Knee flexion after knee replacement

Since: Nov 11

Grantham, NH

#762 Apr 11, 2012
Welcome Bruce, thanks for the post! Sounds like you have a good handle on recovery! Congrats!!

Kathy, terrific news on the bike and it's helping your flexion. Here's wishing you continued success!!

Be well,

Dawn
Shanda W

Bloomington, IL

#763 Apr 14, 2012
Hello, In Oct 2011 I had my TKR and I was not able to bend or straighten despite daily physical therapy and use of Dyna Splints so in Dec 2011 I had a manipulation. The Manipulation was successful in allowing me to be able to straighten my knee but my flexion was still limited to 95 degrees (on a good day)and therefore about 6 weeks ago my doctor did a revision and removed scar tissue that he said was about 1 inch thick. Honestly after the revision I was was at 120 degrees and felt pretty good but now I've regressed to around 98 degrees and feel the same as I did before. Because I was only 35 at the time of my TKR my doctor assured me that I would have a quick and easy recovery but now all I have is daily pain and frustration.

I was wondering has anyone else had problems with scar tissue?

Since: Nov 11

Grantham, NH

#764 Apr 18, 2012
HI Shanda, and welcome to the forum. Sorry for the delay in reply.

I have had similar issues with scar tissue forming very quickly. The problem is difficult to deal with. Have they considered going back in for arthroscopic removal of the scar tissue? I have read elsewhere that can be less invasive and help gain the motion that you are missing.

I would also say that even though it feels like an eternity since you had the TKR, you are still early on. You can gain motion for upwards of a year pr more, so don;t give up. You might try getting into a pool and working on the problem there.

For me, its about extension, as I can't get my leg straight. Very frustrating. I am 8 months post TKR and trying to decide what to do next, if anything. I had an MUA in November which helped initially, but then quickly gave back the gains. My OS said they could do a capsular release which is a type of revision, but I really don;t want to go down that road if I don;t have to.

Just keep searching and trying different things and let us know how you are doing.

Be well,

Dawn
Kathy

Batavia, NY

#765 Apr 18, 2012
Shanda---Hi! I had a left TKR in Nov. 2010 and a right TKR in Jan. 2012. With my first TKR(left), I was only 95 degrees flexion at 6 months when I returned to work. I always felt I could/should have better flexion, but my Dr does not believe in MUA if you are beyond 90 degrees. He feels the risks are too great. But I somehow managed to get more flexion on my own through the months just from daily living. Not sure what it is now--possibly 100. With my right knee this past January, I went great guns gaining flexion in the early weeks. By the time my home PT finished at 4 weeks I was 110. I never went to out-pt PT this time because of a cost issue(too high co-pay with no paycheck coming in)My Dr and home PT felt that was fine--to continue with my exercises and riding my stationary bike at home--since even if I never gain more than 110, that is all that is needed for most all activities. I may have gained a bit more, not sure.
I say to you--not to worry about the 98 degrees flexion. You will gain more on your own in time. And if not--98 is fully functional, as I work as a floor RN and did so after returning from first surgery. I expect to return to work early May with this TKR. Recovery doing very well, but sometimes I am not so pleased with my strength, balance, and endurance and have to wonder if they would have been better if I could have gone to out-pt PT. I understand you are young(35)and want more flexion to do more activities. Believe me, I understand. One of the hardest things I had to give up was riding my bicycle with my hubby, but my flexion in that left leg prevented me from peddling safely(could only peddle with heel of foot and balance was thrown off)After this TKR, I found that even at 110, I still had that poor flexion and issues with the left knee, and now the problem was compounded since 110 is not perfect for riding either. I resolved that I was not going to spend another summer sitting around while my husband rode his bike, so I bought a red Schwinn Trike! Don't laugh---it works! I am only 58, so I was leary about purchasing it, but I swallowed my pride and did it, and glad I did! I found the flexion required to peddle it is also more than I have, so it is hard, but I am doing it. I work daily, weather permitting, on it and feel it may contribute to my gaining more flexion.
Good luck, Shanda, and keep us posted.
To all my dear friends on this forum---I have not written lately because I have been dealing with the grief of having had to put my 14 year old Sheltie to sleep recently. Did not think it would effect me quite so much, as he was old and ill, but I am missing him every day in every part of the house. Having a hard time shaking this sadness. Will be glad to return to work, so I won't have to sit in this quiet house.
2 knees no good

