Swollen knee

Posted , 7 users are following.

Hi all, I'm now 9 weeks post RTKR. mY ROM is reasonably good however I measured the circumference of my knee at 1 week post op, just so I could track my swelling, and to date my swelling has not decreased at all, in face some days when I've overdone things the swelling has increased.

So, my question is, what can i do to reduce my swelling? I'm icing and elevating 3/4 times a day. I'm trying not to overdo things but I have a busy home and sitting with my feet up all day is not an option. I'm anxious to do the right thing.

2 likes, 8 replies

8 Replies

  • Posted

    Stop overdoing it as you describe it. Listen to your knee. Swelling  is normal. There are ‘bits’ inside that have been surgically disturbed and have to be given time and coaching to start working together as a team again.

    You have a prosthetic knee now and not a totally - as God intended- new knee.

  • Posted

    you have to be patient allison, dont over do things, spread out your exercises, even take a day off, i take all day to do my exercises, .1 exerc repeated 10 times, then i have a 20 to 30 min rest then go on to the next exerc. icing in between, you have to take things easy, you will come good. hope this is helpfull

                                   peter

  • Posted

    Alison,  I am at 12 weeks and like you I have been measuring my swelling and the number has not decreased.  When I discussed this with my surgeon he said it could take up to a year for the swelling to go away.  But he did stress that overdoing it and increasing the swelling is not good and will slow my recovery.  

    It is hard to slow down but if you don't, you will slow your recovery.  I don't think there are any shortcuts to recovering from TKR.

    • Posted

      There are no shortcuts.  Push the knee and it swells...period.  I used a fit bit (try that or another pedometer) and always tracked my steps.  At 5 weeks, did 8,200+ one day and paid for it with a "balloon knee" for 3 days.  Never made the same mistake again.  Always tracked...always graphed my progress.  A knee cannot be pushed to recovery like a hip or shoulders...I've had them all.  The knee takes a year...period...some symptoms can linger to 18 months.  If you stop being active or discontinue your exercise program after that, the veterans of this op say that stiffness and weakness can return.  It's a lifelong recovery.  Accept it...own it.

      Get rid of ALL your timetables and expectations.  This is the most Zen of all surgeries: "The knee will be better when it's better."  There is no schedule...erase all that crap from your head...only gets in the way.  Concentrate on giving the knee time to heal, do the ROM and exercise work you have to do, and above all...be patient.  If you lack that personal characteristic, the knee will teach it to you.  Patience is the greatest gift you can receive...it will change your life for the better.

  • Posted

    Here I am at 2 years when I over do it my knee swells sometimes worse then others. Not trying to be mean or even say the wrong thing the key is LOTS OF PATIENCE !!!! and exercise but do not over do it. When you go to far your knee will let you know in no uncertain terms its had enough. You asked about icing depending on how my knee is feeling I will ice it 5-6 x a day. Pain pills help but your only supposed to take them at certain times and sometimes depending on how it feels ice can really help. Another suggestion its not really going to medically help but it does help with pain is Bio - Freeze. I have used it frequently. Its a lotion that provides a nice cooling effect. As far as swelling cannot give you a answer I have the feeling I am always going to have some hopefully not as much as I have now.
  • Posted

    Except for icing and not pushing the knee and causing additional swelling, you're done.  Even when I was at one year, sitting down in a pair or gym shorts I could see that the new knee was always a "tad" larger than the original.  At two years, I can't really tell the difference but I sense that it's still a little bit bigger.  My doc once said "You have a giant mechanical device implanted in your body.  What do you expect?"  You may ask some veterans of 5+ years; don't know if you'll get a different response.

    Just know that the increased size caused by swelling could be very noticeable at the beginning and if you stress the knee to swell.  In time, that all goes away...very gradually.  IMHO, measuring it is a complete waste of time.  Big mechanical device...I don't think they will ever be perfectly identical.  Will one be incredibly noticeably different that the other?  In time, no but I think there will always be a slight difference.  Gotta ask the vets.  Small price to pay for walking without pain.

  • Posted

    Hi all,thank you for all your supportive and helpful comments. I think the main message coming through was "patience". So i'll take that on board and try to remain optimistic.

    I find the advice and support from this forum invaluable so thank you again. 

  • Posted

    You may have a house to run but you must consider that you have to continue to just  ‘walk’ for longer in order to run. It is not a race.Their are no Brownie points. Oddly for me since I discovered this Patient discussion onn knee ops I have felt much improved. Probably because I am reading I’m not on my own. I have felt much improved over the last week actually.

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.