First Day After TKR: What To Expect
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- Опубліковано 27 тра 2024
- The surgeons discuss what happens on the first day after a total knee replacement (TKR). They discuss what is normal and what is abnormal. IF YOU HAVE CHEST PAIN OR SHORTNESS OF BREATH OR NEUROLOGIC SYMPTOMS SEEK MEDICAL ATTENTION. IF YOU ARE CONCERNED ABOUT ANY OF YOUR SYMPTOMS SEEK MEDICAL ATTENTION.
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Had one both knees replaced one month apart (May and June 2022). Surgical pain was moderate at worst, PT was the toughest part. I was able to walk my daughter down the aisle with no limp in early October and went skiing in January. I’m back to walking 18 when I golf. My legs feel 10 years younger. I feel like my surgeon gave me my life back.
That is awesome Len!
@@TalkingWithDocs 76. Age 84 a big issue
Doing it June29th, pray I can be at Winterpark Jan. !
I'm doing the same months this year first one is done,next one in 6 days so far so good
Actual skiing 7months post op ?
I just had a total knee replacement on Tuesday. Is really not bad, is just the pain and swelling. But I watch one of your video you guys said control my pain, stay on top of my meds. And that’s what im doing . So my advice is PRAY BEFORE YOU GO SURGERY AND THE GOOD LORD WILL HELP YOU THRU❤️😇❤️
Yes Lulu always nice to have the Good Lord on your side. All the best. Thanks for watching and subscribing
@@TalkingWithDocs ❤️🥰❤️
I've had both TKRs done in the past 14 months (plus 1 THR). By far, the worst part was the PT and pressing myself to the limit. But other than the PT, I had very little pain and healed great and am fully active today. A friend had a TKR just one week after my first one. He refused to push himself and said he would do nothing if it hurt. He claimed the body would heal on its own and was not designed to be in pain. To this day, he has very little flex in his knee and is in pain with every step. He brought this on himself. When the surgeon and PTs tell you to go all in, they are saying it from knowledge and experience. I am glad I chose to listen to that knowledge and experience.
Hi Gary. We would agree. The therapists have vast knowledge and yes you need to push. Early in the process. Thanks for sharing. Thanks for watching and subscribing
@@TalkingWithDocs I had TKR 2 day’s ago, why is the back of my knee so painful, it has me in tears literally trying to sit up!
Two additional items to warn patients about: one, if your surgeon uses a nerve block you will feel some period of no pain after the surgery - ,Maybe even 24 hours. However, when the nerve block wears off you might be slammed with pain. Make sure you’ve started the pain meds ahead of this point in time. Two, icing according to instruction given by the surgeon really helped.
Agreed Michael. Thanks for watching and subscribing
I watched all your TKR videos prior to my TKR 5 weeks ago. I appreciate everything you have posted. Thanks to you and my doctor and PA, I can honestly say I walked into the hospital in more pain than I walked out with! I went in with some nerves, and thinking I would do my other knee in a year, now I am excited to do my other knee in 3 mos. Thank you for the videos.
Dr. Zalzal was my surgeon for both my knees. Excellent doctor! Can’t say enough about his candour, skill and now with these videos, I see his humour and fun side. They are right about everything they say, but depression and a feeling of isolation should be mentioned. My husband was there for me totally, supported me, took me to every appointment, but I still felt alone, sad, cried a lot. Maybe it was the narcotics? I also didn’t feel great about having each knee done until about week 6, then I felt great, optimistic, and hopeful. After both knees done, healed, my world has opened up and life is great! That, and a good stool softener...!
Thanks for sharing Jennifer and so glad you did so well. The depression is real and sometimes relates to the sleep disturbance. All the best. Thanks for watching and subscribing
About 1 week post OP from a TKR I put my head down on the table and cried. It wasn't from pain, I think there was an element of depression that went away, I hear this is normal.
Thank you for bringing up the depression. I’ve always done really well with pain after surgery, but I could see with having to take the narcotics and having sleep disruption worse than other surgeries that depression could be a factor to keep in mind.
I’m day 7 post knee replacement. My first 2 days in hospital was my body not liking the medication. Oxy made my blood pressure drop when they went to get me up to walk on day 0. Change medication to Percocet on day one and the same thing happened. Blood pressure dropped to 70/40 when I would stand up. The 3rd medication worked and I felt like a new person. Crazy pain but got under control. Then I could finally do physical therapy and go home. My next hurdle after not being able to pee and getting catheter 2x was constipation I went through utter hell passing my first poop to the point of screaming in pain trying to pass that turd. I am feeling good now and working my knee vigorously to get range of motion before the first physical therapy appointment after leaving the hospital. They could not get me in for 5 days so thanks to the information I got from the hospital physical therapist and your video on what to do after knee replacement I am getting a pretty good range of motion week one. Thanks for the videos
I have had both knees replaced and I agree with this video! But my knees feel very good now (one year post op) and it was totally worth it. Thanks to all ortho docs who dedicate their career to helping people move better. I am also a PT, so I have helped others through it. Hang in there folks, you can do it!
Nice Musical lover and thanks for all the work you do!! Thanks for watching and subscribing
Thank you for your video's. I'm due to have Total knew replacement this coming week. ..in absolutely dreading it! Saoirse (uk)
@@youubik my surgery were cancelled I'm afraid because of a urine infection.....now I have to wait!! Thank you for all you do! 😊
I had a great surgeon no doubt, but it was the PT team that maximized the outcome. Great team approach and the camaraderie among the patients really helped when in a rough patch.
@@roseofmercy sorry you were postponed! I hope you are recovering now or back on the surgical calendar!!! Wishing you a speedy and complete recovery!
