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barry

UK

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#1
Dec 21, 2008
 
I have just recently had a total knee replacement for my left knee a month ago and still have severe pain in my knee and other areas around including my hip and calf, this is causing great discomfort and sleepless nights. I am taking pain killers(co-codimal) with not much effect, the pain gets worse after exercise and general walking with the aid of walking sticks.My knee also feels quite hot all the time, i have to have a re-assesment in 2 weeks time and are going back to the doctor about the pain.
Can anyone give me some advice about this pain ?
Is this normal after 1 month?
Has anyone been in the same situation?
thanks , barry.
Susan

Somerville, NJ

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#2
Dec 21, 2008
 
It sounds like you're on track with normality at one month out. That hot knee might go on, especially after being on it, for months. The pain in your hip could be because you're walking differently than you did before the TKR. The calf is the same sort of thing -- we often use the muscles and joints very differently than we did while limping all the time.

As for the pain, make sure you're icing your knee on and off during the day. Elevate it above your heart whenever you can, too. If your pain meds aren't cutting it, ask the doctor for something stronger. I'm not familiar with the one you mention.

Four weeks is still really early in the recovery process for TKR. At eight weeks, you'll be smiling more. At six months, you'll have a new life! Stay positive -- it really helps!

Susan
tngrandmajan2

United States

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#3
Dec 21, 2008
 
Hi Barry,
Im 2 months out from the same surgery on the same knee as you. My pain is from right about the knee to down the leg. My knee is always extremely hot even now so I guess that the hot sensation goes along with the surgery. I know all about the sleepless nights as I spend all my time in a recliner because of not being able to get into my bed & be comfortable. Unlike you however Im unable to walk but I think thats because I wasnt walking prior to surgery so its taking me longer to recover. I hope that the pain eases up for you because I truly know how bad the pain can get & when you are givne pain meds thats supposed to work according to the doctors & they dont we get easily disappointed. Ive not had anything yet that actually does work. Im hoping that one day I will be able to walk but even my doctor says that if Im able to walk in a year he will consider the surgery a success. Even if I have a limp I will still be very happy if I can walk that way. Does the weather seem to effect your pain? Just curious. Hope to hear from you soon. Just know that you are not alone. Janet
Carol

Mesa, AZ

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#4
Jan 8, 2009
 
Hi Susan,
I had my surgery 2 1/2 months ago. I too feel a lot of pain in the front of knee just below the knee cap. The therapist said it is probably a capsule in that area prohibiting the stretch and is now having me stretch more. Over all I can walk like quasimoto and can only do the grocery store at the most. Tried the mall the other day and my husband had to go get the car. I am afraid to say anything to the doctor for fear of another surgery. You have such a positive attitude I wanted to get your opinion....thanks.
Susan wrote:
It sounds like you're on track with normality at one month out. That hot knee might go on, especially after being on it, for months. The pain in your hip could be because you're walking differently than you did before the TKR. The calf is the same sort of thing -- we often use the muscles and joints very differently than we did while limping all the time.
As for the pain, make sure you're icing your knee on and off during the day. Elevate it above your heart whenever you can, too. If your pain meds aren't cutting it, ask the doctor for something stronger. I'm not familiar with the one you mention.
Four weeks is still really early in the recovery process for TKR. At eight weeks, you'll be smiling more. At six months, you'll have a new life! Stay positive -- it really helps!
Susan
Lee

Buffalo, MN

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#5
Dec 14, 2009
 
I read that you need to keep your knees WARM at night and try to sleep on your side with a pillow between your legs. I wrap a fleece blanket around the pillow and my knees and put another heavier cotton blanket over my knees on top of the comforter. Does Help. I am on my second tkr. 6 months apart and ice after excercising, religiously. Good luck!!

