|  Surgery can be difficult on the body in a number of ways and unfortunately night sweats after surgery is not uncommon. Female sex, number of comorbidities, depression, and fatigue at 6 weeks were predictors of self‐reported fatigue at 12 months following TKR surgery. These fractures are called periprosthetic fractures. In the large study by Wolfe et al 3 that examined fatigue among patients with OA or RA, clinically important fatigue was defined as ≥2 on a 0–3 VAS and was present in 41% of their cohort. 6-12 weeks: Most patients will feel fatigue for for 1-3 months after a hip replacement surgery. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) 12 was used to assess knee pain and activity limitations, using 5‐point Likert scales, where 0 = no pain/activity limitation and 4 = extreme pain/activity limitation. Zinc is involved in the activities of dozens of enzymes in the body and without it, fatigue sets in. The quadriceps is a group of muscles on the front of your thigh. More clarity is needed on both the subjective perception of fatigue and the objective reduction of physical performance. If you had a repair of torn tissue, follow your doctor's instructions for lifting things or moving your knee. Self-Reported Knee Instability Before and After Total Knee Replacement Surgery. Knee extensor strength was associated with fatigue at 6 months, and knee pain, activity limitations, number of comorbidities, and lack of energy were all strongly associated with fatigue at both 6 and 12 months after TKR surgery. This is related to the anesthesia, blood loss, and rehabilitation after the surgery. 2016 Apr;68(4):463-71. doi: 10.1002/acr.22692. As adequate knee extensor strength is essential for many activities of daily living 24, and as functional performance is significantly related to quadriceps strength of both legs 25, specific knee extensor strength training seems necessary to reduce fatigue and optimize functional ability 6 months following TKR surgery. Objective: Total knee arthroplasty is a painful procedure. Working off-campus? 2020 Apr;23(4):559-568. doi: 10.1111/1756-185X.13797. International Journal of Rheumatic Diseases. The worst score of the 2 legs for each subscale (pain, activity limitation) was used for analyses. The subject of post-op depression is seldom discussed between patient and orthopedic surgeon before joint replacement surgery. Strengths of this study include the relatively large sample of patients undergoing primary TKR, a range of validated self‐report measures of physical and mental health, assessment of pain in both the operated and nonoperated knees, and limited loss to followup at 1 year after TKR. No studies have evaluated modifiable predictors of acute postoperative pain trajectories during hospitalization. Fatigue after surgery. It can be affected by age, preoperative activity level, and other health conditions. After surgery, the muscles surrounding the knee and hip become weak and require exercises prescribed by a physical therapist to improve functional performance and independence. Fatigue after surgery. Linear regression analyses were used to examine the predictive value of both presurgery and early (6 week) variables on self‐reported fatigue at 12 months. Knee pain was a presurgery predictor of 12‐month fatigue, but not a 6‐week predictor; successful knee replacement surgery and resultant decreased knee pain could account for this change. ★★★ Low Back Pain Left Side After Knee Surgery Lower Back Pain Bad Diet What Causes Pain On Both Sides Of Lower Back You Complain To The Doctor About Constant Pain And Discomfort In The Low Back Area Quizlet Acute Lower Back Pain Blood Urine. Lightheadedness after surgery may occur due to low blood pressure that may result either due to administration of general anesthesia or due to noncompliance of the postoperative self care measures. 2017 Nov 3;7(11):e018105. To our knowledge, this study is unique in reporting the prevalence of clinically important fatigue immediately before and during the first year following primary TKR surgery for OA. In conclusion, clinically important fatigue was highly prevalent immediately before surgery, but the prevalence decreased progressively up to 12 months after TKR for OA. Nearly 78% (1,513 of 1,935) of potential participants did not participate in the study, so the findings may not be generalizable to all people undergoing TKR. Marked knee extensor weakness is evident after TKR surgery, when compared to age‐matched norms 24. Assessments were carried out before, and at 6 weeks, 6 months, and 12 months after surgery. The MARKER study was a multicenter, randomized controlled trial that recruited patients undergoing primary unilateral or bilateral TKR surgery from 12 public or private hospitals across Australia. Determinants of generalized fatigue in individuals with symptomatic knee osteoarthritis: The MOST Study. The full text of this article hosted at iucr.org is unavailable due to technical difficulties. One study of 70 patients undergoing THR or TKR reported