How Long Does It Take To Heal From A TKR?

One of my readers (you know who you are..:) ) let me know about this interesting article written for tkr patients that I – in turn- wanted to pass along. The Guest Post is as follows:

Total Knee Replacement: How Long Does It Take To Heal
Written by Richard Haynes.
http://physictherapy.blogspot.com

When you finally decide to go ahead with a knee replacement, you can get bombarded with a lot of information from friends, family, and hopefully the surgeon. When it comes to friends and family, most of the information you will get are opinions though they mean well you get very little fact. The time it took for their knee to heal can vary and unless they had the knee operated on within the last 4-6 months the information you get may be inaccurate.

Your surgeon may or may have not discussed with you some of the experiences you will encounter when, it comes to the actual amount of time it will take for the knee itself to be completely healed.

During the healing process your knee will go through what I consider three phases from a rehabilitation standpoint. The phases are the acute phase, the post-acute phase, and the long term healing phase.

These are phases that I have discovered are important for a patient to understand. The time I feel to discuss them with the patient is not only prior to surgery but, again after surgery as there will be information during the pre-operative briefing that will not be retained.

In general the phases mentioned above tend to play out for the patient in the following way:

1.Acute Phase: This is without question the most painful. It lasts from the day of surgery out to week six.. This time can vary from patient to patient but by week five there is a noticeable decrease in pain. The knee will go through the swelling phase and “throbbing phase” when it comes to pain. It is vital that your understanding and compliance with pain control measures are followed. The use of ice before and after rehabilitation are recommended along with foot elevation to keep the swelling to a minimum. Sleepless nights are generally in store and are not unheard of due to pain. The best measure found to relieve the pain you will encounter during sleep is to move or pump the knee back and forth five to ten times as the knee gets stiff and the spasms occur.

2.Post-Acute Phase: This phase kicks in from roughly week seven to week twelve. Here is where you begin to get a better handle on how to control the swelling and you also have learned as well how temperamental the knee can be. In other words as you become more active the knee will fool you. You will be tempted to do more then the knee is ready to handle physically.

if you take on more then the knee is prepared for, the next day you will pay the price in increased pain and swelling. The use of pain medication though not as frequent is still advised. You should at this point be up on a single point cane and away from the walker which with the new found freedom add to the subtle ability to overwork the leg.

3.Long Term Healing Phase: This is the phase that most orthopedic surgeons will tell you will take close to a year for the knee to be totally healed. You will be able to however to do most anything within reason at this point unless it involves a high-impact activity like constant running and jumping. Pain, swelling, and muscle spasms at this point have completely subsided.

You will have obtained all the range of motion of the knee that you will get. Your strength gains however can always be improved in the muscles surrounding the knee. Your walking pattern has now been established and the knee can and will endure most anything you ask it too.

There will always be some differences among patients when it comes to set time frames with pain and recovery. Having a total knee replacement is considered a major surgery and the advances made in surgery have shorten the time frame by weeks if not by months with some.

The key to joint replacement recovery is patience. By having some patience you develop a stronger more pain free recovery instead of pushing yourself to the edge of suffering from chronic pain and overall physical breakdown.

Find interesting? Kindly share…Thanks!

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419 thoughts on “How Long Does It Take To Heal From A TKR?”

  1. I am about two years post-op. It has taken that long fully to heal. But I was impatient and tore into rehab and perhaps I overdid it. Now I can ride a bike and walk for miles and miles. I do squats in the gym, do personal training and lead a yoga class. I’m seventy years old and I am relatively pain-free.
    After my TKR (left knee) I got certified in personal training since I’d always been interested in fitness. I am not a yoga adept per se but the people I train wanted one day a week for yoga and so I teach what little I know and which I have made my own.
    I can’t do yoga with as much flexibility as I once had, nor can I go fully down – or lift as much – with my squatting as I could before the TKR. But given my age there are many things I can’t do as I once used to! Having the TKR was a great thing for me. Now I have to learn to pull back a bit and accept the limitations as well as the positives of my new knee.
    I would do it again…. and I may have to some day. It has been a great thing for me.

  2. That is what I needed to know BEFORE I had my surgery, and what my doctor and the people I talked to, did NOT tell me.

    I had a rude awakening along about week 4……It would have been nice to know this beforehand.

    I guess I am now in the “Post-acute phase”…….but at least I am back at work…….(and my bank account will be happy!)

  3. I am 3 weeks post TKR. I was becoming frustrated with the slowness of the rehab, but after reading this I have realigned myself to expect less. What kind of daily excersise is best?

  4. I think the daily exercise depends on where you are in the healing process, what you need to work on the most, and your ROM. It seems my PT recommended several things after 4 weeks including the recumbant bike, a towel stretch, quad sets, deep knee bends, and knee bends using a pillow to support my replaced knee along with some walking.

  5. Heartburn Home Remedy

    Not that I’m impressed a lot, but this is a lot more than I expected for when I stumpled upon a link on Furl telling that the info here is quite decent. Thanks.

  6. 9 Weeks ago yesterday, I had my TKR. I’m sporadically using my cane, have just started doing a 4 inch stair exercise, and having good days and bad for sure. Finally, I got up to 103 degrees of flexion, but with much bullet biting.
    Narcotic pain meds and tylenol are used but not so freely. My liver took a beating from heavy pain med and tylenol use earlier in my recovery. But, really I had no choice with the amount of pain I was in. Now, I am really picky about when I take the meds – and fortunately, my liver enzymes are coming back to normal – almost. Still – the pain is there and I do piss, moan, and groan about it – it’s frustrating. I can totally agree with the post acute phase comment. Doing too much always comes at me the next day and kicks my butt.

    I did have some good news today, though. My long term disability insurance called today to say they would approve my case – and agree with my surgeon that I should be out 6 months from my surgery date – on account that I have a very physical job with lots of lifting and saying on my feet all day. I feel grateful I have this as I am sure others have not been so fortunate to have this resource.
    I’m also grateful for this site, Booktoots! It’s been such a support.

  7. Hi all. I am 8 wks out. I am definately in phase 2. Dr visit this past Tuesday, Dr. says your doing great!! Now no dancing, or running yet. I THOUGHT I WOULD PEE MY PANTS LAUGHING AT HIM!!!! 1. I never have been a runner not starting now. 2. I COULDN’T DO ANY OF THAT IF I WANTED TOO. He must be nuts……
    I will be glad when I get to the point where I can dance or run if I WANTED to. He has obviously never had this surgery performed on his knee!!!!
    Thanks for all the info. It has truely been helpful to me.