Had my right knee done at 57. I was walking the same day but at that time they would keep you several days. I took no narcotics after the first day and relied on Tylenol and cannabis. I pushed hard but with caution. Once healed I heavily kneaded the scar to work out the scar tissue. Five years later I have over 135 degrees of motion and have no pain in that knee with the exception of occasional pain from my kneecap (once every couple of months) but the kneecap was never resurfaced.
I used a cane to walk and had a handicap sticker for parking. Now, I can walk all I want and usually park at the far end of the parking lot for exercise. No regrets and I must give credit to an excellent surgeon and team. It was my second best surgery. My best surgery was my 2019 kidney transplant. 😊
Hi Kidney Kayaker. Yes kidney transplant #1. Glad you are doing so well. All the best. Thanks for watching and subscribing
I had mine done, mowing the yard in 10 days. Hell yes it hurt and the PT blows but man up and do it. The worst part was the first dump you TRY to take, WOW that medicine will bind you up - don’t skip the stool softeners. 2 other tips - have a grab bar by the toilet and have a cold water circulator - for me, ice way way better than pills for pain.
I had my right knee done Nov. 2 and it's been a great experience actually. My surgeon did it robotically I really haven't had much pain and the only "discomfort I experienced was more like muscle pulling above and below the knee. I have done the PT exercises and will be done in a couple of weeks. I'm a bit stiff in the morning, but like an old car, once I get moving I'm fine. I am having my left knee done the end of September and will be interested how this goes. I had watched your videos before my surgery and am very glad I did. They were a great help.
Well glad we could help Peter and happy to hear you did well. Good luck in September. Thanks for watching and subscribing
Enjoy your videos. I am 74 and had surgery December 10, 2022. Excellent surgeon and a very favourable outcome. I used these videos pre-surgery for three weeks strengthening and stretching which made a huge difference. I could have walked out of the hospital as I started bending and stretching as soon as I came out of surgery but with the pain meds they insisted on a wheelchair. I started physio on day three post surgery and kept following your videos. Have just started finished week 4 really no pain, no hematoma, muscles pretty much recovered. I had the choice of waiting but decided to go ahead because of my age. This is the third surgery on this knee and by far the best. Can’t emphasize enough exercise through the pain, take your meds so you can do this or you will never be totally happy with the results.
Your surgery was done robotically, was that a Mako robot and a Stryker knee replacement?
Thank you for the great videos! I had a TKR in January and could not be happier with the result. I urge anyone waiting for surgery to see a physiotherapist for pre-op exercises - I attribute my rapid recovery to being well prepared before surgery, and doing the post op exercises faithfully afterward. There is pain and discomfort for a few weeks but keep reminding yourself with each day you are healing and getting stronger.
Yes M H. Good approach. Thanks for watching and subscribing
Both knees done. I love them. Used ice for the little bit of pain I had. I was in PT before they sent me home the afternoon of my surgeries Walked with walker to my bedroom at home. PT 3x per week and at home.
I know everyone has different levels of pain tolerance but I’m lucky to be tolerant of high pain levels. Now walking 3-4 miles a day. I’m truly blessed. If you are having knee surgery, hang in there. Your life is going to change for the better. 🤗
I had double full knee replacement in December. I watched this the day before my surgery. Thank you! It helped me get through my first 24-48 hours once I got home. I had to do it without any pain meds due to horrible side effects, but I made it through and now a little over 5 months post op I’m very happy i did it the way I did. I can now get on the floor and play with my grandchildren and actually take a walk without being in pain.
Glad we could help. Congrats
I had my second knee replacement 14 August 2023. Left knee was replaced 10 March 2022. The first day I came too and my right leg was numb from hip to toes for 8 hours at least if not 12 hours. The anesthetist used too much anesthetic in the epidural. No problem with eating. Next was my bowels would not open had to have a catheter. (In fact everyone in the ward of 4 had the same issue all had different operations).
Whilst numb I was got out of bed by physiotherapist and squatting down bent my knee in reflection past 90 degrees.
Day 2 was pain full my guts were not working and I eat on day one. I had the worst constipation ever. Exceptionally pain full.
Right knee carried on improving. Went up and down stairs on crutches.
Constipation was cured with so much laxative in every orifice.
Day 3 getting about on crutches and I was discharged.
5 weeks later I had an appointment with my Orthopedic surgeon. 120 degrees of reflection and 5 degrees short of getting my leg out straight. Wound had healed up very nicely. Knee was still swollen and red and I was discharged with the option of further consultation if required. I was walking unaided.
Start of week 6 I had watched a youtube video on how to straighten my knee and practiced the exercise once reduced the straightening to 2.5 degree. Had a physiotherapy appointment and discharged with the option of returning any time in the next 9 months. Compared to my left knee recovery the right knee recovery was traumatic, painful and fast.
For my left knee I was still using crutches for months after.
I presume it was my experience of the left knee replacement which made my right knee recovery so fast.
As I had my reclining stationary bike in place and I had a full body panel for red light therapy.
Using the red light panel twice a day (12 hours apart) expenetionaly improved my recovery.
I started using the bike in week 2 just going back and forward. It only took 2 sessions before completing a complete cycle.
By week 5 I was doing 50 revs per minute for 30 minutes at a resistance of 4.
On day 14 after the operation I stopped taking strong painkillers switching to paracetamol every 6 hours taken with colchicine twice a day.
That bring my recovery to 5th October 2023.
I also iced my knee have a stack of 12 ice pads in my freezer. As and when I felt like it. When the temperature went to 30 degrees centigrade in august I had to purchase additional ice pads.
I learnt a lot from my first left knee replacement.
I went home the same day and did wonderful! No walker or cane after I walked into the house. My surgeon said my next one might not be that easy! But it might!
I am 6 days post total knee replacement surgery. I stayed overnight in hospital but my pain was uncontrolled due to nausea from the opioid despite an antiemetic. I got my pain meds changed on day 3 and that was a great help. My biggest surprise was how weak my leg is and I am unable to lift it, bend it or even move my foot to place it in a shoe. It’s coming slowly with the new pain medications.
