I've just had my third total knee replacement in my left knee since June 2022. It's a long story, I won't bore you with all the details. But, here I sit, 7am, I haven't been to sleep all night. It's like "am I ever going to sleep again?" I hope so. I love the humor you two doctors have. You crack me up, thank you, I needed that! 😊🤗😅
OMG! Everything you two said…I’m going through it. I had TRKR in December. I have anxiety. I’m depressed. Can’t sleep. After watching your video, now I know I’m NOT crazy! Thank you. I pray it will get better soon. Thank you again!!
Tell your patients it is a whole lot easier to sleep on your back with both legs elevated instead of just one. It took me a couple of nights to figure this out.Greatly improved my sleep.
Tried sleeping on my back with a wedge pillow body would not accept it. I now sleep on my side with a pillow between my legs and another on my abdomen/ chest. It has worked for the last 3 nights.
I started using a wedge for both legs 5 days post-surgery (THR). Great results for this 74 year old female. However, I have to get up 4-5 times in the night for the bathroom, waking up Hubby to help me up, then back into bed. Why is bladder so active in the night when I’m on my back? I’m 14 days post-op. No pain, so no pain meds. Using a Walker. Starting PT this week.
Not if you have big boobs! Or allergies! I will not be sleeping on my back I will be on my good side and my tummy....yohr surgeons not recovery nurses...people need sleep and pain meds...this is a big operation.
You guys are so cool. I had my first knee (a Smith and Nephew, non-robotic assist TKR) April 1, 2024 and my other knee July 10, 2024. You are right on about the 1-2 months. Today, August 19, I finally had a night of sleep that I didn't wake up hollering because my newest knee was in a bad position! I am so thankful for my knees. I lost 112 pounds, got two new knees, am 61 years old and just now coming off the sidelines to enjoy a more active life. And do I ever have plans!
As an old night nurse, patients couldn't sleep post op due to pain and, over stimulation from the Staff, lab work, PT, visitors etc. We would medicate them and teach them slow breathing exercises, simple meditation to unwind. When I rehabilitated my family members,around nine at night was wash up time, meds, a small snack and no technologies!! Not sure what you do in Toronto, but for four weeks here in Maryland for TKR, they had to wear the leg cradle and wrap the knee in circulating ice water!!! Great. All about positioning. Took them a good fourteen weeks to truly sleep through the night with no meds or ice. Love when you guys bring up topics that most Docs scoff at or give flippant responses to said questions. Well done!
I’m nine months post op TKR. Pain 24/7, can’t sleep more than 3-4 hours. I’ve had PT consistently. I’ve tried everything. Meditation , hypnotherapy, you name it. Doctors will not prescribe pain meds. They just don’t care. I’m 74 and NOT a drug addict.
I am ten days after my left hip replacement. I had my post op appointment today and my biggest concern was lack of sleep. I am able to get off pain meds today and my surgeon said to keep up with my Tylenol and add in melatonin in the evening. After watching your video, I am going to try it tonight and pray for some consistent sleep!!!
That's something you don't hear about. I've always heard "it's worth it in the long run, no more pain" well, nobody's said they couldn't sleep for weeks or months after, at least to me. One fellow asked if I could sleep through the night yet. (I'm 3 weeks out from the operation) I'm still not sleeping the night through, but I think it's getting better. I can go 2-3 hrs at a stretch now.. it's good to hear you guys say it's perfectly normal. Thank you for being so encouraging.
I am 4 weeks out and everything you cover is happening to me. I started getting depressed last week and started freaking out but now I feel better listening to you docs. You are so comforting....🤗
I'm seven weeks in post knee replacement and am rooting for the chance to sleep well after two months! Still have pain/stiffness but can say better every week. I've been taking Tylenol PM at bed time and it does help with taking the edge off of discomfort and helps me get 5 hrs sleep but still tend to wake up in the middle of the night for a little bit. Thanks for all the great videos and hang in there anyone who's going through post op stuff.
I'm just finishing my second week after TKR, and while searching for non sleep information found this video. It's reassuring to know this is common and will fade away eventually. I really enjoy the lighthearted banter between you two that had me smiling here and there throughout. Thanks for brightening my day.
I am watching your TKR videos right now during my “night shift” as my mom’s caretaker. It’s day 12 after her surgery and the nights are the worst. My sister-in-law and I were taking turns but then I decided to take the graveyard shift for the next week straight (it’s hard to flip flop). I just gave my mom her meds and melatonin. She is currently snoring away but I’m fully alert for her if she wakes up. I also watched your top 5 mistakes video and read all of the 3K comments to gain perspective on her recovery. I am really touched by the fact that someone running this channel takes the time to respond to comments, even for older videos. New subscriber here ❤
You are a good daughter. Glad we can help in any small way. And if is either Dr Zalzal or Dr Weening who answer every comment. We have no one working for us! Thanks for watching and subscribing
Thank you for this. My TKR is scheduled for January 19 and I’m scared. Life circumstances have had me in trauma mode/ anxiety & depression and I’ve been hopeful that fixing my knee will help by getting me back to the hiking trails I love so much, and which serve as my mental health “therapy”. Now I’m worried that my already traumatized brain will make my recovery more painful and slower. I don’t know what to do 😢
First Ijust want to say that you guys are so entertaining ! Next month will be one year since my first knee replacement and ten months since number two. I did have some trouble sleeping the first few days. Largely because of pain. But it did not take long to sleep decent. I have been back to work full time on my feet for 6 months now and every thing is great. Yes my quads still get achy and the surgery scar area is still waking up so I get new pains now and then . But the over all improvement over not being able to walk at all is so so so over the top wonderful I just can not begin to express it. At 56 I am no longer walking with two canes and a wheelchair is no longer a certainty !!! I just want you guys to know how great it is to have you here for not only entertainment but very much needed encouragement !! Please continue to be a beacon of hope for those wrestling with fear and uncertainty after surgery. Let them know life will get better !!!
Hi Chris. Thanks so much for your kind words. So glad you are doing so well and yes in the right patient it is a life changer. All the best this holiday season. Thanks for watching and subscribing
It's been 1 week since my hip replacement surgery, and I'm glad I'm not the only one who has a hard time sleeping, I thought it was just me. Thanks for the info.
After one hip and two knee replacements (all very successful) in the last 16 months, I agree with the two months of sleep degradation. Fortunately, at around that point each time, my sleep improved significantly. --- Keep up the great videos. Aside from the entertainment value, after watching your videos in preparation for my surgeries each time, I went into surgery with much less anxiety and reluctance than I likely would have otherwise.
Love these two ortho docs, I started watching all their hip related videos before my hip replacement. I’m now 9 months post op and doing really well. Thank you both for your fun presentation of the facts.
Your closing line "your in charge of your own health" really hit home this past April when I broke my ankle in 3 places. I did a lot of googling and watching videos; which is how I found this channel. It allowed me to ask better questions at my doctor appointments and with my physical therapist. Thank you for that insight
Oh my gosh. You guys are my heroes!!! Thank for doing these videos. I had tka on the 24 of February. I’m walking very well and don’t have too much pain during the day but nights are excruciating. I used to live my bed. Now I see it as a pretty torture chamber. I’m so glad to know that this pain is temporary. I am feeling very anxious and having some depression. But I’m sure it’s due to lack of sleep. It’s literally driving me crazy. Thank you so much for all the videos you two do. You’re both fun to watch and very informative. I appreciate you both very very much
Thanks so much Marene. Congrats on one month down! It will keep getting better and someday you will reconnect with your bed. Thanks for watching and subscribing
3 weeks post tkr I'd settle for a few good hours! Somewhat related--I had all these projects lined up to do while I convalesced--crafts, reading, music--which could have been handy in the wee hours. What I didn't factor in is that I couldn't concentrate long enough to get anything accomplished. Although just this weekend this has improved. Love your videos!
Day 5 post-op hip replacement. I've been watching (Victoria, BC) your videos to gain info. and, more importantly, have a great chuckle. You guys are magic and very good for a healthy recovery!
I had knee replacement surgery one month ago. And I’m so thankful I found you two Docs! I’m so tired and was getting so depressed so now I know I probably have another month or so to go and it’s what you call “normal” that’s what was bothering me so much! Thank you!❤️
Hi Neta: Looks like I am a month behind you, and you are now two months out? How are you sleeping now? I'm just about a month out, and sleep situation is so bad it's affecting my ability to eat and exercise. I hope things have improved for you!
@@John3v8 I just started sleeping pretty well, but not like before. I can’t move my left leg as easy. I guess it just takes a lot of time. But I just keep up these exercises and one thing I have been doing is taking our computer chair and sitting in it and going around the floors trying to stretch my leg back and forth, that has helped a lot. My husband also did that in his therapy when he had both knees done! Good luck and God bless you!❤️🙏
@@netamorton4832 ... Thanks for your helpful note! Yes the operated leg (my right) is very tight, esp in hamstrings. I did ballet and other dance forms for many years, so it's super frustrating not being able to stretch as before. Trying to 'ballet-ercise' whatever I can. I think your chair exercise is a good idea! Wishing you a full and happy recovery, and return to good sleep!