Ballston Spa, NY

#766 Apr 18, 2012
I had Bilateral Knee Replacement in sept.2010 came home from rehab and I fell. had to have the md go in and fix all i did. i did dislocate my left knee.i went back to rehab and was send home a month later. jump ahead to today. weekness in my thighs,swollen kneecap,left foot bigger than right,
both legs are always freezing.the pain is unreal,i went to the md today.... his conclusion,go to pt and that should take care of all.
NOT,
so disgusted at this point,i wish i never had them done. here i am 57 years old,feeling like 100.
Kathy

Batavia, NY

#767 Apr 19, 2012
2 knees no good---So sorry you had such a bad experience with your TKR. Falling is a great fear for all of us---not wanting to injure the work done on our new knees and having to start over. My Dr told me that he will not do both knees at the same time because the recovery is too difficult, and risk of falling too great, but I know several people that have had both done at the same time(with different MD). And I heard that because of this they had to go into rehab, too, but did fine after. I had both knees done--one year apart--and was able to come home and care for self. This time was easier--knew what to expect, and more help at home.
As for weakness in thighs, I have to wonder about whether your PT has had you doing leg strengthening exercises? I started mine(with weights) the month before each surgery, and carry on with them still. Although, yes, I still have weakness in right leg, I know with time and exercise, it will improve. I do a set of exercises daily in morning(before I get busy with my activities for the day), ride my stationary bike twice daily at 15 min each, and (weather permitting) go for 1-2 walks daily---increasing distance as tolerated, plus I practice riding my new bike(trike) outside. Soon I will be returning to work, so my daily work-out will only consist of what I can fit in after a long hard day on my feet.
I agree with your Dr. Go back to PT if what you are doing at home isn't helping. But work at home is a must with this type of surgery. Find a PT with a pool and perhaps a therapeautic hot tub to give you some relief.
And I certaintly hope you are not still on narcotic pain meds. THAT can contribute to depression and a poor out look. Most Drs want you off of them ASAP after surgery, then to rely on something like an NSAID for relief when needed. The risk with addiction is far too great with using narcotics. Better to find relief in other ways(through stretches, icing and elevation, hot tubs)
Good luck to you--please keep us posted--and hopfully things will turn around for the better for you.

Since: Nov 11

Grantham, NH

#768 Apr 21, 2012
HI Kathy, sorry to hear about your dog. They are more than an animal, really part of the family. I hope with time you will feel less grief.

Sounds like you are doing well and heading back to work soon. Congrats, this second knee has been a much better experience than the last it seems.

I am still working on extension and have stopped going to massage therapy. At this point life has gotten busy and just no time to devote to it.

Hoping for better days ahead.

Be well friends,

Dawn
Judi

Walpole, MA

#769 Apr 21, 2012
2 knees no good wrote:
I had Bilateral Knee Replacement in sept.2010 came home from rehab and I fell. had to have the md go in and fix all i did. i did dislocate my left knee.i went back to rehab and was send home a month later. jump ahead to today. weekness in my thighs,swollen kneecap,left foot bigger than right,
both legs are always freezing.the pain is unreal,i went to the md today.... his conclusion,go to pt and that should take care of all.
NOT,
so disgusted at this point,i wish i never had them done. here i am 57 years old,feeling like 100.
OMG! that's terrible! There has to be something they can do for you. I did have one foot swollen for a long time but that's back to normal. If your legs are cold maybe it's your circulation. I'm no Doctor but I suggest maybe going to a new Doctor. Good luck!
Sally

York, PA

#770 Apr 22, 2012
Please help everyone:

I had 3 prior scopes. Then in February 2012 I went to the Ortho Dr because I had a flap and my leg was locked in a straight position. I knew this surgeon from when my exhusband had his knee replaced. Anyway, I scheduled the scope and we discussed a possible knee replacement. I woke up to a total knee replacement. I had no idea of the amount of pain I would be in now.

