully covered . I think now that I am starting outpatient I just need to pay a small co pay when I go – not sure , first one is Thursday this week. My surgery was three weeks yesterday , still the toughest part for me is sleeping – I am still reckless tossing and turning , not painful just uncomfortable. know what I mean ? It is still swollen so am trying to ice it as much as I can … once the swelling goes down it will be much more comfortable . Hang in there …. you will do great … DEE

REPLY
@djl1955

Hi Carol …. Yes the home PT was paid for by Insurance . I am 66 , have medicare part A only , and have blue cross to cover the rest – I always get confused who pays what LOL …. but the PT was fully covered . I think now that I am starting outpatient I just need to pay a small co pay when I go – not sure , first one is Thursday this week. My surgery was three weeks yesterday , still the toughest part for me is sleeping – I am still reckless tossing and turning , not painful just uncomfortable. know what I mean ? It is still swollen so am trying to ice it as much as I can … once the swelling goes down it will be much more comfortable . Hang in there …. you will do great … DEE

Jump to this post

Yeah insurance is confusing to me too. I'll call my insurance company and see if they will pay for it. I don't sleep too well anyway. Always tossing and turning. Thanks for the info. Hope I do as well as you are doing.

REPLY
Please sign in or register to post a reply.