You guys are hysterical and exceptionally informative! Thank you for making these videos available as they provide great insight and are very educational. I've had both knees and one hip replaced over the past four years and your videos have educated me and helped me get through the process. Can't THANK YOU enough!
For me, 10 weeks was the magic number... once I was able to drive and saw myself gaining my independence again, sleeping through the night just came naturally. Thanks for all your terrific videos! I had no idea what I was going to encounter before, during, or after my knee replacement, but I found and watched every knee replacement video you've posted (plus some, lol) They've really helped me understand what I was experiencing was quite normal! Thank you both So Very Much! :)
You are so welcome Terri and we are so glad to hear that we could help with your journey. You are on the good side of it all now! Enjoy. Thanks for watching and subscribing
I was anxious and depressed because of my wrinkles then I started sleeping on my back at week 7 post op and am feeling much better. 😂Thanks, Docs. Love your style.
I want to thank you for the knee replacement videos. I’m on the list to get my first one done and they have helped me greatly make up my mind to do it.
Thank you - for the honesty. I have some experience to share. Both knees and 2 hips replaced, the second one done again 9 weeks ago and the first (20 years old) to be replaced next year... Managing post-op sleep/position, pain and medication reactions are real for many. Pillow placements, low tech equipment for getting in and out of bed independently, separate beds/room for first few weeks can help- just concentrate on you, balancing the right amount of pain relief, knowing what meds you react to and contribute to Your anxiety, bedtime rituals that work for you including slow controlled breathing. I'd love to read a well-designed research paper on self-management 4- 6 months post-surgery, based on surveys of real life experiences, excluding anyone who ran a marathon 3 months post surgery.
I just happened to come across your video! Too Funny! I enjoyed watching and learning from this video. Although I did not have a TKR , I did have bilateral ruptures of my right and left patellar tendons from a fall down two(2) steps in my house last October 2023 . I ended up in the ER and had surgery the next morning.I have been experiencing a lot that you Docs covered on sleeping. I had braces on both legs like Forest Gump for 6 weeks and could only sleep on my back. I'm thankful that I have no anxiety or depression ! I had a great surgeon,and good RNs, DPTs and OTs in the Rehab facility. Plus a great family and friends support system! I am blessed! Your videos have me LOL. So if I'm up late at night, perhaps I'll watch you guys instead of shopping online! And you guys give hope that the healing process will get better. Thanks for the giggles !
Thank you so much for your videos. My total left knee replacement surgery was 3 weeks ago. I listen to all your suggestions. I don't have any problem with walking with walker, however, I have problem with sleeping and laying down. So painful. My foot swelling alot too. I am happy I have done the surgery and I am so proud of myself for having this surgery. You guys make miracle. Before surgery I was using wheelchair but now I am able to walk with walker.
You guys are amazing! Struggling with sleep on day 5 post op, good to know its likely the medication combo and my body, thank you! I have watched most of your videos pre surgery in preparation and they have helped me immensely. Please keep up the great work!
The older you get sometimes the harder it is sometimes to get to and remain asleep. I use an OTC sleep aid and have used Ambien every once in a while. I found that it was difficult to sleep on my right side after my right hip replacement; unfortunately that's my preferred sleeping side! As the docs note the pain does begin to mitigate with time but for those first weeks after surgery one should talk to their surgeon about alternative sleep aids to allow patients who may have issues sleeping. My primary care doc asked me not to take Ambien after my replacement but my ortho folks said it was ok...BUT you've got to take the precautions when you invariably get up at night to use the restroom...although I didn't need my walker from the git go (anterior "jiffy hip" procedure) I kept it next to the bed for a long time just to be safe. Thanks for a great topic that I'm guessing not a lot of us older patients think about before and after surgery. Merry Christmas guys!
I found the most help came from pain meds along with a lot of ice. Had total knee 5 years ago and 6 weeks into Rotator surgery. ICE IS NICE Happy Holidays and thanks for your channel 71 years old and going strong
3.5 months post 2nd TKR, first one was about 10 months ago. Been walking with no assist around the house, just taking it easy and being watchful. I use a cane or hubby's elbow outside for balance in case. Saw Surgeon last week, he said he is very happy with the way I am walking. We discussed some stiffness occasionally in my knees after rest and he explained that my knees were so bad and I used a walker for 2 yrs prior to both surgeries that my muscles will take time to strengthen and it is normal. Also, I am 73 and have been tired since the surgeries but it is slowly getting better as I get around more. As far as long term weight-bearing on a walker. I will send a warning to your patients to watch the actual pushing down for months at a time. I have now developed shoulder impingement in both arms (very painful) and am being treated for that at this writing. Best of luck to all of us on our journey..
For me, about 3 months is when my sleep got better. I had a particularly rough early recovery though, and am still recovering (RTKR July 22). Just when it feels like life won't ever get normal again, it does! I am glad I had the surgery. Patience is key.
I am 4 months tomorrow, and I also had a really rough recocery, still am actually. I just started sleeping in my bed again...its been since August. Knee replacement...one brutal surgery.
I’m 7 months and still have problems sleeping stiffness etc, I walk around3/4 km daily do household chores use an exercise bike but as soon as I stop I’m stiff etc hope it gets better then this
First, I love you guys. I had a right TKR on October 25th and will have my right hip replaced on January 24th, 13 weeks after TKR. I watched your TKR videos prior to that surgery and am watching your hip replacement to help me prepare for that surgery. I have been in pain management since 2001. I have had 12 spinal surgeries and am fighting advanced stage prostate cancer. Chronic pain can cause depression and it’s nothing to be ashamed of. It took me a couple years to face up to it and talk to my doctor. He prescribed a mild anti-depressant and we talked about the fact that pain can cause depression and my quality of life improved and has been well managed. Please keep up the great work as your videos have been very informative and have helped me very much. Happy Holidays to both of you and your families!
Hi Mark. Thanks so much for your kind words and for sharing your story. So glad you had the courage to talk to your doctor about your depression as it is critical to get it addressed. Best of luck with your fight with prostate cancer. Sounds like you are a fighter for sure. All the best this holiday season. Thanks for watching and subscribing if you did
Hi Docs….When I couldn’t sleep I found a TH-cam channel called “Bedtime stories for Adults” very soothing, as well as the videos with babbling brooks, ocean sounds, loons etc. Very helpful. Merry Christmas to you and yours! 🎄🎁 I’m a subscriber as well.
Thanks Docs! 2 weeks out, the lack of sleep is interfering with my PT. I just have a hard time getting motivated to do anything! And that is what I need to do to recover more than anything. I feel I'm going to have to buck up and drive through It. Sleep when I can and move as much as I can. It's good that my Pt gives goals to shoot for such as 90%s and now 100% flex.
I find this video reassuring and very useful. I recognized myself in the description of the reasons people cannot sleep well after joint replacement. Anxiety and depression are not to be ignored, they are very real. It is much better to know that your feelings and symptoms are common after joint replacement, to know that you are not alone and that there is hope that things are going to improve with time.
Just had Dr. Weening and Dr. ZalZal replace my right hip on Tuesday … and yeah, can attest sleeping is brutal. And thank you both for all your hard work.
You guys should be required viewing, following not only total knee replacement, but for the myriad of other topics you cover. I am a month past a knee replacement and all of the symptoms concerning sleep have happened to me and continue to. The only strategy that has worked for me is wireless earbuds and a favourite playlist to distract from both pain and mental static. I’m sleeping more than before but less than normal. Looking foreword to getting back to normal sometime in the not too distant future. I’m going to mention this video to my orthopaedic surgeon for possible inclusion in in the hospital postop handbook. Keep on keeping on….you’re a great resource ...all the best...Chris
Excellent video!! Another consultation I will have before my surgery. I do keep a medical notebook with questions for my Doctors, the pre-admit folks at the hospital, the insurance company, etc. Keeps it all in one place, and is a place to note the date and time of the conversation, and the name of the person I spoke with.
Love you guys..You've both have helped me so much since my total hip replacement 5 months ago.I am still a little sensitive around my incision but you guys make it alot better with your humor..Happy Holidays to you and your family ..watching from Massachusetts
I watch your videos over and over..waiting for knee replacement and find videos very informative, I seem to pick up new tidbits on them, and they help with my anxiety of waiting for the phone call(surgery call). I’ve also forwarded them to my daughter,who will be my help at home.
I know this video is old, but I just saw it. Thought you’d get a laugh out of my insomnia after knee replacement. Broke when I got Omicron covid and slept 23 hours a day. Best thing that happened to me post-op.
I have had a tri-malleolar ankle fracture/dislocation, a total ankle replacement and a severe shoulder fracture/dislocation. I learned after the ankle fracture the importance of developing a sleep routine. Denise the Night RN is right. Turning off the phone/tv. I found that a play list of music designed to help you relax and sleep helped. As did lavender oil. After the shoulder fracture, I was not able to have surgery for a week. The ER doc recommended one of the pain creams that have lidocaine in it at night, and the Orthopedic surgeon agreed. That made a huge difference. Also if you are concerned about pain meds, talk with your surgeon. All my surgeons gave me the “good stuff” for a while, then backed me down to something not as strong so I had it if I needed it.
