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Old 06-09-2022, 10:23 AM
 
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Quote:
Originally Posted by Dashdog View Post
I will be having a total knee replacement next month. Despite the extreme pain I have managed to maintain pretty good function in my knee but it is bone on bone and various injections have done nothing to relieve the pain. PT has helped with the function but not the pain.

For those that have had the surgery I have a couple questions. I will spend one night at the hospital then go home and will have someone staying with me the first 5 nights I am home. I have the option of having a nerve block done and while I can see where it would be a good idea to prevent pain those first couple days does it make it harder to do PT and walk? I have never had a block but would think it would cause your leg to feel numb and wouldn't that make walking and PT in general more difficult?

I have a two story home and have a twin trundle bed in the guest room. I could bring the lower trundle bed down stairs if necessary so am wondering if you have had a TKR and live in a two story home did you go up and down stairs from the first day home or did you stay on the first floor for awhile? I actually have a very soft down couch which I love to sleep on but it will be too difficult to get up from it after surgery for awhile. A bed would be higher and firmer thus easier. So I either bring a bed downstairs or sleep upstairs in my own bed.

Any other advice to make life easier those first few weeks? I will have a walker, ice machine and raised toilet seat with handles also a grab bar for the shower and plan to make a lot of freezer dinners that can be popped in the microwave. I know there will be pain especially the first couple weeks but the pain I currently have is pretty severe so that does not worry me as knowing it will improve with time will be something to look forward too. I know it will involve a lot of PT but I have been doing exercises from the PT I did last year almost everyday to maintain function of the knee and keep the muscles strong. Getting older sucks!
Oh my. Go to Bonesmart.org, to the knee forums. You will find more information from those that have had this surgery, than you could ever want. For anyone having hip or knee replacements, THIS your best resource.

https://bonesmart.org/forum/categories/knee-area.7/
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Old 06-09-2022, 11:40 AM
 
Location: Southern New Hampshire
9,476 posts, read 16,330,502 times
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Quote:
Originally Posted by Tallysmom View Post
The issue with any supplements like this is you have to have a joint and a meniscus for it to work on. Bone on bone literally means bone on bone. The mechanics that your supplements works on are no longer there for it to work. So unequivocally this stuff will not work.

And the reason I know this is because I am also bone on bone in both knees, and I asked my doctor. And that’s exactly what he said.
Oh, but is your doctor a "well-respected holistic doctor"?

Quote:
Originally Posted by frankrj View Post
I may try this but I am pleased with the GC w/ turmeric I am using. I was also told I may need a knee replacement in 5-10 years due to OA from a young Orthopedic surgeon who looked at the MRI. Been using a sleeve periodically and icing after workouts.

For those who believe and trust holistic medicine and health, it's worth noting that what reduced inflammation in one culture may not work as well in another. A study of Indian men aged 40-75 vs American men at the same age.

simpelskincarescience.com made me realize this. They noticed a major difference in Korean and Asian diet and the west which contributed to bad skin. In addition, any ingredient that ends in "ate" or "ose" (topical or internal) is a contributor to a natural body fungus which brings on inflammation. It's worth reading their research and studies and ignore the sales links.

So it depends on your diet for the last 40-50 years as to how effective the KR or supplement is. The American diet is high fat and high carbs so inflammation is very prevalent here. While in India they grow up on curcumin, turmeric, and goats without steroids or hormones. Unfortunately, our fast food corporations are expanding worldwide contributing to obesity and bad gut health in other cultures.

Many well respected holistiic doctors claim inflammation and OA is caused from bad diet, declining gut health, and lack of exercise. So, we must take care of that first or in conjunction. Nothing will work to its maximum benefit if the person with inflammatory pain continues to eat the typical diet of burgers, sandwiches, fries, pizzas, processed foods, fried or breaded whatever and sugary drinks. Of course, since the study about UC-II on OA was done in India it suggest parts of their diet are bad too. Your chronological age is not always your effective age.

I may not be communicating it right but over decades bad gut bacteria grows and grows and needs to be deep cleansed or it shows up in your skin and joints later on. Hey I am not perfect either because some foods are hard to give up. So we end up livng to treat it instead of preventing it. GLTA
frankrj, I know you were trying to be helpful, but I found your post to be SO freakin' annoying.

