Joint Stiffness: Complications After Total Knee Replacement Surgery

In a relatively recent article 1 published in the Musculoskeletal Journal of Hospital for Special Surgery, Dr. Alejandro Gonzalez Della Valle et al reviewed the origins of and treatments for early onset stiffness,  a common complication following knee replacement surgery. We’ll present a brief summary of the article here.

How Prevalent is Stiffness after Knee Replacement?

In a review of the literature, the authors state that stiffness occurs in roughly 6% of cases, making it the most common knee replacement surgery complication.

How is Stiffness Defined?

The researchers reveal that what is perceived as “stiffness” following knee replacement has evolved over time. Several years ago, a knee was considered stiff if the patient could not extend their knee beyond 25 degrees of flexion (that is, a flexion contracture of 25 degrees) or if the full arc of motion was less than 45 degrees. More recently, as surgical technique and implant design have improved and as younger, more active patients receive implants, expectations have changed. Today, stiffness has been defined as a flexion contracture equal to or greater than only 10 degrees or an arc of motion less than 95 degrees. The authors note that this degree of motion is what is required for common activities of daily living (walking, sitting, stair climbing). Practically speaking, a joint can be considered “stiff” when it limits the patient’s ability to perform such activities.

What Causes Stiffness after Knee Replacement?

The authors place the causes of stiffness into three broad categories:

Preoperative – These include things like post-traumatic osteoarthritis, patients with prior high tibial osteotomy and patient whose preoperative range of motion (ROM) is limited.

Intraoperative – Included here are what the authors termed “technical errors” during the procedure. Things like, improperly sized implants and poor “balancing” of the joint through improper bone preparation fall into this category. The researchers explain these as well as other technical errors in detail.

Postoperative - Following surgery, stiffness can be caused by additional factors. Some examples are by patient behavior (“poor patient motivation”) deep infection and inadequate pain management.

How is Stiffness Treated

The authors then outline the various ways in which stiffness can be treated following knee replacement. Manipulation of the knee by the surgeon under anesthesia is generally successful when used within the first three months after surgery. After this period, more aggressive surgical options should be considered since manipulation can result in fracture or soft-tissue damage. Some surgical treatments described are arthroscopy, tibial insert (or spacer) exchange and revision surgery (i.e. exchange of the femoral component typically to correct imbalance in the spacing between the thigh and shin bone created at the time of surgery). The authors also stress the importance of proper rehabilitation following knee replacement.

The original article is available online through PubMed Central.

1. Gonzalez Della Valle A, Leali A, Hass S: Etiology and Surgical Interventions for Stiff Total Knee Replacements. HSSJ 2007, 3: 182-189

Comments

321 Responses to “Joint Stiffness: Complications After Total Knee Replacement Surgery”

  1. Carole Weigel on April 21st, 2009 3:33 pm

    Had TKR on rt knee in ’06; followed by an arthoscopy 3 months later to remove large amount of scar tissue which affected my gait to no avail. Had partial revision (replacement of patellar component & removal of still more scar tissue) in ’07; despite physical therapy, acupuncture, massage, water theraphy and much effort, both times, additional scarring and stiffness which never has let up. I cannot see going in for another arthoscopy only to have this scar tissue reappear. I have no idea why I am plagued by this condition. I regret ever having this operation.

  2. Mark on October 2nd, 2009 7:57 am

    I was facing the same problem and had a severe pain in my knee but somehow managed to get rid of this problem with my physician’s help.

  3. Antonio on August 15th, 2010 10:27 pm

    On June 1st 2010 I injured my knee and went to the ER the next day, where they gave me a diagnosis of a torn MCL and Meniscus tear, they immediately put me on a brace to restrict movement and also crutches. On June 14th i had an MRI done which showed a partial MCL tear and a medial meniscus tear. On June 19th i saw an orthopedic surgeon, i explained my symptoms as follows: My main issue was the inability to fully extend and flex my leg which was a symptom that developed immediately after the injury, and also the normal pain on the area where the MCL is located when twisting or basically any movement of my leg. The doctor’s response was that my MCL tear was partial and it would heal by itself on a period of three months and instructed me to keep wearing the knee brace adjusted to bend only at 90 degrees and he basically ignored my meniscus tear saying that it would not cause any difficulties, he said the reason for the loss of range of motion was the swelling and instructed me to come back in 6 weeks.

    So i followed instructions and finally on August 12 i went back to the clinic and saw a different doctor to which i explained my condition all over again, at this point my inability to fully extend or flex my leg is still present, pain has dramatically reduced and it think the source of the pain is the torn meniscus as the area of the pain is different and lower intensity. This pain keeps me from trying to bend my knee past 90 degrees, when trying to extend the pain is more tolerable but still my joint is so stiff that i have had no success trying to improve my range of motion. As i explained this to the doctor he was leaning to surgery as an option to repair the torn meniscus which he believed to be the cause, but he had to talk to his chief surgeon before any decisions were made. The chief surgeon examined my knee and looked at the MRI and discarded my injury from being the cause of the problem and explained that my leg was so stiff and have to get it moving or I will never regain full range of motion, surgery at this point was not an option because it will make me even more stiff, he only prescribed physical therapy for the next six weeks to regain full range of motion.

    At this point i am stressed out and scared that my leg will stay like this forever, I am doubtful as to if the instructions given by the surgeon are the most appropriate.

  4. Sue Oct 18 2010 on October 18th, 2010 7:38 pm

    I had knee replacement surgery on Sept 16th 2010. My knee has been very stiff. I’m trying to get the stiffness out of it, but haven’t had much luck doing it. I’m wondering how long it will be like this. For the way that I feel right now I wish that I had never had it done. By doing some reading here on the internet they say it takes a year to recover from this surgery. That is a sure long time. I was never prepaired for what I’m going through right now. If, any one out there has more information for me regarding this surgery I sure would like to hear from you. I have alot of questions regarding it. How are other people taking this surgery.

  5. Amy on October 22nd, 2010 3:11 am

    Hi Sue, I’m having a TKR on Monday, 10/25. I’m very concerned, but hopeful as I am only 42, and have been bone on bone for about 8 years. Are you getting PT at least 2x per week? What does your doctor say?

    Amy

  6. Deborah Carter on October 26th, 2010 6:51 pm

    I had tkr on 8-24-10. I’m having much trouble getting full range, my knee won’t bend much more than 90. I’m supposed to go in for manipulation on 10-29. don’t know what to expect, scarey, i just hope this works and i can get back to normal. They say its scare tissue. my knee was unbendable before surgery it was so bad i guess that has something to do with it. I had a hip replacement in Feb. and had no problems , made out just fine.

  7. Barbara Branchetti on November 8th, 2010 9:51 pm

    I had TKR on 9/29/2010, and cant seem to flex my knee more than 95 to 99 degrees. My knee feels like a brush burn on my skin , like I skinned it when I was a kid. My neighbor suggested wrapping saran wrap around my knee to get the knee warmed up before phys. therapy 3x a week. What kind of ideas does anyone else have?

  8. Wendy on November 15th, 2010 6:34 pm

    10-4 to any of you who said you wish you would not have gone through this TKR. I had mine on October 14, and I contracted pneumonia and had to be transferred to a different hospital, where no one was addressing my newly opened knee. My health insurance was dropped because I got married and so I have only been to two physical therapy sessions. I am so concerned about the stiffness and the pain that I still have. I refuse to have anymore surgeries (let alone I could not afford it), but at this point I do not know what to do. I do my exercises faithfully but hope that this is enough.

  9. joyce on November 16th, 2010 7:14 pm

    I had my first TKR on June 6, 2006. Had to have scar tissue minuplated on July 18th to regain full range of motion. My knee fells great now!

    I recieved my second TKR on June 1st 2010. Did wonderful!!! Never knew I had surgery practially! I used my walker 1st week, then my cane the next week never used it after 2nd week!! Been going strong eversince!!!

  10. Baljeet on November 27th, 2010 12:33 pm

    Hi ..My mum had a TKR in Aug2010 she has been doing ok …but now she feels stiffness below the knee not everyday but it does come ..any suggetions ??? Thankss

  11. Janet Campbell on December 4th, 2010 2:50 am

    I had TKR in August, then had a manipulation on Oct 31,2010 had 12 weeks of physical therapy because of the manipulation, it has been a year and 2 months since physical therapy ended and my knee is as stiff as it was when I first started physical therapy, the stiffness really gets on my nerves, and makes it hard for me to function properly or balance and walk properly.

    My leg still gets sore sometimes and I also hate I had the surgery, which I know I needed it badly. I am still not able to wear my high heels or do normal activities as of yet…I go to the doctor soon and I am needing some answers as to why I am still so stiff!
    The doctor did tell me that they haven’t found a cause for the stiffness as of yet, that’s really not helping me at all!

  12. maria on December 9th, 2010 7:03 am

    i had my tkr 12-28-09 i am 53 and i am still bothered by the stiffness especially when i stand up from sitting to long it. just recently i fell down on the concrete i fell on the knee i had replacement. im going to see the doctor next week i hope he can order more pt i want to be able to walk without a limp and be able to sleep with out pain. can anyone relate??

  13. Paul on December 11th, 2010 5:12 am

    Barbara Branchetti- I don’t think the saran wrap will do anything more than make your skin soft. I have had the most luck with walking, preferably on even ground( sidewalks etc.). I started off slow, maybe 2-3 short short walks per day until I felt like I could do more. The more I walked, the stronger I got and the more used to my knee I got. If you have someone to walk with it helps too. I eventually even went so far as to get a little dog, so that I would have to walk. Now the leg feels great and I rarely get pain, I’m even thinking about taking up golf(more walking). Hope this helps.

  14. elaine on December 26th, 2010 6:35 pm

    i had my first tkp 7 months ago and then had my other tkr 5 weeks ago,so now i have two sore knees,i was reluctant to go and have my second one done becouse i knew what to expect,and ive been depressed since the last one,i think i might have an infection in my recent tkr,(hope not)im keeping an eye on it,since my last tkr my knee feels so tight,is that normal?

  15. elaine on December 26th, 2010 6:40 pm

    just feel so fed up since my second tkr,carnt seem to get my head round this last op,its as if im just not bothered about doin anything about the recovery part,is this normal?plus i have other things goin on in my life,

  16. Mary on January 3rd, 2011 5:02 am

    Hello, I had TKR on 8-9-10. I am very upset as the second day at the hospital while trying to go to the restroom ( I had a femoral Block) my left leg was numb. The assistant helping me let me fall hard on my knee on a cement floor at the hospital. I couldn’t feel it at the time but I am wondering now if it could have cause some damage. I am having considerable pain. Medially when I stretch my leg I could scream. it hurts all the time. I am a flight attendant and they expect me to go back to work Feb 2, 2011 and I still can’t walk without limping and I don’t know what I am going to do. I had tw0 arthroscopies on the same knee before deciding tkr was probably the best thing to do but I am hurting and miserable. A am going to therapy and my dr thinks I am going to be ready to hit the skies with my job next month and I don’t know what to do. I went to the mall and walked for 2 and 1/2 hrs and couldn’t wait to sit down and get some heat on my knee….I am so discouraged….any suggestions?????

  17. Joyce on January 4th, 2011 2:59 pm

    I can’t believe all the pain and stiffness you all are having. Movement is the key. Don’t sit around and complain! Get up and move the more you move the better your knee will feel. I have had 2 TKR’s and yes of course there is pain but keep going to PT and MOVE, MOVE, MOVE! If you don’t move scar tissue will grow back and you will become stiff. Do your exercises at home not just at PT.

    I am very proud that I made the decesion to have TKR! Haven’t regretted it a day since. I am loving to be able to do things i couldn’t do.

  18. Mary on January 8th, 2011 11:22 am

    Well Joyce,

    I don’t believe I am sitting around and complaining as you put it. I am so happy you can do the things you couldn’t do before, but, no two people are the same when it comes to recovery. I am no longer going to PT and I know I have to MOVE, MOVE, MOVE. but I also know what is required of me when I return to work. I appreciate your suggestions, but, please don’t assume I am just sitting around and complaining…I have had 3 surgeries this past year and the injury happened 2 years ago so yes I am a little frustrated, plus I live alone and missing work. i am sorry I even posted anything on this site

  19. admin on January 8th, 2011 3:30 pm

    Hello Mary and Joyce,

    Well clearly you are having different experiences with you TKR.

    Mary: A 2 1/2 hour walk in the mall is quite an accomplishment!! That is a long time even for folks without any joint problems let alone someone with a replacement within the last 6 months!!! Hang in there!
    Regarding your visit to the site, I hope you did find some useful/interesting information. As the writer of the material on this blog, my frame of reference is as an Engineer who designed and developed knee replacement implants and instruments. I am not a medical professional nor a knee replacement recipient so I can only imagine how painful/difficult the road to recovery might be. I can’t say whether or not you are doing poorly due to any fault of your own-everone is different. I wish you luck as you continue your recovery and hope you do continue to visit the site and forum to share your experience with others and hopefully find some inspiration. In your last response you mentioned that you are no longer going to PT, do you have an at-home regimen that you are now doing? Maybe folks can offer some help/insight there?

    Joyce:
    Looks like you are doing great! Congratulations! Are there details of your at-home exercises that you might want to share with Mary?

    Take Care,

    Admin at http://www.totalkneeweb.com

  20. admin on January 8th, 2011 3:39 pm

    Joyce and Mary,

    I’ve added a Forum topic (link at top of page) under “Total Knee Replacement Post-Op Discussion” called “Post Operative Stiffness, Manipulation Etc” Perhaps you can continue your conversation and share you thoughts with others there?

    Thanks,

    Admin

  21. phyllis on January 8th, 2011 11:47 pm

    Had a TKR on 11-2-10.. Have had 9 weeks of PT. My range of motion is good, but am having real problems with stiffness. I move a lot and do my exercises daily. I have had scar tissue problems with prevous surgeries and fear this is happening now with my knee.
    My doc keeps telling me that my exray looks good, but scar tissue would not show up on an exray, right?
    Does the manipulation really help? And, if the adhesions were cut away, would they not just grow back?
    Any suggestions are appreciated.

  22. admin on January 9th, 2011 1:11 am

    Hello Phyllis,

    I’ve posted your question in our Forum under the Post-op topic:

    “Discussion Post Operative Stiffness, Manipulation Etc”

    Regards,

    Admin at http://www.totalkneeweb.com

  23. Rick on January 9th, 2011 2:27 am

    Had tkr on 10-14-10 and have had problems with my range of motion and have had two manipulations (90 Degrees). I can get around 70 to 80 during pt but thats it. Pain at night has limited my sleep to about 2 hrs max. Is this normal for 60 days post op? I also had problem with blood clot in spite of blood thinners and had chest pain and ultimately had paralysis in left hand. Anyone had similar?

  24. Jacqueline Meredith on January 10th, 2011 4:26 am

    I’m glad I had my tkr in August. I’m still a little stiff, but I walk a lot so I can conquer that. My knee seems to be doing fine, but I had complications during surgery. I came out of surgery with monster blisters from my knee to my ankle. None of the doctors could explain where they came from. It was so painful and required so much care that it interferred with my rehab. I was in the hospital over 15 days and came home still being treated for the burns. It is now January and I still have pain and burning in my leg, as well as sharp jabbing pains. My doctors took constant photographs and consulted with plastic surgeons, still no answers. I wondered if anyone else had this reaction.

  25. Donna on January 11th, 2011 5:58 pm

    I had both of my knees replaced (bone on bone) within two months of one another in 2008. I’m still suffering from stiffness but can walk and work three days a week on my feet.. My range of motion is acceptable by physio standards and x-rays show no problems. I exercise daily stretching with weights and also use a exercise bike and a rocker/roller. I am curious whether any of the supplements help to rebuild cartlidge or whether that would complicate and create more stiffness. I long to be able to have better motion and less pain.

  26. Janet Campbell on January 12th, 2011 3:16 am

    I had my surgery in August of last year, had manipulation in October of last year and have the stiffness, but have been walking the treadmill and took someones advice and move, move, move, and it seems to be doing some better, it wouldn’t hurt also to add some weights on your legs to strengthen them, boy I am feelinig more secure about it, yes stiffness, but nothing like it was. Thank God!

  27. Glenda on January 21st, 2011 1:24 am

    I feel for all who have had this TKR surgery. I too had a TKR in May 2010. I thought I was alone in my pain. Because everyone close to me who have had the surgery are doing great. I have great range of motion. But at the end of my PT I could only bend to about 115. Partially because of my weight. I do my exercise routine faithfully at home and my husband ever so often bend and stretch me the way the therapist did. But I feel all of you out there. I am 55 and feel that age and inactivity before surgery affects many of us. Don’t give up those of you who are experiencing stiffness. I’m giving it a year. i need to have the other one done but seriously going to wait.

  28. jack greenspan on January 24th, 2011 5:37 am

    I had TKR after many years of pain, swelling, osteotomy, and arthscopy. That was over 5 years ago. Two days after the TKR I developed massive blisters-infections. Went back to the hospital and was put on antibiotics. The next day my orthopedist looked at the wounds and took me off the meds and lanced the wounds. My wounds did not heal(bled and seeped)l. I started rehab 3 weeks later. I was on rehab for three months when the knee got worse. I went in the hospital and the knee prosthetic was removed. A spacer was put in. I had three more spacers put in the wounds never healed. I developed several infections including staph, strep, murs… I spent months on many different anti-biotics. I changed doctors after 6 months. It took 6 more surgeries and two more knee replacements before all infections were gone. I can walk with a limp now. I sometimes need a cane. The knee swells most days. There is some pain and I have only 75 degrees of movement.
    I warn people if things are not right fast, seek help. You may need to find another doctor. I think most surgeons are good at the replacement, but not good at dealing with surgeries that go wrong. Get an expert. It will save you much pain and suffering

  29. Brenda on January 27th, 2011 11:27 pm

    I had my TKR 6 months ago yesterday. I am having a bad problem with heaviness in the knee. When I exercise or walk for a period of time, It feels like cement or a tight rubber band around my knee. My family doctor said 6 months. Its still here. The OS that did the surgery said 6 months to a year. Why doesn’t the doctors tell you all of this before they do it instead of aftwards. I have really lost confidence in my doctor. I wish I had never had it done. It has changed my life completely.I have a friend that had both done and 3 years ago. Hers are so heavy , she can’t hardly walk either.

  30. Jim on January 30th, 2011 3:42 pm

    If this doen’t make you re-think a TKR, I don’t know what will? I am a 49 year old male. I am healthy and not over weight. I had complete range of motion prior to surgery in June 2010. Post surgery, very little range of motion, so in August, I had a manipulation, which went bad. I had lots of pain a week after the “manip” and lots of bruising. I lost my streghtening and bending of my knee. In September, I had a total knee revision with removal of heavy adhesions. Now, Feb. 2011, I only have 45 degree bend and all doctors are telling me that it would best to leave me alone and hope for the best….I know that I am of a very small percentage of what could happen, but if I thought that this was a possibility, I would have lived with the arthritis pain in my knee.

  31. Carol on February 1st, 2011 5:20 pm

    I had sugery on 11/28/2010. I am not getting the range of motion no more than 93 plus stiffness surgeon wants to manually manipulate because of scar tissue. I am scared to death .Should I do it??? What is the success rate?

  32. joyce on February 2nd, 2011 2:43 pm

    Carol, manipulation is a good thing. I had it done and my knee is wonderful you will be asleep and then go to theraphy that afternoon. You will be glad you did it! I was!!!

  33. lorraine on February 3rd, 2011 4:24 am

    I had TKR 15MONTHS AGO ,I HAD X2 INPT REHAB,EXTENSIVE OUT PT REHAB ,AND REHAB AT HOME,I AM STILL USING MY CANE ,MY MOBILITY IS VERY LIMITED,WEIGHT BEARING IS UNBEARABLE WITHIN 10 TO 15 MIN MY KNEE GETS VERY TIGHT ,FEELS LIKE IT IS INFLATING ,ACCOMPANIED WITH EXTREME PAIN,I HAVE NOT MUCH QUALITY OF LIFE (INDEPENDENCE) MY DOCTOR SUSPECTS I HAVE RSD (NERVE DAMAGE) I DO NOT HAVE THE CLASSIC SYMPTOMS,I HAD BONE SCAN WHICH WAS NEG. DR. SAYS THE XRAYS SHOW NO ABNORMALITY(LOOSENING ECT.) I KNOW SOMETHING IS WRONG ,I DON’T KNOW WHAT ELSE TO DO?

  34. lorraine on February 3rd, 2011 4:29 am

    PLEASE LET ME KNOW IF THEIR ARE OTHER TEST TO TAKE A LOOK AT THE PROSTHESIS.I HAVE THE ZIMMER NEXGEN ,HOW CAN ONE DETERMINE IF THEIR IS A PROBLEM WITH IT THAT MAY BE UNBEKNOWEST TO THE MANUFACTURER ?

  35. Gill on February 16th, 2011 10:27 pm

    I am 43 year old.I had my tkr in oct 14th,2010.I walk better in 4 months.but still feel little heavy in side my knee.I still couldn’t bend my knee 100% but I can walk better.before my tkr i use pain killer everyday.I just message my knee with Baby oil.I feel great.
    Amandeep Gill

  36. joyce boswell on February 17th, 2011 5:06 pm

    Amandeep Gill So glad you are doing great wasn’t it worth it??? I am so happy with both of my TKR. So glad I did it! keep up the good work.

  37. Carol Haase on February 18th, 2011 3:04 pm

    Finally made decision go have knee manipulated on Tuesday 2/22. I had tkr on 10/28 .Week of theraphy in rehab center of hospital plus 2 weeks of in home theraphy, then twice a week therapy since December. I am still not getting full range of motion knee feels stiff and painful. Will let everone know how it went!!!

  38. J. Spicer on February 20th, 2011 10:47 pm

    I had my left knee replacement on 012411 (right knee done by same surgeon on 041010..no issues)..in 4 days it will be 1 month since this surgery and, maybe I’m expecting more from the surgery, the recovery time and effort I’ve put in (actually keeping my foot/leg up, stretching, walking, excercising a bit), but my upper thigh is KILLING ME! I hate to be on pain killers for any longer than I have to be and think maybe it’s time this time to request from my surgeon some deep tissue massage referrals…will keep ya posted on that…all is going fine pretty much. If I concentrate and REALLY tell myself I can walk with no assistance (and try to with a head clear of any pain killers), I can walk forever with no pain and no limp…this time around is a bit different but still, the surgery is DEFINITELY WORTH THE REHAB :)

  39. phyllis on February 21st, 2011 2:26 am

    I had previously written about concerns of adhesions and stiffness. I had aTKR on 11-2-10. Will be 4 months in 2 weeks. This has been a long, painful process, but I am hopeful now that it IS getting better.
    My range of motion is very good. I attribute this to painful determination
    and “tears” (Yes, I’ve cried a lot!),but have constantly been moving and stretching the knee. I believe if I had not been so persistant with this around the clock motion, I would not be able to bend my leg at all.
    It’s very true – “No pain, No gain” So, don’t give up! Keep moving that knee! The first 3 months were torturous.. I am thankful that the pain and stiffness is FINALLY easing up. My doc told me that whenever the scar turns “white” it will be totally well. Mine is still somewhat purple, but I am feeling better each day. Hope this has given hope and encouragment to those of you going through a rough TKR.

  40. Diane on February 25th, 2011 9:27 pm

    I have two bad knees, bone on bone and arthritis and my doctor has given me injections that help somewhat and I even had the series of symvisc (did not help). I have to decide now to have the left knee done. But I am concerned about still having the same stiffness that I have now. And if so why bother. I am a diabetic and worry about infectons also.

  41. Lorri on February 28th, 2011 2:04 pm

    Hi everyone. I am very thankful that I found this site! I am surprised by all the posters who regret their decision to have surgery. I am 54 and had serious trouble walking prior. Arthritis/bone on bone in both knees. Synvisc (sp) didn’t work and the only choice I had was living with it or surgery. I picked the latter on 1/26/11. I think everyone (including myself) should try to see the light at the end of the tunnel!
    I was in the hospital for 3 days and then went to a rehab place for a week which was WONDERFUL! I left there barely using my cane and after 1 1/2 wks at home didn’t need it. As of today, my range of motion is 100. My knee is still stiff and I’ve screamed and sobbed during PT ( she comes to my house). The worst exercise is to lie on the floor with my involved knee on the wall and I have to bend it while sliding it down. One day she forced it down and I saw stars, screamed and sobbed! Any other exercises that might be more tolerable to bend it? Is 100 “normal” for almost 5 weeks? I am very worried that I won’t be able to go much beyond this. It is VERY painful!
    All said, my next one is scheduled for 4/28. The alternative is worse for me as I long to be able to walk free of pain after so many years in agony.
    Any thought or ideas on different knee bending exercises?

    I had my first TKR on my left knee 1/26/11.

  42. Mary on March 3rd, 2011 10:59 pm

    Hello, I am back, I was the one who fell 1 day after tkr…FOr your information the knee is not getting any better. I am still not back to work. My surgery was November 9 and its very frustrating. I am having pain at night when try to sleep, I use Ice, and heat. The knee is larger than the right knee. I can be in a dead sleep and it will wake me up with sharp stabbing pains in the medial part. I still walk with a limp and don’t know what i can do. I have to return to work april 2 and i am not sure I can do my duties. I have recurrent ground which means jumping 6 feet from an airplane during mock evacuation. I walk up stair sideways as I cannot bend the knee to walk like a normal person. I have to bend down on the floor to put away supplies and I cannot put pressure or weight on the bad knee. I life bags that weight 40 lbs or more and I am on my feet 12 to 14 hrs days and unless we have a delay thats standing the whole time. My leg cramps, hurts all of the time. I still feel it stems from falling on day 2 on a cement floor at the hospital. I had a femoral block and could not stop from falling. I know a lot of you understand but I also know a lot of you will have something smart to say. to you I say don’t judge until you walk in my shoes. I am happy for those who have had no problems. If you have any suggestions as to what I should do I would appreciate it….it not..keep your opinions to yourself. I have asked my Dr. for an MRI to make sure everything is ok but so far he says no. my short term disability runs out at the end of March so that is another stressful situation I am carrying. thank you to all who are truly concerned and helpful.

  43. Carol on March 4th, 2011 7:56 pm

    Mary, feel for you I had the manipulation surgery 2/22 first couple of days I thought Wow I am getting more bend .Today I am back to square one. My thigh muscle hurts so bad I can hardly sit down on the commode and have trouble getting in and out of a car. I am continuning with therapy but, I am contemplating going to another doctor for a second opinion, I sincerely think that something did not go correctly. I am still hurting. It has been 16 weeks since initial suergery and I feel no better.. Oh yea my thigh will give out on me. I almost fell several times.

  44. Maryann on March 13th, 2011 7:04 pm

    I had a tkr on Sept. 9th, 2010 it has been one of the hardest things I have ever went through. I keep hoping the stiffness will go away. The stiffness is hard to deal with,it makes it hard to walk. My rom is about 111 and 114. I keep thinking I wish I didnt have this done but maybe it will get better soon. I have to go back to work in April I need to be able to walk a lot better as i am on my feet all day any suggestions. I need to have the other knee done but unless things get a lot better I dont see that happening.

  45. DENNIS on March 16th, 2011 8:26 am

    Had partial conformis (mfgr) replacement in both knees Jan 12, 11. Like most, put off surgery via injections heat, ice, for years. Was bone on bone re both inside compartments. Post op have more stiffness/ pain/swelling in right knee than left, but rom Ok in both thanx to PT advice, and daily use of stationary bike and treadmill. However, skin sensitivity over and around both patella(s) is impossible to turn off. Tried creams and even a home made “sleeve.” Pain wakes me up regularly. Advice? How long does this last? Am, I expecting too much in terms of recovery after 2 months? When is it likely to walk free of pain..assuming no post-surgical complications like scar tissue?

