Pain and swelling 3 months after tkr

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Here I am back again to check with those of you who are sharing the journey of total knee replacement. This week marks three months since my surgery. Progress was very slow in the beginning, but I do have less pain and much more range of motion now. My extension is at 5, and doesn't budge, even with Chico's excellent exercise and therapy twice a week. My biggest concern and what seems to have my progress at a standstill is the swelling of my knee any time I am on it for more than an hour. It also remains swollen overnight. Worse is the feeling of a tight band around the whole knee that accompanies the swelling, and aches constantly. Is this something that is common at this stage in recovery? I am concerned that there might be something else going on? I would greatly appreciate your experience. I see my surgeon again in 3 weeks, and my physical therapists just say it will take time to resolve. Thank you ! ***

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  • Posted

    I had my TKR 3 months ago today also! And I too still have pain and swelling especially if I'm on my feet too long. Mine will swell clear into my foot! I've been told it could be 6 months to a year before things get back to normal, my problem is my right knee is starting to hurt pretty bad. Don't want to have another surgery till I get over this one! Pain meds really don't help that much either. Have to keep remembering eventually it will get better or at least hoping so! Your not alone with what your experiencing!

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  • Posted

    HI Im 6 weeks post op today and the last week my knee has felt sore. Whether its perhaps im finding i can do more and ive strained it i dont know. Im due to see the consultant in two weeks. Its still swollen and stiff.

    I think you doing great at 3 months if your running.

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  • Posted

    First, that "tight band" feeling is totally normal and will resolve very, very gradually over time. At one year, you should hardly feel it although some lingering "stiffness" may be infrequently apparent up to 18 months. After that, the stiffness will definitely reappear if you don't keep the knee active. This is a lifelong recovery.

    Wanna get to zero degrees? Do #3...

    ROM at Home

    Gravity can be a real pain but it works. However...

    You may have hit a "plateau" at -5 like I did at -4...for weeks!!! Took my PT a lot of work pushing down on my knee to get past that last chunk of scar tissue. Yes...painful but it worked. Really important to get that knee as close to zero as possible. Don't give up...take a pain killer before the session.

    If your knee hurts after standing for an hour, then don't stand for an hour. Your knee is talking to you and you're not listening. Once you can do 45 minutes with no pain on a regular basis, then extend that to 50 minutes, etc. The same goes for walking. Track your STEPS as time and distance are irrelevant. Chart your progress. If you do too much on any given day, the knee will swell. This is a slow, gradual recovery and everyone is different. Ignore the knee and it will absolute swell and give you more pain. Back off and resume advancing slowly. The whole thing takes about a year. Give up all your expectations and listen to the knee.

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  • Posted

    I had the opposite problem with ROM that was stuck at 105 until MUA which really pushed me forward quickly now facing my LTKR and know what I'm in for. BUT it will eventually end well. i have been using pain pads called LUMINAS which I bought online pre-op. Think I'll be able to use them post-op as well, not placing them directly on my open wound. There are no meds in them, just vitamins & minerals. its crazy but they work!! HAS anyone else tried these patches?

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  • Posted

    I'm 9 weeks with second tkr and 12months after first one. When I've been standing for a while do experience a tightness around the knee but after resting and icing it goes. Remember it's early days I have a complete straight extension and 120 flex so PT and myself happy but I do accept with time my knees will improve but even now being pain free is worth the present tightness and twinges so bear with it and with time it will Improve good luck x

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  • Posted

    I have been exactly where you are right now.

    Yesterday was my 1 year anniversary!! I did 3 months of therapy and had a MUA done At the end of therapy I was stuck at a 2 and only had 128 bend My knee was still swelling and I cried thinking I would never walk right again

    I can lay my knee flat on the ground and bend it ( don't know degree but can sit in Indian position lol).

    I followed a some of Chico's suggestions with some modifcations for me. Along with other exercises. OH!!! and still putting on ice!!!

    Hang in there you will get there!! I was push mowing my yard on my 1 year anniversary!!

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