Just had my second knee surgery yesterday home today.
Thank you for these videos they helped me with the first knee and they will with this one too. One thing I can add is that moving your leg gets so much easier the more ya do it 👍🏼👍🏼
That is awesome Nancy!
I have had both my knees replaced. The first one was in 2019. They did not give my any pain meds other than a small pump that was putting a painkiller directly into my knee. It ran out on day 4. I was in horrible pain.
The second knee replacement was done in 2020. This time I was given pain medicine to help for a few days. It was tolerable.
I’m glad I had them done now. The pain I had before the surgeries is gone…no more crying at night if I turn over the wrong way!
Yes Susan! So glad you are ok. Thanks for watching and subscribing
I had partial knee done in thanksgiving I’m four days post op it’s my third time have this knee operated on.. pain meds I didn’t stay in top of.. I had forgotten how sore the knee is..make sure you leave hospital knowing what pain med schedule you need to stay on top of pain.. you won’t be pain free but once edge is off it makes life a bit easier..ice pack every 2 hours is your best friend and mobilise!
Had one done on 3rd of Jan. Worked on strengthening and mobility pre-OP, worked on post operation PT. This led to a really good outcome. The worst part was not being able to find a comfortable way to sleep.
Yes Ken. Very hard to sleep! Thanks for watching and subscribing
I had TKR almost 1 yr ago and I'm so glad I did it! I would say for myself after about 2 days post up everyday got better! And the cool thing was I could actually see the improvement! Do what your surgeon says! I started w physical therapy at home for a couple weeks and then transitioned to outpt rehab. Keep working/ bending your knee as recommended. I am still getting improved ROM! No more pain of arthritis! Good luck to you!!!
Improved ROM after 1 year? Umm..that's contrary to physics and biology.
@@ak203 actually my surgeon said I could have improvement in ROM for up to 2 years. Not sure what your "physics/biology" info is from but that is my experience. I am a healthcare professional.
Congrats Ginger. So glad you are doing so well. Thanks for watching and subscribing
Hi Alex. True the majority of range of motion will be obtained in the first 3 months but we tell patients they can improve out to 12-18 months depending on how hard they work. Thanks for watching and subscribing
We would agree Ginger. Certainly beyond a year if you work hard and keep pushing past your last milestone. Thanks for watching and subscribing
I had my TKR done 3 weeks ago and day 3 was a tough day. BUT thankfully as I’d watched your videos beforehand I was more prepared for how I was going to feel post op. One thing to emphasise for me is the pain I had pre-surgery was worse and any fears that I was doing the wrong thing went out of the window. I know this was the best thing for me and now the way is up and I’m looking forward to being able to walk again properly, without limping or being in the pain of bone on bone. Thanks, guys and keep up the excellent work
Thanks for sharing that Sue. Best of luck during the rest of your recovery
I had my right knee replaced 2017. Never took the first pain pill after getting home! I used a walker the first day home, after that, all by myself! No cane either! PT came to home. My Dr couldn’t believe how well Zi did!! I am morbidly obese and it was smooth as silk! I live alone and learned VERY quickly how to get to tv tray with meals minus the walker!!!!
I love watching y’all’s clips! So much information and laughter too! Keep it up!!!!
I literally had a TKR outpatient surgery today 3-25-22. So far I’ve had a pretty positive experience. I had the surgery at 10am and it is now midnight. The pain has been controlled with a nerve block prior to surgery and by the pain meds prescribed. I’ve been up and around several times beginning in the recovery room. I was pretty anxious about getting the surgery but I’m glad that I went through with it. I know there may be tougher days ahead with the recovery process, but at this point I would recommend getting the surgery if it is something that you need to get back to a better activity level. Thanks for your very informative videos!
Very welcome Deb and congrats!! Very exciting for you. Best of luck with your recovery. Thanks for watching and subscribing
وين
لوًسمحت دكتور انت موجود بمصر او امريكا
How was it after the block wore off? I had the hospital blanket in my mouth to stifle my screams. Horrible experience
@@Rosary716
Really? I’m scheduled for a knee replacement this month and the pain and how they want me to move right after scares me to death. The closer the day gets the more nervous I am.
I loved that you said to start the exercises before surgery. It helped alot. I had both knees done in the last eight months. It was totally worth it.
Awesome Pam! Thanks for watching and subscribing
I go in on February 16, 2024 for a left knee replacement in the Netherlands, surgeon says he wont know if its full or partial till the day of surgery. Been watching these videos for a few weeks now and they both help and terrify me, kind of a 'two-four ' one experience. Thanks for the information and your engaging presentation style. As a good Canadian, gotta end this comment correctly, eh! ;)
I am scheduled for TKR of my left knee April 2, 2024. I'm really scared but so ready to be on the other side. These videos have definitely helped me. I'm using a stationery bike 2x a day and doing the exercises from the videos. I'm scheduled to have a nerve block and go home the same day. Praying for a good outcome!
I love all of your educational videos, but so glad to see you are doing specific orthopedic videos again. I had to have my knee surgery twice, 1 week apart because I bled into the joint. A very rare event (thank goodness)! Now that was pain, the second postoperative period was a cinch after getting it redone. The pain DOES go away, and you will be so much better off after the surgery. I am do glad I had mine done.
You guys are amazing. Thank you for educating us . Even tough I don’t need any of those things but never say never. At least you put me at peace. God bless you both. Have you guys traveled to the US?
Nice Cindy! Glad you are ok. Yes we are working towards a balance of generalized medicine and health plus Orthopedic surgery videos. Thanks for watching and subscribing
Tomorrow is my surgery day and I am thankful for you guys
Please stay the full day after. It is really painful and could use that day to have the nurses keep an eye on you.
