Pain relief

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Good Morning , I am new to this, but at the moment I'm wishing I had never had this done. I had a TKR done on Friday, the epidural and sedation didn't work so had to have a general. The pain relief I got whilst in hospital was good, came home yesterday and all I've got is paracetamol and coedine, which has no effect at all, slept in 20 minute intervals all night. Our dog had her crucial element ligament done about 17 months ago and she was on better pain relief. I am honestly regretting what I have done, sorry for sounding so negative.

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  • Posted

    Hi Diane,

    G'day,

    Sorry you are feeling like this - that said - I can more than understand as I felt the same way. I had a partial knee replacement on 6 Nov 2015 and the first month to 6 weeks was totally, absolute crap and I hated the world and wished I'd never had it done and even entered, with my inner thoughts, into some really dark horrible places - if you get what I mean. I have a heart arrythmia and am severely restricted as to pain relief. In hospital they tried me on some sort of liquid morphine but it didn't touch the pain nor did Tramadol ( I think thats the right spelling)  and eventually went back on to what I normally have - CoCodomol 30/500 (only available on prescription here in UK). Thing is I am on enough medication with the heart thingy so am really averse to adding to the party bag of drugs. So, i thought I could take pain relief as a 'pill in the pocket' as and when needed. WRONG ! I found I had to take the CoCodomol exactly as prescribed 8 tablets every 24 hours. This was particularly useful when I got into my exercises. If you don't control the pain during exercises it will put you off and worse, may stop you doing exercises altogether which will only impair your recovery.

    Sleeping will be a big problem - snatch sleep as and when you can but try and focus on the exercises focus on the knee bends and leg straightening.

    Hard to believe but you will survive this and you will become pain free and you will become normal. 

    So much I could say, whatever questions you have ask on here - there are great people on here who really have shedloads of useful comments that may comfort/help you.

    John

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  • Posted

    Hi diane. Ask your MD for strong pain relief ASAP.  I am allergic to both Endone and oxycontin so they gave me Hydromorphone which was a excellent solution for me. I found the medical profession to be difficult to convince that my pain level was such that I was contemplating making a formal complaint to my hospital about the level of empathy NOT shown to me. I made a noise and told my Anaesthesist that nursing staff were withholding pain killers. You may need to be quite dogmatic and seek out assistance. People don't know or understand unless they have had the surgery. Pain is a big drawback but once you have it under control you will feel better. When I got home, my sister called an ambulance for me as I was so distressed. The prescription for Hydromorphone for me to take home could not be filled as it was Easter and all the Pharmacy's were closed. I know how you feel. Be strong and start asserting yourself. You should not need to suffer! Best wishes. Lyn
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  • Posted

    Call your doctor immediately! In this day and age you should not be in so much pain.

    Let him know the pain meds aren't working for you.

    Ice, ice and more ice on your knee and kept it moving.

    Please don't be a martyr. Pain can and should be regulated. Expect pain over the next 6 weeks so make sure you have plenty of medication.

    Let us know how you get on, but phone your doctor NOW!!!

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  • Posted

    Hi Diane,try adding in Ibuprofen as well,I felt the same as you,but on the whole I'm glad I stayed off the opiates and Tramadol as the constipation and grogginess they give you is worse. I too was appalled at being sent home with just panadol and difene! I also found the first 2 weeks very sore but still persevered with the exercises and am noe 6 weeks post op and much improved. It is a rough road though and I felt weepy a lot too but you will come through it. It's not like most things where each day gets better you will have good days and bad days but keep at it and be prepared for the swelling which for me hampered my movement considerably at first. It finally went down quite a bit after 4 weeks. Each week is a milestone to put behind you,I am off for my 6 week check up today and feeling much more positive.This is a good site but don't be put off by the rough times some people are having,everyone is different as are the countries they have the surgery in. I'm in the republic of Ireland which differs greatly from the states!! Good luck,it will get better!

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    • Posted

      Hi,I'm doing a lot better now thanks,seemed to turn a corner at 4 weeks thank goodness!! Really when the swelling went down a lot. I have tried a couple of short drives a few days ago,a bit uncomfortable as again using different muscles.We have no stairs so hadn't been pushing down on the knee and as its my clutch leg it hurt top right of knee. So I got a mini exercise bike and this is helping a lot!! How about you?
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    • Posted

      Getting there.

      Much improved, haven't tried to drive yet. I'll see what he says this morning.

      Overall I feel it's going very well, however when I have a bad day (pain wise) or night, it's bad, I feel wrecked for a day or so.

      I'm very conscious of not being in work, but nor sure how much value I'd add if I was on site.

      Does your knee swell if you walk a lot?

      Thanks,

      Alan

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  • Posted

    See your GP

    There are many painkillers available. If your in the UK phone the surgery and ask for a telephone consultation

     

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  • Posted

    Hi Diane,

    My heart goes out to you. You need good pain relief.