There is a whole subforum on ALTERNATIVE MEDICINE that you can use to write about "well-respected holistic doctors" (of course, my first question is, "well-respected by WHOM?). Telling someone who desperately needs a TKR that it is basically all their fault because of their lousy diet and lack of exercise is not helpful. (Yes, that is how your post came across to me.)

I don't know about the OP, but my knees didn't go bad because of my weight or lack of exercise (and I don't think I'm a weird exception) -- in fact, one reason they WERE so bad is that I was an exercise maniac for many years, as running was THE only thing that kept me sane for awhile (life was very, very stressful). And my diet is typically 80-90% good, 10-20% splurges, which seems totally sane to me (and actually something that is easy to live with).

Again: I know you weren't trying to be disrespectful, but geez.
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Old 06-09-2022, 02:08 PM
 
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Quote:
in fact, one reason they WERE so bad is that I was an exercise maniac for many years, as running was THE only thing that kept me sane for awhile

And running generally has nothing to do with osteoarthritis. I did Ironman triathlon and running for years and only one knee has had issues. I had TRK in that knee a few years ago and now I wish I hadn't had it as I am now dealing with lymphedema, probably caused by said surgery.


OP: Walk as much as possible. Stairs will be slow but good. Stay on top of your pain meds. Don't try to gut it out.
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Old 08-10-2022, 08:01 PM
 
Location: Santa Barbara CA
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Thought I would come back and let you know how the surgery went. I am currently 4 weeks post right total knee replacement and have had no issues. My physical therapist says I am 2-3 weeks ahead of recovery then most people. Week 3 when I started outpatient PT, he put me on the bike just to do the backward forward motion, but I was actually able to pedal the bike and did so for about 4 minutes.

I was not happy with my home PT as he did not want to push me at all even discouraged me from doing the outside stairs despite my telling him my doctor said I would be able to do stairs before I went home the day after surgery and despite the fact, I told him I had no problem doing them when I got home the day after surgery. So, I pushed myself. I was so happy to start out patient PT as I knew they would push me.

I did spend the first week downstairs as while I could easily do the 3 sets of outdoor steps my indoor steps rise is higher by 3 inches and when I tried it hurt but after a week no problem. I was off of narcotics week one as to be honest the pain was nothing compared to the knee pain I had been living with. The day of the surgery when PT got me out of bed to do my first walk as I took those first steps, I was so happy I had the surgery as that horrible bone pain was gone. I would describe the feeling after surgery more like a discomfort but not pain as it felt like a tight band was wrapped around the knee. Nights were the hardest as they want the leg kept straight with no bend in the knee and that felt like someone was pulling my leg but now it is no longer an issue. They did do the nerve block and day 3 it wore off and while it was wearing off was the worst day as far as discomfort, but the next day was much better.

Despite it being my right knee, I was able to drive week 3 and am back to walking two 50 lb dogs at the same time. They are well trained dogs, and we do about 1/2- 3/4-mile walks right now and increase it a bit each day. I am doing my own shopping too. I am also walking on inclines as I live on a hill so to even get my mail I have to walk on the incline.

I think because I did not let the pain stop me before the surgery as I wanted and did manage to maintain good function of the knee and I cut way back on carbs the month before surgery and the first couple weeks after I have had an easy recovery. Carbs feed inflammation. I am 64 so not some young kid.

Things that made life easier, the cold machine (some call it the ice machine). I learned freezing small bottles of water and using them in it instead of ice cubes makes life easier as they last longer and are easy to swap in and out. To take a shower I have to get in a tub which was not easy the first couple of times, so I used a dog leash to lift my leg up over the edge of the tub.

Get up and move often but also listen to your body so you do not overdo it. Tell yourself you can do this as I think mind over matter does count when one is recovering from a surgery. I am actually enjoying my recovery time as it gives me time to read, write and watch some movies. I feel very relaxed and peaceful and yes, I am very happy I did the surgery.
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Old 08-15-2022, 04:54 AM
 
Location: A State of Mind
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Sounds like a positive outcome..good for you. I have read the other contributions and it is all good to know, since I am being prompted to ultimately do the same, on right knee. It is Bone-on-Bone, no Cartilage. I have been dealing with discomfort on and off over time and during Covid, postponed a couple of things.

