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  1. #1
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    Total Knee Replacement

    Hello,

    I would like to know if anyone out there that mountain bike rides and or races has had a total knee replacement ? I am facing a total knee in june and love to mountain bike race but I am really nervous that I might not be able to ride as aggressivley as I do now.

    Any advice is greatly appreciated.

    Liz

  2. #2
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    had a total left done 12-28-12 started riding 4 weeks after surgery.pt was going good so they gave me the ok.It has been a learning adventure.Been putting in long base miles and ride according to discomfort.Just listen to dr an pt therapist.what is reason for tkr? if you dont mind asking.

  3. #3
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    take a look at this product before you pull the trigger on the knee. I have been working in the medical device world for years now. I carry this product along with several others (including total knee devices) and I have seen fantastic results with it.

    I personally have about 250 patients in the Santa Barbara area on the BioniCare and have seen fantastic results. Not an overnight fix, but if you are trying to buy some time before you have to get the replacement this could help

    Knee Osteoarthritis Treatment Hand Rheumatoid Arthritis Treatment

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    Hi Liz, Im Paul and Iím posting here because I strongly believe that sharing my sisterís story can help others Ė before you are done testing and make a decision please read..

    About 2 months ago my sister had a TKR. It happened to be that I had the same surgery myself 2 years ago. Itís not an easy thing to go through, and I made sure to be as supportive of my sister as possible. The surgery went well, she was recovering, and then, all of a sudden, 2 days after the procedure she almost bled to death. Thereíre many things you take into consideration when going through knee replacement Ė will the surgery go well? Will I wake up from anesthesia? Will my new knee be rejected or not. I discussed these things with my physician in detail, and so did my sister. But apparently, thereís a risk of internal bleeding caused by anticoagulants that are injected after surgery, to prevent the blood clots formation. The risk is not exceptionally frequent, but my sister happened to be in the unlucky part of statistics. When she was in an emergency room, I realized that going through the similar procedure in a different hospital I wasn't even prescribed anticoagulants. I remembered being on baby aspirin and a portable compression device for about 10 days after the surgery. During my recovery period, I didn't think too much of it. But when my sister was bleeding to death, I kept thinking that if she was prescribed that device instead of anticoagulants, her life would probably not be at risk.

    I did some research and found the name of the device. Itís called ActiveCare+SFT, it applies soft compression to your legs, and somehow prevents clots formation without a need of anticoagulants. Hereís their website. They also have a list of hospitals where this device is prescribed.



    Read about it, and please spread the word! This is the best life saving tip anyone can give you if youíre going through any lower limb replacement surgery.

    MCS Learn How to Reduce DVT Risks .

    Another site to help you with your concerns for riding again..

    Bike Riding After A Total Knee Replacement | LIVESTRONG.COM

    I was back to riding (road) within a cple months, I really feel it depends on the person and how determined they are... Do that physical therapy and strengthen and condition your knee and you will be riding in no time... Best of luck, Paul

  5. #5
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    Sorry for the late reply , but my knee has so much arthritis from an old injury and I also have basically no miniscus so it rubs bone on bone. It almost looks deformed from all the arthritis and I also have 3 bone spurs and that all combined is limiting my range of motion and making any type of cycling uncomfortable . It stinks and I'm scared ! All I want to be able to do is cycle and weight lift and mountain bike race , thats all I ask...

