Hi ,I just had my knee replaced 6 weeks ago . Am doing great. Went to P.T. am done with that and starting to do some light gardening. Walking every day. Its such a relief to be able to walk pain free. I also just turned 82. Loving life.
Hi Blanca. 82 and loving life - that is awesome. Congrats on getting through surgery so well and yes, enjoy the new knee. So glad to hear it. Thanks for watching and subscribing if you did.
Glad your doing well, I was up and walking down the corridor in the hospital 5 hours after surgery, home after that in two hours. Knew what to expect from the first one. Got myself up and moving, found the more mobile I got the faster I healed. Barely have a scar on my legs, wonderful to walk pain free.
I am 85 and had my left knee replaced four weeks ago. It was painful in the beginning. I took oxycontin for three days and switched to Tylenol for some relief. The most important thing I have done is exercise and walk every hour. My extension is 100% now and bending the knee is at 90%. I am very happy with the progress and recommend it for anyone who is suffering with serious knee pain.
Had my right knee replaced 4 years ago and it went OK. I didn't get the range and at times gets very stiff. Had my left knee done on Oct 24 and I'm way ahead of the game. I truly believe that you need to do exercises before your replacement. I was in the pool for 3 months before my surgery strengthening my quad muscles which helped me so much. After surgery you need to do your exercises 3 times a day and walking each and every day. Don't forget to ice your knee and take your pain meds!!!
As an anaesthetic nurse I have been involved in many knee replacements. I had my own when I was 60 (after 7 previous knee surgeries) and I expected it to be really bad post op. For me it was bearable. I took my meds, did my exercises and followed instructions. One tip I will give: my husband took small ziplock bags, filled them with water and put it on an empty coke bottle in the freezer. Then after I did my exercises I had ice packs which fit around my knee. The worst thing was sitting with my leg hanging down or sitting on a bar stool. When I was 18 months post knee replacement and my husband was 2 years post hip replacement, we did the entire 800 km walk on the Camino de Santiago. We took 38 days with 5 resting days with an average of 22 km a day. The surgery was the best thing ever for us.
I had my total knee replacement surgery done going 3 years it was the best decision after suffering 5 years repaired meniscus followed by Arthritis pain
You two professionals are so refreshing. You are not reluctant at all to make fun of yourselves and it's very apparent you are good friends. I like that. Too often doctors are not very friendly.
Hi DJ. Thanks so much. Glad you liked it. Yes we are good friends - we actually trained together and now share an office. We try to get the information across in a useful but entertaining way. Thanks for watching, subscribing and for sharing if you did.
I always took my pain med 1 hour before physical therapy. Helped me to do what was expected and healed faster because I was able to do the work. Been 15 years and still going strong.
@@TalkingWithDocs I'm in the process of having a replacement. The surgeon's MAIN concern was the fact that because I take four, 10 milligram pain pills over the course of a 24 hour day, of a strong medication, he said he would basically ask me to suffer the pain of my spine just to make his job easier controlling my pain after surgery and making sure my breathing would not be compromised by after surgery pain management, by reducing or stop taking medication pre surgery. I feel totally at the mercy of these doctors who make patients lives miserable by their idea of who needs medication and how much they should have, according to their opinion. The medical profession has come a long way in treating pain, but there are sill those who subscribe to the, pull yourself up by your bootstraps school It's great that doctors feel that they have the best idea about what you need, we have to give them credit for the help they give humanity. It is unbearable however to feel at the mercy of one of these physicians, when the effect of pain on a person is well established, and they don't seem to mind your suffering. As for myself, I will put off my replacement forever if I can, just based on my initial meeting with that doctor. Thank you for the information, I wish all were as compassionate as yourselves.
I had both knees replaced, 10 weeks apart, 8 years ago. It was the best medical decision I ever made. I am 78, very active and knee-pain free. Fortunately, my surgeon, the hospital (HSS), and my physical therapist gave me the same advice as this video. Your recommendations are spot on.
I had a total left knee replacement, the pain meds were not strong enough. The Doctor would not give me more. She said that I would become addicted! PAIN was crazy painful. If I knew about the pain that I was going to have before this surgery I would have a total above knee amputation This two doctors in this video gave more information than my Doctor told me. I'm a retired nurse a d sought a second opinion These two Doctors should come here and teach these orthopedic Physicians!!!!
Retired DON here…these days you have to make sure, in writing, that your docs will be giving you adequate pain medication. Even hospice patients are having difficulty!! It’s ridiculous! I’m sorry you went through all that.
Yes! I have been a surgical scrub for 19 years and I gave up my career because of the doctors I was cussed at , instruments thrown at me, thrown out of the OR. Other things happened that I can not mention. Other nurses told me I was too nice so don't think I was a bitch. I'm going to get a knee replacement and just saw this video. These docs seem to have it together.... I have learned more in one video than in two sessions with the doc doing my surgery Thanks guys
At 57 years old, I had my first knee replacement. I did everything I was told and even though it was very painful, especial PT, I regained much of my motion. One year later, my second knee surgery was much, much easier. Maybe I just knew what to expect. Walking without pain for the first time in decades.
I thought I was alone. Most people getting total knee replacement surgery are 60-80. I was okay until about 50. I’m 54 now and can’t walk without a limp at all, but still ski with no problem. The medial parts of both of my knees are bone on bone. The inner parts.
I had my knee replaced in September 1995 I am still walking, on it now. An Orthopedic Surgeon here, told me it is highly unusual, for a knee to last this long..
@@albertlorenzen3048 so what do you think, should I do it? I’ve never had surgery before. I’m worried about being rendered totally helpless for a month or two and addicted to oxycodone. And afraid I’ll never ski again on a fake knee.
@@jondstewart Jon, Perhaps I am a Fatalist. If something is going to happen, it will happen, be patient. Jon, I have had several surgeries, lost count. I became accustomed to Sodium Pentitholl. Do not worry, you will not be totally out or helpless as I was. Now the operation is routine, you will be given an Epidural, known as a Spinal. You will be totally numb from the belly button to your toes. You will be groggy, the staff will be talking to you. Post surgery, yes you will have pain. Nothing unbearable with medication. Within two days try walking. Have the hospital give you plastic spray, to cover your surgery. Go to a swimming pool. Walk back and forth in waist deep or a little deeper water. Let the water take your weight. Get a Kubi. Point is, keep bending your leg. Get a bycicle. You will ski again. I went back xlimbing trees.
Had a double knee replacement recently. The pain was intense for the first 2 weeks, I was in a wheelchair for 3 years before the surgery so my knees were bent unnaturally. I consider my muscle aches as markers showing me how far I've come. My goal is to walk my dog around the block.
@@ms.teetee6913 Same here. I'm scheduled for bilateral TKR on June 12. Right now, I'm doing all of the medical testing required. I have a nuclear stress test scheduled for this coming Friday. I've been doing my physical therapy exercises faithfully. I hope I will be all right, and I wish the same for all of you.
I had my right total knee replacement in December 2021. I was able to take 8 weeks off from work (luckily I had PTO / short term disability coverage) and am glad I did. I would highly recommend listening to your surgeon and physical therapy team regarding all aspects of care and also do your research to find the surgeon who is right for you. My knee is doing great and my family, friends and coworkers are glad to see that I am no longer dealing with crippling pain. 😃
I was off only 4 weeks after a total knee replacement in 2014 at the age of 61. I could have stayed out of work longer but it wasn’t necessary I damaged my knee, it wasn’t arthritis. My therapist used me as incentive for other people that were doing the same therapy. I think I took 2-3 pain pills as I hate them. A week after I went back to work I was building a shed at home. A year later I was building a new house after my day job. My job had a lot of,walking in a big communications facility.
I had both knees replaced 7 years ago when I was 70 years old, and I'm sure glad I did. After the surgery my doctor said I should walk so that's what I did, At first I couldn't even walk half a block, but I kept increasing the distance until eventually I was able to walk 12 miles, My knees are still going strong.
I had my right knee replaced almost 4 weeks ago and my therapists are all really happy with my progress. I'm 68 yrs old and have been dealing with stiffness and pain for too many years. I had so many people tell me to do the exercises before surgery. I started doing them one month before and that seems to be the key! I do them at home after my surgery when I'm not at physical therapy. I'm not one to sit or lay around so moving really helps. Ice frequently after surgery is a must too!
I’m 68 too and having knee surgery on Nov 30th.. needless to say I’m nervous, but I’m tired of being on pain medication and my knees being so bad that I can hardly walk. No one knows this pain until you go through it.!! it’s nice to hear the many stories of so much positive after the knee surgery ❤
This is all so on-point. I had mine done in December 2019 after waiting almost 8 years in constant pain. My boss gave me all the time I needed with benefit pay, I walked and climbed stairs before hand, took my pain meds before needed, (with tracking help from my wife), had a plan in place to NEVER be alone for at least the first 2 weeks, paced my self in the following weeks, and took all the time I needed to really attack physical therapy. 7 months post op and I was rebuilding 200 ft of privacy fence. Only regret I had was that I didn't have it done sooner. Had an amazing care team.
I had my first total knee replacement 4 weeks ago. Already had hip done on same side. It's been hard but keeping up with exercises regularly, being sensible and not over doing it. Tried to do to much and was very ill next day. I am getting stronger and better each week. Determined to get back to normality.
Hi Amber. You are very welcome. Congrats on being done the hardest part of your recovery. Continued good luck! Thanks for watching and subscribing if you did.
I am 5 weeks post-TKR for the right knee and have the left TKR scheduled for 6 weeks from now. I did not do a lot of pre-surgery PT but am now doing PT on both legs so the left one will be less of an issue post-surgery. One thing I will tell you about the PT folks - they may be able recommend things to reduce your pain level such as doing "soft tissue" work on the surgical knee and surrounding area. I had a lot of trouble with pain at night keeping me awake and my PT provided guidance on exercises that reduced the pain in my thigh that significantly reduced night time pain. Pain around the patella may also be reduced by soft tissue work by your PT. Until the PT showed me the ways to reduce my thigh pain, I was seriously thinking about delaying the second TKR. I am self-employed and taking 2 weeks away from the office made the return to the office in week 3 post-surgery challenging to say the least (even with a lot of pre-surgery planning). Now, I am pretty much pain free at night, and getting restful sleep is necessary for recovery from any surgery. My surgeon had said the post-surgical sleep issues were likely to not be resolved for 2 months after surgery. So very happy with being pain free at 5 weeks. Yes, the PT folks are paid to make you do the work, but they can really assist if you tell them the issues you are having. Looking forward to having working knees in time for the 2 week cruise that's happening over the Christmas/New Years holidays this year.
I had a full right knee replacement 4 days ago. This is great advice and will listen. As an incentive I have put pictures all over the wall that I want to do including a boat, greenhouse, favourite plants and have a Red Mustang convertible. It keeps me going..Pain is extreme and meltdown happened. I knew it was coming as the surgeon warned me. Managing pain and putting one step forward of the other… one step at a time… one minute…one hour at a time. This too, shall pass ❤️ I had to pull back a little when I realized the body was tired and needed to rest a little. Then adapted and walking better. Up to 7 minutes every hour. Doing my exercises that hurt like a B…. But persevered. Trying to not be too hard on my self… it’s only been 4 days lol
@@cathyzawatzki8443 fear is what holds us back and kills so much progress. Imagine what your life will be like when your current pain is gone. I'm blessed because I've had kidney stones and know what pain level 10 is like (off and on for more than a month)... so getting my knee done should be less than that.
I had my right knee replaced 10+ years ago. Do not sit around, do your rehab exercises, walk, and do not complain it hurts, yes it IS GOING TO HURT. I had my surgery in March and I was in my tree stand the first day of deer season. I am now 74 and have a farm in southern Ohio. I do all the work I always did, pain free.
This was right on. I had both knees done nearly four years ago. Road my bike hard for two months before to get my quads ready. Worked my butt off in PT twice per day for 3 months. Stayed ahead of the pain by taking meds consistently. Doing great. No pain. No swelling. Walking for 10-15 miles works (and I’m a bit overweight). It’s changed my life.
Thanks so much for taking the time to share your story for others Chris. Nice to hear that we got it right! Take care. Stay safe. Thanks for watching and subscribing if you did.
Both knees at once. That must have been painful. My entire leg was like a sausage after leaving the Clinic. In the SPA the Physiotherapist swore he could see my leg deceased in size. I alos worked my but off in the Gym before the operation until then the last time I went to use the leg press and I had a knife like pain of being stabbed right up the thigh bone and that was the end of my knee. After surgery the Femur and Tibia were sore as was the foot and ankle. So much so I could not rest the Femur on the toilet seat.
I'm trying to do the same build-up before my surgery. I can't get around very well on foot due to pain, so biking is my only mode of transportation (anyway).
I am just coming up on 5 weeks post-op from my TKR and your videos have been so helpful both before and after. Your prehab exercises helped me to develop the extra strength I needed to counter the extreme weakness in my leg post-op. I have been enjoying and absorbing all of your videos and tips. I really appreciated the segments on anesthesia as I had a femoral adductor block, spinal, and general anesthesia and found it interesting to watch those performed. I had to return to work after only two weeks, but my job allows me to sit, walk, or stand as I need to. My surgeon and physical therapist are both happy with my progress so far. Thanks again doctors, I love your combination of information and humor and find your videos so helpful.
I’m thankful for the prehab as well, really made a difference for me! I’m at four weeks (almost) and far ahead of schedule. PS: follow the pain med regimen!
@@dalspartan Prehab really does make a huge difference! I agree with keeping up with the pain meds, they are so important to the rehab. I hope you are do well!
As a surgical tech, I have scrubbed 100s of TKAs. My husband is 2 wks post-op from his first knee replacement (yeah, second will be in 2024). So seeing the recovery side of the procedure has been eye opening!
Thank you so much guys! My mum just had a total knee replacement a week ago! I’m glad we found this video! She has been falling behind her pain and not keeping up. This was great for her to hear! Bless you both!
My mom just had her tkr on the 17th. I amhere taking care of her post op. I convinced her before watching this video to take more pain meds. Im glad i did! She said she white knuckles it through the PT at the hospital sp she could be released 😓😅🤦♀️ do you have any advice for me after caring for your mom???
I'm really suffering this time around. I feel like I have a charlie horse on the rt. side of my leg, total knee replacement side. I'm stretching/exercising, no help. Can barely walk , mid second week in.
This is a great patient learning tool, very succinct and direct, only pertinent information so they don't drift off. Also it was great that you covered pain medication and how integral to recovery it can be. Worked as CNOR, wish this could be " required " watching you guys are awesome.
Having my 2nd tkr tomarrow morning so I've been going over your videos and refreshing on things. Maybe sometime you could do a video on making a commitment to yourself before having tkr. My surgeon talked to me at length to make and keep the commitment to myself and to work hard within the limits. Love you guys and thanks for all the time you take to share!