My surgery was on 17 February 2012. Came home from the hospital and began in home physical therapy. Very limited pain medication. I could only move my leg back and forth about 12 degrees. Went back to the Dr in March and had a mulation. Stayed in the hospital for another 3 days and went home. Currently in outpatient care 5 days a week, but in two weeks switching to only 3 days a week. Scared out of my mind!!!! that I will lose what I have gained thus far.
Currently taking 30 mg morphine twice a day, and using 7.5 mg IR morphine while actually in therapy session.
My question is that I can't understand how you all can work through the pain to increase (flexion?). It's killing me. I'm so depressed, I honestly feel that my life as I knew it is completely over. Now, I am on all kinds of drugs to fight anxiety and depression issues. Seeing two counselors. Im 47, and live in York, Pa and will need to move due to the cold weather and amount of rain.
Many of your posts gave me strength and encouragement, but I feel as if I am longer able to carry on as I was just a few months ago.

I can straighten to 2, and bend to 99. Is anyone out there living a good life with that amount of bending degree?

I ask you to provide what internal drive you use to make this leg bend. Thinking that this will be my life for the next year (to recover) is just unconscionable for my mind.

Thanks,
Lost in Pa
Sally

York, PA

#771 Apr 22, 2012
2 knees no good wrote:
I had Bilateral Knee Replacement in sept.2010 came home from rehab and I fell. had to have the md go in and fix all i did. i did dislocate my left knee.i went back to rehab and was send home a month later. jump ahead to today. weekness in my thighs,swollen kneecap,left foot bigger than right,
both legs are always freezing.the pain is unreal,i went to the md today.... his conclusion,go to pt and that should take care of all.
NOT,
so disgusted at this point,i wish i never had them done. here i am 57 years old,feeling like 100.
Hello, are your legs shiny, grow extra hair? Check out a condition called RSD. My ex husband has this. The only relief he ever has is in dry condition and lost of pain medication. Just
google RSD and all sorts of information will come up.
Hope this helps you, best of luck.
Sally

York, PA

#772 Apr 22, 2012
Kathy wrote:
Shanda---Hi! I had a left TKR in Nov. 2010 and a right TKR in Jan. 2012. With my first TKR(left), I was only 95 degrees flexion at 6 months when I returned to work. I always felt I could/should have better flexion, but my Dr does not believe in MUA if you are beyond 90 degrees. He feels the risks are too great. But I somehow managed to get more flexion on my own through the months just from daily living. Not sure what it is now--possibly 100. With my right knee this past January, I went great guns gaining flexion in the early weeks. By the time my home PT finished at 4 weeks I was 110. I never went to out-pt PT this time because of a cost issue(too high co-pay with no paycheck coming in)My Dr and home PT felt that was fine--to continue with my exercises and riding my stationary bike at home--since even if I never gain more than 110, that is all that is needed for most all activities. I may have gained a bit more, not sure.
I say to you--not to worry about the 98 degrees flexion. You will gain more on your own in time. And if not--98 is fully functional, as I work as a floor RN and did so after returning from first surgery. I expect to return to work early May with this TKR. Recovery doing very well, but sometimes I am not so pleased with my strength, balance, and endurance and have to wonder if they would have been better if I could have gone to out-pt PT. I understand you are young(35)and want more flexion to do more activities. Believe me, I understand. One of the hardest things I had to give up was riding my bicycle with my hubby, but my flexion in that left leg prevented me from peddling safely(could only peddle with heel of foot and balance was thrown off)After this TKR, I found that even at 110, I still had that poor flexion and issues with the left knee, and now the problem was compounded since 110 is not perfect for riding either. I resolved that I was not going to spend another summer sitting around while my husband rode his bike, so I bought a red Schwinn Trike! Don't laugh---it works! I am only 58, so I was leary about purchasing it, but I swallowed my pride and did it, and glad I did! I found the flexion required to peddle it is also more than I have, so it is hard, but I am doing it. I work daily, weather permitting, on it and feel it may contribute to my gaining more flexion.
Good luck, Shanda, and keep us posted.
To all my dear friends on this forum---I have not written lately because I have been dealing with the grief of having had to put my 14 year old Sheltie to sleep recently. Did not think it would effect me quite so much, as he was old and ill, but I am missing him every day in every part of the house. Having a hard time shaking this sadness. Will be glad to return to work, so I won't have to sit in this quiet house.
Kathy,
Thanks for the trike idea. I'm checking into it. Also I am so sorry for your loss. These 5 little alpso's actually laying in bed with me right now are the only thing that is keeping me going. I am very lonely in this big quiet house too!
Sally
kathy