First let me say, I have had Cortisone injections that would seemingly help a long while, getting by with. I had seen one specialist for years and always felt better afterwards. Once though, he seemed to be "off" when injecting my knee, being an unusual, uncomfortable experience afterwards. I explained this to his nurse, and I guess she told him. As she urged me to return later, he was "short", telling me I "would need surgery at this point", not P. T., either. I felt badly, after seeing him for years, but locating another specialist in Fall 2021.

I liked this following guy, having given me a painless injection - feeling terrific afterwards and getting a referral to P. T. A little while later, I must have done something to screw up my knee that ended up locking up, luckily still being indoors during. After leaving a message with this new Dr. to see what all I could do, he left me a message saying he wanted me "to see his surgeon".

A bit later I saw his associate, going over what he ultimately recommended, of course. Since I'd had Cortisone, surgery would be delayed, so I got by with P.T. into this year that was very helpful. Having ended that earlier this year, I felt I would need another referral for, also considering another injection to hold me over while having a different postponed procedure with less recovery time, before being laid up with my knee.

I saw this same Surgeon again last week, but surprisingly, had not a good reaction to the injection, creating discomfort. I could not do much all week, feeling worse than before I arrived there, doing what I could at home to treat it. Not knowing what to think, I was told by one of his staff to call back later this week, if necessary. I don't know..and returning to P. T. is not until the following week.

Anyway, sorry for such a long explanation, but what has been concerning me is much of what has been discussed about recovery. I am on my own, on one level, would have some care-person visiting I suppose, but concerned about some things since always doing for myself. Another would need carry trash out each day and maybe, an errand. It seems you cannot even bend to scoop cat litter, lift food dishes up or down.

I already use a toilet riser and have high bed, so that's okay, but have never slept flat on my back, if that is required (?) Two relatives live a bit away, and I saw one here say another "stayed with them the 1st week"..oh gosh, that just won't happen in my apartment. Oh, and apparently one has to sit in a hard chair during recovery and don't know where to place that, and is something to buy....sheesh. I hate crutches and already know I will need a more narrow walker. Oh, well..sorry to have gone on. It sounds like everyone has recovered pretty well from, just stressing about this stuff.

Last edited by In2itive_1; 08-15-2022 at 05:11 AM..
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Old 08-15-2022, 08:31 PM
 
Location: Santa Barbara CA
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In2itive_1

I would say the stress of thinking about what recovery would be like was much more difficult that recovery has been at least for me. I am very independent so was all set to be alone that first week but then one of my sisters said she would come help me. It was nice having someone to take my dogs out, cook meals and fill the cold machine and to just have someone to talk too.

Could I have done it without my sister? Probably as even she kept saying how much more I was able to do then she thought I would be able too. When she left at the end of the week she knew I would do ok. I did hire a dog walker to walk the dogs for an hour each morning after she left for 4 weeks. But in the afternoons, I would take them out on short walks. Tomorrow is their last walk with the dog walker then I will be doing both walks. I was able to bend down and pick up their poop the first time I took them out as well as pick things up off the floor. (Tomorrow I will be 5 weeks post op.)


A cold machine is a must as ice packs just will not do it. My doctor's office took care of getting all the home equipment as they have a deal with a company and my insurance paid for it all. Everyone that I know that has had TKR said make sure you have a cold machine and I totally agree.

Put the fact you need help out there and friends will help. I had a ride to my doctor's appointment and to my first outpatient PT from 2 different friends. Thanks to Home Depot the new washer and dryer I had ordered 2 months before surgery took 3 attempts before it was actually delivered due to cord issues and on the 3rd attempt, they still did not have the correct cord for it and that was 2 days prior to surgery so I did not have a working washer and dryer but one of my retired coworkers heard about it and she came and got my laundry and did it for me at her house. Being an independent person for so many years it was hard to let others help but I had to step out of my comfort zone and accept the help. Others called asking if I needed anything from the store or asked if I wanted them to come walk the dogs. So yeah, put it out there as people will be willing to help.

