Unable to exercise after TKR
Posted , 15 users are following.
I am just over 2 weeks post op having had a TKR on my my right leg. I have struggled with pain relief since day 1 and am now on a low dose slow release tramadol and also ibuprofen. My main concern is the lack of bend in my knee. i struggled to reach 80 deg before i left hospital but this has reduced greatly over the last week. My physio says i must push through the pain to see any results but i find this so hard when it hurts so much. It feels so stiff and tight like the whole thing is going to explode!! Beginning to wish I had never had this done and its really starting to drag me time - the time of year doesn't help either with everyone rushing around christmas shopping and partying! Any advice and encouragement would be appreciated.
1 like, 29 replies
sarah87162 alison64762
Posted
This is a really good exercise to try.
Sit on the bed with your feet on the bed and a tea tray at your feet and keep your socks on.
Try moving your foot up the tray and closer to you.
Mark on the tray where you get to.
Next time try and get a bit further up the tray.
Hope this helps
Take care and keep in touch
Praying for you
Sarah xxx
telcpa sarah87162
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Clarkey1962 alison64762
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Don't be too hard on yourself and little and often is better than trying to do a lot and then being in pain so you can't do anything. Persevere and don't let it beat you!! You will be able to achieve the bend but it will take a while. Just like everything else with this operation .... it's a very slow process but it does get better.
😉
richard68654 alison64762
Posted
Sarah's suggestion is good. I used a tightly rolled towel for placing under my knee for stretches and a large place mat, wore socks and used it lying on the bed and bending my knee. My wife was a great support, talking me on, sympathising but forceful to stop me simply giving up because of the pain. It took time - weeeks - but perseverance was the key. Use ice after exercising and rest with you leg up.
Keep reading the forum, we have all been there and we are all here with you.
delia56360 alison64762
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It will fel stiff and also feel like its going to explode . I wll be honest you still have a long road to go !!! Kee it iced and elivated and you will get there I promise
Let everyone els rush around for you because you cant no rocking around the christmas tree for you this year but def next
Take care
jemma33320 alison64762
Posted
Six weeks later, and after all this torture, I had my first follow up appointment with my surgeon. He examined me for about 2 minutes and said 'I have to put you in the hospital today, you have adhesions that will have to be broken under anesthesia". So, scar tissue had formed and they felt as hard and stiff as cement. I was put in short-stay hospital that same day, he manipulated the adhesions and 'broke' them up and when I woke up he sent me straight to physiotherapy and the next four days in a row. Finally, I was able to ride the bike and get a flexion of 100 degrees! Truthfully, I was so angry and disappointed that nobody recognized this and I went through six long weeks of pain and frustration because of it.
I would recommend that you get to see your surgeon and let him examine you for possible adheasions of that knee. If your degree of flexion is worse now than it was in the hospital then I would be very suspicious that this is what has happened. That knee never healed right and I still have pain in it. I just had my other knee operated on six weeks ago, by a different surgeon and it's doing wonderfully compared to the first one. I'm already at 120 degrees and can walk and squat without pain or weakness.
cheryl90571 alison64762
Posted
Two weeks in is still quite early in the game. You body has been through a LOT and is responding to it!
Rest is very helpful as is icing the knee and ELEVATING the leg above your heart. My physical therapist had me stop an exercise if I experienced pain. She then gave me a different exercise or stretch to build up the muscle so that I could eventually do the original exercise. I progressed well with her gentle approach.
I had my left TKR in June, and my right TKR done in October. There was more SWELLING with my left than my right. Less swelling makes physical therapy a lot easier. You just have to go with what is happening in your specific knee, though! Each surgery, even on the same person is different, and the body reacts differently. No two knees are the same, and no two people have the same experience. Knees are very complicated!
Sending lots of encouragement and prayers for you as you continue your journey! It will get better. Be patient, and give yourself time to heal.
alison64762 cheryl90571
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telcpa alison64762
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Hang in there, we hear all the time that it does get better!
Oldfatguy1 alison64762
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vanessa95917 alison64762
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alison64762
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john44470 alison64762
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I had a partial knee replacement 5 and half weeks ago.
Must say I feel for your emotions - I felt the same way - wish I'd not had it done, and I hated the whole world. Very angry with Physio staff - well meaning though they were, there was this constant pressure to drug yourself stupid and push the exercises so you were in total pain. I believe in listening to my body AND over the years have learned that any sort of pain is the body's cry for help saying - pain is the body in a state of dis- ease. I agree with oldfatguy - I take my exercises to the point of pain then back off and I've made great progress. I also find the after hospital physio care very basic. I was discharged with a NHS publication showing the exercises I had to do, as good as useless. I've got more info looking at various Physio videos on Youtube. I had to go back for a Physio review after 2 weeks which was on 24th Nov. and they declared I was about where I should be given the timeline. My next medical appointment is with the surgeon on 29 Dec. I was told to phone in if I had problems. I thought this was shabby treatment. I have a heart arrythmia and am on warfarin so I cannot take all the standard pain killers - I'm limited to co-codomol 30/50 but now 5 and half weeks later I'm down to 1 or 2 a day, some days nothing at all. The only thing I complain of now is slight swelling around the knee and tightness from the centre of the knee cap to just a few inches down. But I still keep on with the exercises, I also do others which I've found on Youtube.
But I repeat, in my view, push yourself to pain but not into it - then back off. Rest and repeat it.
Whilst there is plenty of information online about the surgical aspects of a partial knee replacement or TKR there is nothing that adequately prepares the patient for the rehab process. So Rehab/Physio as far as I'm concerned is barely fit for purpose.
Good luck.
John
john44470
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jemma33320 john44470
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Oldfatguy1 jemma33320
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jemma33320 Oldfatguy1
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john44470 jemma33320
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john44470 jemma33320
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Oldfatguy1 jemma33320
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