Back sleeper here. Day 3 post op. There is no comfortable position for my knee while i sleep. I wake up every couple hours in excruciating pain and very little mobility. So I'm tied all the time. Love your videos. Been watching them for about a month now. Thank you.
I had my left knee replaced 5 weeks ago and have been having this problem for the last 3 weeks. I asked my PT if he had ever heard of it and he said no. Well, Know I have an answer for him. I have learned so much from these videos over the kast 6 months. Thanks
Hi James. Sorry to hear about the sleep but the good news is you are not alone and it will likely end in a few weeks. So glad we could help you through your journey. All the best. Thanks for watching and subscribing if you did
Today is 8 weeks since my bilateral knee replacements. I really never had a problem sleeping. I did wake up when my meds were due. When sleeping on your side put a pillow between your knees. I’ve been doing that for years. Keeps everything aligned.
So glad I found this video & thread. One month post partial KR & cannot sleep. Totally stressed & anxious. Don’t feel like myself at all. Almost wish I hadn’t had the surgery 😩 Had no idea about these side effects, but nice to know I’m not alone
You're so right! You hit the mark on all 3 main issues I self discovered this week! I'm into week 4 after total hip replacement. Pain is quieting down , I'm able to ease off the meds and my depression has lightened. I was so afraid I was developing a new sleep pattern. (Waking every 2 hours to wander the house for a recliner or couch) Wow, finally got 6 hours in bed last night! No Tylenol no sleep aid. YaY!
I'm at 8 weeks now and I'm finding it harder at night. I just can't get comfortable. It's driving me crazy. I'm good during the day, but at night......
Thanks Docs! This was helpful, thankfully I already am a back sleeper, have actually been sleeping in a recliner for many months now, the anxiety, depression concern is probably the one that concerns me the most, but now knowing this hopefully I’ll be able to deal with this potentially problem after my surgery. Have a great day and keep these videos coming, it makes you more “human.”
Great job Docs! I am 4 weeks out from my second total knee replacement, which was my 6th knee surgery. Not sleeping adds to the discomfort of any knee surgery. I have found cutting the pain medication in half helps. For example, instead of two tramadol tablets every 4-6 hours, I take one. During the day, two give me energy to power through physical therapy and my exercises, but I can usually take one at night. Plus, I put on a boring podcast to fall asleep to. Regarding knee surgeries, depression always hits me the 5th week out. Since I know that, I make sure my primary care physician prescribes a mild antidepressant like Wellbutrin 6-8 weeks before knee surgery. The above suggestions help; it is still not a pleasant ordeal, but the outcome and pain relief from having a total knee is worth it for your quality of life.
Great vid - I had a bilateral tkr in April 2021 it took me 12 weeks to get back to my 'normal' sleep pattern. In November I felt good enough to successfully tackle 400 stairs down and up a cave and significant bush walk with no pain.
So finally getting some much needed shut eye. Had TKR November 2nd, so 8 weeks post op. Day 2 post op, my restless legs kicked in. I had RLS prior, but, not to this extent. Usually RLS would sometimes switch from one leg to the other, however, it was only on the surgical leg. And not only at night, but during some daytime hours. I was absolutely miserable! No sleep just up and having to walk behind my walker. Hadn't even started PT so you can imagine the difficulty so early on having to move around. It was always something grabbing, tightening on my leg causing insane movements, up, down, every which way. Was taking Pramipexole, then Rapinerole to no avail. Basically 7 weeks of misery! I'm now taking Lyrica and the .125 of Pramipexole with some relief. The RLS put me behind on my recovery as the RLS hindered my exercises at home. But, continuing with PT. If you suffer from RLS pre surgery, please talk to your doctor. I mentioned it but didn't follow through to find out what recourse to take if I got the RLS after surgery. Knowing what it's like to have restless legs, and that I would get it after surgery, I probably would have passed on the surgery. The leg pain I had before surgery would have been better than the TKR attacked by the restless legs. Really enjoy watching your videos! MERRY CHRISTMAS DOCS & HAPPY NEW YEAR!
Thanks for the donation Al! So the spinal pain lasts a few minutes while the procedure is happening. Usually you don't have back pain after it wears off unless you had a difficult spinal that requires multiple pokes. Hope that helps
I'm almost a month past knee surgery. My sleep has been rough. My anxiety has been terrible. I do take my antidepressants but its getting very frustrating. I know I had been through this with my other knee but it is still difficult to deal with. I do know I have another month or so before it will really improve but it does improve. Great video. Validation for what many of us are going through. Thank you.
My TKR was almost 2 years ago. I am doing great and it feels like my real knee and I do not have any pain or swelling. I am able to bike, hike and do whatever I want again. For me, I would always wake up about 1 or 2 am for the first 4 or 5 weeks. It was a combination of pain, I am a side sleeper and I could not get comfortable and my pain management would be about exhausted at that point. My worst nights were after therapy as I would always push myself really hard on those days. I would get up, take my pain meds, put the ice machine on it and elevate. Within 45 minutes or so and I would be able to go back to bed.
Currently on week 2 after ankle ORIF with tightrope fixation for a trimal fracture and I can't wait for the night where I can sleep a whole night! For me, it's a combination of the 3 factors listed and discomfort from the cast/splint Thanks docs. Sending warm regards from the other end of the GTA
Hi Talking with Doctors. I didn’t realise, that my knee replacement was keeping me awake until I started taking Amitriptyline, as a pain relief. Amitriptyline makes me get a full nights uninterrupted sleep. I didn’t think I would still be on pain relief after my replacement which was 11/2 years ago. Love your videos and find them very helpful. I also find placing a pillow between my knees, gives me a more comfortable sleeping position. Wishing you both & your families a very Merry Christmas & a Happy New Year from the UK🙏🏽🎄🎄🙏🏽
I am 12 weeks post-op and things are so much better. I can walk again at a good pace, have regained my balance, climb stairs, and best of all sleep on my side and drive. Unless I overdo things I no longer need any pain relief but I do still have leg swelling, aching and stiffness and continue to use ice packs when needed. It has been an exhausting and terrifying experience that I was not prepared for (compounded by post-surgery complications). The sleep deprivation and psychological torture that comes with a total knee replacement has been by far the worst part of this process. I am so relieved that I can now sleep about 3-4 hours before aching and stiffness wakes me up. I just work through my stretching/bending routine, get up, walk about, have a drink, listen to music and do some sudoku ... that usually sends me back to sleep. I have actually come to appreciate and like my new knee - it does make clicking sounds but it is so strong and stable, my leg is straight again and I feel taller. I am, however, absolutely dreading having to go through this again when my other knee gets done in a few months. To everyone out there who is struggling ... don't give up, keep going, things will get better :)
Thank you so much for discussing this topic. I hope that you are having this discussion with your preop patients. I watched a whole bunch of videos before my total knee replacement and the topic never came up. I was prepared for lots of severe pain, which I didn’t experience. I was prepared for torturous P.T, which wasn’t so bad, but no one said it would be months before I could sleep in my bed! So, thanks for educating us and have a very Merry Christmas and Happy New Year.
Thank you! I’m 5 weeks post Total knee replacement surgery and I’ve very rarely gotten more than 2 hours “sleep” at a stretch. The discomfort, pain, meds, position, ice, etc. - leading to lack of a restful night’s sleep - have made this surgery and post surgical recovery very very challenging. Hoping I’ll be part of the average and by week 8 I will be sleeping better; it can’t be much worse. Sent from my iPhone
Thanks for the information and the laughs? The light heartness makes life a little easier! I recently found a hip/knee aquatic therapy class in Mississauga, Ontario through the city's recreation program and I highly recommend these classes before and after surgery.
After my knee replacement it was so painful I couldn’t get a good nights sleep for weeks… but quite the opposite with my hip replacements. I walked out of the hospital…Back at work part time in three weeks, full time at 4 weeks! You guys are so great to watch! Merry Christmas to you both and your families!
I love you guys! Started watching your videos before my 2nd knee surgery. Love your humor, yet informational videos! You put a smile on my face. I'm two weeks into my full knee replacement today and going thru the sleep deprivation. Yep, it's real! Getting a little better. Thank you Docs!
Yep, I'll be at 6 weeks on Monday, and can confirm that I'm not yet sleeping well all night. Some nights are better than others, lots of times depending on how hard I worked that day in therapy, or moved around otherwise. I take some Tylenol at bedtime, along with some Melatonin, which usually gets me to sleep, but then I'm awake in a couple of hours. I'm getting some good reading done in the middle of the night. Looking forward to my first all night sleep! Thanks for the information. I've enjoyed many of your helpful videos, and light manner. Keep 'em coming!
I had both my hips replaced at the same time, and my sleep was just destroyed for a month. It wasn’t pain because I didn’t have much, I just took Tylenol occasionally. It wasn’t stress or anxiety - I wasn’t really stressed. I just couldn’t get comfortable. Fortunately other THR patients had warned me about this, so it didn’t cause me stress, but it really was tedious. I watched late night infomercials and ended up buying things I never would have otherwise! I do think when nurses do the discharge counselling they should mention it, and assure patients it won’t last forever.