  6. #6
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    I did not have knee surgery but bilateral (2 at once) hip resurfacing about 4 years ago, it is similar to THR. I also had very bad arthritis in both hips and was bone on bone. I have no problems mountain biking and zero pain although I do ride with more caution. I could race if I wanted to but I did plenty of that in the past and do not desire to do it any more. There is a procedure called knee resurfacing that is now available but I do not know much about it, but it is worth looking into. There can be cycling after joint replacement, but the surgeon and device choice is critical. They are not all created equal. If the surgeon screws up or is not super experienced you in for a very tough road, you will not be able to live w/o painkillers never mind ride a mtb. I cannot emphasize that enough. Good luck

  7. #7
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    Both five years ago

    Had both replaced five years ago. My 63rd birthday ride:

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  8. #8
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    I am 5 weeks and 2 days post total knee replacement surgery, I have been on the stationary bike over 3 weeks now. my flexibility is actually better now than before my surgery. still doing my rehab gaining strength and stamina again. this stiffens up when walking for extended periods of time. my therapist is impressed of my progress and says the good progress is due to riding before surgery. my doc said the only thing I can't do is mogul ski. I might try the actual bike this coming week just riding around the neighborhood. I think it will be a couple months before starting some easy trails. I'll see what the doc says.

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    No moguls, FTS!

    I see a lot of heli skiing in my future.

  10. #10
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    I had a TKR last April (2013), biking is key to recovery I promise, did a lot of stationary for a little while the started on bike paths about week 4 and worked up from there. I was riding my dirt bike at 4 months and doing MTB trails about the same time. I am doing fine right now riding both, no limitations other than a little scar tissue still breaking up from time to time. Only thing I wish was is that I had not waited so long, lived in pain way to long, mine started by shattering the top of my tib June 2010, tibial plateau fracture.

    TKR = no more running, you can but your knee won't last as long! no more moguls' as someone already mentioned. But pretty much the rest is fair game.

    TKR's are pretty much routine surgeries these days, there really isn't a bad prosthetic but do meet with a couple doc's and make sure you agree with their recovery plan, aggressive, passive etc. resurfacing ( not even sure they do that)is nothing more than a interim solution, you'll get a knee eventually anyway, same for partials. Most people that get one are not like us,they are already not active and live sedentary lifestyles, probably don't do their PT like they should after surgery and complain later.

    I met with four or five surgeons before mine, honestly and this is just an opinion, if they mention an osteotomy, resurface or partial I say run, don't walk..away. Most knees are considered 90% knees meaning at 15-20 years 90% of folks across the board still don't need a revision. Honestly after breaking my tib I would take a knee replacement surgery any day, the recovery was 10 times easier. It is rare that people reject the prosthetic and infection protocols are very complete these days. My wife is also a surgical RN so between my own research and her I have a pretty good feel for it. Let me know if you have any other questions.

    My avatar is after I broke the tib, 4 hours putting it back together, bone grafts, plates and screws, ACL, cartilage and MCL damage...long long recovery plus they had to removed the plates and all screws during the TKR surgery, overall the TKR was easy.

  11. #11
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    Gobylvr I wonder how you are doing now??
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    I am at the start of this myself. I've had several scopes and micro fraction and knee is shot. I still ride but need lots of Advil to continue and avoid standing and grinding up hills. Running or even good walks cause lots of pain so my only decent exercise has been my rides. Had two doctors say I need TKR but because I'm 48 they say they would do partial first. I really don't want a partial as I've heard lots of negative stories.

    Should I be forceful in not wanting a partial?

  13. #13
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    Second opinion

    Quote Originally Posted by MTB Dad View Post
    ...Should I be forceful in not wanting a partial?
    Get a second opinion. One orthopedist said I wouldn't be able to bike, while the second opinion encouraged me to bike. I took the second opinion and I have biked thousands of miles since!

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    I had a third doc (friend) look at my MRI as well and agreed TKR is gonna be needed but just cause I'm under 50 they keep pushing a partial. I'm only 14 months short of 50 so I don't get it...
    As long as I can continue riding I don't care just don't feel like going through major surgery twice as it seems partials don't seem to last from what I've read and heard.

    Anyone have an opinion on partial?