Hello! I had my TKR this morning at 8:30am, and I am home now. Going through your videos because they are super helpful! Thank you for making these!
That is awesome Robin! Congrats. Best of luck during your recovery. Glad we could help. Thanks for watching and subscribing
You know, you docs are spot on with your comments regarding pain. First day after surgery was the eye before the storm so to speak. I slept most of the time on opioid meds. The 2nd and third days were the worst. That’s when the pain prevented me from sleeping and relaxing even with a steady dose of the required meds. I gritted my teeth but reminded myself that each day after surgery is a day closer to wellness and freedom from pain. I made sure to have a steady supply of ice pads as well. Those really helped a lot. Bathroom breaks were no fun either. But i persisted to get over the first week, knowing that “the darkest hour is just before dawn” and dawn came the second week. My battle scar was a sight to behold and to brag about. Once the staples were removed (it was a breeze!), i knew i had it made!
Congrats Mila! Thanks for watching and subscribing
Going under the knife on March 15 2023 and after years of pain and not getting to enjoy my hobbies the time is soon. Thanks for the video for they give me confidence in my recovery.
Best of luck
I had TKR on both knees one year apart in '17 & '18, then total right hip replacement in '20. The hip was a breeze compared to the knees, BUT I put in all the hard physio therapy work required for the knees, and I had 100% success and attained great range of motion in both. My surgeon was surprised and very happy with the ROM I accomplished during the healing process. Not going to lie.....it was tough, but the best thing someone told me prior to my first TKR was that the purpose of working hard on bending with those painful exercises was to keep 'breaking up the scar tissue' that's forming as it's healing. I just kept visualizing that as I was doing all the PT, and it really helped me to take control. I feel that having a simple stationary bike was what really helped with my ROM. Once my PT said it was ok, I started with the seat much higher and just rocked my legs back and forth (make sure your feet are in the stirrups.....you do NOT want the operated leg to slip off the pedal!!! And obviously, no tension on the wheels.) As you get those muscles warmed up, the rocking motion will get bigger, and then finally, with a LOT of bravery, you make that very FIRST ROTATION!!! THAT is SO exciting!! As healing progressed, I lowered my seat incrementally and that made the rotations harder, and forced a greater bend, but I did it. (Some tears running from the eyes involved, but worth it!) I think, that if you're not working hard enough to bring on a few tears.....then you're not working hard enough! My best friend was too afraid of the pain, and she did not have good success with her ROM. First 2 weeks are nasty, but once the staples are out, the dressing off, and the swelling starts to reduce, you feel so much better. I am 100% happy with both my knees (& my hip), and I have absolutely no regrets at all......BUT you have to DO the work! ~~Mavis~~
Thanks for sharing your approach Mavis and so glad that you did so well. All the best. Thanks for watching and subscribing
This format is fabulous. Straight doc talk.
Hi jill. Doing our best to keep it real. Thanks for watching and subscribing
8/23/16 Right TKR age 71
5/3/21 Left TKR age 76
Absolutely the the best decisions I ever made.
Can only imagine where I’d be had I not had these
operations. Worth all the pain, and 4 months of
PT. Can now get around as normally.
Find the right doctor. I did. Good luck. Don’t over
think it.
Sage advice Barbara. Happy for you. Thanks for watching and subscribing
Thanks for this. It has eased my apprehensions some . I have watched your exercises to do before knee replacement and I’m working with your recommendations daily.
My first day after knee surgery and it is incredibly hard and painful just getting out of a chair standing up using a walker. I didn't expect that much pain and difficulty
Brilliant as always. I’m
Just 6 months into my first knee replacement and second one now going ahead in 8 weeks time and it’s amazing how much you forget. But it’s true. You do forget pain.
Well mark one down and one to go! Thankfully you do forget the pain or no one would get the second one done. Good luck in 8 weeks. Thanks for watching and subscribing
I can’t remember the pain from childbirth, so I imagine the memory from knee surgery would pass, too, thankfully.
So true about forgetting the pain. Before surgery and after.
This was very timely. My wife’s TKR was just today right about the time you dropped the video. It’s reassuring to hear that her experience is typical. I am glad you didn’t wait another day to do this one.
That’s funny Mike. Best of luck to her and now you are ready to help!! Thanks for watching and subscribing
Helpful as always. I did go home the same day and I can relate to all of this. The horrible bruising , pain and regret were all there. SO much pain. 😩Very Sick from pain meds. Not hungry. 😭. I’m almost 6 weeks out now and doing much better. All of your videos are so great and helpful ‼️
Glad we could help Roxi!! Thanks for watching and subscribing
Thank you! I got soooo sick and I hurt so badly! I’ve had total hip replacement Alif on back and this by far has been the worst of all! Thank you for all the info!!!!❤
I had TKR surgery done on Wednesday and today is Friday. Some things that have struck me: as you can't get out of bed your toilet needs are .et with a catheter and a large nappy😢 As I am prone to constipation, I haven't pooed for 3 days. Also my operated leg remained anaesthetised for 24 hrs after the op which can make you believe that it's not as painful as you expected. My philosophy is that many people have come through this, therefore, so can I. And so can you!!
You can do it!
My surgery is on Monday. I'm excited and nervous. Thank you so much for these videos. It helps a lot with all of what I'm feeling.
The surgery will be amazing. I had mine done in the morning and was walking by dinner time. Prep your kitchen with meals and remove any trip hazards. Do the physical therapy and you'll be fine. In 3 months I had my 2nd knee done !
You are very welcome doggiemom2. Best of luck on Monday. You’ve got this!! Thanks for watching and subscribing
I’m scheduled for April 8th but trying to stay positive 🫣
Ive NOT had a knee replacement but assisted at many! I find your videos inspiring!! Well done.