It is so fun to watch you. Thank you for a very needed info, help and advice . All you say with your sense of humor is greatly appreciated! You are the best. Thank you 🙏
Hello Doctors I appreciate very much your videos and I have a suggestion for a new one; How to recoverd after two PTH simultaneously? I ask internet, but absolutely nothing about this subject. Thanks a lot for your help, continue your very good work.
I slipped on the ice and broke my right hip about a month after you posted this video. (01-22-2022) I was one of blessed I guess. Never really had any pain issues other then when I wanted to roll over in bed. Other then that no sleep issues. I was driving 7-10 days later. I think I missed 6-8 weeks of work. My thigh feels a little off sometimes stills , but other wise ok. I am going for a one year follow up visit around February 14…. … Laying in the emergency room for over 20 hours to get admitted… One of the doctors commented about these things happen to people my age, I was 64 at the time… hahaha… Such is life..
I am 10 days out after hip replacement, its 2am and here I am. I just can't get to sleep. It has gotten to the point I begin to get anxious once the sun goes down as I know my anxiety is messing up my head and I worry about what happens if I can't sleep again? ugh! just wearing me out. I have had one Nite with 4-5 hrs. of sleep but usually I crash at 5am, till 8am and I feel awful. Thank you for this info, it gives me hope that I will eventually return to normal. Tomorrow, I end my meds for bacterial infection prevention, gave up on the oxycodone on day 2, so the just Celebrex and Tylenol, maybe then things will change. Love you guys!
THAAATTT'S RIGHT!!!! IT'S 1:24 a.m. and I'm watching this video, cuz I'm not quite a month out from surgery, AND I CAN'T SLEEP ... AT NIGHT!!! Yes, increased stress, anxiety, pain, depression, and frustration that I'm sleeping 2 -4 hours during the day, to compensate. Not waking till 10 a.m. It's crazy-making!!! But thanks for this video, because it's knowing this is a common side effect is very helpful.I will just have to wait it out. Y might also consider that those who were more active (as best we could), pre-surgery, are also experiencing restlessness too! Thanks for the video!!!
@@TalkingWithDocs ... Thanks for the encouragement. Helpful to know this is a common problem. The fatigue is so bad tho, that it's interfering with exercise and healthy eating. Have resorted to buying take-out salads and chopped fruit just to make it easier. I need to eat more meat, but what I enjoyed pre-surgery is all a turn off now. Oooyyy!!!!
I’m at week 5 and starting to sleep for longer stretches3-5 hours. No pain meds anymore, sometimes ice, but blessedly sleeping on my side! I just celebrate that I am sleeping better, feel rested and just relaxing with broken sleep and accepting it as a norm. My full sleep will come, no panic! Thanks for these informative videos. They make me smile and grateful for your work and the science that makes these operations possible!😃
I had TKR, left first and then the right about five years later. For a long time after the pain was no longer an issue I was plagued by insomnia for at least five months in both instances. My GP prescribed Trazadone. It worked but I used it only occasionally. I did not have depression or anxiety. I dreaded going to bed because I would face hours of lying awake before sleep finally came. The insomnia eventually went away. Both replacements are working well and my quality of life has improved significantly.
I am 10 days post thr posterior surgery and in my early 40s. The pain only lasted the first few days. The worst part is not being able to get comfortable or sleep throughout the night. Thank you for the video.
Melatonin puts you to sleep, may cause diarrhea next day but you'll feel more rested. Otherwise eat small amount of foods that cause sleepiness. I can't remember with either hip replacement if I slept or worried about it because I knew it would pass. Thanks for this video.
Merry Christmas to all..One day at a time sweet Jesus. First knee cried didn't sleep 22 days or so .till i took sleeping pain pills Relaxed Rubbed . GREAT INFO FOR THIS! Knee !WOW! Caffeine you nailed it.Makes sence . Cammamelle tea and honey helped at week 4 and 5 on.
Oh my gosh, seriously it's 4am, I tried to sleep, but nope. I just had a full hip replacement, and I am 5 weeks in. This is rough, but you are making me feel better. Thank you.
Bad to no sleep for me post both my hip replacement surgeries - which I had five months apart in 2022. My Restless Leg Syndrome went through the roof and so did the depression! My primary doc did nothing!! To work out the problem, I cut out any alcohol, no caffeine after 8am, increased exercise, and meditated. It's week 5post surgery, and my sleep is "slowly" getting better. Good luck everyone! You're not alone! ☮️
Thanks Docs! I’m day 4 post op THA and it’s frustrating to only get 2 or 3 hrs sleep at a stretch. The new muscle ache is different from the old Hip OA pain. Good to know it’s temporary. Love your vids-keep up the good work!
Love this one guys! Your the first docs to even bring that subject up and this has helped me. By the way, even tho you dont sleep together, your still cute together, lol! Thanks docs!
Had partial knee replacement 3 1/2 weeka ago. Sleep is terrible. Glad I found this video. I thought I was the only one. Thanks.
I've just had my third total knee replacement in my left knee since June 2022. It's a long story, I won't bore you with all the details. But, here I sit, 7am, I haven't been to sleep all night. It's like "am I ever going to sleep again?" I hope so. I love the humor you two doctors have. You crack me up, thank you, I needed that! 😊🤗😅
Welcome!
Too late
OMG! Everything you two said…I’m going through it. I had TRKR in December. I have anxiety. I’m depressed. Can’t sleep. After watching your video, now I know I’m NOT crazy! Thank you. I pray it will get better soon. Thank you again!!
No you are not crazy and it will get better. All the best.
Tell your patients it is a whole lot easier to sleep on your back with both legs elevated instead of just one. It took me a couple of nights to figure this out.Greatly improved my sleep.
Interesting D. We will pass that on. Thanks for watching and subscribing if you did
Tried sleeping on my back with a wedge pillow body would not accept it. I now sleep on my side with a pillow between my legs and another on my abdomen/ chest. It has worked for the last 3 nights.
I’m 4 nights post op. Daughter suggested both legs raised last night, was so much better.
I started using a wedge for both legs 5 days post-surgery (THR). Great results for this 74 year old female. However, I have to get up 4-5 times in the night for the bathroom, waking up Hubby to help me up, then back into bed. Why is bladder so active in the night when I’m on my back? I’m 14 days post-op. No pain, so no pain meds. Using a Walker. Starting PT this week.
Not if you have big boobs! Or allergies! I will not be sleeping on my back I will be on my good side and my tummy....yohr surgeons not recovery nurses...people need sleep and pain meds...this is a big operation.
You guys are so cool. I had my first knee (a Smith and Nephew, non-robotic assist TKR) April 1, 2024 and my other knee July 10, 2024. You are right on about the 1-2 months. Today, August 19, I finally had a night of sleep that I didn't wake up hollering because my newest knee was in a bad position! I am so thankful for my knees. I lost 112 pounds, got two new knees, am 61 years old and just now coming off the sidelines to enjoy a more active life. And do I ever have plans!
As an old night nurse, patients couldn't sleep post op due to pain and, over stimulation from the Staff, lab work, PT, visitors etc. We would medicate them and teach them slow breathing exercises, simple meditation to unwind. When I rehabilitated my family members,around nine at night was wash up time, meds, a small snack and no technologies!! Not sure what you do in Toronto, but for four weeks here in Maryland for TKR, they had to wear the leg cradle and wrap the knee in circulating ice water!!! Great. All about positioning. Took them a good fourteen weeks to truly sleep through the night with no meds or ice. Love when you guys bring up topics that most Docs scoff at or give flippant responses to said questions. Well done!
Thanks
Hi Denise. Thanks for sharing your experience and expertise. Doing our best to answer all the questions! Thanks for watching and subscribing
I’m nine months post op TKR. Pain 24/7, can’t sleep more than 3-4 hours. I’ve had PT consistently. I’ve tried everything. Meditation , hypnotherapy, you name it. Doctors will not prescribe pain meds. They just don’t care. I’m 74 and NOT a drug addict.
@@Rosary716 Do you have access to a Pain Management Doctor?
@@denisemariner9755 yes. He only gives Tramadol. It makes me anxious and does zero for the pain.
I am ten days after my left hip replacement. I had my post op appointment today and my biggest concern was lack of sleep. I am able to get off pain meds today and my surgeon said to keep up with my Tylenol and add in melatonin in the evening. After watching your video, I am going to try it tonight and pray for some consistent sleep!!!
My first night after THR was terrible!! Laying on back the pain is ridiculous
Who needs sleep with these videos! Best information we don’t get from personal physicians, AND superior entertainment!
Hi Deborah. That is so great to hear. Doing our best to keep you informed! Thanks for watching and subscribing
That's something you don't hear about. I've always heard "it's worth it in the long run, no more pain" well, nobody's said they couldn't sleep for weeks or months after, at least to me. One fellow asked if I could sleep through the night yet. (I'm 3 weeks out from the operation) I'm still not sleeping the night through, but I think it's getting better. I can go 2-3 hrs at a stretch now.. it's good to hear you guys say it's perfectly normal. Thank you for being so encouraging.