  8. i tkr for 2mth and 3week.left.leg.because i walking limp.and pain and diffcuit walking .can you help to reduce pain and how to do walking better limp.sorry my english not good

  9. Hi Rose,
    No need to apologize about your English. You speak better than some living in the United States.
    Anyways, there are a variety of exercises you can do to strengthen your tkr leg. That sure helped my limping. Look though my blog and you’ll find some that worked for me.
    About your pain…we’ve all been there. I found icing while elevating my tkr to work best.
    Good luck and keep in touch!

  10. I am 3 weeks out from TKR, and was feeling like it might not be doing as well as expected. I did not expect to still have so much pain and swelling, or have to take so much pain medication. Talk about sleepless nights, as soon as my head hits the pillow, the pain level goes up unbelievably! My knee is just as big as it was when I left the hospital, but I have pretty good motion in it. Looks like I just have to endure this for another couple of weeks at least, I won’t be trying to avoid the pain meds as much now…seems like it must be normal to still be on them. Thanks for the info!

  11. I had a TKR in July 2009, a couple of days later they opened it again to get blood out of the area. My doctor blamed it on the coumadin. Whatever the reason, I’m sure it contributed to my slow recovery. It has been eight months and I still have a lot of swelling and sleepless nights. I have stayed off the pain pills most of the time, however after I return from the YMCA I find I need to take one that night. I had a tremendous amount of anxiety and depression. At times overwhelming. I may need to have the right knee replaced some day, but right now I know I will put it off as long as possible.

  12. Hi Becky,
    I have been reading quite a few posts this evening and I haven’t read of anyone having been on a CPM (Constant Passive Motion)
    machine during recovery. I don’t know what I would have done without it. For those of you who are still only a few weeks out from
    TKR, maybe your doctor would consider prescribing one for you.
    It helped me immensely and kept my knee from getting too stiff
    and helped with the paid too. In fact, it felt better when on the machine than any other time. I used the CPM for 6 weeks and my
    ROM (range of motion) got to 110 by that time. Hope this info helps someone out there and good luck!

  13. I was starting to get a little frustrated with the persistent swelling and pain after my 8th week. The How Long Does It Take To Heal From A TKR? article was right on time. I’ve had a tendency to over due it because I started feeling a little better. Got my flexion up to 127 degrees today at my P/T session, much pain though. I think I’ll heed the advice in the article and be a little more patient. I still plan to play golf on 03/27/2011.

    Thanks again Booktoots for this forum.

  14. I had a TKR 4 weeks ago. Everyday is a little better but I’m still heavily dependent on pain meds. Nights are rough but I’ve found sleeping much easier if I can do something other than lay there thinking about the pain. I got a good set of earphones and put some restful music into my Ipod. I tried classical, new age, folk–just a lot of cds from the library until I found something that worked for me. I found the Moody Blues and folk music to be the best. Gentle music but complex enough to capture my interest. I never a great sleeper and i’m am surprised I can sleep with the music on but turns out that is not a problem at all. It has really made nights so much easier to take. Even if you are laying there for an hour or so, which i do often, it makes the time go faster. If you find yourself dreading nights you might give this a try.

  15. April 20 2011 4:08 pm
    I’m 3 weeks 1 day out from my TKR. My boss hoped I would be back at 4 weeks. NOT! I started setting my CPM at 90 on the low end and 110 at the top end. I was tired of waiting through the whole cycle from 0. Does the bending get easier after you pass 90 deg? I’m getting impatient!

  16. I am 14 weeks after my TKR. Prior to that I had the knee scoped and ended up with a lot of pain from arthritis. I still have nights where I am woke up in a lot of pain. I have still finished therapy. I am still in pain all day some days. I try to use the pain medicine sparingly. They have lowered the dosage. I walk a lot and try and exercise every day. Ice is your best friend. I ice four or five times a day.

  17. I am at 14 weeks post op tkr and my rom is 116 , my pt says great but my extension is -8 anyone else have this problem

  18. 7 weeks out from my TKR. ROM is 118, and PT was going well. As many have stated, you will pay for over activity the next day.

    I have a small area where a staple was that will not heal. It drains clear fluid. Dr. sent off sample to lab and it didn’t indicate staph. On antibiotics for 10 days, and he has stopped PT and put me in an immobilizer to calm down the knee. Dr. said that he hasn’t seen this very often, and could be a possible infected internal stitch. Has anyone experienced this?

    Booktoots thanks for this forum

  19. 9 weeks out from TKR. ROM is 110 and PT is really building strength in my leg. I overdo things as I feel good, then pay big time the next day.

    Scar is healing nicely. I apply Vitamin E oil frequently during the day to keep it supple as well as massaging the scar to keep it soft.

    I am back at work. I sit most of the day. I have to remember to get up and walk every hour. My ice pack is my friend. I use it a lot during the day and after exercising.

    Great forum, it’s nice to know that I’m not unusual in the way I am healing.

  20. Had tkr jan 24th 2012 I find that after doing therpy 3 times a wk I still get very stiff after sitting or laying down .I do ice and heat and still have this problem I hope this gos away soon it has been about 4 wks now without much improvement

  21. My surgery was January 9th so I’m about three months out. I’ve weaned myself off pain meds during the day for the most part, except for Tylenol. I’m still taking celebrex like I was prior to the surgery as it helps with overall inflammation for me. Following the tkr, just at the two week mark, i was ablw to give up the walker and use my pretty ne cane…but then my back went out due to my gait being off, ugh, then just my back felt better and I was able to give up e cane, I ended up in the hospital with a horrible virus. Overall, my recovery was hampered by these things, however, today my rom is at 125!

    My PT is happy, I go once a week for another three weeks, the pool therapy was the best. Vitamin e and cocoa butter oil help with the scar, the top of the scar is thicker and harder so I massage that each night with the oil. The bottom part of the scar is fading already.

    I am happy with the overall recovery, but I still need the pain meds at night. Once I lie down or even just to watch tv on the couch, my legs begin to feel achy and crampy. I sometimes watch tv from my exercise bike, which stinks for my back, but helps with the knee pain. I still have some swelling, but I try to ice often and that helps.

    So, if I’m at 12 weeks, how much longer do you think I’ll have to take pain meds at night? I cannot bear the aching crampy feeling in my legs at night. Yes, both legs but only the left one had the tkr. Great website.