Thanks so much ROBIN!! Thanks for watching and subscribing
Another great video! 👍
You two are always great at giving us such helpful information and talking to us like real people. And your sense of humor adds that special touch. 😉
I'm not currently in the market for a knee replacement but if I ever am, I'll be sure to refer to your videos.
Peace of mind is always a good thing when it comes to surgery and you certainly provide that.
Thanks for all you do!
Very welcome Vickie. Thanks for taking the time to comment. Thanks for watching and subscribing
I am 2 weeks post op on my second knee replacement and this video is spot on. They provide great insight and advice. I just shared this with a friend who has a TKR consult scheduled for tomorrow.
Thanks Thomas that is awesome. Thanks for watching and subscribing. And best of luck with your recovery.
I meet with my orthopedic doc 4/4/22 and honestly these videos help a lot. But once I was told I need tkr I started looking up and doing the pt requirements so here’s to a great recovery. The mind is an amazing tool
Good luck next week Roger! Thanks for watching and subscribing
Expect pain, sleepless nights and a long recovery time. It took a year for me to feel better. Plus I had been limping that long and favouring the painful leg I had to mentally think about walking correctly. Just take your time moderate exercise don’t over do it
Thank you for these videos--I am due to have TKR in the spring and these have been really helpful in easing my anxiety about what is going to happen and what I should expect. Many thanks!
You’re very welcome Lee. Good luck in the spring! Thanks for watching and subscribing
Between such an important video and equally important comments all around there is so much important information here.
I watched the entire video and don't believe you mentioned how happy the patient would be that they had their knee done (sorry if I missed it). That comment was given by those above and below that actually had their knees replaced. Always good information here.
Many thanks for all the sharing.
Hi BW. Very welcome. You certainly will be happy. Just not on day one. 😁. Thanks for watching and subscribing
Your video is fantastic! I'm going for my second TKR but I'm not so worried as I went through it before but you videos are uplifting and even though they seem scary, to me they are not! Thank you for them.
Very welcome Phyllis. Best of luck. Thanks for watching and subscribing
Another great segment!! You answered the questions I had for my pre-op in 2 weeks. In this vid, you mention about interaction with a "partner" to help with various activities. My docs office refers to them as coaches. After this one, we watched the "6 Exercises after TKR". In it, the physio mentions while performing the exercises if your not in pain you're not pushing it, it should put a tear in your eye. Well my coach, (aka; my wife) looked over at me, smiled and said "oh...you'll be in pain!"
But her question is, how far is too far to push? Or when can she say, "get up and get it yourself". So she wouldn't mind seeing a video dedicated to information just for partners/coaches.
Good idea Daddi O. The hip is certainly not as painful as the knee. Best of luck to the both of you. Thanks for watching and subscribing
Thank you so much Doctors! I just had knee replacement surgery and it has been tough but it is only day three. What I wanted to say I haven’t been eating much at all and I was so happy to hear that was normal. I have watched you two before surgery for exercises and such! You two are the best!
Glad to hear it Nets! Good luck during your recovery. Thanks for watching and subscribing
Thank you so much. I am day 4 post surgery, first day I can look at videos. I was feeling pretty bad and watched this video. Knowledge takes the pain away. I’m calmer, better, knowing it is normal and it will ease
Yay Monica! Way to go. Hang in there. It gets better each day. Thanks for watching and subscribing
I am going to have total knee replacement in two days. I have been getting all the information I can get on it. Thank you for this video and all your videos. You two are wonderful.
You got this!
Hello! Thank you for your videos! I truly credit your videos helping me have a good result! I went to the hospital at 6am, and I was walking into my home with a walker at 12:30! Truly incredible! I had my knee replaced in October, and I am doing well! The one thing I was not prepared for was the extreme bruising of my whole leg! I looked like someone took a ball bat to my leg, not just the knee area, but up my thigh and down to my ankle. And they lasted for at least 3 weeks. I was well prepared for my procedure and for me that helps. Your constant reminders of doing your therapy echoed in my head and pushed me along. Plus, I had an excellent physical therapist who knew just how much to push me to do more than I thought I could do. Thing that helped me the most was my cryocuff (ice machine) I used 22 pounds of ice each day for about 4 weeks.
Thank you for ALL your videos
Debbie Duckworth
Hi Debbie. That is so awesome!! We are so glad we could help in any way. Congrats. Thanks for watching and subscribing
I had bilateral TKR 10 months ago. I got lucky I guess my knees never got swollen. I still have some pain on both of my knees, but it's manageable. I go for 1/2 walks in the morning, 20 minutes bike & 20 minutes on the treadmill. My therapist advised to do through out the day, not one after the other because it would be too much for my knees. I'm pretty happy how it's going, I can do a lot more things now. Before the surgery I couldn't even take 5 steps my knees hurt so bad. I've been watching your videos I find them.very helpful.
Sounds like you are doing very well 01sanfra. Thanks for watching and subscribing
Just had my right hip done march 14. My surgeon did it robotically Really have much pain. I’m having my knee done in 6 months. Thanks for the video.
Awesome June. All the best. Thanks for watching and subscribing
Im on day 2 post op and Im struggling with all these things. Im 44 and went from being in pain when I walk, to being completely dependent on many more things that I am used to helping patients with at my job. Regret is the biggest thing Im feeling at this point, but I am trying to hang on to hope that the swelling will go down and I will get some flexibility back. Struggle is tough, I hope to be back on the job in 4-6 weeks as a FF/Paramedic, and hoping that I can push through and get there.
Hope it's going well, hang in there 👍
@envisionbybvinson7516 - In a year, you will look back at this time, and you will realize that it was worth it.
I’m 36 hours post surgery. So far it’s been very intense pain. With no relief unless you really stack up the Oxy. Then you feel dizzy and nausea. Them trying to bend the knee is just tear jerking. By all means. Don’t not get your knee fixed. In the end it will be a distant memory.
