Should my knee feel this "good" post-op?

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Alcie
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   Posted 9/18/2010 6:04 AM (GMT -6)   
My knee was scoped 10 days ago.  There was loose cartilage and a little arthritis which was buzzed off.  I had pain bad enough for Vicodin every 4 hours for a couple of days, then dropped down to 6 hours and 1/2 pill.  2 days ago I restarted just my regular tramadol twice a day for fibro, with no Vicodin. 
 
For the past week my knee has had very little sensation except at the incisions when touched.  My tendons are still very stiff, and the thigh muscles hurt when I do PT and they get pushed.  I don't feel anything when the kneecap is manipulated, not even movement.
 
Is this normal? 
 
 

Screaming Eagle
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   Posted 9/18/2010 6:34 AM (GMT -6)   

 

   Alice, I'm happy to see that you are doing so well this soon! Wonderful!

   SE wink


straydog
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Date Joined Feb 2003
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   Posted 9/18/2010 8:35 AM (GMT -6)   
Alcie sounds like your surgery went very well. Keep up the PT that is really important with knees. I have had 5 knee scopes for various problems and can tell you first hand the importance of it. You will get the sensation back that you are speaking of.

Take care. Susie

Alcie
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   Posted 9/18/2010 2:40 PM (GMT -6)   
I typed too soon. Sensation is back with a vengeance.

PT this AM has me sore. The kneecap area is hot, swollen, and feeling everything. I had to take off the compression hose because they pressed too hard on the knee and thigh. The hip and inner thigh are very sore from my therapist's pyriformis stretches and massage.

Should I have kept moving after my session? I came home and took a long nap.

Back to the ice and elevation!!!!
Alcie
 
 

flower123
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   Posted 9/18/2010 3:43 PM (GMT -6)   
Oh, man. Please rest if you are able to. It's really tough--therapy, that is. I know how hard it is. Did the therapist see that it became hot and swollen? If it gets worse, can you call your doctor?

Hugs,

Flower

Alcie
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   Posted 9/18/2010 4:44 PM (GMT -6)   
Thanks Flower, and all -

The heat and swelling never start during PT, and they ice as a last step to prevent it. But it has started acting up a couple of hours later - since the massage of the large thigh muscles started. I'll see my ortho Monday. Meantime I'm icing and elevating this evening.

I wonder why PT causes swelling, pain and stiffness. I don't do a whole lot of exercises or hard ones. I'm supposed to stop if it hurts. I don't tolerate or do any twisting.

Would walking after PT help? Is walking anytime a good thing?

There are loads of videos, websites explaining the surgery, but very little about recovery outside of saying PT is needed. I read that I should be recovered 2 weeks post-op. Is some miracle going to happen tomorrow or Monday?
Alcie
 
 

solar powered
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   Posted 9/18/2010 4:47 PM (GMT -6)   
Alcie, How's the knee feeling this evening? I hope better because that heat and swelling you were talking about really concerns me. I don't think that should be happening. Please keep a close eye on it and if it gets worse call your dr as soon as possible just to make sure there isn't an infection or something else weird going on in there. I hope this is just a slight glitch and things go well from now on for you. Lisa
If I can laugh at it, I can live with it.

straydog
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   Posted 9/18/2010 5:11 PM (GMT -6)   
Alcie I had a lot of swelling with all of my surgeries, many times it was after PT, or if I had been up on it. You asked about walking , what did your dr say about walking? I was always on non-weight bearing and on those lovely crutches, lol. To this day both of my knees will still swell especially if I have been up on my feet a lot. My last two surgeries were in 2004 I believe,. Also on the last two my surgeon used this contraption that was like a leg wrap from the thigh to the bottom of the leg, and you wrapped this around your leg and it had long pockets that allowed cold ice water to circulate thru it. It was awesome for swelling. This thing was attached to what look like a cooler with a hose to feed the cold water thru.

You may want to call you dr on Monday to ask about the swelling and pain, better to be safe than sorry.