only a 4% decrease in fatigue 6–8 weeks after surgery, from a mean presurgery score of 13 of 24 (9). Range Of Motion 4 Months After TKR. Arden N, Altman D, Beard D, Carr A, Clarke N, Collins G, Cooper C, Culliford D, Delmestri A, Garden S, Griffin T, Javaid K, Judge A, Latham J, Mullee M, Murray D, Ogundimu E, Pinedo-Villanueva R, Price A, Prieto-Alhambra D, Raftery J. Southampton (UK): NIHR Journals Library; 2017 Jun. Assessments were carried out before, and at 6 weeks, 6 months, and 12 months after surgery. Patient suffers nine-month ordeal while searching for answers to severe pain, weakness and fatigue after knee replacement. Our measure of fatigue was a single‐item fatigue scale, and although the scale is a simple tool that can be easily implemented in clinical practice, a more detailed measure of both physical and mental fatigue would have provided richer data regarding the various components of fatigue. Infection tops the list of knee replacement problems after surgery and occurs in 1 to 2% of patients, he said. But PT after knee surgery will make you stronger. Presurgery predictors of fatigue at 12 months included age, knee pain, fatigue, and lack of energy, even after accounting for activity limitations, poor psychological well‐being, and lack of sleep. Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Among patients undergoing TKR for OA, clinically important fatigue is considerably prevalent both before and for at least 6 months after surgery. Depression after knee and hip replacement surgery can take anyone by surprise. The number of comorbidities, knee pain, activity limitations, low psychological well‐being, and lack of energy were associated with fatigue, even after adjusting for age, depression, back pain, and knee muscle strength. Among patients undergoing TKR for OA, clinically important fatigue is considerably prevalent both before and for at least 6 months after surgery. Physical therapy can help you recover after knee replacement surgery. Only take pain medications and sedatives when necessary. They're generally worried that their condition(s) are likely to flare afterward, which may complicate recovery. After surgery, numbness and weakness persist for a period of time that depends on the location of the injection and the type of anesthetic medication. However, it may take up to 3 months for pain and swelling to settle down. Hodges, Harmer, Dennis, Nairn, March, Crosbie, Crawford, Fransen. However, you can still achieve some improvements in the 3 rd and 4 th months.. The prevalence of clinically important fatigue decreased from 34% before surgery to 8% at 1 year after TKR surgery. © 2016, American College of Rheumatology. ... (1)Orthopaedic Sports Medicine Center of Ioannina, Department of Orthopaedic Surgery, University of Ioannina, Ioannina, Greece. Studies find that vitamin A, vitamin C and zinc are three nutrients used up quickly after surgery, and if you had marginal levels to begin with, then healing is slow. It depends – on your age, the specific drugs used, how long the surgery took and how healthy you were to start with. The purpose of anesthesia is to slow your body down and put you to sleep. As iron tablets also prescribed which help to reduce fatigue, if it is because of anemia. We did not detect an association between sleep and fatigue at 6 or 12 months following TKR; however, patients were not asked to evaluate the quality of their sleep (broken sleep for example), and we acknowledge that determining adequate sleep is a more complex issue than simply evaluating the self‐reported number of hours of sleep 33, 34. Fatigue may be assessed subjectively as a perception of tiredness, exhaustion, and lack of energy, or it may be measured objectively as a reduction in physical performance 1. Shootinh Pain In Lower Back Radiatng Down Rigt Leg Severe Lower Back Pain Before Bfp . Erratum in Clin J Sport Med. Learn more. • Knee replacement patients who lost weight following surgery demonstrated significantly better scores when compared to those who maintained or gained weight after surgery. Pain persists in DAS28 rheumatoid arthritis remission but not in ACR/EULAR remission: a longitudinal observational study, The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research, Insomnia: definition, prevalence, etiology, and consequences. It’s also called "runner’s knee" or "jumper’s knee" and is common in athletes, though it can affect anyone. Some days are worse than others, but I literally feel like my body is just so tired sometimes. Clinically important fatigue (≥6.7 of 10) was reported by 145 patients (34%) before surgery, decreasing to 14%, 12%, and 8% at 6 weeks, 6 months, and 12 months after surgery, respectively. ... You can drive your care when you are a safe driver. We found that knee extensor strength was associated with fatigue 6 months after surgery and that activity limitation was associated with fatigue at both 6 and 12 months. I ve just returned home from the hospital after a complex total knee replacement. Self-reported fatigue