  46. Karen on March 17th, 2011 6:55 pm

    This is the first time I’ve read actual testimonies from people who have had knee replacement surgeries. I am shocked and relieved that there are people out there with the same problems that I am having. I am 45 and had my surgery on 120110. I’ve had nothing but problems since the surgery. I have a lot of pain and stiffness and my range of motion will not go passed 45. I’ve recently had manipulation under anesthesia and that seemed to be promising for about 3-4 days but I was so sore after the procedure I could barely move or walk, let alone have the physical therapist touch me to try and bend my knee. Now I am back to square 1 with ROM at 40-45 with constant pain and stiffness. I recently (3 days ago) got a splint from Dynasplint which has seemed to help stretch and bend the knee. For those of you with the same problem, I suggest you check into the splint (Google the name), if your insurance will cover it it may be worth a try. I know this may sound strange, but I also use a small rolling pin to help break up the scar tissue along the top of my scar on my knee and I also roll it along my thigh just passed the knee. It’s painful but it helps to break up and soften some of the muscle and scar tissue before I stretch as those muscles tend to be so guarded and tight.

  47. admin on March 17th, 2011 10:53 pm

    Hello Karen,

    It is unfortunate that you have been having so much difficulty. In general, knee replacement is a highly successful procedure, although that probably does not mean much if your own particular situation is challenging.

    Keep in mind that as you read testimonials here at this particular article, it is likely from folks who were searching for information related to the topic of joint stiffness or other knee replacement complications so you may be seeing a “subset” of folks who like you, have had some issues, but this may not be representative of the whole population of knee replacement recipients. Again, this doesn’t mean much if you are one of the unfortunate folks with a problem.

    There is another website that I’ve seen that has some good patient discussion that you might be interested in. It is the “on our feet” forum at Robin’s Total Knee Replacement:

    http://www.hieran.com/knee/

    Regards,
    admin (author) at http://www.totalkneeweb.com

  48. susie on March 22nd, 2011 1:26 pm

    i had knee replacment 6 weeks ago feels very tight not sure if this is normal, walking around my village without aids unless going up or down hills,my phiyso says i am doing well, not sure myself, still cannot go up or down stairs only both feet on one step at a time.also walking with slight limp due to tightness. cant wait to be walking normal or back to work ,dont know when this will be.

  49. Carol Haase on March 23rd, 2011 3:18 pm

    To Suzie, there is a small majority of us who seem to have joint stiffness . It has been almost five months and I still have joint stiffness and swelling especially in the morning. Still limping and cannot walk down stairs normally. How is your rom? Check for scar tissue which may be a factor .

  50. phyllis on March 24th, 2011 3:21 am

    I had my TKR 5 months ago and am still having problems with daily stiffness, occassional swelling & pain.
    I had P.T for about 8 wks. My R.O.M is good and I am continually moving my leg, in fear of forming adhesions.
    My sister had a TKR 2 weeks ago. She is doing better than I was after 3 months! She doesn’t have to do P.T and is already driving and out shopping, ect. She doesn’t even have to take pain pills around the clock like I did. She is older & heavier than me. I am small boned and of average weight. Not sure if it would have mattered, but we did not have the same doctor.
    I am thankful that she is doing so exceptionally well.
    But, I am just puzzled as to “Why such a difference in our recovery?”
    I keep hearing that some people naturally does better than others.
    I can vouch for that!
    My question is, If anyone reading this has had a TKR and had a problem with stiffness, how long did it take for complete recovery and for the stiffness to end?

  51. Maryann on March 25th, 2011 1:43 am

    Philis, I had my tkr on Sept. 9th of last year. My knee is still stiff after almost six and a half months. My rom is about 115 but I still am having a lot of problems, I get depressed sometimes. I suppose to go back to work in April, I only hope I can handle it. I guess we just need to hang in there and hope for the best.

  52. Rachel on March 28th, 2011 7:57 pm

    Hello Mary,
    I totally understand what your going through. I had my TKR done Dec. 28th I was in so much pain I thought I was going to go crazy and then my knee would not bend it was so stiff I could not sleep the pain was horrible none of my pain meds was working. My therapist tried to bend it and could not he told me that I really needed to have a manipulation done. I had the manipulation on the 24th and I am still in pain but today my knee bent to 90 degrees it hurt like you know what and I wanted to get up and run out of therapy but everyone keeps saying you will feel so much better. But thats what the Ortho surgeon said to me before I had the tkr and honestly I wish that I would have never done it I’m worse off now than I was before. I just keep praying that God will see me through this and think positive but its hard when your in so much pain. I will pray for you Mary.

  53. Kathy on March 28th, 2011 8:43 pm

    I had my TKR Nov. 2008 and to this day am still having issues! I am very active but the stiffness in the knee prevents me from doing some activities. The more active I am the stiffer the knee gets which then causes issues in my thigh and hip. The last appointment I was to have was a 3.5 hour wait and I never did see the surgeon. He is not readily available as he does a crap ton of TKR’s and only sees follow up patients 2 days a week so follow up appointments are always at least 3-5 hour waits I am extremely frustrated with the whole experience. After reading these comments I’d say that women tend to have this issue, wish I’d known :(

  54. darlene on April 1st, 2011 4:01 am

    I have had 3 orthoscopy both knees total , in june 2009 had tkr 2yry pt ,followed by 1/2 kr in august 2010. My tkr is only 90 range with some pain and stiffiness , so very upseting back to pt again trying to get better range. any suggestions for improving range on the tkr any other things any procedures that can be done ? Do they do laser treatments to breakup scar tissue in the knee? My 1/2 surgery knee is like my old knee but good.
    Any suggestions sure would help , i dont know what to do .we all need prayer
    thanks

  55. Rosemarie on April 22nd, 2011 8:05 pm

    ?Joyce I HAVE MOVED MOVED MOVED since I had a double knee replacement. Done P/T until I exhausted 2 years of allowed visits. In water also. Exercises at home. Wellllllllllllllllll My knees are stilff and get stiffer the MORE I move! Have 3 ortho doctors who are clueless as to what the problem is. AND 2 P/T places that also can’t figure it out! So I think I have a right to complain! (Did I mention I even drive a standard car…with pain and stiffness!)

  56. Tomm Alsman on April 27th, 2011 9:53 pm

    I had TKR x 2, Feb. 25th 2011. One would think that rehabilitation would be accomplished with equal efforts provided for both. Not in my case. My doctor informed me the next day that the left knee required considerable more attention and was put together a little tighter than the right. As a result, I am learning how to deal with the left knee’s complications as the right one rehabilitates quicker, and without the number of, or the intensity, of pains and problems.
    Stiffness is a problem I see here that almost everyone encounters, and I am no exception, in both. Swelling inhances stiffness, especially if there are more complications. I had an infection on the incision on my left knee and had to have anti-biotic I V infusions for 10 days in the hospital, and 31 more days after being released. That kept a lot of fluid in my body that turns into swelling. A nurse at the infusion center told me to elevate my legs while I slept. I use pillows, 2 under my knees, three under my calves and feet, adjust for comfort and enough bend in the knees to avoid locking in extention mode. The first morning after, I was amazed at how little swelling there was in either knee. The left had more, of course, but I have defeated much of my stiffness problem just by learning what works best for me.
    I have had and conquered other problems that I have encountered and I will be back soon to share with you all, if you care to hear it. I will also answer any questions that I can. You all know how hard this can be and I think if we help each other, we can all get through this.

  57. Tomm Alsman on April 28th, 2011 5:15 pm

    A little over two months into P.T.rehab. I thought I had experienced all the different pains until last weekend. Thursday, I was going for the gold on a stair climber, my quads were feeling good. Flex to extention strength was very present and each step was around 45 degrees with minimal use of weight bearing by my arms. This went on for 4 minutes when the machine timed out. The knees felt a bit used but otherwise not bad. Friday, a bit sore but still made it through P.T.
    Saturday morning…tendons running along the ouside edge of both petelas were swollen, hot, and felt as though bursting was eninent. Immediate ice, on 20 minutes, off for two hours for the next 10 hours, elevated at all times, was the only thing that I could do.
    Sunday, pretty much a repeat of Saturday, except the look of pity from my wife turned into, “I hope you learned something from this”. Yes, I did.
    I learned that just because I thought I could do it, doesn’t mean I should. It’s like anything else, know the safe limitations that it requires to rehab quickly and properly.
    Please, forward any lessons learned, or progresses attained during your TKR experience. I wish someone had warned me to be more careful in this still infant stage of healing.

    Coming up next…I’m pretty sure I experienced the breaking loose of an adhesion point, which as we know is a good thing.

  58. MJW on April 29th, 2011 1:49 am

    Hello Again,

    I had my tkr on 11-9-10. I have to say I am very unhappy with the results. I am supposed to return to work next week and frankly I am so afraid I can’t do it. I am having pain and stiffness around the patella and when I am walking. I still have problems going up and down stairs. The knee throbs at night when I try to sleep. My last visit to the Dr. who performed the surgery was April 7, 2011 and at that time he informed me the knee was fine. I have some problems with my back and he is saying all of the pain I am feeling in my knee is from my back. I have tried to talk to him about the knee pain and he tells me its all in my head because the KNEE IS FINE…when I call his office he will not return a phone calll and even the ladies in the office stated and I quote” Your surgery was in November and there is no reason for you to still have pain in your knee, you have had plenty of time to heal”. Now, in the last few days, my knee has been stiff and painful. It is also slightly warm to the touch. I know there is no reason for me to call the Doctor because he refuses to listen to anything I say about my knee. I just don’t know what to do now….I guess I am going to be living with this pain from here on out and no where to turn. I wish I had never has the surgery now….I am wondering if there could be infection in that knee after this amount of time. I fell in the hospital the second day after surgery. The aide got me up to help me to the bathroom and didn’t put the belt around my waist to hold on to me in case I lost my footing…well, I had a femoral block and didn’t have any feeling in the leg…..and the minute I stood up using my walker I could feel myself falling and there was nothing I could do to stop it…I have mentioned that to the Dr.,asking him if that could have caused some damage and he says no….but, I fell hard and right on the bad knee…..I am so discouraged.

  59. phyllis on April 30th, 2011 1:58 am

    Hi MJW,
    I just read your entry, and I honestly could have written this!
    Sounds like we had the same doctor.My TKR was done on Nov.2.’10
    I am reminded everyday with constant stiffness and pain!
    My doctor told me I am fine and even took me in another exam room and introduced me to one of his other TKR patients and said, quote,”See, this patient had the same procedure and is doing great”
    And, I’m standing there thinking ~ this has NOTHING to do with me!
    Then, he later comented that Americans were whimps and could not handle pain! I told him then that I had , had brain surgery and it was a picnic compared to this knee surgery.
    I refuse to go back to this doctor or even try to comunicate with his nurses.
    I am wondering if I am having adhesion problems and possibly may need to have the knee manipulated. My knee is also still numb to the touch. It kind of feels like your jaw would after a trip to the dentist.
    I am so glad there are people on here that can relate to what I am going through. I know my family gets tired of hearing my complaints.
    But, I speak out in desperation, hoping someone can help or advise me what to do.

  60. darlene on April 30th, 2011 4:59 am

    to mjw I would definately go to another ortho or your primary care dr and tell him your concerns about infection your right my dr checked and i didnt have an infection, but he at least listened to me. It sounds like they think your just a winer when even i know your not. Go see someone who really cares about you . Your back can have probems if your leg is not straight exercises and pt can assist your walking alot also if your knee doesnt bend mines only around 90 degrees but with pt can get it to 116 but it seems to go back to 90 scar tissue. its really hard and its not a perfect fix for me but the really sever pain i do not have if it causes not to sleep i take a hydrocone 5-500 and it helps. so sorry your having problems but seek someone who cares darlene

  61. mjw on April 30th, 2011 5:05 am

    I also wanted to say that your knee surgery is rather recent they say it can take up to 1 year everyone is different., maybe you just need alittle time. I would sure recommend another ortho dr and yours to talk to,one can feel so alone and depressed.talk to someone else darlene

  62. Debbie on May 1st, 2011 2:23 am

    My husband had TKR 6 weeks ago and is struggling with the bottom of his foot being tingling and a little numb. Surgeon said it could be from the swelling on a nerve but not sure. He also has a foul taste in his mouth and when he eats or drinks it is activated more and can’t eat much. Everything tastes horrible and has lost 20 lbs. Not sure if it has been from hydrocodone, tramadol, advil, tylenol or could it be from what is inside this new knee. He’s gone off pain meds and just taking advil now but still has foul taste and also weird smell in his nose. Anybody had this before and if so, does any of this go away and how long does it take?

  63. KATHY on May 1st, 2011 2:52 pm

    Hey Ladies,
    It seems that these ROM & stiffness issues are more of a problem for us than they are for men which is possibly due to the fact that the artificial knee was actually made for the male species and they have not yet perfected the female knee yet…….., just a theory. My TKR was done 11-09-10 and I still have issues, however my husband had both knees done and never had any issues, makes me wonder…….
    I have however noticed just in the last month or so the stiffness has definitely decreased unless I wear heels or am on concrete for extended amount of time re:shopping, but now I have more pain in my shin and foot , so I try to avoid heesl and long shopping adventures.
    There are different therapies one can try to lessen the pain and stiffness issues. In the beginning I used a PT, one that did massage to breakup the scar tissue as well as exercise the knee, then I did Thai massage to help with the IT band issue I was having and recently I have had Myofascial massage which treats the fascia in the body. re: look up the definition to fascia. All of these have helped me a great deal.
    I feel we, and the Dr.s tend to forget that the knee is only one part of our body and that in order for it work properly your whole foundation has to work properly and I know for myself this was and is still not the case so I try to work on my (whole) foundation and NOT just the knee. Good luck ladies:)

  64. admin on May 1st, 2011 10:12 pm

    Kathy,

    Check out:

    http://www.totalkneeweb.com/new-total-knee-replacements-specially-designed-for-female-anatomy

    Also look in the article index for more stories you might find interesting.

    Good Luck,

    admin@totalkneeweb.com

  65. Tomm Alsman on May 4th, 2011 2:40 am

    There is a lot of different pains due to this surgery. I thought at first I would have to deal with the incision, the staples, some swelling and hospital food for too many meals. Confusion set in due to alien pains from that which was expected. I went to the all knowing web and Googled TKR proceedures video. They put our legs through so much trauma, for those that say they had no problems don’t know how lucky they are.
    I learned on my own that one reason I couldn’t gain the expected flex in either knee was that I went so long pampering my damaged knees that my thigh muscles were totally weak and useless. I have since added moderate strength building workouts. Too strenuous and I discovered even more pains and intense cramping that only complicated matters.
    Massage therapy is good, along with stretching the knees’ tendons to allow for more bend. Fight swelling, and find a doctor that you can trust that he/she will believe you instead of belittle you.

  66. Tomm Alsman on May 4th, 2011 6:22 pm

    There is a ham-string running down the back of my thigh (probably yours’ too) that was causing a lot of resistance to bending at the joint with a lot of pain, at level 10, when trying to bend. Regardless, I continued trying to gain more flex because that is what I was told to do.
    The resistance and pain were ever present, until one night after about 4 hours of good sleep with my legs elevated pretty high and comfortable, I swung them over to the floor, carefully stood up and distributed my weight evenly on straight knees. I heard and felt a relatively loud pop in my left knee which was so pronounced that at first I thought the piece attached to my femur had somehow came partially detached from the bone and had snapped back in place. But knowing enough about how this thing works, I quickly rejected that as the cause.
    I soon discovered, in the morning, that as I tried flexing the same leg I still had about the same degree allowed without pain and when I pushed it to try to make more bend the resistance came from the quads and the tendons across the knee cap. The ham-string was sore but was not the focal point of resistance or pain any longer.
    I’m not qualified to say what had happened, really all I can attest to is I think there was one of those infamous adhesions that finally let go.
    I’m going forward in my rehab now with the idea that I do have the ability to get through such a major set back and that going through the pain to try to gain more flex is worth it. I do try to lessen my pain meds’ intake as much as I can, but when it comes to it helping to get through a physical therapy session, or self inflicted painful gains for healing properly…I rely on the meds for the help. I know that after the strain and pain is over, before the new swelling sets in, both knees feel pretty good and are more flexible.

  67. Sue Cooper on May 5th, 2011 11:40 pm

    I had tkr surgery about 8 weeks ago, and about a week later I began having severe muscle spasms and cramps in my quads, hamstrings and calf muscles in the implant leg only. These have been excruciating, as well as exhausting, continuing around the clock since that time. Needless-to-say, this has greatly constrained my progress in physical therapy, and to-date my range of motion is 65 degrees (despite having had a manipulation 2 weeks ago). On top of the cramping, if my therapist pushes me very hard at all, I seem to have a delayed reaction that starts several hours after I get home. With my entire leg as hard as a board, I will have severe and deep gnawing pain in my muscles that does not let up for 2 or 3 days, keeping me awake at night. Of course, I have to be back in therapy before the muscles have recovered. These sessions feel like torture, and to make matters worse, my therapist is tired of hearing about my muscles and has become very exasperated with my lack of results.

    My orthopedic surgeon has also been more or less disinterested in the muscle involvement. At my last visit, he said that if I didn’t quit “protecting my knee” I would have to have a 2d manipulation. To help with that, he doubled the amount of narcotics I’m on (Oxycodone and Vicodin), despite the fact that I’ve told him the muscle pain accounts for at least 90% of my discomfort and that the narcotics do nothing to help with this. He basically said good luck and to come see him in a month. I ended up going to see my internist who took the muscle cramping very seriously. He prescribed Robaxin (a muscle relaxant), which has helped enormously but not enough to relieve the severe delayed muscle pain that frequently follows physical therapy.

    I have scheduled an app’t with a different surgeon to get a 2d opinion and to rule out the possibility of an alignment or implant-size problem, which I’ve read can cause this type of problem. Unfortunately, his first opening is 2 mos. from now. In the meantime, I have not seen any online tkr discussions of this kind of situation. Any suggestions or encouragement would be greatly appreciated.

  68. Kathy on May 6th, 2011 2:18 am

    Sue,

    Maybe you can find someone who Thai massage, it certainly work wonders for me.

  69. Tomm Alsman on May 6th, 2011 3:22 am

    Sue C., I’m assuming you are refering to one week after the surgery you began having the muscle cramps. I have to tell you that I did experience a lot of muscle cramps and pain related to my thighs and calves over the first couple of weeks. I’m not going to recommend that you view the surgery video…it’s very graphic, but I will say that your entire leg went through quite a lot of trauma. This causes more brusing than you can imagine. I was fortunate enough to have a Physical Therapist, while in the hospital, that was an absolute treasure. While he worked with me to understand what I had to accomplish to rehabilitate, he explained what had occurred under my flesh and what was causing much of the pain and restiction of movement. While he explained these matters in detail, he skillfully massaged the areas that he refered to at the time. The reason he did that was to be sure my mind was paying attention to the area he was describing, and he explained that these areas had been so traumatized that the nerve receptors didn’t really exist as before any more and the nerves and muscles needed to learn everything all over again.
    The brusing needs to be massaged out, the swelling needs to be iced down and you need to learn which muscles need to perform which functions to accomplish normal and pain free use of the knee AND LEG. Right now, you need to learn to communicate with your leg’s parts in a way to make them do only what you want to do, and realize how to make them do it. This includes how to relax the muscles.
    Unfortunately he was not available enough to learn all I needed from him and I have been under the P.T. sessions of much lesser educating perveyors of pain. But I have developed my independence because I understand what I have to expect from myself. I have not mastered the art of total relaxation, if I had I would have added another 25 degrees to my flex by now, but I know I will get there.
    People who don’t understand your complaints have never felt your pains, and also don’t want to hear how it is they have failed you by not being able to make your case go as well as the text book cases go. Communicate with your leg, listen to it’s complaints, and expect yourself to realize what you need to do to make it right.
    I still have these problems and my next step is to employ a good massage threrapist to help me learn to relax because that is presently my highest hurdle I need to overcome.

  70. Tomm Alsman on May 17th, 2011 2:03 pm

    Seeing that the last couple of entries here are dated 5-6-11, I’m lead to believe everyone is doing great now. I’m not…I’m doing okay, but I would sure appreciate hearing about why everyone is doing so well so I may be able to apply your successes to my recovery of double TKR.

    Stiffness and poor flex/extension seem to be the common complications with most TKR patients. This TKR complications’ sight has a comment collection of persons that have been through knee joint, anestitized manipulation, last count was 62 comments. PRETTY SCARY STUFF. I suggest everyone read them totally before allowing this to be done with the promise of “may increase your flex and/or extension”.

  71. Carol Haase on May 18th, 2011 12:47 pm

    Update: Surgery 10/28/2010..Manipulation 2/22/2011. Still stiff and lack of ROM maybe 95 .Steps: one step at a time up and down…Now I have IT band pain. I limp……
    Oh! yes my original pain before surgery went away but I traded it for another pain…Will I ever be pain free….

  72. Carol Hanson on May 29th, 2011 2:28 pm

    Had TKR 4/6/11. Part of thigh is numb, as well as knee, part of lower leg, ankle and foot. Little range of motion, so had manipulation on 5/24/11, but numbness and heaviness (leg feels like it if full of wet clay) and pain has not improved. After the manipulation, I went back to using the CPM, am going to PT every day for a week, went to the chirpractor Friday, but see no change. Surgeon claims he doesn’t know why leg is numb and told me go go off pain meds the day after the manipulation, even though I am in constant pain. Am going for my two month checkup next week with the surgeon. Would love to hear from anyone who has had numbness in leg/foot..
    Carol

  73. Sue Cooper on June 3rd, 2011 2:07 pm

    Tomm, sorry not to post sooner. I’ve been wanting to thank you for your thoughtful reply. The info. was helpful, and your encouragement meant a lot to me. I’m sorry to hear you’re not doing well, and like you, I wish I could say I was one of those who had “moved on.” The truth is that it’s kind of been one thing after another and at this point I’m frankly feeling a little depressed. In the way of an update, I’m still at about 50 degrees flexion at almost 3 mos. post TKR. The muscle cramps were still very bad up until a few weeks ago. I went to the ER for something unrelated, but also ended up pouring out my TKR woes to the ER doc. He decided to do a doppler ultrasound on my leg to rule out a blood clot. Lo and behold, there was one, and now that I’ve been on blood thinners for a few weeks, my muscle spasms are almost gone. I’m so grateful that the DVT was discovered and is being treated, but it’s disturbing to think my surgeon’s only response to the muscle problems was that I needed to be patient and have a more positive attitude. So after turning that corner, a week ago I had some kind of injury in PT when the therapist was “torquing” my leg while bending it. Now I have swelling and severe pain in and behind my knee when I’m on my feet after only a few minutes. I tried to get in to see my surgeon, but could only see his physician’s assistant who told me there were no tests for soft-tissue injuries and that I’d be a lot better off if I’d focus on decreasing my anxiety. I managed to assert myself a bit and insisted that I wanted a consult with the surgeon, which is scheduled for next week. So I’m working at hanging in there and looking forward to the day I can post something a little more uplifting on this site. In the meantime, my best to everyone here.

  74. janis on June 3rd, 2011 11:31 pm

    i had total tkr 6-14-2010 its been almost a year i went back to work 8-28-2010 im a grocery stocker.my knee is still stiff i have some pain i also have loud hard knee popping.all the time i can walk with know problems, im going to invest in a good excerise bike & hope it works. i still have know feeling in my knee still can’t be on both knees but the pain isn’t what it was befor i had the surgery!

  75. Carol Haase on June 6th, 2011 1:53 pm

    I feel that the doctors DO NO listen they think we are a bunch of cry babies. Dont tell me my knee doesnt hurt until you walked
    ( limped) in my shoes. I stil have pain behind my knee before and after surgery. IT Band hurts on left side of (left) knee. Original surgery 10/28/2010. Manipulation 2/22. All the doctors are concerned about is their reputation and that all surgeries are “wonderful” well they are not. Thanks everyone for letting me “b—-h.” I feel better now..HA

  76. Roger on June 7th, 2011 3:41 pm

    I am a 60 year old male, good health and very active. I had my TKR x 1 on 12/13/10. I have had just about every problem mentioned in these posts to included falling on it the same day of the operation. I was on a pick line for 6 weeks for an infection I never had, I have had it scoped, been to PT at least 2 time a week for ever and had it manitulated. I have been to a massage therapist and 2 acupuncturists. After all this I feel somewhat fortunate in that I am able to finally get my leg straight, thanks to the “Jaz splint” that I had for 3 months, and I have 115 flex. My biggest problem is that my muscles in and around the knee joint are tight, very tight. It hurts to walk and go down stairs. I am tired of having to take a pain pill to get through the day. From what I am seeing here, there is a difference between stiffness and being tight. Since I can get my leg straight and have reasonably good flex, I do not feel my leg is considered “stiff”. If anyone has any hints or magic bullets about how to rid of this tightness please let me know.

  77. Kathy on June 8th, 2011 12:40 am

    Roger,

    Time! It was a year and a half almost to the day that the tightness finally eased up. The more strength I gain in the muscles the less tightness I have. Good luck!

  78. Tomm Alsman on June 8th, 2011 9:42 pm

    Yes , Kathy. I could not agree more. Muscle strength is easily the key component to succeed in rehabilitation. I have not had a conversation with anyone in the medical field that has even brought the subject up with any real suggestions of how to do it or recognize improvement when you accomplish it. Problems I have encountered in strength building is the tendons and smaller muscle tissues are the ones that have to stretch and gain strength to increase range of motion. While therapists were forcing 10 more degrees rom the additional damage to these weaker tissues increased, they just swell and hurt more, and I would take two steps back in rehabilitation because I couldn’t do my PT homework.

    I do my own PT now, and I have hired a message therapist to help condition the muscles so I can do reasonable strength and flexation exercises. I am gaining in both goals because I don’t have to recover from the workouts for two days anymore.

    Roger: I too had to deal with a picc line for over a month after my hopital stay. It sucked. I had both knees done at the same time and they are not recovering the same due to my left knee required more prep and repair. I benefit more from deep tissue leg message and really concentrating on the knees than about anything else. My left has been about 10 degrees behind the right, but I have been fortunate in always being able to get full extention in both legs. The only time I have problems straightening either knee is if I have them flexed fully for any extended period of time.

    We have to keep moving, and communicate with our bodies. Please forward your experiences and lessons learned to the rest of us because if I have learned one thing…it is that we have the experience and abilities to help each other more than anyone else.

  79. Tomm & Kathy on June 9th, 2011 3:48 pm

    Thanks so much for your input. I wouldn’t wish this on anyone, but having said that, I am so glad there are people like you who have experienced the same pains and are willing to share your different methods of dealing with them. I canceled my appointment yesterday with the massage therapist / acupuncture person. I really wasn’t seeing any improvement. We have a nice gym where I work and knowing what I was taught during the first 4 months after the surgery, I am doing on my own now. Not trying to push too hard, but getting a good workout every other day. I find myself taking a pain pill the day after. Never been a pill person, but as you know the pain gets to you. If you guys know of or have done some different exercises that have worked for you please let me know.
    Take care!

  80. Anne Marie on June 9th, 2011 9:29 pm

    I have been erading all these posts and am very happy to have found this site. I had a TLKR on Nov. 2007. I had been on a cane and leg brace for a year before I had the surgery. Yes I still do get some stiffness, but not always. Getting more active hurts more at first, but if I keep it up, I see improvement. I certainly can’t wear heels, however, and after an hour of walking and I’m ready for a rest. I find that fish oil helps with the inflammation and swelling. The swelling does create stiffness for me.
    I have gained weight and that has made my knees and back hurt much more. Being arthritic, swelling and pain is always a issue, but the weight gain has impacted my knees the most. I bought a folding bike with a low “leg through” threshold to get exercise and build muscle. It’s easier for me than walking. Hope some of this may be helpful…this idea of a six month recovery is crazy. It takes a long time. I had lots of scar tissue…couldn’t straighten my knee and it would get STUCK. that workrd itself out over time. Now sometimes my knee kind of pops out if joint…this may be to ligament loosening doc says, I think it could also be from too weak muscles. Stairs have always been an issue, but gradual increase of stairs over time has enabled me to be more proficient at them. As far as pain, I had alot of pain. I did have to learn to endure more pain than I wanted to. I did get pain meds when I needed them…but be careful some can be highly addictive. When the Utracet took away all my pain, I surely did NOT want to give it up. Now I just take Celebrex and use ice pks, hot pads and soaking hot baths as needed. Best wishes to all of you, try to be patient it takes longer than the Doctors say to get your leg back.
    Anne Marie

  81. Roger on June 13th, 2011 2:33 pm

    Maybe someone here can shed some light on my flex problem. I am 6 months out from my TKR and having problems getting a flex beyond 110 deg. Are there any exercises that you have discovered that will help break through this barrier.

