Jackie2211

Posted , 11 users are following.

Hi everyone

I am six days post TKR. I wasn't given instructions on what exercises to do in the first week and wondering if I am doing too much. I am going up and down stairs ok and doing exercises ie sliding heel back to bend my knee and rubber band around my foot to straighten knee etc. I am walking outside for a short distance. I bent my knee yesterday and the pain was so bad I think I might have popped a clip. What should I realistically be doing as my husband says I am pushing myself too hard. THANKYOU for any help or advice. X

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15 Replies

  • Posted

    Yes! You are doing way too much! Too early for stairs for sure. Hope you will be getting physical therapy soon. Follow their instructions exactly. Heel slides are good. Don't take this on yourself. You are not a doctor or a therapist. That's why I'm not sending you the instructions the therapist gave to me. Be careful. Hope you are using a walker at this point.

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    • Posted

      Hi Joyfull

      Thank you for your comments. I was discharged on two walking sticks. I had my op last Friday lunch and was discharged on the Sunday lunchtime which I think was a bit soon. I see my private physio today at two thirty. I was just worrying I hadn't completed enough exercise so you have put my mind at rest. Thank you x

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    • Posted

      Hi jackie. I was discharged on 2 sticks 6 days post op after bilateral tkr's. You do not need to push yourself so hard. Rest up and spend some time doing basic exercises. Rest is key! Rest and water and protein and veges! Take care, it's not a race! Xxx

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  • Posted

    The real work starts after you see your doc, the staples get removed and you see some healing at the incision site.  Yes, you should start bending and walking but your PT will be responsible for helping you break down the internal scar tissue that starts to form.  Everything I've learned is here...

    http://patient.info/forums/discuss/the-tkr-experience-or-wish-i-had-another-kidney-stone--524499

    Hope it helps...

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  • Posted

    OMG! Think you're doing too much! I was still sat on the settee crying and feeling sorry for myself at the 1st week! Don't do anything that causes a lot of pain, that's your body telling you not to push it. The next day you'll be in even more pain. You should be still just pottering round the house, and doing fairly gentle exercises on your bed. I didn't get out the door until I needed my dressing changed!

    I'm now 3 months and everything is fantastic. And that's definitely due to NOT pushing myself.

    Hope you recover well.

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    • Posted

      Thank you Lucie

      I shall listen and take note of your advice. Yes I think I have done far too much. I am extremely tired. I am seeing the physio today so should get further instructions.

      THANKYOU

      Jackie x

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  • Posted

    Hi Jackie,

    Sounds to me like you are pushing way too hard.

    It was several weeks before I tried the stairs.I am 14 weeks post op, and I feel 90-95% back to where I should be. Based on my surgeon and physio's instructions, the following BED exercises are OK at this point, Heel slides; Straight leg lifts, which I found difficult at first, couldn't lift even 1 mm at first, then about a week later, bo problem; Lying on bed and straigtening your leg out by pressing your leg back into te mattress; Quad strengthening by rolling a towel, placing under your knee and lifting you foot up, and holf for 5 seconds. Actually all I have mentioned are hold for 5 seconds and 10 to 15 reps, 2 - 3 times per day. Personally I found the heel slides and quad exercises most beneficial. You tube has some good videos of these exercises, but I firmly belive in the professionals, in this case a good physio..who listens.

    The two big things I learned from the great people on this forum is 1. Read your own body, NOBODY else knows it better and 2. RICE - Rest; Ice; Compress and Elevate. 

    Hope this helps, Take care,

    Alan

    Rest is key, your body healing itself saps your energy. This is more like a marathon and not a sprint. 

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    • Posted

      Ah thank you Alan that is a great help. Yes I think I have pushed myself too much but I didn't really get any instructions prior to discharge just a booklet with the exercises in so I just followed them. I am seeking a private physio today so should have more information. Thank you x

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    • Posted

      Hi Alan,

      How are things going with you, I hope all is well.

      I have not posted in a while. I hope everyone is doing well.

      I am doing well, just returned from vacation that was fun, Done some swimming and a lot of walking, and drove for 5 hours, Was stiff and a little sore and tired.

      Sandra, I also hope you are well.

      Any more talk about the tka walk?