Hi Doug. You’re normal! It will get better with time. Very welcome. Thanks for watching and subscribing
I had gallbladder surgery and wake up each night around 2-3 am and can't get back to sleep. So frustrating. How are you doing now?
I am 4 weeks out and everything you cover is happening to me. I started getting depressed last week and started freaking out but now I feel better listening to you docs. You are so comforting....🤗
Yay Michelle! You are through the hardest part. Hang in there. Thanks for watching and subscribing
I'm seven weeks in post knee replacement and am rooting for the chance to sleep well after two months! Still have pain/stiffness but can say better every week. I've been taking Tylenol PM at bed time and it does help with taking the edge off of discomfort and helps me get 5 hrs sleep but still tend to wake up in the middle of the night for a little bit. Thanks for all the great videos and hang in there anyone who's going through post op stuff.
You are very welcome Debra. You are almost there! Thanks for watching and subscribing if you did
I’m glad to hear that I’m not going crazy and alone in this 😢
The pain is ridiculous after my hip replacement!!! Thr!! sucks
I'm just finishing my second week after TKR, and while searching for non sleep information found this video. It's reassuring to know this is common and will fade away eventually. I really enjoy the lighthearted banter between you two that had me smiling here and there throughout. Thanks for brightening my day.
I am watching your TKR videos right now during my “night shift” as my mom’s caretaker. It’s day 12 after her surgery and the nights are the worst. My sister-in-law and I were taking turns but then I decided to take the graveyard shift for the next week straight (it’s hard to flip flop). I just gave my mom her meds and melatonin. She is currently snoring away but I’m fully alert for her if she wakes up. I also watched your top 5 mistakes video and read all of the 3K comments to gain perspective on her recovery. I am really touched by the fact that someone running this channel takes the time to respond to comments, even for older videos. New subscriber here ❤
You are a good daughter. Glad we can help in any small way. And if is either Dr Zalzal or Dr Weening who answer every comment. We have no one working for us! Thanks for watching and subscribing
Your mum is blessed to have such a kind and considerate daughter 🙏🏽
Thank you for this. My TKR is scheduled for January 19 and I’m scared. Life circumstances have had me in trauma mode/ anxiety & depression and I’ve been hopeful that fixing my knee will help by getting me back to the hiking trails I love so much, and which serve as my mental health “therapy”. Now I’m worried that my already traumatized brain will make my recovery more painful and slower. I don’t know what to do 😢
2 weeks post op second thr. I didn't know this and am so relieved to be educated in a funny way. Thank you for your service.
You guys have a way of making us all feel so normal. Always a pleasure watching. Thanks
Thanks hex hex. We do our best and it often helps if people realize they are not alone - which you usually aren’t! Thanks for watching and subscribing
You 2 talk so clearly. Thanks Docs!
First Ijust want to say that you guys are so entertaining ! Next month will be one year since my first knee replacement and ten months since number two. I did have some trouble sleeping the first few days. Largely because of pain. But it did not take long to sleep decent. I have been back to work full time on my feet for 6 months now and every thing is great. Yes my quads still get achy and the surgery scar area is still waking up so I get new pains now and then . But the over all improvement over not being able to walk at all is so so so over the top wonderful I just can not begin to express it. At 56 I am no longer walking with two canes and a wheelchair is no longer a certainty !!! I just want you guys to know how great it is to have you here for not only entertainment but very much needed encouragement !! Please continue to be a beacon of hope for those wrestling with fear and uncertainty after surgery. Let them know life will get better !!!
Hi Chris. Thanks so much for your kind words. So glad you are doing so well and yes in the right patient it is a life changer. All the best this holiday season. Thanks for watching and subscribing
It's been 1 week since my hip replacement surgery, and I'm glad I'm not the only one who has a hard time sleeping, I thought it was just me. Thanks for the info.
After one hip and two knee replacements (all very successful) in the last 16 months, I agree with the two months of sleep degradation. Fortunately, at around that point each time, my sleep improved significantly. --- Keep up the great videos. Aside from the entertainment value, after watching your videos in preparation for my surgeries each time, I went into surgery with much less anxiety and reluctance than I likely would have otherwise.
That is awesome to hear Gary. Glad we could help. Thanks for watching and subscribing
Love these two ortho docs, I started watching all their hip related videos before my hip replacement.
I’m now 9 months post op and doing really well.
Thank you both for your fun presentation of the facts.
For sure Michael! Glad we could help. Thanks for watching and subscribing
Your closing line "your in charge of your own health" really hit home this past April when I broke my ankle in 3 places. I did a lot of googling and watching videos; which is how I found this channel. It allowed me to ask better questions at my doctor appointments and with my physical therapist. Thank you for that insight
Hi Hula. So glad we could help in any small way. Hope you are ok now. Thanks for watching and subscribing if you did
That hurt Ouch😱😳, z ouch hope your better
Oh my gosh. You guys are my heroes!!! Thank for doing these videos. I had tka on the 24 of February. I’m walking very well and don’t have too much pain during the day but nights are excruciating. I used to live my bed. Now I see it as a pretty torture chamber. I’m so glad to know that this pain is temporary. I am feeling very anxious and having some depression. But I’m sure it’s due to lack of sleep. It’s literally driving me crazy. Thank you so much for all the videos you two do. You’re both fun to watch and very informative. I appreciate you both very very much
Thanks so much Marene. Congrats on one month down! It will keep getting better and someday you will reconnect with your bed. Thanks for watching and subscribing
3 weeks post tkr I'd settle for a few good hours! Somewhat related--I had all these projects lined up to do while I convalesced--crafts, reading, music--which could have been handy in the wee hours. What I didn't factor in is that I couldn't concentrate long enough to get anything accomplished. Although just this weekend this has improved. Love your videos!
Hang in there Karen. The worst is over!
Day 5 post-op hip replacement. I've been watching (Victoria, BC) your videos to gain info. and, more importantly, have a great chuckle. You guys are magic and very good for a healthy recovery!
Well that is awesome Kirsten. We love Victoria! All the best during your recovery. Thanks for watching and subscribing
I had knee replacement surgery one month ago. And I’m so thankful I found you two Docs! I’m so tired and was getting so depressed so now I know I probably have another month or so to go and it’s what you call “normal” that’s what was bothering me so much! Thank you!❤️
Very welcome Neta. Best of luck. Thanks for watching and subscribing
Hi Neta: Looks like I am a month behind you, and you are now two months out? How are you sleeping now? I'm just about a month out, and sleep situation is so bad it's affecting my ability to eat and exercise. I hope things have improved for you!
@@John3v8 I just started sleeping pretty well, but not like before. I can’t move my left leg as easy. I guess it just takes a lot of time. But I just keep up these exercises and one thing I have been doing is taking our computer chair and sitting in it and going around the floors trying to stretch my leg back and forth, that has helped a lot. My husband also did that in his therapy when he had both knees done! Good luck and God bless you!❤️🙏
@@netamorton4832 ... Thanks for your helpful note! Yes the operated leg (my right) is very tight, esp in hamstrings. I did ballet and other dance forms for many years, so it's super frustrating not being able to stretch as before. Trying to 'ballet-ercise' whatever I can. I think your chair exercise is a good idea! Wishing you a full and happy recovery, and return to good sleep!
You guys are hysterical and exceptionally informative! Thank you for making these videos available as they provide great insight and are very educational. I've had both knees and one hip replaced over the past four years and your videos have educated me and helped me get through the process. Can't THANK YOU enough!
Thank you so much. Haven't had hardly any pain but OH this insomnia !!! Your video helped me understand that I wasn't the only one.
Glad we could help!
For me, 10 weeks was the magic number... once I was able to drive and saw myself gaining my independence again, sleeping through the night just came naturally. Thanks for all your terrific videos! I had no idea what I was going to encounter before, during, or after my knee replacement, but I found and watched every knee replacement video you've posted (plus some, lol) They've really helped me understand what I was experiencing was quite normal! Thank you both So Very Much! :)
You are so welcome Terri and we are so glad to hear that we could help with your journey. You are on the good side of it all now! Enjoy. Thanks for watching and subscribing
I was anxious and depressed because of my wrinkles then I started sleeping on my back at week 7 post op and am feeling much better. 😂Thanks, Docs. Love your style.
@@michellenichols8349on
I want to thank you for the knee replacement videos. I’m on the list to get my first one done and they have helped me greatly make up my mind to do it.
Thank you - for the honesty. I have some experience to share. Both knees and 2 hips replaced, the second one done again 9 weeks ago and the first (20 years old) to be replaced next year... Managing post-op sleep/position, pain and medication reactions are real for many. Pillow placements, low tech equipment for getting in and out of bed independently, separate beds/room for first few weeks can help- just concentrate on you, balancing the right amount of pain relief, knowing what meds you react to and contribute to Your anxiety, bedtime rituals that work for you including slow controlled breathing. I'd love to read a well-designed research paper on self-management 4- 6 months post-surgery, based on surveys of real life experiences, excluding anyone who ran a marathon 3 months post surgery.