was assessed on a 10-cm visual analog scale. We highlight that close attention to hemoglobin levels following TKR surgery is important given the role anemia may play in fatigue. Weakness, fatigue after foot surgery; bob76farmer @bob76farmer. I had an open partial last september. I think fatigue is because of the physiotherapy advised after knee replacement. The MCS is a population norm‐based score with a mean ± SD 50 ± 10. My knee is improving with physical therapy, but I am totally fatigued and lightheaded when I walk. Clinically important fatigue (≥6.7 of 10) was reported by 145 patients (34%) before surgery. Epub 2015 Jan 14. As WOMAC pain and function subscales were highly correlated before surgery (r = 0.80) and 6 weeks (r = 0.81) after TKR, separate multivariate models were again determined for each subscale. I had tendon surgery in my left foot two weeks ago. Age and sex were presented for consideration in the final multivariate model, but only included if P < 0.1. Among patients with rheumatoid arthritis (RA), ongoing fatigue is a well‐recognized, common, and troubling symptom 4-6. Wylde V, Beswick AD, Dennis J, Gooberman-Hill R. BMJ Open. Linear regression analyses were conducted to explore 6- and 12-month cross-sectional and longitudinal associations with self-reported fatigue. Another smaller study (n = 255) also found self‐reported fatigue to be comparable between women with OA or RA 7. Quadriceps weakness makes life difficult and running sports nearly impossible. As anticipated, anemia was strongly associated with fatigue, but it was excluded from the cross‐sectional multivariate models, both because it detracted from the significance of other variables associated with fatigue and because it is readily modifiable. A total of 422 patients undergoing unilateral or bilateral TKR were randomized in the MARKER study. Methods: Some forms of regional anesthesia can last up to 24 hours. How long does it last? One of the first priorities is to get your new knee moving – to regain the range of motion. Patients with a stronger quadriceps of the operated leg compared with the nonoperated leg had less pain and better function and quality of life (ratio = 0.4-0.6, P ≤0.010), the researchers found. However, only a few studies have investigated fatigue among people with osteoarthritis (OA). Posted by bob76farmer @bob76farmer, Dec 3, 2018 . Patients also completed a number of questionnaires evaluating knee pain, activity limitations, psychological well-being, comorbidity, and physical activity. Female sex, fatigue at 6 weeks, depression, and the number of comorbidities were all early predictors of fatigue 12 months after TKR. Very few studies have explored this issue among patients with arthritic conditions, and hence it remains a somewhat vexed question. Cast from toes to knee for 8 weeks with no weight bearing on that foot. Isometric knee extensor muscle strength was measured using a hand‐held dynamometer (Lafayette manual muscle tester, model 01163) firmly secured within a custom‐made dynajig rig 15. Woman surgeon looking sadness fatigue after surgery copyspace stress depression guilt unhappy problem worker medicine healthcare emotions – kaufen … Basic movements and exercise help rebuild muscle strength and improve your blood circulation. Other items high on the priority list are achieving quadriceps activation and strength. It’s actually quite difficult to sort out how much of the fatigue and “cognitive dysfunction,” or temporarily decreased intellectual function, that often follow surgery is due to general anesthesia and how much to the surgery itself. Epub 2012 May 8. ... (Patients remain more alert and they have less nausea and less fatigue.) Similarly, the prevalence of the concept of lack of energy was 34% before surgery and decreased to 14% at 1 year later. After knee replacement surgery, bacteria might enter a person’s body through the wound where the surgical incision was made. Identifying and addressing early predictors of ongoing fatigue has the potential to improve the quality of life following TKR surgery. The Fractures can be fixed by retrograde nailing of the Femur Fracture. The multivariate predictor model demonstrated that female sex, number of comorbidities, depression, and 6‐week fatigue score were the only early significant predictors of fatigue at 12 months after TKR. Cross‐sectional linear regression analyses (at 6 and 12 months) were used to examine the influence of the collected demographic variables on self‐reported fatigue (0–10). The scenario described above is formally called “quadriceps activation failure” and is common after traumatic knee injuries such surgery or an ACL tear. Here’s to hoping your life after knee surgery is full of enjoyment and activity! 