  82. bruce symansky on June 22nd, 2011 1:20 am

    I am scheduled to have surgery by dr steve nguyen in orlando.He does quad sparring knee replacement.He does it from a lateral incison on the outside of the knee.One day in hospital walking in a week is what other patients hve experienced with yhis surgery.Has any body heard of cutting the outside of the leg for knee replacement.Why is he the only doctor to do this procedure?

  83. bruce symansky on June 22nd, 2011 1:21 am

    please email me follow ups

  84. Tomm Alsman on July 8th, 2011 12:46 pm

    I’ve been experiencing something that I can only evaluate as large finger-type scar tissue breakage. In only one knee so far. It has happened a couple of times and is a bit alarming at first. It is not real painful but is very uncomfortable. As I try to walk as I have been, I can feel the broken segments fighting each other for passage as I bend the knee (again, this is based on my own assumptions) and I can feel them actually causing miss alignment of the joint’s components which actually feels like it is being forced apart a fraction of an inch.

    Last night I sat in a low chair too abruptly, flexed the knee too quickly and felt a resounding pop and sharp pain in the same knee…it happened again. This time the same complications are happening, but magnified at least twice the amount as before and it is causing swelling, which of course enhances everything too.

    I’m going to the gym, message and water therapy today and see what effects and results that brings….I’ll be back afterward to relate.

  85. Tomm Alsman on July 11th, 2011 2:18 pm

    As I mentioned in my last entry, I believe what is a scar tissue adhesion break that seemed to be interfering with my knee movement is best tolerated by an ace bandage moderately wrapped around the joint to pretty much hold things in place. The joint bends smoothly but the bandage restricts the degree of bend, and it takes more effort to straighten it fully also. So removing the bandage and massage seems to be a necessity for the best results. I think the scar tissue has to wear away to be less intrusive to motion so I am working out on different leg machines, light weights, while still wrapped with the bandage.

    There are two machines at my “Y” that help in a few ways. One is called a “seated leg curl machine” (by CYBEX) that I use enough weight to know I am waking the muscles up, so to speak. And the other is a “seated leg extension machine”, that I use ten pounds to help bend the knee. Between these and walking a treadmill with average 10% incline and deep tissue messages every day seems to be the program that is giving me the best results with the least amount of harsh pain.

  86. Elizabeth on July 13th, 2011 11:32 pm

    I had TKR on 6/6/2011, left knee and I am experiencing a great deal of pain, stiffness and tightness, especially in the morning. The severe internal tightness is very concerning. I have not been successful in obtaining 90 degree bend, but very close. There continues to be swelling and a very stiff hard area on the outside of the knee. Also concerning is the swelling I experience in my foot after exercising the knee. I am pushing and pushing and I can not get the knee to a 90 degree bend, I just finished in home therapy and moving to outpatient. Could it be that I have developed scar tissue and need manipulation? I am doing all of the exercises and going to the pool daily to stretch the knee. I am only 46 years old and thought I would do much better with the recovery. Any suggestions or help you can give me is much appreciated. I am very happy I found this site. Reading other stories and knowing there are people going through some of the same issues really helps. Thanks in advance for your feedback.

  87. Tomm Alsman on July 14th, 2011 1:41 am

    I really must enter here that I think one of the best treatments that I get the best and most immediate results to is …………………………(drum roll)..Self performed deep tissue message with baby lotion.

    I have to massage both knees, so of course it takes longer and I have particular areas that require more attention. But I have found that I am more aware of where the stiffness, pains, swelling, sore and bruised are and can be more effective that someone else working on me.

    Really–invest some time and effort into this. It increases blood flow, enhances healing and lessens pain.

    The lotion can be of your choice of course, I just prefer the smell of baby lotion, and it’s cheaper than others.

  88. Tomm Alsman on July 14th, 2011 5:26 am

    Elizabeth, aside from the swelled foot, I would tend to say you were coming along the healing process pretty well. You may, after a month of healing, have developed some scar tissue tagging onto where it doesn’t belong but if you keep working at flexing and icing afterward you can get it to stretch and/or let go.

    I found that that very stiff problem stems from having to force a lot of sliced & stitched tendon tissue to stretch quite a distance for good flex. Stretch doesn’t come easily and is probably requiring more muscle strength to do than you have on hand. Do your strength building exercises faithfully and the stiffness can be overcome.

    Just another thing to keep in mind while you progress, even when it has healed to where it is well functional, it is never going to feel like what you are used to. It will probably be okay, but not absolutely natural.

  89. doreen feeney on July 20th, 2011 12:29 pm

    I have had two complete knee replacements. One twelve years ago and one six years ago.
    After this period of time I am feeling stiffness and burning in my knees now, which is very uncomfortable and would like to know if anyone has any ideas in easing the pain and stiffness. I have already had about thrirty sessions of actuputure but still no easier.
    Regards.

  90. MRS A on July 22nd, 2011 4:08 am

    I HAVE NOT YET HAD TKR SURGERY WHICH IS SCHEDULED FOR SEPT. 2011.. I HAVE JUST READ THESE BLOGS AND AM NOW SUPER NERVOUS…MY LEG IS SO BOWED OUT IT IS IMPOSSIBLE NOT TO HAVE SURGERY..I CAN BARELY WALK NOW..BUT I DO NOT HAVE ANY SIGNIFICANT PAIN. I AM SHOCKED BY THE LEVEL, THE INTENSITY AND THE DURATION OF THE PAIN THOSE WHO HAVE HAD TKR SURGERY ARE EXPERIENCING. DOES ANYONE HAVE A GOOD RESULT….ARE THERE NO FAIRY TALE ENDINGS OR ONLY NIGHTMARES. MORE THAN 10 PEOPLE WOULD HAVE RATHER STAYED IN ARTHRITIC PAIN THAN EXPERIENCE THE DELIBILTATION AND PAIN AFTER SURGERY WHICH WAS SUPPOSED TO ALLEVIATE THEIR KNEE PROBLEMS. I SIMPLY DONT’ KNOW WHAT TO DO.

  91. Elizabeth on July 24th, 2011 4:16 am

    Tomm, thank you so very much for the feedback. I have finally reached a 90 degree bend. However, there is still a great deal if tightness, stiffness and swelling in the knee. Here is the good news, I took your advise and have had a massage therapist give me a deep massage and stretching the knee. I have gone twice and I have seen major improvement.

    I recently had a visit with my surgeon and unfortunately he would like to manipulate the knee on the 10th of August. After six weeks he is not pleased with the range of motion. I am going to continue to push this knee and hopefully I will get the range of motion expected. I am having massage therapy twice a week opposite my outpatient therapy days. In addition, I just ordered a recumbent bike which I hope will also be helpful if I ride daily for 30 minutes. along with all the strengthen exercises

    Just wondering when I will get some relief. About when will I wake up and not feel like I am not starting from ground zero.

    Thanks again Tomm !!

  92. Lorri on July 24th, 2011 5:09 pm

    Hello.I had my first (left) TKR January 27 of this year and the next one (right) at the end of April. At first I worked hard at PT but became kind of lax. At this point, I have reached a 115 degree range of motion on both. I have a perfectly straight (flex?) left knee but not so perfect on the right one. It is kind of painful once I’m sitting down for awhile to get up, but aside from a little stiffness, it’s
    okay. nights are tough. Is it too late to get a better range of motion? It is SOO painful to do the knee bend exercises! The humid weather isn’t helping me. Any
    hints? By the way, thanks for everyone’s comments on this board. They have really helped me through these surgeries! Thanks!

  93. Carol Hanson on July 24th, 2011 8:53 pm

    Mrs A:
    Yes, I know a man with very bowed legs who had a TKR around 11 years ago, when he was in his 60′s, then had the other one done a year later. A year from then he had to have sciatica surgery. But he is fine, his legs are pretty straight, he golfs, and is so pleased he had his knees done. Good luck with yours.
    P. S. I have had the knee surgery from hell – pinched nerve in the back between L4-5 which I am hoping to soon have treated, numb and painful leg and foot, swollen and painful knee, and it’s been almost 4 months. Has anyone encountered back problems from the surgery?

  94. Tomm Alsman on July 25th, 2011 1:31 pm

    My latest best move for improvement was going to my personal physician. Physical and blood work indicated I was vitamin deficient in B and D. I have been noticing daily improvement in motion, less pain and my stamina is through the roof. Gotta run…more later.

  95. MRS A on July 25th, 2011 3:17 pm

    Mrs. A

    Unfortunately the people who have taken the time to find this site and talk about their TKR are the unlucky ones who have had problems after the surgery. I am one of them. I had my TKR on 12/13/10, going on 8 months ago. After alot of work and the use of what is called a Jaz splint, I am finally able to straighten my leg completly, something I didn’t know if I would ever be able to do again. I am now working hard on the range of motion. I am able to get 120 degrees of flex out of it and still see the PT people once a week. The tight feeling is persistent and apparently something that others have experienced for up to a year and a half later. The surgon and PT people tell me it will go away in due time. It is a very uncomfortable feeling. My knee is still sore and it continues to hurt most days. I have set a goal of being able to get 130 degrees of flex by this December and hopefully the tightness will subside by then and the sorness will leave.
    Take it for what it is, but my personal advise would be to get a second or even a third opinion from differend doctors. There are several different ways of fixing knees and it is worth the time to check them all out. I did not, and I have yet to see the day were I can say, wow, I am really glad I had my knee replaced.
    Good luck and I hope things turn out well for you.
    Roger
    Roger

  96. Elizabeth on July 26th, 2011 6:31 am

    MRS A:

    The recovery from TKR is truly a process and a journey. What I have learned is everyone’s recovery is different and there are so many factors that hinges on recovery including your lifestyle before surgery, family history and your personal dedication to a successful recovery.

    Recovery is tough to say the least and requires a great deal of effort on your part every day. There will be very painful days, many of them; however, you have to stay the course and do what is required of you. Your knee(s) will never be the same again. Many people that have had TKR says it is the best thing ever did.

    I am no expert on getting through this process successfully, but I can share some things that have helped me and what continues to keep me in a positive space while I look forward to a great outcome soon.

    Do not measure you progress against others, everyone is different and progress differently. I recently read a blog about a man who was on the elliptical at week 4 and sleeping pain free by week six. I thought what the heck was wrong with me. I soon learned he was a previous runner and he had PT and home care daily for the first three weeks.

    Do your exercises!!! It is important to start immediately doing your exercises and complying with your Thearpy. The core strengthen exercise are critical to the range of motion and the straighten of your knee.

    Review a TKR on YouTube. Truly understand what happens during surgery. Get prepared. Get all questions answered and dont be afraid to ask questions. Learn the strengthening exercises now and do them if you can.

    Use the KPM machine as much as you can. It helps with the range of motion. I wish I used it more than I did.

    Ice is your best friend. I love the Cryo cuff machine. You want to reduce the swelling and ice, ice and more ice. Not right away but massage therapy worked well for me.

    Pain Management is important and know that you will have some bad days. Have a good support system, eat healthy, drinks lots of water, stock up on pj’s and around the house wear and magazines,
    books, music, movies, crossword puzzles, any fun things you can do to keep your mind occupied have it ready before surgery.

    Try to find others who have had surgery with the same doctor and see what they are saying. I agree with the previous blogger, get a
    second and third opinion. There may be other options.

    Stay the course, It’s a process and takes time and Stay Positive you will get through it! I wish you much luck with your surgery and keep us abreast of your progress.

  97. Cathy on July 28th, 2011 2:57 pm

    I just had TKR a month ago 6/27/11, still have minor pain but a lot of stiffiness . Still only have about 90 rom go back to the Dr’s tomorrow he may want to do a manipulation on me also. Still going to Pt 2 times a week getting better but wish I knew you really have to keep it moving most of the time . How do you keep it moving when my leg still swells up most of the time . To keep the swelling down they tell me to stay off from it but then the more im off the stiffer it gets can’t win keep putting ice on it several times a day which helps some .The swelling goes all the way to my foot even my ankle swells a lot. Hopefully this will get moving soon have to go back to work in 3 weeks ,I work in Pre K so I have to be moving a lot. Any sugestions ?. I used the CMp and had Pt at my house the first 2 weeks at home helped some but not a lot. need to be moving more.

  98. Kat on July 29th, 2011 12:54 pm

    Cathy,

    The bike and ice are your two BFF’s right now and for some time to come. USE them!

  99. Roger on July 29th, 2011 4:00 pm

    I thought this was worth passing on to all who have had a TKR and are having sorness problems. I have been receiving PT treatments for the past 7 months with little improvement other than getting my leg straight and getting 120 flex. Both have been big steps for me. The last two visits, I have received what is called “Instrument-assisted soft-tissue mobilization”. The soreness is almost completly gong the day after the treatment. It comes back a little as the week goes on, but not near as much as before. This is something I wish they had done months earlier. Check it out on the internet. There are some very good articles about this treatment.

  100. Tomm Alsman on August 1st, 2011 3:22 pm

    The swelling persisted in both of my knees until a nurse unrelated to the surgery or P.T. asked if I was elevating my legs at rest. I was not. She suggested that I make it part of my anti-inflammation treatment, and it eliminated the swelling immensely.

  101. Elizabeth on August 6th, 2011 7:39 pm

    Seven weeks post op and still a great deal of tightness and stiffness. There has been some improvement with ROM and straightening of the knee with massage therapy and going to the pool. I have been going to PT 3x week and diligently doing the exercises at home. The inside of the knee is excellent and feels great. The outside of the knee has a large dark spot which is very tight and hard. It prevents the knee from bending beyond 96 degree. Therefore, I will get a manipulation next week. I am praying for the very best and hope that scar tissue is the issue I am experiencing and the manipulation and intense PT following will address the tightness and limited ROM I am experiencing. Please share any experience you have had with manipulation.

  102. Bob on August 14th, 2011 12:41 pm

    I am one of the 6% that are plagued with scar tissue problems after TKR. Six years ago I had bilateral TKR. My right knee did great but my left has been a problem. I had manipulation a year after my surgery which did not help. Two years later I had a revision with manipulation and surgical removal of scar tissue. This helped some but I still can barely get 90 degrees out of it. I am 63 but in very good physical shape, exercise regularly and have been through PT four times with this. I have about given up but decided to try deep tissue massage which I have just started. PT has not worked. It may be too late for me to see any improvement. I probably waited too long to have surgery in the first place (according to my doctor). Any suggestions would be appreciated.

  103. Patty on August 14th, 2011 1:42 pm

    I had total knee replacement 3 years ago in May 2008. I am 59. I was on crutches for a year before I had my surgery. I had both knees done at the same time. I’m not sure if everyone has both done at the same time.

  104. Justine on September 5th, 2011 2:52 am

    Hi everyone,
    My mom had TKR in early July 2011. Her recovery has not been anything like she (we) had expected…extreme pain, chronic swelling, infectionsX2. She had the CM machine for 2 weeks post op, and has been going to PT 2X per week since….8 weeks post op to date. Still icing and elevating and MOVING as much as she can stand it! ROM is about 90, but she can not stand on it very long.

    Right now, she feels she made a “BIG MISTAKE” because she is able to do less now than before the surgery. Hopefully, this will change!

    One thing she is experiencing that I haven’t heard anybody mention is SEVERE knee tremors/spasms. They are EXTREMELY painful, and last anywhere from 30 seconds to 1 minute, and come repeatedly within a block of time or if she is lucky, a few hours apart.

    Has anyone had the same experience? If so, any suggestions for how to eliminate these spasms?

  105. Brandi on September 13th, 2011 6:18 pm

    I will speak from past and present experience. In 2003 I was in a car accident that resulted in a full knee replacement. I had no expectation and eventually (5 months plus later) I returned to full range of motion with no manipulation or additional surgeries. This acheivement I give to my PT doc for aggresive pt and support and then to myself for not giving up. that knee lasted until recently when I had some problems. revisional knee replacement done on 18 AUG 2011. From PT standpoint the goal was from 0-110 degress in four weeks. I am barely at 75 with active motion, 80 maybe with passive. I have had more pain, and more swelling than what I remember the first time. I am only 32 now and need full range of motion to enjoy my kids and life. But I say, do not fret, I did not meet my PT goal, and I know that I was discouraged. But when I compare where I am at now to where I was 8 years ago, I say I think I am doing a heck of a job. I am going to focus on PT and my goal… One day I will be painfree and have a great range of motion…. i don’t care if it takes 5 months… i will get there.

  106. Crystal Glover on September 22nd, 2011 1:37 am

    Hello, I am a 55 year old teacher who has had 12 operations on my left knee, the last was done on August 10, 2011. This particular surgery was done to address femur bone loss and a loose femur component. I had to have bone grafting and wedge parts from zimmer added to my smith and nephew parts. I’m usually a very active person on my feet constantly. Right now I am in so much pain I don’t know what to do with myself. My post operative instructions were to go home and stay off of the leg and knee for 8 weeks to allow the bone grafting to heal, oh and also there was to be no at home physical therapy, no outside physical therapy and I was given a brace that only allowed 60 degree knee bending capabilities. The other surgeries addressed chronic infection, bad Depuy parts, and my knee rejecting parts. I consider myself to be reasonably active in my life, I use to ride bikes, dance, ice skate, roller skate and everything in between. I’ve worked well with physical therapy in the past however, this last operation has stopped me cold. Pain 24/7 is not cool. I like what a lot of you had to say about massaging the incision with oils, that works to help smooth out the scar tissue under the incision, and ice is our best friend. From my bed I have achieved 90 degree bending of my left knee. I have performed all of the allowable exercises that I can do from my bed, I am 6 weeks from surgery and the pain is the same as day one. I was also told that there will be no manipulation of the knee. Patience is a virtue and even working with special needs children, I know that I am running out of mine. Will I really have to live with this pain for the rest of my life, does this mean no dancing, if so what a drag…

  107. Monty Newton on September 26th, 2011 8:36 pm

    7 weeks from TKR on right leg. At 6 weeks to the day, I had 110 degrees and straight (zero). Got cocky and actually rode my bike to work several times (7 miles round trip – seat up high, non-surgical leg doing most of the work). PT twice that week, in the gym doing ‘stuff’ other days, stairs, some water walking. On Sunday – yesterday, I felt like it was week 2 again. flex less than 90. Obviously I over did it. I am kinda caught in the middle – PT thinks ‘more is better’ – my surgeon is of the opinion guys like me (active 50 year old – ex jocks) always over do it.

  108. Peggy on September 28th, 2011 6:59 am

    HI, I had my tkr 2yrs ago and my rom has NEVER been more than 95. The pain in my leg is regularly not too bad, however, the mussle spasms are horendous! I wake screaming in pain and the muscles are locked up tight, in a knot! I have tried ever drug you can think of, have had by blood lvls checked (yes all of it!) and have tried every diet you can think of. The specialist keep telling me, to stretch and take mussle relaxers (they have no effect either). The amount of use and or lack of use does not flair it or stop it. Has anyone else experienced this locking mussle spasms and if so have you found any relief? Any help would be appreicated. I am at the point now where I fear sleep… (it seems to be much worse at night!!!!) Thanks so much. Peggy

  109. Monty Newton on September 29th, 2011 3:45 pm

    Elizabeth – on Aug. 6th, you wrote of a manipulation ‘next week’. how did that go? I shouldn’t complain – at 7 weeks, I have 110 degrees. but I thought it would be better.

  110. Glenda on September 29th, 2011 11:53 pm

    Hey guys, so sorry that so many of you have so many bad experiences with your TKR surgery. I am a 56 year old. Had my surgery on May 5, 2010 on right knee. I had a great surgeon and therapist. I can bend my knee about 120. This happened for me through much pain. My therapist pushed me hard. I did everything he asked of me and more. He encouraged me to and allowed my husband to participate in my recovery. I am about to go have my left knee done. Not looking forward to the pain, but am assured of my recovery if i do what my doctor say and therapist. Some people pain threshhold is lower than others. This will sometime keep us from pushing through the pain to a full recovery. Please know that the saying “no pain, no gain” is very true when it comes to tkr surgery. I also had a wonderful support group in my family. My husband stayed by my side. nurses did not have to do anything for me. He did it all. So I feel for the lady who the tech let fall. It is a serious surgery and you need much support afterward. But remember it takes a lot of hard and painful work to a full recovery. The scar tissue develops if it is not munipulated by a skilled physical therapist at least 3 times a week. The scar tissue causes a lot of pain. My insurance would’nt even allow me a machine at home to keep my knee bending. By the time, 2 wks., to be exact, I got to therapy I had much scar tissue. So munipulation is key. God Bless!

  111. Beverly roffeydavus on September 30th, 2011 2:10 am

    I had TKR on April 11 of this year. I just got released to return to work. However I still find it hard to sleep and several times a day I get this stabbing pain in my knee that hurts like he’ll. Like others Doctor says all is fine.but it still hurts.I just started walking without a cane,but I wobble not a normal gait. I can only bend it 85 degrees. No matter how hard I try. I swim,walk and bike on a stationary bike. But getting out of a chair or couch is hard. And if I sit too long it is stiff. Does anyone else “feel”their knee? I am aware if it all the time and it’s tight as heck. I would not be able to do a job that required me to stand.I wish I would not of had the surgery.it’s been a night mare.

  112. Marianne on September 30th, 2011 2:43 am

    I’m 63 & had right TKR on 4/4/2011. I had been going to a gym for the past 16 years and am quite active. My surgery went great & I went home after 3 days (was told rehab centers are old school unless if medically necessary). In addition to the usual home & outpatient P/T, I rode my bike every day in the house (I bought a “lifter” for the back wheels to make it stationary). I drove (standard trans) on day 11 & went back to my gym in 3 weeks although at a much slower pace, & if doing leg exercises, only doing the machines that were at the P/T office. I think I was blessed going into this surgery with good leg muscles and good upper body strength which we all need pushing ourselves up out of the chairs and tubs. Prior to surgery , I had bone on bone for years which made my leg deformed and quite painful. After TKR, I no longer had the horrible pain up and down the back of my leg. By month 3, I actually had bounce back in my step when wearing my sneakers. (I must say, however, ladies, I rarely get out of my sneakers as I’m able to walk my best in them.) Now for the bad news. We got hit pretty bad with Hurricane Irene & I was out of the gym for two weeks. We lost power for a while & I became much less active. Just before going back to the gym, I woke up one AM with a tremendous tightness on the front of my thigh and my knee felt like it had a metal plate across the front of it. I’ve been taking Celebrex AM & PM for 1 1/2 years which usually helps the swelling, but it didn’t help now. Went back to the surgeon one week later as it was getting worse. After x-rays, he said everything is healing great and he doesn’t see anything wrong despite warmness over the knee! I’m now one month with this new dilemma and am finding this web site, as well as others very helpful. Hopefully, this is just scar tissue that formed the two weeks I wasn’t moving. I was massaging the scar for three months after the surgery & it had practically faded. I then stopped. I’m now going to start again as well as massaging the thigh.I had hoped to be dancing at a wedding in Nov. in real shoes, but now I’m not too sure!!!!! Clearly, after this surgery, one size doesn’t fit all. We all recuperate at our own pace, and some, unfortunately, have some setbacks. These type of sites are great for the ones who are having problems & looking for answers, but a bit scary for the ones deciding if they should take the plunge and get the TKR. Good luck to all!!!

  113. Patty on October 1st, 2011 12:01 pm

    Besides having had bilateral knee surgery 3 years ago, I also have poor circulation in my legs. I used to prop my legs up on several pillows and that seemed to help some. But now I’m putting my legs up on the wall. I scoot my bottom up to the top of the bed and put my legs straight up. I think it’s helping. I’ve also had the tight cramps in my calves. Especially in my left leg which isn’t straight after the surgery. The femur of my left lef isn’t straight, so that might put more strain on it. But I think this helps. I’m going to keep doing it and see if I still have the cramps. I’ve found some medical patches that I put on the painful parts of my knees and it seems to help to have the medication right where the pain is. I seem to have the most pain on the inside part of my knees.
    It’s been 3 years and I was bone on bone and on crutches for a full year before I had my surgery. I’m not a very physically active person, but I can safely say that I’ve had pain and discomfort every day for the last three years since the surgery. I feel better than before the surgery and I don’t regret it, but I feel handicapped now. When I ride the city bus, I always ask for a seat because standing up and moving back and forth is uncomfortable and painful.
    I’ve had acupuncture on my knees and also my bunions that I had operated on about 5 years ago. That seems to help a lot. Also, I’ve had injections in my knees and that seems to help. I’ve taken anti-inflammation medicine but I had to stop because it gave me stomach pains.

  114. Carol Haase on October 4th, 2011 3:10 pm

    I had TKR on 10/28/2010 and manipulation on 2/22/2011. Still cannot go up and down steps ” normallly” go one step at a time. Stiffness depends on weather. I was very mislead regarding this surgery by my physician. I cannot bend more than 95 and that is on a good day…..I can feel my knee all the time. Very very disappointed.

  115. Roger on October 5th, 2011 9:15 pm

    It’s now been 9 months since my tkr, I still haven’t reached the “Glad I did it day”. I still have the tight feeling around the knee and have only got it to 115. Atleast it is straight now, I thought I was going to walk around with a bent knee for the rest of my life. I have read that some folks go an entire year before things get better or atleast closer to normal. The first three steps after sitting always bring a grunt and going down stairs is still painfull. I work out 2-3 time a week on the bike, treadmill and knee pulls on the big rubber ball. I am very sore 2 days after I work-out and still take pain med to feel better in the afternoon. I guess I can be thankful that I can get a full nights sleep without waking up in pain. The tight feeling is getting hard do deal with. If any of you have any ideas on what to do to get rid of this band around my knee, please feel free to shoot me an email. December 13th of 2011 will be a year into this, sure would be nice to spend the holidays without the soreness.

  116. Marianne on October 6th, 2011 1:51 pm

    Roger- Did you have the same tightness from the beginning? I got a tremendous tightness 5 months after across the front of the knee only. I’m wondering if this is due to the nerve endings that had been severed and reattached now coming back to life?? It feels like a metal plate inside the top of the knee. Could this also be scar tissue which I am now feeling due to nerve endings coming “alive”? See my 9/30/11 blog. Surgeon says it will take a year, but I seem to now be going backwards with my recovery!

  117. Patty on October 7th, 2011 9:00 am

    I had my knee replacement surgery 3 years ago. I used to wear braces on both knees that I bought that are like what athletes wear. Now I wear an elastic “sleeve” that I put large paper clips at the tops to keep it from rolling. These feel good on my knees and keep them warm. I wear them everyday. I do my exercises at night to help me relax to sleep. The rain and cold seem to make my knees ache more. The elastic sleeves help and sometimes I wear another “sleeve” over them. I often wear tights or longjohns when the weather is really cold. This seems to help keep them warm, too. I took anti-inflammation medicine for 2 years and then I had stomach trouble. I took it again recently, but only for a few weeks. I am trying to use more natural anti-inflammation to protect my stomach.

  118. M. Taylor on October 10th, 2011 4:17 pm

    what would be a acceptable Arc of Motion for total joint repacement patients?

  119. M. Taylor on October 10th, 2011 4:19 pm

    what would be an acceptable Arc of Motion for total knee replacements? Please e-mail answer. Thanks

  120. Roger on October 12th, 2011 4:40 pm

    Marianne, yes the tightness started sometime after the operation, I don’t remember exactly when since there has been so much happen since. I have been through manipulation to help get my leg straight and to also help me bend it. After about 5 months I was finally able to get it straight. Now the two biggest problems are the tightness around the knee that you talked about and the range of motion. I am able to get 115-120 and that is about all. The Doc want to manipulate it again, I’m not sure I am really up for that. I have been told by people in the business to try swiming and then a hot tub afterwards to try and get it to bend more. I work out every other day and usually very sore form the exercise. The tightness just will not let up. It will be a year in Dec for me, the Doc said it takes some people a year to fully recover. I really hope he is right. Everyone says it is just scare tissue. I am trying my best on the stationary bike and other exercises to break it up.
    Did you get to dance at the wedding?