  22. Hi Joe,
    Thanks for visiting my site and leaving your comment. Congrats on your ROM, that’s great!
    Everyone’s recuperation is different. I never took pain meds during the night, while others have.
    Take some time and peruse this site. You’ll find great feedback that may help you.
    Good luck and keep in touch!

    Marie (aka Booktoots)

  23. I had a TKR on Feb 3 2012 and I had 130 ROM at 8 weeks after surgery but developed a Baker’s cyst. The Baker’s cyst has prevented my progress with Rom and still have pain and little swelling at 14 weeks. What can I do to get rid off this cyst? I feel that I am ready for golf but my doctor wants me to wait until 4 months after surgery which will be 3 June. Very happy with my progress but recognizing that it will take at least a year to fully recover.

  24. Hi Antony,
    Thanks for visiting my site and leaving your comment. As I’ve pointed out throughout my site, I am not a medical professional and do not dispense medical advice. I have never had a Baker’s cyst, so have no idea about what it takes to remove it.
    I recommend contacting your medical care provider and/or doing online research into this condition.
    Good luck and keep in touch!

  25. I am seven weeks out. I am told I am a shining star but I sure don’t feel like it today. I have an unfortunate tendency to push harder than is wise. If I do PT two days in a row my knee lets me know in no uncertain terms. I was not prepared for the fatigue and depression. I switched to Tramadol for pain although I still use Narco to sleep. I stopped using a walker six days post surgery, no cane after eight days. I allowed my ego to dictate my progress. Big mistake. Listen to the knee. The ego ia a liar. I wanted to be ahead of the curve. My knee isn’t on the same page.

  26. Hi Barb,
    Thanks for visiting my site and leaving your comment. I’m confident my readers will relate to it as much as I have. Good luck and keep in touch!

  27. I am 6 mos out of TKR…I’m playing golf better than ever…my knee is very stable…I still take pain meds after golf and exercise…especially at bed time…still have trouble sleeping without sleep aid…pain, swelling and stiffness persist…I have to say my quality of life has surpassed my expectations…….just the pain, swelling and stiffness would cease…my surgeon says it takes time and keep challenging the knee…

  28. I hadr TKR on August 7, 2012. I am still in pain and basically have no pep! My bending is 105 but I need to work on my straightening of the knee. I know icing is supposed to be good but when I ice my knee I get a cramping feeling in my calf. I dread the nights as I have not had a full night’s sleep since before my surgery. I wake up every 2 hrs or so with pain and stiffness in my knee. It feels like circulation is being cut off in different parts of my leg. I am still taking pain meds 1 every 4-6 hours.

  29. Hi Mary,
    Thanks for visiting my site and leaving your comment. We’ve all been through what you’re going through. If you want some assurance that you’re not alone in your endeavor..you can read real-life stories in my book titled “Dealing With Insomnia After A Total Knee Replacement”. The book is available in hard copy and digital formats. For more information, visit my page titled “Storefront”.
    Good luck and keep in touch.

  30. I am now 9 months out from having a tkr on my left knee. I can tell you that my rom has actually diminished. It was 129 when I finished my pt, but now it’s more like 123 or maybe even less. However, I can do just about anything and I LOVE LOVE LOVE that I can go up and down stairs and walk at fairs, etc.

    I will say, however, that I still experience some pain and stiffness occasionally. I don’t know if it’s weather related or from overuse…all I know is that lately I have some discomfort. From what I understand, I shouldn’t judge my pain until I’m at the one year mark.

    Just thought I’d share an update.

  31. I’m 76, and I had a TKR 7 weeks ago. I still have swelling and some discomfort, especially upon awakening. I take two Tylenol and a Celebrex each morning, and 1 oxycodone prior to PT which is 3 times a week. I have found that sleeping with a pillow between my legs relieves my discomfort at night. I ice my knee in the evenings.
    I had 12 sessions of PT prior to my surgery, and I feel that that made my recovery a lot easier. I was at 120 egreees flexion 5 days post-op, and I’m currently at 136 degrees flexion and 0 degrees extension.
    Apparently the recovery from TKR is a slow process, which doesn’t sit well with me, or others. But I now go up and down stairs like an adult and not a 2 year old, and that’s a plus.

  32. Hi Arnie,
    Thanks for leaving your informative comment. That’s a great idea to have PT before undergoing tkr surgery. Kudos on your stairs accomplishment, too. I’m impressed. 🙂
    Good luck and keep in touch!

    Marie (aka Booktoots)

  33. I am not that much of a online reader to be honest but your
    blogs really nice, keep it up! I’ll go ahead and bookmark your site to come back later. Many thanks

  34. I had a Tka five weeks ago (right leg)and I most certainly agree with you all about the pain and swelling. This being my second Tka (having had my left leg done june of 2011) I knew what to expect but it still didn’t help. The sleepless nights, bouts of depression and just feeling less of a woman (due to having one leg) really starts to get to you after awhile. I don’t have much pain in my knee any more just ALOT of discomfort. I’m going to continue to push through it though.

  35. Hi Lizz,
    Thanks for visiting my site and leaving your informative comment. The best we can all do is to keep on plugging along and not give up. Good luck in your journey and keep in touch!
    Marie (aka Booktoots)

  36. It’s taking me a lot of labor. But, sure am looking forward to much health. Thanks for the insight.

  37. 11-17-2012
    I am 5 weeks & 5 days out from the TKR of my right knee. I had the left TKR 5 years ago. This time I was better prepared & I also have a much better Physical Theapist working with me.

    I do not have trouble sleeping or with more pain at night. I do have difficulty keeping the pain in check during the day. My surgeon’s nurse is in charge of how much narcotic pain med I am allowed; she is STINGY!! I am a tall, large woman weighing over 260 lb. I think she is giving me the same amount of pain meds as she would a dainty gal! I also take 2 Aleve twice a day. I am not a whiner–this pain is difficult to manage.

    I’m weaning my dose down & can go longer between doses. Up to 12 hours overnight.

    I am walking with a cane outside & walking well inside unaided. I can walk upstairs like a regular person, but like a two-year old down.

    Yesterday I drove my stick shift car to town (25 miles total). It felt so good to drive, but my knee was really howling by the time I got within 5 miles of home. I had to let my husband finish the drive home. Today my knee is really letting me know that I OVERDID with the Driving!!

