TKR age 37 . Any other ' younger ' knee patients?

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I'm nearly 4 weeks post op, wondering how hard I should be pushing the PT?  had a grade two thigh strain day one using  my Zimmer frame in hospital,  has set me back . Feel ok, walking un aided, 90 degrees plus extension but still requiring 6 co cocodomol per day and ice.  Physio says he is going to really push it next week ..... I'm not so sure ? 

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14 Replies

  • Posted

    Why have you had a TKR at 37?
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    • Posted

      Cruciate ligament reconstructed using the hamstring 10 years ago . Knee never been any good since .... swelling, stiffness, limping, hamstring pain unable to do any sport. Knee full of extensive arthritis, 2 keyhole clean outs and 2 radiation injections with no benefit. 

      Ultimately the pain increased to bone on bone and with many consultations the surgeon finally agreed what with the latest scan and X-ray that the knee was a right off !! In I went for a TKR. It was s long long process to get this TKR on the NHS. 

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  • Posted

    How have you managed to have a TKR at your age I'm 42 and they would only do a PKR on me as they said I'm still too young. Personally I would only push yourself as far as your willing to be pushed and listen to your body

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  • Posted

    Wow, I’m 50 and I thought I was young for a TKR!  I’m 8 weeks and getting to 90 ish, so you’re doing very well. Personally I think I do better when physio pushes me, but only do as much as you can and remember to rest, ice & elevate afterwards. Good luck.

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  • Posted

    Everyone recovers differently, do not push to hard. Excersice and ice helps so much. I am 8 weeks post op, i have good days and not so good days

    Best wishes with your recovery

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  • Posted

    Keep up with your exercise and ice packs, i am 8 weeks post op, i have good days and some not so good days.

    Everyone recovers at their own pace.

    If you need painkillers take them, if your in pain you wont want to exercise. Best wishes with your recovery .

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  • Posted

    I'm 48 in a couple of days I was first told that I need a knee replacement in my mid 30s but they said because of my age they wouldn't touch it. They still class 48 as young but I really couldn't continue managing it as I was taking pain killers all the time just to function. I was told in hospital that younger people (under 60) experience more pain which can set you back so don't worry about still needing pain killers, I'm still taking  Tramadol, diclofenac and paracetamol. I had a go today at reducing them but gave up on it. Just keep doing your ROM exercises I think they are more important than strength exercises at this stage X 

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  • Posted

    I tried dropping the pain killers today , it did not work, i have ended up having to take some.

    I am going to stop them slowly.

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  • Posted

    I’m 8 weeks and still getting quite a bit of pain and stiffness. But I got to 120 today! So making progress. I keep trying to drop meds but have to go back. It’s good to go slow I think. I’ll also be very glad when the lump of concrete someone has wrapped around my knee gets removed!! 😃

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  • Posted

    You CANNOT push a knee...period.  It just swells up and sets you back.  At 5 weeks, I did 8,200+ steps on my fit bit...had a balloon knee for two days.  You can push a hip to extremes (I did 5 hours a day, six days a week...complete hip rehab in six weeks).  You cannot do that with a knee.  This has nothing to do with age...just the knee.

    Also...  Some people get better faster than others...we're all different.  It's all about the knee HEALING.  Get a pedometer and chart your steps.  When the knee is pushed too hard, it will let you know.  Back off, ice, elevate, resume gradually.  First the ROM work and then the gym to rebuild your atrophied quads, glutes and core.  There is a very fine line between pushing the knee and pushing it too far.  Your knee will tell you when you've crossed that line.

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  • Posted

    The big thing is not to push yourself into acute pain. You will have aching and hurt but there is a difference between that and high level pain. Take pain meds an hour or so before exercise, work hard going through the drills, hydrate well, ice and elevate. If you feel like doing some heel slides, leg lifts or work on your extensions, go ahead but just don't rush things. This us a process you are going to be going through. You can make it easier on yourself by diligent work but you c as n really set things back by thinking more us better. Don't get caught up in that old "no pain, no gain" crap because you are going to have pain without pushing too hard and too long. You will hear it over and over, this is a marathon, not a sprint. My 1st session with my therapist he laid the rules right on the line. He said he was responsible with 15% of my recovery and I was in charge of the other 85. Give yourself a little TLC....you've been through a lot and you've got a lot more to go. You're awfully young to go through this so you must have been undergoing some real pain foe awhile and this should allow you to have some of your life back....just be good to the prosthesis.

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  • Posted

    I am 52, so sort of young for TKR

    Listen to your body. Be nice to your knee. There is no need to force it.

    My physiotherapist never did any hands on pushing or even touching of my leg.

    All self activated movements.

    Are you in UK?

    You may like to go to my profile by clicking on the image next to my name. I kept a journal of my own knee replacement journey, and I have been told by several people they found it helpful to read, or skim through. There is an abridged version which is shorter as well! It has a lot of useful suggestions and information.

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  • Posted

    Thanks for your many helpful replies. I'm uk.  Had a cruciate ligament injury then reconstruction 10 years ago. The knee was never any good since my injury, arthritis set in and kept it swollen stiff and painful for 10 years. 3 keyhole clean ups ( no better) and 2 'radiation' injections ( no better) the pain progressed to bone on bone so with a firm discussion with my surgeon he reluctantly replaced the knee( constantly saying I'm too young)  . Hours after surgery he visited the ward and without any doubt confirmed the knee definitely needed replacing even with photos on his own phone of the open knee and the damage inside!  I'm worried about the future and further knee revisions but for now I can have 10 years of no arthritis pain and chase my toddler son around the park . I'm going to tell my physio to take it easy and give him a ' submit' word I can shout when I feel uncomfortable 😣. Thanks again for all your replies. Nice to find a forum full of people experiencing the same challenges . It helps to talk 

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