Different stages of tkr recovery.
Posted , 19 users are following.
Hi, I've noticed different stages/phases in my recovery after my knee replacement surgery. The first two weeks were almost unbearable, after that the pain was still there but a little less. At 12 weeks most of my pain was gone and I noticed considerable improvement in strength, bend, etc. What has been your experience as to the different significant stages in your recovery?
2 likes, 84 replies
jenny80029 Ozziegee
Posted
Second month...I find I do have a leg which kind of works but there is no life apart from the exercise universe.
Third month...I feel more like a normal person living in the real world and it all seems worthwhile but is still challenging.
CHICO_MARX Ozziegee
Posted
Here's my conjecture on a recovery bell curve...
https://patient.info/forums/discuss/the-tkr-recovery-bell-curve--563756
Typically...
- First Month: Hell on earth. Rolling out of bed, drooling on yourself, insane pain, zero sleep, etc. Gotta take your meds!!! Use your crutches, walker and cane!!! Ice...elevate.
- Months 2-3: Easing off the opioids, slightly better sleep, painful PT, still swelling when you push the knee too far, use of walking aids. Still lots of icing and elevation.
- Months 3-6: Should have your ROM back or damn close to it, minor pain controlled by non-opioid painkillers, starting exercise after PT is done, occasional swelling (but you should be using a pedometer to avoid that!), should be back to driving, depending on job you may try work towards the end of this period, few or no walking aids.
- Months 6-9: Probably back to work...easy at first, getting stronger in quads, glutes and core, working on stair climbing, should not have any major pain, ROM should be 0 / +120.
- Months 9-12: Feeling fairly normal, back to work full time, no walking aids, stairs can still be an inconvenience, most or all of your leg and core strength is back, tight band feeling should be almost gone.
- Months 12-18: Can still have occasional minor residual knee "heat", band feeling, minor swelling if you're very, very bad that day, popping, clicking and clunking sounds may still persist (these may last forever), kneeling is now possible on a cushioned surface but you may still feel residual nerve tingling (any pain is NOT from the metal knee).
If you are doing way better than this, consider yourself lucky. We had a guy on here a long while ago that went back to mountain climbing. Haven't heard a word since. Everyone's wondering where they found the body...
If you're doing way worse than this, then take a deep breath and keep on keeping on. This will eventually end for you but not as soon as you would like. We understand. Talk to us...
This is all based on:
1. What people usually report on a thousand or more posts when describing their condition and activity at different stages.
2. An assumption that you actually work hard at PT and at home plus follow PT with an exercise program to regain your strength. Sit around hoping you get better just doesn't cut it. This takes commitment and work...period.
3. The recognition that we all heal at different rates and that this is NOT a measuring guide to what you SHOULD be like at different time period. It's just a generalization...everyone's different. Do NOT compare yourself to this or anyone else. Your experience could be very different.
Eat healthy food, hydrate a lot, ice, elevate, stay on your med schedule, take PT seriously even though it hurts like hell, do your post-PT strengthening, treat yourself well, don't dwell on the pain, move your body, get involved in other activities no matter how much you don't want to. The process usually takes a year...plan on it...own your recovery.
Oracle out...
leta99341 CHICO_MARX
Posted
Thank you!
So I'm really not crazy!
I'm 9 wks out & didn't know what to expect. Thought I was Wonder Woman & would zoom thru this quickly! Ha! Jokes on me!
Having pain every night & now tolerable pain thru the day.
Totally exausted! Getting connected with this group has helped me a lot!
Libralass Ozziegee
Posted
I'm twelve weeks out as well. Have not taken anything at all for pain since the first month. I still have problem with bend. Can do a 90 degree but nothing else. My straightening is good however. We all have to understand we will heal in our own way. And it may not be everything we expected but, I don't have that terrible arthritic pain that I had that had me doubled over with pain and a cane. Will I do my left knee? I want to be rehabed on this one first as his will become strong knee, hopefully.
Duckfan Libralass
Posted
I'm 13 weeks almost 14 and my bend is barely 98. Still have pain from time to time and stiffness after sitting. Do you still have pain?
Libralass Duckfan
Posted
Duckfan Libralass
Posted
My pain is not constant either. Right now I'm sitting at the compuer knees bent and no pain. That feeling of tightness though. If I sit here to long it's hard to move after I get up then the knee loosens up and I'm good. I measured my knee this morning and it was 105, whoohoo. Silly how much your knee bends can make your day. The life of a tkr patient.
