Explain your treatment after surgery - knee or hip

My knee replacement was May 23, 2014, four days before yours. I was back to work in four weeks. I'm glad you are doing so well. Have a blessed day. ~ Donna

Hi Cassie - good to hear from you!!

Sounds like you're getting along pretty well. So glad your daughter could come stay with you and be such a big help!
If you've read any of the other posts here you will see that the stiffness will remain for awhile...maybe a long while but it does get better with time. And now, even 3 and 6 years post op I still have days with some pain --- mostly those rainy days but compared to the pain I'd been in - this is very tolerable and just a nuisance more than anything.

I've changed the hot tub to the pool/spa for summer -- so hop in and say hi to everyone when you can.
If there's any info in particular you need, please just ask! (or send an email to me or maryann)

My TKR-right knee was completed on May 27, 2014. The surgery was scheduled for 7:30 AM and I was out of recovery and in my room by 11:30 am. I stayed in the hospital until May 30th and I went home. My youngest daughter stayed with me for the first week. I was using a walker and needed some assistance with everyday tasks. My daughter had removed all rugs and rearranged the furniture to provide wide passable areas in the house. She cooked all of my meals and kept up a good schedule of icing my knee.

I had a home health nurse, originally for four visits. Two visits were added, one for the removal of the staples and a follow-up to check the incision after the staples were out for a few days. I had six home physical therapy visits. The PT worked with me on lying, sitting and standing exercises that I did daily. I was also using the CPM machine for the first two weeks that I was at home.

The third week I went to outpatient therapy. The exercises were harder than what I had done at home but I was able to get through the hour sessions. I was given permission to drive if I felt up to it. I went out in the car alone yesterday,June 21. I drove to the market, did a little shopping and returned home. I was achy and needed ice. I have about 8 pain pills left from my prescription. I hesitate to take them because I can't be on meds and drive. I am most uncomfortable at night and don;t sleep more than a few hours at a time. I normally sleep with my knees propped up on pillows but this is not a position that is encouraged following surgery.

Tuesday will begin my fourth week post-op. I think I am doing well. I am still stiff and swollen, will be happy to have these feelings pass. Will have to start planning for food prep, etc. as the food my daughter left is running out and I will have to start cooking. Also need to consider how I will begin to get some type of fitness routine together.

Hi Maraclare-- welcome!!!

I'm one of the co-leaders of this team. Maryann (kineps) is the other. We're glad you found us. Don't know if you've read through the threads (topics) on the team page but there is a "Replacement Central" topic that might be very helpful for you as well as what the others will tell you here. As always - your own dr. is the final determiner of what is best for you.

I had both my TKRs done in the summer so shorts were needed...esp. when you have to pull on those darned compression hose. But since the weather may not be conducive to that...you will have to go with sweats or perhaps a long skirt??

We won't lie the pain after a TKR -- esp during the PT can be quite intense so that's why they recommend (if you can) taking a pain pill an hour before your therapy. You will also find that an ice pack will be your best friend. I had the icing machine at home for the first few weeks -- dh filled it and I'd lie in bed after I'd done my exercises and it would help relieve some of the pain I had after doing my exercises. Hope that gives you a little idea what to expect. We haven't had any surgeries (that we know about anyway) for a few months so do you mind if I post it under our Upcoming surgeries thread?

So glad you joined us - our general daily conversation takes place in the hot tub -- and you can ask questions there if you'd like as well....or here, either is fine.
Talk to you more later - Lynn

Hi Maraclare--welcome to the team!

You probably want something that doesn't rub on your knee. It's been a while since my surgery, but I think I remember that I didn't have a dressing over staples and would think they'd catch. I wore shorts for therapy. We had group therapy and I didn't want the world to see what they shouldn't (if ya know what I mean!).

After surgery, don't be a hero. If you have pain meds coming, take them. You really do need to push the therapy so in the long run you benefit if your pain is well controlled.

I'm sure you'll have a couple others of the team chime in. Again...welcome!

Hi there, I am new here...Hope I found the right place. I am scheduled for knee replacement April 23. Doctor thinks I will need a week or two in rehab unit as I am still 100lbs over an out of condition. I am nervous but am now obsessing on what does one wear in a rehab unit? I need to prepare and get clothing together. Will I be able to wear drawstring pants or will they irritate my knee? Should I stick to house dresses? What about shoes? What did you find helpful to bring to the hospital. I know there will be a great deal of discomfort and pain afterwards...I can cope...I hope...:)

Thanks for support folks.

Bethan - well I did 'assume' it was from a chair and I did that same exercise in PT...I think it's to help strengthen those muscles around the knee to become stronger for support. It's hard at first of course but as time goes on you'll find it'll get much easier. I can get up now with no problem! It's prob. a good exercise to keep practicing to us who are well beyond the surgery past for that very reason.

Two months out is just an 'infancy' to your knee. Don't be too hard on yourself The scrips and exercises are there for you to do b/c you 'need' them...your body will begin to tell you when you don't need them anymore and actually it almost sneaks up on you -- and you wake up one day and say "hmmm, I didn't have to take a pain med yesterday' or " wow, that exercise is much easier now...I still have days -- true very far apart where I will still take a pain med b/c it just hurts more than it had been.....and I don't hesitate.

Oh good heavens no, Mamaz. not from the floor! I simply can only imagine that! Like you, if I ever got on the floor, I'd never get up again!! It was sit on chair and stand, but we weren't to use our hands! I use my hands to heave me up with or without arms on the chairs! Can't be done otherwise! I am practising now from the arm of the sofa (sitting on it) and can just about raise myself, but it hurts like he*l and I wonder why it's necessary! Lynn, evidently my surgeon is the sort that approves weight on it! Shame!

Leslie, thanks for your input also. It's helpful to know other's experiences. I'm sorry for your predicament; two knees and two hips is no joke. A friend of mine explained that muscles have 'memories' which would explain why having achieved one exercise it isn't as difficult again.

As far as the medication goes, I gave in yesterday; had an anti-inflammatory and later for bedtime a Solpadol (Codeine and paracetamol). I actually slept through the night for the first time in weeks and it's much easier still today, so I suppose I still have to take the meds! It just seems a long time (2 months and counting!)

Good luck (and empathy!) to all fellow sufferers!

Edited by: RAINBOWHARMONY at: 2/8/2014 (07:20)

Oh wow...I hope it wasn't from floor...chairs were hard enough at first! I don't think I can even imagine trying to get up from the floor since the only way I will ever get down to the floor is if I fall!