  121. Marianne on October 13th, 2011 1:23 am

    Roger—I was able to swim every weekend this past summer in either a lake or ocean. It felt great and really loosened up the knee, although I do have full range of motion already. If I had more time, I would go to our local YMCA and swim every day. Whenever I go in our hot tub, the entire leg swells and gets very stiff. I then have to go on my bike to loosen up again. I’ve been massaging my knee and lower thigh twice a day for about 10 minutes. It seems to help temporarily. Once I’m up and about doing all my usual walking, by the end of the day, the metal plate feeling in the knee is as bad as ever. If I’m still like this after a year like you, I may pray for Armageddon! The wedding is the end of Nov., so I still have a chance to dance……

  122. Roger on October 13th, 2011 3:35 pm

    Marianne – The swiming sounds encouraging so I’m going to give it a try. The tightness or the metal plate feeling is really bothering me too. It is there 24 hrs a day. The only good thing about my knee right now is that I am able to sleep without pain, but walking is still a bother. I have found that wrapping an ace bandage around it seems to elleviate some of the pain while I am on it, enough that I can play 18 holes of golf from a cart. Have you heard of the Graston Technique? my PT girl used it on me several times and it really helped. I found several sites on you tube and have been able to do the same on myself at home with some plastic items I found around the house. You might want to check it out. There are also several sites on the internet about the Technique. It is for breaking up scar tissue. According to everyone, that is my problem.

  123. steve denys on October 17th, 2011 8:17 am

    just had the right knee replace about 10 weeks old. lots of swimming and phisio is a graet help. still swollen but what bugs me is when i walk ny knee cap clunks no pain but loud . i know that it will probably be 1 year os so to get right but this clunking is annoying. any advice ? cheers steve

  124. Marianne on October 18th, 2011 1:35 am

    Roger-you have totally convinced me that my problem is scar tissue also. I think it was only by sheer luck that I escaped the knee tightness for the 1st 5 months. As soon as the staples came out, I bought “SCAR ZONE” at the super market. It claimed to heal the scar faster & contained silicone and SPF of 30 which I needed for the sun all summer. At any rate, I religiously messaged this into the scar 10 minutes 2X a day which must have helped with the scarring. After 5 months, I thought the scar looked pretty good and I stopped. Five weeks later, I started having the tightness in the knee. Just above my knee cap, there appears to be a lump about 1 in. wide and 3 in. long.

  125. Marianne on October 18th, 2011 1:40 am

    Roger-checked out the Graston Technique. It’s really interesting. I met my 30 visits for P/T this year, so I may have to bite the bullet & pay for at least one procedure. I’ve found some small metal wrenches in the archives of our basement that I think may work. I just want to make sure I do it correctly and don’t make my knee worse. I’ll keep you posted after a month.

  126. Marianne on October 18th, 2011 1:46 am

    Steve–the “clunking” you hear is what the Drs. are calling clicking and I’m told I’ll have this forever! I can feel the clicking but I don’t hear it. I’m sure the severity is different with everyone. I had clicking for years prior to my surgery as there was bone on bone when walking, so this doesn’t bother me so much. I’m sure after time, we’ll all be use to it.

  127. robin on October 19th, 2011 5:51 pm

    I been trying to take the pain but it hurts so bad i need to take care if the scar tissue but have diabetes and dont wont to be cut it takes a long time for me to heal

  128. LindaJoy on October 21st, 2011 2:32 am

    My knee was bone on bone, I had a TKR 12/17/11. I pushed thru the intense rehab with a bacterial infection in my intestines. Something was not right tho. I had strong tissue pinching and some sharp pains that seemed odd. At 10 weeks, I thought, my God, my leg stopped hurting. Then I lifted my leg, and it felt like the damn thing came apart. I couldn’t move it. Turns out a piece of cement came loose, my OS did a scope on 5/2/11. The following week, another piece came loose, I had a revision to replace the spacer done 8/8/11. The piece that came loose embedded in the tissue behind my knee, to this day, it still feels like it is being tugged. I have also had some really bad days dealing with pain, I sometimes work 16 hours shifts, on cement, and I walk very fast. My leg gives out a couple times a week, there is swelling under the kneecap left of center. Twice since 8/8, while sleeping, I have had shock like sensations that ran up my leg, it was so bad the second time, I stood up,( which stopped those horrible shocks), & watched TV til I went to work. As bad as the pain was prior to the TKR, I never walked blisters or callouses on my good foot, now I have both. Something still is off, one leg may be shorted than the other now. I should mention that for the 3rd surgery, I too had a femoral block, and fell hard on the leg on top of the CPM, and put a huge bruise on my butt. My point here is; surgeons make mistakes, sometimes well meaning therapists, don’t hear us when we tell them something is wrong. I am glad that I had this surgery, I had 2 weeks of mostly pain free stair climbing and walking. It took me a long time to get to that point, I hope it will happen again. I have had a bug since the second week of July, so that may be hindering my healing. Don’t give up, you are not alone.

  129. Monty Newton on October 21st, 2011 1:43 pm

    I find that the ROM is heavily dependent on when or if i am ‘warmed up’. I will only have 90 deg when I am ‘cold’ but after some time ‘working’ it – I can get 110 degrees. I am 10 weeks out of the surgery, and had 110 degrees a month ago. Seem to be stuck. My therapist promises to ‘get me’ to 125 or more.

  130. Roger on October 24th, 2011 9:17 pm

    I am now 10 months out from my TKR. I am apparently one of the 5 percent that have experienced all the problems that I am going through. The two biggest issues are my ROM and the soreness that I experience on most days with walking. I have found two things that seem to help. First is the stationary bike. I start with the seat fairly high, where my legs are fully extended. Do five minutes there and drop the seat one to two inches at five minute intervals. End up with the seat as low as you can go to where your leg can not make a full reveloution. This part is important, after reaching that point, raise the seat back to where your legs are fully extended again and do a final 5 minutes. The other thing that has really helped is the “Graston Technique”. If your not familiar with this, look it up on the Net and check it out on Youtube or take the time to see your PT person and have them give you a treatment. I was able to find some small tools around the house that duplicated what the PT people used. It is rather easy to duplicate what they do. Two days after the treatment the soreness dissipates. This technique breakes up scare tissue, which according to my Dr. is my biggest problem. These are just two things that seem to be helping. I am hoping that with all the other excercises that by December, I will be close to pain free. My fingers are crossed.

  131. Donna on October 31st, 2011 2:25 pm

    Hello. I am a 38 yr old woman who had a TKR of my left knee in February of this year. After 8 months of PT and a manipulation I can bend my knee well but CANNOT straighten it very well. I still limp VERY badly and have been unable to return to work. I was given the Dynasplint which hasn’t helped much. I still deal with LOTS swelling and pain. Sometimes I wish I never had this surgery. I walk worse now than I ever did before. So here’s the deal. My surgeon wants to go back in and remove the scar tissue and change out the plastic spacer in the implant. Has anyone had this done? Does it even have a chance of working? I’ve read a few websites that said typically, this procedure is not very helpful. Does anyone have a success story to share? I kinda feel like, if this is my only shot of walking normally again, maybe I should take it and pray for the best? The doctor is pressuring me to make a decision and I just don’t know what to do yet. Any suggestions or feedback would be appreciated.

  132. Party hale on November 2nd, 2011 11:41 pm

    I had a TKR on August 24. Was doing ok, flexion wasn’t where it should of been, but I knew going in that it was going to be a problem because of my lack of flexion pre-surgery. I had several procedure before deciding to do tkr and I didn’t do it because of stiffness I did it for pain control. Here I’m at 2 months in and started getting a sharp stabbing pain on the medial side of knee and going in for a manipulation in two days. If in fact the pain is from scar tissue I can put up with starting all over on pt but I have my doubts. This pain hurts worse then the coming off the nerve block from the tkr with not one Dr offering any pain medicine. This manipulation better work and of course I’m worried it won’t. My husband had one on his shoulder after his rotator cuff surgery went haywire. Best of luck to all of us and we are all different and you can research every tkr paper ever written but there is always a percent of us who don’t do well

  133. LindaJoy on November 4th, 2011 3:13 am

    Hello Fellow TKRs,

  134. LindaJoy on November 4th, 2011 3:23 am

    Oops, one year ago, I could not walk or straighten my leg. I can walk and straighten my leg now. I don’t know why I am experiencing intermittent electric shock sensations, those, like the tissue masses above my knee can cause seriously scary pain. However, most of the time I walk w/o pain. Sitting and standing cause a pinching pain that can last for days, the nerve/tissue pain is a flash burn then gone.
    I would do it again, though I had to fight to be listened to that something was wrong, I do wish I did not have the spacer replaced. this one hurts and I think my TKR leg is a hair longer than my left leg.

  135. nancy on November 6th, 2011 10:06 pm

    someone recently commented on the use of lasar for the removal of scar tissue where scar tissue” is sited as major factor in post-op knee stiffness and limited ROM…
    Can anyone tell me more about this use of lasar to remove scar tissue ? Where can I find someone to do this ?

    Thanks

  136. Rob Rahmer on November 21st, 2011 12:37 am

    I have been reading these posts for over an hour and I wanted to share my story so that if it helps just one of you then I have accomplished what I intended.
    My TKR was performed in July ’05 after experiencing progressive pain over a two month period and going from healthy to crawling into my OS’s office and being diagnosed with bone on bone knee needing immediate surgery. I was operated on 5 days later.
    I was the model patient. Surgery was performed on Tuesday morning and I was released at Thursday noon because of my miraculous recovery. My attitude was so positive at the time I was considered by my OS as the best patient he had ever performed TKR surgery on. To explain everything that transpired during the next 18 months I would have to write a short novel but space is at a premium.
    Within 6wks of my initial surgery I had to have a manipulation done because of the massive scar tissue that had built up since the surgery. Following this procedure, during the prolonged PT and everything else I had to go through I just knew something wasn’t quite right with the knee. During the following 18 months I had to visit the OS’s office 5 or 6 times because I wanted to try and convince them something was drastically wrong with my knee. X-Rays were taken and reviewed and I was advised by the OS assistant that everything was normal and looked perfect. I never got to see my actual surgeon, only his office assistant. Finally after 18 months from the date of my original surgery in Jan’07 it came down to a showdown. I demanded to speak to my OS, one on one. He obliged and I told him I had been through 18 months of pure hell and he needed to do something to find out what the problem was still causing all the pain and suffering I was going through. I saw him on Jan 24 ’06 and he told me because he couldn’t find a reason for my problems he wanted me to go to the Nuclear Medicine dept of the hospital as this would be the only way to look at “the bigger picture” concerning what was going on inside my knee. This procedure is NOT an MRI. It has to be done by the Nuclear Medicine dept. I had a 3 phase done scan done. Here is the report and I quote:
    1. 3-phase bone scan of knee shows increased blood flow and blood pool activity surrounding the right knee prosthesis, with moderate intensity increased activity and delayed images surrounding the tibial as well as femoral component of the right knee prosthesis. There is somewhat more focal increased activity involving the articular surface near the intercondylar notch.
    2. The findings would be consistent with loosening and/or infection.
    3. The right patella is unremarkable in appearance.

    My OS scheduled me for immediate surgery that day to replace the original TKR. My surgery was to be 4 days later on Jan 28 ’07 but one day before surgery he called to tell me that because my insurance has expired 1 day earlier he couldn’t perform the replacement surgery (I had lost my job after 31 years with same company) and my wife filed for divorce in Oct ’06. So here I was left high and dry. no follow up surgery after 18 months of total misery and my life falling apart due to the failing of the first surgery.
    I’m not going to go into details since that time other than to say I am still experiencing the same pain, inability to do anything involving being on my feet for extended times. Can’t walk more than 50 to 100 yards at a time before resting up, etc. etc.
    In closing trust your own instincts and your own body. You know it better than your OS. If you just know something doesn’t feel right or you are convinced there is definitely a problem ask your OS to refer you to the Nuclear Medicine dept for the scan that will reveal whether everything is “fine” as your OS has told you over and over again. I wish you good luck and hope my experience gives you another option to possibly find out the real reason your knee isn’t healing as expected. Trust your instincts.
    In all the reports I read I hadn’t seen one reference to anyone being referred to the Nuclear Medicine dept. That’s the reason for this post.

  137. carol moloney on November 26th, 2011 12:59 pm

    I had tkr 7th may 2011 it was a very long and painfull recovery. went into hoapital last week and had manipulation it only bends to 95% so i only got an extra 15% as i only got a 80% bend before. but i know i have to work hard on doing xercise.

  138. carol moloney on November 26th, 2011 1:03 pm

    I had tkr on 7th may 21011 it was a very long and painfull recovery. i only got to 80% bend. last week i went back in and had manipulation, it was not painfull just more uncomfortable. Even now i only have a 95% bend. i am having more pt and just have to make sure i keep on moving and exercising

  139. bev roffey on November 28th, 2011 3:16 am

    TKR April 2011. Only 85% ROM. Stiff knee when ever I sit for more than15minutes. Dr thinks its nothing, just one that its going to take a long recovery time. No matter how much I try I can’t bend it further. Wishing. I had never had it done.

  140. Monty Newton on November 28th, 2011 5:46 pm

    When you write ’80% or 95%, as in ‘percent’ – do you mean degrees?
    Since I had 140 degree bend pre-op, and now have 100 degrees, I guess one could call that 70%. having 100 or 110 degrees, which I did achieve one day – is more than most, but for me, it isn’t enough. I seem stuck, after 3-1/2 months post op. Doc says he wants me at 5 months before considering a manipulation.

  141. Katherine on December 9th, 2011 4:42 am

    Hi. I had tnr for my right knee on 10/27/11. Today marks my 5th week. I have been going to therapy 3 x week and am almost at 90% but still unable to “peddle” a full circle. I saw my surgeon this past Tuesday and said he wasn’t happy with the results and is insisting on a manipulation. I’ve been reading other patient’s comments and there isn’t one that says the manipulation worked/lasted for longer than a few days. The surgeon also says he will send me home with a cpm machine and that I need to stay on it for at least 10 days. I wondered why he didn’t order it right away, after my surgery. He seemed frustrated with my hesitation and told me this is what he does for a living. Don’t get me wrong: I like him and I know he cares about his patients. But, when I look to see how the procedure is done, it seems barbaric. He can leave the hospital afterwards but what about me? What happens and what is the intensity of pain I will feel and for how long? Can anyone rate their pain from a scale of scale of 1 to 10 after the maniputation and how it lasted? I wish I knew what to do. He says he needs to know by Monday so he can schedule this procedure for Tue, 12/13/11.

  142. Glenda on December 12th, 2011 1:44 am

    I feel so bad for everyone who is having a rough time their TkR. It can be very difficult. I had my TkR on May 5,2010. It was very difficult for. My insurance wouldn’t pay for the machine. 10 days later I went to therapy it was most painful. My therapist felt sorry for me. I would cover my face and just cry. But I let him do what he had to. He promised me it would get better and it did. I let him munipulate the scar tissue away. It can be done. We could feel my scar tissue. But to munipulate it through therapy was quite painful, but well worth it. My range of motion is about 115. But I’ll take that to be free of the pain I suffered for 10 years. A good therapist can break up the scar tissue if they know what they are doin. He had me riding the bike I about 3 weeks. At first he helped me then one day I did by myself. Don’t give up. It’s important to get someone to constantly bend your knee as far as u can take it 3 times a week to gain ur range of motion. Please don’t give up. May God bless each & every one of you. TKR will never be like a normal knee.

  143. Roger on December 12th, 2011 2:55 pm

    Katherine, I understand your pain. I had a TKR one year ago tomorrow. I have been through hell since. I go in for another manipulation next Monday to try and get more ROM, currently I only have about 110 degrees flex and the knee is sore whenever I am on it. The Doc seems to think it is scar tissue causing the problem.
    Hang in there and God Bless.

  144. Roger on December 21st, 2011 9:32 pm

    Canceled the manipulation, there is something more than scar tissue going on here. Going in for a bone scan tomorrow. Twelve and 1/2 months out. Not what I had hoped for.

  145. Janette on December 27th, 2011 3:12 am

    I am a 64 year old female. I had tkr on right knee 07/09/2009. Had all the PT I could get and then move to another state before my one year checkup. I have experienced range of motion pain which has developed into full knee pain anytime I bend, flex, more over most any movement of the knee is painful. Visiting back in the city and state where I had surgery so I’m gonna setup an appointment with the surgeon and will report back his findings.

  146. Robin on January 15th, 2012 12:08 am

    I am 8 weeks out from a minimally invasive right tkr. I just got off the percocet and am now on Ultram every 8 hours and Mobic. I am walking fine but after 9-10 hours of standing on concrete, my knee gets really sore. Is the pain normal? I also workout at least 5 days a week. I apply ice when I get home and elevate my knee. The swelling is still three but not as bad. Is that normal too? My ankle also hurts a lot at night and I’m still sleeping in the Laz Z Boy.

  147. Steve on January 19th, 2012 5:39 pm

    In August 2011 I had surgery to remove a bone tumor on the distal femur (knee-end) which involved not only removal of the tumor itself but some underlying bone in which the tumor affected. A graft using cadaver bone was used to replace that which was removed and it’s been a long wait for that to heal. As a result I have been in non-weight-bearing status up until now, January 2012. That’s about 5 months so far.

    At the moment I am still at non-weight-bearing status but going through PT to increase range of motion up to and at least 90 degrees bend in the knee. Although PT has helped it has been an uphill battle and whatever ground is made up in flexion is then counteracted by tightness and somewhat of a return to its previous bending limit.

    I’m told that if the knee cannot be bent to at least 90 to 110 degrees that I would have to go through manual manipulation under sedation thereby possibly causing tearing of muscle tissue and additional damage.

    From what I’ve read online manual manipulation under sedation is something that should be done within 3 months of the surgery but since it’s been about 5 months for me because of the graft, does anyone have any idea what options I might have at this point? Arthroscopy perhaps?

  148. Cathy on January 20th, 2012 1:05 am

    I had my right TKR on June 27,2011 I am now almost 7 months out. still have swelling in my knee , I was told to expect it up to a year. Am doing most things ok still have some trouble going down stairs, and I live in a tri level house so some days it’s not easy. The one thing that bothers me if I stand in one spot for to long my knee gets stiff, I do stand all day working in a pre K class I keep me going all day. I still ride my excerise bike 6-7 days a week about 20-30 mins at a time , Helps keep it moving. Most of the pain is gone, Everyone has said time will help it improve and it has, So if your new just keep doing what they tell you to. Make sure you keep it moving as much as you can.

  149. Charlene on January 20th, 2012 5:07 am

    My right knee was injured when I was just 9. Over the years, I had a total of 11 surgeries on it as well as many, many injections. I finally got to where I was in extreme pain constantly especially when walking. This also caused my left knee to begin having problems also. After several years of talking with my ortho doc, I determined to have the left knee replaced as I knew what to expect of my right knee.. If all went well, I’d get the right one done.

    My first surgery was on 8/3/11. I spent five days in the hospital, was walking the very next day with a walker. I came home with the walker and after 3 days, put it in the corner and didn’t use it again. I had home health therapy for 3 weeks, then went to outpatient therapy for 6 weeks. After 4 weeks, I could move my knee to 105 degrees, when I left it moved to 118 degrees. What pain I had was treated with percoset.

    I had my right knee replaced on 11/9/11. Same treatment with home health and am now 2 weeks from being released from outpatient therapy. I am able to ride a bike for the first time since my twenties, walk up and down stairs with no indication of the old way I walked, and am currently at 106 degrees of movement in the right one.

    Both are doing great and I am so happy that my quality of life is coming back after over 40 years of pain.

    My recommendation to anyone thinking of this is to have honest talks with your doctor. Ask if you can talk to prior patients and if you can, go to an outpatient therapy clinic and talk to the therapists and other patients.

    Good luck to all who are comtemplating this surgery.

  150. Debra on January 29th, 2012 3:33 am

    I had Bilateral knee replacement in April 2010, I still have a some trouble going down steps, left knee still feels like there is band around it, but I don’t really have pain, just wondering how it is for someone else that has had a replacement for almost that long

  151. Bill Cohen on January 29th, 2012 2:56 pm

    Had TKR 12/6. Followed protocol of 4 days in hospital, 5 days in rehab, and PT 3 times a week. OS saw me after week 6 and I had 95 degrees ROM. He was unhappy and on 1/20 I had a manipulation where he got 140 full range. The next day my PT got it to 110 degrees with me screaming. Had horrific pain for three days after. Continued to bust my butt at PT and just started going into water therapy. Now I’m barely back to 95 degrees and seeing the OS on weds. 2/1. Wondering what he will say. I will suggest everything I gleaned from your comments about massage, Thai massage, instrument -assisted soft tissue mobilization, etc. Anything before a second manip.

  152. Bill Cohen on January 29th, 2012 2:58 pm

    P.S. If there was any treatment I missed or overlooked, please let me know.

  153. Dave on January 31st, 2012 4:58 am

    I had a uni compartmental Knee replacement on 9/28/2012. I have full range (approx. 130) and am still having swelling and tightness on the muscles just above the knee. I am wondering how common is this and besides intermittent icing and damp heat, what can I do to re-hab the tear drop area of my quadriceps above the knee? I am walking and able to go up and down stairs but not without pain on the stairs. I periodically ride a bike and take short walks while being on my feet mostly all day at work. I injured my knee surfing ( torn meniscus) at age 20 which ultimately led me to my partial knee replacement. I am anxious to get back to being able to surf, anyone experience the same and have advice on my time line to recovery. I had a total hip on the same side as my knee 13 mos. prior to my knee surgery which is feeling outstanding. I am feeling a bit frustrated and impatient, thanks for any advice or encouragement.

  154. Jack Janosik on January 31st, 2012 8:34 pm

    I had a tkr at the Cleveland Clinic about six years ago. I am a jock and, yet, I found rehab extremely tuff to improve rom. Three months after replacement the same doc performed a “manip.” He bent the knee to about 130 rom; before the manipulation, it was a little less than 85. Each day I lost rom although I continued rehab. For years now, I have had to live with about 88 degrees of rom — not even enough to ride a bike normally. It may be very important to add, that I had my meniscus removed in 1970 and afterwards had about 110 degrees of rom — enough to continue being a jock, including running the Boston Marathon. In the end, the docs, and they are the Clinic’s best, told me I would just have to live with it. Additional surgery would be risky. Help!

  155. Roger on February 1st, 2012 12:46 am

    I had my TKR in Dec. 2010 I have been through hell since. I have had every procedure one can have since then. The latest was a specialist that did a bone scan, drew fluid and told me everything looks normal. My knee is usually always sore, I have about 110 ROM at best. Still hurts going down stairs. Some days are better than others. The biggest complaint is the BAND feeling that is always around my knee. It feels as though the muscles just will not relax. I have seen others here that have the same complaint, but no where have I seen anyone that can tell me how to get rid of it. What is really sad is that we are the %5 of people who have problems, everyone else is up and about in a month or two and can’t wait to get the other one done.

  156. Bob on February 2nd, 2012 1:44 am

    Jack, from your post I think you and I have a good bit in common. I had meniscus removed from both of my knees in the mid sixties. Had bi-lateral TKR about six years ago, have had a manipulation done twice, the second time my doctor also removed scar tissue from my problem knee. My ROM is barely 90 degrees in my bad knee but great in my good knee. I am thinking of going to a new doctor and see what he thinks about replacing the replacement.. I walk stiff legged and it is easy to trip and fall. I have always been very active and continue to exercise regularly. I have been extremely disappointed with my results. If it is scar tissue causing the ROM problem how come my good knee isn’t affected?

  157. patty hale on February 2nd, 2012 2:21 am

    I had mine on Aug 24,11 and Im still waiting for that bewitching month where there is no stiffness, pain, etc..I really think the prog. has to do with the stiffness going into the sugery. I have only 95 flexion and physical therapy cut me off when the tore my thigh muscle trying to get more. I also get tired of people telling me I didn’t rehab enough because I’m still paying that bill. The only good thing is I can walk further then ever before knowing my knee has a good deal of stability. Good Luck and walk walk walk and ride ride ride>

  158. Sherry on February 11th, 2012 7:44 pm

    I had TKR 6/14/10 after 6 years of torment/chronic pain. My problems started when I fell off a chair. Went to the emergency room within the hour of falling…sent home with an Ace bandage on my knee with diagnosis of pulled ligaments. Three weeks later it was worse…so I do to an Orthopedic doctor and he tells me leg is broken but too late for a cast. Knee was also messed up but that wasn’t dealt with.
    Started going to an Orthopedic doctor and all he wanted to do was scope my knee which NEVER gave me any relief…it only emptied my pocketbook. I found out later that he didn’t do knee replacements (would have been nice to know). He just kept telling me my cartilage was fine just do more exercise and if that hurt then don’t do the ones that hurt.
    After three years of listening to this garbage I went back to Primary care doctor and he suggested a second opinion. I went for the second opinion and within the hour I found out that I was bone on bone and I needed a Knee replacement. I am still furious with this person that calls himself a doctor!
    So, I am 8 months into knee replacement but still have stiffness but no pain…thank God.
    I had a lot of muscle wasting in the early stages and still have it. I just want to know how long it takes to build muscle and will that help the stiffness/ROM?
    All the best on everyone’s new knee…I am still hoping the stiffness will go away!
    BTW has anyone heard of the Graston technique for scar tissue? Look it up and see if you think that will help you.

  159. Patty H on February 15th, 2012 3:40 pm

    I too have had TKR (left 2006 and right Dec 2011) I still have pain in both knees. the pain wa so bad in the left knee that the doctor recommended fixing the right before dealing with any re surgery for the left. My rom in 110 on left and almost 105 for the right. however yesterday’s visit discovered the all of sudden can’t lift right leg without assitance. (on step forward two steps back) this is a new problem was lifting last week at therispt with 2lb wieghts with no problem and no pain. no one can tell me why?

    Could it be the muscle wasting? stiffness is still and has always been problem. I too wonder how long it takes. My Doctor tells me a year.

  160. robert on February 20th, 2012 12:03 am

    i had a tkr on 12-7-11 & did not have all the pain that was said id have. mainly stiffness & soreness.am going to have scar tissue
    in my operative knee i had done taken care of when i go in for my left knee replacement 3-12. have not had any problems to speak of. in fact im bypassing guide lines for walker and cane. hope every one else is having the good luck im having

  161. Mark Klein on February 26th, 2012 2:04 am

    Had TKR on Oct 18, 2010. After 16 months I have no joint paint but stiffness won’t seem to subside. Saw the Doc and he said exercise more, i,e, walk, bike,etc. In other words, for now it’s my fault that I still have stiffness. My ROM is good at 115-118 degrees, but very stiff and somewhat swollen and bulging below left side of kneecap, My PT says if hasn’t loosened up by two years, may have to do more surgery. If anyone is experiencing similar symptoms, please respond. I’m curious if I’m waiting for nothing and if I should get more aggressive with my Doc about the stiffness. I’m 55 and very active – golfing, walking and biking. Just seems to have leveled of at a point I’m not happy about.

  162. Marie on February 26th, 2012 10:26 pm

    I had TKR in Sept 2011. At the time I first went in for my knee pain(which I put off for 3 years) I was already bone on bone. I tried pt before surgery, injections etc and nothing helped elevate the pain. Since I am only 45 I did not want to live the rest of my life not being able to walk more than 10 mins at a time. In reading a lot of the comments on this site, I feel somewhat lucky that the pain I have is not as bad as what others are stating. I am happy I had the surgery. I have stiffness in the knee and walking up and down my stairs is probably where I experience the most pain. I did have a manipulation 6 wks after the knee replacement and that was actually a turning point for me as my knee did so much better after that. I had pt 3xs week prior to the manipulation and then 5xs a week for two weeks after. I have to give praise to my surgeon and my physical therapists as they have stood beside me all the way. All my follow up visits have been with my surgeon so he knows how I have been doing since the day of my surgery. My Physical Therapists worked me hard but were caring and compassionate and I never slacked off as I wanted to get back to walking with my husband. I am glad I did not read these comments before my surgery as I would have been scared. I am not totally pain free, but am so much better off than I was before the surgery. I want to ride my bike, but have to wait for the weather here to get warmer. My only advice stick with being active. I learned early on that I needed to take it one day at a time and not want to do everything like yesterday. Once I got that through my head, the recovery seemed to improve.

