Lower back pain

Posted , 6 users are following.

I'm 8 weeks post op-no pain in right knee from tkr. Experiencing swelling in knee and ankle.  Major pain in lower back.  Dr. does not give a prescription for pain but said to take Motrin.  Is otc Motrin the same as prescription strength Motrin?  Is depression normal at 8 weeks also?

1 like, 11 replies

11 Replies

  • Posted

    I think it is common to have bouts of feeling quite low at times. Your body is still recovering. It is major surgery. Trauma. Takes time to come to terms with. Almost need to train the brain to think and focus on positives, and make sure you do nice enjoyable activities.

    Don't know about Motrin.

  • Posted

    I, too, had major back pain.  TKR dr wanted to refer me to a spine specialist.  I did not do that, but saw my chiropractor instead.  He said my pelvis was twisted out of place due to surgery and also walking improperly before surgery because I was limping due to pain in knee.  A few sessions with the chiropractor and my back is much better.  Also in physical therapy, they showed me exercises to do which help to strengthen the lower back muscles.  I think the depression is normal.  It will lessen and eventually go away.  Don't know about the Motrin.  Good luck; things will improve.  I am now almost 15 weeks out and feel much better than I did at 8 weeks.

     

  • Posted

    Depression?  Oh yeah...

    https://patient.info/forums/discuss/tkr-and-post-operative-depression-604195

    Lower back pain is most likely caused by an alignment problem in your pelvis or hips, locked SI Joints or a muscle issue in or around your lower back.  All very common as we modify the way we walk to avoid the knee pain.  Any pain from your back through your butt as far down as your feet can be caused by a pinched sciatic nerve.  I got my dose of this at 5 weeks post-op.  VERY COMMON!!!

    The fix? Go see a chiropractor.  Motrin is an expensive brand name for generic Ibuprofen so save some money.  It's an anti-inflammatory NSAID and will help but it's not the solution.  You need a chiropractic exam to identify what part of your anatomy is out of place and then some manipulation to fix it.  Mine took three weeks at 2-3 sessions per week.  With the anti-inflammatories, it was gone within a month.  Doctors hand out pills; chiros fix your back.

    PS: Make sure you have no issue with NSAIDS and the meds you are taking.  

  • Posted

    I'm at just about 8 weeks too. I'm still going through depression. I think the body senses the pain and the fact it isn't ending yet. Not sleeping doesn't help. I asked the dr for Tylenol codine she said take melatonin or pm sleep aides. They only put me to sleep not keep me asleep. I usually sleep 2 hours up for one and move to recliner for a few more. I'm told this will end. I hope so. Sorry about your back that's frustrating. 😢

  • Posted

    Hi Christine.

    No it is not. Prescription Motrin is I think either 600 or 800 mg much stronger than OTC. I've taken it in the past although not for my tkr.

    Will he prescribe Tramadol? Synthetic opioid and not as powerful a s the others. It's good for mild to moderate pain.

    If you need something stronger see if you can get a referral to a pain management doctor.

    As others have said feeling low is definitely part of the process.

    • Posted

      True...  Prescription Ibuprofen (generic Motrin) is usually 800mg every eight hours (TID)...sometimes every six (QID).  Not Recommended: Taking FOUR 200mg OTC Ibuprofen at the same time.  Also true...  Tramadol is a mild opioid that is mostly used as a transition drug from the heavy duty stuff (hydrocodone, oxycodone, etc.) down to Ibuprofen.  You might get better relief with the Tramadol for a while.  It is NOT a long-term pain solution.  

      Also for consideration:  A lot of times, lower back pain is caused by changing the way we walk to avoid the knee pain.  I've used a fantastic Aspen back brace from my spine fusion encounters to help me stand up and walk with a straighter posture.  Bent over walking can throw hips and joints out of alignment.  I got sciatica at 5 weeks post-op...chiropractor fixed me up in a few weeks.  That was very painful.  So don't discount that your pain may simply be from the way you're walking, bending, etc.  All of this is very common but there are ways to relieve the pain without pills.  Your quads, glutes and core are all atrophied and you need to rebuild all the strength in those areas plus the lower back.  Exercise to strengthen all of that is a great way to avoid future pain.

    • Posted

      Thanks Chico. Should have mentioned to her that taking 4 otc is the same :-)
    • Posted

      Oops. Re read post. Realized that 4 otc should not be taken. Brain fried from lack of a/c too much heat. Lol Power out due to Irma.
    • Posted

      Hope you and family are OK.  What's powering your computer?  Gerbil on a spinning wheel???

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