Bethan - sit to standing from a chair or from the floor??? I cannot get on the floor anymore - haven't been able to for a long time - not b/c of myknees so much but b/c of ME!! My PT did teach me how to get up off the floor, like if I fell or whatever, but the problem with it is you need 2 things nearby, mainly a wall and a low chair or footstool!!!! I asked them well what do I do if I fell outside?? Uhhhm, no answer!!! But I have learned that if you are near a wall its easier...also some dr. have a thing about you putting weight on your new knee -- some don't....so it depends what your dr. recommends for your type of knee. My dr. (and PT) said it would be best if I didn't put weight on my knee (and now knees) ....so there you go!

Bethan,
I am about to undergo my second knee replacement on the other knee so I am aware of trying to rehabilitate with an unwilling partner! Both my hips are getting replaced as well so sometimes it feels like I am fighting for something that is just impossible BUT...KEEP FIGHTING THROUGH IT! The worst thing you can do is let your mind talk your body out of doing what you need it to do. When i did not have physio and I needed pain relief, I stuck to basic tylenol, ice and my relaxing physio excercises( the ones that help relive the stress and tension) but before doing physio I always took my pain meds...it helps you over the hump. Once you have accomplished something in physio, it is never as hard again. That is the truth. As for sitting to standing, use your arms to push you up..not your knees. It is best to sit in a solid chair with arm rests for that. Practice at home for next physio.Then once you are up, centre yourself and start walking! You got this!
Leslie

Lynn and Leslie. Thank you so much for your words of encouragement. It helps to know that others suffer similarly! Three months Leslie? Are you really still icing? I stopped that - maybe I need to restart. Also painkillers bug me - do I or don't I? I didn't take any yesterday all day and all night and it seems pretty much the same. I didn't sleep, but I don't sleep well anyway.

One thing I's be interested to know - at physio yesterday, we had the 'boss-man' and he got us to stand from sitting. Uh oh! Not me, I was the only one who sat there like a lemon, quite unable to achieve standing. He seemed to think it was the other knee that's the culprit as that needs surgery too (but I can't face it again!) Any tips on Sit to Stand?

Bethan,
I think that feeling is pretty common and will be with you, tho not to the same extent, for awhile. Three months post surgery in a few days and if I have been immobile too long or too active w/o enough rest or icing...that feeling is present. I seem to have it a lot at the end of the day and the hike up 16 steps to bed seems daunting! Hang in there...it is a marathon not a race but every day will bring you a little closer to where you want to end up! Don't stop the prescribed excercises, don't stop icing and this too shall pass.
Leslie

Bethan - I find my knee feels like that -- even now at times - if I don't keep it moving and exercising. Since dh and I joined a gym last year I've been doing water zumba and aquasize and that truly helps from having that 'feeling' occur.

Lynn, thanks for the tip of sticking your rear end out to go downstairs! I tried that and it certainly made it easier. I can achieve the going down now. My main problem at the moment is that my knee feels like a block of concrete that I'm lugging around with me. Anyone else had that feeling? It just feel so stiff and heavy.

I was relieved to hear that it took you a full year Lynn, to feel you'd done the right thing. I'm waiting!!

Good luck to all TKRers!

Edited by: RAINBOWHARMONY at: 1/28/2014 (09:05)

Mamaz - you are very right -- the pre-op exercises are important as well as after! Thanks for sharing your experience.

It took me aFULL year b/f I was able to say I'm glad I'd done my 1st TKR -- yes I felt better in that time but the feeling that it was the right thing to do took a year. When I had my 2nd one done 3 years later -- I knew what was coming and appreciated where I was and knew where I was going....

It is funny how going down the stairs seems to be the hardest thing to get over. I must say that all the pre-hab physio (18classes) that my hospital provided...free...helped my recovery before the surgery even happened. I was operated on Thursday afternoon and home Saturday morning. No home care and I had to get myself to the knee class (8 sessions) two weeks after the surgery.I did not get my quads back for almost 2 weeks and still have a loss of feeling to the left of my knee and lower shin but the pain that plagued me night and day is finally gone! Range of motion is at 112 degrees and quickly heading for the 120 goal. Still get a pulling feeling going down stairs and rolling over in bed is sometimes a little painful but over all, recovering well...it will be three months next week. The first week after surgery I thought..."What have I gone and done to myself?!" Car rides were hell, bathroom was hell,showering...you guessed it : H- E -Double Hockey sticks! Then,into week two, i realized...this is working! The pain is slowly leaving and I can actually see a defined knee that just might function! If I can impart one thing...Do the work...the excercises WILL make the difference!

Hi Bethan - glad you're checking out some of our threads....

Talking about how long you were in the hospital I think I get the 'trophy' for shortest time in on the team (I think) I was from admitting with surgery within an hour and a half....having the surgery then checking out at the 23 hour and 59 minute mark!! I had 2 walks with the PT while I was there....and then came home and dh was my helper (bless his heart) I had outpatient PT 1-2x a week the first month and then 1x a week for about 2-3 months afterwards...My dr .truly expected me to do all 'the work' at home.....and I tried but I wasn't good all the time. I find I'm still making strides - even on my right knee (now 5 years old) ....so the progess is just an ongoing thing. I think you're doing wonderfully well....so please take heart with your progress. I also found that it would be so gradual that sometimes I wouldn't even notice it - til after I'd been doing it for awhile!!

Also - about going downstairs....my PT taught me to (always go down with the bad knee first) then as you're putting that leg down - stick your rear-end out a bit and it became much less painful. It truly amazed me. I still sometimes take steps one foot at a time....and even if I do alternate feet - I hold onto the railing...just for safety sake!

Hi, TKR 27th November and it's beginning to feel better at last - 6 weeks in. I suffered dreadfully with peripheral nerve damage (I imagine) and it was hell to be honest. At last that's quietened down and I can think straight!

Physio told me yesterday that I can try using operated knee for climbing stairs! I can do up, but much harder doing down!

I think I was out of hospital too soon. I was in for surgery late on Wednesday evening (about 7.30pm) and then out and home on the Saturday after lunch. It was too soon for me, my body went into muscle spasm when I got home, from the effort, the car journey and I was SO cold. It was sheer misery for the first 5 weeks and then, and only then, began to ease and now I can see the future in sight!

Good luck to all future operatees!

Edited by: RAINBOWHARMONY at: 1/9/2014 (11:46)

Bumping this thread up the forum.....

Bumping this topic up toward the top

Cindy --

Take heart --- we have all been there and done that!! And have come out the better for it. Remember each of us are individuals, with different thresholds, different doctors, and just know you're going to hurt. for awhile....and then you will say, Hmmm, why didn't I do this sooner! ! :))
Keep in touch - ask questions as you need to and we'll be glad to support you!