    I think almost everyone I've been talking to on this site had to have their pain meds strengthened when they got home. I

    I too was prescribed Paracetamol, they made no difference to the pain at all. My local GP prescribed Tylex, a much stronger painkIlley with Codeine.

    These were much better. I would have zero chance of doing any exercises without taking Tylex x 2, four tes per day. I also have Oxynorm for when the pain is at its worse, though I am using these less and less, I am 6 weeks post op tomorrow.

    I was also prescribed an anti-inflammatory Keral which I find great.

    Ice, Ice and more Ice is also key. At first I was not doing enough, but people on this site put me straight, now I ice up to 8 times per day and it makes a huge difference.

    Re sleep it is difficult, last night I woke 3 times, but at tge start was sme as you (and everyone here) found it impossible. It WILL get better, but will catch you out the odd night.

    My advice is see your doctor or surgeon and demand a prescription for stronger meds. And keep yourself involved in this forum, it is very helpful and the people on board are nothing short of fantastic, caring, helpful and positive.

    And also very international.

    It is early days yet Diane, You will feel completely different in a week or so.

    Best wishes and Take Care,

    Alan

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  • Posted

    Hi Diane, I'm so sorry your not feeling good at the moment that must have been an awful experience for you, I had my knee replaced on 13th may so I'm a couple of weeks ahead, it's still very early days and each day I'm feeling I can do a bit more, but honestly that first 10 days out of hospital I would say keep rested as much as possible, I couldn't even lift my leg last Wednesday but I'm doing that with ease now, I'm only taking paracetamol, ibuprofen and at night been on codine, but ask you doc for something stronger and hopefully you will soon start to feel better, I feel dreadful and I'm wishing the weeks away, we're get there Diane so keep your chin up I only joined this site yesterday and people here have helped lift my mood already😀
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  • Posted

    Hi Diane sorry to hear you are in so much pain. I know how you feel. I have never know pain like this before. I had my TKR just over 3 weeks ago and wasn't prepared for the amount of pain I had. I was given co Codamol and ibuprofen. When I was in hospital was adviced by pharmacist before op that if I the pain was really bad be insistent that I needed something stronger as they had stronger pain killers but don't give them you. I was discharged after 3 days with co codamol and ibuprofen so ring your doctor and ask for something stronger. It was impossible tocget comfy especially at night laying on my back and lucky if I slept for 2 hours a night. I eventually tried sleeping on my side with a pillow between my knees and this helped a lot. It was going on 2 weeks before I began to feel a bit better now it will be 4 weeks on Thursday that I had it done. Still in pain but bearable. Beginning to feel more normal. I am walking around the house without my sticks and only use them when I go out sometimes just one. Sleeping well most nights. Make sure you do your excersises they hurt like he'll but get easier. one of the biggest bug bears for me is the lack of follow up. You are just thrown out as soon as you can walk a bit bend your leg a bit and do 3 stairs up and down. No advice no follow up for me with PT and not due to go back to see specialist until the 28th of june which will be nearly 8 weeks. Found other exercises to do with more explanation on how many times to do them on the internet as the booklet i was given at pre assessment had about 5 didn't tell you how many times to do them or how many times a day. This sight was a god send to me as it made me realise i was not olone in this dark place i was in and what i was going through was the norm. You will get there everyone isvdifferent
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    • Posted

      Sorry sent before i finished. Im making an appointment with my doctor this week to see if he will refer me to see a PT as i need to know if im doing enough. Most people on here seen to be having physio after coming out. I want to know what percentage my knee bend is etc and if I am doing enough or not. 8cweeks is a long time for a follow up and find out I am way behind where I'm at. All I can say is you will get past the dark place you are in it just takes time. This is a great sight with lots of help and support. x
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    • Posted

      Hi Pauline,

      Walking without aids at 4 weeks is impressive. I'm not sure if it's the norm. I am at 6 weeks and using one crutch in the house, and 2 outside. I can take a few steps without any crutches but am afraid I might do more damage than good.

      Luckily I have great PT support, both at the hospital and locally through our health service.

      Once again, well done and keep it up.

      Take care,

      Alan

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    • Posted

      Hi Pauline that's awful  that is been sent out of hospital and don't know when you're going to have any physiotherapy-a friend in another part of the country who is still suffering she had her knee replaced at the beginning of March and hasn't been offered any physiotherapy, I'm in Bournemouth uk and the treatment I've received here has been excellent, I was allowed to the hospital gym twice a week prior to my op to build up muscle I started that in January, and I had  my first appointment with a physio 10 days after my Op and now for one hour every Wednesday for the next 3 months plus as soon as I feel ready I can use gym in hospital again
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    • Posted

      Hi Al in a better place since I last spoke to you. Things are going well fingers crossed. Still have pain but now bearable. Still use my stick outside but not inside. Just hope it keeps that way. I know sometimes I overdue it and pay for it. Hope your keeping good.
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