Your Hospital Stay

You'll be moved to your room when you are awake. By then your family or a friend will be able to join you. You can expect to feel some pain. To gain the best pain relief, answer honestly when you are asked how badly you hurt. Soon after surgery, specially trained therapists will start working with you. For the quickest, safest recovery, practice what they teach you.

In Your Hospital Room

You'll be watched closely on the day of surgery. Any or all of the equipment below may be provided.

• A CPM machine may be used to keep your knee flexible.
• A bar (trapeze) may be hanging over the bed. Use it to help lift your body when you change positions.
• Special stockings may be used to reduce the risk of blood clots. You may also be given medications to help prevent clots.

Managing Pain

You may be given pain medications by injection or IV for the first few days. Expect to feel some pain, even with medication. This is normal. But if the medication doesn't reduce your pain at all, be sure to tell the nurse.

You're in Control with PCA

PCA (patient-controlled analgesia) allows you to control your own pain medication. When you push a button, pain medication is pumped through an IV line. PCA pumps can provide a steady level of pain relief. And with their built-in safety features, you can be assured that you will not get too much medication.

Special Therapies

During your hospital stay, you'll learn skills that will help you return to normal life. You will be shown how to strengthen your leg, walk, and clear your lungs. To make moving easier, use the PCA pump or ask for pain medication before your physical therapy (PT) sessions.

Gaining Strength

Your PT program is likely to start with gentle exercises. You may be shown ways to increase blood flow and control swelling. Working the quadriceps muscles (in the front of your thigh) builds leg strength. This helps protect your new joint by keeping the knee more stable. Exercises also help you bear weight without pain?a goal you can work toward.

Walking Again

You may begin to stand and walk within hours after surgery. An IV and catheter are likely to still be in place, so using the walker may be a little tricky. But don't worry. A physical therapist will help you. You will be taught how much weight, if any, to bear on your new joint. With practice, you'll soon be able to walk with just the aid of a walker.

Clearing Your Lungs

Fluid can collect in the lungs after any surgery. To avoid pneumonia, breathe deeply and cough. You should do this often?a few times an hour, at least. A respiratory therapist or nurse may show you how to use an incentive spirometer. This machine can help you breathe more deeply.

This content is not intended as a substitute for professional medical care. Only your doctor can diagnose and treat a medical problem. © 1990, 1995, 1998, 2000 The StayWell Company, 1100 Grundy Lane, San Bruno, CA 94066-3030. www.krames.com 800-333-3032. All right reserved.