  38. Hi, I had a TKR on both knees about 17 months ago and I am still experiencing stiffness and pain. My knees hurt constantly, especially when I try to stand up and walk. The first 5 to 6 steps are very painful, but after that, the pain and awkwardness in my walking seems to stop hurting. Does anyone have any suggestions on how I can relieve the pain and stiffness?
    Your help would truly be appreciated.

  39. I had my left TKR three weeks ago yesterday and spent a week in rehab before coming home. I’m doing well but my ROM is not much more than 90 at this point. Of course, it was terrible before the surgery which explains why it feels normal. My other knee is actually in worse shape so it’s hard for me to step forward with stairs and other things that are depending on a solid “good” leg. Oh well, as the ortho resident told me the day after my surgery, I should expect 2 months of a lot of pain. I wanted to slug him even though I knew he was right.

  40. Hi Anne,
    Thanks for visiting my site and leaving your informative comment. My ROM is about the same as yours, but has been for over 30 years. So..we do what we can do. Keep in touch and good luck!

  41. Hello,
    I am so glad I found this information! I am 3 weeks post op r tkr. I was trying to wean myself from pain meds as it makes me dizzy and clouded. I am on Advil and switch to Tylenol at night. Nighttime is the worst. I must be moving quite a bit as I wake up in pain. Why don’t we get immobilizers to wear at night? I want to be able to chase my granddaughter, walk for exercise, and be pain free. ROm is 95 and I want to return to my job as a high school teacher on a part time basis due to standing all day. I am 52 and hoping this will provide me with good results. I wondered if anyone else has had problems with nausea, and just not feeling right?

  42. I am 4 days post op from TKR. I was sent directly home without the option of inpatient rehab. I am in a lot of pain. I can’t use the cpm without being tearful. My doctor has made me feel like he thinks I am a drug seeker even though I have made it through the last 5-10 years on anti inflammatory drugs alone. I can’t get 5 steps out of bed without the throbbing pain becoming overwhelming. I don’t know where to turn. I don’t know if this level of pain is normal or if it indicates there might be something really wrong annd i am now really uncomfortable talking to dr winters and a little angry. I have had a fever since the surgery. They just kept doing more and more tests in the hospital, taking more and more blood, with no answers.
    Does anyone has any advice?

  43. Hi Lisa,
    Thanks for visiting my site and leaving your compelling comment. I’m sure we all feel for you. Speaking for myself, four days post-tkr involved excruciating pain. You think it’s bad now, wait until you start pt. Just be prepared, my friend. Take a look around this site for some insight into how other’s have been dealing with a tkr.
    I am not a medical professional, but am only sharing my tkr experiences on this site.
    If I was uncomfortable speaking with my current doctor, I would find another one to talk with. You have every right to be comfortable speaking with your doctor.
    Good luck and keep in touch.

  44. Hi! 8 weeks post op for TKR. Very frustrating 🙁 ROM is only 80 degrees so going back to hospital next week for a MUA (Manipulation under anaesetic) to try and gain more bend and to straighten the knee. Has been a hard journey as I’m allergic to most pain killers and seem resistant to sleeping tablets. Tired, emotional, frustrated. Really hoping the MUA works and I can then see & feel that progress is actually happening! I’m only 48 so in the UK considered very young to have this procedure. Looking forward to a good nights sleep, walking properly and finally enjoying my new knee! Early days I know but very impatient!

  45. Hi, I’m 8 weeks out of Rt TKR. I’m 54. ROM is, at best, 107 to 8 (flexed). Still very stiff, achy. I retuned to work part time at a medical clinic, up/ down all the time. I’m retuning full time in 1 week. This site has been very helpful. I believe I’m on about the same recover course as many of you are. My biggest frustration is waking up every hour to move. I hurt still so much at night. I have pain meds that, now, i am only taking before PT. they keep me awake! I do not fall asleep when I take them. I’ve use Tylenol PM, but I still don’t sleep! I know if I could get better sleep, the days would be so much better!! Any advice or I’s there another pain med out there that will allow better rest??

  46. I had TKR on my right leg on November 13th, 2012, and my left 4 weeks later. Both operations by the same doctor, same hospital, same anesthesia, but different paths of recovery. On the whole, I am very pleased. Pain wise, the only REAL pain I had was making the first full revolution on the stationary bike. The rest is cramping and general discomfort, for which pain killers do nothing. I’ve found Advil and ice takes care of most of it, but sleep, without Ambien, is impossible, and it only lasts for 4 to 6 hours. The Polar Care Cube worked great for sleeping early on, just cut down on the amount of ice, and use more water if you plan on leaving it on while you’re sleeping. Both knees are still stiff, but there’s no real pain. This is for information only, and I am by no means complaining. It’s a slow process that’s worth the wait!

  47. Thank you SO much for this site! I had TKR of left knee 3 weeks 4 days ago and am on a recovery roller coaster! Some days on top of the world followed by the horribly painful sleepless nights. It is reassuring to know that all of this is normal. I do my web searching around 2am to take my mind off my knee until time for another pain killer and reading these entries has been so helpful. Most important I believe is that you WILL pay for it if you overdo – my problem last night, no doubt! I will be returning to this site regularly as I work my way through the stages of recovery. I am 57 and plan to return to work in 2 weeks so I will need all of the advice I can find! Thank you again! Bonnie

  48. Thanks for visiting my site and leaving your positive comment, Bonnie. It’s always fun knowing my writing and experiences are helping others like yourself. Stay in touch and good luck!

  49. Hi, I had TKR on my left knee 4 weeks ago. My physical therapist who comes to see me 3 times a week and this website are what gives me hope that things will get better. For the past 2 days I have spent many hours in bed elevating my leg and icing it because the swelling has once again increased. It hurts to sit or lay. I can hardly do my exercises because my leg is so big. I am taking ibuprophen during the day now and norco/vicoden at night. I can’t sleep at night because the pain spikes… Sounds like this is pretty normal. I am so tired of hurting. I had no idea recovery would be like this. This site and the comments i read have been so helpful. It makes me feel less alone. Thank you

  50. Hi Laurie,
    Thanks for visiting my site and leaving your comment. It’s nice knowing that my site is helping you feel less alone. Your experiences are exactly the same as mine and so many other readers that have visited this site. Hang in there and keep in touch throughout your recuperation process.
    Good luck!