  163. Robin on February 27th, 2012 2:46 am

    I had a Tkr 4 months ago and am doing pretty good. I’m sore at the end of the day after standing 9 hours or more. I’m still on tramadol and Mobic. I go to the gym at least 5 days a week and ride the bike, lift weights and walk on the treadmill. My biggest concern is that my tailbone is really hurting maybe from riding the bike so much?? Does anyone else have this problem?? Also, I still have no feeling on the outside of my knee an area about the size of a baseball. Is that normal?

  164. Roger on February 29th, 2012 1:13 am

    To Mark, we seem to have many of the same complaints. It has been 1 year and 2 months since my TKR. I have been through every possible procedure since. It has been manipulated, three different acupuncture Dr.s, bone scan, massage therapists, and numerous other attempts to rid my knee of pain since the surgery. I also have that bulging you said you have. just below the knee cap on the inside of knee. It still feels swollen. My surgeon sent me to his specialist who assists him on cases like mine. They did a bone scan and drew fluid out of my knee for the lab. They looked at the bone scan and said everything looks good, the fluid came back negative for any infection. I have a ROM of about 110 and the knee always feels like I have a tight band around it. I fish, hunt and ride motorcycles most all summer, but this has put a damper on getting around. If you find that magic bullet, please let me know.

  165. Sandi on February 29th, 2012 3:56 am

    My right knee was replaced in July of 2010, after having had constant pain for a over a year, due to osteoarthritis. I had previously had the injections with no effect. Following the surgery, I did really well, excellent ROM, back to active work (nursing) within a month following the surgery, etc. I have always had some soreness and stiffness, sometimes worse than others, but still greatly improved from before the surgery. Over the past couple of months it has become increasingly worse, even waking me in the night. It is especially bad when I change position and sit down or stand up, and up and down steps or stairs. I sit from standing, or stand from sitting or going up or down steps and stairs, especially down. It is becoming worse with spasms now. I have been to the OS office, but usually only see the PA. Today he ordered a bone scan, as my labs are normal, so no infection.

    Can anyone tell me what causes this. I also had my left knee done in 2009, but it is not giving me any problems. The pain covers my entire knee in front & on right side of my knee shooting up my leg,going toward my hip. Has anyone else experienced this, and what did they do for it. Has it helped?

  166. Monty Newton on February 29th, 2012 2:43 pm

    If bike riding is something you took up since the TKA, then the tailbone soreness is expected. I am 7 months out – and I have some numbness on my knee area, and thigh. some of that will go away, but some won’t. Yes – it is normal.

  167. Monty Newton on February 29th, 2012 2:48 pm

    Oh – and I had manipulation on Jan 23, over 5 months out from TKA. It helped some – getting me from about 100 degree flex, to probably 115 deg. I expected more – seems like a lot to go through for only 10-15 deg. I get good range – then I do too much, and the knee swells and stiff for a few days. It still swells – but I can walk forever – no pain there. Just want to be able to bend it like I used to. I am finally able to ride a bike well.

  168. Patty H on March 11th, 2012 4:23 pm

    Just past four month out still have pain, numbness and stiffness. Have Doctors appt on tuesday hope he has answer for me.

  169. Joyce A.R. on March 11th, 2012 8:12 pm

    After putting up with pain for about ten years and using a cane, I had a total knee replacement in September 2010. After going through rehab at home and also at a rehab center, I don’t have any limp, pain, stiffness, soreness or lack of motion. It has given me a new lease on life. I would absolutely get the other leg done when I have to. It is one of the best things I have ever done. I do feel a slight ache when the weather is bad (cold, snowy) but not enough to even take a pain pill. I thank my surgeon for the excellent results. I am 64 years old and on a weight loss plan. I exercise every day but cannot kneel, or squat. I can get on the floor at home to do exercises but I need to be close to a piece of furniture, I lift my body with my “good knee” and then use the one with the replacement to fully stand.

  170. Dkanx on March 15th, 2012 6:14 am

    Hi i had arthroscopic on my knee feb.03.2012 i tore my acl and had a partial tear in my mcl i also dislocated my patella and had a lateral release after two weeks of recovery i found it very difficult to bend my knee but trust me it gets better i thought it wouldnt the date is now march.13.2012 not that long and my doctor thought it would take longer you really dont even need physical therapy because all you hae to do it practice bending and straightening it always bend and extend a little further than it can go hold for 5 secs. And then release this method works very well i’m back to my normal daily routine .

  171. Robert on March 16th, 2012 3:12 pm

    I am now at end of 7 weeks post TKR (1/23/12). I have had extensive physical therapy and have only about 45degree bend. I am going crazy, am extermely miserable,and want my life back! I am almost 63years of age,male, and very active (golf mainly). My left knee was replaced plus I had release of my patella which was all the way off center for about 45 years. This is what is making bending my knee problematic. I currently am in physical therapy as outpatient 4x a week. I have 8 more appointments to get at least 70degree bend or I will have to have manipulation. I am scared of this as I would have to go back to hospital and stay overbite. Any thoughts about this?

    Thank you,
    Robert

  172. Robert on March 16th, 2012 5:27 pm

    Hi again, there was a typo in my message above; should read “overnite”.

  173. patty on March 17th, 2012 1:13 pm

    Went to the doctors give it more time he says and maybe I do. It’s just very frustrating knowing there are people who’ve had same surgery and they are up and doing noraml activity. He also said can stop physical therapy at the end of month and changed my pain meds. Only time will tell. Spring is here hoping to be able to get out and do things in the yard hopefully it will help.

    Joyce how long was it before you were back to normal activity?

  174. Joyce A.R. on March 18th, 2012 7:58 pm

    Patty, I had six weeks of rehab, 2X a week. I thought I would never be able to ride my exercise bike at all, but the last day of rehab I actually did a revolution on the bike. Getting back to normal, was about 9-10 weeks. I was surprised by how quickly I could go up and down stairs (I live in a bi-level house). Truthfully I had the surgery in the first week of September 2010, and by the end of November I was able to put up the Christmas tree. After mid-January I could do everything I used to do but kneel in church, so I just sit on the edge of my seat!! I am not hampered by anything except kneeling and I get up and down off the floor using my left leg and then my right while holding on to a chair, bed or someother solid object. I go on long walks now, and find that my left knee hurts a bit, but my right knee does not. I would agree with your doctor, to give it time. I also kept up my exercises Ithe ones the physial therapist had me do after surgery) untill about January 2011. I had a very good surgeon and he used a device that he has not had to replace in 17 years, so that was a plus for me. I have a Dupey device in my knee. It just takes more time for some and less for others. Good Luck. Thanks for asking.

  175. Joyce A.R. on March 18th, 2012 8:03 pm

    Patty, the device is a Depuy. I misspelled it!!

  176. patty on March 19th, 2012 8:21 pm

    thanks Joyce there is hope for me. I’ll keep you post as time goes by.

  177. patty hale on March 20th, 2012 5:13 pm

    I just figured out another Patty is posting, small world. I was a little offended by Joyce because I do not sit around and complain about the stiffness in the knee. I walk 6 miles, bike 1 hr, and eliptical 1 hr, every day. I shudder to think that it takes more exercise than that. My manipulation was an in and out procedure with pt visits the same day. They were able to get my knee to a 120 flexion but that was with extreme discomfort, ok pain. Of course once pt ended it went south and now I am at 95 flexion and still very stiff with exercise, but I am sticking with it and everyone needs to know that it is a life style change.Robert) Stay true to your self and do the pt even if the flexion is’nt exactly where every one else ends up. Each knee is different and alot depends on the knee going in. The manipulation is not bad they used the same spinal block that they used in theTKR. I did have to use the CPM machine as well.

  178. Joyce A.R. on March 21st, 2012 3:38 am

    Sorry Patty Hale,

    I did not know there was another Patty, thanks for giving me that knowledge. There was no offense intended to you, I don’t even know you, but I thought the other Patty needed to know that her knee would improve in her own timeline and her own exercise plan. I meant no disrespect to any other Patty’s on this site.

    Joyce A.R.

  179. Raunee on March 21st, 2012 4:59 pm

    I had a right TKR 6 weeks ago. Still have swelling, some clicking, & popping, From my incision scar to the outside of the knee is numb about 2″ x 3″ area. I have a lot of pain in the mornings and at night. My knee is still swolen, sometimes worse than other times. I too experience the tightness feeling like a band around my knee. I now know what all pain feels like, such as: stabbing, burning, shooting, etc. lol…. I have good range of motion. I do have a pain that shoots down the outside of my leg, It is not a muscle, Not sure what the pain is. Does anyone know what the pain the goes down the outside of the leg from the knee down about 6 inches? It feels like a ligament or something. When I saw my OS. yesterday and asked about a few of my concerns, he said they were all “normal” issues, which seems to be the answer all OS.’s give to any question asked. My OS. said I do not have to come back to see him for a year. Is that normal to have a six week check up and then no apt. for a year???
    I’m still undecided if it was the right decision, the first month was hell, but continues to get a little better each day. Maybe in another month or so, I will be glad I got the surgery. I’m 54 and has always been very active and athletic.

  180. Marie on March 22nd, 2012 1:38 am

    Raunee
    I had my TKR in Sept 2011 and I am still under the care of my surgeon. I went every 2 wks, then 4 wks etc. I am following up in early April for another check up and believe I still have another follow up after that. I still have numbness, and some pain but overall it has been going well. I have good range of motion, but not as much as I would like. I sometimes get pain on the right side of my knee and I can tell when I overdo it I get the burning. I am 45 and it took me almost 3 months to say I was glad I had the surgery. I truly am glad I did. Give it time you will get there too. :)

  181. Robin on March 22nd, 2012 2:00 am

    Raunee, the pain is normal. The pain down the leg is probably the sciatic nerve. As your knee swells, it presses on the nerve. It gets better. I’m 18 weeks out now and feel better. I felt the same you did at 6 weeks. I was still on Percocet then. I switched to tramadol and Mobic at 3 months. The doctor had me come at one week, 3 weeks, 3 months, then 6 months, then once a year. He does X-rays every time to make sure all is well. I have a little swelling and it hurts after standing all day or a hard workout. I’m walking everyday, going to the gym and lifting leg weights and the elliptical machine. Swimming is the best and least stressful on the knee. I did the bike 4 mos. before the surgery and also lost 70 pounds. I started back on the bike at 3 weeks but ended up with a fractured tailbone so be careful on the bike! I’m 50 and initially injured my knee in 98 when I was hit by a drunk driver. The main thing is to keep exercising or your knee will get really stiff. Mine still does even after one day of not working out.

  182. Roger on March 22nd, 2012 1:56 pm

    I’m curious if anyone else is still haveing problems after a year and 3 months from a TKR. I have had the knee manipulated, scoped, acupuncture, massage therapy, PT (for months). The last attempt to find out why it is still so sore was a bone scan and fluid drawn from the knee to check for infection. No infection, and the Doc says everything looks good. There are more bad days than good ones. I ride a stationary bike daily and on my feet a lot during the day. Still very sore, muscle wise. I am very active with golf, hunting, fishing, motorcycles and in the yard most weekends. I just don’t know if I will ever come to the day where I can say, I’m sure glad I did that.

  183. patty hale on March 22nd, 2012 3:22 pm

    My scar is on the outside of the knee, the reason for this was because of the previous surgeries and I have some numbness. I have to say my tibial plateau fracture was sooooo much easier to recover from. Make sure you keep working on range of motion but it sounds like your very active so you will not loose that. I think most TKRS are seen at three months and then put on a once a yr schedule. There was a manipulation done as well on my knee so I go back in 6 mnths unless there is sever swelling and redness which indicates infection. I’m sure the pain will ease up. I have to laugh at your comment about the question’s you addressed to your OS because that is the same line my OS used. Keep up the good work but also remember that pain is usually the bodys natural response telling you to ease up…….Swim if you have the facility to use. Good luck to you.

  184. Lori on April 26th, 2012 10:42 pm

    I had aTKR on Nov 15 ,2011 My range of motion was so bad I had a manipulation on Jan 3. 2012. I went for PT 3 days a week until my insurance would not pay anymore at the end of March. I have been going to acupunture for 2 months and now I am back at the gym tring to do water aerobics, treadmill, and stretch classes and paying now 2x a week for physical therapy and I still cannot bend or straighten my knee it is stuck in a slightly bent postion so I drag it around I am 44 years old and I had full range of motion before surgery just alot of pain I am sorry I ever did the TKR. It is a nightmare. My OS says it will all of a sudden just start working but it may take a year he has seen this before. I tried to get a second opinon but I can not find a doctor who will see me due to the fact that I had a TKR with someone else. I am depressed and losing hope.

  185. Monty Newton on April 27th, 2012 1:18 pm

    Four months out isn’t that much. Had TKE Aug 2011, had the manipulation at 5-1/2 months – Jan 2011, and finally started a slow improvement. the first thing is get it straight. I used an ‘extentionator’ – brace sort of thing that forces it straight – where I would sit and read/watch tv as long as I could stand it. I was at about 90 degrees in Jan, now at 125. At your age – you must have had some previous trauma? not just wearing down due to age. did you have good range previous?

  186. Roger on April 28th, 2012 12:09 pm

    Lori, I can feel your pain. I had a total knee on 12/13/10, it’s been a year and a half now. I have tried the same treatments, acupuncture, manipulation and even had it scoped once since the surgery to remove scare tissue. I have been to massage therapists and finally went to a specialist for a bone scan and they also drew fluid from my knee. I was told everything looked good and there was no infection. My surgeon has told me I am one of the %5 that have these problems. It took months to get the leg straight, but with the use of the jazz splint I was able to get it straight. I only have about 110 deg flex and apparently will never have much more. The knee is usually sore and going down stairs if always painful. Month after month I can feel little changes for the better, but it is taking a long time. Like you, I haven’t found that day where I can say, I’m glad I did that. Hang in there and try the Jazz splint to get your knee straight, it worked great for me.

  187. pteck on May 1st, 2012 7:44 pm

    IM curious how soon after TKR can/should surgery be done to remove scar tissue and or replace the spacer.

  188. Anne on May 1st, 2012 10:44 pm

    I had a TKR on 3-25-10, and the pain is getting worse to where I can’t stand it much longer. I also can only bend my knee so far and getting in and out of the car is really hard since the knee doesn’t bend well. I don ‘t know what to do or if anything can make this better. Suggestions or comments????
    PS I need the left one done since I have bone grinding on bone but not sure I want to do this again if the results are the same.

  189. Roger on May 2nd, 2012 1:52 pm

    Anne – I know how you feel. The one thing that has kept me moving is the stationary bike and doing hamstring and calf muscle stretches afterwards. I usually do the bike for a half an hour and lower the seat one inch every 5 minutes. Then be sure to raise the seat back up for the last 5 minutes to stretch the muscles back out. Get on the bike atleast every other day.

  190. Debbie on May 6th, 2012 4:00 am

    I had TWO total knee replacements on March 20,2012. I spent three weeks at a nursing rehab and currently go to PT three times a week with workouts at the health club in between. I went off my pain pills at 5 weeks as I was breaking out in allergic lesions from the Norco so take Tylenol for PT.
    I am at 111 and 116 degrees at 6 weeks but cannot sleep at night. My legs ache and my one leg is still very stiff and difficult to walk on. The surgeon says that they are doing great but am concerned with the scarring from the staples(any suggestions?) and the one leg feeling as though it is in a vise.
    I am sooooooo glad that I did both knees at the same time as the surgeon said ‘why tie up a whole year for rehab”-best advice given!
    Just wish that sleep would be easier at almost 7 weeks?

  191. Robin on May 7th, 2012 4:55 am

    Debbie, lucky that your off pain meds. I’m at 5 months and still on
    Tramadol and Mobic. I leg hurt for three months at night
    Before I could even sleep in the bed again but it
    Will go away. My surgeon used glue so my incision is
    Small bit try mederma on it. You can barely see my
    Incision since I’ve been putting that on it. Good luck.

  192. Roger on May 7th, 2012 1:58 pm

    It’s been a year and a half since I had my TKR, I have seen several people mention they have the same “vise” feeling around their knee. Does anyone have any suggestions as how to get the muscles to relax? It feels as though there is an Ace bandage wrapped tightly around the knee, 24 hrs a day.

  193. Monty Newton on May 8th, 2012 2:55 pm

    My doc and PT tell me that is scar tissue – a band or capsule of hard tissue surrounding the knee. They both say it will soften and break down – the PT seems to think the extra flex comes incrementally through work, the doc seems to think it comes suddenly, when you step off a ladder the wrong way and go down, tearing loose the scar tissue – the barrier. ouch!!

  194. Marianne on May 8th, 2012 10:33 pm

    Roger- I believe, at this point, the only way to get the muscle to relax is to drink lots of wine!! I’ve been following this site for awhile now, especially your comments as I have had the same tightness around the knee just like a vice. I’m now 13 months into my TKR, and as I said previously, I had no problem with tightness or range of motion until the 5th month. As it appears you have had every procedure possible trying to evaluate the problem, I didn’t bother doing anything. I figured you would let us all know if you had any success. I had my one year follow up with the surgeon in late March. Xrays show no problem. He did, however, agree with me that there was considerable swelling still and he didn’t know why. I must mention, I have never had pain, only a lot of discomfort due to the swelling which is worse later in the day. I’ve never had problems walking or going up and down the stairs. My walking is much better than prior to my surgery and I would still have the other leg done in the future when needed. My surgeon speculates the problem could have stemmed from the leg extensions I was doing at the gym. I told him my P/T ordered these since week 3. The surgeon said he believes leg extensions are the worse thing for anyone to do, especially if you have had surgery or even arthritis. Well, I stopped the extensions over a month ago and still no improvement. I don’t agree with his speculation about the tightness coming from the leg extensions. Many of us have the tightness and don’t do these exercises. I wish I could find a web site for people who have had no problems at all–what is normal suppose to feel like? It’s 5:30PM now and I’m going to relax my muscle and tightness with some wine!!

  195. raunee on May 8th, 2012 11:34 pm

    Well it has been three months since my TKR. I’m finally off pain pills, (about three weeks ago)l But still have popping, in my knee. It is the sorest at night and morning. I finally started sleeping “in” until about 6:30 at about 2 1/2 months. I’m just taking aleve, but sometimes I think I should go get some emergency pain pills to have on hand. I think I my be loosing some of my range of motion, and so I’m starting to work on that again. It is so unfair, that after we get perfect range of motion, it can go backwards!!!! When I work it, it gets sore and swells back up.. This is just a pretty long drawn out, frustrating surgery. Hang in all fellow TKR’ers!!!!

  196. Patty on May 9th, 2012 5:39 am

    At first, after my surgery, I used to prop my legs up on several pillows. I think the “metal” feeling comes from swelling. I moved to China a few months after my surgery. So, I often have acupuncture, but I have to take an antibiotic to prevent infection. I also have had “medical” massage. Sometimes it helps to rub a cream on them. I try to drink a lot of water and somehow I think that might help. I was told by my chinese teacher to put a liquid on them and them gently pat or smack them. I have hesitated to do this, but I’m told it’s to help the blood circulation which normally isn’t good in this part of the body.

  197. Patty on May 9th, 2012 5:48 am

    I had the full range of motion that the doctor expected. I don’t know if I went backwards or if I”m just not as far as I would like. I had TKR surgery 4 years ago in 2008. I have difficulty getting up from sitting and putting on my pants and getting out of a car. When I take a taxi, I try to sit up front. But even then, I have to pick up my left leg to get out of the taxi. I just can’t bend it enough. I tried riding a bicycle, but my left leg won’t bend enough to pedal all the way around. When I came to China, a doctor said that they normally do one knee and then the other later. I had both done at the same time. I was glad to “get it over with”, but I was terribly crippled at first. Does anyone know anything about the advantages and disadvantages of getting both done at the same time?

  198. Roger on May 9th, 2012 2:36 pm

    Marianne- Thank you for the advice! A glass or two of wine may be just the trick. I seem to have good days and bad days. What I cannot figure out is that my soreness is not in the knee joint its self, but the muscles just beneth the skin around my knee. The only excersice routine that I have found that gives me any relief is spending a half hour on the stationary bike then doing some stretches. This only helps with the pain but does nothing for the tight feeling. There was a woman on this site several months ago that said she finally lost the tight feeling a year and a half to the day after her TKR. I am soon approaching that date and hopeful the same happens here. I will lift a glass after work tonight and see if that helps. Cheers!

  199. Aline on May 28th, 2012 1:58 am

    Six and a half years ago I had a total knee replacement . Two days ago I woke up and can not move my knee. It is totally stiff and hurts so bad when I try to get up out of a chair or bed .What has went wrong? I had a 116 total bend in it before and now nothing. In Jan.2012 I had the right one replaced and it only still gives me a little trouble. Haven’t got the total bend of 100 yet but am at 90.Will this clear up on its own? There is some swelling.

  200. Lesley on June 15th, 2012 12:12 am

    I feel for all of you having a difficult recovery. I am 54 and had bone on bone in my right knee for probably 20 years. I had a torn meniscus repaired and lateral release procedure in “97 and experienced a delayed recovery and lots of swelling and limited ROM following that surgery. Acupuncture and Chinese herbs restored my ROM and took care of the swelling. Surprisingly I didn’t have much pain from my long standing arthritis. I would occasionally get some pain and swelling usually due to over exercising or cold, damp weather. My main problem was instability. I fell on that knee on concrete in July “09 and the instability problems started soon after. I’m very active, a personal trainer by profession and the instability was getting annoying and starting to interfere with activity. An MRI showed the same meniscus was again torn and 2 OS couldn’t tell me if the the instability was from the meniscus or the arthritis. I made the mistake of deciding to have TKR. My surgery was Nov. 15, 2011. After opening my knee they discovered my ACL was chronically torn, 2 OS’s didn’t find that on the MRI. I experienced horrible swelling and extremely limited ROM after my TKR. My knee was stiff, painful, and felt like the joint was stuffed all the time. My ROM on flexion was between 45-65 degrees. On March 13, 2012 my OS did a manipulation and scope to cauterize scar tissue. He got me to 130 degrees with both surgeries but again I lost ROM pretty quickly. I still can’t walk normally, have daily pain and stiffness. Trying to work is difficult. I am using the JAS splint and have made minimal progress, it requires a big time commitment and is difficult when working 2 jobs. MY OS is suggesting doing revision surgery to replace the tibial component or doing another manipulation, no guarantees either with help. I do not want anymore surgery! That’s what got me into this hell. I am getting acupuncture, using herbs for inflammation and will be starting deep tissue massage. I also need to add that I am a prolific scar /adhesion former, I found this out after having some abdominal surgery. I informed my OS about this BEFORE my TKR telling him that it concerned me, he blew it off as if it wouldn’t be an issue. I’m angry that the doctors don’t tell us that we could end up with limited ROM, ongoing pain and stiffness, excessive scar tissue, etc. I did my research but didn’t find out those complications until too late. I regret having this surgery every day, the worst decision of my life. BTW, I had flexion of 150 degrees prior to this mess. I am hoping to get back to a functional ROM for my active lifestyle. One thing I’ve learned from this that here is no predicting your outcome. We all heal differently. I have a client who had severe arthritis and pain with a severely bowed leg; same OS did her TKR she sailed through recovery with minimal pain and swelling. Her ROM isn’t great but works for her as she’s not very active. She just needed to stay mobile.

  201. Roger on June 15th, 2012 12:06 pm

    Lesley – I feel your pain. It’s been a year and a half now that I had my TKR. I have tried everything you mentioned and nothing has worked to do away with the daily pain and the tight band feeling around my knee. I continue with my workouts at the gym, mostly the stationary bike, treadmill and stretching. I have found that using the squat machine helps to regain some of my lost ROM. I am at 115 now, but it hurts to push it there. like you, I was at 150 or more before I decided to replace my knee. It seems that the pain is lessening month by month, but the tight feeling has been there since day one. I am an avid outdoorsman and refuse to change my lifestyle so I will continue to work on it one day at a time.

  202. Lesley on June 17th, 2012 9:27 pm

    Roger-It sure is frustrating, isn’t it? I was just cleared to start strength training on the bad leg 2 weeks ago, so I’ve resumed lifting weights to try to get my leg muscles back and strong that have atrophied so much since the day of surgery. I’ve also had that constant feeling of a tight band around my knee since the beginning although it’s lessened as time goes on. It increases as the swelling increases. I’m still very swollen from the center of my knee on up above my knee. Below my knee is only about 1/2″ bigger than my left knee. I’ve used my JAS splint faithfully 3 times a day for flexion and 1 time a day for extension for the last 4 days and have been at 90 degrees of flexion first thing in the morning each day since, whereas before I was in the 80′s. It’s giving me some hope that I may eventually end up with a functional ROM. I have the Stryker Triathalon knee and their website says that you’re supposed to get an additional 12-15% of flexion after one year. I’m keeping my fingers crossed!

    Is your knee still swollen? How long did it take for that to improve? My right knee looks huge compared to my left knee, I have really small bones and I’m petite and wonder if the prosthesis is too big for me. The Dr. says it’s just more noticeable and always will be because of my physique. I’m also an avid outdoorsman, hiking, riding my horse, biking, and refuse to alter my lifestyle too and refuse to accept being crippled from this.

  203. Monty Newton on June 18th, 2012 2:36 pm

    I either didn’t listen or my doc under emphasized flexion issues – but I had no idea I would have flex issues. I had 2 previous surgical procedures on that knee – and never had flex or scar tissue issues. I am 10 months out – and probably have about all I can get – I can actually reach 125 degrees after very vigorous workout and pushing. but functionally I am more like 90-100 degrees. I can just ‘barely’ ride a bike and that is a huge thing for me. I am 55 and am still not sure that this TKE was a good idea.

  204. Robin on June 19th, 2012 4:41 am

    Lesley,
    I’m now 7 mos. out and my knee is Stil swollen
    The Dr. Said it would be for Atleast a year. I
    have been riding the stationary bike and lifting weights
    since 4 weeks after surgery. I’m on Mobic for
    swelling at night and Ultram for pain as needed.
    I still have no feeling on the outside of my knee
    and the swelling is worse on the inside. It is real
    tender to touch. If I don’t work out everyday, my
    knee gets stiff. If I stand for long periods of time (which
    I do with my job),my legs gets real sore. I never used
    A brace after surgery and the Dr. Says this is all normal.
    leg is sore

  205. Elsie Yan on June 19th, 2012 5:44 am

    Hi, My name is Elsie Yan and I live in Kuala Lumpur, Malaysia. I stumbled onto this site while browsing the internet for some information. Its interesting to read all your stories about TKR.

    I had bilateral TKR more than a year ago at age 50 and still have issue of stiffness even though I am physically active and have an average range of motion I can still feel all the tenderness around the knees and legs which I used to feel when I applied pressure on them. These are symptoms that are caused by arthritis but after TKR I should think that arthritis is gone and so should the symptoms. I also found that a lot of TKRers have the same experience as me. So I have been on a quest to find the answers to these issues.

    However, I am still thankful that I did my TKR and am pain free from the knees.

    I have started to document all my experiences in my blog and some of the posts I have written includes detailed account of my TKR experience, stiffness, to approach or not?, bow legs and my addiction. So please check out my blog.

    totalkneereplacement-elsie.blogspot.com

  206. phyllis on June 19th, 2012 1:53 pm

    I had my tkr in 2011. I am still waiting to have a pain free day. Now, i have developed a Bakers Cyst in the back of my knee. (Very painful)
    My question is, has anyone else experienced bakers cyst? And, is there a long time cure for them? Thank you.