Whew I am learning and not sure I like all this LOL HAHA I have read every post on this and almost all the ones about it in the general team discussion.
Biggest thing I have learned is to do my pre surgery exericses more than I am and that it will take way more time than I thought!
Thanks eeeek...
CIndy

Hi All. Now that the cold weather has hit Ohio-my new knees were feeling yucky. Compression hose to the rescue. They're not as tight as the lovely ones you get in the hospital-but do provide support and a surprising amount of warmth. I think they're going to be my best friends this winter.

Bumping this thread up toward the top....have a nice day!! :))

Lynne, I feel better hearing that you also still have trouble going down steps. I suffer from the same issue, but it is improving... slowly. I must admit that the foot surgery didn't help, either. I'll just keep working at it!

Hi Kathy -- so glad you posted!! We have several members who have just had surgery (like yourself) and others who's surgeries are coming up -- so its good for everyone to hear that it 'does get better' with time.....With you being so young I"m sure you're bouncing back sooner b/c your muscles and bones aren't as old as some of ours!! I still go down one step at a time on some steps (ones that don't have a handrail mostly!) But I'm trying to make it alternating feet -- and it's improving since I've been swimming so much. Thanks for posting!

Hi! New here - back on SparkPeople after TRKR October 4th. Tired of the fat I'm lugging around with the new knee ;o).
I'm 40 - bummed-up my knee at 15 when I was in a bad car accident, and realize I should have gone to the ortho 10 years ago - I'm having to completely relearn how to use muscles I haven't been using correctly for 20 years!
I did PT in the hospital for 3 days, then homehealth came 5 times. I was released to drive at 12 days post-op, and released to play tennis at my 4 week visit. (I'm a tennis addict). I've been in out-patient PT 1-2 times a week since then - my insurance has a hard limit of 20 visits, so I'm trying to use them as smart as I can. Oh, and no- I'm not playing tennis yet - just hitting, and getting my shots/serve back. My body is aching to do it, but I think I need another 2-3 weeks to be able to play full tilt.
My big *issue* right now is that I feel pretty comfortable moving, etc, but I SO want to walk down stairs!!! I can get a 1/2 step pretty easily , but the full step is still painful and pulls on the knee. My therapist says not to worry - it will come, but golly geez, I want to not look like a 3 year old walking down stairs, and actually move faster than my grandma when I do it! (No offense Grandma!).
I know for me, I've pushed myself to the limit at home, and I think it's been worth it. Well, that, and I have a good pain tolerence, and I heal well. I have had a few good cries over what I want to do, and how frustrating it can be, but I can see how having a functioning knee will improve my life!
- Kathy

BEBOP4ME - Hope you're feeling better today and continue to move around a little better.

I think you'll find that to be true -- somedays you move it well (bending and straightening) and then the next day - now so much!! I am now able to cross my right knee over my left (like to sit or just to put socks on - and that knee was done 4 years ago and the other - done a little over a year ago - I still can't. So slow and steady wins the race -- DEFINITELY true of knees! Glad to hear from you!! I handle anesthesia pretty good except when they used prophyenol (sp?) during my colonoscopy last March...made me sick!! Make sure you take a pain pill an hour before P/T....it helps for all the different movements they want you to do!

I had a partial knee replacement nov 20. I spent all day wednesday being sick to my atomach and light headed. I did go to pt twice, but could only do stuff laying down. They told me it was the anestesia, but it was the pain medicine. Morphine and oxycodone make me sick. When i asked them to switch it, i could keep food down on Thursday. Only had pt once today, since it is Thanksgiving, but my leg has really tightened up and my range of motion isnt as good today. They are keeping me at least one more day, as today was my first real day of pt. walking is easier than bending the knee so far.

I had my TLKR are Jan 11 2012, when I woke from surgery I was already in a room with a CPM and Ice pak on. That afternoon Physical Therapy came in and got me up on the side of the bed. I stood for maybe five minutes before they let me lie back down and put both the CPM and ice pak back on my leg. The following morning a nurse came to my room and asked if I wanted to get up for breakfast, with her help I managed to move from the side of the bed to a chair and when my surgeon arrived I was eating breakfast while sitting in the chair, It had been over an hour already so he was very surprised although he had been warned that it would be almost impossible to keep me down. He asked if I would like the catheter removed and of course that was a goal but my main goal was to be able to move without assistance. Later that day, PT came and had me walk the hall and do therapy on their equipment, then OT came and took me to shower. Later that day I was walking the halls with the help of a walker so I knew I would be ok. I came home from the hospital only 2 days after surgery. Living in an apartment complex that you have to climb stairs to get in the building and then go down to get to my apartment was a bit of a challenge at first but after a few days I wanted to get out and climb those stairs. I had 2 weeks of home therapy and I believe it was a month of therapy at the Physical Therapy office. Returning to the doctor for my follow-up I told him that I was climbing stairs in and out of my building and my daughters 3 -4 times a day and he asked so you don't want to go back to PT? Of course I told him no and he said OK. His only other statement was next time I see you I don't want to see you limping. I went and bought new shoes as they were part of the problem. Tomorrow will make 44 weeks post surgery and the doctor released me yesterday from his care. I don't know exactly how far I can bend the knee but I do that it was very impressive to him. Once again I am so glad that finally I got this taken care of. After 6 years of fighting with the VA, I had to go to an outside doctor but in the end even the VA doctors are impressed that I have recovered so quickly.

Bumping this topic up to the visible threads -- so please explain your surgery and treatment for others to see/hear -- it might help them somewhere down the road.

Seni - first of all . . . I'm so impressed that you read the whole thread - lol!!

Seriously though, if I've learned anything at all, it's that we're all individuals and we all have a different story to tell. Even both of my surgeries were different. What I love about this team, is that it's the only support system I have for my knee replacements. I love my surgeon and he had the best assistant - both who always answered my questions, but they were textbook answers. On this thread, you get real life answers - because most of us have gone through the surgery already.

From reading some of the other members' comments - I guess I was really lucky. My swelling was completely gone within 8 weeks. I did p/t before each surgery, had 4 weeks at-home therapy and I was done. My at-home therapist was tough on me and really pushed me - but not so far that I did damage - just more than I would have pushed on my own. My daughter and son were in grade school at the time and I wanted to be up and running, so to speak, so I got what I asked for!!!

The most important thing is to listen to your body. It's great that you have access to a pool - doing the exercises in water is so much easier on the joints. If you don't feel like it's getting any better by the 3 month mark -- I'd touch base with the surgeon again.

Good luck!!

