Pain med concerns
Posted , 10 users are following.
I am 18 days post TKR. I am taking Norco. However my doctor gives me only 40 pills at a time. I have to cut back on medication to make it last more that five days. I take the medication before PT and then every 6 hours ( two pills). By six hours I am in agony.) sleep is horrible. I feel like I am begging my doctor for more medication each time I call him. Should I still have this much pain? I am in U.S. and am unsure if I am just being a baby about pain.
0 likes, 17 replies
CHICO_MARX ellen57898
Posted
18 days post-op? Yeah...you will probably still be in a lot of pain....and it's going to last a while. The first 30 days are the worst. Things start getting better and one hopes to be off the opiods in the 30-90 day period. Tramadol or Ibuprophin 800 after that. This is a long, hard recovery...buckle up...
ellen57898 CHICO_MARX
Posted
Thank you all so much for your words of support. There have been so many times in the past two weeks that I was sure i would not handle the pain. Many tears. At PT I am told to push past the pain. But as you all know, it is very hard to exercise when your leg screams at you. I got another prescription today which will last 5-6 days. On Monday I will call again for more pain meds. I see my surgeon on Jan 19 and will definitely address pain management. I don't feel alone now and see that I have to be proactive in my medication.
CHICO_MARX ellen57898
Posted
This could help...
https://patient.info/forums/discuss/the-tkr-experience-or-wish-i-had-another-kidney-stone--524499
Milla2017 ellen57898
Posted
martinarvelo ellen57898
Posted
At 18 days it is VERY normal to have LOT of pain. Unfortunately, doctors don't seem to realise this and dole out pain killers only after reeated begging. I don't know why they think pain killers were developed. If you can't have them after an operation of this sort, I can't really see when you would need them, except perhaps in terminal cancer . . You may have to be very insistent. I was stuck just on acetominiphen (paracetamol) until I got really insistent with the doctor, who grudgingly gave me a prescription for enough tramadol to last a week . . .
Oldfatguy1 ellen57898
Posted
No you aren't...
Pain is real. Sometimes Dr's have their hands tied by insurance companies and what they will pay for every 30 days. As a suggestion, talk to your pcp and explain your problem. I have found primary care Dr's are willing to work with the patients more closely than surgeons are. Surgeons have their standard go to drugs and treat everybody the same. Ond thing you might try. Take them as directed and try not to wait till the pain kicks in. Ice the area more frequently to keep the swelling down and increase your fluid intake so you are keeping your body lubricated
renee38282 ellen57898
Posted
Oh no! I'm so sorry to hear your pain isn't being managed. You need to call and tell the doctor that you're taking as directed and they're not working. If you are taking 2 every 4-6 hours you have to keep calling for more. The PA can only prescribe a certain amount. Stay ahead of the pain or you won't heal. Just keep calling them. You're not being a baby!
cheryl90571 ellen57898
Posted
Hi Ellen!
With my first TKR I felt the same way-- only my medication was Oxycodone. There was a mix-up with hospital discharge orders and my surgeon's prescription. Long story short, I ended up with HALF the dosage I was getting in the hospital! At first I didn't notice the discrepancy, but as I continued to take the dosage I was getting in the hospital, my pill supply was dwindling quickly!
It is a scary feeling to realize that you MAY soon be without pain relief!
My husband went to get a refill for me at the pharmacy, and HE WAS REFUSED! (Apparently opioids are VERY STRICTLY REGULATED!)
Long story short once again...I was off my blood thinners, so I just decided to chuck the opioids I had been taking for two weeks and go back to my tried and true Ibuprofen I had been using prior to surgery to see what would happen.
SUCCESS!!!😁🎶
The Ibuprofen WORKED BETTER for pain, AND it helped lessen my swelling, too! Turns out the Oxycodone contained TYLENOL which was NOT an anti-inflammatory! The Ibuprofen WAS an anti-inflammatory and worked MUCH BETTER for my pain as well!
Boo-ya!😁
Maybe an over-the-counter medication will work for you, too!
kimmers88 ellen57898
Posted
I am 8 weeks and have been off pain meds sice about 4 weeks because my Dr. said to stop. He was only giving 20 pills at a time and 10 the last time. I wish I had some for night time. You are not being a baby. You are only 18 days. You will have pain for some time. I still have some pain, mostly at night though. If your Dr. gives you pain meds don't worry about it,just ask! You wil get better it takes time. I also live in the US!
april99094 ellen57898
Posted
kimmers88 ellen57898
Posted
I think sometimes it's not the Dr. it's the insurance company. I know that's how it is with my insurance. I was only able to get 20 at a time.
martinarvelo kimmers88
Posted
Oldfatguy1 kimmers88
Posted
One of the problems is all the publicity world wide about the effects of opiates. There is a big push to dry up the supply because of addiction, etc. In the meantime, folks going through what we've gone through are left at the mercy of the system. I've heard so much garbage it makes me suck. Fortunately I have 2 Dr's that work together that give me what I need with the under stsnding I follow a protocol. Insurance companies are a different story. X number per month. My docs have worked around it by using 3different meds. I've had 11 surgeries and 5 complete rehabs, 2 staph infections and radiation. 30% of the tissue is gone from the top of the knee area so the docs understand my needs as all Dr's should do with their patients.
CHICO_MARX Oldfatguy1
Posted
Oldfatguy1 CHICO_MARX
Posted
CHICO_MARX Oldfatguy1
Posted
Do it anonymously!!! Put on a long wig and beard...face in shadow...voice digitally modified...background looks like you're in Shanghai... C'mon! This would be easy!!!