Thanks so much Pamela and we would agree you definitely have to make the commitment. Good luck tomorrow! Thanks for watching and subscribing if you did
I’m exactly at 1 year post knee replacement surgery and feeling good. I’m so happy that all 5 of your suggestions were things I did do. My best decisions: Break the 20 years of pain fear cycle and actually have surgery; I did 6 months of pre hab to control the pain and strengthen my muscles; I did the surgery in Brazil with a wonderful English speaking doctor; I did 9 months of post surgical hydra/water therapy and 3 months of weight training in the water. I thought before that I should have done it years before, but I would never have had the support, rehab time post surgery. and medical resources to do the surgery earlier. It all just worked out perfectly!
I love these two physicians! Very useful information! I did pre-hab months prior to my surgery! My knee replacement was due to severe osteoarthritis and I’m 63 years old! I’m also an avid pickleball player! I’m two weeks post op and feel great! Used a ROM tech recumbent bike at home and start PT tomorrow! Do what your told and you will do great! Good Luck everyone!❤
I had a knee job three years ago and was quite apprehensive. I would say though get it done! My knee was agony and now it’s brilliant. The most painful part was the staples pulling where they’d joined the wound together. Once they were out after a couple of weeks it was barely painful at all, in fact I rarely took analgesics. I didn’t get pain through medical bills either seeing as here in the U.K. it’s funded through taxes!
Was also very apprehensive about surgery. Left knee in 2016 and right knee in 2017. So much better, but not perfect of course. The main disappointment I have is the inability to kneel (playing with grandchildren) without pain
I have had very successful TKR on both knees. This is spot on. I did the exercises before and after as instructed. I got in my steps and did the stairs. The nurse in recovery gave me the best advice: "stay ahead of the pain with the medication" and I did! I will say the PT after is still not without pain even with meds, but really, as they said in the video, you get one good crack at this and I kept thinking about the rest of my life. For most people considering it, I would recommend, but you have to follow doctor's and therapist's recommendations to be successful - it doesn't just happen.
As a physical therapist, I think this is a must watch for every Pt before going to surgery. Im seeing patients that are too scared to take pain meds, no prehab and would over do the activities. Move it,but make sure to create an environment where you can heal 👍🏼
Had a neighbor that had both knees done at same time. He rejected PT, due to pain and too much bother... spent the rest of his life (10 years) in a wheelchair. I've had both knees done about 10 years ago... hike a rocky trail every other day, weather allowing. PT for first one, and self-therapy for second one. Second one was much easier (less pain) than first one.
@@TalkingWithDocs what we are not getting is good reassuring advice from the Doc re meds Simple as that Dr most have no clue how to communicate to patients I am insuch pain on just 5 mg and Dr eont even talk about a I crease
This is EXCELLENT timing. I had my right knee replaced last September, and I knew the left one would need to be replaced sooner or later, but I never imagined it would be barely a year after the first one. I twisted my knee 2 weeks ago and I'm sure something tore in there - I couldn't put any weight at all on it for several days, finally was able to use one crutch, and as of last Friday, I can walk with a good knee brace (had to order a new one because I lost weight since my last surgery and the brace I used then is too big now; thank you, Amazon, for same day delivery). When I went to my orthopedist, he said that the damage I believe happened won't show up on x-rays, but the x-rays did show a lot of arthritis damage, so I'm now scheduled for the left knee replacement on October 23. I'm glad I have almost 2 full months to prepare for this one, and these top five mistakes are a great reminder of what I'm facing after the surgery.
As a retired Physician (Family Practice) my #1 problem with patients having knee replacements was always patients not taking their PT seriously (and ultimately failing ). It was always frustrating to get those reports from PT stating "Suboptimal effort".
Been there, done that. I took my physical therapy exercises twice a day for several weeks, & I’m glad I kept up with the exercises for several months . I’m able to walk now without aids.
This video came in loud and clear. Do your homework. Keep on track with meds. Do what you can. Don’t over do it. Do those exercises Before your surgery. Do have a plan. Keep it safe and be in charge of your own health. The doc’s do their part, now the patient does theirs. Thanks you two.
I’m thankful for this video. I just had a TKA 3 days ago. I wasn’t told any of this by my dr. In fact I’m on chronic pain meds for autoimmune arthritis muddled through cutting back as much as I could pre op, everyone I know having surgery with this Dr gets a block, and pca pump post op I got neither and received half my pre op regimen while at the hospital. I sucked it up but it was so hard. I got home and went back on my medication at home. I wasn’t told things I’d have to avoid post op. None of it. I’m so thankful to have found you guys. It makes a difference to me.
Excellent! Just had knee replacement and. Had to go to a class explaining all these thing! So very glad I did! Thanks for sharing these important steps for those who don’t know!
@@TalkingWithDocs Docs I have a question. I just recently had a knee replacement surgery it is full knee replacement surgery on my right knee. Several years ago I had partial knee surgery on my left KNEE and I can almost just about to sit down to a full squat ass to grass so to speak. I’m trying to get down low but my doctor said don’t bend past a certain point that it’s not good for the replacement as I can pull away the joints of the concrete. I was very disappointed when I heard this as I need to squirt for my job I can get down pretty far but I wanted to be able to squat as far as I can possibly can asked to grass but it does hurt and it is very tight and I am not able to do so. I’m able to go quite far down though it hurts with pain. But my doctor was saying don’t go that far is that correct?
@@robertlulek1634 Howdy Robert. I hope this message finds you well! I had a full replacement just over a yr ago. You have to be extremely careful with the squats and over extending the joint. At least on a full replacement. I know a partial is still similar. The ROM will be limited to a point. The last thing you want to do is over extend and create more damage. Strengthening the muscles and ligaments hopefully can get you there. Ive always reached out to a professional to ensure keeping my quality of life top knotch. Hope youre doing better. 💪😎
Thanks for your video, I had a tkr about 10 years ago at age 59. Managed the pain medication and physical therapy, gradually got to the point my knee was comfortable for everything but running. I slacked off on stretching and noticed a few months ago my knee was losing some mobility. I started stretching it and have felt much better since. I very much enjoyed your video and the camaraderie you share. Your video was entertaining as well as very informative. Thanks again. Greetings from Maine.
Soon to be 45 yr old female here. Had my 1st replacement on my right knee back in 2008. The first year it felt so amazing! I had what my doc called the new athletic knee put in. After that first year it’s been downhill from there. I have had 3 more total replacements and 2 partial replacements and have needed another since the last one in 2014. Through all of these I can honestly say the physical therapy is definitely a must! The very first meeting I had with my physical therapist, he asked about my pain medication and told me to double up on it 30 minutes before therapy…after my first “session “ with him I understand why. Lol . I can laugh about it now, but if you don’t do it, you will definitely regret it!
Ok so I am a 40 year old female so you would prob be able to answer me question I am scared to do it being my age and possibly having to have it done again or bad issue being younger and active I’m just very scared what woukd you say about this
@@sheribaby1982 I’m 52, been fighting my knee for 2 yrs after a cyst behind my knee burst. Your watching videos, doing research, that tells me that your serious. I’m fixing to do another knee injection but when those no longer bring relief then I’m already mentally preparing myself for the commitment to surgery. I love these drs, their educational videos are preparing me for a successful outcome for when I’m ready to say yes to surgery.
Not only did I get some very useful and valuable information, I got a little chuckle and reassured. I’m a bit nervous about this R. Knee replacement; have already had both hips replaced and both shoulders……maybe that’s the reason. 🙄. Won’t be long before Ford is calling me for parts! Seriously…..keep up the good work and “pep talk” for patients struggling with decisions like me. God Bless………❤
It's been about 17 days since your surgery now, from reading your text. How are you doing now? I'm having my right knee done mid August and am a bit intimidated. But it's past time so I'm going for it. It will be a week after my 70th birthday, and if all goes well, I'll have my other knee done next year. It will be great to walk without pain again. Hope you're healing quickly!
@@TalkingWithDocs hey docs question for you. Have more than have of the meniscus disk gone. But they wont do surgery since I am 49. But I can only walk maybe two hundred yards without my knee brace. But now it's becoming difficult to walk long even with knee brace. What can I say to my docs to hurry this up?
@Spaceentity.. Really? They're Dr.s, they took an oath, "there's no money in curing Patients".. Have you ever cut yourself? What happened? Didn't it heal itself? Broken bone? Same thing. Dr.s never tell you the cause, they can't tell you the cure, so where is this, awesome dr.s part you mentioned? God gave us a well built machine, we are made to walk this Earth. But over time, the vaccines, the poison food, poisoned water, toothpaste, read the warning label! Google, the history of the AMA cancer truth! You've been warned!
After having had 15 operations on my legs alone, I totally agree with both these doctors. You MUST TAKE the pain medication as prescribed and doing the physio prior to and after the surgery. My last knee surgery was in 2002. I just recently retired from being a Paramedic for 37 years. Even today, prior to getting out of bed, I still do knee strengthening exercises. Best Regards and Stay Safe Everyone!! From Ontario, Canada, Jenn. 💖 💖 🇨🇦
Hi Jenn. Thank you for sharing your story. Best of luck during what sounds like a tough time for sure. Thanks for watching, subscribing and sharing with someone if you did
I am scheduled for total knee replacement in mid-December. I am very fortunate to have a surgeon who listened to me when I asked him what could I do to get my body ready. He ordered physical therapy for seven weeks and I have a set of exercises I do faithfully every day. I have modified my food intake and so far have lost 15 of the 35 pounds I need to lose pre-op. I have already progressed from having to use a walker to using a walking stick. I am positive just about everything post-op is going to be hard work, but I am confident I can do it!
These two surgeons come across very well. I just wish my mother- in- law had seen this prior to her knee replacements several years ago. Reluctant to take meds as well as post op therapy and now two stiff knees with a great deal of discomfort and very little mobility. Falling is now an issue several years later and nearing 90. No way to spend your “golden years” !
Hi Richard. Thanks for the kind words. Yes it is important to plan and do the work. Sorry to hear she is having a difficult time. Thanks for watching and subscribing if you did.
These guys are adorable. Thank you so much. I had my knee replaced. I listened to all I was told and did great, thank you to Dr. Brown and his amazing team in Ottawa. God bless you all.
Thank you so much JoJo. So glad your procedure went well just a few hours down the 401. All the best. Thanks for watching, subscribing and sharing with someone if you did.
Hi guys, finally I was able to have my revision total knee replacement back on 10-2-2020 and I am thankful every day. I had my 1st replacement back in December 2016 and had issues from day one. My revision surgeon was surprised to find that the stem into the tibia was so loose that he pulled it out with just 2 fingers. Apparently the cement never adhered to the bone only the stem devise. The part going into the fibula was also loose although he had to chisel it out. So here I am 2 weeks after surgery and I just had my staples removed and the nurse said it looks awesome. It feels awesome too. Currently I am at 100 degrees bending it which is another issue I had last time. I have watched your videos and they are awesome. This video is spot on, listen to your body, nurses and take your pain meds. The nerve block they gave me was awesome. I was up walking around first with a walker, then crutches the next day only because my surgery was late in the day. Taking the stairs and going in and out of a tub and sitting on a shower chair was easy. At home the pain meds have helped me more that I thought they would. I never like taking meds, but after watching this video a number of times and the other knee replacement video's, I decided too follow the pain med guidelines and it has worked, I am sleeping better, have more movement, and have a better range of motion much quicker than the last time. Will be starting PT in a couple of weeks, and I can't wait. I just wanted too let both of you know that with your videos I was more informed going into the surgery, had better questions for the doctors, and was much more prepared for the surgery. Thank you for the videos and what you do. You guys are awesome.
Thanks so much for sharing your story Rick as it will help our subscribers. So glad to hear you are doing well and also that we were able to help in any small way. Best of luck with the rest of your recovery. Thanks for watching and subscribing if you did.
@@julierusso9433 Hi Julie, I went on the advise of my Doctor. The one thing I can tell you is that for me it really made the first couple of days a lot easier. No pain I was up walking with crutches the next morning. It made a difference for me. The Doc's might have a better medical reason too.
@@julierusso9433 Hi Julie, I'm glad you made the right decision for you. One thing that my PT said was that a revision will usually take longer to heal than just a replacement. When you think of it, the doctor's have a longer surgery and more complicated then the first. My doctor said that normal he has to chisel out the old knee parts which normally results in a longer surgery. Also for me my new knee equipment is much longer than the old by at least 3 inches on each side, it feels so much stronger now. I am starting on my 6th month with the new knee and I have been able to do things now that I could not do for the last 4 years. It is so awesome, a new lease on life. All the best in your surgery. Let me knw how youo make out.
I had 2 knee replacements 3 years ago. My surgeon for years said to wait ASAP. He told me all of the sane things as these guys. First surgery was February 2019 and 3 months p.t. June 2019 second knee replacement. I have had many people tell me how great I am now walking (will be 70soon). Very little pain and only after an 8 hour retail shift. Best thing I ever did. A co worker had one knee done months before me. I asked how bad was the pain after therapy and she said went once and it hurt so she quit. She is now in a wheelchair. I thank God for the best surgeon and therapist. I can do so much now that I haven’t done for 50 years
Wife had both knees replaced at age 64. First one was just before Covid shut down the world in March. 4 weeks at home with PT then slowly back to work in a position where she could stay mobile instead of standing in one place. The game plan was a 2nd knee 6 weeks later but Covid pushed the schedule back 12 weeks so now it's June. All went well and back to work just under 5 weeks. Doc said she could drive once she was off any heavy meds. (yes, we did a local test drive first) By August she was mowing the lawn as part of her PT. Doc said walking on the lawn was good for lateral stability. What we learned was walking several miles a day, both before and after surgery was probably the best thing she could have done, although the stationary bike is less impact and easier to use when the weather sucks. The bike is now something she does every morning while waiting for the coffee pot to brew. These days it's 10 - 15 minutes on the bike and 4-5 miles walking on a daily basis at age 65. BTW, her new knees inspired me to install extra hand rails on the basement stairs (from the garage) and grab handles in the shower. (I'm not getting any younger either)
I am 66 years old and had my second TKR in September and at 90 percent recovery rate @ 132 flexion and now strength training...your videos were so helpful for me as I was going through the time when I was injured and waiting for surgical availability during Covid. The use of plain Language, upbeat message and positive attitude helped me tremendously during my injury and post recovery. Matter of fact I was thinking of coming down to your hospital for either one of you to perform the surgery. Keep the good work up.... you both do make a difference.
