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I know my doctor would want to run blood panels. There are numerous things that could be causing fatigue.
I developed anemia after my own TKR surgery. Everyone is different...
...And you don't want to take a fall and do major injury to your brand new knee or strike your head. Have someone drive you. Getting behind the wheel is not a good idea.
Best wishes.View Thread

One and a half months into physical therapy, I was stalling on my extension. I've had arthritis in both knees for 30 years (since age 23). My ligaments and soft tissue were not responding timely.
I continued my physical therapy, but my therapist consulted my surgeon and the splint was ordered in addition to therapy. A splint can be used to either aid in bending (flexion) or extension (straightening).
Who told you that you cannot use cold on the knee or take pain killers? Both are necessary. Every physical therapist and surgeon recommends ice wraps on the knee after surgery to reduce inflammation and ease pain. And every doctor prescribes a pain medicine because TKR pain is miserable.View Thread

Please, please don't feel bad about needing your narcotic pain meds. For goodness sake, you had not one but TWO knees replaced!! Don't feel guilty and think you must taper your meds so soon! I was prescribed Oxycodone for the first two months and switched to Vicodin in the third month and took it twice a day. Like you, I tried to not use the Oxycodone much, but I'd end up crying with horrible pain and regretting the whole surgery. So, I stopped feeling guilty and took the meds.
And crying? Oh my gosh, I only had one knee done and I cried so hard and so often once I got home and started outpatient physical therapy. I cried during PT for the first month.
I was supposed to have bilateral TKR, like you, but I had complications during surgery, so only one knee was done and I spent 20 days in a rehab hospital.
I think your numbers of 95 and 100 are incredible just three weeks out of surgery! Frankly, I'm jealous!! Believe me, you're doing very well for three weeks.
Though you may not believe it now, be glad you were able to get both done at once. It's all over.
I don't have any good answers about how to sleep. Perhaps someone else will reply.
For me, the intense crying-type pain ended after two months. I had many more complications though, so yours may end much sooner. It DOES get better. It sure isn't easy but there IS a light at the end of the tunnel.
Take your pain meds. Don't give up on PT no matter what.
I hope you'll post again and tell us how you're doing. Good luck!View Thread

My physical therapist talked to me about a Dyna splint. He contacted my surgeon, who approved it. It's not comfortable at first, but it sure does the job. I couldn't keep it on for more than a few minutes at a time for the first month. I'd make sure I wore it at least an hour every day, even if it took five hours to finish that one hour. Over time, I could wear it for 20 minutes, then 30 and eventually nearly an hour straight.
My extension started at negative 22 degrees. When I finished my three months of physical therapy and wearing the splint for three full months (an hour to two hours a day, everyday), my extension was zero degrees - flat and straight!
To answer your question, the splint worked. I never needed the procedure your speaking of.
I had my TKR is Sept., 20112 I began wearing the splint in Nov. and stopped wearing it the end of Jan., 2013. My physical therapy (3 months, 3 days a week) ended the end of Dec. 2012.
Good luck with your knee and post back to let us know what you decided to do.View Thread


Due to complications during surgery, only one knee was done. In retrospect, I consider it a blessing. Rehabbing two knees at once has to be such a challenge. Kudos to those who have. The hardest part about doing both at once is whether you have around the clock care once you come home. That is vital!!! If you do, then a bilateral is a good consideration. You'll need the help.
I live alone. I'm SO grateful only one knee was done. I had no help with the exception of a few friends rarely stopping by to bring groceries, necessities. I was on my own. It was hard alone.
And I'm no medical expert, but if you're "bone on bone" there isn't a single injection that will help prolong surgery. And that opinion came straight from my great surgeon. There's nothing to "inject into" when it's bone on bone.
As for recovery, I began to feel significantly reduced pain three months out of surgery. I completed three months of out patient rehab. I highly recommend you do out patient rehab (not at home) - especially if both knees are done at once. The therapy and equipment available in an out patient setting are far better in my opinion.
I've read by the sixth month, you're feeling relatively pain free and completely recovered after one year. Everyone is different, though.
Since my other knee must still be done, I'm encouraged to take short walks and instead concentrate on the exercises taught in physical therapy. I love walking now. It's amazing how the surgery has helped.
No, you're not too young. I was 53 (last Sept.) when my first knee was done. Currently, while my therapy is now complete, my knee is experiencing "trauma" (emits heat and there's swelling). As I understand it, this doesn't happen to everyone. (Lucky me, just kidding). Only time will allow this part to heal. I must be patient. I continue to ice my knee as directed and do exercises. I will have the other knee done when my ortho surgeon gives the green light (hopefully in the next four to five months).
Oh, and manipulation of the knee is so important. Your therapist will do it. You should do it at home and often. Manipulation helps if you have adhesions. I have them but thanks to constant and proper self manipulation at home, I've made a full recovery and I'm free of adhesions. Ask your doctor and therapist.
You can do it. I feel better in my completed knee already. Was it painful? Yes, but your doctor will give you adequate pain medicine. Is it still painful three months out of surgery? Yes, but it's manageable (I don't even need a Tylenol) compared to how I used to live. I can't wait to get the other knee done.
I wish you all the best. I hope my answers help.View Thread

No, I never got to the point where I needed to consider manipulation under anesthesia. I went online to read about it (various sites) and found, in my own humble opinion, it didn't seem beneficial. Most people said it wasn't worth it. I'll permit you to find such commentaries online to see for yourself.
My physical therapist applied a lotion to my knee during our PT sessions and after a massage, he'd always place a soft towel over my knee and moderately to aggressively rub my knee back and forth, side to side and really manipulate the whole knee. It felt so good afterward, but let me tell you, it didn't at first. It was something that became comfortable over time because the adhesions were slowly breaking loose each time.
I did the same thing at home - first beginning with a warm shower and running warm water (hand held shower head) on the knee (yes PTs perfer icing it, but the warmth helped ease my pain and stiffness). I massaged it with lotion and warm water in the shower. I rubbed the very scar as well. After getting out, I placed a towel over the knee and really rubbed my knee aggressively in every direction to shake those adhesions loose.
In my opinion, and I'm female, I had a choice: not disturb the knee with constant rubbing and self manipulation; or wear the mederma scar cream and leave the knee alone to decrease the ugly adhesioned-filled keloid scar on my knee. I opted for going with the ugly scar and working my knee over.
It's helped immensely. I had trouble bending my knee before and after the replacement. When I started, I was at negative 22 degrees extension. I finished 3 months of PT and now I'm zero degrees extention (completely flat) and an amazing 139 degrees flexion.
It was worth doing all that manipulation work.
I wish you all the best in whatever you choose to do. And I'm no expert. This is just my own experience. Best wishes.View Thread
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