I had a TKR on my left knee on September 17th (not quite 8 weeks ago) I got a Stryker Triathlete-sounds intimidating, doesn't it? But my Dr said that does NOT mean I can run a marathon. Not ever. No high impact anything for me. I'm okay with that.

But reading through this thread (yes, the WHOLE thing) it seems like everyone else was doing much more, much faster. I was pushing myself real hard in my therapy, and I got my butt chewed. By my Dr and therapist. What gives? What's the trick? I've been released from therapy (insurance said so) and rehabbing on my own at the Y, pool 3x a week and nothing more because I was told to stop pushing so hard. The knee is still swelling and getting hot when I do much.

I was doing my exercises at home pretty much constantly, evidently more is not better? What is realistic to expect for the swelling to subside and my flexion to be consistent? When its not swelled, I can get 110 degrees, when it swells, I'm lucky to get 80.

I need the second knee done as well. Both knees had been bone on bone since I was in my early 20's and I'm 45 now, so I guess I should be more patient.

Oh, and the ice pumps? They're called CryoCuffs :-) I do have one of those!

I had a Left TKR on June 19 th but had had 4 other surgeries on that leg before that since March 5th when I broke my knee (see my intro thread). My TKR surgery was at noon and I had a spinal block but I was asleep. Because I had torn my artery in March and had had a vein to artery transplant, the orthopedic doctor could not use a tourniquet so I lost more blood than normal. I had a blood bank unit of blood during the surgery and afterwards the blood that came out of my knee was filtered and given back to me in my vein (auto-transfusion). I had a anesthetic block at the end of surgery so I had no pain until the next day. That was wonderful!
After 3 1/2 months of not being able to weight bare on my left leg.... and then having the TKR... I was up and walking the next day! I stayed in the hospital for four nights to make sure that all was well.

I went back to my apartment but I had already been on my own hopping on one foot with a walker for awhile so did not have to have someone living with me. My friend stayed only one or two nights. I had Home Health Care for one week then went to the Outpatient Rehab using the Moby Bus system where the city bus came to pick me up at my house. At first I went with my wheelchair but then my walker. I used a walker for six weeks before graduating to a cane. I had 10 outpatient PT sessions before surgery...with electrodes to my quad to "fire them up" then I had 28 Outpatient PTs after surgery. My insurance awarded me 18 extra PT sessions. Since my leg had been straight for months between March and June..... it has now been hard bending my knee. On my last PT I finally got my knee bent to 86 degrees. My PT bent it to 96 degrees. I think that now I can bend it to 90 degrees but I have no one to measure it. My Doctor said that I may never be able to bend it more than 90 degrees.

I am 4 months post op and still use a cane some but not always. My case was not a normal TKR since I first broke my knee (lost two ligaments, tore the main artery and smashed my tibia which had to be repaired and healed before the TKR surgery). I go to a Wellness Center several times a week to either swim or use their NuStep recumbent bike and other equipment.

I finally got permission to return to my work. December 11th I am flying to Africa where I am a missionary nurse at a Christian Hospital and where I teach in a Nursing School.

Hi Sue -- I just saw the discussion you had with Lynn and thought I'd join in. I think that I might be the only one on the team who has had the replacements so long - 7 years. Like Lynn said -- we all had the 'same' surgery, but we each have our own stories to tell.

Depending on what condition the knee was in going into the surgery, the surgeon, and the p/t before and after -- could dictate what condition you'll be in after the fact.

I had the continual passive machine and the ice machine, in the hospital and at home. I had my surgeries on a Wednesday and was walking within a few hours of my surgery - mainly because I wanted to use the bathroom and NOT the 'pan' - lol!! I had a morphine drip for the first 12 hours and then was switched over to Tylenol 3 every 4-6 hours depending on pain. I wore the very stylish white TED hose, had therapy in the hospital twice a day and walked around the floor as much as I possibly could. The continual passive machine was hooked up every night so it worked while I slept. By time I went home, I was walking with a walker and could go up and down stairs alone. I had at-home therapy, 3x/week for four weeks - and then was released.

Like you -- sleeping was a problem sometimes, but the pillows worked for me. A recliner would have been wonderful - wish I would have thought of that - lol!

So, 7 years out . . . I have no pain - never did after the first month or so, and the swelling was gone within 2 months. They do pop or click every now and then. The only two problems I had were self-inflicted - lol!! I aggravated my I.T. band by walking too much on my treadmill, and about 3-4 weeks ago I sprained my knee. Otherwise, I've been fine. I will tell you though, that doing the stretches and exercises every day is key . . . which I don't do. I'm very sporadic about them - which is probably why I injured myself.

But on a positive - I don't think about them anymore! For a long time, I would hesitate to do anything because of my knee replacements. I just babied them something terrible. Now I just go out and do what I need to do. The only thing I can't do - is stand and pedal a bike! And I think that's more because I'm afraid to try than not being able to do it.

Like you, I wish that I had access to a pool -- but everything around here is super expensive. I'm sure Lynn is getting more benefit from exercising in the pool -- and getting more range out of her knee -- than doing regular exercises.

I hope that you can find answers. I don't think you should still be in pain, or have that much swelling. I'll keep you in my prayers -

Take care -

Maryann

MEME,

I worked up until the day before my surgery, so I had good muscle strength to build on. (In fact, I think the nurses were grateful when it came time to move me around and I had plenty of strength to pull myself up on the triangular bar thing that lifts your upper body; as I was just down the hall from a lady who screamed her way through every little movement....I was glad I felt as well as I did, or I'd have been in tears the whole time just from listening to her).

Losing weight before probably is a huge help, but as I said, I'd had arthroscopic done in '09 and again in '10 for meniscal tears - that left me with bone on bone. I'd done cortisone shots after the first surgery didn't fix the problem, and after the second one I went through 3 series of Synvysc shots to see if they'd give me the cushion I needed to avoid a TKR. Obviously, none of them worked. I was able to work, but I'm on a cement floor all day. I couldn't walk two blocks without thinking my hubby was going to have to get a wagon and pull me home. Long story short, after my last 6 months were up from the final Synvisc shot, I called the doc, went in, and he scheduled my surgery for two weeks later. So, circumstances weren't in my favor in that arena either.

Is it better than it was? Yes. I guess I just hear from so many people who have had it done that they never have any aches or pains and I think I've done something wrong. But, I keep plugging away and figure I'll deal with it one way or the other.

Oh, and I may have been misleading about the PT part. PT can't be beat. It's great and I'd NEVER go without it. I just think that if possible, if you can find a place that does PT but has extras like massage, that would be even better. I know I used to feel a lot better during the early stages of therapy when the therapist would do some massage to try and ease the swelling than later when they stopped doing it.