  15. #15
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    MTB Dad- my orthopedic surgeon told me good candidates for PKR are rare and that he can't know for sure until he's in there. I am also in that pre-surgery limbo and hoping to make some good decisions. I can no longer climb out of the saddle because the bad knee doesn't have the strength to make the full rotation. It really pisses me off. I am 56.
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  16. #16
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    Finally got the attorneys on both sides to allow surgery. Injuries were all at work so I've been jumping through all the WC hoops. I am to have surgery in 36 days. I found a doctor I like and as you stated LadyDi the doc says once in there he'll know for sure but he is still leaning toward PKR as the other side looks really good on all MRI's.

    Only thing I can do exercise wise is ride and that's with lots of Advil. I'm riding close to my fastest times on my 20 mile loop with about 40% of it being climbs. If I do more miles I get pain and swelling.

    Anyone riding with PKR and if so are you still going as hard as before? I gave up all other sports due to pain and swelling but cycling has been my saving grace which is perfect as it's always been my #1 past time. If I can still ride is all I care about.

  17. #17
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    Looks like we'll need to ask George Bush how he's doing with two new PKRs.

    (please people don't jump on me for posting a Fox news article- it's knees, not politics).

    What we can all learn from Bush's partial knee replacement surgery | Fox News
    Last edited by LadyDi; 09-24-2014 at 04:14 PM. Reason: Bad link
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  18. #18
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    Ok I'm typing this in my hospital room after having a PKR early this morning. I'm still a bit out of it but it wasn't too bad. I've already walked up and down the hall with the PT specialist. Says I can prob get on the bike in about 3 weeks, wahoo!!!!

    Boy I wish I was on my bike!!

  19. #19
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    Okay, now I wish I hadn't started a new thread (and titled it exactly the same!). I was in a pain fog at the time.
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  20. #20
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    Total Knee Replacement.

    Quote Originally Posted by gobylvr View Post
    Hello,

    I would like to know if anyone out there that mountain bike rides and or races has had a total knee replacement ? I am facing a total knee in june and love to mountain bike race but I am really nervous that I might not be able to ride as aggressivley as I do now.

    Any advice is greatly appreciated.

    Liz
    I had TNR of right knee 10 days ago. Swelling is starting to go down in my calf. Still can't go 360 degrees on stationary bike. I rode aggressively (for New Jersey) leading up to the surgery so I was in great shape when I went in. (Heart rate 49). Doc was so impressed day after surgery I was discharged with a cane instead of a walker. Biggest problem is knots in my calf from walking bow legged so long before surgery (he straightened my leg during surgery as beforehand it was half inch shorter than my good leg). Reading the posts is inspiring. I hope to get 360 degrees by Monday 12/29 and on asphalt by 1/15. Biggest problem is that I ride with my dog three days a week and he is getting ripped off because I am off the bike. He is a great trail dog, well mannered with other dogs, other riders and horses. There is asphalt off rode trail near my house. We'll keep you posted.

    Mike

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    Total Knee Replacement

    Quote Originally Posted by gobylvr View Post
    Hello,

    I would like to know if anyone out there that mountain bike rides and or races has had a total knee replacement ? I am facing a total knee in june and love to mountain bike race but I am really nervous that I might not be able to ride as aggressivley as I do now.

    Any advice is greatly appreciated.

    Liz
    I am 14 days post TKR, but my road to the OR covered 27 years and 6 surgeries and one non FDA approved treatment . I originally blew my knee part snow skiing that resulted in a full reconstruction. 7 years later, I had the knee "cleaned up." Roughly 8 years after the clean up, I had the two step Carticel (cartilage implants) procedure performed. Two years ago I tore my meniscus wake surfing. As a last ditch effort, I had a PRP and stem cell procedure. While I believe this procedure has merits for knew injuries, I did not benefit from this procedure.

    While I was hoping to be further along in my range of motion, the past scar tissue is slowing this down. Both the Dr and PT are pleased with the progress given my history. Currently I am at 85 degrees flexion and -5 extension. Leg strength is improving daily due to 3 times weekly PT and PT at home on the off days.