United States

#773 Apr 23, 2012
Sally---would you believe I was passing through York, PA as I read your post via my smartphone! Lol! Was in DC area viditing my daughter and heading home through terrible rain. Thank god my hubby is doing the driving.
As for function at 99 degrees----yes you can because I did when I returned to work last year I was only 95. Heading back soon after second knee done at 110 for that knee. I know it hurts to work those knees but Im afraid all the narcotics could be affecting your mood/outlook. I found that my depression disappeared aftef I went totally off narcs and just used OTC meds such as Advil.
Having trouble posting in moving care. will try agsin later/tomorrow.
Judi

Walpole, MA

#774 Apr 23, 2012
Sally,
It's only been two months for you. You have a long way to go yet. I felt terrible for a long time. I was also on meds for a long time. I am not condoning meds but if your in pain and you need them then take them. The Doctor will let you know when you should not be on them. Although I never had to take morphine except in the Hospital. Keep doing your exercises even if it hurts. Because it's going to hurt for awhile. I still have a little ache and I'm over a year. But not like the pain I had before I went in. I just think it's too soon for you to expect so much. Everyone is different when it comes to healing. I hope I have helped and you feel better soon. Good Luck!
Kathy

Batavia, NY

#775 Apr 24, 2012
OK--I am finally home--after driving through pouring rain and then wet snow all the way home!
Sally--Judi is right--it has only been 2 months for you and you do have a long way to go. And everybody's tolerance of pain is different. Just Speaking from my experience as an RN and what I have seen as an EXPLOSION of addiction in this country because DRs perscribe narcotics way too freely--just because someone complains of some pain. Where as they should be teaching alternate ways to help, and when that does not work, perscribe on a limited time frame. I am all for medicating the terminally ill all they want, but we as young healthy individuals trying to recover from a life altering surgery, need to move past the phase of dependence on narcotics as soon as possible--and learn to work through that pain. Now don't get me wrong--I used Vicodin before this surgery for that month when the pain kept me awake--but ONLY at night, and I cut it off long before my surgery. Then yes I did use Percocet after, but I began reducing dosages right after that first week(as you all know--because I discussed it here)even though I was very uncomfortable. But I KNOW how easily it is to become dependent on these meds, and I REFUSE to be another statistic! I was totally off narcs by 4 weeks--as my Dr will not even renew scripts beyond that point for that very reason. On my first surgery, I asked for a refill at 5 weeks and was informed of that and had to go off cold turkey at that point(rather than reduce slowly as I did this time), and let me tell you, withdrawal is not pretty. I to this day have a residual hand tremor. From the narcs?? Who knows, but you can all see I am against people depending on narcs. Sorry. I have just seen too much addiction in my life from every day people that well-meaning Drs have tried to help their pts be pain-free. My suggestion--keep exerciseing and work past that pain--with more freedom of the joint, you will be more comfortable. And ice and elevate!! I also tried using heat before exercise to give me more movement and comfort of the joint. I am not saying I have been pain free. I am returning to work May 7 at 2 days shy of 4 months post-op and I STILL have bad days--but I know in time it will get better. One more thing--you sound very "down", and I(as well as everyone else on here) remembers that feeling. And I found my out look was 100% better once I was off narcs! Believe me--they are depressants! I STILL get down days occassionally. It is natural--especially with this surgery when I don't think I am progressing well--but then I usually pull out of it by the next day.
My suggestion is to talk to your Dr about the narcs and see what he thinks. If you have some reason to be on them still at 2 months, then so be it, but if not, ask him for alternative suggestions for comfort/pain control--and his suggestions for an easy withdrawal.
Do you have a stationary bike? I did not with my first surgery, and found it to be a tremendous help with the second surgery--giving me both easier movement of joint, and hence, better pain control. Try it--along with the trike for outside.
And Sally, thank you for your understanding about my beloved dog. He was a part of my family and I have been so sad missing him.
I hope I have not been too harsh about narcs. I'm not blaiming you---this is a very painful surgery-belive me I know! You just want this pain to stop! I wish you good luck in that area. We are here for support. Not blaim. I blaim the Drs that do not see the epidemic of addiction in this country. I thank god I had a Dr that relizes this, and takes measures to try to prevent it in his pts.

Since: Nov 11

Grantham, NH

#776 Apr 25, 2012
Hi Sally in York,

I am sorry to hear about your bad experience. I have had ongoing issues myself for a long time. I had LTKR on 8/16/11, so I am about 8 1/2 months out. I have roughly 105 for flexion and 10-12 for extension, which is my issue.

