Hopefully this will be a final update on my left knee replacement …
On Wednesday of this week – exactly 6 weeks since surgery – I saw the surgeon of a check-up. It was, as I had hoped, a non-event. He is delighted with my recovery, healing (see photo), and the flex on the knee, and has cleared me for all normal activity. He doesn’t want to see me again unless I have problems and has discharged back into the care of my GP.
As I reported earlier my physio appointment 10 days ago was equally positive. I have another physio appointment next week as we agreed it would be sensible that we meet once we had the surgeon’s update. All being well I suspect will be the last appointment.
Both knees are fine except that they are very stiff and achy – but that’s just the muscles having to rebuild and get accustomed to normal activity again. So now I just need to get the knees walking more and build up the muscles.
I know I’ve had this work done privately (we’re lucky to be able to afford health insurance) but I have to say the care I’ve received has, overall, been absolutely outstanding. The whole hospital is cheerful, friendly and helpful from the consultants right down to the porters and cleaners – everyone has time and a friendly word.
It all looks very much like “job done” and very well done too!

[Medical trigger warning]
As today is four weeks since surgery, I thought we should have a progress report on the rehab of my left knee.
Things are now definitely getting better physically; but I’m still feeling very low mentally. Most of the bruising has gone as has almost all the swelling – ice-packs several times a day have helped (the hospital provided a specially designed cuff cooler when I had the right knee done). For some days now I’ve been walking around the house without the aid of crutches or sticks – the exception being the stairs where I still don’t feel entirely safe. I’m still taking crutches if I go out, if only for safety.
When I saw my physiotherapist this time last week I had 110° of flex on the knee, and I know it will be even more by the time of my appointment next Monday. Needless to say the physio was very happy; the flex and function of the knee are good although still painful; he even had me on an exercise bike doing gentle to and fro motion (a full cycle is not yet possible, although I did try). I was given an extra set of exercises to do, which are all about strengthening the muscles as well as improving the range of movement; and the exercises are gradually getting easier and less painful. I’m still being subjected to the torture of the green anti-DVT stockings though.
As you can see from yesterday’s photo, the scar itself is healing well and looks as if it might eventually be even less obvious than the one on my right knee. (Incidentally I don’t know if the visible flaking is dead skin, surplus glue from closing the wound or some form of plastic skin which was applied to cover the wound. But the right knee was the same and it seems to be OK.)
The pain is very definitely subsiding. Yesterday was the first day since surgery that I’ve awoken at 6 or 7 AM and not immediately thought “Bloody hell I must have some painkillers”. In fact yesterday I didn’t need to take any painkillers from midnight to lunchtime – although by then the knee was very achy. So with luck I in the next week I can start thinking about tailing off the codeine, if not the paracetamol as well.
Meanwhile I managed to screw up my lower back last week; and yes, on the left side! This entailed two trips to the osteopath. The first on the Monday helped immediately but then the muscles were going into spasm every time I tried to move. This settled down overnight with a couple of small doses of Valium as a muscle relaxant. But by Friday the lower back was giving trouble again, so Saturday saw me back at the osteopath seeing a different guy who comes to osteopathy via a sports training background. I have to say he was brilliant – not just at releasing the back but also at explaining how this was all down to the muscles and joints readjusting to different ways of moving following the operation. His prescription was to walk (do what you can and build up slowly) to get the muscles etc. used to working properly again. I came away walking well and feeling much more at peace mentally. So far I’ve concentrated on walking around the house, but our long back garden is beckoning.
I’m still feeling anxious, depressed and panicky at times but that mostly isn’t the knee but everything else I have piled up getting me down. But with the pain receding, and a more positive outlook for the knee, I am at last managing to catch up on some of the stuff I’ve ignored over the last few weeks.
So the bottom line is: keep going; keep doing what you’re doing; it does get better (even if it doesn’t always feel that way hour-to-hour or day-to-day). Onwards and upwards.

[If you don’t like things medical, skip this.]
So it’s now a week and the day since I was let out of hospital after a complete left knee replacement to match the right one that was done at the beginning of the year. On the left, here’s the knee before (notice the impressively neat scar on my right knee that was prepared earlier) and on the right dressed post-op:

I suppose the knee is getting better although it doesn’t feel like that much of the time. Initially when I was in hospital it was a lot less painful than the right one had been but since I’ve been home the pain has been more like the same and at times obviously quite bad – which is very frustrating, depressing and demoralizing; but I guess that all part of healing process.
Admittedly all this is being done privately – we’re very lucky in that we can afford medical insurance – and generally I cannot fault hospital. [For anyone contemplating having knee surgery privately, don’t expect any change out of £15,000 per knee.] I had the same surgeon, the same anaesthetist, most (if not all) the same theatre team, and even the same physio on the ward – and I’m even booked in with the same guy as before for outpatient physio – that’s just one of the benefits of going private!
I had a spinal anaesthetic (so I was conscious; recovery is much nicer than a general anaesthetic) and was in theatre on the Wednesday afternoon (13 September) for about two hours. This was followed by an hour in recovery and overnight in the HDU because of my sleep apnoea. Then back in my room for lunch on Thursday.
I still don’t understand how the medics do this! They can rip you open; do 90 minutes serious carpentry; glue you back together; and have you on your feet 12 hours later. In fact the physio had me out of bed and walking few steps with a frame at 10 o’clock the following morning. Rinse and repeat twice a day. On the Friday morning the physio took the Zimmer frame away and left me with crutches; they also made me do a very small, test, staircase in their gym – this was fine although I had struggled with it back in December.
On Saturday morning my surgeon ran in about 8:20, wearing jeans and a rugby shirt, had a quick look, said yes OK you can go home, I’m now off to Portugal for a week (playing golf, needless to say!). Later that morning a physio arrived and took me to do a complete flight of stairs (down and up) and walk a corridor, which was all OK. All the boxes ticked I was allowed my freedom at lunchtime.
What annoyed me was that everyone arranged follow-up appointments according to some notional idea of what they should be and not what the surgeon had told me to do, and as I had requested. They then left me to chase around on the Monday to rearrange everything. That I was not impressed with.
By the time left hospital I had about 80° of flex on the knee; I probably now have about 90° – which is more quite a few people manage after a year; so I guess I should not be too downhearted.
However since I’ve been home everything seems to have been more painful. My GP had a quick look at the knee on Thursday as she was slightly concerned I might have wound infection. However the nurses at hospital changed the dressing on Friday and were very happy everything was OK and no infection. In fact the wound was actually very good and healing well as you can see from the photograph below.

Yesterday, Saturday, I was worried because I seemed to be able to do nothing except sleep all day; totally unable to stay awake. I just could not get the knee comfortable: sitting at my desk was unbearable, lying down slightly better. It’s still not great, but a bit better today.
What more is there to say? Obviously I’m still on crutches and painkillers and will be for a while – although my surgeon says to get rid of the crutches as soon as possible. Obviously I’m also having to do exercises and I know once I see the physio in out-patients in a couple of days time they will get more and harder.
Noreen is being heroic in putting up with me – anxiety, misery, depression and all – and everyone has been sending me good wishes (thank you, one and all!). To top it all, to cheer me up, my lovely friend Katy has sent me a tasting box of various gins (below) which I shall enjoy exploring once I’m no longer on wall-to-wall codeine.