I had a TKR yesterday (July 15). My first PT visit was today. Wow. It was tough but I did very well. Meniscus repair last year did not fix my problem thus the “big” surgery. You guys are on point with your list. I am taking my pills routinely! Will be doing my exercises as prescribed and keeping a positive attitude. So glad to have the surgery behind me. And now on to recovery and regaining things I want to do!!!
Hi Love Dawgs. Congrats on post op day #4! Keep up the good work and the positive attitude. Sounds like you have a great approach. Thanks for sharing your story. Thanks for watching and subscribing if you did.
Hi G Lemus. Pain and swelling is very normal. Likely will persist for 6-12 weeks or maybe longer but should improve daily. Thanks for watching and subscribing if you did.
G Lemus Like the docs said the swelling is normal. And the pain is normal too. Tell her to follow her surgeons instructions, stay hydrated and don’t wait too long to take her meds. She will find what helps her most. Regarding bending the knee. Her surgeon should have given her some instructions on this as well. There are certain ways I can bend mine,but not fully. It is critical critical critical for her to do her exercises so that when the time comes she WILL be able to bend it. I can’t stress that enough. I am not a physician and in no way am giving you medical advice (but I am RN and have had lots of orthopedic issues personally). She has to start moving as quickly as she can. But don’t go trying things you have not been approved to do. And do not hesitate to contact your surgeon or your physical therapist if you have questions. The reason she had the surgery is to feel better, and she will. But there is a road she must travel to get there! Tell her to stay strong for me!
Thank you so much. I am definitely here to encourage her to stay strong and positive during this new journey. She had her first PT today and we discussed our plan and outcome. Hopefully everything goes as smooth as can be. We do struggle at time with pain management but ice packs have become our new friend. I will ask her Dr how close she can get her pain meds without it being a problem, right now its every 6 hrs but there's times when she needs them before. She's also getting tylenol in between. So we'll see. Wishing you a speedy recovery as well.
I found you on you tube. I see my doctor next week, I am getting my left knee done. over the next years right knee and left hip. watching you two explaining procedures I know what I need to do. Thank you for all you do.
This is my 1st visit to your channel and am so happy I found it and grateful to you!! I am going to have both knees replaced (1st one in May) and the other 3 months later. It is so very helpful to know and understand what I need to do and not do. I also watched your video on prehab. Your vids are so helpful and I am going to start my prehab, which I honestly probably would not have done if I didn't see your vid. My brother just had both his knees replaced and is feeling much better already. I've waited almost 20 years, so I'm more than ready and want to do all I need to do to heal properly and be able to do so much of what I missed out on over the years. Looking forward to watching, appreciating and learning so much more from your vids. New subbie for sure!! THANK YOU!!! Arlene
Thanks so much Bob! It is a fine balance with the humor but we figure there are lots of doctors in white lab coats providing only the facts. We wanted to try and keep people interested and still get the info across. The world needs a little humor these days. Thanks for watching, subscribing and sharing if you did.
I have to lower my BMI first before I can get my full knee replacement. Right now knees are bone on bone, dr is not issuing any pain med yet requiring me to exercise everyday to drop my BMI
These are really the most informative TH-cam videos I've found for total knee replacement. Really informative, light hearted, but serious at the same time. I'm going under the knife in a short time, and really am better prepared as a result. Especially the advice to club down two clubs when I get back on the golf course. Although I don't hit a 5 iron as well as I hit a 7 iron. Thanks guys.
I really love your videos. I had both knees replaced, 9 months apart, with no problems. I agree with what you are saying, about taking your pain pills, especially at night, and don't skip physical therapy. One other suggestion: Although the hospital will probably give you a notebook of instructions, I found it far more useful to read a couple of books beforehand about knee replacement. They are available on Amazon. There are helpful tips on a whole range of issues that just don't appear in the material the hospital provides. Very worthwhile!
Had a knee replacement on July 8th. Your videos were great help. I also have an excellent Ortho doc who was very straight with me about the procedure. Thanks for helping me understand and to have a great recovery!
Hi Kimberly. Congratulations! We are so glad we could help in any small way. Best of luck going forward. Thanks for watching and subscribing if you did.
The information provided was extremely helpful. I just had a total knee replacement and followed the "prehab" exercises which helped prepare me for the knee replacement. The 5 mistakes video is great as well to make sure to learn from the mistakes of others. I definitely wanted to come off the pain medicine too soon and overdoing it. Extremely helpful.
Great video! I had a 3 level spinal fusion. I did pre-op physical therapy, took a pain med/anti-inflammatory 'cocktail' as my doctor prescribed (around the clock, not just as needed), post op physical therapy went great, and I was vigilant with my 'homework' (home physical therapy). My surgery and rehab was my 'job'....and my recuperation couldn't have gone better. That was in 1997 and I am still doing great. I highly recommend following the 5 tips these docs are speaking of. They truly make a difference.
@@janw491 Thanks!! From one RN to another!! (OB/NICU - had to retire early though!). Chronically ill/permanently disabled now - but I'm a PT believer -(and positive attitude advocate). I'm also very much a believer in 'knowledge is power'. I have always wanted to be well informed as to what I might experience. Minimizing the surprises.....works for me! 😉
My husband had his knee replaced a week ago, we had a great post op plan, our surgeon set up, in home pt.ot.and nursing. His pain is still very high. As of now the Dr. Is working with him. I hope he will continue to do so.
Sure, I had some surgical pain, but the first time I walked after surgery, my first thought was, "I can't believe it doesn't hurt!" It's been 8 years since the first and 9 yeas since the second. Having my knees replaced was a life changer for me.
Thanks so much for taking the time to share you positive experience. Glad you did so well. Thanks for watching, subscribing and sharing with someone if you did.
@@QueenIsan Oh sweet lady, of course I wish you good luck. I was 58 and petrified. The absolute best thing you can do is get up and walk as soon after surgery as you can. I did laps and laps around the halls! You will never regret getting up and moving! Get a couple of the gel-type ice packs. Before surgery, I couldn't even think about icing my knees, afterwards, ice was my friend. If you are able to borrow or rent a lifting recliner, you will thank me because your thigh muscle will be worthless for a while. I had to sleep in the recliner for almost 2 weeks, I couldn't lay down in bed. I wish I could give you more encouragement. You'll have manageable surgical pain but the parts that hurt you now will be gone. Please come back here and let us know how you did!
@@QueenIsan It's been almost 2 weeks since your surgery. How are you doing? I've been thinking about you and hope you're doing great! Make sure you do all the physical therapy you can.
I had a knee replacement 4 weeks ago, I took my pain meds whenever I needed them. PT is going great, yes it was hard but I am glad I’m doing it.. Resumed my water aerobics today and it went well. Am so glad I finally had this procedure done.
Congrats Cheekylory! Glad you are doing so well. Best of luck going forward. Sorry for the delayed response. Thanks for watching and subscribing if you did.
Hi nora. Sometimes the lack of water therapy is an access issue. Hope you continued to do well. Sorry for the delay. Thanks for watching and subscribing if you did.
@@noragriffin6432 Water therapy would probably be too soon if done when Cheekyylory wrote that post: 4 weeks post-op. Incision has to be totally healed.
I had a full knee replacement and leg straightening 26 September here in Leuven Belgium. I’m American and live here. I did all of these things, I have an awesome Kinésithérapie. I am doing really well and am preparing to have the other one done in the next 6-8 months. I was also lucky my sister came and stayed 2 months with me❤🙏🏾🐾
Thank you gentlemen, spot on. Luba here and I had both done at 70 made a plan . A lady from work bought me food for 2 weeks. I had no help except my faith got me through. I lost : 30 pounds, what a blessing. I did everything you gentlemen said. It’s so important to do prehab/ , like you said that way you know the Exercises. Stay safe guys love luba 🙏
I’ve had 8 knee surgeries on my right knee, the last, 12 years ago being a total knee replacement. I also had previous surgeries dating back to the early 1970’s, A total ligament reconstruction in 1976, and again in 1980. Everything you mention has been true for all my surgeries. Have to say the toughest for me were the ligament reconstructions, partially because of how it was performed back then, but primarily because PT wasn’t pushed back then and it makes all the difference in the world on a successful recovery and returning to near normal activities. I would also add that while everyone is different, I think it’s important to modify your expectations, from recovery time to the actual activities you may or may not be able to return to. I’m thankful for the medical advancements and technology as well as the great Dr’s I’ve had, but it’s a replacement, a prosthesis, not your original knee from your youth.
Hi J Elmo. We would agree. All patients and problems are different. Expectations are everything. Thanks for watching, subscribing and for sharing if you did.
I needed to be super cautious about driving. My right knee was replaced in 2013 and I needed to be sure of what my new knee could do before I got behind the wheel to drive.
I'm one week past total knee replacement so far I feel my therapist has me on the right track and my worry of over doing pain meds by holding back some was wrong, thanks Drs I understand much better now.
Just found this video, 5 years post turn both knees. I agree with everything you said. I was lucky to have a doctor who agreed with rehab and drilled into my brain to take my pain meds. It took one intentionally missed dose to “get it”.
Number six: waiting too long. I believed I was too young for knee replacement. I was physically fit, and my legs were strong. Getting back lost extension ability was a long and painful process. I probably stopped pain medication too soon, too; but, I didn't like the side effects.
Interesting...I had a total knee replacement inn 2013. This was 12 years after an injury, and no insurance at the time. I had to wait until I turned 65, and medicare kicked in. However, there was no chance for "pre-hab," because I got into my surgery due to a cancellation, and had just 3 days notice! I don't know if that's what made the post-op PT harder, or just the fact that it had been 12 years before I could get the operation. Combo of both, probably. At any rate, while I was still in PT, my late husband became increasingly ill with his heart disease, and I was spending a lot of time sitting in emergency room chairs and at hospital bedsides; this interrupted my PT a good deal, and I ended up having to go back under anesthesia for a forced manipulation a few months later. Possibly as a result of this, (and also possibly because they said your post-op range of motion is to some extent dictated by your pre-op range of motion), I have not gotten a full bend back. I can bend fairly well, but it stops short by nearly a foot of being able to touch my heel to my bottom on that side, and I cannot squat down fully, either, so I have not much option but to lift things by bending over--but from there I do try to take the weight on my legs. So, I don't think any of this was the result of "mistakes," just life circumstances....
HinDzyMsLizzy. So sorry to hear about your husband. That is a hard thing to go through at any time let alone after a total knee. All the best going forward. Thanks for watching and subscribing if you did
Commenting again on your video as a nurse. ALL of the above!! I do pre and postoperative teaching in work comp and I try so hard to teach people about the pain meds part of recovery. I get so much pushback with people saying, 'I don't like to take any medications' or the 'I don't want to get addicted'. I continue to call them weekly for about a month to continue to educate & answer questions and I constantly get that their knee hurts, can't bend it very well, etc. I ask them about pain meds....and continue to get the same answers as above. There is such poor recovery with the people who don't follow the instructions. TAKE YOUR PAIN MEDS! Love your videos! Edit: My knees are also not good and expect to be told I need a replacement. The comments I'm reading, especially Bianca's, give me hope that I will do well, lol.
My knee replacements were a year apart. I quizzed my Dr. after all the news reports about opiate restrictions. I told him he did great with the first one, but if they've changed their policies since then, there was no way I would do it a second time. He assured me everything would be the same. True to his word, it went great. I've told friends who were contemplating knee replacement it's like taking years of knee pain and condensing it down to two months. But in a short time you will be so glad. I was 67 after my second one and my legs hadn't felt that good since I was 28.
I'm hoping it will be similar for me. After 3 previous knee surgeries, I figure one more biggie (both replaced at one go), knuckle down, bite the bullet and then enjoy finally being pain-free.
Thank you very much. I also viewed your 5 exercises for pre-op. Wrote them down. Have TKR beginning of March. My goal is to be in the Senior Pickleball Nationals 'next' year, so I have a goal (which is very important) and will be very diligent on my exercises. Thank you again for your time and expertise.
I had bilateral knee replacement (both knees at the same time) about ten years ago. I had some pain for sure in the rehab part but I knew there was an end coming and I wanted to get back to normal. I had a great outcome.
Hi, Had a total knee replacement with hinge in Sept.2022. I did all five of your top five must do’s. Doctors and PT thrilled with my progress. But I also did one for me pre-op and that was losing 35 pounds. Knee hurt less and my overall health had improved. Thanks for sharing your information.
My total replacement for one knee was a nightmare. I was fairly young in my early 50's. I did everything by the book and followed dr's orders. My knee after several weeks still had hardly any rotation. I had to go back after 8 weeks and have it manipulated for rotation. It was like starting all over again. I am here to tell you that even after 5 years my knee is still swelling after using it normally. In an out of ortho and all I was told it is bursitis or some other inflammatory issue. My knee still to this day has issues with swelling and pain around the knee itself.
Sorry to hear that reddy freddy. Some patients simply make more scar tissue abs get stiff for no specific reason. Thank you for sharing your story. Thanks for watching and subscribing if you did
Me too. I had mine last day of July this year and still cannot been 90 degrees. I did have several prior knee surgeries, but didn't think this would be that bad. Also had a manipulation under anesthesia two weeks ago and the swelling made the whole thing stiffer. I am doing the best I can working it ona device called a Knee Glide. Also trying to break up scar tissue with massage, and enzyme supplements. I hope in time it improves..
Sorry to hear this reddy Freddy I’m also on waiting list for my 3rd knee replacement on left side had both knees replaced but my left one has corrosion on it and bone is crumbling on inside of knee so there putting new knee in and cone in the inside I’m 52 but feel 82 at mo I’m dragging my leg as it just won’t bend & been on waiting list 49 weeks now I use to always take it for granted when my joints were so flexible would give anything to get that back again hopefully it will get better
Oh Lord I feel so sorry for you ! I am terrified that my knee will be the same because I have had issues for 30 years with my feet that make me walk with a limp . I will pray you find relief.
I had a TKR 5 years ago. The surgery was at a surgical center. I was on the way home 2 hours after coming out of anesthesia. I took morphine for two days, oxy for three days, and didn’t need anything after that. I went to PT 2 to 3 times a week. It was different than PT I had ever done before. The therapist changed the program as I was able to do more, it was never boring and always challenging. The key thing we worked on was range of motion.
My goodness I was on dilauded for five months. The in-house PT visiting nurse assoc didnt allow me out of my house for three months then six more weeks 3x week at PT place near me. Full flex just like my other and can kneel fine - but was in pain for so long.
Excellent advice! I had a full knee replacement 17 years ago and it’s the best thing I ever did for myself. I agree with and followed all of the steps the two of you advise which were exactly what my orthopedic surgeon advised. My knee is still pain free and I have full mobility and range of motion. As patients we are responsible for listening to and following the pre- and post-op guidance and recommendations we receive from our expert orthopedic medical team including physical therapists in order to have a successful and full recovery. You will be so happy with the end result and your improved quality of life!