Great idea
I just happened to come across your video! Too Funny! I enjoyed watching and learning from this video. Although I did not have a TKR , I did have bilateral ruptures of my right and left patellar tendons from a fall down two(2) steps in my house last October 2023 . I ended up in the ER and had surgery the next morning.I have been experiencing a lot that you Docs covered on sleeping. I had braces on both legs like Forest Gump for 6 weeks and could only sleep on my back. I'm thankful that I have no anxiety or depression ! I had a great surgeon,and good RNs, DPTs and OTs in the Rehab facility. Plus a great family and friends support system! I am blessed! Your videos have me LOL. So if I'm up late at night, perhaps I'll watch you guys instead of shopping online! And you guys give hope that the healing process will get better. Thanks for the giggles !
Thank you so much for your videos. My total left knee replacement surgery was 3 weeks ago. I listen to all your suggestions. I don't have any problem with walking with walker, however, I have problem with sleeping and laying down. So painful. My foot swelling alot too. I am happy I have done the surgery and I am so proud of myself for having this surgery. You guys make miracle. Before surgery I was using wheelchair but now I am able to walk with walker.
You guys are amazing! Struggling with sleep on day 5 post op, good to know its likely the medication combo and my body, thank you! I have watched most of your videos pre surgery in preparation and they have helped me immensely. Please keep up the great work!
Congrats Sandra and best of luck during the rest of your recovery! Thanks for watching and subscribing
The older you get sometimes the harder it is sometimes to get to and remain asleep. I use an OTC sleep aid and have used Ambien every once in a while. I found that it was difficult to sleep on my right side after my right hip replacement; unfortunately that's my preferred sleeping side! As the docs note the pain does begin to mitigate with time but for those first weeks after surgery one should talk to their surgeon about alternative sleep aids to allow patients who may have issues sleeping. My primary care doc asked me not to take Ambien after my replacement but my ortho folks said it was ok...BUT you've got to take the precautions when you invariably get up at night to use the restroom...although I didn't need my walker from the git go (anterior "jiffy hip" procedure) I kept it next to the bed for a long time just to be safe. Thanks for a great topic that I'm guessing not a lot of us older patients think about before and after surgery. Merry Christmas guys!
Thanks for sharing Dino and Merry Christmas to you too! Thanks for watching and subscribing
well. I wish I had watched this nine weeks ago. I have not done well after my second knee replacement. I really must watch all your videos ….
Having knee replacement Jan 17 2022 thanks for this and other videos.
Very welcome KAREN and best of luck to you! Thanks for watching and subscribing if you did
I found the most help came from pain meds along with a lot of ice. Had total knee 5 years ago and 6 weeks into Rotator surgery.
ICE IS NICE
Happy Holidays and thanks for your channel
71 years old and going strong
Very welcome Chuck. We agree about the ice. All the best this holiday. Thanks for watching and subscribing if you did
3.5 months post 2nd TKR, first one was about 10 months ago. Been walking with no assist around the house, just taking it easy and being watchful. I use a cane or hubby's elbow outside for balance in case. Saw Surgeon last week, he said he is very happy with the way I am walking. We discussed some stiffness occasionally in my knees after rest and he explained that my knees were so bad and I used a walker for 2 yrs prior to both surgeries that my muscles will take time to strengthen and it is normal. Also, I am 73 and have been tired since the surgeries but it is slowly getting better as I get around more. As far as long term weight-bearing on a walker. I will send a warning to your patients to watch the actual pushing down for months at a time. I have now developed shoulder impingement in both arms (very painful) and am being treated for that at this writing. Best of luck to all of us on our journey..
Thanks for sharing
thanks for that....just over two weeks after my surgery and this is def. an issue less the depression and anxiety....
Now you know Andre. Thanks for watching and subscribing
For me, about 3 months is when my sleep got better. I had a particularly rough early recovery though, and am still recovering (RTKR July 22). Just when it feels like life won't ever get normal again, it does! I am glad I had the surgery. Patience is key.
Yes Amy. Glad you are ok now. Thanks for watching and subscribing if you did
I am 4 months tomorrow, and I also had a really rough recocery, still am actually. I just started sleeping in my bed again...its been since August. Knee replacement...one brutal surgery.
@@TalkingWithDocs Oh I'm subscribed! Your videos keep reminding me I had TKR lol...so of course I have to watch and comment :) (26 year nurse here...)
I’m 7 months and still have problems sleeping stiffness etc, I walk around3/4 km daily do household chores use an exercise bike but as soon as I stop I’m stiff etc hope it gets better then this
@@carolab270760. I m 5 mths old. Going through just like you.
First, I love you guys. I had a right TKR on October 25th and will have my right hip replaced on January 24th, 13 weeks after TKR. I watched your TKR videos prior to that surgery and am watching your hip replacement to help me prepare for that surgery. I have been in pain management since 2001. I have had 12 spinal surgeries and am fighting advanced stage prostate cancer. Chronic pain can cause depression and it’s nothing to be ashamed of. It took me a couple years to face up to it and talk to my doctor. He prescribed a mild anti-depressant and we talked about the fact that pain can cause depression and my quality of life improved and has been well managed. Please keep up the great work as your videos have been very informative and have helped me very much. Happy Holidays to both of you and your families!
Hi Mark. Thanks so much for your kind words and for sharing your story. So glad you had the courage to talk to your doctor about your depression as it is critical to get it addressed. Best of luck with your fight with prostate cancer. Sounds like you are a fighter for sure. All the best this holiday season. Thanks for watching and subscribing if you did
Hi Docs….When I couldn’t sleep I found a TH-cam channel called “Bedtime stories for Adults” very soothing, as well as the videos with babbling brooks, ocean sounds, loons etc. Very helpful. Merry Christmas to you and yours! 🎄🎁
I’m a subscriber as well.
Thanks for sharing JS Star! Merry Christmas to you too. Thanks for watching and subscribing
Thanks Docs! 2 weeks out, the lack of sleep is interfering with my PT. I just have a hard time getting motivated to do anything! And that is what I need to do to recover more than anything.
I feel I'm going to have to buck up and drive through It. Sleep when I can and move as much as I can. It's good that my Pt gives goals to shoot for such as 90%s and now 100% flex.
Agreed Greg just put your head down and giver. Thanks for watching and subscribing
I find this video reassuring and very useful. I recognized myself in the description of the reasons people cannot sleep well after joint replacement. Anxiety and depression are not to be ignored, they are very real. It is much better to know that your feelings and symptoms are common after joint replacement, to know that you are not alone and that there is hope that things are going to improve with time.
Just had Dr. Weening and Dr. ZalZal replace my right hip on Tuesday … and yeah, can attest sleeping is brutal. And thank you both for all your hard work.
Replace or replay?
@@bluesky7288 fixed it
You guys should be required viewing, following not only total knee replacement, but for the myriad of other topics you cover. I am a month past a knee replacement and all of the symptoms concerning sleep have happened to me and continue to. The only strategy that has worked for me is wireless earbuds and a favourite playlist to distract from both pain and mental static. I’m sleeping more than before but less than normal. Looking foreword to getting back to normal sometime in the not too distant future. I’m going to mention this video to my orthopaedic surgeon for possible inclusion in in the hospital postop handbook. Keep on keeping on….you’re a great resource ...all the best...Chris
Why thank you so much. Doing our best to keep people informed. Thanks for watching and subscribing.
You are so right. Medication does affect sleep.
Yes it is not good. Thanks for watching and subscribing
Excellent video!! Another consultation I will have before my surgery. I do keep a medical notebook with questions for my Doctors, the pre-admit folks at the hospital, the insurance company, etc. Keeps it all in one place, and is a place to note the date and time of the conversation, and the name of the person I spoke with.
Very nice Candis. Thanks for watching and subscribing if you did
I am so happy you did this. Two hip replacements within 7 months. I Can't sleep. Never get a straight answer.
Now you know Barbara! Hopefully it gets better. Thanks for watching and subscribing if you did
As someone who is going through this right now I totally agree with the reasons that you are stating .
Glad you agree Kenton. Thanks for watching and subscribing
Love you guys..You've both have helped me so much since my total hip replacement 5 months ago.I am still a little sensitive around my incision but you guys make it alot better with your humor..Happy Holidays to you and your family ..watching from Massachusetts
Love u guys it's happen to me as well the muscle relaxer kept me away after it
You too Ginny - Merry Christmas. Glad we could help in any small way. Thanks for watching and subscribing if you did
I watch your videos over and over..waiting for knee replacement and find videos very informative, I seem to pick up new tidbits on them, and they help with my anxiety of waiting for the phone call(surgery call). I’ve also forwarded them to my daughter,who will be my help at home.
Glad to hear that Doreen. You will be reqdy when the time comes
I know this video is old, but I just saw it. Thought you’d get a laugh out of my insomnia after knee replacement. Broke when I got Omicron covid and slept 23 hours a day. Best thing that happened to me post-op.
I have had a tri-malleolar ankle fracture/dislocation, a total ankle replacement and a severe shoulder fracture/dislocation.
I learned after the ankle fracture the importance of developing a sleep routine. Denise the Night RN is right. Turning off the phone/tv. I found that a play list of music designed to help you relax and sleep helped. As did lavender oil.
After the shoulder fracture, I was not able to have surgery for a week. The ER doc recommended one of the pain creams that have lidocaine in it at night, and the Orthopedic surgeon agreed. That made a huge difference.