2011 Sep;21(5):466. All authors were involved in drafting the article or revising it critically for important intellectual content, and all authors approved the final version to be submitted for publication. Cast from toes to knee for 8 weeks with no weight bearing on that foot. As I’ve mentioned in other articles, your range of motion will increase the most in the few weeks after knee replacement (check out my detailed article on my range of motion progress).. I thought 7 months was plenty of time to heal, but the fatigue has not gone away. The fatigue score was moderately correlated with lack of energy before surgery (0.33), and at 6 weeks (0.33), 6 months (0.44), and 12 months (0.45) after surgery. ... Knee … Consequently, it is not surprising that women are more likely to report fatigue than men 29. We used a comparable score of ≥6.7 of 10 (on a 0–10 VAS), and similar to Wolfe et al, this approach resulted in 34% of our cohort being deemed to have clinically important fatigue. For prevalence, based on the definition of clinically important fatigue in the large study of Wolfe et al 3, the percentage of participants who reported fatigue ≥6.7 of 10 (0–10‐cm VAS for fatigue) was determined. 1 Quality Lower Back Pain Clifton Nj. Today I've been feeling strange, weakness, pain all over and nausea . Rheumatol Int. You also may need to walk for half an hour at least a couple of times daily. Only variables with a P < 0.1 were retained in the final multivariate model 20. The delayed out‐patient exercise program comprised twice‐weekly circuit‐based classes, during which participants performed functional and strengthening exercises and 20 minutes of stationary cycling at moderate intensity. Another study of 84 patients undergoing THR and TKR in New Zealand used a single 10‐point self‐report scale 21 and showed that self‐reported fatigue increased from a mean ± SD of 3.46 ± 0.19 before surgery to 3.74 ± 0.19 at 4 weeks. You have to lock your knee during walking and rely on your other leg to get in and out of a car. Some days are worse than others, but I literally feel like my body is just so tired sometimes. Linear regression analyses were conducted to explore 6‐ and 12‐month cross‐sectional and longitudinal associations with self‐reported fatigue. Mild fatigue or greater (≥3.4 of 10) was reported by 282 patients (67%) before surgery. However, you can still achieve some improvements in the 3 rd and 4 th months.. People can often remain in bed for days or even weeks after surgery. I am 75 years old and had my right hip replaced on July 16, 2012, and I have to say, I had no problems at all after the surgery. Maximal‐effort knee extension was tested 3 times, with the best attempt recorded in Newton meters per kilogram body weight (Nm/kg). Knee extensor strength was associated with fatigue at 6 months, and knee pain, activity limitations, number of comorbidities, and lack of energy were all strongly associated with fatigue at both 6 and 12 months after TKR surgery. Knee Replacement Surgery. However, it has recently been shown that about 10% of patients still have some reservations about the knee or pain with some activities. Similarly, our study found that poor psychological well‐being, as defined by a low SF‐12v2 MCS score, was significantly associated with fatigue at 6 and 12 months following TKR. Expect to see your knee swell up to the size of a grapefruit and for swelling and … This surgery was last Apirl. Can comorbidity be measured by questionnaire rather than medical record review? When you return home after surgery, it’s important to follow your … Get the latest public health information from CDC: https://www.coronavirus.gov. Barcelona announce Ansu Fati will be out for four months after having surgery on his left knee. 10861) and from each participating hospital center. Fatigue is very common after having surgery. Each participant was seated over the side of a plinth (arms folded across the chest) with the knee being tested positioned at 60° flexion. Twelve months after surgery there were numerous significant (P < 0.1) univariate associations with the fatigue score (Table 3). In multivariate analyses, muscle strength was strongly associated with fatigue at 6 months, and knee pain, activity limitations, number of comorbidities, and lack of energy were strongly associated with fatigue at both 6 and 12 months after TKR surgery. A multivariate model of best fit was chosen based on the highest R2, and as such, variables that diminished the R2 were excluded from the multivariate model. All blood and other tests have been normal, yet the symptoms of fatiigue and dizziness persist. It can take up to a year for any leg swelling to disappear. Patients with a stronger quadriceps of the operated leg compared with the nonoperated leg had less pain and better function and quality of life (ratio = 0.4-0.6, P ≤0.010), the researchers found. Learn about our remote access options, University of Sydney, Lidcombe, New South Wales, Australia, University of Sydney, St. Leonards, New South Wales, Australia, Queensland University of Technology, Brisbane, Queensland, Australia, Sydney Orthopaedic Research Institute, Chatswood, New South Wales, Australia. I had total knee replacement surgery almost two months ago. The Active Australia survey questionnaire 18 was used to assess