As others have said, I will too. You are in the very early days. Your measurements sound pretty good to me, I wish I had similar numbers at the stage you are in. You can and will gain ROM for a year or more, so don't despair, it will get better and you have time to recover.

As for pain meds, I have a different opinion than some. I agree that you should use them to control pain and manage your PT to the point of discomfort but not pain. I was concerned about becoming hooked on the Oxycodone.Oxycontin I was prescribed but my OS assured me I would not become hooked. He was right. I knew when I could cut back, as my body responded when it needed to.

I think you need to remember that the recovery can take a year or more. You will be challenged in your patience, but your have to take it one day at a time. I know its a cliche, but its never been truer. This is a marathon, not a sprint. Focus on the small things, don't let yourself think too far ahead. Keep a journal if you need to to look back at and track your progress. Sometimes we are too close to our own recovery to see the small improvements that come over time.

Depression is pretty common after TKR, so just accept that it will be with you for a period of time. As the cloud lifts, you will feel better and can cut back on pain meds and see the light at the end of the tunnel. There will be days that feel like will never end, but again, small steps, think short term.

Don't worry about moving to a warmer climate just yet. Spring is here, and we will eventually get sun that will stay! I know this is hard, I have been in your shoes, literally. Please keep the faith that you will get better and you will not be stuck like this forever. It takes time, which is what you have.

I wish you all the best and please keep us posted. You have friends here who are full of compassion and empathy. I have relied on them for quite a while now.

Be well,

Dawn
Kathy

Batavia, NY

#777 Apr 26, 2012
Saw my Dr this morning and got the official ok to return to work May 7th! So happy! Hopefully I can now just move forward and get my life back! Thank you all for your support through this second surgery. I will continue to keep you posted on my progress.
Diane

AOL

#778 Apr 26, 2012
Dawn 63 wrote:
Hi Sally in York,
I am sorry to hear about your bad experience. I have had ongoing issues myself for a long time. I had LTKR on 8/16/11, so I am about 8 1/2 months out. I have roughly 105 for flexion and 10-12 for extension, which is my issue.
As others have said, I will too. You are in the very early days. Your measurements sound pretty good to me, I wish I had similar numbers at the stage you are in. You can and will gain ROM for a year or more, so don't despair, it will get better and you have time to recover.
As for pain meds, I have a different opinion than some. I agree that you should use them to control pain and manage your PT to the point of discomfort but not pain. I was concerned about becoming hooked on the Oxycodone.Oxycontin I was prescribed but my OS assured me I would not become hooked. He was right. I knew when I could cut back, as my body responded when it needed to.
I think you need to remember that the recovery can take a year or more. You will be challenged in your patience, but your have to take it one day at a time. I know its a cliche, but its never been truer. This is a marathon, not a sprint. Focus on the small things, don't let yourself think too far ahead. Keep a journal if you need to to look back at and track your progress. Sometimes we are too close to our own recovery to see the small improvements that come over time.
Depression is pretty common after TKR, so just accept that it will be with you for a period of time. As the cloud lifts, you will feel better and can cut back on pain meds and see the light at the end of the tunnel. There will be days that feel like will never end, but again, small steps, think short term.
Don't worry about moving to a warmer climate just yet. Spring is here, and we will eventually get sun that will stay! I know this is hard, I have been in your shoes, literally. Please keep the faith that you will get better and you will not be stuck like this forever. It takes time, which is what you have.
I wish you all the best and please keep us posted. You have friends here who are full of compassion and empathy. I have relied on them for quite a while now.
Be well,
Dawn
Hi Sally

I certainly feel for you! I had my TKR January 18th 2011, and I went thru all that you are, and I know exactly how you feel. Dawn has expressed it very well, much better than I can, I agree with all she has said, it is all so true!!! I have to say that even almost 16 months out, I still see improvement, and also days that are not quite as good. This is a very tough surgery, or I should say recovery, but we all get there eventually, so hang in there. With most surgeries, after we need to rest and recover, but with this, the work is just starting, and it is hard work, and the benefits come slowly, we get tired out, discouraged at times, and don't get good sleep, it wears on us, and wears on our nerves, but it all does get better, and we are once again ourselves, and have our lives back, and Sally you will too. Good Luck Sally, and we are all here for you:)

Since: Jun 10

Richfield, MN

#779 May 3, 2012
Hi, It's been a while since I've checked in.

