Can't straighten leg 5 weeks after TKR

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The physios tell me this is normal but the exercises don't seem to make any difference.  Does using an exercise bike help or are there any other suggestions?  Saw the consultant yesterday for a follow-up appointment and he seemed to think that I should be completely pain free by now.  Should I be?  My reaction was that he can't possibly have much post op experience.

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  • Posted

    I'm 4 weeks post op knee replacement and went to my first physio appointment and he was so insistent on me straightening my knee but at the mo it just won't do it it's frustrating it feels like it locks up and is just to painful I'm quite young at 41 for full replacement so I want to get the best possible outcome

    • Posted

      Check out  Bonesmart .org. I believe there's a kinder, gentler way to recovery. I'm heading into my 7th week. Just had my six week appt. I'm doing just fine he said. My knee bends and my leg doesn't straighten yet (it's st 15 right now) but I'm sure it will. No one has pushed, pressed, or manipulated my knee in any way. I choose not to do formal pt. Work your leg slowly every day and ice all the time . Don't let anyone do anything painful to you. pain IS NOT gain.     Hang in there

    • Posted

      Thank you Colleen will have a look at that site really chuffed with this forum givin me some real help just really didn't know Wat to expect with the pain and rehab so this feedback is great good luck with your recovery 👍

    • Posted

      You didn’t do physio till 4 weeks after? WOW that’s a long time after TKR. They started me in the hospital the day after the surgery and then PT and OT cane to my house twice a week for 2 weeks, then I started twice a week at the PT department in my orthos building.  I’m 51, was supposed to have it done at 41 but I was putting it off for awhile... I’m 5 weeks post-op and cant fully straighten and it hurts so bad.. and the pain makes it where I don’t even wanna try to do anything at home. I feel like a crippled burden at the moment 😕

  • Posted

    Replying to Lorraine58772.  I am sorry you are having so much trouble after your meniscus surgery. I had a meniscus surgery (right knee) in the summer of 2014 and it went fantastic.  So when I had to have it done on my left knee in 2016 I wasn’t worried.  Needless to say the left knee did not go so well.  I was doing great.  The surgeon took the stitches out and I was able to walk for one day after that with no pain.  Then all of a sudden I couldn’t walk again. I kept telling him that something was wrong because my recovery was not like my right knee.  The surgeon informed me that all recoveries are not the same and to be patient. After a month of this I finally convinced him to give me a script for another MRI. Only to find out that the meniscus tore again.  I went in for a 2nd surgery on the knee (3 months after the 1st one) and I was told that if it didn’t work this time, because the arthritis was so bad now, that I would need a total knee replacement (TKR). Well I am almost 7 month’s post-TKR and I still have issues.  I have a constant achy pain and my knee still does not straighten fully.  I do notice an improvement every day though.  Just hang in there, but if you are still in pain tell your doctor to give you a script for another MRI.  Maybe your meniscus tore again like mine. 
  • Posted

    I know this was posted 3 years ago, but just came upon it last night. I’m 5 weeks post-op and I’m dealing with the same.. I can not straighten my leg. If I’m on it to much, it swells and discolors. I thought I was the only one feeling so disheartened.. some days just wanna say screw it and just lay in bed every day and cry.. I’ve been feeling so alone.. it’s hard to do the exercises at home when your in so much pain, and your so swollen. And feeling so alone.. all these tips I’ve read in definitely gonna try. So thank you for this post .. sincerely thank u 
    • Posted

      I’m at 4 1/2 weeks post op...... don’t give up. Trust me I feel your pain, but you can’t give up.  Stretch your hamstring a little bit each day will get easier, the more you stretch it the more you will be able to straighten know your knee.  Also rub on your scar the more you can get your scar tissue down the more flexible you will be.  I’m at 104° bend and 5° straightening. 

    • Posted

      Thank you.. I didn’t think about rubbing the scar.. when my PT rubs it, parts of it I feel like screaming yippie kaiya mfr.. oooo baby.. is there a lotion or something I can put on it to rub it? I’ve been very careful with what goes on it 
    • Posted

      If the incision is completely healed and all of the scabs are gone use vit E oil 2x's daily, rubbing it in with your thumbs. Soothing a d healing all the way to the bone

    • Posted

      Yea if feels weird for sure. You can get  vitamin E capsules and cut them open and squeeze it on your scar or you can also use cocoa butter lotion. Good luck. I hope it feel better soon. 
    • Posted

      Today is 12 weeks 1day post op.. had appointment with my ortho and he’s not to worried about my extension since he didn’t order anymore PT, and I don’t see him for another 9 months.. I still can’t extend.. he says I’m doing great and ahead of progress.. but I’m worried about my extension.. the scar isn’t as painful anymore, except one spot.. but I do rub it in the bathtub.. my PT wasnt aggressive at all. He was very light.. I don’t feel I got the best post op PT.. so I guess I’ll be starting my own here at home..  I’m also off the pain meds completely.. except for Motrin 800 and just started naproxen that’s my husbands cause I’m still in pain at night.. I know I shouldn’t tak my husbands naproxen but when they cut you off due to new laws.  At least it’s not a. Opioid.. mornings are tough, but the ice pack quickly takes care of that stiffness and pain.. I’m trying to find low impact or no impact exercises to do.. I completely forgot to ask my ortho about that.. I know it takes a year, but I’m trying my best to get it to straighten 
  • Posted

    I am 9 months post partial knee replacement and still can't straighten my knee.  I work out everyday on a bike, a rowing machine and a eliptical and I still can't get it to straiten out.  It has taken me everyday going to the gym and working out to get where I am but still can't straighten my knee out completely and don't know if I will ever be able to.  