whether patients met the World Health Organization guidelines for adequate physical activity (in the past week) for adults ages ≥65 years 19. This level declined to 43%, 33%, and 29% at 6 weeks, 6 months, and 12 months after surgery, respectively. Our study also showed that a simple 1‐item measure of fatigue (VAS score) and definition of lack of energy were moderately correlated at each assessment occasion in the cross‐sectional multivariate models. This study reports for the first time the prevalence of clinically important fatigue before and during the first year following total knee replacement (TKR). NIH This prospective cohort study aims to evaluate the prevalence of clinically important fatigue immediately before and for 12 months after primary TKR surgery, explore cross‐sectional associations between demographic factors and fatigue 6 and 12 months after TKR, and identify possible early predictors of ongoing fatigue 12 months after TKR. Statistical analyses were conducted using SPSS software, version 22. Very common: Following hip or knee replacement fatigue is common. Post-operative patient-related risk factors for chronic pain after total knee replacement: a systematic review. Treatment group allocation (i.e., usual care or delayed out‐patient classes), the type of surgery (unilateral or bilateral), BMI, and physical activity levels were not associated with or predictors of fatigue following TKR surgery in the present analysis. The anesthesia however, accumulates in the liver because it’s your liver that processes and breaks down any drugs, including anesthesia. Babygirl05. The second main reason why you feel extreme fatigue after surgery is because you have had anesthesia. Arthritis Care Res (Hoboken). In my practice, our patients stay well hydrated, have bedrest with intermittent ambulation to prevent deep venous thrombosis, no heavy lifting, and soft diet for 48 hours. Range Of Motion 4 Months After TKR. and you may need to create a new Wiley Online Library account. Fatigue after surgery hopeful522. The resulting cross‐sectional models were almost identical (Tables 2 and 3). Please enable it to take advantage of the complete set of features! Fatigue is a symptom infrequently considered in osteoarthritis research and clinical practice. Knee flexor muscle responses under fatigue after harvesting the hamstrings for anterior cruciate ligament reconstruction. Over 90% 0f patients will be very happy with their new knee. Epub 2020 Jan 28. We also report the percentage of participants who reported any fatigue and greater than mild fatigue (≥3.4 of 10). Univariate associations with a significance (P < 0.1) 20 were manually presented stepwise for a multivariate model for both the cross‐sectional and longitudinal analyses. An early seminal study conducted among 1,488 patients with rheumatic disease demonstrated that a comparable 41% and 42% of patients with OA and RA, respectively, reported clinically important fatigue (defined as ≥2 on a 0–3‐cm visual analog scale [VAS]) 3. What level of fatigue can be considered clinically important? In fact the American College of Rheumatology and the European League Against Rheumatism consensus panels 32 indicated that measurement of fatigue was an essential part of research, and we suggest thus an essential part of patient management. after an acute knee injury or surgery can be challenging to manage. In contrast to RA, fatigue is a symptom only infrequently considered in OA research and clinical practice. The home exercise program focused on maintaining and improving knee range of movement. In a large study conducted in North America among 20,000 patients with either RA or OA, no difference in mean ± SD fatigue scores (range 0–10) was found between the 2 patient groups, with mean ± SD 4.5 ± 3.0 and 4.4 ± 2.9 scores for RA and OA, respectively 4. usually one week after a left total knee, and three weeks after a right knee surgery. Objective: The management of multiple comorbidities is important, yet it remains challenging for clinicians working with older populations. These days, most general anesthesia drugs are fairly short-acting, which means you wake up quickly and the drugs are mostly out of your system within a few hours, said Dr. Carl Rosow, an anesthesiologist at Massachusetts General Hospital. I had foot surgery 7/25, screw put in a stress fracture and torn tendon on top of same foot reattached. You can expect to do 20-30 minutes of PT two or three times a day. Lack of Oxygen: Some people find that they breathe differently after surgery because it hurts to cough or take a deep breath. Identifying and addressing early predictors of ongoing fatigue has the potential to improve the quality of life following TKR surgery. The multivariate model accounted for 39% of the variance in fatigue 1 year after TKR surgery. In multivariate analyses, muscle strength was strongly associated with fatigue at 6 months, and knee pain, activity limitations, number of comorbidities, and lack of energy were strongly associated with fatigue at