Keep posting so I can see how you do. Be well.
CHICO_MARX Duckfan
Posted
I do IT for a living...46 years. I work from home on a 750-person virtual team for AT&T corporate. Sitting for hours at a time is soooooo easy and soooooo bad for you. It's better now at 14+ months but in the beginning, I had to FORCE MYSELF to get up and move. If I sat for a few hours, moving that very stiff knee was just awful. Took 6-10 steps to get it working again. Not good.
Lesson: Set an alarm for every 30-45 minutes...get up and walk around until the knee feels looser...then go back. Simple.
Duckfan CHICO_MARX
Posted
Had to laugh again. At the chiropractor office the questionnaire asks "can you sit for as little no as you want with
A. No pain
B. Some pain after 30 min
Well, you get my drift. I answer I can sit as long as I want with no pain. It doesn't ask, how much pain do you have upon standing?🙀
CHICO_MARX Duckfan
Posted
melanie49919 Ozziegee
Posted
Hi at week 9 my TKR seems to be settling down . Pain has gone just stiffness if I sit too long I have a 120 bend -5 flex . Physio have paid dividend . Dr has been supportive with time off work and I have set goals to achieve and it's helped. However each day is different and some days are not as good regarding mobility . My advice is work hard at physio do as you are told take your pain meds , listen to your body ice, heat and most of all BE KIND TO YOURSELF . It's a long journey with humps in the road and hidden bends . Most of all your not on your own .
cheryl90571 Ozziegee
Posted
Two knees. Two VERY DIFFERENT paths of recovery!
Knee#1(LEFT KNEE) Tree trunk filled with cement. SWELLING!!! Minimal pain after surgery, but SWELLING pretty outstanding for first few months. On the plus side, LEFT KNEE was noticeably stronger and less painful than non-surgical knee by the morning after surgery! Physical therapy was challenging due to SWELLING which didn't change much no matter whether I iced, elevated, rested, walked, didn't walk, exercised or sat still. Finally slept for four hours straight at 12 weeks post-surgery. Off opioids at two weeks. Ibuprofen did MUCH better job at reducing SWELLING than opioids which were not very helpful for me AT ALL. Pain minimal, but SWELLING was my toughest issue to deal with in first 12 weeks. Driving at six weeks. Used a step stool to get into my Jeep then used my cane to hoist it inside before closing the door. Lots of balance work and strengthening work and stretching at physical therapy. At 15 weeks I completed physical therapy for KNEE #1 (LEFT KNEE)
Surgery on Knee#2 (RIGHT KNEE) the next day!
Knee#2 (RIGHT KNEE) Could move my just-operated-on knee ALL AROUND in the recovery room! (Was waiting for THE TREE TRUNK FILLED WITH CEMENT, but that never came!😁
Was able to walk back from the physical therapy room on the day after surgery! I felt like my RIGHT KNEE was almost up to the level of recovery that my LEFT KNEE was experiencing by the first week! This was a VERY, VERY pleasant surprise!
Two knees. Same body. Same surgeon, Same hospital. TWO VERY DIFFERENT experiences during the first days, weeks, months of recovery!!!
Two years in...I'm able to walk quickly, fast enough to keep up with my long-legged family!😁 Can stand as long as I want to with ZERO knee pain. (Other arthritic body parts give in to pain, but my KNEES are strong soldiers!) Can spend all day in my beloved garden, can enjoy playing with our VERY BUSY granddaughter, can shop without having to lean or sit or leave because of excruciating pain, and can LIVE LIFE AGAIN!
Getting my knees replaced has been the single best thing I ever did for myself!??