  207. Lesley on June 19th, 2012 5:33 pm

    I’ve been doing a lot of research since I had my TKA, one thing I’ve found is that previous surgeries and/or injuries on the knee increase the risk of ROM problems. My doc never told me that, and he was aware I had several injuries and a prior surgery that didn’t go real well. He never even mentioned that ROM problems were a risk of the procedure. He talked abut risks of blood clots and infection. Infection rates are lower than the incidence of stiffness and impaired ROM. I think that should be disclosed so people can make informed decisions. I too increase ROM after vigorous exercise but can’t seem to maintain all I gain. I’ve stepped up my use if the JAS splint and seem to be gaining more ROM and a decrease in some of the pain and stiffness, especially at night. It might be worth trying for those of you in the same situation. Their website is: http://www.jointactivesystems.com

  208. Glenda Ardoin on June 20th, 2012 1:05 am

    Had my second TKR on January 31, 2012. I am now 5 months out. Still have pain. But not like the pain I had before surgery. Don’t have the unction to get up and move or exercise but I make myself. Because moving is important. Its so hard and hurt so bad some time. But I can’t give up. Got to keep going. Stay encouraged.

  209. Monty Newton on June 20th, 2012 4:59 pm

    I didn’t have as much walking pain as one might assume to justify a TKE. but I did have a frighteningly large Baker’s cyst that I didn’t know was there until the MRI. The TKE procedure removed that and I am glad to know it isn’t there anymore – it was golfball size. also – my leg was getting bowlegged to compensate for the inside damage – and that was affecting my hip and feet. So – now that my leg tracks straight down when I stand is comforting (taller on the TKE side by one-half inch too). I just want the flexion back. My doc said very little about flex before the surgery, and doesn’t think it that big of a deal now. I will keep working at it.

  210. Lesley on June 21st, 2012 2:12 am

    I was bone on bone on the outside of my knee so I was a little knock-kneed on that side and had custom orthotics to compensate. After my TKA my right leg felt too long, I quit using the orthotics but it has taken some getting used to feeling that leg being longer now. My back was compensating for the bad knee, although it still does sometimes due to my gimpy gait. The Dr.’s don’t think it’s such a big deal because they aren’t living with our issues every day. I guess all we can do is stay positive and keep working hard and keep moving.

  211. Lesley on June 21st, 2012 2:34 am

    Robin,

    My knee also is more swollen on the inside and also from the middle of my knee to above it. I also get more pain on the inside of my knee. I’ve regained some of the feeling on the outside of the knee but it’s still partially numb. Now after the fact my Dr. is saying the swelling can take a year to go down and the numbness on the outside of the knee was never mentioned before the surgery. I too get sore and stiff if I stay on my feet too long as I have to for work, and especially if I keep my leg in the same position too long.

  212. elsie yan on June 22nd, 2012 3:49 am

    I noticed quite a bit of comments here on stiffness, limited ROM, bow legs, pain etc. I certainly agree that doctors do not tell us enough info and we have to learn everything the hard way. I have been searching for an answer as to why despite being physically active and having a decent ROM, I still experienced the same stiffness and ROM as before TKR. I did some research and found 2 logical reasons:-

    1. Some people have more scar tissues than others which cause
    sitffness.

    2. The range of motion before surgery will predict the range of
    motion after surgery. If we have stiffness before surgery,
    then its likely we will have stiffness after surgery.

    Because I had to learn everything the hard way, I have started a blog on total knee replacement so that others can benefit from it.
    I have posted a detailed account of my TKR experience, stiffness, bow legs, osteoarthritis and also my own addiction experience.

    Feel free to check out my blog and share with anyone interested.

    I dont know why I cant post the whole url address her. So you have to type http://www. (followed by)

    totalkneereplacement-elsie.blogspot.com

  213. john pavelchak on June 24th, 2012 3:36 am

    Double KR in Feb. 2012, 4 day hospital stay, 7 full days at rehab facility, and PT 3X p/wk for 2 month’s, followed by 6 more weeks at 2X p/wk, knee flexibilities are 123 and 126. Best is no pain, only soreness from therapy, ice daily, walk, walk, stretch calves and hamstrings each day. I have tightness, however it is not total, and therapist says that is normal. I am confident if I stay true to exercise I will be better, never perfect.

  214. Elsie Yan on July 4th, 2012 8:35 am

    I have written a post on Water Therapy. This is something that most of us take for granted. I have personally benefitted from it. You will discover that our cartilage actually contains water and dehydration can cause joint problem. Hope you find the post useful.

    totalkneereplacement-elsie.blogspot.com

  215. Sue Cooper on July 7th, 2012 12:41 am

    TKR 3/14/11. I posted here a few times last year about complications following my surgery (unrelenting muscle spasms, blood clot, severe stiffness, depression –total loss of faith in my surgeon, etc.). Before my 1st manipulation at 2 mos. post surgery, my flexion was at 40 degrees, and afterward it was at 60. Physical therapy was a nightmare, excrutiatingly painful. At 6 mos. post surgery, my surgeon was very unsatisfied that I was only at 70 degrees, with pain!, and was strongly suggesting that I have a 2d manipulation. It was a huge decision for me, knowing there were risks involved and I was just sooo sick of the whole thing. I decided NOT to have a 2d manipulation, but soon after that, I had to drive a stick-shift for a couple of hours one day to pick up my daughter from school. I had to force the bend of my left leg with my hands to move it from the brake to the clutch. I decided that night to go ahead with the 2d manipulation. Immediately after the second manipulation, I was only at 80 degrees, but I did a 2d full course of physical therapy, which came much easier the second time around, and by 9 mos. post surgery, I finally was at 130 degrees flexion. Today, 16 mos. post surgery, I’m probably at about 135 degrees and only have discomfort after walking a mile or two. I just got back from a 6-week trip in Paris, France, and my knee held up fine with lots of daily walking, as long as I took breaks throughout the day. I consider this a very happy ending after a seemingly endless and grueling recovery, with lots of depression and anger, feeling sick to death of everyone telling me to give it time. In the end, time was what it took. And probably a second manipulation. I never see people talking about having two manipulations, and maybe most surgeons don’t do them. My surgeon was kind of an expert’s expert, and if anyone could do it safely, maybe it was him. I probably have to credit that with my eventual breakthrough. But in any case, 16 mos. after the surgery, I’m very happy to say that in my case, there really was a light at the end of a very dismal tunnel.

    (As a side note, one other thing may or may not be worth noting: at about 8 mos. post surgery, I started walking differently after studying both legs side by side, walking toward and away from a full-length mirror, and this seemed to make things easier, too. People were always telling me to BEND MY KNEE when I walked, and I thought I was. But when I compared my legs together while walking, I noticed that my good knee sort of raised up vertically quite a bit more than the surgical one (think of a marching band). I found that making a point to raise my knee more, and concentrating on that more than the bend itself, made it much easier for me to go up and down stairs, and walk less painfully.)

  216. Julee Wilson on July 13th, 2012 9:57 am

    Hi Carol Hanson,

    I had a tkr November 2012. Had blood clot behind knee and blocked vein in leg. Immediately after surgery I was complaining of no feeling in my foot. It’s now 8 months on and its still the same. They say it may take 2 years to get feeling back. I’m only at 72 degree bend and am unable to straighten leg. Lack of sleep is one of my biggest problems along with pain. I’ve seen another ortho pod for a second opinion and he’s sending his report to my surgeon who I see on monday. Like many people I wonder why I had it done but keep being told ‘time will tell’. Feeling a bit fed up with it 8 months later and not much progress. They dont want to do a manipulation as it can sometimes do more damage. Cant wait till monday to get some positive feeback.

  217. Julee Wilson on July 13th, 2012 10:03 am

    Hi Carol Hanson,

    I had a tkr November 2011. Had blood clot behind knee and blocked vein in leg. Immediately after surgery I was complaining of no feeling in my foot. It’s now 8 months on and its still the same. They say it may take 2 years to get feeling back. I’m only at 72 degree bend and am unable to straighten leg. Lack of sleep is one of my biggest problems along with pain. I’ve seen another ortho pod for a second opinion and he’s sending his report to my surgeon who I see on monday. Like many people I wonder why I had it done but keep being told ‘time will tell’. Feeling a bit fed up with it 8 months later and not much progress. They dont want to do a manipulation as it can sometimes do more damage. Cant wait till monday to get some positive feeback.

  218. Donna on July 14th, 2012 3:12 pm

    Hello. I had a tkr in February of 2011. After tons of therapy and a manipulation I can bend the knee but cannot straighten it. I walk with a bad limp and am in constant pain. Now they want to do a total revision. Wishing I never had this surgery.

  219. Lesley on July 15th, 2012 3:28 am

    Hi Sue,

    Your experience sounds so much like mine. I saw my surgeon on 6/4/12 and he suggested the possibility of a second manipulation. I too said no way, no more surgery, that’s what got me into this mess! At that point I was at about 90-95 degrees and using the JAS splint.

    Did they do a closed manipulation or did they also scope your knee and cauterize the adhesions? That’s what they did with my manipulation at 4 months post-op. When you mention being at 130 degrees at 9 months post-op, is that 9 months after the replacement or manipulation?

    I’ve made some progress with the JAS, I was up to 107 degrees today but lose range after the splinting session but overall I’m gradually increasing my range even when my knee is stiff. I would suggest anyone having issues look into the JAS.
    http://www.jointactivesystems.com.

    Glad to hear you made such good progress, I’m hoping it will just take time in my case too and that eventually I will also be at 130+! I’m at 7 months post-op tomorrow.

  220. Julee on July 21st, 2012 3:59 am

    Hi Fellow tkr’s.

    After seeing my surgeon 15/7/12 he seems to think my knee will get better after 8 months of problems. I am using my stick less now but still not much happenin g in straightening or bending the knee.. My other knee is really playing up but no way will anyone get near this one.! Still of the same opinion a manipulation can sometimes cause more damage. I’ll give it more time and see how it goes. I see him again in 6 months. Anyone out there had similar experiences. I felt so good after finding this site. I felt as if i’m not the only one !.

  221. Roger on July 26th, 2012 4:15 pm

    It’s been a little over a year and a half since I had my right knee done. I am still very discouraged. I have tried everything from having it scoped shortly after the surgery to remove scar tissue, two different acupuncture Dr’s, massage therapy, long needling and numerous other ideas that I had heard about. Nothing has helped to relieve the daily muscle pain. It is still painful to walk downstairs or for any distance. I can straighten the leg and I have about 110 rom. The surgeon had me see a specialist who did an MRI. He told me that everything looks good, and to keep doing what I am doing (whatever that means). I am really tired of taking pain medication to get through the day. Being as active as I am, this has really put a cramp in my life style. I cannot help but feel something was not done right when my muscles surrounding the knee were reassembled during the surgery. It will be two years in December.

  222. Sue Cooper on July 28th, 2012 4:18 am

    Hi, Roger. Sorry to hear what a tough time you’ve had and are still having. I’m curious about your muscle pain. Where exactly is it and what does it feel like? Cramps vs. achey? Is it after you use your leg quite a bit or all the time? Do you walk with a cane, by chance?

  223. Sue Cooper on July 28th, 2012 5:03 am

    Hi, Lesley (and Roger, again). My second manipulation was a forcible closed manipulation, identical to the first one, no scope. The breakthrough at 9 mos. was post-op, not post-manipulation. I, too, used a splint that looked a lot like what I saw on your link. I should say I “tried to use one.” It was called a “Dyna-Splint,” and even set at zero tension, the thing was excruciating. I’d wear it an hour and would have 8 hours of hard muscle pain afterward. Around that time, I got a second opinion from a surgeon at Ohio State Univ. Medical Ctr. who does nothing but revision surgeries of bad TKRs — the guy had authored a textbook on TKR revision. He told me to give it a full 2 years — I forgot to tell you that, Roger — and from the extensive X-rays he did and the exam, he predicted that by 2 years post-op, I would be very happy with my knee, which in my case, turned out to be the case. But I happened to think of that in connection with the splint, because he was very averse to using them. He suggested a slider kind of device that you place your foot in (like a cross-country ski), and you use it to slide your foot back and forth on the floor, when you’re sitting. He said he’d seen people get just as good results with those and they were much much less painful. I didn’t end up getting that, but did turn in the splint at that point, which was okay with my surgeon. Another thing the 2d opinion doc offered, after watching me walk down the hall barefooted, coming and going, was that my surgery leg pronated at the ankle. He said that would add to my pain considerably, that I should never walk barefooted and should immediately get orthotics put in my shoes. I did that, and it did help with the pain. Probably the biggest help for me, in terms of a device, was during my second round of PT, I started trying to ride an old recumbent bike we had in the basement. I still couldn’t get a full rotation, but I would stand up on the pedals and just ease myself down on the step going forward, then reverse directions easing myself down backward, forcing a slight bending and straightening, over and over. I had control of it so it was never unreasonably painful, just a gentle stretching a few minutes at a time throughout the day, and eventually I started making big gains in flexion. But again, that was after my second manipulation.

  224. Cathy on July 28th, 2012 7:33 pm

    Roger, It has been a 13 months since myTKR and the one thing I can tell you if you have an excerise bike you need to make it your friend. My Dr. also told me to keep excerising it , when it gets stiff from sitting or standing for any length of time it helps a lot. I have days where going down stairs bothers me and sitting in very low chairs but time and excerise sure helps. Keep working on it

  225. Roger on July 29th, 2012 9:09 pm

    Sue & Cathy, I very much like your feedback and advise. Sue, the soreness is in the front of the leg and mostly just below the knee cap and on either side of the leg. It is not a cramp but more achey all the time. If I rub the area it feels sore just below the skin, like a burning sensation. I forgot to mention last time, the one thing that has really bothered me every since the surgery is the tight “band” feeling around my knee. It feels as though the muscles tightened up and will not relax. This feeling is any time that I walk on it. I heard from a woman who had the same feeling, she said went away after a year and a half.
    I used a cane for a couple of months after the surgery. I also acquired a very nice stationary bike that I use at home. I lower the seat as my leg will allow in order to keep trying to get more ROM. I also try and work out 3 times a week at work on my lunch hour.
    If I could just figure out how to relieve the soreness and the tight band feeling, I would have few complaints. Thanks for your ear guys!

  226. Melody F. on August 12th, 2012 3:59 pm

    Wow, I just went and read through all of this site and I am even more discouraged. I had a bilateral knee replacement a month ago. Everyone thinks I am doing awesome – can bend almost to 120 and I do my exercises, etc. But then we get to the other side and what I am reading on here – the horrible tightness around my knee that feels like a band that never goes away, the pain that is always there. My knees feel so heavy and I don’t really want to do anything – I am sure there is some depression over all of this. I don’t sleep well at night and when I finally do sleep, I don’t move so when I wake up, my knees feel awful. I know, I am just one month out but after reading what all is on here, I don’t feel like this is going to get any better. I have had lots of surgeries and I always thought – just keep moving and exercising and every day, you will be better. That hasn’t worked in this scenario. I was already on some pain killers for my back before the surgery and they don’t give me anything else that is stronger so pain killers aren’t really helping. I am at a loss as to what to do now. I am sad. Anyone had all this happened and now they are better?

  227. Melody F. on August 12th, 2012 4:05 pm

    Wow, I just went and read through all of this site and I am even more discouraged. I had a bilateral knee replacement a month ago. Everyone thinks I am doing awesome – can bend almost to 120 and I do my exercises, etc. But then we get to the other side and what I am reading on here – the horrible tightness around my knee that feels like a band that never goes away, the pain that is always there. My knees feel so heavy and I don’t really want to do anything – I am sure there is some depression over all of this. I don’t sleep well at night and when I finally do sleep, I don’t move so when I wake up, my knees feel awful. I know, I am just one month out but after reading what all is on here, I don’t feel like this is going to get any better. I have had lots of surgeries and I always thought – just keep moving and exercising and every day, you will be better. That hasn’t worked in this scenario. I was already on some pain killers for my back before the surgery and they don’t give me anything else that is stronger so pain killers aren’t really helping. I don’t really know what to do and I am sad about it all. Anyone gone through all of this and now you are lots better?
    Oh yeah, I am a 57 yr. old woman who just wanted to feel better and be out of pain. So far, not there. I am tired and weary and seemed to be fighting this all the time. What now? And yes, I go to PT twice a week, I had the machine at my house for 3 weeks, I try to do all kinds of exercises around here, I would just like some rest and some pain free times. Is it ever possible any more?

  228. bill leonard on August 13th, 2012 9:18 pm

    i had my left tkr on 4/11/12 i am glad(?) to hear some of my symptoms are pretty common.the tightness around my knee,the soreness. i have had nothing else done to my knee.just pt 3x a week at the ortho center and the rest at home. nobody really spoke about working or returning to work.i will be on 8/29 hopefully,this will assist in my recovery.i work in the public woks dept. of my county mostly installing and maintaining drainage pipes. i’m on my feet most of the day,i’m not a machine operator.i’m a laborer. my knee is sore and tight and walking and standing makes it more so but if it looks like it’ll take at least a year,than that’s what it takes.HOWEVER,if my knee doesn’t get back to,at least,what is was before the tkr. Grrrrrrr,i’m gonna be p***ed. God Bless Us in our Recoveries!!

  229. Dorothy J. on August 15th, 2012 5:51 pm

    I am 47,I had my first TKR Nov,2010,on my left knee.that went pretty good..before I go any farther I have been put under 12 times for my knees,with scrapeings,Manipulations,n TKRS.since 2010…I have alot of illnesses,diabetes,tremors,pancreatitis,high bldprse.ect…sorry,Anyways i have noticed my left knee comes in towards my right knee,it didnt before…well then Aug,2011 they replaced my knee cap it was cracked.and thats when my nightmares began,,then Jan,31,2012 I had to have a TKR plus they had to cut bones from the top n bottom because i have RA very bad..I got home the PT guy came the first day n bent my knee I screamed n cryed so bad my husband ran in the room n was not to say the least very upset.the PT guy said come on lets finish you will be ok..we said NO thats it im done,he left,and since that day i can not bend but only to about 65 it wont go full strait.On March 27th 2012 it was manipulated,well i started outpatient PT n it started swelling about the size of a mellon and the pain is so unbearable,,,they called the Doctor and said they will not touch it anymore,No PT will..It is swollin like that all the time..and it gives out all the time ive fallin so many times,,im in n out of the hospital because of this.the Doctor said give it time..well i went to another Doctor and he did a bone scan and said there is something wrong but I cant remember the name n its hard to spell.(sorry) he gave me a brace told me use crutches ice every hour and keep up…I have to go back and see him in a couple weeks and he said hes more then likely gonna have to go back in…I dont want to,But I NO SOMETHING is wrong and so does he.the other Doctor has called 1 time since and its been about 3 months.and that was for an appt…lol…im thinking he knows maybe he did something wrong..but the worse thing is now my left knee is starting to swell n is very painfull from holding my weight on it…i cry myself to sleep wake up grabbing my knee in so much pain..I can barely walk it hurts from my thighs down to my toes..its hard to stand,walk,sit.n lay…Im SO TIRED…I hope and Pray this Doctor can help….thank you for this site…good luck to you all.and god bless <3

  230. Lesley on August 16th, 2012 4:32 am

    Melody,
    it sounds like you’re doing well being at 120 degrees at only one month out. I had the tight band feeling for quite some time too. I massaged my knee myself to soften up the soft tissue and break up adhesions, it really does help especially soon after surgery. You have about a 3 month window while the scar tissue is still pliable. My PT described it as bubble gum on a hot sidewalk, as time goes by it matures and stiffens up. Try just kneading and lifting up the skin and rolling it in your fingers. I’m 9 months out from my TKR today and only got to 108 degrees 4 days ago (my best ROM so far), so I am still working on gaining ROM.

    Being depressed and having trouble sleeping is perfectly normal and totally annoying. I couldn’t sleep most of the night for at least the first 6 or 7 weeks, the lack of sleep, pain, and frustration at my lack of progress caused depression. I know others who have experienced the same thing. The surgery and anesthesia takes it’s toll on your body, it’s a lot to deal with.

    The stiffness is normal too. I still get stiff if I’m immobile for any length of time but it’s getting better and dissipates quicker once I start moving. Just a few months ago I would wake up in tears because just trying to bend or straighten my leg was excruciating after I woke up.

    There was a time in the not too distant past that I was afraid things would never improve too. Now my knee is feeling more like a “normal” knee, I can walk fast and without a limp most of the time. I have less pain and stiffness. I’m back to lifting weights and I also use the stationary bike even though I can’t always do full revolutions. My goal is still 130 degrees of flexion.I’ve resigned myself to the fact that it will just take time and I need to keep working at it and be patient.

    Hang in there, things will get better!

  231. raunee on August 17th, 2012 8:28 pm

    melody, I had my TKR done on Feb. 9, 2012, right knee. I remember the first few months feeling very depressed, worried, and wondering if I did the right thing. I’ve had many symptoms over the last 6 months, including the tight band feeling, swelling, pain, etc. It took me about 2 1/2 months to sleep through the night. I can tell it is continually getting better. I still have stiffness in the mornings, I flex and straighten it several times a day. I do not limp, and I’m off pain killers (they don’t seem to work anyway).
    Hang in there it gets better. I can run around all day and my knee is fine. I’m glad I had it done now. I’m so much better than last summer and fall.

  232. Roger on August 17th, 2012 10:42 pm

    Just a quick up-date to all my TKR buddies. Since having mine done almost a year and a half ago, I still have the tight band feeling all around my knee. The one positive note is that the soreness (most of the time) has lessened. I have played golf several time now, from a cart, and usually have to ice it down that evening. I really thought that after 18 months of this the muscles around the knee would finally relax, but I’m still waiting for that day. Has anyone tried a deep massage to get rid of this feeling? I sure don’t want to aggravate it and end up limping around for another year. God bless

  233. Robin on August 20th, 2012 1:12 am

    Roger, I’m 9 mos. since surgery. At 8 mos. my knee felt
    100% better. No tightness at all but it does get stiff quite
    often. If I don’t. Go to the gym everyday, it’s hard to stand up from
    a sitting position. I’m off all meds and the swelling is gone. Did
    your ortho surgeon cut through your quads? Mine bypassed
    them which is maybe why I’m not feeling the tightness.
    Swimming seems to help me the most. Good Luck.

  234. Julee on August 20th, 2012 1:28 am

    Hi Roger,

    Just read your note re deep massage. I had a month in Thailand and had a full leg ms=assage every other day. Yes it did help. It’s been 9 months since I had my tkr and things are not as good as I hoped. I purchased an electric massager and use that 3 times a day round the calf back of knee and quad. Yes it does help. Hope you find this useful. Don’t attempt to do the knee joint itself you’ll hit the roof !!!!!

  235. Joyce A. R. on August 20th, 2012 4:59 am

    I had TKR 2 years ago on 11 Sep 2010 on my right knee. I didn’t have any problems with a tight band after my therapy, I finished rehab in mid-october 2010 and can honestly say I had no problems at all with my knee. Maybe I’m just lucky, but I am sorry you all have to go through this pain. I plan to have my left knee done in November 2012.(it has been hurting for a while). I will let you know how it goes this time. Thanks for your comments. God Bless you all.

  236. Rick Pope on August 20th, 2012 5:25 am

    To Bill Leonard: I had both knees down in May & Aug 2011. I am football player size, exercise a lot but have a desk job and only do household chores and fixit stuff.. Check out Wobenzyme from Douglas Labs which greatly reduced my swelling and pain. Good general vitamin and supplementation is very worthwhile – it is worthwhile to educate yourself on using quality brands. Most important is to cool the joint. The Torex oversize cold pack is $32 at Amazon. Get one for each knee. Cool knees down before and after work. Another technique is to run cold water sitting in the shower, 1-5 minutes on each knee. I do this before bed. These TKRs generate more heat than a normal knee, and any exertion seems to cause some inflammation (beyond normal joint). Some OD’s published an article last year about measuring elevated temp of TKR joints. Consider wearing knee protection because even incidental bumps can be painful or a little bit alarming, I hate being on a ladder and bumping the knee even gently against a wall or the ladder. With the knee pads, I am not so touchy and don’t overreact. Of course, your can NEVER KNEEL, Good luck.

  237. Marianne on August 20th, 2012 5:24 pm

    Roger- I’m now one year into having the tightness around my knee, starting 5 months post op. Despite having no pain, only discomfort, I do have a lot of swelling. On July 24, I went to my chiropractor for a lower back adjustment (too much gardening!) His specialty is in treating sports injuries. I asked if there were any way I could get rid of the tightness around my knee and swelling. He has had arthroscopic surgery on his knees twice due to soccer injuries in college and says scar tissue is more prevalent in light skinned blue eyed people. I’m told the tightness and band like feeling is due to scar tissue which in turn causes the swelling. Twice a week I’m getting ultra sound which really helps in getting rid of the fluid and swelling. He’s also using a technique very similar to the Gaston (Graston?) technique which you previously spoke of. He uses a different instrument unlike the Gaston Technique but works on the same principle—-breaking up scar tissue through soft tissue manipulation. (His technique, I’m told, has been used by the Chinese for hundreds of years). So far, I have had 8 “sessions” over 4 weeks of ultra sound and soft tissue manipulation. I have had a vast improvement with the swelling. I couldn’t believe the difference the very first day I walked out of the office. I actually had better range of motion after the very first treatment. This isn’t an easy fix, though. I was told TKR don’t take a year or 2 to heal but more like three years until the replaced knee starts feeling like the good leg. Scar tissue in shoulder surgery often takes 6 months or more to dissolve into the lymphatic system and knee surgery can often take longer. He says scar tissue can also come back (I don’t understand that part and why!) Anyway, up until last week, I was only getting the ultra sound and Gaston technique on the front of the knee and I complained I still had swelling on the back of my calf and lower hamstrings by the end of the day after a lot of walking. He then did ultra sound on the back of the knee and soft tissue manipulation (which was very painful—I guess I didn’t feel much on the front due to the numbness still being there). I definitely felt another huge improvement in the range of motion and swelling when walking out of the office. As my insurance only pays 30 Chiropratic visits a year, I have to stretch this out with my remaining 14 visits left until 2013. I no longer feel the two inch long lump (scar tissue) above the front of my knee, but since I still have tightness, I’m told there is scar tissue surrounding the entire replacement. This will be a long process as well as expensive at $20.00 Ins.co payments every time I go. However, I do feel I’ve finally found some answers to my particular problem with the tightness and band like feeling. I’ll keep you and everyone else posted with further progress in coming months.

  238. Marianne on August 21st, 2012 5:50 pm

    To Rick Pope- I had to laugh to myself when you mentioned TKR generating heat in the knee. Although I’m sure this was the case from day one,(17 month ago) I didn’t realize the warmth until I got the tightness and band like feeling around my knee 5 months in. At this point I was convinced I had an infection in the knee which of course was not so. I was recently told by my Chiropractor, who is treating my knee with ultra sound and soft tissue manipulation, that icing as much as possible does help the swelling. That was a month ago and so far I have found little time to ice my knee. It was so easy to do when recuperating after the surgery, but now that I have my life back and I’m constantly on the go, icing seems to be at the bottom of my “to do list” every day. Swimming in the cold Atlantic off the Jersey shore does seem to help every week I plunge in. I’m sorry it can’t last year round. As to never kneeling, my p/t told me this also, one month after the surgery; however my surgeon said I would have no problem as long as I desensitized it. I was able to kneel in church about 8 weeks post op and then gradually knelt on the ground for my gardening on a cushion as well as the gym on various machines.

  239. Lesley on August 21st, 2012 6:58 pm

    Roger,

    I’ve had 14 sessions of deep tissue massage for my TKR knee and leg. It has helped lessen the swelling and improve my ROM. The problem with limited ROM, altered gait, and tightness is that muscles shorten and you get in a vicious cycle of imbalance that perpetuates the dysfunction. The deep tissue massage can help lengthen the shortened soft tissue and break up scar tissue as well as relax tight muscles. I can’t flex my knee enough to stretch my quads, the massage therapist can manually stretch my quads for me. Sometimes the massage process isn’t comfortable but it does help. You might also check out “Rolfing”. I know someone who had this done for scar tissue and got great results quickly. It can be expensive but is typically 10 sessions of treatment.

    I’m still about and inch larger in my TKR knee than my good knee due in part to the swelling. It gets worse after being on my feet all day and I feel like I have a built in barometer. I looked into the Gaston technique but I live in a rural area and the closest person that does this is a 7 hour drive from me, one way!