    Ironically, I was asked by a nurse during pre op, why would I go through with a TKR at 53 years old. My reply was simply so I could ride again as the post ride pain became so great, that I do not ride in the months prior to the procedure.

    Not so ironic was the decision to have this done. My Dr (who is also a MTB rider) said that when the pain kept me from riding, I would know it was time.

    I will post notable updates as I progress.

  22. #22
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    My Experience

    I had a total knee replacement seven weeks ago. I am 55. I trained for the surgery by pushing myself riding 3 days per week. I began my own bending exercises in the hospital bed that night and asked for a home program the next day. I started physical therapy three days per week three days after surgery.

    I worked out twice a day, either PT plus evening or morning before work plus evening.

    I was greatly rewarded. At my appointment today the doctor said my strength is six months post surgery and my range of motion is one year post surgery.

    I have only gotten on the bike outdoors once because of schedule, PT three mornings a week and horrific northeast weather. I am now cleared to ride and just picked up new bike shoes and cleats from LBS.

    I do not think a total knee replacment will hurt you at all as long as you follow pre op instructions (to avoid risk of infection) and are dilligent in your PT. Given the fact you are getting surgery in June, you could be back on the bike in August.

    I would not anticipate any limitations.





    Quote Originally Posted by Call Me FJ View Post
    I am 14 days post TKR, but my road to the OR covered 27 years and 6 surgeries and one non FDA approved treatment . I originally blew my knee part snow skiing that resulted in a full reconstruction. 7 years later, I had the knee "cleaned up." Roughly 8 years after the clean up, I had the two step Carticel (cartilage implants) procedure performed. Two years ago I tore my meniscus wake surfing. As a last ditch effort, I had a PRP and stem cell procedure. While I believe this procedure has merits for knew injuries, I did not benefit from this procedure.

    While I was hoping to be further along in my range of motion, the past scar tissue is slowing this down. Both the Dr and PT are pleased with the progress given my history. Currently I am at 85 degrees flexion and -5 extension. Leg strength is improving daily due to 3 times weekly PT and PT at home on the off days.

    Ironically, I was asked by a nurse during pre op, why would I go through with a TKR at 53 years old. My reply was simply so I could ride again as the post ride pain became so great, that I do not ride in the months prior to the procedure.

    Not so ironic was the decision to have this done. My Dr (who is also a MTB rider) said that when the pain kept me from riding, I would know it was time.

    I will post notable updates as I progress.

  23. #23
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    Eight weeks post surgery and I am trail riding. 5.5 miles Saturday on flats, today on my normal weekday before work trail. About 1/3 slower; 44 minutes instead of 34 minutes but there was ice I had to walk over so its not a real gauge. Did the log overs and easy hills. Some stiffness afterward but by mid day I was fine. All in all a good first ride. When the ice melts we'll get a true test.

    Keep on plugging away at two a day PT/exercise. Every day you will do more. Slowest thing now is quad growth. That's the next step.

  24. #24
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    You all are doing great! I'm 3 1/2 months post LTKR and back on the cyclocross bike so far, and clipless. I did 14 easy bike path miles Sunday and am paying for it with some increased swelling & stiffness. This "two steps forward/one to three steps back" nonsense has been a theme in my recovery. I'm okay with it as long as the eventual outcome is good. This far out I just need an occasional extra-strength Tylenol. I don't have full flexion yet, so I've got a shorter (170 vs 175mm) crankset ready to swap out on my 29er. I estimate I'll be trail-ready in a couple weeks. My knee feels MUCH stronger overall, no issues clipping in or out at lightest tension on Time atacs, residual quad weakness because of the surgical approach. I'll get there!
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    Updates

    Rode for 45 minutes yesterday with my dog who is a veteran trail dog and my daughter's dog who is a newbie we are babysitting while she is in Paris. No problems riding but overnight the IT band (ligament on the outside of the knee) was sore and woke me up several times. Worked itself out over the course of the day although tender in the morning. Guess that's what we mean when we say three steps forward two steps back. However, no pain while riding is great. I'll take the pain the next day.