  51. Hi,
    I am a 53 year old nurse administrator now 7 weeks post TKR. I am so glad that I found this site. Definitely calms my anxieties about my recovery. Though I’m so glad I had the surgery I was worried that I was lagging behind “normal.” What is going well for me is that I had zero degrees extension right away. (I’ve always had significant knee hyper-extension though). Current flexion is 115, but am not yet 100% comfortable there. 105 deg is comfortable. I was able to have a custom made prosthesis which I feel aids in the success of my final outcome. I go to PT twice a week and then each day I do some work on my own. Walking well and haven’t used walker or cane since day 2 at home. What is not so good is that I’ve tended to push myself a lot and am having a fair amount of pain on the outside of my knee, especially when I stand from sitting or doing some mildly strenuous exercises. I suspect that it is ilio-tibial band syndrome – really a pain and haven’t been very successful in getting it resolved. Also experience periodic aching severe enough to medicate at times. Though I tried other strategies, I still need to take oxycodone and Tylenol and positioning at night to be able to get adequate sleep. I wonder what is the outside time frame that I should still need these meds. Sometime take it during the day for extreme aching and it works adequately. My MD isn’t voicing any concerns about pain med use yet. Rest, ice and elevation is always part of my self care. I’m wondering if any else has this type of problem and/or suggestions. I am getting the point that patience is the virtue of the day. Thanks and best wishes to all.

  52. Me again. I am now almost to the end of 6 weeks since TKR and still experiencing constant swellling and occasional pain. It feels like there is a very tight band around my knee. Part of the area is numb. Sometimes It hurts just to touch the skin on my leg. My flexion is only at 92. I do my exercises several times a day. I usually have to warm up a while before I can bend my knee enough to feel like I am actually working it. It gets so tight. I think it is odd the way the pain seems to move to different spots around my knee on different days. I need about 3 tablets of Norco to get through the night. I wake up quite often from the stiffness in my leg. I have been taking ibuprophen during the day but I find it makes me too emotional and doesn’t help with the pain or swelling. Today my leg was extra stiff and achey and the ibuprophen was making me feel defeated and teary. I came to this website and read the previous comments from people. It pulled me right out of the “poor me’s”. I think I am going to need to continue the pain meds for a while for sleep and to use on an occasional basis. Judging from what other people have written you can over do it one day and need help with the pain the following day even after a few months of recovery. I was wondering if anyone else has difficulty sitting for longer than a half hour. I have to keep constantly changing position. Laura, you sound like you are doing very well!! Bonnie, are you back at work? Thank you, Booktoots!

  53. What I haven’t seen in other comments is about simply standing and walking. I’m 9 weeks post tkr and do fine with ROM although getting my knee straight is still challenging. I am/was an active 61 female – my husband and I just retired and were hoping to enjoy life so I am very discouraged about my progress. My problem is that I can stand about 10 minutes being uncomfortable but beyond that I am in a lot of pain even having taken a pain med prior. There is still significant heat coming off the knee too. My insurance stopped my PT but I am religious about exercising and ice about 6 times a day/night. Finallly I can sleep fairly well so in that respect I feel there has been progress. My surgeon gave me almost 2 minutes of his time at my two post-op appointments saying saying everyone is different. Does it seem reasonable to have so much pain just standing a few minutes after two months? Should I seek a second opinion or what? Please advise me as the depression is making this even worse.

  54. Mary Weibling

    Discovered your website just after I had a left total knee on 10 December 2012. I’m now just approaching the 3 month mark and wondering if it is normal to be uncomfortable doing any walking on concrete floors. I do 20 minutes on my eliptical every morning before going to physical therapy and feel great. I’m taking an anti inflammatory for the swelling and nothing more. I’m finally sleeping all thru the night.

  55. Hi Karen,
    Thanks for visiting my site and leaving your comment. I had pain for longer than two months after standing a short while, just so you don’t feel so alone. Take a look around my site and find out that what you’re experiencing is rather common.
    Good luck and keep in touch!

  56. I am 11 weeks past right TKR. I have two more Pt appts. and I am being released. I have attained 127 ROM. and my knee lays completely flat. I am now working on stair climbing. My surgeon wanted to do a hospital manipulation at 3 weeks and I refused. I have had very little pain during the entire process. My therapist said all during my therapy that I would never have to have pain past a 2 in therapy. And I haven’t. My surgeon said I had to make my knee hurt to rehabilitate. How wrong he was. I can ride my exercise bike for a half hour at a time. I haven’t had to take meds since I left the rehab center after two weeks. I have had therapy strongly at the rehab center and have been in out patient therapy three times a week and extensive therapy at home. You have to be extremely motivated to exercise from the beginning. It started the night after my surgery. Stayed awake all night and worked my good leg up and down and did ankle rolls on both feet to help avoid blood clots. I still have a long way to go as I still can’t walk for great distances. But it will come. A positive attitude is most important and patience with the knee. First and foremost, it will not heal overnight. When it hurts, get off of it, use ice and rest. I am 73.

  57. I went back yesterday for my second post op check up with my surgeon that wanted to put me in the hsopital at 3 weeks and do a manipulation. Thank goodness I refused. My knee bent, yesterday, in his office to 127 degrees, and and my knee would lay totally flat. He was impressed. Said I was his star patient. I am now at 13 weeks post op. I have found out first hand that you do NOT have to hurt yourself or let any therapist hurt you to rehabilite the knee. If your therapist is hurting you past a 2 on the scale, find another therapist. You must take it slow and steady. Get off of it early in the evening and get a good nights sleep. The most important thing is not to rush your rehabilitation and if it hurts that means you are going to have swelling and that hinders the recovery. Stay with the exercises that they have you do in therapy after you are not going there anymore. The knee will not be fully healed for 6 mos to a year. Accept this fact and be patient with the knee. If the surgeon has done his job correctly during surgery, you will find that the knee will progress nicely with a lot of work and patience. Above all “if the knee hurts, get off of it and use ice for at least 20 minutes”.

  58. Hi,I’m so glad to have come across your website. I’m 4 weeks post open tkr of my left knee,the pain that I’m having isn’t in my knee,its in my thigh and my calf is very sensitive. I sometimes have pain that shoots through my ankle and my toes. I too am having difficulty sleeping at night because of the acheyness and throbbing in my leg. I try not to take pain pills because I don’t like how they make me feel. My Dr says I’m doing great but I sure don’t feel like I am. I have started my pt and my rom is only at 90,I feel like my knee gets stuck and I can’t bend it,does the bending get any easier? I am 45 and I get so angry because im having such a hard time getting it to bend more,I’m at a 12 when it comes to straightening my leg. I become very emotional and cry like a baby. Its good to know that I’m not the only one that is having these same problems,I just want to walk normal once again and sleep at night like I used too. I keep telling myself,if the older people can do it so can I,I commend them for that. I only wish my Dr would have told me about the after affects.

