It was good to know tat you are a nurse as i would be able to talk in more medical terminologies.
As you know, the main indication of TKR are -
1) Severe pain,
2) Marked decrease in Range of Motion
3) Knee instability
4) Any of which leading to a compromised lifestyle, provided all the medical management of the same has been exhausted.
The range of motion after 8 weeks of surgery is not too good.I am not too happy with your flexion of 110 degrees after this much time period.Extension , i won't comment upon.
You are taking too much of pain killers which is not good.We usually stop them after around 10 days of the surgery.The cause of this much dependence on pain killers needs to be known as it may cause other problems of pain killers.
I really would suggest you to do a proper work up on the physiotherapy aspect, because we might end up in restricted Range of motion.
130 degrees or above are considered satisfactory.
You really should sit and discuss with your doctor about the need of such high amount of the pain killers.I would not be able to pinpoint the exact cause of the same, as i have not examined you physically.
But i can attribute the high dependence on pain killers either due to poor physiotherapy or due to pain intolerance, for which we really need to know the reason.
Feel free to ask more.
Oops, correction to my original post above: I am in therapy three times per week (not TID!) By the way, flexion is 110 and extension is -4
Thanks for your response. I am surprized that the 110 flexion is so bad at this stage. I was limping and unable to bend knee for quite a while prior to TKR so I am not sure if that has any affect. I will discuss the above with my doctor and therapist. I do realize the amount of pain medication I take can be considered a lot. However, 10 days and your patients are off meds? Now I am really feeling like a wuss. I am wanting to return to work in about a month so I realize I cannot take any narcotics while working. You have given me things to think about. New plan: I am going to continue my Motrin and only use the Ultram PRN. I will be continuing my physical therapy, home exercises and going to the pool with the goal of 130. I appreciate your time!
You limp and high grade of pre-operative stiffness may contribute to the less achieved ROM of the operated knee.
I really have no -idea as what type of TKR was done on you (in context to the implants used). Now a days we have high flexion Implants also which gives upto 165 Degrees of Knee Flexion.
It's good that you are giving a thought about your future planing.
A related discussion, TKR pain