http://www.ehow.com/how_5682405_sleep-total-k...
Jeff in WI

Milwaukee, WI

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#6
Dec 18, 2009
 
Barry in UK,
I'm 9 weeks post op this week, same knee. Even today, my knee is still warm to the touch. Pain is still present but obviously much better than at one month, so better days are ahead. I sleep with pillows like Lee said, does make a huge difference. But was at least into my 6th week before I could say that I slept longer than 4-5 hours at a time. My biggest issue has been poor ROM, even had a manipulation under anesthesia at week 6, but the doc didn't take the time to stretch and warm me up and tore every muscle in my thigh. By the time I got those to heal and calm down, my ROM was right back to where it was prior to the procedure. Have you started any water PT yet? It made a difference for me with the pain and swelling. Again if it wasn't for trying to gain ROM, my pain would be minimal. So hang in there, it sounds like you're right where you should be at one month. I agree that you should ask for some stronger meds. They upped me from Vicodine to Percocet and it did help quite a bit. Stay in touch and good luck!
susan

Port Talbot, UK

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#7
Mar 2, 2010
 
my 80 year old mother has had a successful knee replacement but she is complaining of nausea. she is not taking any pain killers or any other medicine apart from her usual tablet for heart condition. she is taking asprin but only with meals she was given something to take with asprin similar to people with ulcers to protect her stomach but stopped taking it when she found the side effect was nausea. she is still feeling really sick and not eating much. has anyone else felt sick?
Cindy in NC

Reidsville, NC

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#8
Mar 26, 2010
 
I am almost 2 years post op on my right TKR and 7 months post op on my left knee. I can tell you the hot feeling in your knee and sometimes below the knee is normal part of healing. Pain in the leg below is normal also. It takes a good year to get over the surgery, so just keep exercising and be patient.

The main thing is to move that joint, walk some every day, even if it is just around the house or to the mailbox. The more you move even though it may hurt will prompt faster healing and getting back to normal.

I wish I had had the surgeries years ago. Best thing I ever did.
ginny sass

Mount Pleasant, SC

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#9
Apr 5, 2010
 
susan wrote:
my 80 year old mother has had a successful knee replacement but she is complaining of nausea. she is not taking any pain killers or any other medicine apart from her usual tablet for heart condition. she is taking asprin but only with meals she was given something to take with asprin similar to people with ulcers to protect her stomach but stopped taking it when she found the side effect was nausea. she is still feeling really sick and not eating much. has anyone else felt sick?
I am one month out from a double knee replacement and I have had a huge problem with nausea. I think it its common. I have lost 12 lbs in the last month which I could stand to lose. I think the surgery, anesthesia and pain can cause nausea. I can not believe your mom is not taking any pain meds. She is one tough woman. I can eat but the thought of food just makes me ill, I am normally a food lover. I hope she feels better, how is she doing with her pt?
ginny sass

Mount Pleasant, SC

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#10
Apr 5, 2010
 
Cindy in NC wrote:
I am almost 2 years post op on my right TKR and 7 months post op on my left knee. I can tell you the hot feeling in your knee and sometimes below the knee is normal part of healing. Pain in the leg below is normal also. It takes a good year to get over the surgery, so just keep exercising and be patient.
The main thing is to move that joint, walk some every day, even if it is just around the house or to the mailbox. The more you move even though it may hurt will prompt faster healing and getting back to normal.
How long does the hot sensation last? I am 4 weeks post op on a bilateral replacement. I have been back to the gym and done tread mill, elliptical and upper body strength training. I am so surprised at what a toll the surgery took on my energy level. I am 55 and dcan only do a small percentage of daily activities. When will I get my energy back? thanks.
Clare

United States

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#11
May 30, 2010
 
I am 4 weeks out from mt TKA on my left knee. I am 66 yo F and was very active before the surgery, working out at the gym,doing yoga, skiing and swimming prior to surgery. I have been bone on bone in the medial compartment for about 13 years and have had synvisc treatments for years. This past winter the knee began to flare up regularly. I decided to fix the knee before walking became too difficult. It was burning when walking any distance and had intermittant sharp stabbing pains which stopped me cold when they occurred.
I discontinued the walker the day after I came home from the hospital and never used a cane. I am doing PT and the knee flexes to 123 degrees as of the last measurement.
The pain is fairly constant at a low level, the knee is hot and the skin around it is extremely sensative. The disturbing bit is my very low level of energy. It wakes me enough that I am getting up for ice 3 or 4 times every night. The exercises take 45 minutes to an hour 2 times a day, and I am getting in bed and sleeping after the AM exercise. I feel like I am getting over a difficult illness and don't feel very good. I get very hungry, but don't eat much at a time. The most difficult part of the PT for me is bending the knee, it feels like a tight band and it hurts in the tibia.
I am hoping it will get better over the next few weeks and that my energy will come back. I don't see how anyone could take this surgery lightly, it's a bear!
DEVI- BTKR-4_12_10

