I am doing well this morning. Up at 6AM, washed up and did a series of PTs, tidied things up for the maids at 9, and then went to the computer to answer emails and knifemaking questions.
Sure, it feels "sore", but they cut it in half five days ago. The worst discomfort isn't from the knee replacement itself, but from the tourniquet they put on the thigh while doing the surgery. It was worse last time. Feels like you took a hard block from a 250# linebacker right in the thigh.
My advice to anyone having a joint replacement ( or any surgery) is this:
If you smoke - QUIT. You will never do yourself a bigger favor. It will really help in recovery. If you drink more than one drink a day, cut back for a while.
1) Start preparing for the surgery and recovery long before the actual date. If it is something you know is coming "eventually" make the needed changes a year before it.
2) Do physical arrangement tasks, like adding hand rails to both sides of the stairs, and rails on porch steps, etc. Strengthen any weak or shaky places in existing stairs, steps, rails, etc. Look around for "trip" and "fall" potential places and move or correct as needed.
3) Loose at least 10 pounds. Every pound you are not hauling around in your PT and recovery will be well appreciated by your new joint...and you. If needed, loose 30 or 40 pounds. In many cases that weight is what has caused the damage. Take a good look at your current diet and decide if now is a good time to make it healthier. No need to become a health nut, but Perrier is just as tasty as a coke, and 200 calories less. A nice mixed greens salads is just as filling as a big scoop of potato salad.
4) A month or more before the surgery, meet with your selected physical therapist and get printouts of the regime they use. Learn the exercises and stretches, and start doing them. Going into a surgery with built up Gluts and Quads will make recovery much easier and faster.
5) Post-op, don't just do a series or two of your PTs each day, but make them an all day event. Every time you get up do a few side extensions of the leg. Every time you sit down, do a heel slide or two. Every time you lay down or stretch out in the recliner, do a few leg lifts ( these hurt the most, and are the most important IMHO....do them!). Sure two sets of 10 reps a day is good, but doing fifty over the waking hours will be even better....and easier
6) Eat well and drink LOTS of fluids. Take your medication on time and as directed. Take pain meds if needed, and taper off as soon as you notice that you don't really feel all that uncomfortable.
7) Put you inspirometer at some place you pass all day. The kitchen counter or bathroom sink works well. Every time you are there pick it up and do 10 breaths. This is especially good for people like us who have breathed a lot of crap we shouldn't have.
8) Be a TEAM - You , your Doctor, the Therapist, and the Nurse will get you well much better and faster as a team effort. If you are married, be sure to make your spouse a part of that team! First, tell the truth. If it hurts, say so. If you ate/ drank/did something they may not approve of, tell them anyway. If they give you advice or instructions, follow them. If you have ideas or suggestions make them.
9) Keep good records. Keep a file folder with all their paperwork and instruction sheets in it. The top page should be your warfarin/Coumadin sheet. Mark each days test and dosage with a big "check" after taking the pills. Sounds silly, but you can easily remember that the nurse did the test and said that you need two pills today....but can't always remember if you took them. If in doubt, dump the pills out and count the bottle. The warfarin sheet of records will show how many you should have taken up to now, and if there are two more than that ....you haven't taken them yet.
The physical therapist came yesterday and did all the tests and measurements. My score was a 22 out of a possible 28. Most people are in the 5-8 range when they leave the hospital. She was trying to decide if there was any real reason to send the PT ladies at all. I told her I would like them to come, as they can see things and make suggestions I might not spot.