  26. #26
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    Hi mrothmel- I'm up to 20 mile road/bike path rides, and I believe I'm ready for fireroads and easy trails. I feel better riding than just about anything else. Does your incision scar's appearance change throughout the day depending on your activity? Mine sure does!
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    Scar

    Hi Lady Di:

    I've not noticed any change in my scar during the day but I only look at it twice a day. I don't wear dresses. ;-{ )

    Seriously though, since the scar fully closed up I put Vitamin E cream on it every morning and it is healing nicely. Mine is extra long 6.5 inches because he had to remove a screw from my prior reconstructive surgery.

    Mike

    Quote Originally Posted by LadyDi View Post
    You all are doing great! I'm 3 1/2 months post LTKR and back on the cyclocross bike so far, and clipless. I did 14 easy bike path miles Sunday and am paying for it with some increased swelling & stiffness. This "two steps forward/one to three steps back" nonsense has been a theme in my recovery. I'm okay with it as long as the eventual outcome is good. This far out I just need an occasional extra-strength Tylenol. I don't have full flexion yet, so I've got a shorter (170 vs 175mm) crankset ready to swap out on my 29er. I estimate I'll be trail-ready in a couple weeks. My knee feels MUCH stronger overall, no issues clipping in or out at lightest tension on Time atacs, residual quad weakness because of the surgical approach. I'll get there!

  28. #28
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    I had a TKR in December of 2012... after that, the extreme pleasure of a hospital acquired MRSA infection. To get that under control, a spacer is put in my knee and a PIC line inserted to dose antibiotics directly into my heart for several weeks, then a few weeks off followed by opening the knee to swab. Tested positive for the bug, another replacement, another 2 weeks... multiply this until you get to four replacements. The last time, Dr. says "I think we got it this time". So at least I got a knee this time, except when the cultures came back to check for slower growing bacteria; still positive for MRSA. I take antibiotics daily (Doxycycline) to keep it under control, no problems after 6 years but if I don't take the meds for a few days, knee starts feeling "funky". Got back on the bike, good news, no problems! Mtn. biking has been my salvation through and after all this. If you are in a similar situation, you can do it!

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    I am now a few days shy of 5 weeks. While quad strength is coming around slower than I hoped for, I am riding the Aerodyne for 10 minutes three times per week while in PT. My range of motion is 0-110 with reduced swelling. I am using just a cane when out of the house and feel the cane will not be needed at all in 7-10 days. Stopped all prescription pain meds two weeks ago and rarely take Advil. The knee still hurts and I use a sleep aid as I was so tired from not sleeping. I notice pain in my shin and soft tissue around the knee that I would classify as a 4-5 on a ten scale. Ice and massage have been key as well as minimal heat. Ready to set up the trainer and move into the next phase. Good luck to the other TKR people that have posted.

  30. #30
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    stberhard stubborn infections like that are a nightmare! So sorry about all the problems and revisions, glad you can ride.
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    Curious about other experiences. I am 2.5 months post knee replacement. I initially had a problem with my calf spasming at night because the doctor lengthened my leg in the process to make it even with my good leg. That pain is gone. However now I wake up with overall stiffness in the joint. I ride the stationary bike for seven minutes and go back to sleep. Just interested if other people's healing process involves different "pain" as the swelling goes down and other issues heal. I am cutting back my home exercise program from twice a day to once a day hoping it expedites healing. Any thoughts would be welcome.

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    The weather here in New Jersey has precluded outdoor riding for most of February. The issue cold below 20 and ice, some covered by snow, which obviously creates dangerous riding conditions. We are doing an easy 11 miles of trail riding tomorrow morning in Wharton State Forest. Longest since surgery. I will let you know how I do.

