Why does my total knee replacement still hurt?

Pain at night after a total knee replacement as a common condition experienced by many clients. While the primary reason for this increased pain is unknown, in this video I share several suggestions that might contribute to the pain along with ways to help manage it.

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Total Therapy Solutions
5900 Long Meadow Dr
Middletown, OH 45005

[alises.]

Thanks, Tony. Loving your videos.
With my first total knee, I discovered that lying on my surgical side, and then rolling a little more so that the front of my thigh presses into the mattress is calming for that muscle group. Seems like it would hurt, but I found that the opposite is true!
I'm now almost 3 weeks post-op on my second total knee.

[patmosscrop]

75 yo female - UK - you’re my rock. More help from this channel than almost anywhere else. Thank you so much.

[kathyclark]

Keep the videos coming because they are helping me ! And thanks to all who post comments too ❤️❤️❤️❤️

[christinarobinson]

I had my total knee replacement 4 weeks ago after trying unsuccessfully to get into bed l now sleep on the recliner downstairs so l don't wake my husband, l also play a meditation tape to help me drift off.l use a soothing cream on my knee and ice, ice, ice is so helpful.l only take meds now when l really need them.Hope this is helpful to any fellow sufferers !!😣

[marycrystal]

You just did described me, thank you so much, I am 88 years old, this is my forth week after surgery, thank you for your help.

[lisawomyn]

Almost 5 weeks out. I’ll sleep terribly after PT or pushing myself, then sleep better ish the next night. I get so exhausted I will lay down for sleep at 6:30 pm. Super exhausted after I push it. Still, I am getting better. Hoping for 120 extension at my 5 week mark. Currently 115. It’s very hard and tiring WORK! Love your videos. Thank you!

[srpfilms]

I am three weeks post-op and my bedtime combo is elevating my legs with a cryo cuff on the knee, two temazepam sleeping tablets and a good pod cast on in the background. This helps me relax with out bad pain and I’ll usually sleep from 9:30-3am before the bad pain kicks in and wakes me. At this point I take pain relief because it is when I need it the most, and this will see me through until 7 or 8 am.

[Pljh]

Thanks so much for all your advice! I'm 3 weeks post-op for right TKR. You have reinforced everything my medical team told me and then some. What helps my bedtime routine is elevate both legs and listen to sleep meditation. I so wish I had known all of this 6 years ago when I had my left knee done. My recovery has been so much better this time. Your advice has helped me so much.

[sherrcon]

this guy is good...real good with advice/suggestions of

[garyphillips]

When I had my knee replacement I found sleeping in a recliner was the most comfortable for me. The foot rest didn't come up high enough for me so I use a computer chair with a pillow in it to put my legs up in it. Also my recliner sat so low to the floor, I couldn't get up out of th recliner without help. My friend put 2 cement blocks under the recliner on both sides under it to lift it up enough so I could get out of the recliner easier without straining and causing pain.

[floriamarshall]

Tony THANK YOU!!! May you be around for long time

[frances]

I had insomnia before but now it’s bad, I fall asleep then maybe 4 hrs later I’m wide awake and up thru middle of night. Honestly it’s killing me. And yes pain in worse at night 😕

[yorkiemm]

If you are a responsible person, DON'T BE AFRAID to take it.
I had knee#1 done March 2nd, prescribed Oxy 10mg every 4-6 hrs, took as prescribed for a couple week, then by month 3, I was down to once or twice a week, THEN had knee#2 done(May 27th) so back up to every 4-6 hrs, now, 3 months post op from knee#2, I still have a bottle and will reserve them in case I have a bad day....bottom months of Oxy 10mg and I didn't even slightly feel like I was addicted or getting addicted. I think Tony is 100% correct in saying if you really need it, as for TKR, don't put yourself through the pain of it, you are not going to get addicted...and a side note, it took away my pain wonderfully and I had NO effects of euphoria or whatever the heck addicts take it for, it ONLY took away my pain.

[pathorgan]

Great advice Tony. Since discovering your channel I've taken a lot of your advice on board and have improved my recovery in recent weeks. I'm three months post operation.

[billwareagle]

Great advice, I slept in my recliner the 1st two weeks after TKR.

[pegbutwin]

Ten weeks out from my second tkr (first was in 2018)…. Sleep is still an issue… the nerve pain has calmed down, but I still have soft tissue pain… trying to power through!

[russelllayman]

Hi Tony, great video's. I am now 4 weeks post op left TKR. I was only on the oxy for 4 days. Didn't like the way it made me feel. I found ibuprofen and gentle joint movement helped a lot but night time is different. What helped me most, 1. The bed is only for night time, not during the day. 2.Do your exercises to your best ability. 3. Melatonin 5mg an hour before bed with some ibuprofen PM. 4. A pillow between the knees. Just keep pushing through it. I now walk 1.5 miles a day and have started working on my golf short game to get my mind some where else besides my knee.

[barbarateterus]

All great tips. If i can add, my surgical team had let me know pre operatively that insomnia is not uncommon for the first 8 weeks. I totally agree that you need to find what works for you. Thank you for the informative videos!

[pamelaburke]

Thank you for your videos. Full of great information. 7 weeks out for me. The intense pain went down quite a bit at about 6 weeks. Whew!

[kimtan]

Thanks for your suggestions, Tony. I can relate to the situations that you've described. Pain and insomnia are a dangerous combination, and I sometimes imagine that I'm the only one going through this unpleasant phase !