Posted , 5 users are following.
i had total a TKR 13 weeks ago and am still in much pain! they gave me a nerve block today and they did it in the knee and it hurlt so bad i had tears coming down! the doctor didnt say anything afterwords! like if that was a good thing i had pain or a bad thing, thsts what i want to know! if it hurt that bad does it mean mu leg is messed up!
thanks Laura Wanat
0 likes, 15 replies
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martha08360 laura89349
Posted
I don't know... I hope it works for you, truly I do.
kackknee laura89349
Posted
hang in there, keep your leg raised when resting so the blood flows up the leg. The pain should go way in the next few weeks. try and stay active and massage the knee whenever possible.
CHICO_MARX laura89349
Posted
Docs never prepare you for this very brutal op. First 12 weeks or so are always the worst. Take your pain meds on schedule then start titrating down (Tramadol). Use a topical anti-inflammatory like Voltaren Gel (diclofenac) 4X/day...especially at bedtime. You will likely feel pain in the knee plus other parts of your body. For the knee, you must do the muscle rebuild to take the load off the knee and put it back on the now-dead muscles where it belongs. The "other" pain is also manageable. These can help...
Other Pain
Muscle Rebuild
You also need to get your ROM back!!! PT plus work at home...
ROM Work at Home
Post this on your fridge...
Reality
Get rid of all expectations and timetables...they screw with your head. Click on my name, Discussions, View All for more topics...
laura89349 CHICO_MARX
Posted
thanks for your response they did a neeve blockin Dec 31st oh my God the pain was unbearable! i was cussing like a sailer!! lol but when she was done didnt say anything about what that pain meant! was it a good sign that it hurt like hell or a bad sign? she was doing an x ray at the same time! they havnt called either! i personnally think thats a little weird!
CHICO_MARX laura89349
Posted
Where was the block done? By a pain management doctor in your spine under fluoroscopy? I've had a few of those...never worked for more than a week, but.....
My neurosurgeon ordered them to make sure that he was operating in the right place. For him, it was a diagnostic tool. That's how he found the bone spur at L4 (cured my sciatica) and knew to do the fusion at L2/L3 to totally cure my stenosis.
laura89349 CHICO_MARX
Posted
yes by a pain management doctor, she did it right in the knee!!! i didnt think she could do that because there is no bone, just plastic or whatever they use for the replacement.
Gailelaine1962 laura89349
Posted
idk. im 8wks out and i still have a lot of pain. i fo to the doctors in monday. i will see what he says.
CHICO_MARX Gailelaine1962
Posted
You get an alignment x-ray at 6-8 weeks. Doc takes a picture of your whole leg and draws a straight line from hip to ankle. If it passes directly through the center of the new knee, then the surgery was perfect.
The first 12 weeks are the worst for pain. Very few people escape that fate. You need to stay on your EXACT med schedule so the drug in your bloodstream is maintained at a therapeutic level. Skip doses and you get a roller coaster effect. Don't do that!!! Lots of people take their meds an hour before PT so they can get through a session. On opioids, you CANNOT drive yourself!!! Period!!!
It's in these 12 weeks that you get your ROM to (or close to) the target of zero straight and +120 bent. This is very individual and painful because no one can predict how much scar tissue your DNA will generate. There will be advances, setbacks and plateaus. ALL of that is normal. I got stuck at -4 for weeks before breaking through. I started -14 / +84 but at 12 weeks, I was -1 / +123; at 4 years, I'm 0 / +133. Takes time, work and patience.
Click my name, Discussions and View All...about 30 discussions out there of all sorts of topics. Hope they help.
PS: Get rid of ALL your expectations and timetables...they only screw with your head. THIS is reality...
kackknee CHICO_MARX
Posted
sorry my last message was meant for chico
kackknee laura89349
Posted
Scar tissue also depends on the surgeon finesse, skill etc.
I have never heard of an alignment x-ray at 6-8 weeks. I don't think they do that on the NHS. I wish they did.
I am 15 degrees off straight and 80 degrees bend, after 7.5 months. I have been trying to straighten my leg with the aid of a 12kg weight, with no success!!!!!
I am not please with my operation!
CHICO_MARX kackknee
Posted
In one of my replies above, check the link for ROM Work At Home. #3 is a KILLER but it really works on getting the leg straight. You may want to consider a knee therapy slide device to help with the flexion. Wrap a belt around your ankle and pull. Warm up the knee first. Worked for me.
kackknee CHICO_MARX
Posted
i lay chest down with thigh and knee on cushioned stool with 12kg weight strapped to ankle and count to 300 i do this 10 times a day for two weeks, my knee is still bent, no change!! It wont move! do you work for the NHS?
laura89349 kackknee
Posted
That really stinks! i can bend my knee to over 120 degrees which is good but i know when im walking i pull my let off to the side a little bit! i can hear it cracking and always think its going to pop!
thats one of the reasons they did the tkr , my patella would pop out of socket and i would have to push it back in!! talk about PAIN! i know I will not do the other knee even though he wants to! had surgery on the other knee when i was 12 and my surgeon now said that the doctor didnt really do anything, i will get my left hip done! the hip replacment is nothing like tkr! i didnt even go to therapy except two times! thats horrible that your not happy with the surgery! i actually read that a LOT OF PEOPLE WERE UNSATISFIED WITH THE RESULTS! GETTING PAIN KILLERS WAS A NIGHTMARE!! i was in painkillers for my back for 7 years and when hey stopped working I just quit taking them! well my husband told he doctor and right away they thought i was an addict even though i quit taking them on my own 7 tears ago! wish he never said that!! they think your a drug addict even though i took them the right way! so everytime i asked for some they give me a hard time! horrible! these drug laws are ridiculious!
i was in higher meds for my hip replacement! i am so sorry your not happy with the results! that really stinks! goid luck to you! didnt mean to write a novel! lol
kackknee laura89349
Posted
i am thinking of seeking legal advice.
laura89349 kackknee
Posted
you probably should! your dictor might have messed something up! and of course they are not going to say anything! they dont want to get sued!!