  33. #33
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    Quote Originally Posted by mrothmel View Post
    Curious about other experiences. I am 2.5 months post knee replacement. I initially had a problem with my calf spasming at night because the doctor lengthened my leg in the process to make it even with my good leg. That pain is gone. However now I wake up with overall stiffness in the joint. I ride the stationary bike for seven minutes and go back to sleep. Just interested if other people's healing process involves different "pain" as the swelling goes down and other issues heal. I am cutting back my home exercise program from twice a day to once a day hoping it expedites healing. Any thoughts would be welcome.
    Your stiffness is likely due to edema in the joint. It can persist for half a year or more. At 10-12 weeks out I still had considerable swelling and stiffness. One thing I have learned is to treat "stiffness" as pain and take something for it. Extra-strength Tylenol works for me.

    I'm currently four months post op and back to work at a job that involves lots of walking and long hours on my feet. The first week back was *Not Fun*, but I am acclimating. Last night the Restless Leg Syndrome that plagued me earlier in my recovery came back. It's very annoying, but I can't call it pain- it's more like a need to keep moving and stretching that entire leg. I'm going to try a hot soak with good 'ol epsom salts.

    Every recovery is different, and folks who were previously accustomed to a physically active lifestyle have the most difficulty with enforced downtime. Weeks 8 through 13 were honestly my darkest hour; I was doing everything by the book yet not progressing as quickly as I though I should. Just one week ago I was cursing my decision to have this surgery, but today my knee feels strong and I'm very happy. I'm back on both road and mountain bikes, and slowly building my miles. Yesterday I did 23 miles and 1250 ft of climbing and practically forgot about my knee. Like you, I jump on my exercise (spinner) bike several times a day just to loosen up.

    It sounds like you're doing really well, and making good decisions about your activity. Rest is super important. Maybe consider some gentle warm water exercise, but don't neglect ice & elevation "toes above nose"- you still need it- yes, still!
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  34. #34
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    Dear Lady Di:

    Thank you for your encouraging post. You should be a doctor. I do have a bit of edema on the outside of my knee where the pain and stiffness are. I will keep exercising twice a day but ice after my nightly exercise as well.

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    mrothmel I had calf and shin pain in the beginning and now have slight to moderate shin pain and still have stiffness at night. Heat and ice as well as acupuncture help the calf and shin immensely. My PT says this pain is part of the process and is due to re gaining my gait. I also experienced pain in the tendons in the back of the knee and that has minimized as well. I massage the knee and ice as well as stretch 3-4 times per day and do strength exercises one-two times per day. Twice daily biking is too much at this juncture, so I do this once per day. Good luck.

  36. #36
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    I have been noticing that as one pain goes away, you notice a new one. I think its because the brain can only handle pain from one place at a time. However, I see it as progress each time one pain goes away. Next areas are swelling around patella. (I kept my own because it was in good shape) and slight pain along shin muscle due to leg lengthening. Snow still keeping me from outdoor bike riding. Hopefully next week. It has to melt some time.

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    Just do your exercises two times a day every day as prescribed by PT and you will progress. I am 12 weeks post. Still have swelling and some knee pain when hiking and stiffness in the morning. You will shed the cane. I would ride more but ice and snow in NJ are killing those plans.

  38. #38
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    I had double TKR two years ago. I am 54 and still road race (mostly crits). I was racing 4 months after my TKR. My knees feel much better than before the TKR. I can't run because it feels awkward, but riding is great. Yes I have had some spills but no problems with the knees. I'm riding dirt bikes (motorized) with Don Joy braces and still enjoying life. Make sure you stretch regularly and keep fit. I thought the double TKR was not bad but my knees were way past there replacement time when I finally gave in. It was like a new beginning for me. Finished 4th overall Cat 3-4 crit series in UT last year.

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    fun and observations

    Fun: Last Sunday got to ride with my Trigger (2.5 inch tires) in the snow. Only fell once when I went to slow. Boy was knee sore next day. (3 months post TNR). Tuesday I rode again 4.5 miles after snow melted and my knee felt great afterward.