Can you tell me if a patient is suffering from severe arthrites and needs to have tkr but doesn't have full muscle strength? Can they go through this procedure with weak muscles?
@@Anirudhptl Hi! I would think that your arthritis is not a problem that would prevent you from getting a total knee replacement, but I don’t know for sure. When I finally decided to meet with my orthopedic surgeon I was what is called “bone on bone” so much if my cartilage had worn away and there was no longer any cushion between the bones causing them to rub against each other. That condition was very very painful; much like arthritis. I think it’s best if you consult with your orthopedist. He or she will know what best to recommend for you with your specific issues/concerns. I think arthritis pain is one of the top reasons a person is recommended for this surgery, but that’s a guess on my part. I do think that your orthopedist will know what exercises are best pre-op for you to do to strengthen your muscles and based on the pain meds you currently take to treat the pain and inflammation from your arthritis. Any stretching or exercise you can do before the surgery will really help you to strengthen your muscles. You will also be better off post-surgery and in physical therapy. You have to take your pain meds because you will have pain; especially when your physical therapist is working your knee. But, remember that the good news is that if you are diligent doing your PT exercises at home and with the therapist when you’re actually receiving physical therapy the pain will be manageable and become less and less. Take those pain meds and keep moving. Before you know it, you won’t have pain anymore. You will have done everything you can do to fully recover from the surgery and ensure you can live a pain-free active life. Don’t overdo and speak up to the physical therapist if he/she is pushing you to quickly or too hard, Just remember that you do have to push yourself to work through some pain but you can. Make sure you get all the OT you need. I have a friend who didn’t follow through on the PT at home because the exercises hurt. Consequently, her knee did not heal properly and she lost a lot of her mobility in the knee so she stopped going up a flight of stairs at home and other places because her knee hurt when she tried because she didn’t have a full range of motion anymore. Sadly, that was her fault; not the surgeon’s or the physical therapist’s. Set up a consult with your orthopedist and gave a frank discussion about your situation and your concerns. He or she will be honest with you if he/she thinks that your arthritis poses any problem as far as you having the total knee replacement surgery done and if you would be in less pain or pain free by doing it. I hope this helps you a little. Good luck!! You’ll be okay and I think that you’ll be more happy than not that you had the surgery. I wish you success and good health. 🙂
@@Anirudhptl I ‘m so happy you found the information helpful. I’m sure that you’re going to be just fine! I am well and my knee is still good after all these years. Also, the hospital where my orthopedist was going to perform my surgery required the knee replacement patients and the hip replacement patients that were scheduled for surgery the same week as I was to attend pre-surgery orthopedic patient orientation class. It was very informative and very helpful because you found out what to expect depending on if you were a knee or hip replacement patient. We were able to meet the other knee patients and learn what to expect from the time we checked in to the hospital the day of the surgery throughout our stay in the hospital including how soon we’d be up and walking, pain management, in-hospital physical therapy sessions, hospital parking and logistics, administrative items and paperwork, length of hospital stay, etc. we were sent home with a binder full of information, video about joint replacement surgery, health insurance requirements and paperwork, etc. which contained useful information and that were ours to keep. Let me know if you’ve got any other questions and I’ll do my best to answer them based on my surgery experience. Take care. 🙂
I had a total knee replacement done by a brilliant surgeon, Dr Oswin, at Peacehealth hospital in Bellingham, WA. I was driving after 13 days, after the clips came out. I had no idea on where to go for REhab but I am certain I chose the best place in town, it was the one connected with the hospital. I was also very firm with myself doing the exercises, 1 hour twice a day - I think this is why the op was so successful, or perhaps, I was just lucky? I only took 2 of the strong painkillers when forced to in the hospital. I think my other knee will need to be done soon but not keen as I am now living in the UK so won't have the same surgeon!
Hi Judith. Thank you for sharing your story. All the best with your second knee. Stay in touch. Thanks for watching, subscribing and sharing if you did.
My doctor had me up walking with walker 90 mins after surgery . Had in home pt for 6 sessions. Then outpatient pt 12 sessions. Range of motion 130 still do my in home exercises. Did have pain for 4 weeks after surgery. My doctor is at cmpc in san francisco . Iam 75
Mistake №1 - Not having a plan for post-operation 0:37 Mistake №2 - Take pain medications 1:48 Mistake №3 - Doing too much too soon 4:17 Mistake №4 - Not doing prehab (Starting your physical therapy before the surgery) 5:34 Mistake №5 - Take a little break after the surgery and let yourself heal and recover 6:36
My husband had a total knee replacement (he is 73) and did absolutely amazingly well. We did have plan in place, he did take some pain meds. Started PT exactly 1 week after surgery. I might add he did go ahead of that start date for an evaluation at the hospital PT department. He did his excercises, rode a stationery bike that we borrowed, we kept his knee iced, and I did make him stay inside because we had snow and ice. He actually listened to me :) I am very proud of him. He was back to his retirement job 2 months after. Yes, he was tired and yes, he did hurt from time to time but he knew his limits. I was super proud of him for doing everything right!!
Thanks for the kind words KathyDNJ. We are doing our best to share information with our patients and viewers to help them with their orthopedic problems. Thanks for watching and subscribing if you did.
I love your “prehab “ rule! Wish I had heard that before my surgery lol. Other than that I was pretty compliant... I did very well. I am a year and a half out and so much better. Still have some soreness and discomfort at times but nothing like pre surgery.
Thank you for this I'm from England.just had a total hip replacement watch your vid on that now waiting for a total knee replacement sage advice from you two, especially on the pain relief, bloke in next bed refused pain meds because he was a true man. He could get up or move very much, more tool him...
I need both knees done, however need to lower my BMI first. Hard to do when your knees hurt this much. It is good motivation to lose weight. Thanks for the good info. Physio - sounds more fun than physical.
Hi Janet. Yes losing the weight is hard for anyone and especially with bad knees. Portion control and more plants are the best advice we can give. Best of luck to you. Thanks for watching and subscribing if you did.
I started swimming a mile, every day or every other day, a couple of months before my first knee surgery. It worked so well as a Pre-Hab that I did the same before my second knee replacement.
Having a TKA this week. This video is very helpful. I had a TKA (other knee) in 2004 and everything you talk abut here is true. I am a retired anatomist and ortho research scientist and i learned a lot from you. Thank you. Jim Williams
I did get & did the pre-surgical exercises, but had no idea about how important it was to take pain meds 'round the clock for the time right after surgery. Also, how to get in & out of bed & chairs. I'd add #6: if you are taking an opioid for pain (no matter how much) take a stool softener. constipation on top of a TKR is incredibly problematic. And, like pain management, you want to keep ahead of it; once your constipated it's really hard to get your GI system going again. It may take 24-36 hrs., during which time sleep & even movement is difficult. #7; take pain meds 45 min before your PT. You'll be able to tolerate it & movement will be optimized. #8: 10-15 min of ice pack on the knee is as helpful as pain meds; especially right after the surgery.
When my niece was approaching knee replacement surgery she wanted her Doc to do both knees at the same time to “get it over with sooner” ... His reply was, “I won’t do it because if I did, you wouldn’t have a leg to stand on!”.
Hi Anne. That doc is obviously very funny. And practical. Bilateral knee replacement is a lot for most patients. Thanks for sharing your story. Thanks for watching and subscribing if you did.
LOL! If you are having BTK you don't have a good leg to stand on anyway! My knees were so bad my doctor did them both at once because he said I wouldn't have a good rehab otherwise. It was rough & it was alot of work but in hindsight I wouldn't have done it any other way. Why would you put yourself through that twice? I drove as soon as my staples came out & after driving around the block a couple times to make sure I could with my doctor's blessings. The hardest part was getting in & out of the car. I am a truck driver & his only advice was no long trips. This wasn't an issue because I couldn't climb into the truck or deal with the clutch anyway! I think he had me pegged, correctly, as a tough chick. My PT was surprised the doctor said I could drive. At 4 years post op, I can not stress enough how important it is to work hard in rehab & continue to keep your legs strong to lets those joint replacements work their best.
Love watching these videos so informative. Had my second knee replacement 3 months ago but don't feel like its been as good a recovery as the first. Probably hasn't helped that I rolled my ankle and had big fall about 3 weeks ago
Wow, am I glad I watched this video a few months ago! I just had a TKR last Friday, and have used all of the suggestions from this video. PT started at walking with a walker 200' in the morning, then back to bed and using the ice machine (hospital sent it home with me). Late afternoon PT walking 300' and gradually increasing distance. Initial bandage comes off tomorrow and expect to have more mobility to bend my leg. Thanks again for the great advice, very much appreciated!
Great video. I have total knee replacements on both my knees. I can't stress enough adhering to the post-surgery physical therapy! And using the pain pills! For me, without the Percocet, I would have had very little sleep for the first few weeks. One other piece of advice: ice is your friend! One of those circulating ice water jackets can work miracles to keep the swelling down and mitigate the pain after PT. Yes, the pain level after surgery and for the first few weeks after is epic, but it's WELL WORTH it to be pain free and to gain back some normalcy to your life.
Hi ,I just had my knee replaced 6 weeks ago . Am doing great. Went to P.T. am done with that and starting to do some light gardening. Walking every day. Its such a relief to be able to walk pain free. I also just turned 82. Loving life.
Hi Blanca. 82 and loving life - that is awesome. Congrats on getting through surgery so well and yes, enjoy the new knee. So glad to hear it. Thanks for watching and subscribing if you did.
Glad your doing well, I was up and walking down the corridor in the hospital 5 hours after surgery, home after that in two hours. Knew what to expect from the first one. Got myself up and moving, found the more mobile I got the faster I healed. Barely have a scar on my legs, wonderful to walk pain free.
@@Anastajia2005 Sounds like you are doing well too. And ,yes its so great to walk pain free. Starting back to water aerobics on Monday. So fun.
@@blancahumphrey532 about to have mine next week 4th one 20years out of each one
@@jeannetteyale3567 wishing you the best and speedy recovery.
I am 85 and had my left knee replaced four weeks ago. It was painful in the beginning. I took oxycontin for three days and switched to Tylenol for some relief. The most important thing I have done is exercise and walk every hour. My extension is 100% now and bending the knee is at 90%. I am very happy with the progress and recommend it for anyone who is suffering with serious knee pain.
Had my right knee replaced 4 years ago and it went OK. I didn't get the range and at times gets very stiff. Had my left knee done on Oct 24 and I'm way ahead of the game. I truly believe that you need to do exercises before your replacement. I was in the pool for 3 months before my surgery strengthening my quad muscles which helped me so much. After surgery you need to do your exercises 3 times a day and walking each and every day.
Don't forget to ice your knee and take your pain meds!!!
As an anaesthetic nurse I have been involved in many knee replacements. I had my own when I was 60 (after 7 previous knee surgeries) and I expected it to be really bad post op. For me it was bearable. I took my meds, did my exercises and followed instructions. One tip I will give: my husband took small ziplock bags, filled them with water and put it on an empty coke bottle in the freezer. Then after I did my exercises I had ice packs which fit around my knee. The worst thing was sitting with my leg hanging down or sitting on a bar stool. When I was 18 months post knee replacement and my husband was 2 years post hip replacement, we did the entire 800 km walk on the Camino de Santiago. We took 38 days with 5 resting days with an average of 22 km a day. The surgery was the best thing ever for us.
Wow that is awesome Hazel! Thanks for watching and subscribing
I am find packing my knee on all four sides with ice bags is best. Just on the swelling area did not calm the knee. I carry it out 4 times a day.
I laid my ice packs over a bag of frozen veggies to get that saddle effect. Worked great.
sounds like you look after each other and the positive help encouraged your travel to wellness. congrats
I had my total knee replacement surgery done going 3 years it was the best decision after suffering 5 years repaired meniscus followed by Arthritis pain
You two professionals are so refreshing. You are not reluctant at all to make fun of yourselves and it's very apparent you are good friends. I like that. Too often doctors are not very friendly.
Hi DJ. Thanks so much. Glad you liked it. Yes we are good friends - we actually trained together and now share an office. We try to get the information across in a useful but entertaining way. Thanks for watching, subscribing and for sharing if you did.
Cute schnauzer we had one he lived to be 17 we had to have him PTS as he had testicular cancer he’s in a casket now buried in a pet cemetery
Welcome to Canada!
I hate it when doctors act like Jerks
Yes mean and ego....
I always took my pain med 1 hour before physical therapy. Helped me to do what was expected and healed faster because I was able to do the work. Been 15 years and still going strong.
Hi Jane. You are obviously a very smart woman. Glad to hear your knee is doing well. Keep it up! Thanks for watching and subscribing if you did.
@@TalkingWithDocs I'm in the process of having a replacement. The surgeon's MAIN concern was the fact that because I take four, 10 milligram pain pills over the course of a 24 hour day, of a strong medication, he said he would basically ask me to suffer the pain of my spine just to make his job easier controlling my pain after surgery and making sure my breathing would not be compromised by after surgery pain management, by reducing or stop taking medication pre surgery. I feel totally at the mercy of these doctors who make patients lives miserable by their idea of who needs medication and how much they should have, according to their opinion. The medical profession has come a long way in treating pain, but there are sill those who subscribe to the, pull yourself up by your bootstraps school It's great that doctors feel that they have the best idea about what you need, we have to give them credit for the help they give humanity. It is unbearable however to feel at the mercy of one of these physicians, when the effect of pain on a person is well established, and they don't seem to mind your suffering. As for myself, I will put off my replacement forever if I can, just based on my initial meeting with that doctor. Thank you for the information, I wish all were as compassionate as yourselves.
Mine never told me this ever and its been almost a year and still having problems and pain
Not just a knee. I had a bilateral knee replacement. June 2 this year had left hip replaced. Still in p.t.
That is good news, thanks.
I had both knees replaced, 10 weeks apart, 8 years ago. It was the best medical decision I ever made. I am 78, very active and knee-pain free. Fortunately, my surgeon, the hospital (HSS), and my physical therapist gave me the same advice as this video. Your recommendations are spot on.
That is good to know. Thanks Steve for taking the time to share. Thanks for watching and subscribing
STEVE!!!! I'm having both done at HSS, the first on Feb. 6. I needed to hear this!!!!! Thank you and so glad you are still doing well!!!
Are you able to go on your knee,like working on the gardener?
If original knee performance is 100%, then from your experience, what percent would be achieved by replacing your knee?
From a pain-free, strength, and range of motion standpoint I would say 100%. f @@dibyendusaha8888
I had a total left knee replacement, the pain meds were not strong enough. The Doctor would not give me more. She said that I would become addicted! PAIN was crazy painful. If I knew about the pain that I was going to have before this surgery I would have a total above knee amputation This two doctors in this video gave more information than my Doctor told me. I'm a retired nurse a d sought a second opinion These two Doctors should come here and teach these orthopedic Physicians!!!!