  59. Hi,
    I’m a fortyfive year old male,three weeks post op tkr experiencing much of the same aches and pains explained in previous posts.Although its early days regarding rehabilitation I think I’m on track using other peoples experiences as a measuring stick.The thing I’d like to know more about is if their knee feels natural as I keep forgetting that there’s a new joint in there at all.Thanks for such an informative site that shows there’s no time limit on your rehab,”its better when its better” and having unrealistic goals and targets may only cause frustration in the long run.Thanks and best wishes to you all in recovery.

  60. I had a LTKR on 01/22/2013. I’m 54. At almost 7 weeks out and I have had no pain since 5 weeks. My ROM is 118. It’s been years since I could properly walk down steps. Instead of my left foot always following my right one step at a time I can finally go down one step with my right then another step with my left. I’ve been married to the same man for 32 years and have 3 kids, ages 31, 29 and 9, yes that is correct we have a nine year old perfect little, all boy, son. I will forever be grateful to my surgeon for the opportunity to continue to do all the outdoor activities with my youngest that I enjoyed doing with my older kids.

  61. I am three weeks out after TKR. My doctor started the CPM machine on the day of surgery, and I use it 8 hours a day, 2 hours on and 1-2 hours off. It has helped tremendously to keep my knee limber. I guess I was one of the lucky ones regarding the pain. I have not had pain killers since the day after surgery. I just haven’t needed them. 3 days after surgery my ROM was 100, and I’m up to 110 today. The only problem I seem to be having is blood pooling in my lower leg, ankle, and the top of my foot. When I stand up, the blood rushes down to my shin area and it feels like a thousand needles are being stuck into me. The pain subsides after about 20 seconds, but that 20 seconds is NOT pleasant. I am scheduled to see my surgeon in 2 days. I will ask him about the blood pooling then. I don’t understand why I can’t use heat at this point to help dissipate the blood. Oh well, I don’t regret getting this done at all, and I would do it again in a heartbeat! Good luck to all post TKR patients! Speedy recovery.

  62. Hi PJ,
    Thanks for visiting my site and leaving such positive feedback. It’s great to hear such inspiring experiences. Good luck and stay in touch!

  63. Tim the Teacher

    I am 57 yo male and am almost 4 weeks postoperative from a left tkr after 4 torn meniscus episodes due to running? i am in between a walker and a cane. I only have 1 session left with my in home PT who thinks that I should be more than 92 in ROM and 0 in extension. She has been so aggressive as to bend my leg back several times w/o warning to see how far it will go. I have had it on a CPM up to 105 today but she swears she should be able to measure that herself with her own sneaky efforts. She threatened me with the manipulation bit if I didn’t improve soon. I refused to let her bend it on Monday. I feel that if the OS clears me for anti inflammatories it will get better when I start out patient PT on Friday. Only needed I pain med today.

  64. Hi Tim,
    Thanks for visiting my site and leaving your comment. Manipulation must be the latest craze in the tkr field since so many people seem to be having their medical care providers recommend it.
    Just for the record…It’s been 5 years since my tkr and my ROM is about 93. I’m not worried about it. It’s about what it was prior to my surgery. I’ve written about this in other posts on this site.
    Good luck and keep in touch!

  65. I am 7 weeks post TKR. This is a wicked surgery and has tested my sanity to the limits. My problem has been that I over did it coming out of rehab and have paid the price. I never used a walker and a cane for only a few days. I walked 2 miles at 2 weeks and regret that (set me way back). I still have significant pain and taking Rx nightime only. All those who have had this and still not sure if you would do it all over again…….I am in your camp……stay strong!

  66. Hi All and thanks Booktoots.
    I am 67 yrs old, had my PKR on my birthday, it was not a pleasant experience. I am now entering Week 9 and as much as I empathize with everyone here with all the difficulties you are experiencing, I think I can give you hope by saying that today I feel FINE.
    My first six weeks were horrendous, I overdid my PT and paid dearly for it. Passed out one day in PT due to over activity. Went on double dose of Bactrim for a possible infection. I am somewhat of a gym rat so I thought that the ore I did, the better off I would be, WRONG! The later day pain and swelling was enormous, I had to force myself to use a LOT of ice, meds and REST.
    My doctor knows me quite well for being determined and physically very active even at my age, he had to eventually order me to stay home and watch TV. For me, that was like a prison sentence however today after 8 weeks, I can report that I am feeling great. The pain for the most part is gone however I do have some stiffness in the mornings and the middle of the night.
    I think I am at about 80% recovered and am looking forward to golfing in the next few weeks. My advice to everyone, and I know it is different for everyone, DON’T OVERDUE YOUR PT! Take every opportunity presented to walk upstairs and downstairs (hold on to the rail), walk when you can, do your four step stairs stretch, ice, ice & ice. Use your meds if that is what it takes to get the PT done, just don’t overuse. I am now down to one (maybe two) Percocet per day. I use it particularly to try and get a good night’s sleep.
    Everyone including my doctor tells me that I am way ahead of the recovery game since I am almost normal again, I went through hell though and I KNOW you will too, just have patience and wait it out, it gets better. A lot better.

  67. I am a 66 yr. old and had a TKR on my right knee Jan. 22, 2012. My surgeon uses a minimally invasive technique. I spent 3 nights in the hospital, and 2 weeks in rehab. I have virtually no pain. My range of motion is 127 and I can straighten my leg perfectly. When I woke up in the hospital my knee was moving in the machine. 1st 24 hrs. were painful. After that, pain was minimal. I was driving at 3 weeks. My best advice is to REALLY research the surgeon you will use. I know many people who have had a TKR and are still struggling after several months. Also, pineapple juice really helps with the swelling. I still drink a couple of glasses per day. Stay positive, it’s so important.

