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Medical Forum / Diseases and Disorders / Arthritis / May 2006Total Knee Revision
I finally have a date for surgery; Thursday, April 27th. The doctor is still not sure if I will need a partial or a full revision. Either way, I have a full six weeks pf physical therapy to look forward to. I was wondering if it is beneficial to go to a rehab hospital after the surgery. Does anyone have experience with a rehab facility following TKR or TKR revision surgery? Thanks. Bonnie Bonnie- Had my 2 TKRs a month apart. Had 3 home health visits after number 1 and no PT after the second one. My best advice is to use the over-the-bed-tray-table. As soon as they get you up, start putting your foot on the rung across the bottom of the table and use your arms to pull your foot toward you--you'll get good bending right away. I am totally not able to use crutches, walker, etc. because my worst joints have always been hands, wrists, elbows and shoulders. Good luck. Jan O' >I finally have a date for surgery; Thursday, April 27th. The doctor is > still not sure if I will need a partial or a full revision. Either [quoted text clipped - 6 lines] > > Bonnie Thanks, Jan. I also have difficulty with my upper body, so that tray table trick is a great idea! Bonnie A rocking chair was the best thing I found for bending. Works great. Duckie > Bonnie- > Had my 2 TKRs a month apart. Had 3 home health visits after number 1 and no [quoted text clipped - 15 lines] >> >>Bonnie Thanks, Duckie. E Gads!! I never thought nursing home when I started to investigate rehab possibilities! Bonnie That's what they recommended to my mom. Loujean >A rocking chair was the best thing I found for bending. Works great. >Duckie [quoted text clipped - 18 lines] >>> >>>Bonnie I had 2 hip replacements this winter. In talking overin patient rehab with my surgeon he thought that you could get qway with not having rehab for hip surgery but was definitely needed for knee replacements. something about how the joint must be kept moving. hope this thought helps with your decision. Thanks! I hope you are doing well with the hip replacements. Bonnie When I was in the Rehab Hospital after my hip replacement, the THRs and TKRs did the same exercises for the first few weeks. Gwen >I had 2 hip replacements this winter. In talking overin patient rehab > with my surgeon he thought that you could get qway with not having > rehab for hip surgery but was definitely needed for knee replacements. > something about how the joint must be kept moving. hope this thought > helps with your decision. My mom did the inhospital rehab for a couple of weeks and then had inhome rehab. She found it very easy. She thinks she got more rehab at the hospital that way. Loujean >I finally have a date for surgery; Thursday, April 27th. The doctor is >still not sure if I will need a partial or a full revision. Either [quoted text clipped - 6 lines] > >Bonnie Thanks, LouJean. Was your Mom moving more easily when she arrived home after two weeks? Bonnie Most definitely. The home nurse and physical therapist both said she was recovering quite well. She moved much more easily. She used to take about 4 or 5 starting pushes before she could stand up from a chair. Now she's able to do it better. If she's tired, she may have to try a couple times, but most of the time, she can just stand up. Loujean >Thanks, LouJean. > >Was your Mom moving more easily when she arrived home after two weeks? > >Bonnie Best of luck with the surgery, Bonnie, and remind us again just beforehand so we can crank up the ASA healing machine. My mom also did inpatient rehab for 2 weeks post-op. She lived alone (though she'd made arrangements to ahve someone stay with her) and had a lot of weakness from polymyalgia at the time, so her PCP wanted her to stay in for rehab initially. She was in a special rehab unit of the hospital though, not a nursing home. So if you can get a rehab unit it might be beneficial. She says they did spend a lot of time working with her and she was probably able to move on to other or more execises sooner than she would have at home as she could wear herself out more than she could at home! (sshe would have been very compliant in home rehab, but one just does have other chores to do at home that one doesn't ahve in the hospital!)  