    Observations. In my surgery Doctor kept my knee cap because it was in good shape. However, it was sore. Started taking Cartilage Companion (glucosamine/chondroten) and it feels better. Now my pain is along IT band (outside tendon) and a bit in lower quad. Not bad pain though. Stiff knee still wakes me up in the middle of the night. Also top outside of calf is a bit tender. However, nothing interferes with any activities. Just allowing healing process to continue.

  40. #40
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    Had my PKR Oct. 28 and just wanted to give a quick update. Prior to PKR I rode a lot and have for yrs. I was able to lightly ride after 5 weeks. Slowly ramped up after that to really racking up miles. I still have pain but not as bad as pre-surgery.
    There is light at the end of the tunnel!! Remember cycling and swimming are the best rehab for TKR and PKR!!

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    I am 5 months post TKR. Had a rough few weeks transitioning back to 12 hour workshifts and am now on a low-dose prescription anti-inflammatory called Meloxicam. I am doing leg presses, etc. at the gym and riding more. I am back on clipless pedals, and I replaced the 175mm cranks on my 29er with 170's. While I was at it I replaced my cf bars and seatpost. I love my bike more than ever. No pain at all over rocks. I always have initial stiffness in my surgical knee for the first few pedal strokes. This eases up after a while, and I hope it goes away completely over the next year or so.

    Someone mentioned "other" leg pains- I get IT band pain, also at the hamstring and calf muscle insertion points. So bad it intereferes with sleep sometimes. That is why I am taking it slow and only gradually increasing my miles. Next week I will attempt the climb to Griffith Observatory (in L.A.). I figure if I can complete that climb, no matter how long it takes, I am well on my way. Fingers crossed!
    Bionically Modified

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    Checkup yesterday. Almost eight years now for both knees and had x-rays and thorough checkup yesterday. Knees are perfect. I do virtually all climbing pulling rather the pushing and doc said continue what I've been doing. Average ride last year 40 miles and 5.5k climbing, twice a week.
    Last edited by Wherewolf; 03-28-2015 at 09:01 PM.

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    Thank you for road map

    You are about 1 1/2 to 2 months ahead of me. Nice to know my symptoms are normal. First ride longer than 4.5 miles tomorrow. Pretty flat but maybe about 10-15 miles. It will be 32 degrees when we start. (Jersey is the new Arctic). Looking forward to leg feeling good afterward. The nice thing is that I'm starting to get definition in my quad.








    Quote Originally Posted by LadyDi View Post
    I am 5 months post TKR. Had a rough few weeks transitioning back to 12 hour workshifts and am now on a low-dose prescription anti-inflammatory called Meloxicam. I am doing leg presses, etc. at the gym and riding more. I am back on clipless pedals, and I replaced the 175mm cranks on my 29er with 170's. While I was at it I replaced my cf bars and seatpost. I love my bike more than ever. No pain at all over rocks. I always have initial stiffness in my surgical knee for the first few pedal strokes. This eases up after a while, and I hope it goes away completely over the next year or so.

    Someone mentioned "other" leg pains- I get IT band pain, also at the hamstring and calf muscle insertion points. So bad it intereferes with sleep sometimes. That is why I am taking it slow and only gradually increasing my miles. Next week I will attempt the climb to Griffith Observatory (in L.A.). I figure if I can complete that climb, no matter how long it takes, I am well on my way. Fingers crossed!

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    First Big ride

    Rode 16 miles today. Mostly flat. Wharton State Forest in New Jersey. Knee is stiff at part of quad right above knee cap. I'm sure I'll pay. I'm icing it now. Kept up with the front of the group. Denny my dog did his first major ride of spring as well and did fine too.