Retired DON here…these days you have to make sure, in writing, that your docs will be giving you adequate pain medication. Even hospice patients are having difficulty!! It’s ridiculous! I’m sorry you went through all that.
Really, you can do that?
The pain is temporary! In no time and with proper physiotherapy i was as good as new.
Yes! I have been a surgical scrub for 19 years and I gave up my career because of the doctors I was cussed at , instruments thrown at me, thrown out of the OR. Other things happened that I can not mention. Other nurses told me I was too nice so don't think I was a bitch.
I'm going to get a knee replacement and just saw this video. These docs seem to have it together.... I have learned more in one video than in two sessions with the doc doing my surgery
Thanks guys
I am a retired ortho physician assistant for 32 years the information you gave is spot on what patients need to know before they see physician
Thank you so much for your educated feedback james. Thanks for watching, subscribing and sharing with someone if you did.
At 57 years old, I had my first knee replacement. I did everything I was told and even though it was very painful, especial PT, I regained much of my motion. One year later, my second knee surgery was much, much easier. Maybe I just knew what to expect. Walking without pain for the first time in decades.
Nice Kyla. Thanks for watching and subscribing
I thought I was alone. Most people getting total knee replacement surgery are 60-80. I was okay until about 50. I’m 54 now and can’t walk without a limp at all, but still ski with no problem. The medial parts of both of my knees are bone on bone. The inner parts.
I had my knee replaced in September 1995
I am still walking, on it now.
An Orthopedic Surgeon here, told me it is highly unusual, for a knee to last this long..
@@albertlorenzen3048 so what do you think, should I do it? I’ve never had surgery before. I’m worried about being rendered totally helpless for a month or two and addicted to oxycodone. And afraid I’ll never ski again on a fake knee.
@@jondstewart Jon, Perhaps I am a Fatalist.
If something is going to happen, it will happen, be patient.
Jon, I have had several surgeries, lost count.
I became accustomed to Sodium Pentitholl.
Do not worry, you will not be totally out or helpless as I was.
Now the operation is routine, you will be given an Epidural, known as a Spinal.
You will be totally numb from the belly button to your toes.
You will be groggy, the staff will be talking to you.
Post surgery, yes you will have pain.
Nothing unbearable with medication.
Within two days try walking.
Have the hospital give you plastic spray, to cover your surgery.
Go to a swimming pool.
Walk back and forth in waist deep or a little deeper water. Let the water take your weight.
Get a Kubi.
Point is, keep bending your leg.
Get a bycicle.
You will ski again.
I went back xlimbing trees.
Had a double knee replacement recently. The pain was intense for the first 2 weeks, I was in a wheelchair for 3 years before the surgery so my knees were bent unnaturally. I consider my muscle aches as markers showing me how far I've come. My goal is to walk my dog around the block.
That’s a good goal Dawna. You’ve got this! Thanks for watching and subscribing
@@TalkingWithDocs Good night, my both knees need replacement ,iam so afraid. Please help me with some tips .
I'm afraid also... I have to have both knees done and I AM TERRIFIED
@@ms.teetee6913 Same here. I'm scheduled for bilateral TKR on June 12. Right now, I'm doing all of the medical testing required. I have a nuclear stress test scheduled for this coming Friday. I've been doing my physical therapy exercises faithfully. I hope I will be all right, and I wish the same for all of you.
God bless all y'all. Keep doing research, keep moving.
I had my right total knee replacement in December 2021. I was able to take 8 weeks off from work (luckily I had PTO / short term disability coverage) and am glad I did. I would highly recommend listening to your surgeon and physical therapy team regarding all aspects of care and also do your research to find the surgeon who is right for you. My knee is doing great and my family, friends and coworkers are glad to see that I am no longer dealing with crippling pain. 😃
Yay Judee. So happy for you. Thanks for watching and subscribing
I was off only 4 weeks after a total knee replacement in 2014 at the age of 61. I could have stayed out of work longer but it wasn’t necessary I damaged my knee, it wasn’t arthritis. My therapist used me as incentive for other people that were doing the same therapy. I think I took 2-3 pain pills as I hate them. A week after I went back to work I was building a shed at home. A year later I was building a new house after my day job. My job had a lot of,walking in a big communications facility.
@@TalkingWithDocs 88
I wish I could find an excellent surgeon in Massachusetts I have osteoarthritis I’m 45 I’m scared to death 💀😭😭😭😭😭
If original knee performance is 100%, then from your experience, what percent would be achieved by replacing your knee?
I had both knees replaced 7 years ago when I was 70 years old, and I'm sure glad I did. After the surgery my doctor said I should walk so that's what I did, At first I couldn't even walk half a block, but I kept increasing the distance until eventually I was able to walk 12 miles, My knees are still going strong.
That is amazing 4321grp! Thanks for sharing and congratulations on your success. Thanks for watching and subscribing if you did.
@@TalkingWithDocs that is great inspiration
You
@@garysimone4977 plp
@@maryaston8065 what is plp ???
I had my right knee replaced almost 4 weeks ago and my therapists are all really happy with my progress. I'm 68 yrs old and have been dealing with stiffness and pain for too many years. I had so many people tell me to do the exercises before surgery. I started doing them one month before and that seems to be the key! I do them at home after my surgery when I'm not at physical therapy. I'm not one to sit or lay around so moving really helps. Ice frequently after surgery is a must too!
I’m 68 too and having knee surgery on Nov 30th.. needless to say I’m nervous, but I’m tired of being on pain medication and my knees being so bad that I can hardly walk. No one knows this pain until you go through it.!! it’s nice to hear the many stories of so much positive after the knee surgery ❤
This is all so on-point. I had mine done in December 2019 after waiting almost 8 years in constant pain. My boss gave me all the time I needed with benefit pay, I walked and climbed stairs before hand, took my pain meds before needed, (with tracking help from my wife), had a plan in place to NEVER be alone for at least the first 2 weeks, paced my self in the following weeks, and took all the time I needed to really attack physical therapy. 7 months post op and I was rebuilding 200 ft of privacy fence. Only regret I had was that I didn't have it done sooner. Had an amazing care team.
Glad you did so well Dave. Thanks for watching and subscribing
So glad you had such a good outcome -- I'm pledging to do the same for my upcoming double K-TEP.
I had my first total knee replacement 4 weeks ago.
Already had hip done on same side.
It's been hard but keeping up with exercises regularly, being sensible and not over doing it.
Tried to do to much and was very ill next day.
I am getting stronger and better each week. Determined to get back to normality.
Keep it up Susan! Thanks for watching and subscribing
Thanks, guys!!! I'm 6 weeks post knee replacement surgery and doing great! Your video is spot on!!!! Great job!!!
Hi Amber. You are very welcome. Congrats on being done the hardest part of your recovery. Continued good luck! Thanks for watching and subscribing if you did.
THIS needS skeletal models to illustrate ROM...You assume patients know degree angles, abduction, adduction, etc.
I am 5 weeks post-TKR for the right knee and have the left TKR scheduled for 6 weeks from now. I did not do a lot of pre-surgery PT but am now doing PT on both legs so the left one will be less of an issue post-surgery. One thing I will tell you about the PT folks - they may be able recommend things to reduce your pain level such as doing "soft tissue" work on the surgical knee and surrounding area. I had a lot of trouble with pain at night keeping me awake and my PT provided guidance on exercises that reduced the pain in my thigh that significantly reduced night time pain. Pain around the patella may also be reduced by soft tissue work by your PT. Until the PT showed me the ways to reduce my thigh pain, I was seriously thinking about delaying the second TKR. I am self-employed and taking 2 weeks away from the office made the return to the office in week 3 post-surgery challenging to say the least (even with a lot of pre-surgery planning). Now, I am pretty much pain free at night, and getting restful sleep is necessary for recovery from any surgery. My surgeon had said the post-surgical sleep issues were likely to not be resolved for 2 months after surgery. So very happy with being pain free at 5 weeks. Yes, the PT folks are paid to make you do the work, but they can really assist if you tell them the issues you are having. Looking forward to having working knees in time for the 2 week cruise that's happening over the Christmas/New Years holidays this year.
I had a full right knee replacement 4 days ago. This is great advice and will listen. As an incentive I have put pictures all over the wall that I want to do including a boat, greenhouse, favourite plants and have a Red Mustang convertible. It keeps me going..Pain is extreme and meltdown happened. I knew it was coming as the surgeon warned me. Managing pain and putting one step forward of the other… one step at a time… one minute…one hour at a time. This too, shall pass ❤️ I had to pull back a little when I realized the body was tired and needed to rest a little. Then adapted and walking better. Up to 7 minutes every hour. Doing my exercises that hurt like a B…. But persevered. Trying to not be too hard on my self… it’s only been 4 days lol
Yes Sherry! Sounds like you are kicking butt. It is brutal for sure. All the best to you. Thanks for watching and subscribing
Good luck Sherry, I hope you heal quickly. I am too afraid of the pain to try
@@cathyzawatzki8443 fear is what holds us back and kills so much progress. Imagine what your life will be like when your current pain is gone. I'm blessed because I've had kidney stones and know what pain level 10 is like (off and on for more than a month)... so getting my knee done should be less than that.
I had my right knee replaced 10+ years ago. Do not sit around, do your rehab exercises, walk, and do not complain it hurts, yes it IS GOING TO HURT. I had my surgery in March and I was in my tree stand the first day of deer season. I am now 74 and have a farm in southern Ohio. I do all the work I always did, pain free.
Good advice
Can one walk 5000 steps daily after knee replacement Surgery?
How much period for back to normal life as earlier?
This was right on. I had both knees done nearly four years ago. Road my bike hard for two months before to get my quads ready. Worked my butt off in PT twice per day for 3 months. Stayed ahead of the pain by taking meds consistently. Doing great. No pain. No swelling. Walking for 10-15 miles works (and I’m a bit overweight). It’s changed my life.
Thanks so much for taking the time to share your story for others Chris. Nice to hear that we got it right! Take care. Stay safe. Thanks for watching and subscribing if you did.
Both knees at once. That must have been painful. My entire leg was like a sausage after leaving the Clinic. In the SPA the Physiotherapist swore he could see my leg deceased in size.
I alos worked my but off in the Gym before the operation until then the last time I went to use the leg press and I had a knife like pain of being stabbed right up the thigh bone and that was the end of my knee.
After surgery the Femur and Tibia were sore as was the foot and ankle. So much so I could not rest the Femur on the toilet seat.
Wow!! Luved the bike n therapy.It seemed 2 help me more than anything..Just felt so good & made my knee tough as nails..luved it..
How long did you have to take the pain meds?
I'm trying to do the same build-up before my surgery. I can't get around very well on foot due to pain, so biking is my only mode of transportation (anyway).
I am just coming up on 5 weeks post-op from my TKR and your videos have been so helpful both before and after. Your prehab exercises helped me to develop the extra strength I needed to counter the extreme weakness in my leg post-op. I have been enjoying and absorbing all of your videos and tips. I really appreciated the segments on anesthesia as I had a femoral adductor block, spinal, and general anesthesia and found it interesting to watch those performed. I had to return to work after only two weeks, but my job allows me to sit, walk, or stand as I need to. My surgeon and physical therapist are both happy with my progress so far. Thanks again doctors, I love your combination of information and humor and find your videos so helpful.
So glad you are doing so well Juliet abs that we could help in any small way. All the best. Thanks for watching and subscribing
I’m thankful for the prehab as well, really made a difference for me! I’m at four weeks (almost) and far ahead of schedule.
PS: follow the pain med regimen!
@@dalspartan Prehab really does make a huge difference! I agree with keeping up with the pain meds, they are so important to the rehab. I hope you are do well!
As a surgical tech, I have scrubbed 100s of TKAs. My husband is 2 wks post-op from his first knee replacement (yeah, second will be in 2024). So seeing the recovery side of the procedure has been eye opening!
He is lucky to have you Amy!
Thank you for your service! I appreciate all the people helping in the medical arena
Thank you so much guys! My mum just had a total knee replacement a week ago! I’m glad we found this video! She has been falling behind her pain and not keeping up. This was great for her to hear! Bless you both!
Very welcome Hayley. Best of luck to your mum. Thanks for watching and subscribing if you did
My mom just had her tkr on the 17th. I amhere taking care of her post op. I convinced her before watching this video to take more pain meds. Im glad i did! She said she white knuckles it through the PT at the hospital sp she could be released 😓😅🤦♀️ do you have any advice for me after caring for your mom???
I'm really suffering this time around. I feel like I have a charlie horse on the rt. side of my leg, total knee replacement side. I'm stretching/exercising, no help. Can barely walk , mid second week in.
This is a great patient learning tool, very succinct and direct, only pertinent information so they don't drift off. Also it was great that you covered pain medication and how integral to recovery it can be. Worked as CNOR, wish this could be " required " watching you guys are awesome.
Thank you so much for your endorsement and positive feedback Pamela!! Thanks for watching and subscribing
Having my 2nd tkr tomarrow morning so I've been going over your videos and refreshing on things. Maybe sometime you could do a video on making a commitment to yourself before having tkr. My surgeon talked to me at length to make and keep the commitment to myself and to work hard within the limits. Love you guys and thanks for all the time you take to share!
Thanks so much Pamela and we would agree you definitely have to make the commitment. Good luck tomorrow! Thanks for watching and subscribing if you did
I’m exactly at 1 year post knee replacement surgery and feeling good. I’m so happy that all 5 of your suggestions were things I did do. My best decisions:
Break the 20 years of pain fear cycle and actually have surgery; I did 6 months of pre hab to control the pain and strengthen my muscles; I did the surgery in Brazil with a wonderful English speaking doctor; I did 9 months of post surgical hydra/water therapy and 3 months of weight training in the water. I thought before that I should have done it years before, but I would never have had the support, rehab time post surgery. and medical resources to do the surgery earlier. It all just worked out perfectly!
Awesome. Thanks for sharing
I love these two physicians! Very useful information! I did pre-hab months prior to my surgery! My knee replacement was due to severe osteoarthritis and I’m 63 years old! I’m also an avid pickleball player! I’m two weeks post op and feel great!
Used a ROM tech recumbent bike at home and start PT tomorrow! Do what your told and you will do great! Good Luck everyone!❤
You know as a patient putting off surgery because I am so scared listening to the 2 of you is helpful. Wish you were closer I would get it done sooner
Glad we could help Christine! Best of luck to you. Thanks for watching, subscribing and sharing if you did.