Hey docs! Thanks for sharing this video, I find it very helpful!😊
Very welcome Alida. Thanks for watching and subscribing
Thank you for all of your videos about TKR. My surgeon has not told me much about afterwards and he didn't tell me to do any prehab exercises either. My surgery is next Wednesday, and I really appreciate all of the information. I wanted to minimize narcotic use too but now I see I will need to take it as needed to get through the pain post op. I work in PACU but have never done ortho, so thank you for everything.
Very welcome Kathy. Best of luck with your surgery! Thanks for watching and subscribing
Yes, the early regret and surgeon hating is for real! 10 days out and several pt sessions and I'm starting to see the light. I also did a bunch of pre-op quad and glute exercises which I think has helped a ton! Can't wait to get back out there and hike!
Nice! Congrats. Thanks for watching and subscribing
I'm 48 and discussing a TKR for January/February next year. I've had 7 right knee surgeries and about a dozen plus cortisone injections. The last injection of Synvisc 2 weeks ago didn't work. While I'm not looking forward to it, I'm looking forward to being mobile, more active, AND out of hourly pain!
I'm also afraid of getting addicted to pain pills. I was addicted to them for 5 years but I've been sober for 13. My last knee surgery in 2021 I took 2 percocet for pain and threw them away. My husband held onto the bottle for me.... I hated them! I was good taking Tylenol and Ibuprofen but I know with this surgery, I'm going to need them.
I'm sooooo nervous and I'm not afraid of the pain.... the pain meds? 1000%
Thank you for this video!
I had my 1st TKR 2/22/22 on my right knee...my next one is 6/28/22 on my left knee if course lol. I never felt a great deal of pain after surgery but that may be because I had so much pain prior to surgery! My biggest mistake was comparing other people's, what seemed like faster recovery to mine! I also recall I just couldn't eat! Literally no appetite. My appetite came back after about 3 weeks.
My knee is still swollen but I walk everyday and I've joined a gym in order to concentrate on strengthening my knee.
I also did everything my physical therapy told me to do...it was grueling BUT I knew it was for the best! I work from home, went back to work at week 7. I also used the CPM Machine for 3 weeks.
I'm so thankful for these videos, I'm starting to watch them all over again to prep for June lol ...so glad these two have been sooo informative!!
Congrats CookiesMomma!! So glad we could help and best of luck in June. Thanks for watching and subscribing
I had TKR 7 years ago, problems from the beginning, not aligned properly, extreme pain and mobility problems. Now waiting for revision surgery and it sounds as if the health system in Canada is as bad as it is here in Australia. Perhaps tkr patients should be aware that there could be a heavy diet of pain meds for a fair while. Do not be afraid to question your surgeon. No, your life is not going to be the same after knee replacement,despite what all the experts tell you. You become very wary of your feet placement and balance.
Hi Peter. Sorry to hear this. Everyone responds differently to surgery but we agree 1 in 5 are not totally happy. Best of luck with the revision. Thanks for watching and subscribing
Had my left knee done and wish I had pushed harder. Yes remember each day, week, etc does get better!!!
For sure Jen
I want to assure you that I never hated my surgeon post-op - nor did I regret having had the surgery. That’s probably because I HAD been told that for the first 4-6 weeks, I WOULD regret having had the surgery!
My surgery was done in April, 2023 at HSS in NYC - considered the best orthopedic hospital in the U.S. if not the world. While they did briefly get me vertical each day, believe it or not, their focus was - by far - on establishing extension rather than movement and flexion. The literature they provided said getting that leg fully straight, with toes pointed straight up, was the single most important thing. They stressed this repeatedly.
I was discharged after 6 days and although I’m only 57, I was advised to approach PT gently. I’m glad they said this because one post-discharge therapist had different ideas - suggesting an exigent need for aggressive exercises. I dropped him for a therapist whose philosophy was in line with my HSS surgeon’s.
I’m now 4 weeks post-op, my extension is a perfect zero, and my flexion is right on target. Had I let myself be pressured by that overly-ambitious physical/occupational/rehabilitative therapist, I might have endured needless torture - as well as having potential gains compromised by avoidable swelling (which itself thwarts flexion and recovery). 🙀
This experience has taught me to adhere to the best, most authoritative advice you’re given - and difficult though it may be: stick to your guns. Don’t let yourself become someone’s experimental rat to suit their personal agenda. You deserve the best, most thorough recovery possible!!!
Thank you for sharing and congrats!
@jenniferlynn3537 - I fired my first therapist because he was so agressive with me. My second therapist was firm, but much more understanding and compassionate.
Oops I watched this three weeks before my surgery! Tough to hear but all good info to know! From what I’ve heard most people finally admit that it was the best thing to do and get A new lease on life. Thanks for being so honest!
Thank you. I'm scheduled for 12/28/22. I am an overachiever. You have made me feel all right to not be in competition with any on or myself. Just work hard and smart but it is ok to rest and not be pressured.
Agreed Papa. Best of luck on December 28. Thanks for watching and subscribing
I have had both knees replaced. One 19 years ago, and one 14 years ago. Post op was in hospital 3 days back then, but had a bad reaction to the medication. This is great information. The emphasis on PT and exercise is SO important. I believe it makes the major difference. I have been able to do pretty much everything all these years. Including hiking and going to the gym. What a blessing. AND, they still work fine, and are pain free!
That is awesome Susan. Congrats to you. Thanks for watching and subscribing
May I add that you are doing a great job, providing important information. I’ll be 75 this year, and can still do my 6 km beach walks. I found that a positive attitude is a big help too. The only drawback I have found, is that my balance isn't as good when climbing up rocks or beach logs. Thanks again!