    Quote Originally Posted by LadyDi View Post
    I am 5 months post TKR. Had a rough few weeks transitioning back to 12 hour workshifts and am now on a low-dose prescription anti-inflammatory called Meloxicam. I am doing leg presses, etc. at the gym and riding more. I am back on clipless pedals, and I replaced the 175mm cranks on my 29er with 170's. While I was at it I replaced my cf bars and seatpost. I love my bike more than ever. No pain at all over rocks. I always have initial stiffness in my surgical knee for the first few pedal strokes. This eases up after a while, and I hope it goes away completely over the next year or so.

    Someone mentioned "other" leg pains- I get IT band pain, also at the hamstring and calf muscle insertion points. So bad it intereferes with sleep sometimes. That is why I am taking it slow and only gradually increasing my miles. Next week I will attempt the climb to Griffith Observatory (in L.A.). I figure if I can complete that climb, no matter how long it takes, I am well on my way. Fingers crossed!

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    LadyDi - Your post is timely. I'm still dealing with IT Band pain as well as other soft tissue pain. I'm 10 weeks post OP and while I was hoping to be back on the bike, I know this will take more time that I hoped for. I have to remind myself that after 6 surgeries, this will not be a normal recovery. I was consistently at 115 degrees and on a good day could get to 120, the past two weeks my best effort is 110, which is what I had pre surgery. I'm hopeful this will continue to improve. Best of luck on your climb.

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    Wherewolf- This is awesome news. You're climbing to mileage ratio is impressive and my style of riding and I can't wait to get back on the trail. While every TKR is different, do you recall where you were at 10 weeks and what was the first 6 and 12 months post surgery like?

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    Right FJ, it takes time to stretch out all those tendons and ligaments. Same presumably with scar tissue. Whenever I do something new, or get overly aggressive on the bike or at the gym, I pay with a week of extra pain & swelling. Last week I was just sitting and chilling in a kid's swing at the park when I accidentally flexed my knee too much. OUCH! I did not hear a crack but it would be nice if I at least broke up some adhesions. I don't advocate this technique, by the way- very painful!

    My surgeon says it's normal to lose ROM during recovery when we're on our feet a lot, then regain it after rest, ice, and elevation. Ugh, this recovery ordeal is getting old, and so am I.
    Bionically Modified

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    Dear Call Me FJ:
    110 degrees at 10 weeks is fantastic. Keep stretching and home exercise program twice a day. The IT band is the biggest issue as mine will still wake me up 3 1/2 months post surgery. As long as you can pedal stationary bike you can pedal a rode bike.

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    You don't want to know

    Quote Originally Posted by Call Me FJ View Post
    Wherewolf- This is awesome news. You're climbing to mileage ratio is impressive and my style of riding and I can't wait to get back on the trail. While every TKR is different, do you recall where you were at 10 weeks and what was the first 6 and 12 months post surgery like?
    Don't get alarmed, but I have continued to have severe knee pain. I took two years off the bike due to the pain, and I still hurt, even after seeing a pain specialist for a whole year. So I went back to riding. I got a spinal cord stimulator implant about four years ago, which makes everyday activities tolerable. But I still hurt a lot on the bike despite taking codeine every three hours. Virtually all my climbing is done pulling via clipless pedals, because pushing on climbs hurts more. I had the knees checked last week and the doc said they are still perfect and I can pull and ride all I want, or can tolerate.

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    By accident I found a good stretch for the IT band. Before surgery one of my stretches was to sit cross legged and bend forward to try to touch my nose as close to the floor as possible. To stretch sit cross legged with operated leg ankle under unoperated knee. Lean forward and try to touch your nose to the floor. You will feel it in your IT band.

    Six weeks post surgery I rode asphalt. The the February freeze came to New Jersey and riding was impossible. Rode 16 miles Sunday. Leg was like rubber on Monday. Rode 4.5 miles on Tuesday and leg was stiff. Rode 4.5 miles today and leg felt great. Just keep riding until your knee gives up trying to hurt you because it realizes you won't give in. (Did ankel weight exercises and stretches on the off days plus half hour walk up the "Mount" in Mt. Holly (a whopping 200 feet above sea level).

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