Ozziegee cheryl90571
Posted
cris10550 Ozziegee
Posted
Dear Ozziegee
I am new here
I am at 14 weeks today since my R knee TKR
I have 127 degrees of flexion as at 10 weeks
I am currently getting significant nerve regrowth - I am aware I should not be getting a major reduction in the numbed region on the RHS of my operated leg this early - but I have about a 60+% reduction in the numbed region - which in itself provides a new set of challenges as the intensity of the pressure in the numbed region is additionally intensified via its reduction in the nimbed region size
I too - like us all - have good days and ordinary days - one step forward/ one back - etc
Frustrating but we all have this
I still get sore at the end of the day ' and the unit feels "false" - which frankly "it is"
The journey has been very tough, but I am happy I did this - as "Extreme Arthritis" is a god awful thing - and I well remember how bad I was before the 22 Feb 2017 op
CHICO_MARX cris10550
Posted
Start with these...
https://patient.info/forums/discuss/the-tkr-experience-or-wish-i-had-another-kidney-stone--524499
https://patient.info/forums/discuss/the-tkr-recovery-bell-curve--563756
Click my picture...got like 17 other posts out there that you may find helpful. Good luck...
jenny80029 cris10550
Posted
chris00938 jenny80029
Posted
Wonderful to hear! It's pure joy, isn't it!:-))))) It amazes me how strong and stable the new knee is! Well done!
jenny80029 chris00938
Posted
Thank you! I amv speeding along...it's very exciting! My friend says I look five years younger...I feel 20 years younger! Exactly 12 weeks today, so it feels rather special! I cannot believe how quick the walking situation has transformed. You gave me some helpful encouragement recently,nyet i could not have imagined having a day like I had today! Now I need to build up the stamina and strength more!
chris00938 jenny80029
Posted
I'm SO pleased to read this and SO agree. These ops really do give us a new lease of life and it's not just physical - it means we can have hopes and dreams of doing things we couldn't have dreamed of before!:-)))) I'm sure you'll get that strength and stamina as you enjoy your new knee:-))))
jenny80029 chris00938
Posted
People are commenting on the fact I look taller, and have noticed i am walking more evenly.😊
chris00938 jenny80029
Posted
YES - my knee that has been done was bent out so much from the arthritis that I had to raise my shoe on that side by 2cm and now that leg is slightly longer than the other one and..... STRAIGHT! I discovered today that I could get back into my slim leg jeans!:-))))) It's lovely wearing them without the leg noticeably bending out! I'm just wondering what will happen when the other knee is done - will that leg be longer then LOL! But it doesn't bend out like the other one did, so with a bit of luck they'll be even LOL!
jenny80029 chris00938
Posted
I can't get into slim leg jeans yet because there is some slight swelling that happens over the course of the day, but I am rather glad that cullottes seem to be in fashion at the moment! Perfect for knee replacement legs! I am so surprised an how quickly things have taken an upward turn. I felt slightly disappointed at around eight weeks. Now I am dancing around all over the place!
Guest cheryl90571
Posted
chris00938 jenny80029
Posted
Yes, I bought some wider leg jeans to see me through, and then some wider leg linen trousers, but it's SO good to get back into those jeans:-)))
I met someone I know in the supermarket today and they were REALLY struggling to walk, using a cane, and her sister asked how I was and when I told her I'd had a knee replacement on 1st March she said to the struggling sister 'WOW just look at how she's walking now!' and they asked where I'd gone and she's swung from putting off the op to asking the GP to put her on the list as soon as she can get an appointment now. I'm so pleased she's going for it now because you could see the pain in every step! It's just SO SO worth doing! Arthritis pain goes on and on getting worse and worse, and you know there is no light at the end of the tunnel. A knee replacement is the opposite:-))))
jenny80029 chris00938
Posted
chris00938 jenny80029
Posted
jenny80029 chris00938
Posted
The T shirt would say "new knee new life".
susiemah cheryl90571
Posted
jenny80029 chris00938
Posted
chris00938 jenny80029
Posted
YES!:-)))))))) You know, I'm almost inclined to get one printed LO! Seriously!!!!!!
chris00938 jenny80029
Posted
You're right Jenny - I DID enjoy reading it, and I would enjoy writing it! I used to do our own website when we bred cats and loved updating it every day with what the kittens were doing, so their new owners could enjoy seeing their photos and getting to know them a bit before they even came here. I might well consider doing it with the other knee! It's SUCH a good thought to be an encouragement to others - that's my driver! But I guess you already know that LOL! Thank you for this suggestion:-)))))
jenny80029 chris00938
Posted
chris00938 jenny80029
Posted
Yes it is such a good idea! I'll look for a free site soon. When we did our website before we had to pay for that, for the domain name and everything, so I'll look for a free one.
chris00938 jenny80029
Posted
Thank you! I found one site, and actually started it, but then it said that it wasn't supported anymore and I sort of got stuck, so I'll go to where you suggested:-)))))