both 6 and 12 months after TKR surgery. After that I was treated for a bladder infection and bronchitis . Methods: Consecutive patients (N = 188) were enrolled in a longitudinal cohort study and completed a demographic questionnaire, as well as the Brief Pain Inventory, Hospital Depression and Anxiety Scale, Lee Fatigue Scale, Fatigue Severity Scale, … ... After a total knee replacement, physical therapy is important to improve the knee's range of motion and the lower extremity muscle strength. Posts: 42 Joined: Oct 2017 Apr 10, 2018 - 3:36 pm. All participants provided written informed consent. After a total knee replacement, physical therapy will often begin within the same day as surgery. To evaluate the prevalence and determinants of clinically important fatigue before and up to 12 months after total knee replacement (TKR) surgery. Pain, like fatigue, can be recognized as having both emotional and physical components. Thus, surgery can create a zinc deficiency that makes you tired. There were no significant differences (range P = 0.27–0.94) in baseline characteristics (e.g., self‐reported depression, P = 0.94; fatigue, P = 0.31; or number of comorbidities, P = 0.66) between those who completed the study and those who withdrew. Among our cohort of participants with TKR for OA, median fatigue reported preoperatively was 5.1 of 10. Do not take a bath or soak your knee until your doctor says it is okay. Finally, it's likely that after any surgery a person will feel some fatigue. HHS DO take rehabilitation seriously. Our finding, that female sex predicted 12‐month fatigue and that prior to surgery 3 times more women reported clinically important fatigue than men, likely supports findings from a previous study of 592 patients on the waiting list for various elective surgery, that women were more anxious than men about their impending surgery 30. Patients were asked to report how many times and the total number of hours/minutes that were spent in vigorous activities (that caused breathing harder or puffing and panting, like jogging, cycling, aerobics, or competitive tennis, but not household chores or gardening) and moderate physical activity (like gentle swimming, social tennis, vigorous gardening, or work around the house) in the last week. Adults reporting depression, anxiety, or emotional stress are much more likely to express feeling fatigued than those not reporting these traits 28. More importantly, following the introduction of fatigue, there was no change in peak knee valgus angles. As WOMAC pain and function subscale scores were highly correlated at 6 (r = 0.84) and 12 (r = 0.86) months, separate multivariate models were determined for each subscale. Sex variations in self‐reported fatigue in our study could be explained by both higher self‐reported knee pain before surgery and higher anxiety (implied by a lower MCS score or depression) related to the upcoming TKR surgery among women than men. Patients completed separate questionnaires for the operated and nonoperated legs (or both operated legs in case of bilateral TKR) 14. Babygirl05. If you do not receive an email within 10 minutes, your email address may not be registered, Unfortunately, complications can occur after a knee replacement, even when all goes well at the time of surgery. My first year (usually I get about five months of biking weather in Idaho) after my total knee surgery I rode about 2,000 miles in 2018. 1 1/2 years ago, I injured my knee (dislocated my patella), and had a TTT, Lateral Release, VMO advancement and a new trochlear goove dug. In line with findings among patients with RA 27, we conclude that the treatment of fatigue among people with TKR will likely be enhanced by a multifaceted approach to rehabilitation that includes cognitive and behavioral dimensions. Nevertheless, it is possible to reduce some of the fatigue many patients feel after surgical procedures. Association between fatigue and pain in rheumatoid arthritis: does pain precede fatigue or does fatigue precede pain? The multivariate model accounted for 42% of the variance in fatigue 6 months following TKR. NLM The surgery was 4 hours duration. Physical therapy to increase knee range of motion is required. Keeping blood loss to a minimum; replacing fluid, electrolytes, and minerals quickly; avoiding potentially fatigue-inducing medications; and reducing stress (both mental and physical) before and after surgery will likely reduce fatigue. Hello, No, Insomnia is not a side effect of anesthesia that given 3 weeks ago. Lack of energy was only defined as having a lot of energy, a little, or none of the time. In contrast, several smaller studies only demonstrated small decreases in fatigue 2–3 months after joint replacement surgery. Many psychological factors have been identified as being associated with fatigue 3, 4, 7, 9, 26, 27. … Women are more likely to report both depression and anxiety, and these variables are associated with and independently predictive of fatigue 28. 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