And I'd LOVE to do water aerobics, but the only place here is the Y, and it costs $900/year to belong, with the cost of classes on top of that. The rehab place, on the other hand, is only $25/month.

Hi Sue -- you've brought up lots of points!!


I think if you've read any of the other stories here -- that we have pretty much ALL had a different experience -- even though we had the 'same/similar' surgery. Alot of it, of course, is due to our dr. and their experiences. If there was a 'one plan fits all' I still don't think it would work for some!

I can only speak from MY experience -- here are the things I know or have learned from others.
1.-exercise BEFORE surgery is so important - it helps strengthen those muscles to support the new knee.
2. Losing weight BEFORE the surgery seems to be beneficial -- it's been reported on here for that every 1 lb. of weight you lose you take 3-4 lb. of pressure off your knees
3. The 'right after' surgery depends alot on your dr.....we have all had different things -- For my self I was up out of bed walking 2 hours after surgery and was home within 24 hours. I did have the icing machine each time -- can't really say whether it helped or hindered but most certainly it had to help.
4. Taking the pain meds on 'time' is so important. If you're in pain -- you're not going to want to do, feel like doing any type of bending or straightening
5.Bottom line - I'm VERY glad I did it -- that gnawing, ongoing pain is gone -- that's the best!

Ok--- with all that said does my knee now feel normal - no, netiher one of them. Sometimes it's like they are in 'slow' motion stepping up or down steps or over something....almost like it's NOT going to make it but it always does. Also my right knee is more swollen, still than my left knee (and they were done 3 years apart) Dr. said I do just have to learn to live with that.

I would say now that you have become an advocate for yourself and you know what you'd like and need -- is to find a dr. that would meet that need....and when that other knee is ready (if its needed) you'll be all set to have surgery!!

As an aside -- I now go to a swimming aquasize class -- much of the things we did in P/T but in the water - and also for the lower body as well as upper body (I mean have you ever tried to keep a weight floatie under water without it hopping up on its own and doing in an controlled manner/?? It feels like it weighs 50 lb!!!) My point of all this is - I have noticed a BIG difference in how my knees feel and how they move now -- and this is only after 5 days of class!!!! It's one of those things that if I hadn't experienced it myself - I wouldn't believe it - but it's true. So if you have a place where you can consistently swim laps, an aquasize class, or even just dog paddle around kicking and paddling your arms -- I think you'd notice a big difference! (now remember this is my opinon only!!! ) :))))

So I say all that -- and hopefully there's something you can take away from there that's helpful ---or not!!

Edited by: MEME102 at: 10/11/2012 (17:02)

Hmmmmm....treatment after surgery. Surgery was 11/18/11. I remember the period after the surgery (when I was still under enough to not be able to communicate, but not enough to NOT feel pain), when they have you in the stabilizer, getting THE most horrible knot in my calf muscle that can be imagined. It was agony, but I couldn't come to enough to tell anyone. It must have been the position in the stabilizer, as once it was off and I was awake, I didn't feel it anymore. Had the femoral block, went in the passive motion machine at least twice a day for 3-4 hours, and had great bend and flex. Was up walking on Sunday (I believe, it might have been Saturday), and went home on Monday. Started PT on Tuesday. Doc released me at my one month appointment.

Things I learned. If I had it to do over again, I'd get a cooling machine. I could not ice it enough. I'd rent a recliner to sleep in if I didn't already have one (we don't). I tried sleeping on the couch with pillows to prop up the leg, but it didn't work properly so I would always eventually end up throwing the leg on the back of the couch to elevate it. Not comfortable at all. PT is great, but I'd look into other complimentary therapies, or see if they have someone like a massage therapist on staff.

I don't really feel like I got all the necessary follow through I needed. I still go 3x a week and do all the machines, etc. that I did while in guided therapy along with what I do at home. I'm almost a year out, and still don't feel quite right. I'm still icing, but have a 1 1/2 inch difference in the two knees, still - and it's not just one knee being bigger than the other, as it still has the rounded swelling to it (meaning you can't see the kneecap sitting up higher than the rest of the knee when it's bent - I really notice that on the leg press machine). I still have pain, especially around the edges of the knee, and stairs still make it feel like someone is ripping the muscle across the top of the knee apart - almost like when someone gives you an "Indian burn" but worse.

So far the other knee is fine, but if the time ever comes when I need it done, I know that I need to insist on some stuff that I just didn't know about this time. For example, I didn't know that a lot of people have in home care for a week or so before starting therapy; or that they often send a portable passive motion machine home with you or arrange for you to get one from a medical supply place. Didn't know about the cooling machine, which for me would have been a great help with the swelling problems I have had.

Live and learn......................

Bumping this thread up to make it easier to find

Ironically, for having my PKR surgeries at the same hospital with the same doctor 2 months apart, each was totally different.

The first procedure went well, I woke up with the cooling pump strapped to my knee and was in it almost constantly. Unfortunately, I ended up in the hospital for a few extra days due to getting cellutitis (SP?) so lucky me I got to home with a PIC line along with the belly shots, etc. I wasn't prepared to come home a nurse! Luckily my cousin lives close & is a nurse so she helped me with some of this stuff. I asked the Dr. about the machine that bends your leg and he said he didn't believe in them so I didn't use it at the hospital or at home. When I tried to stand the first time my BP kept dropping & I'd pass out. I've done this before but usually only once. They finally determined I was reacting to the morphine. I finally was able to get up & stay conscious. I was happy when they finally took me out for the laps around the nurses station & practice stairs. They sent me home with a "pump-less" version of the cooling device. Once home, I had home PT for a couple weeks before starting PT at the local wellness center. I managed to lose 10 pounds during the first month of all this! I was doing my PT exercises 4-5 times a day minimum - was anxious to get moving. I was probably pushing it a little bit & slowed down once I could lift my leg & bend it a little. I was very focused on getting some control back.

Two months later, I wake up from the second surgery again with the cooling pump but also a catheter! This surprised me since in all the paperwork it said I would have that but I didn't on the first one. I had barely woken up & someone was in my room talking about being discharged the next day. I just looked at them & said "can we see if I can stand up first?"
I had to fight to get my pain pills combination that we figured out that last time. I was sent home within 36 hours. This time no PIC line but I had another "pump-less" cooling pack and the machine to bend my leg! Confusing! Two months ago the surgeon didn't believe in them! I only used it a few times - I found it awkward. I just dove back into the PT exercises I had from the first surgery. A home PT did come again for a couple weeks and then I went off to PT. This procedure it took me longer to get control of my leg for some reason - I was VERY frustrated but it finally came around. I kept forgetting that even though it was the same procedure & same doctor, that knee had gone through different procedures in the past than the other knee. I had 2 surgeries on each knee prior to this but they were different procedures, different doctors, & spread out over years.

