Survived! Mobilisation of knee under anesthesia

Posted , 12 users are following.

deal fellow TKR champions ... i just wanted to give you an update on how my much dreaded mobilisation went. first of all, thanks to all of you who where thinking and rooting for me. all the positive vibes reached me!  for anybody new joining, i had my TKR exactly 12 weeks ago and really, really struggled with the bend.  my physio said it was like a wall.  on a bad day we would get 90 degrees, on a good one, 100.  and this was with bendy machine at home, physio 3 times a week, acupuncture once a week and kinesiology once a week.  

i went in on tuesday morning, very nervous and worried so they gave me a calming pill which helped until i went into anesthesisa where they struggled to place the spinal catheter (similar to women going in for a long birthing process).  this was very,very unpleasant but the next i knew, they were putting me under and 10 minutes later it was all done.

once i got to my room - very swanky room which i had to myself for 2 days on my own, a complete bonus and a gift from the gods as i should have been up with the masses -  i was immediately put on the knee bendy machine which i quickly got a 125 degree bend on.  my doc came and told me that i could have been at the physio for a thousand years and i wouldn't have got the necessary bend, it took considerable forcing to get the scaring to give and promptly upped the machine to 130! this is where it stayed for 48 hours solid, minus pee breaks and sitting on the side of the bed to eat.  during these 48 hours i was on the pain catheter PLUS my usual meds so zero pain ... also zero sleep but hey ho!  they then turned the pain catheter off and i was really, really concerned the pain would kick in but no and so i stayed on the machine for another 12 hours, always at 130 degrees.

i came home yesterday, walking without sticks but with a limp.  my leg feels like it has run the marathon.  or gone under the steam roller.  very, very sore but not stabbing pain.  i came in, greeted the cats and collapsed in bed for 3 hours, dead to the world.

today i went and got some arnica c200 globuli, some homeopathic stuff recommended for sports injuries and healing of scars, and was told to take 10 globuli once a week as it is powerful stuff.  i took it and the effect was immediate.  amazing stuff if you can get your hands on it.  i continue to go on the bendy machine at home as well, but this model will "only" go to 120 degrees and because the knee is sore, i have to gradually get up there but get there i do.  remember, this is passive so i will be working on my active bend as well.  my leg feels like it has NO muscle strength at all.  am seeing my phsyio 4 times next week as my doc is determined it won't go back to my paltry 80.

so that is it.  time will tell if it was worth it but so far i am delighted.  and the way the pain got managed was fantastic.  so far, no regrets!

4 likes, 186 replies

186 Replies

Prev
  • Posted

    Hi Britta, I'm just wondering how you are getting on now a month down the line?

    How are you feeling and how is your bend?

    X

    • Posted

      hi julia ... thanks for asking! since then, the bend has gone back to a certain degree but i am doing really good. a definite set-back was having the flu for a solid week when i was not able to do a thing. since then the knee feels stiff(er) and i have had to go back on medication as i could hardly walk on monday (both knees killing me!!). today i started a new session of physio in order to build up my muscles and i was delighted to see that riding a bike is a toddle and i can do bench presses without any pain (pressing half of my body weight). she measured my bend and it varies between 115 and 120 which i can easily live with. i can get up and down any stairs, looking more or less "normal". my colleague at lunch thought i am still limping which surprised me as i am in no pain at all. so perhaps habit?

      where are you at in your journey?

    • Posted

      Hey,

      Still quite a decent bend for yourself there. I'm stuck at no more than 75 and that's pushing it to my limits. I saw the consultant yesterday and has given me 3 weeks to try get it to 110. Then he said its a manipulation and a quick turnaround one at that. Doesn't want to leave it much longer because of maybe it ceasing too much. He really tried pushing it yesterday and it would not move. I'm so frustrated by it all. I don't want to be pushed back any further. I'm 7 wks 3 days. I'm on still a good whack of pain killers too xx

    • Posted

      hi julia ... oh, i can SOOOO understand your frustration.  i was exactly like you, i was so desperate to see some improvement.  i am not proud to say it, but i had some teary episodes at the physio after 30 minutes of major pain with 0 progress.  i like your surgeon's approach, no messing around, espeically with your knee not moving an inch when he tried.  i am sure he gave it a bit of welly as well!  but is he not being a bit ambitious for you to get it to 110 in 3 weeks.  i don't want to burst your bubble, but in my experience, that is just not realistic.  SO GIVE IT YOUR BEST BUT DON'T GET DOWN!!  all will be well after the manipulation.  keep us posted how you do and i am keeping all my bits crossed for you.
  • Posted

    hi Britta

    lovely to hear you're doing well

    i have another appointment with my Surgeon on 25 th next month he's going to investigate further as to why my knee is still painful and bruises if I walk too far 

    I'm fed up now 

    Jean ( 19 weeks) 

    • Posted

      hello jean -- gosh, i can only imagine.  the bloody man should have taken the time the last time he saw you at the beginning of jan, it still angers me that you got fobbed off.  i am very curious to know what this is happening to you so please keep us posted.  

      i met a colleague at work who had stem cell therapy done more or less the same time as me.  the way she had it done they took some out of her upper thigh, cut her knee open like for a tkr and then inserted the stem cells in her knee.  they released her and prescribed physio.  her physio failed her and after 3 weeks her surgeon nearly had a heart attack and prescribed pt at the hospital EVERY DAY for 3 months!!  i saw her and honestly, she doesn't walk that well and struggles up and down stairs.  so here she was, doing something ground breaking and meant to be less pain than a tkr, but she has had a bad experience.  there is no telling.

    • Posted

      hi Britta

      thats awful

      I'm still limping along and the knee is still causing me problems ..that's why I'm awake at this unearthly hour (3-40am) I had an xray today on my other knee as Dr is going to do a cortisone injection in it. 

      No way will I ever have this op again I worked hard with my pt ...but I seriously think I should have had more Physio I think I only had 5 sessions and he chucked me out with a 93degree bend

      i still exercise every day whether it's doing any good is anybody's guess

      I've obviously improved to a certain extent but nowhere near what I expected.

      i'll just have to wait and see what the February visit to the Surgeon brings 

      but I will most certainly be letting him know I'm not happy 

      I hope your knee is now on its best behaviour and you are jumping around 

      take care

      Jean 

    • Posted

      hello jean --- ha! i was up from 3-5 am as well today. i wouldn't worry if i knew i could go back to sleep this afternoon :-( i hate when that happens, especially with no specific reason.

      i am off to see my surgeon in an hour, he wants to check how i have progressed since having it bent in december. i am really quite happy with it, with some reservations but even these may evaporate with time (up to 1 year). am curious to hear what my doctor thinks ... i bet he tells me he would like me to push myself harder to get more bend! i can just hear him :-)

      good luck with the injections, jean. may they bring the necessary relief.

      take care

      britta-fine-but-defo-not jumping around!

    • Posted

      hi again

      i hope everything went ok with your Surgeon and he was pleased with your progress

      i just take each day as it comes I don't think I'll ever be jumping around but as long as I still have the use of my arthritic legs....lol ...I'll be ok.

      Jean 

Report or request deletion

Thanks for your help!

We want the community to be a useful resource for our users but it is important to remember that the community are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the community is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.