I had a knee job three years ago and was quite apprehensive. I would say though get it done! My knee was agony and now it’s brilliant. The most painful part was the staples pulling where they’d joined the wound together. Once they were out after a couple of weeks it was barely painful at all, in fact I rarely took analgesics. I didn’t get pain through medical bills either seeing as here in the U.K. it’s funded through taxes!
@@leedsman54 Thank you!
@@leedsman54 Left knee done a year ago, used staples. Right knee two weeks ago and now they’re using glue and special tape. Brilliant.
Was also very apprehensive about surgery. Left knee in 2016 and right knee in 2017. So much better, but not perfect of course. The main disappointment I have is the inability to kneel (playing with grandchildren) without pain
I have had very successful TKR on both knees. This is spot on. I did the exercises before and after as instructed. I got in my steps and did the stairs. The nurse in recovery gave me the best advice: "stay ahead of the pain with the medication" and I did! I will say the PT after is still not without pain even with meds, but really, as they said in the video, you get one good crack at this and I kept thinking about the rest of my life. For most people considering it, I would recommend, but you have to follow doctor's and therapist's recommendations to be successful - it doesn't just happen.
Thanks so much for sharing
As a physical therapist, I think this is a must watch for every Pt before going to surgery.
Im seeing patients that are too scared to take pain meds, no prehab and would over do the activities.
Move it,but make sure to create an environment where you can heal 👍🏼
Thanks Leo Go! Tell your patients to watch our channel! We feel like it is critical too. Thanks for watching and subscribing if you did.
Had a neighbor that had both knees done at same time. He rejected PT, due to pain and too much bother... spent the rest of his life (10 years) in a wheelchair. I've had both knees done about 10 years ago... hike a rocky trail every other day, weather allowing. PT for first one, and self-therapy for second one. Second one was much easier (less pain) than first one.
@@TalkingWithDocs what we are not getting is good reassuring advice from the Doc re meds Simple as that Dr most have no clue how to communicate to patients I am insuch pain on just 5 mg and Dr eont even talk about a I crease
Great advice , 2 weeks today since my new knee and I’m very happy with it
This is EXCELLENT timing. I had my right knee replaced last September, and I knew the left one would need to be replaced sooner or later, but I never imagined it would be barely a year after the first one. I twisted my knee 2 weeks ago and I'm sure something tore in there - I couldn't put any weight at all on it for several days, finally was able to use one crutch, and as of last Friday, I can walk with a good knee brace (had to order a new one because I lost weight since my last surgery and the brace I used then is too big now; thank you, Amazon, for same day delivery). When I went to my orthopedist, he said that the damage I believe happened won't show up on x-rays, but the x-rays did show a lot of arthritis damage, so I'm now scheduled for the left knee replacement on October 23. I'm glad I have almost 2 full months to prepare for this one, and these top five mistakes are a great reminder of what I'm facing after the surgery.
As a retired Physician (Family Practice) my #1 problem with patients having knee replacements was always patients not taking their PT seriously (and ultimately failing ). It was always frustrating to get those reports from PT stating "Suboptimal effort".
Agreed Dr Hall. Thanks for watching and subscribing
Been there, done that. I took my physical therapy exercises twice a day for several weeks, & I’m glad I kept up with the exercises for several months . I’m able to walk now without aids.
Thank you!
This video came in loud and clear. Do your homework. Keep on track with meds. Do what you can. Don’t over do it. Do those exercises Before your surgery. Do have a plan. Keep it safe and be in charge of your own health. The doc’s do their part, now the patient does theirs. Thanks you two.
Very welcome sherry. Thanks for watching and subscribing if you did
I’m thankful for this video. I just had a TKA 3 days ago. I wasn’t told any of this by my dr. In fact I’m on chronic pain meds for autoimmune arthritis muddled through cutting back as much as I could pre op, everyone I know having surgery with this Dr gets a block, and pca pump post op I got neither and received half my pre op regimen while at the hospital. I sucked it up but it was so hard. I got home and went back on my medication at home. I wasn’t told things I’d have to avoid post op. None of it. I’m so thankful to have found you guys. It makes a difference to me.
Excellent! Just had knee replacement and. Had to go to a class explaining all these thing! So very glad I did! Thanks for sharing these important steps for those who don’t know!
You are very welcome Jody. Best of luck during your recovery. Thanks for watching, subscribing and sharing with someone if you did.
@@TalkingWithDocs Docs I have a question. I just recently had a knee replacement surgery it is full knee replacement surgery on my right knee. Several years ago I had partial knee surgery on my left KNEE and I can almost just about to sit down to a full squat ass to grass so to speak. I’m trying to get down low but my doctor said don’t bend past a certain point that it’s not good for the replacement as I can pull away the joints of the concrete. I was very disappointed when I heard this as I need to squirt for my job I can get down pretty far but I wanted to be able to squat as far as I can possibly can asked to grass but it does hurt and it is very tight and I am not able to do so. I’m able to go quite far down though it hurts with pain. But my doctor was saying don’t go that far is that correct?
@@robertlulek1634 Howdy Robert. I hope this message finds you well! I had a full replacement just over a yr ago. You have to be extremely careful with the squats and over extending the joint. At least on a full replacement. I know a partial is still similar. The ROM will be limited to a point. The last thing you want to do is over extend and create more damage. Strengthening the muscles and ligaments hopefully can get you there. Ive always reached out to a professional to ensure keeping my quality of life top knotch. Hope youre doing better. 💪😎
Thanks for your video, I had a tkr about 10 years ago at age 59. Managed the pain medication and physical therapy, gradually got to the point my knee was comfortable for everything but running. I slacked off on stretching and noticed a few months ago my knee was losing some mobility. I started stretching it and have felt much better since. I very much enjoyed your video and the camaraderie you share. Your video was entertaining as well as very informative. Thanks again. Greetings from Maine.
Very welcome Allen in Maine. Thanks for watching and subscribing
Soon to be 45 yr old female here. Had my 1st replacement on my right knee back in 2008. The first year it felt so amazing! I had what my doc called the new athletic knee put in. After that first year it’s been downhill from there. I have had 3 more total replacements and 2 partial replacements and have needed another since the last one in 2014. Through all of these I can honestly say the physical therapy is definitely a must! The very first meeting I had with my physical therapist, he asked about my pain medication and told me to double up on it 30 minutes before therapy…after my first “session “ with him I understand why. Lol . I can laugh about it now, but if you don’t do it, you will definitely regret it!
Sorry to hear this but sounds like you have a great attitude! Thanks for watching and subscribing
Ok so I am a 40 year old female so you would prob be able to answer me question I am scared to do it being my age and possibly having to have it done again or bad issue being younger and active I’m just very scared what woukd you say about this
@@sheribaby1982 I’m 52, been fighting my knee for 2 yrs after a cyst behind my knee burst. Your watching videos, doing research, that tells me that your serious. I’m fixing to do another knee injection but when those no longer bring relief then I’m already mentally preparing myself for the commitment to surgery. I love these drs, their educational videos are preparing me for a successful outcome for when I’m ready to say yes to surgery.
@@sheribaby1982 😊xd.o⁶7
Why so many knee replacement ? the only thing I can assume is they weren't done right, dam you're young too.
Not only did I get some very useful and valuable information, I got a little chuckle and reassured. I’m a bit nervous about this R. Knee replacement; have already had both hips replaced and both shoulders……maybe that’s the reason. 🙄. Won’t be long before Ford is calling me for parts! Seriously…..keep up the good work
and “pep talk” for patients struggling with decisions like me. God Bless………❤
Love these videos! I am 11 days post op for total knee. So thankful for the info I learned here! Keep the videos coming!
Glad we can help cf8000pro! Keep up the good work. Thanks for watching, subscribing and sharing with someone if you did.
It's been about 17 days since your surgery now, from reading your text. How are you doing now? I'm having my right knee done mid August and am a bit intimidated. But it's past time so I'm going for it. It will be a week after my 70th birthday, and if all goes well, I'll have my other knee done next year. It will be great to walk without pain again. Hope you're healing quickly!
Two of the most informative physicians on TH-cam.
Thank you so much Spaceentity. Thanks for watching and subscribing if you did.
@@TalkingWithDocs hey docs question for you. Have more than have of the meniscus disk gone. But they wont do surgery since I am 49. But I can only walk maybe two hundred yards without my knee brace. But now it's becoming difficult to walk long even with knee brace. What can I say to my docs to hurry this up?
@@TalkingWithDocs sorry half the disk gone
@Spaceentity.. Really? They're Dr.s, they took an oath, "there's no money in curing Patients".. Have you ever cut yourself? What happened? Didn't it heal itself? Broken bone? Same thing. Dr.s never tell you the cause, they can't tell you the cure, so where is this, awesome dr.s part you mentioned? God gave us a well built machine, we are made to walk this Earth. But over time, the vaccines, the poison food, poisoned water, toothpaste, read the warning label! Google, the history of the AMA cancer truth! You've been warned!
After having had 15 operations on my legs alone, I totally agree with both these doctors. You MUST TAKE the pain medication as prescribed and doing the physio prior to and after the surgery. My last knee surgery was in 2002. I just recently retired from being a Paramedic for 37 years. Even today, prior to getting out of bed, I still do knee strengthening exercises. Best Regards and Stay Safe Everyone!! From Ontario, Canada, Jenn. 💖 💖 🇨🇦
Hi Jenn. Thank you for sharing your story. Best of luck during what sounds like a tough time for sure. Thanks for watching, subscribing and sharing with someone if you did
I am on a waitlist for knee replacement surgery, I was really nervous but after seeing your video I feel a bit more confident, thanks guys 🥰
Well glad we can help Monica. Good luck with your surgery. Thanks for watching, subscribing and sharing with someone if you did.
I am scheduled for total knee replacement in mid-December. I am very fortunate to have a surgeon who listened to me when I asked him what could I do to get my body ready. He ordered physical therapy for seven weeks and I have a set of exercises I do faithfully every day. I have modified my food intake and so far have lost 15 of the 35 pounds I need to lose pre-op. I have already progressed from having to use a walker to using a walking stick. I am positive just about everything post-op is going to be hard work, but I am confident I can do it!
Way to go Linda! Good luck with your upcoming surgery. Thanks for watching and subscribing if you did.
You guys are adorable! Just had my second knee done 5 weeks ago. So so happy!!!
Thanks so much Debra. Congrats! Thanks for watching and subscribing if you did
Can i ask. Is there thing a person didnt Can do with a new knee. Iam Think run fitness osv. thanks
Am 2 weeks out from TKR on left knee. I've followed this series, and appreciate the advice. I'm driving and walking pretty well. PT is a must here
Awesome crunchy! Thanks for watching and subscribing
These two surgeons come across very well. I just wish my mother- in- law had seen this prior to her knee replacements several years ago. Reluctant to take meds as well as post op therapy and now two stiff knees with a great deal of discomfort and very little mobility. Falling is now an issue several years later and nearing 90. No way to spend your “golden years” !
Hi Richard. Thanks for the kind words. Yes it is important to plan and do the work. Sorry to hear she is having a difficult time. Thanks for watching and subscribing if you did.
These guys are adorable. Thank you so much. I had my knee replaced. I listened to all I was told and did great, thank you to Dr. Brown and his amazing team in Ottawa. God bless you all.
Thank you so much JoJo. So glad your procedure went well just a few hours down the 401. All the best. Thanks for watching, subscribing and sharing with someone if you did.
Hi guys, finally I was able to have my revision total knee replacement back on 10-2-2020 and I am thankful every day. I had my 1st replacement back in December 2016 and had issues from day one. My revision surgeon was surprised to find that the stem into the tibia was so loose that he pulled it out with just 2 fingers. Apparently the cement never adhered to the bone only the stem devise. The part going into the fibula was also loose although he had to chisel it out. So here I am 2 weeks after surgery and I just had my staples removed and the nurse said it looks awesome. It feels awesome too. Currently I am at 100 degrees bending it which is another issue I had last time. I have watched your videos and they are awesome. This video is spot on, listen to your body, nurses and take your pain meds. The nerve block they gave me was awesome. I was up walking around first with a walker, then crutches the next day only because my surgery was late in the day. Taking the stairs and going in and out of a tub and sitting on a shower chair was easy. At home the pain meds have helped me more that I thought they would. I never like taking meds, but after watching this video a number of times and the other knee replacement video's, I decided too follow the pain med guidelines and it has worked, I am sleeping better, have more movement, and have a better range of motion much quicker than the last time. Will be starting PT in a couple of weeks, and I can't wait. I just wanted too let both of you know that with your videos I was more informed going into the surgery, had better questions for the doctors, and was much more prepared for the surgery. Thank you for the videos and what you do. You guys are awesome.
Thanks so much for sharing your story Rick as it will help our subscribers. So glad to hear you are doing well and also that we were able to help in any small way. Best of luck with the rest of your recovery. Thanks for watching and subscribing if you did.
Why the nerve block with the revision?
I was originally planning on having a nerve black rather than knee replacement revision , but now planning on full revision.
@@julierusso9433 Hi Julie, I went on the advise of my Doctor. The one thing I can tell you is that for me it really made the first couple of days a lot easier. No pain I was up walking with crutches the next morning. It made a difference for me. The Doc's might have a better medical reason too.
@@julierusso9433 Hi Julie, I'm glad you made the right decision for you. One thing that my PT said was that a revision will usually take longer to heal than just a replacement. When you think of it, the doctor's have a longer surgery and more complicated then the first. My doctor said that normal he has to chisel out the old knee parts which normally results in a longer surgery. Also for me my new knee equipment is much longer than the old by at least 3 inches on each side, it feels so much stronger now. I am starting on my 6th month with the new knee and I have been able to do things now that I could not do for the last 4 years. It is so awesome, a new lease on life. All the best in your surgery. Let me knw how youo make out.
I had 2 knee replacements 3 years ago. My surgeon for years said to wait ASAP. He told me all of the sane things as these guys. First surgery was February 2019 and 3 months p.t. June 2019 second knee replacement. I have had many people tell me how great I am now walking (will be 70soon). Very little pain and only after an 8 hour retail shift. Best thing I ever did. A co worker had one knee done months before me. I asked how bad was the pain after therapy and she said went once and it hurt so she quit. She is now in a wheelchair. I thank God for the best surgeon and therapist. I can do so much now that I haven’t done for 50 years
Amazing story susan. Thanks for sharing. Thanks for watching and subscribing
Wife had both knees replaced at age 64. First one was just before Covid shut down the world in March. 4 weeks at home with PT then slowly back to work in a position where she could stay mobile instead of standing in one place. The game plan was a 2nd knee 6 weeks later but Covid pushed the schedule back 12 weeks so now it's June. All went well and back to work just under 5 weeks. Doc said she could drive once she was off any heavy meds. (yes, we did a local test drive first) By August she was mowing the lawn as part of her PT. Doc said walking on the lawn was good for lateral stability. What we learned was walking several miles a day, both before and after surgery was probably the best thing she could have done, although the stationary bike is less impact and easier to use when the weather sucks. The bike is now something she does every morning while waiting for the coffee pot to brew. These days it's 10 - 15 minutes on the bike and 4-5 miles walking on a daily basis at age 65. BTW, her new knees inspired me to install extra hand rails on the basement stairs (from the garage) and grab handles in the shower. (I'm not getting any younger either)
That is awesome rupe53. Thank you for telling your story. Thanks for watching and subscribing if you did
I am 66 years old and had my second TKR in September and at 90 percent recovery rate @ 132 flexion and now strength training...your videos were so helpful for me as I was going through the time when I was injured and waiting for surgical availability during Covid. The use of plain Language, upbeat message and positive attitude helped me tremendously during my injury and post recovery. Matter of fact I was thinking of coming down to your hospital for either one of you to perform the surgery. Keep the good work up.... you both do make a difference.