      Take care everyone

      Tom

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  • Posted

    Hi Jackie, as joy said its far too early for stairs. Yes go up them with your good leg ,but down with the bad leg. Heel slides, straightening your leg when lying down, a pillow or ball to squeeze the knees together. All gentle exercises. And above all else plenty of rest. Everyone is different but your PT should tell you when to do more exercises.

    Good luck x

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    • Posted

      Hi Jackie,

      Listen to your body it will tell you if you are doing to much. Everyone is different, heel slides, ankle pumps, leg raises, quads are all great. And most importantly ice ice ice and elevate, take pain meds when scheduled don't wait for pain to start, playing catch up with the pain is not good.

      Everyone on here are amazing, they are very helpful with everything. They areally here 24/7.

      Take care and best wishes for a speedy recovery

      Tom

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  • Posted

    Hi Jackie. As you can see, we all have different experiences. I'm American, but was living in India and had TKRs on both knees at the same time. Day 6 I was still in the hospital - I got out on day 7. Before I was released, they did have me walking considerable amounts around the hospital with a walker and doing some bending and leg extensions. The day after I got home, pt started. The PT came to my home 6 days a week for 4 weeks. I did have one week off in there, but asked if he could return for one more week. I had to make a visa run at 12 weeks, so I was pushing myself hard to make sure I was able to get around not only the train station and airport, but also the country I was visiting. I was also able to drive a moped/110 cc scooter at 6 weeks. It was no easy task, but like I said, I pushed myself to where I was comfortable (well, painfully comfortable). You statement of fearing you popped a clip was one I often had. Well, I didn't have clips, I had a long running stitch in each leg, but I remember being certain they were being ripped out. I expected to see some fresh blood in my bandage - never did. I was terrified of the stairs and at two weeks my PT said he was going to have me walk up and down some. It was horrible and so painful. But after he was done, that was one area that I would work on, stepping up and down like someone who didn't just have a TKR. I mastered it, though I don't hop up and down quite as quickly, but I do it with only one foot touching each step. Your body will tell you what it's capable of. I remember a day or two when I just took a break...no exercises, but of course I walked around some. Best of luck with all this. By the way, I'm now 22 months post op.

    -Mo

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  • Posted

    Hi Jackie,

    Just catching up with posts on here. I had a partial knee replacement in Nov 2015

    To be honest - well, compared to my instructions on discharge from hospital - yes, you are doing too much...... and I only had a partial !!  I was home after 3 days in hospital, on crutches and continuing my exercises which I started the afternoon of the day of surgery. At 1 week I was still hating myself for agreeing to surgery and wishing like hell I'd never had it done. The pain was unreal, sleep - non existent.

    I didn't let pain motivate or influence my journey, if pain was there - well just get on with it. I made sure everything I did was slow and gentle. I stayed on crutches for the full eight weeks until my first post op consultation with my consultant. BUT every week I made sure I did more and more, slowly and gently. When I saw my consultant he was delighted, I came off crutches immediately, started driving my car again and went back to work 3 weeks later driving a bus. Job done. Now 9 months post op I reckon it was the best thiong I ever did. I've had no set backs ar all - every step was a winner. 

    By the way, I had staples in my surgical wound and these were the disolving type. I never had to return to have clips removed. Just went to my GP's nurse to have the dressing removed.

    There is one thing I did though - about 8 weeks pre op I went to my sports injury therapist to have my leg strengthened prior to surgery, massage and exercises. Then after my dressing came off post op I returned to her for more massage and leg exercise work - in addition to the exercises I had to do at home. She spent alot of time working on and massaging my surgical scar in order to prevent scae tissue forming.  My point is you can take short cuts of course but I chose the slow and steady method. The exercises you are doing are fine and the same as I did too. But hell not up and down stairs, and if you are walking outside without some sort of support I think you are asking for trouble. Sorry to be all doom and gloom.

    Look, you've just had major surgery which at best is barbaric and at worst is like butchery - remember that.

    If you go onto Youtube and type in somelike " exercises after TKR " you will see a range of short videos on the sort of exercises you should be doing, and remember its not just the exercises but the frquency you need to do them each day.

    I was not let out of hospital until I got a 90 degree bend and a fairly straight leg. By 8 weeks my leg was dead straight and my bend was up to 130 degrees. I could only sit in an upright chair, like a dining table chair - could never sit in a lounge for weeks - I called the upright chair my exercise chair.

    Hope this helps, good luck.

    John

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