Im at 6 nearly 7 wks post op and feel im not doing what i should be!

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Im nearly 7 wks after tkr and am 49!! When reading lots on google i feel most people are waking unaided at my stage. I can walk a bit round the house but to much which isnt more than from 1room to another my hip kills me. Im very frustrated as 2 wks ago my physio said my bend was only 77 im trying so hard with exercises but feel like im not achieving enough. Its such a hard thing to keep my head in the right frame is anyone else struggling with keeping positive. Please tell me your experiences! I am working hard but didnt realise how hard this would be. Thanks

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  • Posted

    Hi Debbie!

    The first few months of a TKR definitely is challenging! There's SO MUCH going on inside of the body as it is healing, and the expectations we have often exceed what we actually are accomplishing. It can be quite frustrating!

    You are still very early in the game! Seven weeks is not that far from surgery, and there is much that still needs to heal WHILE you are doing the exercises, the practice walking and balancing, getting good nutrition AND dealing with new pain that can manifest following surgery.

    You mentioned pain in your hip. This may be due to you now walking differently since surgery. I had all kinds of new pain in HIPS and shoulders and in my back following my first TKR last June. As I started walking better, the hip pain decreased. The muscles started taking up the slack and began supporting me better as I walked in a more normal way. You may find this happening as you progress further down the road.

    Walk a bit and then REST. Try to stand as straight as you can to take pressure off your back. Everything works together as we walk, so a lot of our body parts are affected.

    Is there an exercise that you are doing that may be causing your hip to hurt? During my therapy for my second TKR last October I discovered that being on my back and sliding my knee up and down across this smooth board using my foot was causing great pain in my hip and bothering the heck out of my sciatic nerve in my buttocks area as well. My therapist eliminated that exercise and replaced it with a series of stretches on the Total Gym apparatus. So much better! My hip pain decreased, and my sciatic nerve quit being so annoyed, too!

    Try to think positive thoughts. Try to rest as much as you can to encourage healing. Share the PAIN talk with your therapist regarding your hip. I'll be you will see improvement very soon!

    Take care! Let us know how you are doing!

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    • Posted

      Thanks Cheryl i appreciate your reply. I did think the hip pain is due to walking differently. Im persevering around the house. Im at physio next thurs so wil chat to them if hip pain is still there! Thanks its nice to hear im not the only one who finds it frustrating! I wil try to keep positive. X
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  • Posted

    Debbie,

    Everyone heals differently. I would be willing to bet your hip pain is from overcompensation prior to surgery.  How often do you go to PT?  Are you exercising at home too.  I get it.  I have PT 2x week and I do exercises 2 x daily at home.  You have to get a handle on the pain...meds are very important....and frequency too.  I make sure I have taken mine 45 minutes to 1 hour prior to exercising and early on...was still tearful during exercising.  I still get frustrated....the depression lingers.  I have broken down crying and sobbing several times....for no reason at all...but WOW...it is cleansing.

    just keep pushing forward...it will come.  

     

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  • Posted

    Dear Debbie

    I agree - the whole process has nearly driven me mad.

    I had my TKR on the 13th February and was totally unprepared for the pain and discomfort. My knee is now 98 and I can walk mainly with a stick. Previous to having it done I couldn't walk because of osteoarthritis but. I could manage the pain.

    Now it's great to be able to walk but it's a long process because it physically drains me and I feel like I'm going to have a heart attack! I am 68

    The last six weeks I've been on that much pain relief - morphine, codeine, ibuprofen, paracetmol, cocodamol

    it's a wonder I'm not an addict

    I've been to the doctor this morning and he's told me to ditch the support stockings and just take 2 cocodamol at night.

    It will certainly be another long night because I can't seem to get comfortable - pillow between my legs (very sexy)

    Then that's no good and I lie on the pillow - that's also rubbish so I'm tossing and turning all night just getting snatches of sleep - then my knee is stiff and I have to go on walkabouts like a crazy woman in the middle of the night.

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    • Posted

      I know the feeling at night! Sexy pillow between my legs to ( that made me laugh!) Then i move then arm goes dead! All good fun Mary.! Lets send eachother positive thoughts! 98 thats brill! Hope mines 90 at physio nxt wk! It wont be for the lack of trying if its not!
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    • Posted

      Mary,

      i have found a very very long pillow works best for me.  It fits totally between legs and my feet.  Prior to that I could not get comfortable with a pillow between legs.

      i had my surgery on February 11. So right there with you....ask the doc about adding a sleep aide at night....I now do 2 extra strength Tylenol pm, and 1 pain pill at night.  I take 1 Tylenol pm 1 hour before pain med then the other 2 together....sleep comes soon there after.  I can now manage 4 -6 hours straight.  Also....are you icing during night when you can't sleep?  It helps me.

       

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  • Posted

    This is a process that you are going through and that means you won't be able to short circuit that process by watching you tube and Google. You are an individual and will heal as an individual, not as a group nor as an example of a text book case. Age is a part of it but not the determining factor. Do all the right things with pain meds, excercise , elevation, hydration but allow yourself the one thing the surgeons don't talk to you about, rest. I won't drag this out but I'm in my 5th complete rehab after my 11th surgery. A year ago at this time I had nothing but a plastic spacer where the knee should be and was immobilized from hip to ankle with only toe touch as far as weight bearing. I was taking antibiotic infusions thru a PICC line 4 hours a day. In June I got my permanent knee (the 3rd) installed. Normally Dr's will tell you that you don't own the knee for a year. In my case it will be 2 and I'll have residual pain the rest of my life (in 79). Patience is the key. Nerves are the slowest part of The healing process and will jump up and bite you every once in awhile. Fortunately, these come quickly and goalmost as fast. Ice more often, hydrate more than you ever have in your life and rest even when you don't feel tired. This is different than anything you have ever gone through therefore you have to treat it differently. Resting doesn't mean you are weak......it means you are smart.
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    • Posted

      Gosh you certainly have been through it! I know you are right about we are individuals! These replies today have really helped my mindset and for your reply i thank you! I wil try hard and do my best with my recovery and yes including rest! Thanks
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  • Posted

    My surgeon (yes I became very territorial about him) told me it's not a marathon take your time listen to your body and it can take at least a year to get to grips with it all - well that's a year ago and am beginning to get there - the occ therapist said you can still feel the benefit 5 years on. !! So don't beat yourself up you will get there
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  • Posted

    Meant to say not a sprint but a marathon doh
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