Goodmorning to my sweet drs and thank you for doing this on TNR I had both knees done 4 months apart late last year and everything you said is all so true on day 1 and I was in pain for the first week then it started to feel much less painful. I slept in my recliner for 3 weeks because my bedroom is on the second floor. And you really do need to bend that knee and it does hurt but it's so important to be able to walk and get around. Thank God I did everything my dr told me as I can bend my knees without all that pain I was in before my surgeries and am so glad I had it done and I have to say for a few days right after the surgery I wasnt 😫 .I love your videos and cant wait for your next one and please stay safe and my love and hugs to you and to your families .🤗🤗💙💙 Maria from the USA
That is such great news Maria. All the best to you and you stay safe as well. Thanks for watching and subscribing
i'm 55 - i had a total KR last summer after 15 years of pain and injections - it was every bit as bad as they are saying - and- i didn't exercise at first because i just couldn't - i developed neuropathy in the leg they think from nerve irritation from the tourniquet - i also developed a spinal headache from the anesthesia - and had to get a blood patch - so yea - brutal - but the knee was GREAT - 2 weeks later i was driving and it was really life changing for me - i would do it again in a minute!!!!
That’s awesome. Thanks for sharing
I’m waiting for my knee replacement and it can’t come soon enough. I swore I would never do a TKR but funny how pain changes your mindset! I have a date and pray for a cancellation to go sooner. I will absolutely be buying a cryotherapy (ice machine) before hand. I’ve been doing physio for a year and will continue until surgery and the best part is when she puts that ice machine on my knee after therapy. It does help with pain. I hope my physio helps my recovery.
After 14 weeks post op (thr) I’m totally thankful for my amazing surgeon, every day is better than the one before but that first week is hard not just with the pain but the emotional aspect of relying on somebody else
Yes Hayley but you did it!! Thanks for watching and subscribing
I had both knees done 3 years apart. One partial and the other total. The pain I suffered before the surgery was ten times worst then the surgery. I was back at work 3 weeks after my partial. It took a little longer for the full but well worth it. I had a great doctor and confidence in your doctor is what helps you to heal.
That’s awesome Sharon
thank you for information
1/4/16 had TKR @7 am. They had me on a walker down the hall @3:42 pm
that same day. All is great 6 years later.
Nice Chuck. Glad to hear it. Thanks for watching and subscribing
Great video ! Great info ! I am scheduled for a TKR on April 5th and I can't wait. Over the past 10 years since my torn meniscus, I've had pain, crackling, crunching and grinding. Looking forward to my new knee, even though the first couple weeks will be a challenge. I'm ready ! 💪
I had my knee replaced. Surgery was in the morning and I was up and walking in my hospital room by dinner time. The physical therapy was ok. The stationary bike was the hardest. But it goes fast and in 3 months I had my other knee done.
Good like on the 5th Michelle!! Thanks for watching and subscribing
Beauty Michelle. Michelle and Michelle! Thanks for watching and subscribing
Why is day 3 tougher than day 1 or 2?
Came across this today (Sunday) and am scheduled on Wednesday for knee replacement! Thanks for the warning!!!!
Good luck on Wednesday Mary Ann!
Learn to love your polar ice machine.
When pain meds do not help, get up and stand on the leg. It is the opposite of what you want to do, but the pressure gives a different sensation and it may help. And standing requires you to get up which means movement for the knee - get it mobile.
Nice Lana. Thanks for watching and subscribing
I'm sitting in the hospital bed is 22 hrs post TKR. I'm in a Dilaudid push the button to deliver it routine. Last night's sleep sucked. I had some issue prior to surgery where my leg wasnt as straight as the other. Been like that for a few yrs.Prob from arthritis. So all night I kept a folded pillow under my Achilles and pushed my knee down to try to stretch it. PAIN!!!! Then I also try to bend it ..PAIN. Dilaudid cuts some pain but not much..get to walk on it with PT today. Dr said I'll prob stay 1 more night. I'm a healthy 49 yr old guy. 6' ft 218 lbs as a reference. Hope the info helps
Had my total knee replace a week ago. Surpised that the pain wasn't as bad as I thought it would be, but then again everyone is different. I did develop two "blood fractures" which looked like 2 big blisters filled with an off color liquid. Looked like maybe some of the betadine solution mixed with a small amount of blood. It did drain slowly. I guess I had more negative reactions with the blood thinner Xarelto than with anything else. Felt like my whole insides were of ice and of course using the NICE machine for swelling did not help warm me up. Can't emphasize enough of what the Docs said, get up and move and do the excercises they give you to do at home before you get to your first PT appointment.
Good luck!!!
One of the good things about waking up after surgery is realizing you are alive. You have a nurse, usually a student, doing your "obs" every half hour and they are watching you and are taking it very seriously. You need lots of water because they have had hoses down your throat pumping oxygen and most likely other gasses and it is all as dry as a bone. If it was heart surgery you will have wires all over you and the nurses can see from their office what you are doing.
if their alarm goes off they come running. As you wake up you start to fell like hurling so they give you a pill to stop that. The real angels are not in heaven. They work in hospitals as nurses and doctors.
Wow James that is so nice to say. Hospital staff do work tirelessly to get you through these procedures. All the best. Thanks for watching and subscribing
Thank u, I needed to hear that.
Ok Dy! Thanks for watching and subscribing
I had my 1st knee replaced 12 years ago and the second 10 years ago. After my second knee I asked to go home the next day because I had prepared better and knew what to expect. I always tell people to do quad strengthening exercises preop, it makes recovery easier. My surgeon asked me a lot about what I did because they were wanting to reduce postop stays. I went back to work at 5 1/2 weeks after both. It is the best thing ever because I can move again and have lost 144 pounds because of my knee replacements!
Uh oh...I watched your video before having surgery! :) I've been watching your videos in preparation for my own surgery. I'm 49 and have been on the list for over a year. I'm hoping to get a date soon!