Also if you are concerned about pain meds, talk with your surgeon. All my surgeons gave me the “good stuff” for a while, then backed me down to something not as strong so I had it if I needed it.
Thank you for sharing your experience Pat C. Hope you are ok now. Thanks for watching and subscribing if you did
Gotta love docs with a sense of humor!
Hi Brian. Doing our best. Nice fish! Thanks for watching and subscribing if you did
Back sleeper here. Day 3 post op. There is no comfortable position for my knee while i sleep. I wake up every couple hours in excruciating pain and very little mobility. So I'm tied all the time.
Love your videos. Been watching them for about a month now. Thank you.
I had my left knee replaced 5 weeks ago and have been having this problem for the last 3 weeks. I asked my PT if he had ever heard of it and he said no. Well, Know I have an answer for him. I have learned so much from these videos over the kast 6 months.
Thanks
Hi James. Sorry to hear about the sleep but the good news is you are not alone and it will likely end in a few weeks. So glad we could help you through your journey. All the best. Thanks for watching and subscribing if you did
Today is 8 weeks since my bilateral knee replacements. I really never had a problem sleeping. I did wake up when my meds were due. When sleeping on your side put a pillow between your knees. I’ve been doing that for years. Keeps everything aligned.
So glad I found this video & thread. One month post partial KR & cannot sleep. Totally stressed & anxious. Don’t feel like myself at all. Almost wish I hadn’t had the surgery 😩 Had no idea about these side effects, but nice to know I’m not alone
Thank you !! This is very helpful 😊 Am day 11 post surgery .
Nice Cindy. Thanks for watching and subscribing
Two weeks after my third knee replacement and I am praying for a good nights sleep!! Thanks DOCS.
Let’s hope you get one Bernie! Thanks for watching and subscribing if you did
Ohhhh I lov u two. Thanks for the informative info. But thank goodness. Once you fall asleep you feel NO pain. God thought of everything. ❤️🤗🇨🇦
Yes He did Mandy. Thanks for watching and subscribing
You're so right! You hit the mark on all 3 main issues I self discovered this week! I'm into week 4 after total hip replacement. Pain is quieting down , I'm able to ease off the meds and my depression has lightened. I was so afraid I was developing a new sleep pattern. (Waking every 2 hours to wander the house for a recliner or couch) Wow, finally got 6 hours in bed last night! No Tylenol no sleep aid. YaY!
Yay M six hours!!!
I'm at 8 weeks now and I'm finding it harder at night. I just can't get comfortable. It's driving me crazy. I'm good during the day, but at night......
Acupuncture & cupping Oxygen therapy (4 Harley St?!) reflexology anything
Sleep Air filter on top of the Bed walk up & down a pool, Acupuncture Cupping £35 Oxygen tank
Great! I am 10 days post op and absolutely delirious from lack of sleep, its good to know we are not alone! Take care!
Thanks Docs! This was helpful, thankfully I already am a back sleeper, have actually been sleeping in a recliner for many months now, the anxiety, depression concern is probably the one that concerns me the most, but now knowing this hopefully I’ll be able to deal with this potentially problem after my surgery. Have a great day and keep these videos coming, it makes you more “human.”
Thank you Sherri. Best of luck
Great job Docs!
I am 4 weeks out from my second total knee replacement, which was my 6th knee surgery. Not sleeping adds to the discomfort of any knee surgery. I have found cutting the pain medication in half helps. For example, instead of two tramadol tablets every 4-6 hours, I take one. During the day, two give me energy to power through physical therapy and my exercises, but I can usually take one at night. Plus, I put on a boring podcast to fall asleep to.
Regarding knee surgeries, depression always hits me the 5th week out. Since I know that, I make sure my primary care physician prescribes a mild antidepressant like Wellbutrin 6-8 weeks before knee surgery.
The above suggestions help; it is still not a pleasant ordeal, but the outcome and pain relief from having a total knee is worth it for your quality of life.
Agreed J J. You are almost there. Thanks for watching and subscribing
Great vid - I had a bilateral tkr in April 2021 it took me 12 weeks to get back to my 'normal' sleep pattern. In November I felt good enough to successfully tackle 400 stairs down and up a cave and significant bush walk with no pain.
Very nice Heather. Congrats on your recovery. Thanks for watching and subscribing if you did
So finally getting some much needed shut eye. Had TKR November 2nd, so 8 weeks post op. Day 2 post op, my restless legs kicked in. I had RLS prior, but, not to this extent. Usually RLS would sometimes switch from one leg to the other, however, it was only on the surgical leg. And not only at night, but during some daytime hours. I was absolutely miserable! No sleep just up and having to walk behind my walker. Hadn't even started PT so you can imagine the difficulty so early on having to move around. It was always something grabbing, tightening on my leg causing insane movements, up, down, every which way. Was taking Pramipexole, then Rapinerole to no avail. Basically 7 weeks of misery! I'm now taking Lyrica and the .125 of Pramipexole with some relief. The RLS put me behind on my recovery as the RLS hindered my exercises at home. But, continuing with PT. If you suffer from RLS pre surgery, please talk to your doctor. I mentioned it but didn't follow through to find out what recourse to take if I got the RLS after surgery. Knowing what it's like to have restless legs, and that I would get it after surgery, I probably would have passed on the surgery. The leg pain I had before surgery would have been better than the TKR attacked by the restless legs. Really enjoy watching your videos! MERRY CHRISTMAS DOCS & HAPPY NEW YEAR!
You too pups mom. Glad you are finally sleeping. All the best. Thanks for watching and subscribing if you did
Thanks! I would like to know how much pain is caused from spinal injection, and for how long does it last usually.
Thanks for the donation Al! So the spinal pain lasts a few minutes while the procedure is happening. Usually you don't have back pain after it wears off unless you had a difficult spinal that requires multiple pokes. Hope that helps
I'm almost a month past knee surgery. My sleep has been rough. My anxiety has been terrible. I do take my antidepressants but its getting very frustrating. I know I had been through this with my other knee but it is still difficult to deal with. I do know I have another month or so before it will really improve but it does improve. Great video. Validation for what many of us are going through. Thank you.
Hang in there Pamela
@@TalkingWithDocs Thank you I will. I know it gets better!
My TKR was almost 2 years ago. I am doing great and it feels like my real knee and I do not have any pain or swelling. I am able to bike, hike and do whatever I want again. For me, I would always wake up about 1 or 2 am for the first 4 or 5 weeks. It was a combination of pain, I am a side sleeper and I could not get comfortable and my pain management would be about exhausted at that point. My worst nights were after therapy as I would always push myself really hard on those days. I would get up, take my pain meds, put the ice machine on it and elevate. Within 45 minutes or so and I would be able to go back to bed.
Hi Mike. Sounds like you are doing amazing - congrats. Thanks for watching and subscribing if you did
Currently on week 2 after ankle ORIF with tightrope fixation for a trimal fracture and I can't wait for the night where I can sleep a whole night! For me, it's a combination of the 3 factors listed and discomfort from the cast/splint
Thanks docs. Sending warm regards from the other end of the GTA
Nice. Good luck during your recovery!
Hi Talking with Doctors. I didn’t realise, that my knee replacement was keeping me awake until I started taking Amitriptyline, as a pain relief. Amitriptyline makes me get a full nights uninterrupted sleep. I didn’t think I would still be on pain relief after my replacement which was 11/2 years ago. Love your videos and find them very helpful. I also find placing a pillow between my knees, gives me a more comfortable sleeping position.
Wishing you both & your families a very Merry Christmas & a Happy New Year from the UK🙏🏽🎄🎄🙏🏽
You too Deborah - Merry Christmas! Thanks for sharing your story. Thanks for watching and subscribing
Amitriptyline has been used to help with nerve pain for many years. Mostly with diabetics but also with other issues.
Glad it helps
I am 12 weeks post-op and things are so much better. I can walk again at a good pace, have regained my balance, climb stairs, and best of all sleep on my side and drive. Unless I overdo things I no longer need any pain relief but I do still have leg swelling, aching and stiffness and continue to use ice packs when needed.
It has been an exhausting and terrifying experience that I was not prepared for (compounded by post-surgery complications). The sleep deprivation and psychological torture that comes with a total knee replacement has been by far the worst part of this process. I am so relieved that I can now sleep about 3-4 hours before aching and stiffness wakes me up. I just work through my stretching/bending routine, get up, walk about, have a drink, listen to music and do some sudoku ... that usually sends me back to sleep. I have actually come to appreciate and like my new knee - it does make clicking sounds but it is so strong and stable, my leg is straight again and I feel taller. I am, however, absolutely dreading having to go through this again when my other knee gets done in a few months. To everyone out there who is struggling ... don't give up, keep going, things will get better :)
Thank you so much for discussing this topic. I hope that you are having this discussion with your preop patients.
I watched a whole bunch of videos before my total knee replacement and the topic never came up. I was prepared for lots of severe pain, which I didn’t experience. I was prepared for torturous P.T, which wasn’t so bad, but no one said it would be months before I could sleep in my bed! So, thanks for educating us and have a very Merry Christmas and Happy New Year.