Newark, NJ

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#12
May 31, 2010
 
Clare wrote:
I am 4 weeks out from mt TKA on my left knee. I am 66 yo F and was very active before the surgery, working out at the gym,doing yoga, skiing and swimming prior to surgery. I have been bone on bone in the medial compartment for about 13 years and have had synvisc treatments for years. This past winter the knee began to flare up regularly. I decided to fix the knee before walking became too difficult. It was burning when walking any distance and had intermittant sharp stabbing pains which stopped me cold when they occurred.
I discontinued the walker the day after I came home from the hospital and never used a cane. I am doing PT and the knee flexes to 123 degrees as of the last measurement.
The pain is fairly constant at a low level, the knee is hot and the skin around it is extremely sensative. The disturbing bit is my very low level of energy. It wakes me enough that I am getting up for ice 3 or 4 times every night. The exercises take 45 minutes to an hour 2 times a day, and I am getting in bed and sleeping after the AM exercise. I feel like I am getting over a difficult illness and don't feel very good. I get very hungry, but don't eat much at a time. The most difficult part of the PT for me is bending the knee, it feels like a tight band and it hurts in the tibia.
I am hoping it will get better over the next few weeks and that my energy will come back. I don't see how anyone could take this surgery lightly, it's a bear!
Hi clare,i had my both knees done 4/12/10. I am 52 years old ,115 on my right leg and my left leg is only 105, i have same problem with bending with my left knee. I went to surgen he thinks i my have some scar tissue ,pt need to break, if it does not go away he want me to call him in a month. Same thing with energy,no energy at all, i have to go back to work in 5 weeks, i hope i will get better by then.
Jen in AK

United States

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#13
Jun 1, 2010
 
I am a 36 year old F who had a TKR 4/16/10 and had excessive swelling for 7 days post-op...when I started out paitent PT my ROM was only at 78 and after 5 weeks I was up to 90 with assistance but when I stopped using my CPM it fell back to 75... I went back to the doc and he and I decided to do manipulation under anestesia to break up the scar tissue that had built up and stopped my progress... Of course, I looked this procedure up on the Internet only to scare the heck out of my self! I went in this morning at 7:30am, was knocked out by 8:15 and woke up bending my knee at 115 at 8:30.... I left the hospital at 9:00...was put back in a CPM and at 5:00pm I was at PT! This was the best outcome possible... The pain is horrible but I'll take it over never walking straight or in mass pain again! Being so young with osteoarthritis as bad as mine made me question if I should have had the TKR knowing I will need a revision at some point in my life, but after living with knee pain for 18 years I think I made the right choice for my quality if life.
Maryelizabeth

Kingston Upon Thames, UK

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#14
Jul 21, 2010
 
I am week 9 post TKR, 2 days a go I noticed a sudden "click" and since then the pain has become more acute and feels much warmer than it did before. I am taking Tramadol 150mgs twice a day along with Ibroprufen 400mgs 3 times a day with the odd extra 50mgs Tramadol. Regular ice pack and walking as much as I can. Would continued use of a static bike be helpful? Sleep is disturbed, do use a large cushion between the knees. Please advise. Thank you.
diannalk