That is awesome Max! Congrats. And so glad we could help you on your journey. All the best. Thanks for watching and subscribing if you did
How did you injure your knee before the replacement ? Did you have any other surgeries before the replacement ?
All the best,
Žan
I had a TKR yesterday (July 15). My first PT visit was today. Wow. It was tough but I did very well. Meniscus repair last year did not fix my problem thus the “big” surgery. You guys are on point with your list. I am taking my pills routinely! Will be doing my exercises as prescribed and keeping a positive attitude. So glad to have the surgery behind me. And now on to recovery and regaining things I want to do!!!
My mom had the surgery the same day too. How are you dealing? My moms leg is so swollen and painful. Are you bending your leg or not yet?
Hi Love Dawgs. Congrats on post op day #4! Keep up the good work and the positive attitude. Sounds like you have a great approach. Thanks for sharing your story. Thanks for watching and subscribing if you did.
Hi G Lemus. Pain and swelling is very normal. Likely will persist for 6-12 weeks or maybe longer but should improve daily. Thanks for watching and subscribing if you did.
G Lemus Like the docs said the swelling is normal. And the pain is normal too. Tell her to follow her surgeons instructions, stay hydrated and don’t wait too long to take her meds. She will find what helps her most. Regarding bending the knee. Her surgeon should have given her some instructions on this as well. There are certain ways I can bend mine,but not fully. It is critical critical critical for her to do her exercises so that when the time comes she WILL be able to bend it. I can’t stress that enough. I am not a physician and in no way am giving you medical advice (but I am RN and have had lots of orthopedic issues personally). She has to start moving as quickly as she can. But don’t go trying things you have not been approved to do. And do not hesitate to contact your surgeon or your physical therapist if you have questions. The reason she had the surgery is to feel better, and she will. But there is a road she must travel to get there! Tell her to stay strong for me!
Thank you so much. I am definitely here to encourage her to stay strong and positive during this new journey. She had her first PT today and we discussed our plan and outcome. Hopefully everything goes as smooth as can be. We do struggle at time with pain management but ice packs have become our new friend. I will ask her Dr how close she can get her pain meds without it being a problem, right now its every 6 hrs but there's times when she needs them before. She's also getting tylenol in between. So we'll see. Wishing you a speedy recovery as well.
I found you on you tube. I see my doctor next week, I am getting my left knee done. over the next years right knee and left hip. watching you two explaining procedures I know what I need to do. Thank you for all you do.
This is my 1st visit to your channel and am so happy I found it and grateful to you!! I am going to have both knees replaced (1st one in May) and the other 3 months later. It is so very helpful to know and understand what I need to do and not do. I also watched your video on prehab. Your vids are so helpful and I am going to start my prehab, which I honestly probably would not have done if I didn't see your vid. My brother just had both his knees replaced and is feeling much better already. I've waited almost 20 years, so I'm more than ready and want to do all I need to do to heal properly and be able to do so much of what I missed out on over the years. Looking forward to watching, appreciating and learning so much more from your vids. New subbie for sure!! THANK YOU!!! Arlene
You are so welcome Arlene. Best of luck!
Excellent information. Thanks Docs. I appreciate the light-hearted, fun way you approach the information, even though it's serious, important info.
Thanks so much Bob! It is a fine balance with the humor but we figure there are lots of doctors in white lab coats providing only the facts. We wanted to try and keep people interested and still get the info across. The world needs a little humor these days. Thanks for watching, subscribing and sharing if you did.
I have to lower my BMI first before I can get my full knee replacement. Right now knees are bone on bone, dr is not issuing any pain med yet requiring me to exercise everyday to drop my BMI
These are really the most informative TH-cam videos I've found for total knee replacement. Really informative, light hearted, but serious at the same time. I'm going under the knife in a short time, and really am better prepared as a result. Especially the advice to club down two clubs when I get back on the golf course. Although I don't hit a 5 iron as well as I hit a 7 iron. Thanks guys.
Very welcome dherzfeld. So glad we could help. All the best with your surgery. Thanks for watching, subscribing and sharing with someone if you did.
I really love your videos. I had both knees replaced, 9 months apart, with no problems. I agree with what you are saying, about taking your pain pills, especially at night, and don't skip physical therapy. One other suggestion: Although the hospital will probably give you a notebook of instructions, I found it far more useful to read a couple of books beforehand about knee replacement. They are available on Amazon. There are helpful tips on a whole range of issues that just don't appear in the material the hospital provides. Very worthwhile!
Had a knee replacement on July 8th. Your videos were great help. I also have an excellent Ortho doc who was very straight with me about the procedure. Thanks for helping me understand and to have a great recovery!
Hi Kimberly. Congratulations! We are so glad we could help in any small way. Best of luck going forward. Thanks for watching and subscribing if you did.
Twinsies on the date of our surgery! Hope you're healing well.
The information provided was extremely helpful. I just had a total knee replacement and followed the "prehab" exercises which helped prepare me for the knee replacement. The 5 mistakes video is great as well to make sure to learn from the mistakes of others. I definitely wanted to come off the pain medicine too soon and overdoing it. Extremely helpful.
Glad we could help Stan. Best of luck to you. Thanks for watching and subscribing if you did.
How soon before your surgery did you start your prehab exercises?. I'm having a left TKA in 2023 (after I hit Medicare age).
Great video! I had a 3 level spinal fusion. I did pre-op physical therapy, took a pain med/anti-inflammatory 'cocktail' as my doctor prescribed (around the clock, not just as needed), post op physical therapy went great, and I was vigilant with my 'homework' (home physical therapy). My surgery and rehab was my 'job'....and my recuperation couldn't have gone better. That was in 1997 and I am still doing great. I highly recommend following the 5 tips these docs are speaking of. They truly make a difference.
Hi K. Thanks for sharing. Thanks for watching and subscribing if you did
Well done you are exactly right. Congrats form an orthopaedic RN
@@janw491 Thanks!! From one RN to another!! (OB/NICU - had to retire early though!). Chronically ill/permanently disabled now - but I'm a PT believer -(and positive attitude advocate). I'm also very much a believer in 'knowledge is power'. I have always wanted to be well informed as to what I might experience. Minimizing the surprises.....works for me! 😉
My husband had his knee replaced a week ago, we had a great post op plan, our surgeon set up, in home pt.ot.and nursing. His pain is still very high. As of now the Dr. Is working with him. I hope he will continue to do so.
Good luck to your hubby
Sure, I had some surgical pain, but the first time I walked after surgery, my first thought was, "I can't believe it doesn't hurt!" It's been 8 years since the first and 9 yeas since the second. Having my knees replaced was a life changer for me.
Thanks so much for taking the time to share you positive experience. Glad you did so well. Thanks for watching, subscribing and sharing with someone if you did.
Can you wish me luck?!!?! I'm scared to death! I'm 41 but it's time, my surgery is June 2nd..but I'm active and READY!!🙌❤
@@QueenIsan Oh sweet lady, of course I wish you good luck. I was 58 and petrified. The absolute best thing you can do is get up and walk as soon after surgery as you can. I did laps and laps around the halls! You will never regret getting up and moving! Get a couple of the gel-type ice packs. Before surgery, I couldn't even think about icing my knees, afterwards, ice was my friend. If you are able to borrow or rent a lifting recliner, you will thank me because your thigh muscle will be worthless for a while. I had to sleep in the recliner for almost 2 weeks, I couldn't lay down in bed. I wish I could give you more encouragement. You'll have manageable surgical pain but the parts that hurt you now will be gone. Please come back here and let us know how you did!
@@QueenIsan so is mine, same date. Well be just fine
@@QueenIsan It's been almost 2 weeks since your surgery. How are you doing? I've been thinking about you and hope you're doing great! Make sure you do all the physical therapy you can.
I had a knee replacement 4 weeks ago, I took my pain meds whenever I needed them. PT is going great, yes it was hard but I am glad I’m doing it.. Resumed my water aerobics today and it went well. Am so glad I finally had this procedure done.
I think my P. T. program is antiquated. They haven't mentioned water therapy one time and and it is a well known fact how well water therapy works.
Congrats Cheekylory! Glad you are doing so well. Best of luck going forward. Sorry for the delayed response. Thanks for watching and subscribing if you did.
Hi nora. Sometimes the lack of water therapy is an access issue. Hope you continued to do well. Sorry for the delay. Thanks for watching and subscribing if you did.
@@noragriffin6432 Water therapy would probably be too soon if done when Cheekyylory wrote that post: 4 weeks post-op. Incision has to be totally healed.
I had a full knee replacement and leg straightening 26 September here in Leuven Belgium. I’m American and live here. I did all of these things, I have an awesome Kinésithérapie. I am doing really well and am preparing to have the other one done in the next 6-8 months. I was also lucky my sister came and stayed 2 months with me❤🙏🏾🐾
Best of luck to you! Thanks for watching and subscribing
Thank you gentlemen, spot on. Luba here and I had both done at 70 made a plan . A lady from work bought me food for 2 weeks. I had no help except my faith got me through. I lost : 30 pounds, what a blessing. I did everything you gentlemen said. It’s so important to do prehab/ , like you said that way you know the Exercises. Stay safe guys love luba 🙏
Thanks so much Luba and congrats on your success. Thanks for watching and subscribing
I’ve had 8 knee surgeries on my right knee, the last, 12 years ago being a total knee replacement. I also had previous surgeries dating back to the early 1970’s, A total ligament reconstruction in 1976, and again in 1980. Everything you mention has been true for all my surgeries. Have to say the toughest for me were the ligament reconstructions, partially because of how it was performed back then, but primarily because PT wasn’t pushed back then and it makes all the difference in the world on a successful recovery and returning to near normal activities. I would also add that while everyone is different, I think it’s important to modify your expectations, from recovery time to the actual activities you may or may not be able to return to. I’m thankful for the medical advancements and technology as well as the great Dr’s I’ve had, but it’s a replacement, a prosthesis, not your original knee from your youth.
Hi J Elmo. We would agree. All patients and problems are different. Expectations are everything. Thanks for watching, subscribing and for sharing if you did.
Bionic man. Truly amazing to go through so many surgeries, I shutter at the thought.
You have gone through so much. Wow.
@@youubik Could you cop yourself on👁👁
I have 6 artificial joints and your advice is spot on!
Hi Pamela. Thanks so much. That is wild - 6 joints. Good for you! Thanks for watching and subscribing if you did.
I needed to be super cautious about driving. My right knee was replaced in 2013 and I needed to be sure of what my new knee could do before I got behind the wheel to drive.
Good advice Anne. Safety first. Thanks for watching and subscribing if you did.
I'm one week past total knee replacement so far I feel my therapist has me on the right track and my worry of over doing pain meds by holding back some was wrong, thanks Drs I understand much better now.
Glad we could help Gerald. Best of luck during your recovery. Thanks for watching and subscribing
Just found this video, 5 years post turn both knees. I agree with everything you said. I was lucky to have a doctor who agreed with rehab and drilled into my brain to take my pain meds. It took one intentionally missed dose to “get it”.
Hi Karen. So glad we hit the mark. All the best. Thanks for watching, subscribing and sharing with someone if you did.
Number six: waiting too long. I believed I was too young for knee replacement. I was physically fit, and my legs were strong. Getting back lost extension ability was a long and painful process. I probably stopped pain medication too soon, too; but, I didn't like the side effects.
Yes Jon. Thanks for watching and subscribing
Interesting...I had a total knee replacement inn 2013. This was 12 years after an injury, and no insurance at the time. I had to wait until I turned 65, and medicare kicked in. However, there was no chance for "pre-hab," because I got into my surgery due to a cancellation, and had just 3 days notice! I don't know if that's what made the post-op PT harder, or just the fact that it had been 12 years before I could get the operation. Combo of both, probably.
At any rate, while I was still in PT, my late husband became increasingly ill with his heart disease, and I was spending a lot of time sitting in emergency room chairs and at hospital bedsides; this interrupted my PT a good deal, and I ended up having to go back under anesthesia for a forced manipulation a few months later.
Possibly as a result of this, (and also possibly because they said your post-op range of motion is to some extent dictated by your pre-op range of motion), I have not gotten a full bend back. I can bend fairly well, but it stops short by nearly a foot of being able to touch my heel to my bottom on that side, and I cannot squat down fully, either, so I have not much option but to lift things by bending over--but from there I do try to take the weight on my legs.
So, I don't think any of this was the result of "mistakes," just life circumstances....
HinDzyMsLizzy. So sorry to hear about your husband. That is a hard thing to go through at any time let alone after a total knee. All the best going forward. Thanks for watching and subscribing if you did
Commenting again on your video as a nurse. ALL of the above!! I do pre and postoperative teaching in work comp and I try so hard to teach people about the pain meds part of recovery. I get so much pushback with people saying, 'I don't like to take any medications' or the 'I don't want to get addicted'. I continue to call them weekly for about a month to continue to educate & answer questions and I constantly get that their knee hurts, can't bend it very well, etc. I ask them about pain meds....and continue to get the same answers as above. There is such poor recovery with the people who don't follow the instructions. TAKE YOUR PAIN MEDS! Love your videos! Edit: My knees are also not good and expect to be told I need a replacement. The comments I'm reading, especially Bianca's, give me hope that I will do well, lol.
Yea you will! Thanks for watching and subscribing
My knee replacements were a year apart. I quizzed my Dr. after all the news reports about opiate restrictions. I told him he did great with the first one, but if they've changed their policies since then, there was no way I would do it a second time. He assured me everything would be the same. True to his word, it went great. I've told friends who were contemplating knee replacement it's like taking years of knee pain and condensing it down to two months. But in a short time you will be so glad. I was 67 after my second one and my legs hadn't felt that good since I was 28.