Hi Glynny. Merry Christmas to you too and hopefully you sleep well now! Thanks for watching and subscribing if you did
Thank you! I’m 5 weeks post Total knee replacement surgery and I’ve very rarely gotten more than 2 hours “sleep” at a stretch. The discomfort, pain, meds, position, ice, etc. - leading to lack of a restful night’s sleep - have made this surgery and post surgical recovery very very challenging. Hoping I’ll be part of the average and by week 8 I will be sleeping better; it can’t be much worse.
Sent from my iPhone
Good luck Jeff! You are almost there. Thanks for watching and subscribing if you did
Are you sleeping better now?
Literally 3 am and I’m watching this cause I can’t sleep 😂
Thanks for the information and the laughs? The light heartness makes life a little easier! I recently found a hip/knee aquatic therapy class in Mississauga, Ontario through the city's recreation program and I highly recommend these classes before and after surgery.
After my knee replacement it was so painful I couldn’t get a good nights sleep for weeks… but quite the opposite with my hip replacements. I walked out of the hospital…Back at work part time in three weeks, full time at 4 weeks! You guys are so great to watch! Merry Christmas to you both and your families!
Thank you so much Mary. Yes hips are much easier than the knees. Glad you are ok. Thanks for watching and subscribing if you did
I love you guys! Started watching your videos before my 2nd knee surgery. Love your humor, yet informational videos! You put a smile on my face. I'm two weeks into my full knee replacement today and going thru the sleep deprivation. Yep, it's real! Getting a little better. Thank you Docs!
Hang in there Marilyn you are almost there! Thanks for watching and subscribing
Yep, I'll be at 6 weeks on Monday, and can confirm that I'm not yet sleeping well all night. Some nights are better than others, lots of times depending on how hard I worked that day in therapy, or moved around otherwise. I take some Tylenol at bedtime, along with some Melatonin, which usually gets me to sleep, but then I'm awake in a couple of hours. I'm getting some good reading done in the middle of the night. Looking forward to my first all night sleep! Thanks for the information. I've enjoyed many of your helpful videos, and light manner. Keep 'em coming!
Glad we could help in any small way dherzfeld. Thanks for watching and subscribing if you did
I had both my hips replaced at the same time, and my sleep was just destroyed for a month. It wasn’t pain because I didn’t have much, I just took Tylenol occasionally. It wasn’t stress or anxiety - I wasn’t really stressed. I just couldn’t get comfortable. Fortunately other THR patients had warned me about this, so it didn’t cause me stress, but it really was tedious. I watched late night infomercials and ended up buying things I never would have otherwise! I do think when nurses do the discharge counselling they should mention it, and assure patients it won’t last forever.
Glad you are ok now Barb. Thanks for watching and subscribing
It is so fun to watch you. Thank you for a very needed info, help and advice .
All you say with your sense of humor is greatly appreciated!
You are the best. Thank you 🙏
About 6 weeks for me. Thankfully much better now. Thank you for this validation!
Hello Doctors
I appreciate very much your videos and I have a suggestion for a new one; How to recoverd after two PTH simultaneously?
I ask internet, but absolutely nothing about this subject.
Thanks a lot for your help, continue your very good work.
We can add it to the list Francine. Thanks for watching and subscribing
I slipped on the ice and broke my right hip about a month after you posted this video. (01-22-2022) I was one of blessed I guess. Never really had any pain issues other then when I wanted to roll over in bed. Other then that no sleep issues. I was driving 7-10 days later. I think I missed 6-8 weeks of work. My thigh feels a little off sometimes stills , but other wise ok. I am going for a one year follow up visit around February 14…. … Laying in the emergency room for over 20 hours to get admitted… One of the doctors commented about these things happen to people my age, I was 64 at the time… hahaha… Such is life..
Glad you are ok Danny. Thanks for watching and subscribing
Thanks guys you are great! Thanks for the great answers. Have a good day and take care!
Thanks so much Darlene. You too! Thanks for watching and subscribing
Love you guys...make it easy to understand...and your funny which make it so much better!
Glad we could help CC. Thanks for watching and subscribing
I am 10 days out after hip replacement, its 2am and here I am. I just can't get to sleep. It has gotten to the point I begin to get anxious once the sun goes down as I know my anxiety is messing up my head and I worry about what happens if I can't sleep again? ugh! just wearing me out. I have had one Nite with 4-5 hrs. of sleep but usually I crash at 5am, till 8am and I feel awful. Thank you for this info, it gives me hope that I will eventually return to normal. Tomorrow, I end my meds for bacterial infection prevention, gave up on the oxycodone on day 2, so the just Celebrex and Tylenol, maybe then things will change. Love you guys!
THAAATTT'S RIGHT!!!! IT'S 1:24 a.m. and I'm watching this video, cuz I'm not quite a month out from surgery, AND I CAN'T SLEEP ... AT NIGHT!!! Yes, increased stress, anxiety, pain, depression, and frustration that I'm sleeping 2 -4 hours during the day, to compensate. Not waking till 10 a.m. It's crazy-making!!! But thanks for this video, because it's knowing this is a common side effect is very helpful.I will just have to wait it out. Y might also consider that those who were more active (as best we could), pre-surgery, are also experiencing restlessness too! Thanks for the video!!!
Hang in there Ann! Thanks for watching and subscribing
@@TalkingWithDocs ... Thanks for the encouragement. Helpful to know this is a common problem. The fatigue is so bad tho, that it's interfering with exercise and healthy eating. Have resorted to buying take-out salads and chopped fruit just to make it easier. I need to eat more meat, but what I enjoyed pre-surgery is all a turn off now. Oooyyy!!!!
I love you guys, your so hilarious! I would imagine the pain and the discomfort of sleeping after the knee and hip replacement surgery.
Thanks so much Alida. Thanks for watching and subscribing
I’m at week 5 and starting to sleep for longer stretches3-5 hours. No pain meds anymore, sometimes ice, but blessedly sleeping on my side! I just celebrate that I am sleeping better, feel rested and just relaxing with broken sleep and accepting it as a norm. My full sleep will come, no panic! Thanks for these informative videos. They make me smile and grateful for your work and the science that makes these operations possible!😃
Glad you are improving Marie. Thanks for watching and subscribing
I've tried to sleep on my side but can't yet, too painful. Can't wait, I am also at 5 weeks.
8 weeks to the day I finally slept 😊after TKR. 🙏
Nice work!
Seven weeks to go! 😵💫😵💫😵💫
I had TKR, left first and then the right about five years later. For a long time after the pain was no longer an issue I was plagued by insomnia for at least five months in both instances. My GP prescribed Trazadone. It worked but I used it only occasionally. I did not have depression or anxiety. I dreaded going to bed because I would face hours of lying awake before sleep finally came. The insomnia eventually went away. Both replacements are working well and my quality of life has improved significantly.
Thank you for sharing your story. So glad you can sleep now
I am 10 days post thr posterior surgery and in my early 40s. The pain only lasted the first few days. The worst part is not being able to get comfortable or sleep throughout the night. Thank you for the video.
It will get better. Hang in there. Thanks for watching and subscribing
Melatonin puts you to sleep, may cause diarrhea next day but you'll feel more rested. Otherwise eat small amount of foods that cause sleepiness. I can't remember with either hip replacement if I slept or worried about it because I knew it would pass. Thanks for this video.
Hi El. Thanks for sharing. Thanks for watching and subscribing if you did
Day two post op guys. Thank you so much for info. It really is comforting to hear instead of figuring I have some new malady I need to worry about.
That is awesome GeckoProductions. Best of luck. Thanks for watching and subscribing if you did
Merry Christmas to all..One day at a time sweet Jesus.
First knee cried didn't sleep 22 days or so .till i took sleeping pain pills Relaxed Rubbed .
GREAT INFO FOR THIS!
Knee !WOW! Caffeine you nailed it.Makes sence .
Cammamelle tea and honey helped at week 4 and 5 on.
Very nice DAN. Merry Christmas to you too. Thanks for watching and subscribing if you did
Oh my gosh, seriously it's 4am, I tried to sleep, but nope. I just had a full hip replacement, and I am 5 weeks in. This is rough, but you are making me feel better. Thank you.
You got this!
Bad to no sleep for me post both my hip replacement surgeries - which I had five months apart in 2022. My Restless Leg Syndrome went through the roof and so did the depression! My primary doc did nothing!! To work out the problem, I cut out any alcohol, no caffeine after 8am, increased exercise, and meditated. It's week 5post surgery, and my sleep is "slowly" getting better. Good luck everyone! You're not alone! ☮️
Glad it’s getting better. Thanks for watching and subscribing
Thanks Docs! I’m day 4 post op THA and it’s frustrating to only get 2 or 3 hrs sleep at a stretch. The new muscle ache is different from the old Hip OA pain. Good to know it’s temporary. Love your vids-keep up the good work!
You got this!
im 5 days into a hip replacement..
Love this one guys! Your the first docs to even bring that subject up and this has helped me. By the way, even tho you dont sleep together, your still cute together, lol! Thanks docs!
Ha that’s funny Pamela. Thanks for watching and subscribing