  68. Male age 57 -I am 5 weeks out of left tkr. I used cpm twice daily for 3 hours per day to 90 degrees after 3 days. I had flatlined in recovery following the tkr surgery. Two days later got a pacemaker, underwent testing for another two weeks. Used percoset for first few days following surgery by day 5 stopped percocet as it made me nauseous Walked a little each day with walker for first two weeks while in CCU Went to acute rehab for 4 days and had PT and OT twice per day. Tried percocet one more time in rehab but did not tolerate it well so i stopped it completly Used cane on 2 nd day in rehab Went home after 19 days post op.was released with Vicodin script and I tried it a few times but still not tolerate it well although a little easier than Percoset so did not use. Did not use any Tylenol either was evaluated at home by home care and went for follow up with Ortho surgeon. Stopped cane after first couple days home during week 3-4 Was signed off for outpatient PT during first week home. Continued CPM about a half hour twice per day and exercised at home as well to week 6 Cpm to 120 degrees. Almost 6 weeks
    now 5 days out patient PT so far. Knee at 112 degrees flexion and -8
    extension. Walking without any cane or walker since week 3 Week 5 walking about 3/4 mile per day. In woods and on roads and or mall. No pain meds taken at all since week 3 and very little at that point. Maybe 10-12 pills total as I did not tolerate them well. I did start 5 mg Lexapro for anxiety/ depression during week 3 and have tolerated it ok although I have mid dull headaches during week 5-6. Tried Tylenol last night and it helped and I had a hard decent night sleep for a change. Sleep has been the most uncomfortable time for knee. Tilt board stretch, bike, leg Rex using ball some stretching from therapist Lucky to have minimal pain.

  69. I am frustrated. I am almost 11 weeks out of tkr and have awful pain around my knee I have 126 flexion so that is not the problem. I feel like there is a vice tightening around my knees. At night it feels like my knees are on fire.Why am I still having so much pain?

  70. Ellie,

    I am in my 11th week and my pain is mostly gone although I still use a Percocet occasionally after I have been to the gym. I also feel the vice tightening and the burning sometimes. I have been told that I am way ahead of the game since my recovery was so fast. I was walking without any assistance two days after I got home however just as it was positive so quickly, so I have experienced set backs without reason.

    I am a very healthy 67 and am proud of my robust and active lifestyle. I was quite surprised last Thursday after I went to the gym and during grocery shopping, my knee gave way. I had no indication of this happening since there was no pain after the gym and I felt pretty good. The rest of the day was pretty painful. I feel very frustrated at times since I keep wondering when and IF I will ever be free of pain again. I am going back for my 12 week checkup next week and hope to have a lot of these questions answered.

    My advice to you is to cultivate a lot of patience and remember that this kind of major surgery requires a LOT of time to heal and get you back to normal. Don’t overdo any PT and just because you feel fantastic one day does not necessarily mean that you can go crazy with more exercising. Give the internals time to heal and reconnect nerves, muscle and ligaments.

    I wish you all the best with your recovery and it will get better.

  71. Hi Ellie & Dallas Jones,
    Thanks for visiting my site and leaving your comments.
    Ellie…your pain level sounds like mine was at your stage of tkr recuperation.
    Dallas…I’m sure your inspiring comment will help others in addition to Ellie.
    Good luck to you both!

  72. It is so good to discover this blog. I’ve had so many questions but was not receiving concrete answers, I did not know the norm, what to expect, why one day I was fine, the next day I could not walk for the pain. What was I doing wrong!

    I had a TKR on my right knee 8 weeks ago. The day after surgery my ROM was 90 degrees, I was the STAR at the hospital that week. I went home and for the first week, with manageable pain, was moving around with little limitation. Just because you can do it does not make it smart. A little after a week after surgery, my knee began to swell. The pain was not manageable since I have a very low tolerance for narcotics I was put on bed rest, no movement, for the next two weeks doing very minimal Physical therapy. Ice 5 to 6 times a day. I was still using the walker.

    I got through that period with lessons learned. Week 3 proved a bit better,. The PT was happy but sometimes I would get nerve pain so extreme I was sidelined. I transitioned to a cane. This went on and off until week 6. ROM had setback, but now at 100. I began to sleep for more than 2 hours, but still some recurrence of nerve pain, but manageable. I had to go on a business trip I could not get out of on week 6, but for some reason, my knee began to improve, more stable, 100% of my body weight, I carried my cane, but used it rarely. My ROM had not improved that much, but little pain (use Ibuprofen 1 to 2 times a day).

    My PT stopped a week before the trip . I hired a Trainer at my GYM with physical therapy experience at week 7. My knee is swells, but minimally. I can walk up and down stairs. When it starts to hurt, I STOP. Lesson learned. We work in the pool and machine and floor exercises. I also do 30 to 45 minutes on a bike or elliptical 2 to 3 days a week. My ROM is at 116. I feel that I’m at the next level, still some swelling, ibuprofen when needed, and with the exercise I sleep at night.

    I am looking forward to the day when I don’t feel my knee. I will do my left knee sometime this year. I am beginning to feel the pain in the left knee with the exercise, but the TKR knee, no pain just a little swelling. It does feel numb and I do have moderate bone pain.

  73. April 22nd, 2013 at 6:39 am

    I had my knee replaced 6 months ago. I had previous work done on my knee and had scar tissue and so on. After 3 or 4 months I could straighten my leg to 0% and could bent my knee a touch over 130 degrees but after I go for a walk ( 3K) my knee still stiffens up and gets sore at the bottom of my kneecap. Is this normal? I know some people say they are golfing and hiking and so on after a few months. They must be super athlete’s or something but I know in most cases these knees take a long time to heal. I would appreciate any feedback.

  74. Hi Andy,
    Thanks for visiting my site and leaving your comment. I experienced the same thing you are going through. It’s fruitless to compare yourself with others. Everyone is different.
    Take a look around my site and find other useful information.
    Good luck and stay in touch!

  75. I am at 4 months post total right knee replacement. I am doing well, but what they say is so true. It does take 6 months to a year to totally heal. New bone has to grow around the parts than extend down and up into the bones. This does not happen over night, I have found. I have good ROM now, but still have the stiffness if I don’t rest often. Still have a catchy pain at times when moving the knee after sitting for awhile. I no longer have to prop my leg when sitting. Finally have been able to stop using the ice as the swelling is gone. I am 73 so I can afford to rest when I need to. I am still very active and healthy. Patience is the word to put at the top of the list after a surgery of this kind. My thoughts and prayers are with all of you that just had surgery. The surgery is a piece of cake, its the long long recovery and the physical therapy that is the pits. But it is well worth it in the long run.

  76. I’m 7 weeks out swells all of the time. Then pt guy put bandage on it called kinesio tape used in Japan..I’m a big woman 385 pounds. It helped with pain and swelling.. so bought my own make my husband put it on. And feels so good..I try to push to much too. And end up sidelined for it..just live and learn we all heal differently.patience is a virtue they say..so good luck to me and you all thanks for your feedback and listening to mine.