I wish I could get the same focused determination I have after a surgery in my daily weight loss struggles! I am great a PT! Very dedicated because I know if I don't do it the surgery was a waste of time & I'm only hurting myself. Sadly, I can't manage to apply that dedication to regular daily exercise.

Bumping this thread up to the newer threads

Faith , it sounds like you're doing !!!

I agree with Laurie, I'm sure losing the 58 pounds plus all of the exercising you've done, has put you in much better shape than the first time. Don't do too much though . . . like a snail, slow and steady!!

Maryann

Wow, Faith I feel like a slacker. You are doing so well. And I'd vote for the you're-in-better-shape reason for why!

Yay - Faith -- I am so happy for you!!! Yes those 58 lb. definitely make a difference I'm sure! I'm glad you've been able to do so much -- but do be cautious there is a recup time -- so don't overdo and hurt something in the process!.

We have a wedding in our family (my daughter) next Saturday and I'm meeting myself coming and going. It had been fairly 'quiet' for me at least til now -- now I'm part of the loop and that loop is gettnig tighter and faster!!!! I'm glad I have both knees done and will be able to walk down the aisle - hopefully with my son taking me to my seat and just sit and enjoy the wedding and then the reception!! I enjoyed seeing the pictures from your daughter's wedding - you look fantastic!

Oh, those lovely white stockings... how could I ever forget them. They made a real fashion statement. When I had my replacement in 9/11, it was still fairly pleasant so, I wore mine with shorts and flip flops. Quite the site! I had to have help putting them on, couldn't do it myself. I figured that's what husbands are for.

I could never figure out the sock aid thingy.

Yes here I am, back after having my second total knee replacement. I did not go to rehab this year mostly because they said I was doing too well to qualify for it. My UTI cleared up with the meds and much prayer.

I had the femoral block again. I don't know if it didn't work as well or if the MD was just rougher on me this time or what...but I had a lot of pain. But basically once PT go me up, there was sort of no stopping me.

They said I basically met all my goals the first day. So I got out on Tuesday following my surgery last Thursday. 20 minutes after I got out I was at my favorite PT guy in the world, Russ. He was so gentle with me but I was at 90 deg that first visit. Went to get my prescriptions and went home. I was a bit sore that evening. Went again the following morning and then my DH didn't want to go home because it was so hot so we drove over to the ocean and stayed where it was much cooler for awhile. Came home and was relieved to get my leg up and ice on it.

Yesterday, which was my one week post op day, we went to breakfast, then again we drove west and ended up in Santa Barbara and drove out on the pier and had lunch. We were gone all day. Same routine. Leg up, ice on. I actually do keep ice on my leg as we drive too sometimes. I was sort of feeling guilty, like I could really go to work. Although I do keep taking my pain meds every 6 hours. But I have been feeling good.

Had PT again today, then went to Walmart and the grocery store, of course using the riding scooters at each place, and then came home. I am sort of tired today.

Russ had given me a crutch to help me get around in our RV that we live in. The walker is too wide to fit the hallways etc. Today as I was putting groceries away, I realized that I was walking and bearing weight on my new knee. I almost couldn't believe it. I was walking with no assisstive device, granted I have things I can grab hold of easily if I need to. I also am already able to stand from sitting without pulling myself up. At PT this morning Russ said this knee is much better. I know it is exactly the same kind of knee as last time so either I am in better shape, the MD did better or both, but it is good!

So all in all I am very thankful for my new knee! Oh, by the way I do have the stockings, which are black. They almost look like leggings. They were special ordered to make sure they weren't too tight this time. And no foot drop this time either.

Everyone at the hospital (which by the way is where I work) is amazed at how well I am doing!

Oh, I almost forgot...I am sure that having lost 58 lbs since last surgery has made a huge difference as well!

Thanks for all of your prayers.

Blessings to you all,
Faith



Edited by: LIVINMYDREAMS at: 8/3/2012 (18:12)

I agree Lynn. Good to know . . . . . but let's hope we don't need it!!

Hi Debbie - I think I have seen those -- always wondered if they worked!! And you've told me they do!! So I'll have to remember that for 'future reference'....(well actually I guess I DO hope I don't have to have another TKR since both are done....but ya never know!!!

When I had my LTHR in December 2009, they put those white stockings on me and insisted I wear them all day long! Living alone, I found this difficult to do so I experimented using the sock aid - that curved piece of white plastic with the rope pulls on either side - one of the great inventions of all time. If your hands are not strong, you might have a hard time putting the white stocking on it, but once it's in place and you pull it onto your foot, it's a piece of cake pulling it up and on. I only wish taking the darn things off at night were as easy!! With my recent RTKR 4 wks ago, I revived this method of putting them on and have had an even easier time with it. And now that 4 wks have elapsed, I can retire those things until I have the left knee done!

OMG . . . . How could I possibly forget those stylish white hosiery??? What a look!!! I honestly don't remember how long I wore them, just that the kids pleaded with me to wear sweats when I went out instead of shorts - lol!! I guess my stylish look was okay for the house but not for the public!!

Faith -- Keeping you in my prayers. Hope the antibiotics do the trick!!



Edited by: KINEPS at: 7/25/2012 (09:18)

Thanks! I do have a trick to putting the stockings on. I put powder on my foot and leg, then a little sandwich baggie over my toes and foot and pull the stoking up over that anat the ens just pull the baggie after the stocking is all the way on. It slips easily onto the foot with the baggie on.

The hardest things about those darned stockings is you CAN'T do them yourself -- or not easily anyway!!! I would have dh get them over my foot (b/c you can't bend your knee that far yet!!) and up to the middle of my shin....and then when I could straighten my leg I'd grab them and PULL.....then he'd pull at the wrinkles (pinching me in the process!!) that might appear by the ankle or the back of the leg...nope not fun things!!

Faith - will say a prayer that your UTI gets better so as not to cancel your surgery!! I know once you have your mind ready for a certain day -- you're READY!!!

I am not looking forward to the stockings. In fact evidently last year the size they put on me was a bit too tight and with swelling caused my situation with drop foot. Not sure if I mentioned that in my story either. I had to wear and AFO brace for several months until the drop foot resolved with PT, etc. Also the stockings were so hot wearing them in the summer as it will be this year also.

Oh, by the way, I am due to have my LTKR on thursday and I am battling a urinary tract infection. Taking Bactrim and drinking cranberry juice hoping it will be clear on thursday morning. Pray that it clears up by then! I so do not want to postpone this surgery.

