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Posts (9)

Jul 27, 2019 · Having knee replacement: how to prepare and questions about PT in Joint Replacements

I want to echo what others have said—5 weeks is early and many things seem positive for you like a great ROM! I stopped PT at about 10 weeks when my OS gave me the green light to return to Pilates. I meet with my instructor (who in a prior life was a PT but became frustrated with the system—too many patients, too little time, and a growing belief she wasn’t able to truly help people) twice a week and for those 50 minute sessions I have her undivided attention. Every session is tailored to my knee on that day. I was at 107/0 when I resumed Pilates and now I’m at about 112/0. Extension never an issue but flexion coming back slowly but steadily. I no longer use a cane but if I’m on my feet a lot, and knee stiffens, I fall back into pre-surgery “limp.” I use Exerstrider poles and walk on our high school track so I can focus on my gait. Hopefully this gives you and others a chuckle since you mention a 5K: about three weeks ago it took my 9.5 minutes to walk a 1/4 mile lap. Today it was ONLY 9 minutes. But I do not have knee pain and at almost 15 weeks post-op I am grateful that I’ve experienced steady gains in flexion, strength, and a return to walking, biking (stationary bike), and swimming (my preferred sport). Keep fighting the good fight and be as patient as possible with your new knee!

Jul 23, 2019 · ~ Hippo ~ in Joint Replacements

These posts made me laugh–because they ring true! My left TKR was only 17 weeks ago and the very idea of being on the floor gives me nightmares. My right knee isn't very happy that it has done extra work these last weeks so I'm not sure which knee would make getting up more difficult! But I am a firm believer in upper body workouts–strong arms helped in the weeks after surgery. So I'll keep doing my modified planks and swimming and look forward (hmmm??) to the day I have to kneel or get up from the floor.

Jul 23, 2019 · Partial Knee Replacement: Post-op pain in Joint Replacements

It's easy to feel discouraged! I had a left TKR on April 16, and as I was moving around more (PT, things in the house, etc.) I found I needed pain medication. I took Tramadol on schedule for about 7 weeks. My knee did not hurt, but everything else–hip flexors, hamstrings, IT band, you name it–was trying to figure out how to behave and adjust to this "new normal" and the pain medication helped. I have taken a Tramadol a few times since the 7 week mark, and I'm now discontinuing the Tylenol (2 x 500mg, 4x daily). If everything else for you is good–no infection, you're walking okay, your strength is coming back, you're experiencing progress (even if in tiny ways), focus on these successes! It gets better and the pain meds go away!

Jul 12, 2019 · Knee Replacement: Insomnia post-surgery in Joint Replacements

I am 12 weeks out and sleeping better, but I have to adjust so much during the night (back, right side, left side, rearrange pillows) that I am rarely getting more than two hours of uninterrupted sleep. Then it's often a fight to get back to sleep. When I was still taking Tramadol, I think that helped me sleep–or at least stay "groggy" enough that even a trip to the bathroom wouldn't wake me up completely. I've used Tylenol PM and I think it's so-so — takes about an hour to get to sleep but does not get me 8 hours. Before the surgery I invested in good over-the-ear headphones (the ear buds bother my ears). To fall asleep, and if I woke up to get back to sleep, I'd put on the headphones and a podcast. Kept volume low, goal was white noise more than listening, but this did seem to help me get back to sleep. I also used a CryoCuff by Aircast, and the regular "inhalation/exhalation" of the machine actually helped me fall asleep/get back to sleep. But I feel you! Even now, I know that dealing with this recovery would be so much better if I had consistently good sleep. Good luck with your recovery and getting better sleep!

Jun 19, 2019 · Has anyone had a tight band feeling after total knee replacement? in Joint Replacements

I’m doing my best to keep everything “balanced” — including stretching left and right and doing strengthening exercises both sides. I’ve never had cortisone in my right knee and it’s not quite bone on bone (very thin layer of cartilage left). I see my surgeon for a check up in late August and that might be the time to try cortisone. Never did any good on the left but I understand that one’s knees don’t always behave/respond the same. I just want my left to be as strong and flexible as possible before doing the right!

Jun 18, 2019 · Has anyone had a tight band feeling after total knee replacement? in Joint Replacements

Because I inquired about MUA, thought I would post a follow-up. Left TKR was on April 16. On May 24 ROM was 70 and surgeon thought a MUA might be needed. I saw my surgeon on 6/17 for x-rays and evaluation, and he was excited that in three weeks I had gone from 70 degrees without assistance to 100-105 degrees without assistance–and he saw no reason for MUA. He told me that before the surgery he measured me at 105 (no shock there–I've had terrible ROM due to pain for a number of years) and 130 after the surgery. He was confident that I will continue to gain more ROM over time. I'd like to get to 110-115–that's my goal. I see surgeon again in two months, and he gave me the go-ahead to see a massage therapist for myofascial massage and to resume my weekly sessions with my Pilates instructor (who works with lots of knee/hip patients). I'm reducing my PT visits from 3x each week to 2x, and continuing to swim/do water exercises daily and do my dry land exercises at home. I have the tight band feeling sometimes, sometimes I feel a tight and tender spot right behind the knee when I walk–seems like recovery for many weeks/months after a TKR includes varying types/degrees of pain/discomfort. Trying to take each day as it comes. Of course the right knee is "barking" more–especially on steps, when I do mini-squats, etc. It has to hang in there until I get the left one sorted out!

Jun 12, 2019 · Has anyone had a tight band feeling after total knee replacement? in Joint Replacements

Thank you! I will check out the link on MUA now. I am very fortunate that I have a resistance pool installed off of our master bath. The surgeon gave me the go ahead to swim on May 24, and since then I am in the water 1 or 2 times very day. I am able to do almost all land exercises/stretching in the water. I do think this has helped considerably with improving ROM and gaining strength in quad. Plus water is good for the mind and it feels good to do something for my upper body! I have not tried acupuncture, but am willing to explore this. Right now, I am using Tramadol prior to PT and on occasion at home to help with pain associated with stretching, heel slides, etc.

Jun 12, 2019 · Has anyone had a tight band feeling after total knee replacement? in Joint Replacements

Hi. I had my first TKR on left knee on April 16. I had a lot of swelling which inhibited flexion (still have some swelling—in the knee capsule, per PT). I had very poor flexion prior to surgery (if I was sitting in a straight chair with feet flat, any movement passed 90 caused severe pain at the back of the knee). I have that tight band feeling but faithfully follow stretching and exercise regimen in PT and at home. I can now bend to 95 to 100 unassisted and best was 112 assisted. When I saw surgeon on May 24 I was at 70 unassisted. He told me that after the surgery he was able to bend the knee to 130 with no problem. He suggested I schedule for MUA on June 18, see him on June 17 for X-rays and assessment. I think I am more frightened of an MUA than I was of surgery. I knew unequivocally that I needed a TKR, but I feel a decision about an MUA is more of a blind leap. Are there any out there with experience of MUA?