For Inspiration…The Old Fisherman

Hi my favorite readers… TKR recuperation can be a difficult and lonesome time. If you are like me, there will be times when you just wonder what the point is. This is when we must be extra diligent in finding inspiration. We all need inspiration. It can come in all forms. When it comes in the form of real-life stories, it is particularly welcoming.

While searching the Web, I came across one such story that is bound to touch your souls and heart. It is called “The Old Fisherman”. Click on the link below to be taken to the actual story. If this story doesn’t lift your spirits, nothing will. Enjoy!

The Old Fisherman
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Thank You Booktoots’ Supporters…

Hi everyone. It’s that time again to say “thank you” for visiting and playing an active role in helping this site succeed. I have a very deep appreciation for all you do. Whether it is reading through the posts, commenting about your current situation, or encouraging other readers, thank you for taking time out of your day to participate.

Best of luck to everyone. Please share the news about this site with others you know could benefit. We are all in this together!

Find interesting? Kindly share. Thank you…

AUTHOR NOTE: Booktoots’ Healing helps total knee replacement patients find support throughout recuperation and beyond. Its mission is for patients to understand they are not alone in their ordeal with either a tkr or other physicality concerns.

This site is owned and operated by Marie Buckner, a published author and tkr patient who has been living with various physical conditions for over 40+ years. She enjoys sharing her experiences to help others going through the same thing.

Healing After A Total Knee Replacement

Hi my favorite readers! I am honored to present this informative guest post written by an Austrailian physiotherapist. Take the following information into consideration during your tkr recuperation process.

Being a candidate of a total knee replacement surgery, you probably have been told that life after surgery will be the same as before. However, just like with any other treatment, the healing process does not take place overnight and you must follow your healthcare provider’s instructions for successful recovery.

Post-surgery activities
Your knee is the largest joint in your body. Therefore, a complete replacement is a major surgery. The following measures will help you adapt to your new knee and gradually start physical activity.

In the hospital
Before your discharge, the following steps will be undertaken:
* Early mobilization
Due to prolonged rest, your knee and muscles may have become very weak. Therefore, you may be instructed to resume subtle activity in order to strengthen the quadriceps muscles and be better able to control your new joint. Moreover, early activity is also essential to neutralize the after-effects of anesthesia and promote healing.

* Pain control and physical therapy
Even though pain after surgery is present in variable degrees, it can be effectively controlled with medication.

Your physical therapist will help you to control your new knee. Your knee may be aided with a continuous passive motion exercise machine that will subtly bend and straighten your knee. While you rest, you can also pedal your feet in order to encourage efficient blood flow in the legs.

After discharge
Your stay at the hospital may last for 3 to 7 days after surgery depending on how well you have progressed. Before your discharge, you must be able to perform the following tasks:
* Bend your knee at a right angle and/or show adequate progress in straightening and bending the knee
* Get in bed and out of bed without any help
* Walk with a walker or crutches

You may have a mild swelling following your discharge. This can be treated with elevating the leg, applying an ice pack for 15 minutes and wearing a compression hose.

You must continue the prescribed exercises for at least two months after your total knee replacement surgery.

To tone your muscles and maintain the flexibility of your knee, low-impact exercises such as riding a stationary bike can help.

What can you do at home?
For several weeks, you may need some help with your everyday activities. If sufficient help is not available, you may have to join a rehabilitation center.

You can also follow these tips to make your home more comfortable:
* Shift your room if you live on an upper floor in order to avoid using stairs
* Rearrange your furniture so you can walk with crutches without any interference
* Get rid of any rugs and unwanted cords to prevent falling
* To avoid bending too far use devices with long handles

After discharge, you should be able to resume your normal eating habits. Your doctor may also recommend taking vitamin C supplements to help in the absorption of iron in the body. Make sure you drink plenty of fluids and try to limit your intake of caffeine or coffee and alcohol. Avoid consuming too many foods with vitamin K, such as green beans, lentils, garbanzo beans, soybeans, soybean oil, Brussels sprouts, broccoli, cauliflower, kale, spinach, turnip greens, lettuce, onions, cabbage and liver, while taking blood-thinning medication. Your vitamin K intake should be the same every day while you take blood-thinning medications as too much vitamin K can interfere with the medications and risk to blood clotting. Watch your weight as well in order to prevent excessive stress on the joint.

Author Bio:
This article was written by Jeff from, Australia’s premier physiotherapy and sports injury rehabilitation store. Visit their sports injury blog for more valuable information. Feel free to contact him through the website.

Thank you, Jeff! Hope this helps others going through the same thing.