Good luck Sarah! Thanks for watching and subscribing
On day 3 and doing well. Had the spinal and a block and don't regret it. Only problem...Took meds at 7am and then started the day towards discharge. Sailed through PT but although they gave me a bunch of meds to take home nobody had me take any. By 7pm I was hitting an 8 on the pain scale if I even tried to lift my leg. You warned about getting behind and I experienced it. Now at day 3 cutting back on the strong meds unless I need them with PT. Thanks for the education. You guys are great!
Your videos are great even for those of us who are anticipating TKR. I see my orthopedic surgeon in 3 weeks to determine if and when it will be. Injections worked on one knee but not the other, so when I saw him 3 months ago he indicated it might be time to have surgery. Thanks to your videos I have far less anxiety about it.
I've had my knee replaced. The surgery is amazing. I had surgery in the morning and was walking by dinner time. Follow the prep advice. Do physical therapy as instructed. You'll enjoy your life with your new knee !
Glad we could help Jean. Best of luck! Thanks for watching and subscribing
Betty Kunkel here.....I started watching your videos prior to my knee replacement revision on 12/14/2022. I found them very helpful both pre- and post-op. So far my recovery is going well. I've had a good appetite from the moment I woke up in recovery. I've been doing my exercises faithfully, and have my first outpatient physical therapy on 12/20/2022. Your videos have been both informative and motivational. Thanks.....I'm really glad I found your channel.
That is so great to hear Betty. You are through the hardest part. Keep it up! Thanks for watching and subscribing
I’m so glad I just logged on and you’re chatting about the first day. I have 2 weeks left before I get my TKR April 8th. I bought a journal to write down my daily progress and see how I rate with when I had spinal surgery. I’m hoping it’s not as bad as you’re telling us….and if it’s true, then I’m ready to take the challenge. I have everything prepared and just need to enjoy the next 13 days. I have 4 dogs and 2 know how to fetch, pick up, pull me off a chair (not sure how that will work with the fresh knee) and much more. I’ve even got me some humans to help me. Because it’s a weekend when I’ve got surgery, I wonder if I’ll be stuck till Monday or can I go before? Those are questions I’m about to ask this Monday. Thanks for all your help, humour and honesty.
I had my knee replaced. Had surgery in the morning and was walking by the evening. The hardest part was getting up from a chair and the stationary bike. But in 3 months I had my other knee replaced.
Best of luck DogsRGod. So often patients will be discharged over the weekend. Sounds like you have a great plan. All the best on the 13th. Thanks for watching and subscribing
@@michellelillie6259 wow, that’s encouraging. Hopefully I’ll be just as encouraging as you. Its nice to know how others fair. Thank you 🙏
@@TalkingWithDocs I am more prepared thanks to you two docs. You are such fun guys who don’t mess around with what people are heading into with their replacements. I’m not obsessed but I certainly went back and watched older videos you’ve made. I cannot wait to share my experience. Cheers. I’m on the West Coast and do have a great doc but he’s not making UA-cam videos.
Thank you so much for this video. I’m having mine done June 13, 2023 this yr. It’s May 15. I’m very nervous, but knowing what to expect put my mind at ease somewhat.
Glad to help Patty. Good luck
You gave honest information in all your videos. I’m 12 days after surgery and need meds but physical therapy has helped immensely. Please check out the videos from these surgeons!
Why thank you Sandy. Glad we could help in any small way.
Well mine was crazy.. First I Had both done at the same time.. Glad that I did.. second few days before my husband was in a car crash and broke his neck but wanted me to go ahead with my surgery so I did..we were both in the Hospital together so we got to see each other.. when we got home he was my legs and I was his arms.. Good new we made it work crazy year 2020.thanks Guy's for the videos.Linda
Wow Linda that’s awesome. Glad you two are ok. Thanks for watching and subscribing
Soooooooooooo true. Great, Honest video
Glad you liked it Myron. We are here to keep it real. Thanks for watching and subscribing
Just had TKR on Monday 13 -2023 all went well walked the Halls did the steps things Looked Great , Got home and the Good stuff wore off I didn’t move no way close. To the way I moved in the Hospital , But Yes there’s pain and the most important moves hurt the worse like always but still a Great move and an ending in a few months I hope ICE is a big helper too for that and the swelling and pain. Thanks for Your Video’s Gentlemen big help
Glad to hear it Don. Lots of ice. Pain meds. Exercise. Repeat. You’ve got this
I be four days post-op with TKR and doing quite good. Don’t hardly need walked! But I WILL follow my doctor-general’s orders to the letter . Thanks, Sir Docs, for you most helpful posts. I was rather apprehensive before but seeing what you showed and talked through l, calmed my fears.
Nice Donna. Glad we could help. Thanks for watching and subscribing
Had two knees done. My wife had two before me so I knew somewhat what to expect. My expectations were low so I was thrilled by how RELATIVELY easy it seemed. Pain control for the first day was amazing. I was told to take the pain meds to the fullest extent so that I could get full mobility from the outset. That worked for me for both legs but apparently that part was exceptional. Might also have to do where you were coming from . For me it was getting my life back and I never had anything but gratitude for surgeon and support staff - who were magnificent!
Nice Hans. Congrats. Thanks for watching and subscribing
Spot on guys, had my hip done, went very well, home the next day. Not sure of some things but all worked well Thks to you and your presentations. Cheers
Great to hear!
You forgot about depression because you can’t do what you used to and you can’t be independent as before surgery but over time you become you again.
I need to have my TKR redone because they put the wrong size in and I have an overhang and my knee isn’t steady so I’m wearing a brace and using a cane can’t wait for January to get everything straightened out so that I can go back to hiking this summer.
Good video.
Sorry to hear that Martha. Best of luck in January. Thanks for watching and subscribing
Thank you guys from the UK. I’m trying to prep myself for knee replacement no date nailed on yet but it will now be in the next 12 months 👍👍
You got this!