Cisco, TX

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#15
Jul 21, 2010
 
I am 45 yr old f. I had TKR 3-15-10. Dr told me we could flip a coin on witch knee to do first. We did (R). 2wks after I told my family something is not righ. Told Dr. also, he said "my expectations were too high". Too high of being well? after 3 months of Dr. telling me all is ok he would not look into anything else untill I was 6/8 months out. After 3 months of PT. I still like 11 degrees on the straightening of my knee and a bend of 101.As of 4 months out Dr. still has me on a walker.So I found a 2nd Dr. took x-rays said "not good, it's loose".On 7/27/10 I will have it redone. The 1st knee is a Zimmer NexGen CR in March of this year the AOA wanted to have this knee taken off the market due to this problem. So read up on what knee u have and ask ur Dr. what brand he uses. Most Dr. get a big kick back for using a certain brand. Not looking forward to doing this all over again so soon.
Judy RN

Lindenhurst, NY

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#16
Jul 23, 2010
 
I am at 4 1/2 weeks after Left TKR. I was actually doing better last week. In PT they added weights to my leg lifts, and the weight resistance machines (pushing and pulling against weights) and flexing against the staircase. The last few days, the pain has increased sharply in my knee and walking has become more difficult. My surgeon told me today to back off on these exercises for awhile, as this has added to my swelling. So frustrating, it brought me to tears. It is good to hear I am not alone.

Since: Jul 10

Stoughton, Ma.

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#17
Jul 23, 2010
 

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Hi, I used to post as John48 which no longer applies (age). I am 10 months post TKR. Just remember you will hit snags where it feels like nothing is ever going to improve. It does though. Be patient and keep your chin up, it really does get better.
Sarah from Phila

United States

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#18
Jul 29, 2010
 
JOHN 49 wrote:
Hi, I used to post as John48 which no longer applies (age). I am 10 months post TKR. Just remember you will hit snags where it feels like nothing is ever going to improve. It does though. Be patient and keep your chin up, it really does ge better.
John, after 10 months do you still have siffness and pain..my doc said it would take a good year to feel a difference ..well i hope so..they say when pain occurs its good to take a few days off of excersing...however, how much is too much excerise ????

Since: Jul 10

Stoughton, Ma.

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#19
Jul 29, 2010
 
Sarah from Phila wrote:
<quoted text>
John, after 10 months do you still have siffness and pain..my doc said it would take a good year to feel a difference ..well i hope so..they say when pain occurs its good to take a few days off of excersing...however, how much is too much excerise ????
Hi Sarah,
Don't take a few days off, just back off a bit. Your Dr. is not kidding, it' takes a year. Yes I still get stiff sometimes. When I do a lot then sit for a while and it gets stiff. I have been spending a lot of time in my buddy's pool which helps (I work and have my own house to take care of so it's not everyday)and an exercise bike helps. You need to keep your knee moving fluidly. There will be pain at 10 months but it's definitely different. 1 month is still nothing for time. I did go back to work after 6 1/2 weeks (not physical labor so it wasn't bad, keep in mind though it wasn't great either. There will be times you feel like absolutely nothing is improving for a long time but then you notice that things did improve and you just didn't notice. Don't give up even though you get so frustrated that you want to scream. This will be worth it. Time and work will make a big difference. I went walking on a beach the other day and it felt great. Last year at this time the pain was bad.
This was something I waited a long time to do and it was time.
I did stop going to PT after I went back to work, I did it myself at my house.
Read the forum that's only labeled "Otis Knee" It's long reading but you can follow a few of the peoples dealing with their TKR's from last year. I posted a ton so people could see exactly what was coming. I had the Otid procedure but you still have to recover from the same surgery.
Good luck,
John
**I wish I had my surgery at the end of the winter so that healing would have been in the warmer weather.
Rhea50

Flandreau, SD

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#20
Aug 6, 2010
 
I am at 9 weeks out of total knee replacement for my left knee. I need the right done, but will put it off as long as possible, because of the recovery time.

I am very happy for the most part on how everything is going. Today I feel like I am having a bad day as my knee is aching and feels swollen. But this is the end of my work week.

The problem I have, is because of my age everyone in my family, and at work expect me to be back to normal at 9 weeks. But I don't feel like I am. I feel like I am doing great, but still have a way to go. I don't feel like being made to feel like I am being a baby about it.

Reading these comments help me feel better about this.

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