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Nausea After a TKR?

One of my readers questioned whether anyone had concerns regarding nausea after undergoing a tkr. I have written about this in former posts dating back to 2008, but will reiterate.

The only nausea I had initially was from the local anesthesia while in the hospital. The anesthesia resulted in appetite loss, dizziness, impaired speech and light-headedness. I didn’t eat anything for one day and then slowly started eating small amounts. First time I stood up for physical therapy, I vomited.

Once the anesthesia cleared out of my body, nausea was not an issue. This coincided with my hospital discharge. I believe the physical exercises and drinking plenty of fluids helped flush out the anesthesia. I’ve gotten nauseous from anesthesia after other surgeries, so I wasn’t concerned. Nothing surprised me since a tkr is major surgery and anesthesia is poison. Ask any anesthesiologist.

While recuperating at home after my tkr, nausea occurred when I took prescribed pain meds. The nausea curbed my appetite enough to lose 10 pounds over two months. After trying different pain meds for two months (none working other than increasing nausea levels), the nausea stopped. Ice was a much better and healthier pain reliever during tkr rehab.

By the way, please remember everyone is different and has unique experiences and recuperation stories. This site is not intended to provide negative feedback. Only real-life experiences are shared on this site, both positive and negative. How you interpret the wording is up to you.

Have you had issues with nausea after your tkr? Kindly share your experience to help others, whether you have or have not.

Hope this helps others going through the same thing.
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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.

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.

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The Immune System & A Total Knee Replacement

Taking care of yourself after a total knee replacement (tkr) is imperative. I know that applies to every day and everyone, but those of us recuperating from a tkr – it is doubly important.  Here’s my story…

After having a prolonged cold, of which I rarely get, I was scared about the intensity of my symptoms. So, I called the doctor. (Remember….I am not a doctor callin’ kind of person. Prior to my tkr, I RARELY needed the services of a doctor since my health was overall very good. I didn’t even have a general family doctor, since I didn’t need one. This isn’t intended as bragging, simply stating a fact.)

Anyways, I had never had such a serious cold and was concerned about it turning into a bacterial infection. Us total knee replacement patients (at least I am) are super sensitive to infections. When I described my concern to the nurse, I asked if my swollen knee was a result of my immune system still being “not up to par”. I knew that a cold was a result of a weak immune system.

“Yes, your immune system is still recuperating. That is why your knee is still swollen,” is what I heard. I was told that if it lasted for another couple days (it had already been two weeks), to go see my general physician. Luckily, I just started drinking more warm liquids and eating soft foods. The symptoms were greatly decreased in two days. So… doctor. Whooppeee!!!  (Nothing personal against doctors. 🙂 )

I am only relaying this information since it is amazing how everything in the human body is tied together in some form. To me, the human body is awe-inspiring. (Even with my still recuperating bionic knee).

Everyone heals at their own rate and in their own way. Respect the intricacies of the human body to heal itself and adjust to the foreign object it has in it now (aka “bionic knee”).  Help it along as best as you can.

Hope this helps others going through the same thing.

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Finding Humor – where?

Hi everyone. Even though every event seems to have some measure of humor in it (at least I’d like to think so), sometimes it is just plain hard to figure out where it lies. How do you go about finding humor in situations? Laughter is the best medicine. So…

  • Talk to an impartial person.  By telling your situation to another person, you can receive another angle or spin on your idea/situation.
  • Write down just the facts. Be objective. Don’t let any emotions come into play. This will help lay the groundwork.
  • Come back later to the facts. By doing this, you may gain needed insight.
  • Take a break from seriousness. Read something funny, watch a comedy (sometimes just life), etc. This will will lighten your mental state.
  • If all else fails, set your project aside for a few days.  Forget about it. You will have a new perspective. Then, go back at it.
  • Listen to music. Music soothes the soul, mind, and body. Relaxing opens doorways.
  • This is all easy for me to say now.  I have been working on my book project and some of the events just do not have any humor in them.  For instance, what can possibly be funny (or humorous) about fracturing your neck? Hmm…Wait a minute…I’m remembering something. 🙂

    Here’s to finding humor wherever you can. Good luck!

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    AUTHOR NOTE: Booktoots’ Healing helps total knee replacement patients find support throughout recuperation and beyond. Its mission is for patients to understand they are not alone in their ordeal with either a tkr or other physicality concerns. The site is owned and operated by Marie Buckner, a published author and tkr patient who has been living with various physicalities for over 30+ years. She enjoys sharing her experiences to help others going through the same thing.