You pretty much will be sleeping flat on you back the first couple weeks as they want the leg extended flat as possible. You could sleep on your side with the leg straight and pillows between your legs, but I tried it, and it was very uncomfortable. I usually sleep on my side in a fetal position so do not like sleeping on my back, but I had to do it and just recently can tolerate sleeping on my left side for a short period and lots of pillow under the leg adjustments. I actually have been sleeping very well now that the swelling is down. That first week sleeping was difficult as the leg feels so tight and to me it felt like someone was pulling on my leg but that is all in the past now.

Sitting in hard chairs well except for my dining room chair I do not have hard chairs. My chair and couch are overstuffed down cushions so very soft. I sat mostly in the chair and used the ottoman for my legs even slept in it the first couple days as I just could not get comfortable on the twin bed, I brought downstairs. Heaven was going upstairs and taking my first shower and sleeping in my real bed the first time!

Too many people told me that the first two weeks were so bad I would be wondering why I did this and that was just not my experience. The only day I really felt bad was day 3 when the nerve block was wearing off that was not comfortable. Funny side story when in the preop holding area the anesthesiologist came in to start the nerve block and I remember her being there but do not remember it nor was I feeling it, meanwhile my sister who was with me as cringing as the doctor was sticking long needles in my knee down to the nerves. I had the nerve block and a spinal no general.

The walker did not work well as my condo is not big, so I used the cane within a couple days and did fine. I think anticipation of surgery and recovery is often worse than the actual event, so it is 100% normal to stress about it. Best of luck to you and remember ask others for help it will often come from someone you least expected it too.
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Old 08-16-2022, 12:16 AM
 
Location: A State of Mind
6,491 posts, read 3,199,831 times
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Quote:
Originally Posted by Dashdog View Post
In2itive_1

I would say the stress of thinking about what recovery would be like was much more difficult that recovery has been at least for me. I am very independent so was all set to be alone that first week but then one of my sisters said she would come help me. It was nice having someone to take my dogs out, cook meals and fill the cold machine and to just have someone to talk too.

Could I have done it without my sister? Probably as even she kept saying how much more I was able to do then she thought I would be able too. When she left at the end of the week she knew I would do ok. I did hire a dog walker to walk the dogs for an hour each morning after she left for 4 weeks. But in the afternoons, I would take them out on short walks. Tomorrow is their last walk with the dog walker then I will be doing both walks. I was able to bend down and pick up their poop the first time I took them out as well as pick things up off the floor. (Tomorrow I will be 5 weeks post op.)


A cold machine is a must as ice packs just will not do it. My doctor's office took care of getting all the home equipment as they have a deal with a company and my insurance paid for it all. Everyone that I know that has had TKR said make sure you have a cold machine and I totally agree.

Put the fact you need help out there and friends will help. I had a ride to my doctor's appointment and to my first outpatient PT from 2 different friends. Thanks to Home Depot the new washer and dryer I had ordered 2 months before surgery took 3 attempts before it was actually delivered due to cord issues and on the 3rd attempt, they still did not have the correct cord for it and that was 2 days prior to surgery so I did not have a working washer and dryer but one of my retired coworkers heard about it and she came and got my laundry and did it for me at her house. Being an independent person for so many years it was hard to let others help but I had to step out of my comfort zone and accept the help. Others called asking if I needed anything from the store or asked if I wanted them to come walk the dogs. So yeah, put it out there as people will be willing to help.

You pretty much will be sleeping flat on you back the first couple weeks as they want the leg extended flat as possible. You could sleep on your side with the leg straight and pillows between your legs, but I tried it, and it was very uncomfortable. I usually sleep on my side in a fetal position so do not like sleeping on my back, but I had to do it and just recently can tolerate sleeping on my left side for a short period and lots of pillow under the leg adjustments. I actually have been sleeping very well now that the swelling is down. That first week sleeping was difficult as the leg feels so tight and to me it felt like someone was pulling on my leg but that is all in the past now.

Sitting in hard chairs well except for my dining room chair I do not have hard chairs. My chair and couch are overstuffed down cushions so very soft. I sat mostly in the chair and used the ottoman for my legs even slept in it the first couple days as I just could not get comfortable on the twin bed, I brought downstairs. Heaven was going upstairs and taking my first shower and sleeping in my real bed the first time!