    Has anyone else experienced prolonged swelling? I’m 9 months out from surgery. I ran into my PT at a store yesterday, hadn’t seen her since April and she told that in 40 years as a PT she’s never seen anyone have such a bad time with their knee as me.. I told I found a forum with a lot more people like me and worse off too.

    Marianne, that’s really interesting about light skinned, blue eyed people making more scar tissue. I have blue eyes and I’m not extremely fair but medium skin tone but I’ve had excessive adhesions from abdominal surgery and this TKR.

  240. Lesley on August 21st, 2012 7:30 pm

    I use proteolytic enzymes similar to the Wobenzyme mentioned, the enzymes help to dissolve fibrin in scar tissue and also help with the swelling. I measure the circumference above my knee, around the center, and just below my knee every morning and have noticed improvement since using the enzymes. I started the enzymes before the massage therapy. The brand I’ve been using is “Doctor’s Best” Best Serrapeptase. I took 3 per day for a few months and am now taking 2 a day. It’s extremely important to take on an empty stomach and wait about an hour before eating otherwise the enzymes will just help digest your meal and not work on the scarring and fluid.

    For the external incision scar I’m using silicon scar strips. They are like a fabric band-aid with a gel like silicon material on the back. They soften the scar tissue as well as lessen the purple/red discoloration and help flatten and raised scar tissue. You can leave one on for 4 days straight even through bathing. It’s the best product I’ve ever used for external scars.

  241. Melody F. on August 21st, 2012 10:58 pm

    Thanks to all who have replied to me. I had an interesting physical therapy appt. today and thought I would share. My regular therapist wasn’t there and I had a new one. This guy said my kneecaps seemed to be stuck in place and weren’t free floating like they should be and he felt that was causing a lot of the tightness I am feeling. He showed me how to take the kneecap and move it around. It did some clicking and moving but this is not going to be an easy fix, I don’t think. My Dr. took the knee cap and turned it over and shaved the back. Some sites say it is best to just leave them alone. So…???? I will keep trying to get them to move more and see how much that helps. The PT also said this surgery doesn’t just get better and better but is an up and down and up and down recovery before you are all well from it. I don’t know if this will help anyone but it is my 2 cents for the day. Melody in Colorado

  242. Melody F. on August 22nd, 2012 4:24 pm

    Lesley – where do you get the proteolytic enzymes that you are using?
    I can tell that manipulating my kneecap is helping and it is already starting to move more and I don’t have the tight band feeling as bad. On the other hand, all the massage and moving of my knee cap is causing me some pain and I need to use ice a lot. I think the physical therapist who told me my kneecaps were not moving was on the right track as to why I felt so stiff in that area and now I just need to keep massaging the kneecap and moving it around. Since I am only 5 weeks out, I believe I can get this beat. If you are a year out or more and this is your problem, I would think you would need some medical intervention if your kneecaps are stuck in place. I would suggest talking to a professional about it. To check just take your hands and try to get your kneecap to move up and down and side to side and if you can’t do it, I would say it is stuck in position and needs help. I hope my situation helps someone else who might be in the same situation, Bless you and I hope things get better for all of you, Melody

  243. Cathy on August 22nd, 2012 10:59 pm

    Lesley, Just to let you know . I had my TKR June 2011 and I was told your knee can swell up to 18 months after. Mine does swell later in the day, I stand most of the day working in the school system with Pre-K so it gets it’s work out. But when I get up in the morning it is back to normal. Make sure you keep exceriseing it as much as you can.

  244. Lesley on August 23rd, 2012 1:54 am

    Melody,
    I got my enzymes from http://www.swansonvitamins.com, they also carry the Wobenzyme which I’ve used previously for inflammation. I did some research and found that serrapeptase is supposed to be superior for dissolving adhesions. It is a good idea to ice after massaging your knee just like you would after physical therapy. I got a Corflex ice wrap on Amazon.com that inflates similar to a blood pressure cuff and combines compression and ice therapy. It’s great and reasonably priced. I sometimes even sleep with it and use it several times a day after using my JAS splint and usually after working out.

    Cathy,
    That’s reassuring that my knee may return to being somewhat normal looking. My Dr. told me that after one year that will pretty much be what it will look like permanently. I didn’t really believe him because everyone is different as evidenced here and we all have our own rate of recovery. He also told me that recovery from TKR is about 4 1/2 months. What a crock! He said it would take me a up to a year to get back to all my activities since I’m very active. I’m getting there but I don’t think I’ll be there in a year which is only 11 more weeks. My knee also swells during the course of the day after being on my feet continuously and is back to being smaller in the morning. I do exercise it a lot because I’m a personal trainer and I’m working hard with weights to get my muscles back in that leg to where they were prior to surgery. The stationary bike and elliptical help with ROM and stiffness .

    Does anybody else have swelling, pain, or stiffness in reaction to the weather changing, like barometric pressure dropping? Does that get better over time?

  245. Lesley on August 23rd, 2012 2:54 am

    Melody,

    I’m in Colorado too, just curious, what city and hospital did you have your surgery done at?

    Lesley

  246. Robin on August 23rd, 2012 4:18 am

    I feel like I’m a part of a special club with all of y’all.
    I really appreciate all the comments on here.
    After 9 months, I can kneel if I have a knee pad or cushion.
    The swimming/cold water/ice really helps with the
    swelling. The weight lifting/bicycling helps with the
    tightness.
    I still can’t feel the right part of my knee. It will itch and
    I can’t feel it when I scratch..
    Did anyone else besides me have their kneecap replaced?
    I had some type of plastic one inserted so I can’t get it to
    move at all.

  247. raunee on August 23rd, 2012 9:54 pm

    Does anyone know if TKR are every 100% pain free????

  248. Melody F. on August 25th, 2012 5:16 pm

    Lesley, I am in Colorado Springs – Dr. Duffey did my surgery at Memorial North – where are you? Melody

  249. Patty on August 26th, 2012 11:54 am

    I didn’t need to have my kneecap replaced, although I do have a “plug” of titanium metal in the back of each kneecap. I’m not sure why. I wish I knew before and right after the surgery what questions to ask. I have had some injections in my knees because after a few months of going up and down stairs, they get all “achey” and the injections help with the pain. But I’m not taking any painkiller medicine or anti-inflammation medicine. I did take Diclofenac for a few months and maybe even as long as a year, but then I started having stomach problems. I thought I was having an ulcer. The pain wasn’t really bad, but it was quite uncomfortable. So, I stopped taking Diclofenac and I haven’t had any stomach problems since. Every few weeks, I have acupuncture done. I live in China, so getting acupuncture done isn’t difficult. My problem before surgery was that the inside of my knees was worn down to the bone. Now when I have pain, it begins on the lower inside of the knees and continues all the way down to my ankles. It’s been 4 years since I had my surgery. I wonder if there are other people that still experience pain after that long.

  250. Roger on August 26th, 2012 1:28 pm

    There must be several of us here from Colorado. I had my knee done in Brighton, at the Platte Valley Med Center.
    I started a new work-out plan last week. I have been doing the elliptical glider for 20 minutes then finish by doing the hamstring and calf stretches. The band feeling is still there, but the soreness has subsided to some degree. Nineteen months out now, I’m starting to think it will be 3 years before it’s all said and done. A long road for sure.

  251. Lesley on August 27th, 2012 1:46 pm

    Hi Melody,

    Small world. I used to live in Monument, CO and saw Dr. Duffey back in 2001 for some knee pain I was having. I also had a non-knee related surgery at Memorial North and Memorial south.

    I live in Dolores, Co and had my surgery done at Mercy Regional Medical Center in Durango by Dr. Lawton.

    Lesley

  252. Melody F. on August 28th, 2012 2:30 am

    Lesley, if you want to think it is even smaller, we lived in Montrose, CO. for 25 years and moved here a couple of years ago to be near our daughter and grandchildren. So, we weren’t far from you – we’ve been hopping around not far from each other. I go see Dr. Duffey tomorrow and do I have questions for him but don’t kow if he will answer any of them. They seem to see me moving my legs well and say I am doing great and don’t care about the pain and band feeling. Gee, I am a success that feels awful!!!! melody

  253. Kenny on September 6th, 2012 5:01 am

    Has anyone heard of or experienced gout following TKR. I had my right knee replace on Aug 6th. I’m 58 yrs old and in excellent health. However, within 5-days of coming home, my right foot became very sore and inflamed. My GP confirmed it was gout which I had never had before. Unfortunately, I wasn’t able to take meds for gout due to taking blood thinners (Coumadin) following surgery.

    The pain from gout overshadowed the knee pain! I finally saw my Ortho surgeon to have the staples removed and he wasn’t surprised by my gout – stating it is common following joint replacement surgery. Gout is by far more painful than knee and prior back surgery. Even the bed sheet caused sever pain when touching my foot.

    I suspected Coumadin played some role in causing the gout. I completed the 4-week regimin to prevent blood clots post surgery and stopped taking it. The gout now seems to be improving and is less painful but I still have a lot of swelling in the foot.

    I searched the WEB for gout related to TKR but found very little information. Has anyone else reading this forum had a similar experience?

  254. Robin on September 10th, 2012 2:34 am

    Kenny, my right ankle was the first thing I felt when I woke up in recovery. It hurt more the first two weeks than my knee. When I asked the doctor the next day after surgery, he said they had put a boot on my foot and used that to maneuver my knee around during surgery. Maybe that used one on you. It was the tugging and twisting that they said caused the pain. It subsided after 4-6 weeks.

  255. Monty Newton on September 10th, 2012 7:38 pm

    I am over a year out of TKA for right knee – Aug 2011. As we all know, the PTs never think you do enough. but I always have done as much as I can. I had an MUA in Jan 2012, didn’t help much. I can push it to 120-125, but it returns to the usual 90 or so. Another forum (Bonesmart) is a big advocate of rest rest rest. They tell me that I have swelling inside that is not that obvious on the outside. and that I should stop all my working out. One thing I have never done is ‘nothing’. mabye I should, but I am afraid I would lose what I have.

  256. Robin on September 23rd, 2012 9:33 pm

    Is anyone having problems with a weaker immune system since their
    TKR? It’s been 10 months since my surgery and I seem to catch
    everything!

  257. Melody F. on September 24th, 2012 11:20 pm

    Monty, I am only about 11 weeks out so you are way farther along than I am. But I have tried days of rest and days of lots of exercixe and truthfully, I can’t tell any difference. My knees still swell up and have pain. Yet the doctors say I am doing great because I can bend them well. I know I should put ice on them more but I never seem to notice that helping much either. So…..I went on another site and read short term recovery for this is 3 months and long term recovery is 6 – 12 months and that really discouraged me and I am sure there are some on here past 12 months that would say they are still hurting. I want to keep a positive attitude but it is hard. I just have to keep trying and hoping.
    Robin, I haven’t noticed being sicker althought I have been wheezing more and am not sure if that is because of smoke in the air from fires out west or fall allergies of something else. I hope I don’t start getting sick, too. I feel tired and hurt enough without adding more. Sorry you are catching things. Melody

  258. Aline on September 26th, 2012 7:51 pm

    My TKR has been eight months ago and I still have tightness and a lot of swelling in my knee and feet.I have done PT (29) secessions. I had a 103 ROM and now with the swelling I am bearly getting 80. Does anyone else have this problem and will it go away?

  259. raunee on September 27th, 2012 2:57 pm

    Aline, My TKR was Feb., 2012. So pretty close to yours. I continue to have some swelling, the tighness feeling is getting better. My ROM is fine, Every morning I lay in bed an pull my ankle as close to my “behind” as possible and hold it for 30 seconds and do this twice, I also do this every night.. As I hold this position, it is painful for the 30 seconds. (I wonder if this pain goes away). I walk a lot and sometimes wonder if we PT two much, I enjoy my own “gentle” stretching twice a day. I do push myself. This seems to help me maintain my range of motion, and helps with the stiffness every morning. Someone also asked in the last couple of weeks if the weather affects their pain. I absolutely agree that it does. Raunee

  260. Roger on October 1st, 2012 3:05 pm

    I had my right knee done in Dec. 2010, it will soon be 2 years. I still have the “tight band” feeling and some days are better than others. I have found that the healing process with this is measured by months not by days or weeks. I also have found that exercising is not necessarly going to make it feel better. I have stopped doing the stationary bike and tread mill, and only do things that I would normally do such as golf and mowing the yard.
    I can play 18 holes (from a cart) and the knee is sore the next day, but after that feels pretty good, with the exception of the tightness. I read in here that a doctor had told someone that it will take 3 years for the knee to feel as good as the other one. I have a little over a year to go, hope he was right. God bless.

  261. Robin on October 3rd, 2012 1:47 am

    I just went in for my nine month check up and since I still had swelling on the inside of my knee where it was sore, the doctor gave me a cortisone injection in that spot. After two days the swelling is gone and there is no pain. My knee feels really good.

  262. Tebogo Bodigelo on November 13th, 2012 9:34 am

    2HI! I had a mv accident and had a fractured knee and hip. The hip [femma] was operated on the 9th of June and the patella done on the 3rd of July. Still going through physio therapy, but my knee can only up to 20degrees… It is so frustrating and demoralizing.. My knee is always stiff and swollen.. What do I do?

  263. Tebogo Bodigelo on November 13th, 2012 9:35 am

    d2HI! I had a mv accident and had a fractured knee and hip. The hip [femma] was operated on the 9th of June and the patella done on the 3rd of July. Still going through physio therapy, but my knee can only up to 20degrees… It is so frustrating and demoralizing.. My knee is always stiff and swollen.. What do I do?
    Cr

  264. Lesley on November 14th, 2012 3:12 am

    Hi all,
    I’m one year out from my TKR today. In just the past few weeks I’ve seemed to have improved significantly. My knee actually feels like a “real’ knee most of the time. I’m walking much better, “normal” most of the time. The numbness on the outside of my knee has diminished some more although I still have a little left. I still get a little stiff if I stay in the same position too long, like when I’m sleeping but once I move my knee it feels better quickly. I will be finished with my JAS splint on Nov. 15, I’m still not happy with my ROM. I’m usually in the mid 90′s but can get to about 105 after stretching or lifting weights. On extension I’m almost straight, I can live with that but would like better. I really need more ROM on flexion to do all the activities I want to do. My hope is that things will continue to improve.

  265. Roger on November 22nd, 2012 2:30 pm

    Hello all,

    Well, it’s been 2 years in December. The pain never went away and I have spent thousands on different types of treatments. Long story short, I was told to see a Dr in Denver who could “without a doubt, tell me what my knee problem is” After the x-rays and so on, I was told that I have what is called an “extension flexion” problem. This is caused from the knee hardware not fitting properly together. Therefore, the clunking sound and feeling. I was told that I have two options, go through life with this painful knee or have it re-done. So… I am looking at a total revision of my TKR, not something I had wanted to go through. Got to count my blessings I guess and hope for the best. Happy Thanksgiving.

  266. Marie on November 25th, 2012 3:52 am

    Hi Lesley
    I am so glad to see your comments and that you are doing well. I check on this site from time to time and I am really grateful that for the most part my knee has healed well. I am 1 year 1 month post surgery and although I am not 100% pleased with my ROM I am 100% pleased overall. I went shopping today and walked around the mall all day. My knee was a bit sore after but when I think back to last year at this time I could not do much since I was still recovering & and when I think back 2 years ago this time I could not walk more than 10 mins in the mall without having to stop and take a rest. I am very happy for you and for everyone. I feel I can do more now than I could in the past 3 years. And I think you will see as time goes on it gets better and better.

  267. Yvonne Elliott on November 26th, 2012 7:22 pm

    I had a TKR on the 29th February 2012 and have subsequently had the other one replaced on the 10th October 2012 so I am nearly 7 weeks post op. I am still experiencing pain and stiffness quite badly at times in the latest knee, but unfortunately it has really upset my first knee too. Someome described their stiffnes like a band around your knee and that is exactly how both my knees feel now. I did return to work between operations but feel very apprehensive about having to go back again in January. I have excellent bend and can straighten very well, but here in the UK I am only getting physio once in three weeks! I do the exercises at home and can now ride my static bike quite easily, I manage the stairs ok, in fact they are probably less painful than before the op. The one thing that bothers me as much as anything is that I am getting some pain in my hip which I never had before, and I am just worried that I will get stuck with that as well! I am trying to keep positive as I want to visit New York next December for a shopping trip and need to be fit for that. I am feel quite sure that in a couple of months I will be much better. I am struggling to walk any distance without the help of one crutch, although I don’t use it at all in the house. Still taking Tramadol at night and the odd paracetamol but nothing apart from that. So good to be able to write all this down, be gald to hear if my progress seems normal.

  268. Donna on November 28th, 2012 5:16 pm

    I have had TKR in July of this year,I have done really well,but still have stiffness and numbness on the right side,feels like I have a bolder in it,some swelling in the back of knee.I still go to therapy once in a while,and I am a very active person,walking and other things.They now tell me a year but the numbness may always be there.I still can’t bend down on my knee and it is still sore around the area of surgery!!!!

  269. Molly on December 1st, 2012 9:18 pm

    Hello All,
    I originally had my TKR Jan 2011. A manipulation followed in week 8 due to lack of flexion. I then had a revision in July 2011 to repalce tibial component with a thinner version. Some help, but not enough. I had another revision following that in April 2012 because of femoral problems and straightening needed. I have always had the feeling of a band around the upper part of my knee following the original and subsequent revision surgeries, pain inside, at the right lower portion of my rt. knee, difficulty with stiffness that persists, and difficulty walking and going up and down stairs. I have limited strength and endurance. I break out in sweats after being on my knee for more than 20-30 minutes at a time. I am presently being treated for sympathetic nervous system problems contributing to my continual issues with the knee feeling warm, not healing fast enough, and the continued pain after almost 1 year and 10 months. I want to NOT have to take pain medication to get through the day and what little therapy I am allowed to do at the gym. I wonder how many more TKR patients have the same issues? Molly

  270. Lesley on December 2nd, 2012 6:48 pm

    Molly,
    I had my TKR Nov. 15, 2011 and also have limited flexion. I had a manipulation and lysis of adhesions in March 2012. In June at my last visit with my OS he suggested a revision to remove more tibia and replace the component, no guarantees that it would help. I declined, with all the problems I’ve had I did not want another surgery. After reading your post I’m glad I made that decision. I’ve decided to try to improve my flexion with massage, exercise and time. If it doesn’t get better than it is now, usually around 95-100 degrees, I’ll just learn to live with it and hope that with more time it will improve I had the band feeling for a long time and it returns now and then when I’ve been on my feet continuously all day. I still get some pain on the lower inside and outside of my knee, as well as stiffness. I can finally go up and down stairs normally except when my knee is painful and stiff. Numbness still persists on the outside of my knee but it has improved over the past year. Since you just had another revision last April it’s not uncommon to still feel warmth in your knee. It’s been through a lot of trauma and the resulting inflammation will cause heat. My knee just recently quit feeling warm, but it does feel more like a “real” knee more and more except for the limited ROM.
    How I wish I found this site BEFORE I had my knee done. I NEVER would have had the surgery if I knew all these complications were possible and not uncommon!

  271. Marianne on December 5th, 2012 4:00 pm

    Roger- Despite having anotherTKR ahead of you, I’m sure you were relieved to find out what your problem was after two years and it wasn’t just in your head. I’ve been told numerous times by my surgeon that the band like feeling and swelling is still normal after 19 months post op. X-rays show the device is still in place. Since I have good range of motion and only discomfort from the swelling and tightness I guess my question to you is—-do you know if an ill fitted device would cause swelling and the band like feeling alone or would it also have to affect range of motion? I feel if I asked my surgeon this question, he would not like to admit the device is not fitted properly. My cousin had a second TKR on the same knee as she found out from another doctor that the device was the wrong size for her knee which often happens to women. I may have to pursue this further after the holidays.

  272. Roger on December 6th, 2012 3:45 pm

    Marianne – It’s been interesting to talk to the different Dr’s. I have not only seen the original surgeon numerous times, but also another knee specialist whom works with him. The second Dr did a bone scan and said the same thing, everything is in place. None of this helped my daily pain. The new Dr that I am seeing who came highly recommended, was able to show me exactly why I am feeling the pain and what he can do. I sat on the edge of the exam table with my feet off the ground. He took my lower leg and showed me how there is probably about 1/2 gap or play in my knee joint. He also had me tighten my leg muscles. As I did this I could see and feel the knee joint clunk together. He also took the lower leg and was able to twist it from side to side. Again, more play in the knee than there should be. There are also times when I am walking that I can feel a clunking feeling in my knee. The Dr. looked at me and said, that is what we are going to fix. He told me to get the operative report from the first surgeon so he knew what type of knee was used so he could have the needed parts on hand during the up coming surgery. So what it boils down to is yes the parts are in place, there is no infection, but there is too much play in the knee joint. Because of this the muscles and tendons around the knee are stretched and causing pain. I could live with this tight band feeling and I have decent ROM of about 115-120, but after 30 minutes of standing or walking I have to find somewere to sit because of the pain. I have high hopes of sailing through this one and being back on my feet by early spring.

  273. Lesley on December 6th, 2012 5:45 pm

    Marianne -
    Did your cousin have a good outcome after her second TKR? I’ve often wondered if my problems with ROM are in part to a device that is too large for me. The one I have is supposedly designed for women – the “Stryker triathalon” but I’m very petite with small bone structure and my right TKR knee is significantly larger than my left knee, not due to swelling. MY doctor told me that it’s normal just due to my being small, but I’ve seen others who are petite with their knees matching in size. They’ve x-rayed and said everything is in place and fitted well. It still leaves me wondering though if they used a device that is too large. I had a ROM of 145-150 degrees in that knee prior to surgery, they got me to 130 in the OR. I just don’t know if I could face surgery again looking at more than a year or two of recovery and no guarantees of the outcome. My recovery has been so difficult mentally, physically, and emotionally, way more than I ever expected or was lead to believe it would be.

  274. raunee on December 7th, 2012 1:12 am

    Hi all, my tkr was 10 months ago. I have good range of motion, but it is very painful to kneel, half of my knee is still numb, and I’m very stiff in the mornings. I still have some swelling and the tight band feeling on and off. I don’t see my Dr. until Feb. so I’m just hanging in there. I don’t feel my knee has gotten any better for the last 4 months. If pops regularly, It almost feels like the healing is getting worse instead of better. I guess I usually write on here on my worse days.. I enjoy reading what everyone has written. (I think a storm is headed to Utah. lol)

  275. Marianne on December 7th, 2012 4:09 am

    Lesley and Roger,
    My cousin did have a better outcome after the second TKR. She had also gone to another surgeon for his opinion, as Roger had done. It doesn’t appear the surgeons who performed our surgeries are too eager to pursue any remedies for our complications afterwards. Roger, it absolutely amazes me that all the specialists you saw never recognized the gap, abnormal clunking in your knee joint as well as too much play. Only “Gumby” has joints like that!!!! It makes me wonder if perhaps the orthopedic surgeons should have more instruction in medical school on how the knee should feel and perform after surgery, not just on learning how to implant the device. It appears your upcoming surgery will not involve an entire new device but only “needed parts”. Will the surgeon be like “McGyver” altering certain parts to meet your specific needs? I would be interested to know what device you had implanted. I have a DePuy and have read quite about this device in previous years being recalled for various reasons. One model they sold outside the US was recalled because a substance used called “Alumina” had lodged into the joint surface causing pain and swelling. Well, something is certainly causing my stiffness and swelling after 19 months. I only hope I am as lucky as you in finding a surgeon who is competent enough to figure it out. Good luck with your upcoming surgery. Let us all know how you do.

  276. Roger on December 8th, 2012 6:17 pm

    Marianne,
    Glad to hear your Cousin had good luck with the second time around, hoping mine goes the same way. I have talked to many older men, way older than me, and most say they don’t even know it’s a knew knee. Guess we will see. I believe my parts are made by “Wright”.
    They changed my surgery date to early Jan, looking forward to get it done and back to fishing, golf, hunting and many other things.

  277. Terri on December 13th, 2012 12:38 am

    TKR 11/5/12.
    Mid 90′s on my own for ROM, after 3x/ week PT and 2x per week lymph/massage tx. I wish I could get the 110-120 a lot of you are talking about. I see the doc tomorrow, (hope it’s the doc). PT thinks I’m heading towards a manipulation, but he scared me with the possibilities and reading all of this, I’m wondering if I should just let it be and get another stationary bike.

  278. Roger on February 27th, 2013 9:08 pm

    Well, I’m back on two feet again. I had the revision surgery on Jan. 9th. The new surgeon found that one of the pieces from the first TKR was 12mm and replaced it with one that is 14mm thick, therefore taking up the slack between the two major pieces of the knee. I don’t have the clunking when I walk now and I feel that it is healing faster. I am 7 weeks out today and have been back to work for 2 weeks. The knee is still sore from PT, but I can get 118 deg flex (with a little help) and my knee is within 1 degree of being completly straight. I was out of the hospital in 2 days and used a walker for about another 2 days. Having been through this twice now, I have learned that having a good Physical Therapist can make the world of difference. I was using a cane for weeks after my first TKR because I couldn’t straighten my leg, I have not used a cane for even a day. The exerecises are different and she (PT) knows how far to push me. I am hopefully going to make a full recovery this time and be back on the golf course next month if not sooner.

  279. Melody F. on March 3rd, 2013 4:50 am

    That sounds great – hope it all works out for you! I am still wondering about my right knee – the left one seems to be fine but the right one is not doing well and I am coming up to 8 months out. I had a few days a couple of months back where it seemed to be getting better and I was really happy and then it went back worse again. It tightens up and I limp on it. Seems so strange when I had both done at the same time and yet such different results. The surgeon who did it just will not admit there is anything wrong with it. I talked to my regular Dr. and he said it can take up to a year to heal but I am gettiing close to that. I do my physical therapy at home now on my own and ride my stationary bike but afterwards it really aches. I hate just standing – actually I hate lying, too. The only thing I really like is in the recliner with my legs straight out. I am hoping this gets better but not a lot of hope here. Roger, you went to another Dr. in Denver, right? I am in Colorado Springs and am not sure who I would go to for a second opinion. Were you real happy with this Dr. who did this second surgery? Would you mind giving me his name? I’d appreciate it, Melody

  280. Marianne on March 4th, 2013 6:39 pm

    Roger- I was eagerly waiting to hear how your surgery went. Do you still have the band like feeling around your knee? Mine is getting worse since my surgeon sent me back to P/T (20 months after TKR!). My flex prior to going was 130 so I don’t know what he felt would be accomplished. I was told in P/T that I have a tilted hip which could be causing the tightness and was given a series of exercises to do at home to correct this. It didn’t help. I did find the band like feeling got progressively worse as the therapist put me through the motions of leg strenghtening again. (I’ve been back to the gym for 19 months and doing the same exercises). At any rate, I came to the conclusion this band like feeling could be from all the leg exercises I’ve been doing at the gym since the therapist did them even more and my leg got worse. Good luck with your recovery and Happy Golfing!!!

  281. Patty on March 5th, 2013 4:41 am

    I had my TKR four and a half years ago. My knees feel much better than they did, but I still have daily pain and difficulties. I live in China and their concepts are quite different than American concepts. That “band” feeling could be swelling. Both my doctors in the US and here in China have told me not to walk too much. That isn’t easy to do, especially when you use public transportation. So far, no doctor here has ever recommended more surgery. I really don’t want to go through that again. I’ve had some injections in my knees, which helped in the past, put I’m afraid that is only covering up the problem because I think my knees are more numb after that. What has really helped in a Chinese doctor who says that my problem is my ligaments. He gave me an alcohol rub (that he mixed and prepared himself) and also a cloth “patch” to wear with chinese herbs. I have much less pain. I know this might not help since we don’t really know the ingredients that are being used. I also bought a commercial heating rub similar to “Ben Gay” and that helps. Doctors here recommend a lot of massage. That helps. When I go out, I try to take breaks and rest and sit down. I’ve also had lower back pains and my doctor has said to sit more often. Maybe some of this will help someone else.