  • Posted

    Hi all my name is Rosemary I am currently in remission from SLE Lupus diagnosed in 1992 last hospitalised in 2004 last Lupus symptom ever experienced. I am now 53 years old. During the time of my Lupus torture period I had many many complications and almost dying several times removed replaced repaired and recovered  most limbs and major organs given chemotherapy dialyses lost all my hair had it all grow back... anyway long story short my last Serious bout was in 1998 complications from the SLE (Lupus) would see me ending up with septicemia(blood poisoning) to my right thigh to which all the muscle and tendons around the knee would be debrided and as well as suffering from a stroke due to blood clot all from the complications of that surgery I ended up with a very distinctive limp, what looks like a shark attack from where the skin and muscle was all cut away and also lazy foot from the stroke. SO I guess what I am saying is that the left leg only became injured because it compensated for all those years of the right leg weakness. So I had my left knee replacement on 5 March 2018. I am abit puzzled as to TKR or PKR I wasnt told as to what was the extent of my replacement all I know is that they put steal or plutonium plates into my left knee because I had no cartilage left in that knee and the pain of that wasn't good and was only going to get worst. SO if anyone can tell me although I have a 6 week followup appointment very soon.                     However my situation is that my knee feels like it clicks into 2 positions. One where the knee will not straighten when I walk which I feel strains my hips and right leg and is very energy draining while also maintaining awareness to make sure it dosnt click into the 2nd position which is to temporarily straighten. if it straightens because of a certain position I get into it immediately clicks back into bent position and it all too often almost has me in tears every time. Yet the temporary straight knee position is also a relief from the exhaustion of bent knee walking. Also when I do the sliding foot back and fourth while sitting down if I place my fingers under the knee it feels like there is some clicking under the knee at the back of my leg when I am bringing the foot back  Another concern is that after I have finished while sitting on a kitchen chair resting the Knee Replacement foot on another chair in front of me and letting gravity help it straighten. I then place my KR foot on a chair directly in front of me again but this time I slide that foot back toward me and slowly forward to straighten it is here I notice that the foot seems to jolt and click into another position before resting into straight position. Also When I do the lying on my back with the pillow under knee to slowly raise the foot while tightening my quad muscles it is quite excruciating but I battle through it but it almost forces me to not want to do it every time. I am so afraid of not walking with some normality I push myself to do these exercises that have me tearing up nearly all the time lol but I feel I am being weak if I dont push on. Also to lift the foot off the bed. If the foot is straight it is ok but I feel the urge of it wanting to click and bend and it hurts like OMG when it does click bent ..SO sorry for the long explanation but I am so tired of being in pain and worrying if I am going to walk ok..So can anyone tell me if these symptoms are normal and also what else can I do to strengthen my quad muscles and what can I ask my Surgeon at the followup please help..ALso not sure if this is important but while their is no redness to the knee I feel it is more warmer than the rest of the leg and it is still quite swollen..PLease any advice is appreciated. Also I searched and searched for Chicos post and I couldnt find it ..Thankyou all.

    • Posted

      Top right of this page is a box to type in Chico Marx then push search icon on right of box. 

      Im sorry you have had to deal with so much...

      You are only a couple days past 4 weeks post op and your body needs to heal. It seems you may be pushing too hard. 

      My LTKR was May 2017. Post op complications left my leg bent at -45 degrees for  7 months so I understand the pain and difficulty of trying to stand or walk with a bent leg. However, with a new physical therapist and routine, after 8 weeks I was finally able to straighten my leg enough to walk straight. My joint will make noise but I started walking in a pool two weeks ago, 45 minutes twice weekly. After just four sessions, my range of motion is increased and there is less popping and locking which leads me to believe that as my muscles are getting stronger, they are supporting the joint in place. (I was in a wheelchair for 10 months so muscles and stamina decreased-I'm building that up now.) I'm going to be 68 

      Rest, ice, elevate and give your body a chance to heal. Ask your doctor about moderate exercise for your situation. Are you getting physical therapy guidance?

      Best wishes for continued healing.

  • Posted

    Hi there thankyou so much for your words of encouragement of course yes I see the logic in your advice about once muscle is toned and strong enough to bare the weight and assist new joint it will help so I am going to ask my doctor at the followup appointment next Friday 20th April if swimming would be a good for me to do now.  I know in the past I did do some swimming exercises for the right leg but due to there being no muscles there the right leg was virtually at the mercy of the water basically just flapped around like dead weight I did this for almost a year and it didn't help but I see that it will help with the left leg so thank you. Also I know I did push myself for the first few weeks but at the advice of my PT who comes to my home was that I could do no harm to the joint and so continuous exercises are good also the lying on the bed on my stomach with leg hanging over the bed gives me alot encouragement as gravity forces the leg to straighten though I am abit concerned that this might do some other damage if I over do it..I am also happy now that the PT being happy with the progress I had reached and assured me I was exactly where I am supposed to be I wasn't convinced at the time but now I am. I am happy that  you pointed out the obvious as I was quickly reminded of a point in my life where I felt the same despair  which was also overcome by the strengthening of the muscles so I will change my outlook and focus on strengthening the muscles but not over stressing..Thank you

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