No hose for me! Had to do that for past surgeries, but not my replacements and I was really happy about that. Those are miserable. Though I do have a funny-ish story about those things (don't I always???).

After one of my surgeries I sprung a leak in my knee. Before they knew exactly what was going on, I had to be on bedrest with those lovely TED hose. My doctor's partner was on call that weekend. I was a nurse in that hospital and that guy was INTIMIDATING! He always had us hopping when he was on the floor. Anyway, in he walks when I was trying to get those dang things off for their regularly scheduled half-hour of relief. He helped me peel them off then sat down and watched part of the Packer's game. Could have scraped me off the floor--the guy really was human!

Oh, yes, the hose...I wore those things for 4 weeks. The hospital was supposed to give us a second pair, but they forgot to. When we priced getting another pair we were appalled to see how expensive they were. My poor husband had to put them on me each time they had to go on. I loved throwing them away!

I wore them probably at least 8 weeks and then off and on because I sit at a desk all day to help the swelling.

So I'm the ONLY one who was in the outpatient hospital for 24 hours???? Hmmmm, wonder if I got a discount???? LOL....

Reading through these is truly amazing...we are a tough bunch of ladies!!!!! But as I said in the pool/spa thread today --- we all have that common theme -- I'm sure glad I did it!!

Now one more question -- I have had a pulmonary embolism back in 2003....so after my surgery the 1st time I had to wear those darned stocking on BOTH legs for over 8 weeks!!! The 2nd time it was only 6 weeks and by the end of a month -- they told me I could quit wearing the one on the nonsurgical leg.

How long did you ladies have to wear yours?? Or did you??? Some of you mentioned it - but some did not.

Gr8teacher1 -- I"m glad you jumped in here about our hip replacment -- did you have to wear those surgical hose???

Edited by: MEME102 at: 7/23/2012 (22:52)

Right partial knee replacement, 2007: By the time I saw a surgeon it looked like my patella was going to fall off the edge of my knee, my medial quad wasn't firing at all, and my patella and femur were bone-on-bone. The rest of my knee looked good, and it took some detective work to find a surgeon who would do the patello-femoral joint replacement instead of a TKR.

My surgeon uses an epidural for post-op pain and leaves it in overnight after surgery, but the anesthesiologist couldn't get it in. So he used a femoral block instead. It made for a very comfortable first night post-op. When I got back to the room after Recovery Room, they got me up right away for a short walk. Didn't feel a thing!

The hospital where I had surgery has a joint replacement unit. They have a terrific pre-op program. Post-op patients have therapy together and eat lunch together. Unfortunately, I have problems with nausea post-op and that slows my ability to get moving right away--didn't eat much of those lunches. I think I was home on my second or third post-op day. When I got home, I had orders to take pain meds on a schedule (I think for 3-4 days), had to inject myself with Lovenox (anti-clot meds--yuck), and had in-home PT. I was pretty aggressive with my therapy and regained full ROM quickly. I think I was at 120 within 4 weeks, but could be delusional--it's been a few years. I eventually have gotten 150 degrees of flexion.

Left TKR 2009: Seventh surgery on this knee. This time the epidural went in without a hitch. It was considered a complex replacement because of the past surgeries, they had to work around old hardware, and because I had no patella. I was in the hospital longer because I required a couple units of blood two days post-op--lost a whole day of therapy.

Same problem with nausea--ick. In fact, I threw up on the way to therapy one morning and they gave me Phenergan IV and took me to therapy anyway. What a hoot! My mom was my coach, and she said I was just babbling and mumbling while the therapist practically did my exercises for me. She would give instructions, I'd say OK and then promptly doze off, so she'd hoist my leg up. I don't think that was a very productive session!

At one point the social worker came in to talk about my placement in a nursing home for rehab. I must have gotten a deer-in-the-headlights look because she left, then came back later and apologized--she had walked into the wrong room. Whew! I was getting ready to do battle.

Same routine when I went home, except no Lovenox this time. We used aspirin for anticoagulation. My stomach didn't like that one bit, so I didn't stay on it for long.

My surgeon doesn't use the CPM and no cooling machine either.

Last summer I went on a trip with my family and was astonished how much pain-free walking and climbing I could do. I'd been restricted for nearly 40 years because of knee troubles, and I guess I was just in the habit of not walking much and avoiding stairs and hills. My left knee will never be as strong as my right one because of the loss of my patella causing an angular disadvantage for the tendon, but it's way stronger than it has been since I was a kid. I really never thought that knee would ever feel so good again. I occasionally still have twinges in both knees, but I can usually take care of that by buckling down and doing quad strengthening exercises.

Next month I'll be up north visiting family and we have plans to bike and kayak. Never thought I'd see the day...

Lynn -- great idea creating this thread . . . . and having all of our experiences in one spot!!!

Now for my story . . . . . .

I had both of my knees replaced almost seven years ago - five months apart. I did p/t before my surgeries to get my knees strong. A couple of days before my first surgery, I attended a class concerning what to expect after surgery. Because I had my husband and my two children -- I was going home instead of to a rehab facility. They also gave us kits and explained how to wash the knees the day of the surgery.

I chose not to have general anesthesia but instead a spinal block - I was awake during both surgeries and was able to talk to the surgeon and his staff . . . but after the surgery was over, I was given an injection, so I actually didn't remember much after the introductions of the medical staff in the O/R!

I was on an orthopedic floor as well, which I think was great. The staff was very experienced and helpful in answering questions. Both of my surgeries were on a Wednesday morning and I was released on Saturday morning. I had a morphine drip for the first day, then pain pills as needed. I also had the ice machine and the CPM (continual passive motion) machine both in the hospital and at home. I walked to the bathroom the first night -- I probably wasn't suppose to, but it was still numb and the walk was short! The CPM was hooked up the first night and I was astounded that by morning, how much my knee could bend. I had p/t twice a day and took walks whenever I could -- I'm not one for staying in bed, and I wanted to get home. In p/t they asked if I was going home or to rehab, what type of car I had, if I had stairs - and how many, and if I had support at home. I was able to walk on my own by time I left the hospital (including stairs) -- but would tire easily, so if I was leaving my house, I had the walker or cane with me.

I had at-home p/t for four weeks, as well as an at-home nurse for about a week. I was on Coumadin -- but it didn't like me! I was able to get off of it within 3 days of coming home, because I stayed active. I used Motrin and Tylenol 3 - alternating between the two for pain at home. The first few days were rough with pain, moments of tears and frustration -- but that passed quickly.