SignatureNann remove the Gator cheer to email me Simply the thing I am shall make me live --- William Shakespeare > My mom did the inhospital rehab for a couple of weeks and then had > inhome rehab. She found it very easy. She thinks she got more rehab [quoted text clipped - 12 lines] >> >> Bonnie Thanks, Nann. I am really nervous about this surgery, and I could use some extra thoughts from the ASA healing machine. Bonnie Guess the best thing to do is check with your doctor and find out what he means by inpatient rehab! Loujean >Best of luck with the surgery, Bonnie, and remind us again just beforehand so >we can crank up the ASA healing machine. [quoted text clipped - 9 lines] >been very compliant in home rehab, but one just does have other chores to do >at home that one doesn't ahve in the hospital!) Thanks everyone for the help, you guys are the best! I have to be at the hospital tomorrow at 5:30am! I guess it's better to be the first OR case, but I'll be leaving the house around 4am, and that's way too early for me!!! Healing vibes and prayers to everyone in need. Bonnie Good luck! I'm glad you're going first. Waiting is the worst. My hip surgeries were at noon so I had a lot of time to be hungry, tired, dying for a cup of coffee, and just plain worrying. Thanks! This is my seventh surgey, and I am still very nervous. I know I will wake up looking for the largest cup of coffee I can find. lol Bonnie Know that all of us will be praying for you. God bless, Bonnie Loujean >Thanks! This is my seventh surgey, and I am still very nervous. I >know I will wake up looking for the largest cup of coffee I can find. >lol > >Bonnie Bonnie, Prayers and healing thoughts coming your way. SignatureThinking of you and hugs to you Squirrely Jo > Thanks everyone for the help, you guys are the best! > [quoted text clipped - 5 lines] > > Bonnie Check with your insurance NOW about just what they mean by rehad hospital. In my case, it meant nursing home. I won't do that again. I got better care at home. But that was me so you just never know. Harvard Pilgrim was the insurance at the time. Duckie > I finally have a date for surgery; Thursday, April 27th. The doctor is > still not sure if I will need a partial or a full revision. Either [quoted text clipped - 6 lines] > > Bonnie I had a similar situation with a friend of mine--rehab meant nursing home--which was a horrid disaster--I took her home to my house the next time and had PT and OT come to the house--much better SignatureLove, Alix Always remember, a cat looks down on man, a dog looks up to man, but a pig will look man right in the eye and see his equal". - Winston Churchill > Check with your insurance NOW about just what they mean by rehad hospital. > In my case, it meant nursing home. I won't do that again. I got better > care at home. But that was me so you just never know. > Harvard Pilgrim was the insurance at the time. > Duckie Thanks, Alix. As Duckie suggested, I'll call my insurance company today! Bonnie When they did my mom, it was a different wing of the hospital and everybody there was in for the physical therapy after knee, hip, etc replacement. Loujean >Check with your insurance NOW about just what they mean by rehad >hospital. In my case, it meant nursing home. I won't do that again. I [quoted text clipped - 12 lines] >> >> Bonnie Bonnie, I hope all went well and that you are now on the mend. Sending prayers, good thoughts and healing vibes your way. SignatureThinking of you and hugs to you Squirrely Jo >I finally have a date for surgery; Thursday, April 27th. The doctor is > still not sure if I will need a partial or a full revision. Either [quoted text clipped - 6 lines] > > Bonnie Thank you! I came home yesterday a little battered, and very sore. Jan,using the tray table was a great suggestion! I sat at the edge of the bed and put my foot on the rung of the table, and I tried to pull it a little closer to the bed each day. Duckie, I'm going to try using my husband's rocker glider today. The hospital looked into Rehab and discovered I would have to go to a local nursing home. I wanted no part of that, so I opted for home services which begin today. Thanks to everyone for their prayers, good thoughts, wishes and suggestions. I'll try to keep you posted. Love, Bonnie So glad we could give you the heads up about 'rehab'. I will opt out of that for the future. If I lived alone, I might choose nursing home but I don't. When I felt like it I marched around and around the inside of the house. Unfortunately, sometimes I found myself having to do that because the leg jerks I get [restless leg syndrome] reared itself after the knee replacement and that was a nightmare. Only way I could get it to stop was to walk it off. That continued for several months. Boy, right after the surgery when the leg didn't want to bend and the leg jerks... I kept screaming out in pain until I could stand and walk. Getting up was an effort too but all of that passes. Dancing on this baby now. lol Duckie > Thank you! > [quoted text clipped - 15 lines] > Love, > Bonnie "Getting up was an effort too but all of that passes. Dancing on this baby now. lol Duckie" Lol I know only too well about the challenges in getting up... I was stuck in my husband's rocker glider and could not get up. My husband tried to help me up and every time I started to rise out of the chair and lean forward, the chair went backwards. He couldn't hang on to me and hold the chair at the same time. Soon I was laughing too hard and had jelly