  77. I found this site in the middle of yet another sleepless night and I have to say it saved my sanity. I am 2 and 1/2 weeks post op and making slow progress, but feeling just a little better every day. My swelling is minimal but pain is not! I take Percocet probably 3-4 times a day, and sleep meds at night. My biggest hurdle has been to rebuild quad strength (at one point had a flaccid leg that I relied on others to lift). That is improving as I can now life my leg on my own to a certain degree. I use the CPM and get to 100 degrees, but when I physically bend it, only get to 92. My leg can lie flat. Sitting in a chair kills me as the knee stiffens quickly. I am a work at home nurse and returned to work one week post op. Very hard!! Sleepless nights are the norm for me, sometimes only 20 minutes at a time. This morning I got cocky, thinking I could go the bathroom without my walker and on the way back, my knee buckled, sending extreme pain up my thigh. I’m icing right now. Thank you so much for this site. The comments have helped me survive and I will continue to read them. I wish everyone great success with recovery and can’t wait until I am where many of you are now. Thanks again

  78. Hi Kandi,
    Thanks so much for your positive feedback and insight. It’s great to hear my site is helping others going through the same thing. Best of luck to you and keep in touch.

  79. Gail bensinger

    I had tkr on October 16, 2012. Just went back to my job in a big box store whose favorite color is orange. I cannot sit most of the day, so I am on my feet 7-8 hours in motion. Knee was doing ok until about 2 months ago. Now, I cannot go down the stairs one foot after the other. I have a lot of pain at the patella/tibia line and around the inside of the knee. It also has a small bruise. When , I bend it feels like its under pressure and going to explode! Have had several tests and ended with a bone scan. There is blood pooling at the femoral portion of the prosthesis and the patella tibial joint (?) appears to have decreased. No infection from bone scan. From what I have read, the prosthesis may have come loose, thus the blood and the patella may not be tracking properly. It’s scary with blood pooling since I have had two DVT in the past. Seeing surgeon next week. Anyone have any comments as to what has happened. 7 months later and still in pain and not able to do the things I used to. Not a happy camper!! Tkr is a slow, painful and frustrating recovery especially when your workplace is not accommodating for fear of showing favoritism to employees! Maybe they should pay for 2nd surgery if that is what happens?!?

  80. Thank goodness for this website. I am 8 weeks out from left TKR and still having rough time. Could not take pain meds – made me so sick. Lost quite bit of weight. Finally down to a Tramadol for PT (at home) ,pain at night, etc. Even Tylenol made mouth sore. Main thing – I did good in PT for the 6 weeks I was there and was walking some each day, etc. Do not know what happened…all of sudden, I have pains shooting in every direction from knee. Outside, inside, back of knee and calf very sore – hard to move knee at night – this all just started. Maybe overdid some with PT (only do about 20 minutes each day per doctor advice) and supposed to walk and increase a bit each day. Use cane as needed. I have had so many meltdowns cannot count. Need depression med I am sure but take so much now I hate to go on another pill. Had stroke from AFIB 3 years ago. Think I was too weak to have this surgery but would like feedback on pain around knee and down in leg – even into foot….even upper part of leg to groin has some pain. Is this normal – will I ever be normal again? I am 71 and did not want to be a wimp with this surgery. Have been thru a lot but never anything like this. Bless each of you.

  81. Hi Martha,
    Thanks for visiting my site and leaving your real-life experience comment. Pain and immobility was very common in my entire tkr leg. Take some time and read through others’ comments. I’m sure you’ll find similarities.
    Personally, I don’t like the word “normal” since there is no such thing. Everyone brings different experiences and backgrounds to any situation.
    It took awhile to get my tkr in shape. Have you consulted with your doctor about this?
    Good luck and keep in touch!

  82. I am wondering why this website wasn’t found until after my TKR? Surgery was April 2 which makes it a bit over a month. I’ve graduated to a cane to get around and attend outpatient PT three times a week and pay a dear price each evening afterwards. Not only is there still a great deal of pain involved with the knee itself, but the muscle spasms, swelling (which feels like my skin is burning) are, at times, unbearable. And, again, I wonder where this site was prior to my surgery and, if I had stumbled upon it, would I have gone through with the surgery?
    My boss was under the impression I’d be back @ work within two weeks (this is what the doctor said was possible due to the fact that I sit at a desk for the most part of my job — there are times I may have to walk to the other side of the building (the size of a football field) but those times are few and far between.
    No, I am not back to work and cannot even fathom that thought due to the unbearable swelling along with the spasms that start up the moment I begin to move around — walking from the bed to the bathroom, walking into the living room and trying — in vain — to find a comfortable way to sit on the couch or chair. Next to impossible because the moment my right leg is touching the floor, the swelling begins, the pain sets in and I am in a bad state any way you look at it.
    Having a difficult time imagining when I’ll be able to go back to work simply due to the sitting aspect — sitting equals pain no matter how you cut the mustard.
    My range of motion is good — this is per my Physical Therapist but he is in agreement that I am not ready to return to work … so here I sit.
    I experience a high percentage of the pain @ night when trying to go to sleep which is almost impossible — tossing & turning trying to find a comfortable position is for not. Waking up two to three times a night due to pain is becoming a regular occurrence.
    So … where am I going with all of this … I guess from what I’ve read above, all of these issues I’m experiencing are par for the course but I do wonder if I would have gone through the procedure knowing all of this beforehand.
    I do wonder when I’ll be able to return to work but right now my only priority is getting to a place where comfort overrides discomfort. I am still taking pain meds as they are the only way to deal with a lot of these issues. I find I’m in total agreement with most that report you pay for the PT the next day … BOY, do I pay! Maybe that’s where the phrase, “No pain, no gain” comes from …
    Happy this site is here and my only wish (think I’ve said this before) is that I had stumbled upon it before the surgery …
    Good luck to everyone that is going through this and I wish everyone the best in their recovery …

  83. On May 22, 2013, I will be undergoing TKR on my right leg. After reading all of your write-ups, I’m kind of shaky about going through with this. I visited with my doctor this afternoon and brought up about all of these ordeals. He said that everyone heals differently and that there will be discomfort but if you take the meds as prescribed, everything should go very smoothly. I do have trust in my doctor. I will give an update after my surgery is through and I am home. The surgery that I will be having is the Subvastus Approach. It is a surgery which the doc does not cut through the patella muscle which makes recovery a bit easier. We shall see. Look for my updates and good luck to all who has had or will have TKR….