Too many people told me that the first two weeks were so bad I would be wondering why I did this and that was just not my experience. The only day I really felt bad was day 3 when the nerve block was wearing off that was not comfortable. Funny side story when in the preop holding area the anesthesiologist came in to start the nerve block and I remember her being there but do not remember it nor was I feeling it, meanwhile my sister who was with me as cringing as the doctor was sticking long needles in my knee down to the nerves. I had the nerve block and a spinal no general.

The walker did not work well as my condo is not big, so I used the cane within a couple days and did fine. I think anticipation of surgery and recovery is often worse than the actual event, so it is 100% normal to stress about it. Best of luck to you and remember ask others for help it will often come from someone you least expected it too.
Oh, thanks so much for that. Yes, I think we can imagine all kinds of things based upon what we hear and people can vary or have different experiences. I live in a building, not really close with others here, but as you say, people may step up. Older friends are no longer, and one thing not having focused upon is developing new friendships in later years.

Concerns - as said:
* Being alone in case of an emergency, or falling.. just feeling insecure about.
* Needing to bend over for anything. The cat's food dishes I guess could be set on the table. Then sifting her litter box - which I have considered raising higher, and providing a way for kitty to access.
* If I need something, possibly a neighbor could pick up when they are out.
* Also, placing my trash bags by the door, a neighbor will carry out.
* Maybe another will do my laundry...(it's in the building across from my unit).
* I have never been able to sleep on my back. Used to being on my side, with pillows between legs, but fear I would still want to bend my leg, maybe I can make some sort of adjustment there.
* I had seen about needing a stiff chair with arms, not being able to sit on a soft seat. I have a couch and loveseat, they are pretty firm, maybe getting an ottoman for the love seat.
* Getting in and out of the tub-shower.

Besides anything I've not thought of ...all that while just needing the knee to heal properly. Anyway, not to repeat myself, and you are right - just imagining the worst. Then always having heard of others experiences, who have spouses and family members living with them. I'll look into the cold machine, not having heard of. I wasn't even fully considering this until recently and would not be until next year, I believe, and will do what I can till then. (Still needing eyelid surgery, prior).

Surely you are feeling relief of, getting over the hump, and can just feel that it's working out and is more comfortable for you now. Thanks for your response.
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Old 08-22-2022, 07:44 PM
 
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I appreciate all of the input from all of you. I will need TKR for both knees. Actually, I already do need it, but I keep putting it off, and living with the pain. Crazy as that sounds.

I’ve had two types of injections. There was a noticeable difference for a couple of weeks, but it wasn’t as big a difference as I had hoped, and because of my high insurance deductible, I had a $5500 medical bill from it. That was a whole other pain. LOL

One thing that keeps me from getting it done is losing my independence while recuperating. That seems silly, because the longer I wait, the more dependent (or life less) I become. At this point, the farthest I walk is getting to my desk at work, then getting to my car after work. I pick up my groceries. And I need to get the surgery to have memorable times with my grandson. ARGH!
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Old 08-22-2022, 07:49 PM
 
Location: On the Chesapeake
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Not much more to add, I've not had TKR but know several people who have (including one who both knees and both hips replaced) except having it done is a good reason to get rid of all the damned throw rugs.
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Old 08-22-2022, 09:10 PM
 
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Quote:
Originally Posted by metamorphosis View Post
I appreciate all of the input from all of you. I will need TKR for both knees. Actually, I already do need it, but I keep putting it off, and living with the pain. Crazy as that sounds.

I’ve had two types of injections. There was a noticeable difference for a couple of weeks, but it wasn’t as big a difference as I had hoped, and because of my high insurance deductible, I had a $5500 medical bill from it. That was a whole other pain. LOL

One thing that keeps me from getting it done is losing my independence while recuperating. That seems silly, because the longer I wait, the more dependent (or life less) I become. At this point, the farthest I walk is getting to my desk at work, then getting to my car after work. I pick up my groceries. And I need to get the surgery to have memorable times with my grandson. ARGH!

Are both knees Stage IV? If not nerve ablation might be an option. But it will cost you about the same amount for both knees, and you'll know in advance if it will work because they do a nerve block first.
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