Susie

spinal soldier
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   Posted 9/18/2010 7:33 PM (GMT -6)   
HI Alcie, it sounds like you had a great surgery and when the swelling goes down i think your knee will feel great. you could try taking some MSM; it will bring the inflammation down and give you some pain relief. also a free-form-amino acids complex assist in healing of tissues. of course inform your ortho. first but these things are pretty safe. best wishes to you.
L4,L5,S1 bilateral Laminectomies, Foraminotomies 2002
L4-S1 PLIF with instumentation 2008,

current Rx: OxyContin 60mg 2x, Dilaudid 8mgs [brand] 4x p.r.n. brk., Phenergan 25mg 3x prn nausea, Lyrica 75mg 2x,Adderall 20mgs 1x A.M., Soma 350 mg 3X, Relafen 1000mg 1x, Klonopin 1mg H.S. or prn anxiety Supplements: CO-Q10 100mg, Vitamin D 2000IU, Fish-Oil1000mg EFA, B-Complex50 3x/day, GABA 750mg

Alcie
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   Posted 9/19/2010 6:55 PM (GMT -6)   
Thanks for the tips and encouragement from all.

My knee swells and gets hot after PT, especially last Friday and Saturday. The knee itself doesn't hurt much, and I am walking without aids. Was allowed to walk right away. Crutches and walker were worse than hopping about without them. I can walk now fairly normally - for a while.

The worst is the thigh muscle pain! My thigh is bruised about 5 inches above the knee joint - the tourniquet or a holding post? PT (massage) in this area with a new guy made it very tender, stiff and painful @7/10, maybe more because I chronically take tramadol for back pain and fibro. The bruising is going away, but the pain and stiffness are not. I'm not going to allow any more of this muscle massage! Most of the rest of the exercises help with flexibility, and I do them faithfully and wear the support hose, but after each exercise session I need ice and an hour of elevation for the knee, and the thigh pain gets worse.

I haven't found any antiinflammatory meds that work that I tolerate. Aleve, Motrin hurt my stomach a lot. Mobic doesn't work. So I wasn't given anything. I'm icing and elevating when the knee gets hot or painful, several times a day.

I have an appointment with my surgeon tomorrow morning.
Alcie
 
 

solar powered
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Date Joined Nov 2007
Total Posts : 538
   Posted 9/20/2010 9:41 AM (GMT -6)   
Hi Alcie. So what did the surgeon have to say about your knee and thigh? I wonder if the thigh pain is actually a fibro reaction esp since it gets worse after the massage. It seems like a lot of us fibros have trouble with massage. They do use a tourniquet during knee surgery so if that was a bad spot to start with I'm sure that didn't help any. It sounds like your mobility is good even with the pain and swelling so that's good. Please take care and keep in touch, Lisa
If I can laugh at it, I can live with it.

Alcie
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Date Joined Oct 2009
Total Posts : 5004
   Posted 9/20/2010 1:07 PM (GMT -6)   
Thanks Lisa -
So the ortho doc said I have no limitations, showed me the pictures of arthritis and some pitting, didn't answer anything at all about thigh pain. I'm just to come back in a month.

I might as well quit complaining for now since the doc doesn't seem impressed, but I still don't know why the thigh hurts. Actually it didn't hurt much this morning, seems to get going if I exercise or walk around the house, and then it hurts enough for ice all evening until I fall asleep. I'm not going to PT until Thurs, but I do have another 4 weeks if I need it. Maybe it's a fibro thing. I do expect it to go away without treatment since it's not all the time now. I'm listening, Lisa, when you say massage might have aggravated a fibro thing.

Amoxicillin isn't working on my sore throat and sinus infection - started with general anesthesia. Not having the patient pulling and tensing muscles may be better for the doc, but the patient doesn't much like having a throat infection for over two weeks.

I wish I could see my rheumatologist. He's ben ill and his office has postponed my visits for the last year. Now it's supposed to be December, maybe. I've got pretty bad shoulder pain and sciatic pain that isn't being helped with injections any more.

One body part at a time.
Alcie
 
 

solar powered
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Date Joined Nov 2007
Total Posts : 538
   Posted 9/20/2010 1:26 PM (GMT -6)   
Hi Alcie. Well the post-op appt sounded like the surgeon was happy. It's funny how what makes them "happy" isn't always the same as the patient. They see things differently then we do. I hope that the thigh pain goes away very soon for you so you can experience all the benefits of the knee surgery. Also hope your sore throat and sinus infection clears soon. They aren't any fun either. Take care, Lisa
If I can laugh at it, I can live with it.
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