I'm 5 1/2 months post op from left TKR. I had hoped 6 months would be a miracle turning point, but I'm realizing it is an on going process. I'm better today than I was 5 months ago and hopefully will continue to get better.

I had to have my left big toenail removed on 03/21 due to infection that we couldn't get cleared up. Again, I amazed at how long healing takes, I still have a scab (smaller than originally but still a scab).

Has anyone heard of MLS Laser Therapy for sports injuries/healing? My daughter's coworker (they're nurses) had a knee replacement (I think in Dec 2011) and has used the Laser Therapy to reduce pain and speed recovery. Only $35 a session, but 6-8 sessions required.

Take care everyone.
Kathy

Batavia, NY

#780 May 4, 2012
Jolly---Good to hear things are looking up for you! Yes, this is an on-going process--and you will see more and more improvement in the months ahead. I will be 4 months post-op from a right TKR on May 9th, and I am returning to work this Monday, May 7th. Wish me luck! I am a little nervous. Also, at that point, all my hard work(daily exercises) will come to a crashing hault, as there will be NO energy left for all that once I am back at work---up at 4:30am, then gone until after 4pm, then dinner to get and chores to do. But I do hope I have some time and energy left to at least ride my bike!
As for that MLS Laser Therapy---I have not heard of it, but maybe some of our other readers have. I don't know if there is a magic bullet out there(for just $35) to will take care of pain and speed recovery. Just months of hard work to get things feeling right. I, for one, am looking forward to the day when I will not be so "aware" that I have 2 artificial knees. As for the arthritic pain--thank the lord that is GONE!! Now if I did not have arthritis in other areas, I would be set! LOL! Let's just hope these damn hips don't give out once I am back running the floors at work!
Have a wonderful weekend--going to see our beloved Red Sox's farm team(Pawtucket) play the Yankees farm team this weekend with my children, their spouses and grandkids. Then off to work Monday!! Will keep you all posted how that works out!
diane

Ghent, NY

#781 May 6, 2012
Kathy wrote:
Jolly---Good to hear things are looking up for you! Yes, this is an on-going process--and you will see more and more improvement in the months ahead. I will be 4 months post-op from a right TKR on May 9th, and I am returning to work this Monday, May 7th. Wish me luck! I am a little nervous. Also, at that point, all my hard work(daily exercises) will come to a crashing hault, as there will be NO energy left for all that once I am back at work---up at 4:30am, then gone until after 4pm, then dinner to get and chores to do. But I do hope I have some time and energy left to at least ride my bike!
As for that MLS Laser Therapy---I have not heard of it, but maybe some of our other readers have. I don't know if there is a magic bullet out there(for just $35) to will take care of pain and speed recovery. Just months of hard work to get things feeling right. I, for one, am looking forward to the day when I will not be so "aware" that I have 2 artificial knees. As for the arthritic pain--thank the lord that is GONE!! Now if I did not have arthritis in other areas, I would be set! LOL! Let's just hope these damn hips don't give out once I am back running the floors at work!
Have a wonderful weekend--going to see our beloved Red Sox's farm team(Pawtucket) play the Yankees farm team this weekend with my children, their spouses and grandkids. Then off to work Monday!! Will keep you all posted how that works out!
Kathy - Thinking about you returning to work today!
I know you are apprehensive, as well you should be, but I am sure you will be fine. If I were you, I would make sure to take care of "Kathy" when you come home each day, Icing, and elevate, and ride your stationary bike, but not over due as you already have just running up and down those halls in the hospital. I am sure that especially the first week, it is going to be very hard, but it will get better, as you settle in a routine once again. I found when I came back to work after 11 weeks it was the hardest the first week, but in a way it did seem good to be back and my improvement seemed to come along even faster. I have for some reason had alot of disconfort thisi past week or so, maybe because of the rain we have had, but they were better today. The doctor gave me a script for Mobic on my last visit, but it is a lower dose, and doesn't seem to do a whole lot. The cortisone shot in my left knee hasn't lasted as long this time, but maybe next time it will last longer, as I really don't want to go thru the TKR again just yet. I plan on retiring with-in a year, so probably I will get it done before I retire as my present Insurance is excellent. Take care Kathy:)

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