Trouble Sleeping Post TKR???

Posted , 25 users are following.

First, this is definitely not uncommon...especially in the first 30-60 days which are the absolute worst.  Try some of this...

- OTC Melatonin or Diphenhydramine (cheap, generic Benadryl) an hour before bed.  Make sure you're not allergic first.  The former is available in strengths from 3-10mg.  Start low and increase if necessary.  The latter is the same ingredient in all "PM"-style products.  Diphenhydramine is an antihistamine that makes you drowsy.  Adult dosage is 25-50mg.

- Also an hour before bed, turn off ALL electronics (computer, TV, cell phone, etc.).  Prepare your body for sleep.

- If applicable, take your nighttime meds. 

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- Prepare the room to be completely dark.  Drapes or blindfold.

- Go to the bathroom and empty your bladder.  This lessens your chance of having to go in the middle of the night.

- Apply some Voltaren Gel (RX in the US).  Best topical anti-inflammatory out there.

- If you are having a problem with incision site sensitivity rubbing against your sheets, wrap the knee loosely with an ACE bandage or slip on a knee sleeve. 

- Read a book for a half hour then lights out.  Great way to let go of the day and become drowsy.

- I enjoy listening to some Native American flute music.  Very calming.

- Get a diffuser and some lavender oil.  Mmmmmmm.....

- Against my doc's recommendation, I elevated and iced for the first month or so.  Your call on this one.

If none of this works, call Warner Brothers and have them send over Wiley Coyote with the giant mallet he tries to use on The Roadrunner...or the 16-ton weight he drops off the cliff, through your roof and onto your head.  Those will definitely work!!!

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  • Posted

    Be careful with the diphenhydramine..that's the generic name for Benadryl. That is all the "PM" medicine out there like Tylenol PM, Advil PM etc. Yes, the adult dose is 25-50 mg but start out with only 1-25mg pill first. The "hangover" effect from this med can last well into the day.I have used it for years and still only take half of one pill at night to help me sleep.

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    • Posted

      Totally agree, hence the warning in bold.  Not all OTC meds are benign.  I always check on a major drug interaction website to make sure there are no problems.  Do your homework...
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  • Posted

    Hi Chico

    I'm 13 days after TKR I foolishly stopped taking my painkillers after 5 days , then realised that it was unbearable 2 cycle on my stationary bike ( but still managed 2 x 10 mins sessions)!after tralling though net realised that it is so important 2 concentrate on stretching

    Rather than walking 100!% improvement back on meds

    Having staples out tomorrow 😀😀😀 then Physio day after plenty of ice via cuff , No Pain no gain hopefully back golfing and cycling soon

    Stay focused everyone

    Rob 🐌🐌🐌🚴🚴🚴🏒🏒??????

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    • Posted

      13 days post op and you are cycling 10 min twice a day and are just now going to physical therapy? You are definitely a superman and way beyond most of us who are plodding along at a snail's pace towards recovery. Just don't tell us that you are sleeping comfortably through the night too!

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    • Posted

      No I'm sleeping rubbish !! Did a lot of cycling pre 2 operation ( fortunately not 2 much pain before)

      Without boring u I've had 2 heart attacks so paranoid bout getting cardiovascular exercise ( did cry when first got on bike ) l know big boys shouldn't cry 😁😁😁🙈🙈 but it was very painful

      I play golf with guys that have had op and they all said take your time

      Just stay focused some good days x some bad 🐌🐌🐌💃🏼💃🏼 Women are better at pain then men otherwise we wouldn't have any children 😁😁😁😁😁😁💊💊

      Take care

      Rob 57 3/4

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    • Posted

      NOOOOOOO!!!!!!!!!  A knee replacement is unlike any other joint surgery.  In our case...

      PAIN IS NO GAIN!!!

      Knee swells, ya gotta back off the exercise, elevate and ice.  At 5 weeks, I did 8,000+ steps on my FitBit one day and paid dearly for the mistake for days!  Also rehabbed a hip replacement in 2009...six weeks, 5 hours a day, 6 days a week, gym and therapy pool.  Just pushed right through it.

      The same method does NOT work with a knee.  This is a very slow and painful recovery...especially the first 30-60 days.  You cannot push it...period.  If anything, this recovery will teach you (has taught us all) the values of patience, perseverance and humility.  There are no shortcuts.  Some people get through it fast and/or with little pain, others suffer for a long time.  Most of us fall into the 3-6 month range to really get off all the meds, regain full flexion and walk without any assistance...add another 6-12 months for the remaining swelling, stiffness and clicking sounds.  For me, I don't think the latter will ever go away.

      For the full story...

      http://patient.info/forums/discuss/the-tkr-experience-or-wish-i-had-another-kidney-stone--524499

      Remember...slow and easy.  This is a marathon, not a sprint. 

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  • Posted

    Another great post Chico.  
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  • Posted

    Maybe I have been doing too much and I continued that yesterday by snowblowing our huge driveway. Had to be done, though,-- eight inches of snow with rain predictedfor today and then freezing temps tomorrow.

    I slept like a baby though for the first time in weeks because my wife and I made love for the first time since the operation.I didn't know if it was safe to take sildenafil (generic Viaga) with the other meds but I thought "what the hell?" and went for it. It was great and one adivan and oxy later I was off to the Land of Nod.

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  • Posted

    I absolutely have a diffuser in each room. I am an essential oils addict. Thank you so much. Your advice is amazing.
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    • Posted

      Debi, same here! Lavender every night. I absolutely love it! Then downstairs I mix up a spicey combination of whatever I have on hand. My bedroom diffuser is a nebulizer, uses NO water and is straight oil; which is potent!  I love it that way. Happy diffusing~ 
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  • Posted

    Walking more and more every day, most of my sleep issues stopped when I became more mobile. 😊

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  • Posted

    I have been tempted on the Wiley Coyote thing,when it hurts so badly that sleep is non existence. Have only been able to sleep in my recliner thus far.
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  • Posted

    Ha Ha thanks Chico love the last paragraph. The thread on here has given me some reassurance. 
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  • Posted

    thanks for advice and support.  good to know on right track - sent home with little support so good to know doing 'normal'

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