Five months later when I had my other knee replaced -- it was much easier because I knew what would happen. For both knees, I was 100% 4 weeks after coming home. I was able to drive and could walk almost forever - lol!!! I actually had motivation for the second knee. My surgery was on February 1st and my daughter's 7th grade field trip was scheduled for March 31st and I was a chaperone. We went to the state capital and there was a ton of walking and more stairs than I care to remember -- but I kept up and had to problems . . . no swelling, no pain!!

I'm glad that replacement surgery is available. It changes your quality of life . . . because it gives you your life back. It might not be easy -- but it is well worth it!

Maryann

Left TKR in 2010, right 2012. After both I had PT come to house 2 days each week for three weeks and exercises to do twice per day. Also had a home nurse for 2 weeks 2 days per week. For 10 days I used the CPM (moves leg automatically) for 8 hours a days. Sounds like a lot but always fell asleep while using. Would use when first went to bed at night, set alarm for 3 hrs. then reset alarm to use machine again from 4-7 am. Then do again around 1 pm for another 2 hours. Exercises were to be done in the morning and again in evening. Also was to walk as much as possible. PT encouraged me to try riding recumbent bike as soon as I felt like I could but for no more than 5 minutes. Second week rode bike was to increase time 5 minutes each day unless I had pain. First time I had to wear stockings at night. Stayed in hospital 4 days in 2010 and 5 days in 2012 because food didn't want to stay down.

I had RTKR 9/23/11, after 5 previous surgeries, cortisone shots, and SynviscOne injection. Went through PT numerous times, and have always tried to keep it moving. I was bone on bone about 30 years ago, but managed. In Sept. 2010, I woke up one day in excruciating pain, unable to bend the knee. As I only had one more night of work, I went to work, hoping it might loosen up some with activity (it didn't). Went to the Dr. and was told I was on raw bone again, and needed a TKR. After 3weeks off, i returned to work, for an entire year, 8-10 hrs. a night in a very physically demanding job, standing all night, on cement. I was so ready for the surgery, when I could finally do it. Was in the hospital for 4 days, had the nerve block, which was great. Was able to get up and walk the next day, once I got feeling back in my leg. I had the ice pump, which I LOVED, but no CPM. It was painful, but my Dr. had a pretty good cocktail to address that. Started PT in the hospital and continued the exercises at home. After 2 weeks, I started outpatient PT 2x a week (my husband is also a PTA). Had a lot of difficulty trying to bend the leg, but straightening went very well. Continued PT for 5 months, and was finally able to return to work for 4 hrs. It was very difficult, but I persisted. Finally worked up to 5 hrs. a night, until I had reconstructive surgery on my left foot 4/24/12. Had a lot of trouble with only being able to use the right leg for the next 9 weeks. Pretty miserable time, sometimes didn't know which hurt worse....LOL. I don't think the knee was quite ready for that yet. It's been pretty tough to get around, and I have been confined to the main floor of my home for the past 3 months (I have a bed in the living room). Things are starting to improve now, but there is still a long road ahead. I don't regret getting the knee replaced, and was told it would be at least a year and a half before it felt "normal". So, I am optimistic, and looking forward to 2013!! I have rambled on enough now, but that is my general story. And, the ice pumps are wonderful!!

I had my left hip replaced on 4/5/12. I had the lateral posterior approach. The hospital where I had my surgery holds a "joint camp" where all orthopedic patients stay on the same floor and the nursing staff know how to care for joint replacement patients. I even got a tee shirt and a water bottle! From the very first day we all ate meals together in the same room and received OT and PT twice a day. I did not have a catheter or a morphine pump. I did have an IV port so pain meds could be given to me when I asked for them. Oral meds were started the day after surgery.
Once home, I had a home health nurse come in to take blood and a PT come for my therapy sessions. This continued for two weeks when I was released to drive and go back to work.
Now, at 3 months post, I take regular 2 mile walks on my road and on my beach along with resistance band workouts, I get all the regular exercise I need. I have be careful not to overdo it, however...every once in a while my muscles in my thigh near the surgery remind me that I am still healing.

Wow Lynn, Was it like that for both knees? The 24 hour stay?

I had to leave the hospital within 24 hours....so my surgery (last time) was scheduled for 9:30A and I had to be gone my 9:29AM the next day!!! So I was only in the hospital overnite. That's my dr. choice too if one doesn't have problems. Only had oral pain meds after the initial whatever it is they put in the knee. I think that's what I was so amazed about the 1st time around -- I thought that walk down the hall was going to be excruciating and really it wasn't anything bad!!! It took about 3 days for that to wear off and so when I was home...yep I had my knee replaced and OUCH!! But the oral pain meds did their thing and I didn't miss a dose (every 4-5 hours) for about a week and then it got less after that....I ALWAYS took a pain med an hour b/f I went to P/T -- otherwise I'd not gotten through it!!

Good question, Faith - glad you asked it!!

I would also like to know how long you were in the hospital, please. I had my first knee 13 months ago and will have my other knee done on Thursday. For the first I went to rehab for a week and a half because our living situation is different and we weren't sure how I would do at home, since we live in an RV. No cooling pump and no CPM machine. My doc doesn't order them. But did have ice packs, stockings and lots of PT, I had a femoral nerve block as well as general anesthesia and the block remained in for about 3 days. It helped a lot with pain control. I plan to have that again this time as well. But this next time I want to come home ASAP so I can go to my own PT guy. He is fantastic! So I am wondering how soon is reasonable to come home.

In the when/where was your surgery thread -- several people have posted about having the cooling pump (have no idea what it's really called!) and some people had the machine that moves and bends your knees automatically (or so I assume) and some just had P/T and had to do their own exercises....I thought it might be interesting to put in ONE, new place what each person had and their thoughts.....that might help others who just had surgery....or are planning one -- just what it is we go through....does that make sense??

If you've had hip replacement surgery -- tell us the type of therapy you've had as well b/c we have people who are having or will have that.


I'll go first

-- after the 1st surgery my dr. of course gave me pain pills for the times I needed it -- then I had the cooling pump. The 1st knee I only used it during the day every so many hours...but not at nite. Then the 2nd knee (4 years later) he had me use the pump all nite and then every 4 hours or so during the day -- I had the machine for about 10days to 2 weeks.
I started P/T a few days after surgery...went 2x a week and then had exercises to do at home.
(and didn't you love when they came 2-3 hours after your surgery and said 'ok let's get up and take a walk down the hall!!!???) I wanted to smack them....but of course did it.

My dr. was very firm -- I 'expect' YOU to do your exercises...and if you don't - well we all know what happens!!!! So esp. with the 1st one I was very adamant about doing them...2nd one not so much but it's doing well and will be as good as the right one soon I'm sure.

Ok who's next -- what was your experience like?