legs. I cannot dance well, but I hope to be walking better by the end of the month. Bonnie > "Getting up was an effort too but all of that passes. > Dancing on this baby now. lol [quoted text clipped - 6 lines] > and hold the chair at the same time. Soon I was laughing too hard and > had jelly legs. LOL! A good sense of humor is sooooooooo important in healing! SignatureNann remove the Gator cheer to email me Simply the thing I am shall make me live --- William Shakespeare >>leg jerks I get [restless leg syndrome] reared itself after the knee<< "Duckie" I thought I'd lose my mind from RLS after TKR's. Finally figured out is was from Oxycontin for pain after the surgery. No thanks! Jan O' Isn't that the worst!! Really hard to explain to someone who hasn't been there. RLS is bad enough on a regular basis but with a knee that doesn't want to bend and it suddenly bends on its own and violently. ouchie doesn't cover it. lol Duckie >>>leg jerks I get [restless leg syndrome] reared itself after the knee<< > > "Duckie" > I thought I'd lose my mind from RLS after TKR's. Finally figured out is was > from Oxycontin for pain after the surgery. No thanks! Jan O' > So glad we could give you the heads up about 'rehab'. I will opt out of > that for the future. If I lived alone, I might choose nursing home but I [quoted text clipped - 6 lines] > the surgery when the leg didn't want to bend and the leg jerks... I kept > screaming out in pain until I could stand and walk. Ouch! i can't imagine. RLS is painful enough as it is, but just after a TKR...... well, I don't really want to think about it. sigh....... in some households when the wife says she feels twitchy, the husband thinks things are going to get interesting <weg>, not that the leg muscles are freaking out. SignatureNann remove the Gator cheer to email me Simply the thing I am shall make me live --- William Shakespeare Welcome home! It's great to hear things are going well. I hope you continue to do well with the home services. SignatureNann remove the Gator cheer to email me Simply the thing I am shall make me live --- William Shakespeare > Thank you! > [quoted text clipped - 15 lines] > Love, > Bonnie "Welcome home! It's great to hear things are going well. I hope you continue to do well with the home services. SignatureNann" Thanks, Nann. Bonnie Bonnie, I hope you are healing well. I am sorry I haven't gotten you a card yet. I have been ill too. Virus, pink eye and tonsilitis. Never a dull moment here. SignatureLove and hugs Jo (\__/) .~ ~. )) /O O ./ .' {O__, \ { / . . ) \ |-| '-' \ } )) Warning: squirrels. .( _( )_.' '---.~_ _ _& > Thank you! > [quoted text clipped - 15 lines] > Love, > Bonnie Oh no, Jo! We have to come up with a potion or a spell to change your luck around. I'm fine, so don't worry about me. Please take care of yourself!! Love and gentle hugs, Bonnie Bonnie, Still you take care of yourself. Let me know if you get my luck to change. ;-) SignatureLove and hugs Jo (\__/) .~ ~. )) /O O ./ .' {O__, \ { / . . ) \ |-| '-' \ } )) Warning: squirrels. .( _( )_.' '---.~_ _ _& > Oh no, Jo! We have to come up with a potion or a spell to change your > luck around. [quoted text clipped - 3 lines] > Love and gentle hugs, > Bonnie "Still you take care of yourself. Let me know if you get my luck to change. ;-) --Love and hugs Jo " Thanks, Jo. I am exercising every day, and still struggling to get the knee to bend beyond 95 degrees. Not sure what to do next?! I wish I could get your luck to change, you and Jim need a break!! Please take of yourselves. Love, Bonnie Bonnie, it doesn't happen overnight. 95% bend is still very good after surgery. Nanny > "Still you take care of yourself. Let me know if you get my luck to > change. [quoted text clipped - 11 lines] > Love, > Bonnie "Bonnie, it doesn't happen overnight. 95% bend is still very good after surgery. Nanny " Yes, I know you are right, but I'm very impatient. lol Bonnie Bonnie, when I had my TKR, the worst shock for me post-surgery was to realize that even though my brain was sending a message to my leg to raise it, there was no response! I was soooo relieved to be able to do leg raises again later. Nanny > "Bonnie, it doesn't happen overnight. 95% bend is still very good > after [quoted text clipped - 3 lines] > > Bonnie "Bonnie, when I had my TKR, the worst shock for me post-surgery was to realize that even though my brain was sending a message to my leg to raise it, there was no response! I was soooo relieved to be able to do leg raises again later. Nanny" I have had three knee surgeries, and I have noticed that the muscles never respond the same after surgery. I never had trouble doing straight leg raises until I tried to raise my leg into the CPM machine three days after surgery. I was sure my leg was a 12 inches off he bed, but the therapist said I was raising it about 4 inches! lol Bonnie |
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