So glad to hear it ArcBurn33. Thanks for watching, subscribing and sharing with someone if you did.
I'm hoping it will be similar for me. After 3 previous knee surgeries, I figure one more biggie (both replaced at one go), knuckle down, bite the bullet and then enjoy finally being pain-free.
Thank you very much. I also viewed your 5 exercises for pre-op. Wrote them down. Have TKR beginning of March. My goal is to be in the Senior Pickleball Nationals 'next' year, so I have a goal (which is very important) and will be very diligent on my exercises. Thank you again for your time and expertise.
We won't be betting against you David J. You are very welcome.
I had bilateral knee replacement (both knees at the same time) about ten years ago. I had some pain for sure in the rehab part but I knew there was an end coming and I wanted to get back to normal. I had a great outcome.
Great job Texoma. Thanks for watching and subscribing
I’m 2 weeks out before get my BKR so crossing my fingers it goes well….
@@SANTIAGOSANCHEZ-yw3pd good luck, work hard in the rehab , stretch and Ice . Best thing I ever did
Hi, Had a total knee replacement with hinge in Sept.2022. I did all five of your top five must do’s. Doctors and PT thrilled with my progress. But I also did one for me pre-op and that was losing 35 pounds. Knee hurt less and my overall health had improved. Thanks for sharing your information.
Wow June way to go! Thanks for watching and subscribing
My total replacement for one knee was a nightmare. I was fairly young in my early 50's. I did everything by the book and followed dr's orders. My knee after several weeks still had hardly any rotation. I had to go back after 8 weeks and have it manipulated for rotation. It was like starting all over again. I am here to tell you that even after 5 years my knee is still swelling after using it normally. In an out of ortho and all I was told it is bursitis or some other inflammatory issue. My knee still to this day has issues with swelling and pain around the knee itself.
Sorry to hear that reddy freddy. Some patients simply make more scar tissue abs get stiff for no specific reason. Thank you for sharing your story. Thanks for watching and subscribing if you did
Me too. I had mine last day of July this year and still cannot been 90 degrees. I did have several prior knee surgeries, but didn't think this would be that bad. Also had a manipulation under anesthesia two weeks ago and the swelling made the whole thing stiffer. I am doing the best I can working it ona device called a Knee Glide. Also trying to break up scar tissue with massage, and enzyme supplements. I hope in time it improves..
Rotation? All my surgeon cared about was bending and straightening the knee. I never even heard the term “rotation”.
Sorry to hear this reddy Freddy I’m also on waiting list for my 3rd knee replacement on left side had both knees replaced but my left one has corrosion on it and bone is crumbling on inside of knee so there putting new knee in and cone in the inside I’m 52 but feel 82 at mo I’m dragging my leg as it just won’t bend & been on waiting list 49 weeks now I use to always take it for granted when my joints were so flexible would give anything to get that back again hopefully it will get better
Oh Lord I feel so sorry for you ! I am terrified that my knee will be the same because I have had issues for 30 years with my feet that make me walk with a limp . I will pray you find relief.
I had a TKR 5 years ago. The surgery was at a surgical center. I was on the way home 2 hours after coming out of anesthesia. I took morphine for two days, oxy for three days, and didn’t need anything after that. I went to PT 2 to 3 times a week. It was different than PT I had ever done before. The therapist changed the program as I was able to do more, it was never boring and always challenging. The key thing we worked on was range of motion.
Thanks for sharing your story Paul. You had the right idea. Hard work. No substitute. Thanks for watching and subscribing if you did.
My goodness I was on dilauded for five months. The in-house PT visiting nurse assoc didnt allow me out of my house for three months then six more weeks 3x week at PT place near me. Full flex just like my other and can kneel fine - but was in pain for so long.
Excellent advice! I had a full knee replacement 17 years ago and it’s the best thing I ever did for myself. I agree with and followed all of the steps the two of you advise which were exactly what my orthopedic surgeon advised. My knee is still pain free and I have full mobility and range of motion. As patients we are responsible for listening to and following the pre- and post-op guidance and recommendations we receive from our expert orthopedic medical team including physical therapists in order to have a successful and full recovery. You will be so happy with the end result and your improved quality of life!
Can you tell me if a patient is suffering from severe arthrites and needs to have tkr but doesn't have full muscle strength? Can they go through this procedure with weak muscles?
@@Anirudhptl Hi! I would think that your arthritis is not a problem that would prevent you from getting a total knee replacement, but I don’t know for sure. When I finally decided to meet with my orthopedic surgeon I was what is called “bone on bone” so much if my cartilage had worn away and there was no longer any cushion between the bones causing them to rub against each other. That condition was very very painful; much like arthritis. I think it’s best if you consult with your orthopedist. He or she will know what best to recommend for you with your specific issues/concerns. I think arthritis pain is one of the top reasons a person is recommended for this surgery, but that’s a guess on my part. I do think that your orthopedist will know what exercises are best pre-op for you to do to strengthen your muscles and based on the pain meds you currently take to treat the pain and inflammation from your arthritis. Any stretching or exercise you can do before the surgery will really help you to strengthen your muscles. You will also be better off post-surgery and in physical therapy. You have to take your pain meds because you will have pain; especially when your physical therapist is working your knee. But, remember that the good news is that if you are diligent doing your PT exercises at home and with the therapist when you’re actually receiving physical therapy the pain will be manageable and become less and less. Take those pain meds and keep moving. Before you know it, you won’t have pain anymore. You will have done everything you can do to fully recover from the surgery and ensure you can live a pain-free active life. Don’t overdo and speak up to the physical therapist if he/she is pushing you to quickly or too hard, Just remember that you do have to push yourself to work through some pain but you can. Make sure you get all the OT you need. I have a friend who didn’t follow through on the PT at home because the exercises hurt. Consequently, her knee did not heal properly and she lost a lot of her mobility in the knee so she stopped going up a flight of stairs at home and other places because her knee hurt when she tried because she didn’t have a full range of motion anymore. Sadly, that was her fault; not the surgeon’s or the physical therapist’s. Set up a consult with your orthopedist and gave a frank discussion about your situation and your concerns. He or she will be honest with you if he/she thinks that your arthritis poses any problem as far as you having the total knee replacement surgery done and if you would be in less pain or pain free by doing it. I hope this helps you a little. Good luck!! You’ll be okay and I think that you’ll be more happy than not that you had the surgery. I wish you success and good health. 🙂
@user-ox7jf4oc8r Thank you so much for explaining it. It really helped. Good luck to you too.😊❤️
@@Anirudhptl I ‘m so happy you found the information helpful. I’m sure that you’re going to be just fine! I am well and my knee is still good after all these years. Also, the hospital where my orthopedist was going to perform my surgery required the knee replacement patients and the hip replacement patients that were scheduled for surgery the same week as I was to attend pre-surgery orthopedic patient orientation class. It was very informative and very helpful because you found out what to expect depending on if you were a knee or hip replacement patient. We were able to meet the other knee patients and learn what to expect from the time we checked in to the hospital the day of the surgery throughout our stay in the hospital including how soon we’d be up and walking, pain management, in-hospital physical therapy sessions, hospital parking and logistics, administrative items and paperwork, length of hospital stay, etc. we were sent home with a binder full of information, video about joint replacement surgery, health insurance requirements and paperwork, etc. which contained useful information and that were ours to keep. Let me know if you’ve got any other questions and I’ll do my best to answer them based on my surgery experience. Take care. 🙂
@@RafaelaFerguson sure! and again, thank you for your time ❤️ the way you explained it, and helped me. It means so much.
Thanks!
Welcome!
I had a total knee replacement done by a brilliant surgeon, Dr Oswin, at Peacehealth hospital in Bellingham, WA. I was driving after 13 days, after the clips came out. I had no idea on where to go for REhab but I am certain I chose the best place in town, it was the one connected with the hospital. I was also very firm with myself doing the exercises, 1 hour twice a day - I think this is why the op was so successful, or perhaps, I was just lucky? I only took 2 of the strong painkillers when forced to in the hospital. I think my other knee will need to be done soon but not keen as I am now living in the UK so won't have the same surgeon!
Hi Judith. Thank you for sharing your story. All the best with your second knee. Stay in touch. Thanks for watching, subscribing and sharing if you did.
Judith happy that you are safe and comfortable out there in Uk
My doctor had me up walking with walker 90 mins after surgery . Had in home pt for 6 sessions. Then outpatient pt 12 sessions. Range of motion 130 still do my in home exercises. Did have pain for 4 weeks after surgery. My doctor is at cmpc in san francisco . Iam 75
Mistake №1 - Not having a plan for post-operation 0:37
Mistake №2 - Take pain medications 1:48
Mistake №3 - Doing too much too soon 4:17
Mistake №4 - Not doing prehab (Starting your physical therapy before the surgery) 5:34
Mistake №5 - Take a little break after the surgery and let yourself heal and recover 6:36
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My husband had a total knee replacement (he is 73) and did absolutely amazingly well. We did have plan in place, he did take some pain meds. Started PT exactly 1 week after surgery. I might add he did go ahead of that start date for an evaluation at the hospital PT department. He did his excercises, rode a stationery bike that we borrowed, we kept his knee iced, and I did make him stay inside because we had snow and ice. He actually listened to me :) I am very proud of him. He was back to his retirement job 2 months after. Yes, he was tired and yes, he did hurt from time to time but he knew his limits. I was super proud of him for doing everything right!!
Sounds like he had a good coach Lynn. Nice job. Thanks for watching and subscribing
I am rewatching your knee replacement videos, as I am coming up on one month before mine. Thank you for all of your information!
You can do it!
You guys are great! I had a great ortho doc, so I was taken care of, but not all docs are great like you two!
Thanks for these videos! 💖
Thanks for the kind words KathyDNJ. We are doing our best to share information with our patients and viewers to help them with their orthopedic problems. Thanks for watching and subscribing if you did.
I love your “prehab “ rule! Wish I had heard that before my surgery lol. Other than that I was pretty compliant... I did very well. I am a year and a half out and so much better. Still have some soreness and discomfort at times but nothing like pre surgery.
Hi Maureen. Yes prehab is key. Glad to hear you are doing well and had a successful operation. Thanks for watching and subscribing if you did.
Great Video guys! With permission I will adapt this recommendations for my own patients.
Hi Dani. Of course and send them to our channel! Thanks for watching and subscribing if you did.
Thank you for this I'm from England.just had a total hip replacement watch your vid on that now waiting for a total knee replacement sage advice from you two, especially on the pain relief, bloke in next bed refused pain meds because he was a true man. He could get up or move very much, more tool him...
I need both knees done, however need to lower my BMI first. Hard to do when your knees hurt this much. It is good motivation to lose weight. Thanks for the good info. Physio - sounds more fun than physical.
Hi Janet. Yes losing the weight is hard for anyone and especially with bad knees. Portion control and more plants are the best advice we can give. Best of luck to you. Thanks for watching and subscribing if you did.
I started swimming a mile, every day or every other day, a couple of months before my first knee surgery. It worked so well as a Pre-Hab that I did the same before my second knee replacement.
Hi YMBariLdr. Swimming is great exercise. Thanks for sharing your strategy. Thanks for watching and subscribing if you did.
Great suggestions! Especially "have a plan"! Wishful thinking just doesn't cut it when you need help and didn't plan ahead. Thanks, docs.
Thanks Dr Didyk. Hope you are staying safe. And thanks for watching.
Having a TKA this week. This video is very helpful. I had a TKA (other knee) in 2004 and everything you talk abut here is true. I am a retired anatomist and ortho research scientist and i learned a lot from you. Thank you. Jim Williams
Very cool Jim! Good luck
I did get & did the pre-surgical exercises, but had no idea about how important it was to take pain meds 'round the clock for the time right after surgery. Also, how to get in & out of bed & chairs. I'd add #6: if you are taking an opioid for pain (no matter how much) take a stool softener. constipation on top of a TKR is incredibly problematic. And, like pain management, you want to keep ahead of it; once your constipated it's really hard to get your GI system going again. It may take 24-36 hrs., during which time sleep & even movement is difficult. #7; take pain meds 45 min before your PT. You'll be able to tolerate it & movement will be optimized. #8: 10-15 min of ice pack on the knee is as helpful as pain meds; especially right after the surgery.
Thanks for sharing Lily
When my niece was approaching knee replacement surgery she wanted her Doc to do both knees at the same time to “get it over with sooner” ... His reply was, “I won’t do it because if I did, you wouldn’t have a leg to stand on!”.
Hi Anne. That doc is obviously very funny. And practical. Bilateral knee replacement is a lot for most patients. Thanks for sharing your story. Thanks for watching and subscribing if you did.
LOL! If you are having BTK you don't have a good leg to stand on anyway! My knees were so bad my doctor did them both at once because he said I wouldn't have a good rehab otherwise. It was rough & it was alot of work but in hindsight I wouldn't have done it any other way. Why would you put yourself through that twice? I drove as soon as my staples came out & after driving around the block a couple times to make sure I could with my doctor's blessings. The hardest part was getting in & out of the car. I am a truck driver & his only advice was no long trips. This wasn't an issue because I couldn't climb into the truck or deal with the clutch anyway! I think he had me pegged, correctly, as a tough chick. My PT was surprised the doctor said I could drive. At 4 years post op, I can not stress enough how important it is to work hard in rehab & continue to keep your legs strong to lets those joint replacements work their best.
I had mind done at the same time
Clever
I'm so glad my doctor said no... I did have both done the same year...
Love watching these videos so informative. Had my second knee replacement 3 months ago but don't feel like its been as good a recovery as the first. Probably hasn't helped that I rolled my ankle and had big fall about 3 weeks ago
Oh no Maree. Be careful. So glad you liked the videos. Good luck going forward. Thanks for watching, subscribing and sharing with someone if you did.
Wow, am I glad I watched this video a few months ago! I just had a TKR last Friday, and have used all of the suggestions from this video. PT started at walking with a walker 200' in the morning, then back to bed and using the ice machine (hospital sent it home with me). Late afternoon PT walking 300' and gradually increasing distance. Initial bandage comes off tomorrow and expect to have more mobility to bend my leg. Thanks again for the great advice, very much appreciated!
Very welcome Michael. Best of luck on your journey. Thanks for watching and subscribing
Great video. I have total knee replacements on both my knees. I can't stress enough adhering to the post-surgery physical therapy! And using the pain pills! For me, without the Percocet, I would have had very little sleep for the first few weeks. One other piece of advice: ice is your friend! One of those circulating ice water jackets can work miracles to keep the swelling down and mitigate the pain after PT. Yes, the pain level after surgery and for the first few weeks after is epic, but it's WELL WORTH it to be pain free and to gain back some normalcy to your life.
Thanks for sharing your experience A. Glad you are doing well. Thanks for watching and subscribing if you did