  282. Roger on March 5th, 2013 3:36 pm

    Marianne & Melody,

    It seems that things are a bit better this time around. I still have a tight feeling around the knee, although more so in front and not so bad in back of the knee as it was the first time. The PT girl said it is due to the swelling and it should subside in time. I have less swelling this time compared to the first TKR. I try and compare my progress as compared to where I was the first time and wish I had kept a diary, but didn’t. As I mentioned, I am about 8 weeks out now and doing fairly well. During my first replacement I used a cane for weeks since I was not able to straighten my knee. This time I keep my knee straight at all times except when I sleep. It has made all the difference in the world. I have not used a cane or walker since two days out of the hospital. Again, I think having a PT person that knows what she is doing has really helped….not to mention having a doctor that knows what he is doing. The big thing for me now is to get my ROM back to at least 120 if not more. My knee is still sore at times, but to be expected since it has been operated on twice in two years. It is going to be probably a full year for me to get back to normal activities although I do plan on playing golf as soon as April. Melody, I think the short drive to Denver would be worth your while just to get a second opinion. My new Doctor is Dennis Chang. Look him up and do your research on him. He is listed as one of the top 10 in CO. He specializes in knee replacements and knows his stuff. He is rather quiet and doesn’t have a lot to say, but will answer your questions truthfully. My biggest complaint about the first Dr. and his “Specialist” was that both of them told me after numerous x-rays and a bone scan “everything was in place”. I could see that everything was in place, but neither of them told me there was too much play in the joint. I guess that would have been admitting failure. Good luck, let me know how things go.

  283. Melody F. on March 7th, 2013 5:05 am

    Thanks Roger. I am going to think about calling Dr. Chang. I am not quite ready for surgery again but know it may be in my future, I appreciate the recommendation, Melody

  284. Robin on March 9th, 2013 1:47 am

    Can anyone kneel on their TKR after having had surgery? It hurts
    My knee and I really want/need to kneel in my line of
    Work (vet tech).if so, what exercises can I do to get to
    That point?

  285. Paulette on March 11th, 2013 1:31 am

    Hi Robin,
    I had TKR in Sept 2011 and I still have a hard time kneeling on that knee. My job does not require it but at church to kneel I really cannot do it. I do try to kneel more on the shin area but with the knee in that bent position, it hurts and is uncomfortable so I cannot do it. My right knee is not in the best shape either so trying to kneel with more weight on the rt does not help. So if there are others out there who are able to kneel, and have some exercise that helps, I would love to hear about it too.

  286. Patty on March 11th, 2013 2:27 am

    Oh, this is such a good question. It’s been four and a half years since my surgery, and I’m wondering if I should try to kneel. I recently went on vacation and slept on a mattress on the floor and learned how to get up on my own! The first night, my husband had to pull me up!

  287. raunee on March 11th, 2013 2:33 am

    Robin,
    I had my TKR exactly one year ago. I started kneeling, by kneeling on the couch where it was very soft to get my knee used to this. I can kneel briefly and if I’m careful. This is a very good question. Any other “responses”.

  288. Terri on March 11th, 2013 12:12 pm

    Good Morning:
    I’ll be brief… get into a rocking chair and rock, put the TKR foot back as far as you can and rock (gently). I could not get over 93 (6 weeks) at PT, then the session after I got into the rocking chair I got 116. It was a miracle. Not a glider, not a rocking Lazy-Boy but a rocking chair!
    See my previous discouraging comment on 12/13/12
    Terri

  289. Marianne on March 11th, 2013 3:52 pm

    Robin- I have no problem kneeling. My P/T said I’ll never be able to kneel; however, my surgeon said I just have to “desensitize” it. I started kneeling on padded kneelers in church 8 weeks post op and about the same time on a padded machine at the gym. I’m also able to kneel doing all my gardening. I think the time frame all depends on how quick you’re able to get range of motion back. I still have a lot of swelling and tightness 2 years later but no pain. I’m not sure there is an actual exercise to achieve this, just practice kneeling down on something soft and holding onto something as you lower yourself down slowly.

  290. Lesley on March 13th, 2013 3:47 am

    Hi all,

    Great news Terri – When did you have your surgery? Maybe there is still hope for me! I’m still in the 90′s most of the time. My ROM increases when I exercise then goes back down afterwards.

    I recently got a whole body vibration machine for my personal training studio. I’ve had it a month and have had significant improvements in the last 4 weeks. The residual swelling is gone, pain and stiffness is greatly diminished, ROM has improved a little, the numbness on the outside of my knee is nearly gone. I had the tight band feeling for a long time but that went away a few months ago.

    In spite of my limited flexion I can kneel carefully and briefly. I only do it when I’m doing ab exercises during my workouts or when demonstrating to clients when I’m training them. I’m now able to walk normally, it’s been a long journey…longer than I expected, 16 months so far and it’s not over yet. If I can eventually get a decent ROM then I might be satisfied. At least now my knee feels like a “normal real” knee the majority of the time except for the ROM.

  291. Terri on March 13th, 2013 9:29 am

    My surgery was 11/512, I knelt for communion 3/3/13. I surprised myself!

  292. Robin on March 14th, 2013 3:18 am

    Thanks for all your responses. I have good ROM. It’s been 26 mos. since my
    TKR. The inside of my knee stays swollen. When I kneel
    The pressure on the implant hurts. I do alot of
    Leg exercises but didn’t know if there was something
    Else I could do. I haven’t been able to squat since I was
    Actually hit by the drunk driver which initially injured
    My knee.

  293. Terri on March 14th, 2013 6:07 am

    Thanks.
    I highly recommend the rocking chair.
    My PT’s AND my primary physician are using me as a case study to their patients who can’t break 100, they are now recommending a rocking chair.
    23 degrees in one day!

  294. Roger on March 14th, 2013 3:29 pm

    Hi Guys, Well I’m 10 weeks out from my TKR revision. I have been doing a lot of reading about PT. I find it interesting that the folks from the UK do not go through a lot of painful PT like over here in the States. I have been going to PT twice a week and each time I am very sore for the next several days. They really like to crank down on the lower leg and try to get as much flex as possible. I have taken a 1 week break from PT and will see if the soreness leaves, at least to some degree. I am able to get my leg within 1deg of being straight and have 115 rom by myself. PT can push it to 118 with a lot of pain. Lesley – your body vibration machine sounds interesting, is this something a person can find for public use?

  295. Melody F. on March 15th, 2013 1:09 am

    Lesley – what is a vibration machine – where do you get it – what does it cost???? Info please, Melody

  296. Lesley on March 15th, 2013 2:17 am

    Terri- I tried using my rocking chair previously without much luck but I think it was before my manipulation and lysis of adhesions which was 1 year ago yesterday. I need to start rocking again and see if I can make such good progress like you. I’m so glad that is working for you and hopefully you’ll avoid a manipulation! How long do you rock for? Do you rock daily?

    Melody – A vibration machine has a platform you can stand or sit on. Mine vibrates with an oscillating motion 6-28 times a second on each side of the platform. Your muscles have something called the stretch reflex, the vibration activates the stretch reflex causing the muscles to contract and relax rapidly in response to the vibration. That response increases the strength of the muscles.

    Depending on the hertz (# of vibrations per second) the machine can improve balance and stability; improve ROM and improve mobility of scar tissue as well as prevent formation of new scar tissue; increase strength and muscle mass; increases circulation and lymphatic drainage, and therefore swelling and speeding healing due to the increased circulation; among many other benefits. This is just the tip of the iceberg!

    There are a lot of vibration machines out there, most are junk and don’t perform as claimed, they are mostly just a massage machine. Mine cost $2,599, I’ve spent more than that on other treatments that haven’t yielded the benefits I’ve gotten from 4 weeks with this machine. One caveat: You need to be 1 year out from surgery before using the machine to make sure the bone has grown into the implant. There are a few other health conditions where use of this machine is contraindicated. I have a few clients with knee and hip replacements that are also using it. You can do various exercises on it such as squats and lunges too.

    If anyone wants more info I have a list of benefits I can email you as well as more specifics about vibration therapy and contraindicated conditions. You can contact me at: bodycraftfitness@msn.com Please include your full name and phone # if you want to talk to me about it.

    Lesley

  297. Terri on March 16th, 2013 12:36 am

    Leslie – I was VERY close to a manipulation, my PT was very concerned as was i, until I got in the rocker.
    I probably need to rock more often, but once, twice a day for 5-10 minutes, I am tight and sore when I get up, in fact, my patients ask me “I thought you got that fixed?”
    Put your foot back under you and gently rock, I had to scoot forward in the rocker to get more bend in a matter of a couple weeks!
    Good luck! I’m ready to get the left done and get it out of the way, so I can resume walking.

  298. Lesley on March 16th, 2013 6:24 pm

    Thanks Terri, I’ll give it a try along with the stretching routine on the vibration machine. A PT told me that as long as I am increasing my ROM even though it creeps back down to 90-95 degrees afterwards that eventually the gains should become permanent. It’s just a matter of the soft tissue adapting to the change and remaining stretched out. It’s been tight for 16 months now so it may take some time. Good luck with the left knee!

    Roger’s experience concerns me though, my OS has x-rayed and said everything is in place and fits BUT he also suggested I could get a second opinion at either Mayo Clinic or in Denver since I live in Colorado. Or he said he could take off more tibia since I have the thinnest tibia tray now, no guarantees that it would improve anything. Doctor’s don’t like to admit they made a mistake, so I wonder if a problem with the implant fitting is my issue too.

    I’m gad to hear things are going well for you Roger, what a relief that must be! I just don’t know if I could go through surgery again. I tend to make a lot of scar tissue so that would be a big concern as well not being able to work and go through recovery all over again. I’ve just started feeling somewhat normal in the past few months.

  299. Roger on March 18th, 2013 3:24 pm

    Lesley – I had the same concerns as you. I was 2 years out when I finally saw the new Doctor. I was actually feeling pretty good and I had 120 flex. But it just was not right with the clunking in the joint everytime I took a step, I was starting to limp again due to the soreness. The thought of going through surgery and rehab was a drain. I couldn’t go on limping around after what I had been through for 2 years. The second time around has been much different. PT has been tough. I have done a lot of reading on this as you probably have, many PT people say that pain is not good during PT, therefor I canceled my appointments for a week and just did my stretches and exercises at home along with the stationary bike. This last Friday I played 9 holes of golf just 10 weeks out and have been back to work for 3 weeks. Today is the best I have felt in 27 months, over 2 years. I have canceled the rest of my PT classes and plan to continue my exercises at home. I have an apt with the surgeon next Tuesday when they will take xrays. Hang in there and God Bless.

  300. Roger on April 9th, 2013 10:33 pm

    Just a quick follow up, I saw the surgeon today, it’s been exactly 3 months since the revision. Everything is in place and looks good I was told. Since the new piece that replaced the old one is thicker, I was told that I may only get 120-125 flex. I can live with that and the Dr. agreed. I played 18 holes of golf last Friday, with a cart, and feel pretty good. I continue the PT by myself at home. Thank goodness for the stationary bicycle.

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  302. Karen on April 11th, 2013 7:23 pm

    This is in response to the nurse, Kristen. My situation is alot like yours, however I am a few years older than you and I just felt the need to reach out to you. My surgeon made me feel the same way, as if everything was my fault and I wasn’t trying hard enough to gain mobility and walk normal. There were many times I left his office angry and tearful. I, too, am frustrated by this whole process and surgeons blaming me for something that is completely out of my control. After a couple of years of taking his abuse, I sought a (4th) and final surgeon. She is awesome and she “fixed” the problem to the best of her ability and never once told me it was my fault or made me feel gulity, or told me I wasn’t working hard enough.

    Hang in there, Kristen, take each day as it comes because some days are going to be better than others. My knee is better than it was but it honestly will never be the same. I have been through 9 surgeries total, including a total revision, and I’m still trying to get passed 118 ROM and I can’t get fully straight. I am in law enforcement and I WIIL NOT give up on this knee. I want nothing more than to take back the life I once had of being active and be able to retire when I am ready. I’m sure you feel the same. It will get better. If you have to seek a second or even third opinion, then do it. Just try to stay positive and know that the pain (as excruciating as it is) is temporary and will demisish over time.

  303. Paulette on April 13th, 2013 1:28 am

    To Karen and her response to nurse Kristen, all I can say is WOW and I realize more and more what a great dr I had during my knee replacement. He never made me feel it was my fault or told me I was not trying hard enough to gain mobility. I actually had to have a manipulation 6 weeks after the surgery to help with the bending and getting my knee straight. I was put out for about 5 mins and he pushed &, bent my knee to get it moving. I woke up from that procedure crying as I thought I failed, he reassured me it was not me it is something that happens. Hang in the Kristen as Karen stated it does it better, I agree it will never be the same but I am totally grateful for having a such a great doctor and for being where I am today.

  304. Lesley on April 13th, 2013 7:05 pm

    Roger,

    Glad to hear you’re doing so well, what a relief that must be! the more I hear and think about your situation I wonder if there is just not enough space in my joint to get full flexion. My OS told me I had the thinnest tibial tray but he could go back in and take more bone off the tibia to make more room…no guarantees that it would make any difference. I declined since I was less than a year out and wanted to give plenty of time to fully heal before doing any more surgery.

    I’m still making progress using the whole body vibration machine just at a very slow pace as far as the flexion goes. My extension is better and my knee feels “normal” most of the time. The swelling is gone and my knee, although still a bit larger than my left knee, looks almost normal instead of huge! The vibration machine has helped immensely with the pain, stiffness, and swelling. If I feel sore or stiff my ROM increases a lot and the pain diminishes within minutes of using the vibration therapy.

  305. lorie on May 5th, 2013 9:46 pm

    I had a tkr on 7/3/2012 thought the surgery went pretty well. Was at outpt therapy for the 2nd time and therapist had me on what I will call the bicycle exerciser. Now mind you I am 4’6″ tall but was willing to do anything to get me back to normal. He put me on that exercise and when I put my left foot on pedal it brought my rt knee up to my face and about killed me with pain. I do not know If something happened at that point or what but have had stiffness in my knee every since. I was told that the tendon above the knee could take a year to heal. I had manipulation in March and has not made any difference at all in my knee pain. I go back to my surgeon in June but I am seriously thinking of going back to the surgeon who did my hip replacements.Yes I was born with no hip sockets but was able to get around and was able to hold off surgery until I was in my 40′s This was my 1st knee and I need the other one dome but at this point I have more consistent pain in my replaced knee than in my left knee.

  306. Michael on May 6th, 2013 3:26 am

    i had tkr 13 weeks ago, knee is still very stiff, i would like to know what will happen if you do nothing about your still knee, will it get better over time with normal PT or will it get worst, my knee was very stiff the day after surgery. i have PT 3x aweek my rom is 65 my knee swell after PT .How long should i wait before considering more surgery which in dont want at this time. is their anybody out their that did nothing and got back to normal without having more surgery?

  307. Rosemary on May 13th, 2013 7:56 pm

    I had my right knee replaced and it was the most PAINFUL thing I have ever had done. I don’t know if it is ever going to heal, it is still and so painful to walk?? It has been four months and I don’t know what to do but get a second opinion. My doctor says it is normal??? I don’t know??? I simply don’t know????

  308. Melody F. on May 16th, 2013 4:22 pm

    I had double TKR almost 11 mos. ago. I kept going back to my surgeon telling him something was wrong. He would take x-rays and tell me I was fine and it takes up to a year to heal. The last time I went to him I cried in his office. He said I could use a cane, I didn’t have this surgery to keep using a cane! If I walk any distance at all both knees swell and ache. My right knee especially seems to have problems, hurts, is numb to the right of what would be my kneecap and tingles and some numbness down the leg. I have had many surgeries and done well with all of them. So my expectations were high. Not any more. If I go back to get this checked into, it will be another Dr. I am waiting until I am a year out and then will make a decision what my next step is. I do my own physical therapy at home consisting of standing exercises, lying down exercises, working with a band and an exercise bicycle so I am working with my knees and try to get walking in but if I overdo it, I seem to be down for days with pain. MY ROM is good but I feel something is wrong. Right now I am just waiting….melody

  309. John on June 4th, 2013 1:50 pm

    I had tnr on 2-20-13 and have been doing great. My surgeon offered physical theropy but I declined due to the progress I had ( he agreed ).
    The only problem I have is going up and down stairs, my knee swells and I get pain in the back of it. In the morning when I get out of bed it is really sore and stiff but loosens up after walking a little. Is it too early to be able to climb stairs with out pain? I might mention that in 1978 I had a prodedure on that knee called a slocum transfer. Is there anyone else that has had that procedure and then tnr?

  310. Deb Campbell on June 14th, 2013 6:37 pm

    Wow! This has been such an interesting read! I had given up hope of finding someone who was struggling with their TKR as I am–everyone else saying “best thing I ever did.” I had my TKR in July 2011. I was in the best physical shape of my life prior to surgery, although my knee had been bone on bone for over 35 years. When I saw the surgeon for the first time the first words out of his mouth were “why did you wait so long?” Needless to say, I have a high tolerance for pain.

    Post-op I was religious about my PT. Got my range of motion to nearly 130–and has remained there. My problem continues to be pain and tightness. Someone in this thread described it exactly as I have–it feels like my knee is filled with half set cement.

    I decided to wait for the first year to go by. When I went to the doctor for my one-year follow-up I told him I thought I was worse off than I was before the surgery. He actually reached over and shut the exam room door. Guess he didn’t want patients in the other rooms to hear someone that was unhappy. He examined (no, admired) the X-ray and said “it couldn’t get any straighter than this.” He speculated the knee was loose and unstable because the previously stretched ligaments could not hold the knee tight. He recommended going back in and putting thicker polyethylene pads in, to slightly lengthen the leg and tighten the knee.

    I got second and third opinions following that. Second doctor said first doctor’s idea was plausible. Third doctor said, “I agree with him. You knee’s unstable and I believe I can fix it.” I really like her and so appreciate the lack of ego that was so apparent with Doctor #1.

    I’m scheduled for polyethykene revision in August–a little more than two years post-op. Sure hope it’s not a mistake. I’m not looking forward to repeating the surgery/rehab but can’t accept where I am now. So many times I’ve wished one of these doctors could just feel what my knee feels like for just 1 minute–then they’d know what it’s like.

    Thanks for being out there folks. I’m so grateful to know it’s not all in my head!

  311. Monty Newton on June 21st, 2013 5:14 pm

    You wrote pain and tightness. then later – you discuss ‘loose and unstable’. What does it exactly do that makes you think it is ‘loose’? Do you have the sort of implant that sacrifices the ACL? I am 23 months post op – and I can get 125 with alot of stretching and warm up (I had a MUA, but I don’t think it gained me much more than 5 degrees – that I think I would have gotten eventually), but functionally, during the regular day to day things – it is more like 100. but I have a solid stable knee, but it does have that tightness, and sluggishness, as if it has the cement you describe. The term I use is ‘glue’. Post later how this procedure goes.

  312. Terri on June 21st, 2013 11:51 pm

    Deb, did your doc call this ‘loose’ knee as Patellar Klunk Syndrome?

  313. Patty on June 22nd, 2013 1:56 pm

    I can’t believe how much your story sounds like mine, Deb Campbell. Only for me, it’s been 5 years since my surgery. I don’t live in the US anymore and I don’t have the luxury of the health insurance from my job, but I have the luxury of incredible natural remedies and understanding doctors. I now live in China, and although I understand what you feel about not wanting to accept the pain you have, I don’t think that I could go through the surgery and mostly the recovery again. I think the recovery is worse than the actual surgery. My left leg isn’t straight. But it wasn’t until a doctor in Shanghai saw my x -ray 4 years ago that I knew it wasn’t straight. It gives me a lot of trouble, but I wouldn’t want surgery to correct it. I was bone on bone also, but I don’t know for how many years. I just know that the year before my surgery, I was on crutches. Sometimes I have to turn my left knee to straighten out or the bones seem to scrape. I can’t ride a bicycle because my left leg can’t pedal all the way around. I did all of the therapy after my surgery and got all the right things done, but I’m still left with a crooked left leg. Of course, no one else can see it and I don’t think I limp or walk much different than others. I don’t know if you can tell anything by my walk. But I am always careful and I hold on when I get off of the bus. Going up and down stairs seems to wear me out. I do massage, accupuncture and I have seen a doctor who prescribed a natural tea, granules, an alchohol rub and a medicine patch to put on the knee. The doctor says it’s my ligaments that are causing the pain. I have most of the pain on the inside part of each knee. As you say, you get used to the pain. When people ask if I’m getting better, I feel like saying “Metal doesn’t heal”. But then I don’t want them to worry. I am much better than I was before and I don’t regret the surgery. I don’t even know why/how I needed this surgery. My Mom is 86 and doesn’t have this problem! I plan to try to swim although I’m not sure if I can. Before, I tried and I just walked back and forth across the pool. I tried to kick my feet, but I couldn’t do it for long. Maybe I need to continue. I also plan to use a stationery bike. I feel I need to be in better physical shape to live a better life everyday.
    Thank you so much for sharing what you are experiencing. Another lady had surgery with the same doctor the same day I did and I regret not keeping in touch with her. I had the option of staying one extra week in the hospital that my insurance paid for to continue therapy. That was well worth it. At the time, I lived on the second floor and needed the strength to go up them. I would say that if you can find someone who is competent to do massage, that seems to help. I mean, a medical kind of massage, not just one for relaxing. My doctor knows pressure points that the chinese use for acupuncture and she finds the right spots to massage and relax.
    Good luck with your second surgery.

  314. Roger on June 25th, 2013 8:12 pm

    Deb,
    Hang in there, I think in due time you will be glad you had your knee revised. I thought long and hard about the revision, but the pain was not going away and I was still limping just about as bad as before the first time around. The PT the second time was not as hard to take, probably because I knew what I was in for. I am 6 months out from my revision. I still don’t have the flex that I want and my knee is still sore for a couple of days after a good work out. I am back on the golf course and walking without a limp now, so things could be a lot worse. I still have the tightness around the knee and it has become something that I live with and hope that in due time will pass. My flex is about 118-120 and getting my leg straight is no problem. Something very important that I learned from the first tkr recovery was, make sure you keep your leg straight from the minute you wake up from surgery except when doing your PT. After my first tkr I found that my leg was more comfortable in a bent position in my recliner, it cost me weeks of using what they called a Jazz splint. I had to use the splint twice a day to finally get my leg straight. In the mean time I had to walk around on the ball of my foot which eventually caused problems with my foot not to mention the callous on my hand from the cane I had to use. In all, I am glad I went in to have it fixed. Having said all of that, I am treating my other leg very good because I never want to go through another TKR.
    God Bless

  315. dee engel oliva on August 4th, 2013 12:00 am

    i had bilateral knee replacements april 2012 … severe traumatic arthritis. bone on bone. did great. but still had pain. two PT sessions – did get better for a bit – now hard ache. i do not like stairs. or inclines/declines. i returned to work at 3 months after the original surgery. i am a nurse. now july 2013 i am tired of hurting. i can walk fine. but by the end of the day – getting up from a chair is very painful. i walk like i am 900 years old.

    i have 136 degree bend. and 0 degree straight. my knee is unstable. i went for a second opinion – and i will be having spacer revision surgery to put in a thicker spacer. i will lose some bend – but tightening the ligaments and tendons will stabilize my knee. thereby helping with the pain. well, that is the plan.

    i do not regret having my bilateral TKR. having both done at once – i did not have any more problems in PT than the people who had one knee done. i will have bilateral spacer revision surgery done at the same time in september. spacer revision surgery is just replacing the plastic pieces – not the metal implants imbedded in the bone.

    It is unfortunate that so many people have horror stories about TKR. Whenever you mess with the body systems – there is always the risks that things get screwed up. For those people looking for information about having a TKR – (i looked everywhere) please know that for most people – it eliminates pain and gets you up and active again. everyone responds differently. be sure that you get two opinions before surgery. and then make the best decision for you.
    Dee

  316. Lyn on August 24th, 2013 12:17 pm

    I had a PKR 11 months ago. Everything was going great, ROM was 110 at 2 weeks post op. Six weeks post op, my knee became very stiff which caused me to limp, I was unable to work out the stiffness. At 8 weeks post op, a manipulation was done, which made th stiffness worse. Had numerous physical therapy sessions and a bone scan to r/o infection and loose implant. Everything came back negative. Eight months post op, I was given a Cortisone injection, which was the best relief ever. I could walk again, without the stiffness and limp I had experienced. I felt great. The injection only lasted 6 weeks. I was told that I would only be able to have 1 more injection, due to a possible infection. I am so discouraged and have given up. The arthritis pain is gone, but the stiffness has taken over and it’s very difficult to walk. I am hoping there is something else that can be done to relieve this problem.

  317. Lesley on August 25th, 2013 8:59 am

    Hi Lyn,

    I’ve had a rough recovery since my TKR on 11/15//11. Rather than re-hash the details again, you can read my previous posts.

    I’ve come a long way but have still been still trying to gain more flexion, and overcome some recurring discomfort, stiffness, and effusion. Always on the search for a solution I recently learned about a muscle stimulation machine like no other. I have been renting it for 10 days and have completed 8 sessions at home with it with direction from the company. It also is supposed to break down the collagen in the scar tissue to allow the tissues to move more freely. After the first session I had no more pain and discomfort in my knee. With each subsequent session I remain free of discomfort longer and longer. At this point my knee feels normal most of the time. I have gained a few degrees more ROM after my sessions. Unfortunately, I still lose it over time but I’m only party through my treatment. The numbness on the outside of my knee is 95% gone. I’m renting the machine for a month.

    I was waiting to post anything about this until I finished my treatment to see the final outcome, but after I read your post I thought it could benefit you and many others on this site. You can find out more at their website: http://www.arpwave.com
    from the homepage, click on “medical”, you can then read abut how it works, testimonials, etc. and call the company. They let you try it for free for 1 session and if you think it won’t help you can send it back. They guide you through the treatment via Skype.

  318. Lyn on October 4th, 2013 11:34 pm

    Roger – Just wondering how you’re doing after your revision, Do you still have the tightness around the knee?

  319. Lyn on October 4th, 2013 11:40 pm

    Lesley – Thanks for sharing your story and the information on the arpwave. How has it been helping?. Do you feel a difference? Good luck.

  320. Roger on October 9th, 2013 7:35 pm

    Lyn – It has been 10 months to the day. The actual joint pain is pretty much gone. The muscles in and around the knee are a different story. I still have the tightness all around the knee including the back of the knee and sometimes up the back of my leg. My foot is also a problem. It is usually tight feeling and uncomfortable to walk on. I have just done some research on the ARP Wave system that has been mentioned here. I am going to try and find someone in the area and see if that will do some good. If I can get rid of this tight muscle feeling, things would be great!

  321. Lesley on October 11th, 2013 12:37 am

    Hi Lyn,

    I used the ARPwave for about 5 weeks and it did help. I increased my ROM about 5 degrees. Way less than I had hoped for (I need about 20-30 more degrees of flexion to be happy) but the biggest changes were: persistent effusion (swelling of fluid) gone; pain, tightness, stiffness, and discomfort gone 90+% of the time and when I do experience it, it is way less intense…down to mild when it occurs. The numbness on the outside of my knee is almost all gone, I have about 95% sensation back. Less pain when I push my knee to either end of ROM, I can do deeper squats and lunges and sit with my knee bent more, I can straighten my leg all the way now so I gained a few degrees ROM there too.. Even though I lift weights and had gotten a lot of my atrophied muscle back the ARPwave contracts your muscles 500 times per second so I got even more muscle faster, especially in the vastus medialis oblique (VMO) which was hard to target with my limited ROM.

    I must say the ARPwave is not pleasant to use, it feels like you have your finger in an electrical socket, it is extremely intense and the quicker you can raise the intensity the quicker your results. I would actually dread doing my daily sessions but I always felt better immediately afterwards. I rented the machine so it was up to me to be diligent and do my sessions daily, the fact that I was paying $750 for the one month rental was also good motivation :)
    It would have cost me considerably more to go to the closest physical therapist for the sessions and I wouldn’t have been able to use it daily. I felt comfortable going that route since I’m a personal trainer and have a background in physiology, exercise, and rehab.

    Roger,
    I hope you find someone to work with you, I would imagine there must be someone in the Denver area with the machine…if not, you could always rent one. I hope if you do use it you get the relief you’re seeking! Keep us posted.

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