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Author Topic: post op pain omg  (Read 3715 times)

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trainwreck

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post op pain omg
« on: April 08, 2007, 10:25:42 PM »
I just had my surgery by Dr Arendt on Thursday.  Anyone remeber how long it took for the "fog" to lift?  Any idea how long until the pain could let up?  It seems like right now i am trying to survive inbetween pain killers.  They seem to wear off at about 3 to 3.5 hours and then I just watch the clock until I can take them again. I know it hasn't been long since surgery it's just very painful.  That femoral block was great but doesn't last long

Trainwreck

Offline L. Thomas.net

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Re: post op pain omg
« Reply #1 on: April 08, 2007, 11:43:03 PM »
I guess I am out in the cold.  What did you have done?  I know about my surgeries...ACLr..debridements...TKA. 

Be glad to share the good the Bad and the Ugly.
Mulitple Knee surgeries/ TKA: 06  
Left Hip femoroplasty : 08   
Post Op- TKAinTN 06: http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=33906.

Offline AGOERTZEN

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Re: post op pain omg
« Reply #2 on: April 09, 2007, 03:16:45 AM »
Give yourself time. I was fortunate to be in the hospital for 5 days and with the help of a pain management specialist was able to avoid much of what I've been through before. Still it took a good week before the pain was managable and starting to remember things from one minute to the next.

As for the fog? Give it at LEAST a week...anesthetic can have that affect and can sometimes stay in your system for up to 6 months. That doesn't mean you will be out of it for 6 months but you may still feel the affects. Give yourself time. Your body has been through a lot of trauma not just your knee...it will heal when it is ready and rushing it will only serve to delay it.

The good thing though is that you can read magazines etc over and over and over again before you realize that you've already read it! lol

Sleep lots, drink lots of water and take your time.

A

trainwreck

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Re: post op pain omg
« Reply #3 on: April 09, 2007, 03:19:11 AM »
Sorry. I guess my info was sketchy.  i was supposed to have a ttt but ended up not being that involved.  I am not sure of the term but she worked on the lateral side of my left knee.  All the muscles and tendons were shortened and reattached.  I think she also scraped the back of the knee cap and removed some scar tissue.  It was not a horribley involved surgery. I think it was quite minor actually.

Offline AGOERTZEN

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Re: post op pain omg
« Reply #4 on: April 09, 2007, 03:29:20 AM »
Regardless of how invasive or extensive your surgery...take it easy...anesthetic is the same and will knock you on your butt. I'm glad to hear that your TTT was not all that bad. I had one that didn't work...surgeon told me I'd be in a wheelchair within 3 years and thanks for trying...

I got a new surgeon needless to say! Still have had more surgeries but I'm alive and still not in a wheelchair (permanantly that is) and remain positive.

Make sure you have people that can help you...makes the world of difference in recovery.

Good luck!

Offline lozzie

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Re: post op pain omg
« Reply #5 on: April 09, 2007, 03:33:24 AM »
Hello trainwreck,

Maybe you had a lateral release, and chondroplasty? I've had two of them, and yes, it can hurt. What kind of pain killers do you have? I had Mobic and also a drug that was 500mg acetaminophen and 30mg codeine. The Mobic was each 12 hours and the other every 8. They worked well together, but also I needed to keep moving, like doing little flexes while the leg was elevated. You can also try icing. I have a high pain threshold, but would still be waiting to take the next pill in the early stages.

After my first op I was in a daze for about a week. I live in Colombia, and I couldn't speak Spanish very well, which made life most inconvenient! I also couldn't concentrate on reading. I also was pretty depressed, but I don't know how much that had to do with the anaesthetic and how much it had to do with being stuck in the house alone all the time. This recent op, I had a lot more gentle anaesthetic at my request. I was as high as a kite the night I got home from the hospital, and had no language or reading problems, but I had persistent nightmares for 3 weeks. I spoke to a couple of friends who are nurses, and they said these things are normal after anaesthetic.

I think you'll be surprised at how fast you start to recover. I couldn't believe how much my condition would change week by week.

Take care,
Lozzie.
Aug '06 Right knee LR and chondroplasty
Feb '07 Left knee LR and chondroplasty

trainwreck

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Re: post op pain omg
« Reply #6 on: April 09, 2007, 03:44:24 AM »
I am supposed to be taking oxycontin twice a day and 2 vicodin every four hours.  They also prescribed anti nausua med and a muscle relaxer. I did not fill the oxycontin.  That stuff scares me. I am trying to get by on just 2 vic's every four hours and the muscle relaxors.  Am I asking too much of my body?  Should I just break down and take the oxycontin?  You hear such bad stuff about taking that stuff and I already have a hard time tracking what's going on.

Thanks so much to everyone for your responses.  It is reassuring for me.

Allison

Offline AGOERTZEN

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Re: post op pain omg
« Reply #7 on: April 09, 2007, 03:50:01 AM »
I'm glad to hear about the nightmares...ok...not glad you HAD them but relieved that someone else has! I was plagued for the first 2 weeks and the hallucinations were impressive! Apparently the aliens were floating outside my bedroom window and the moon was really a light probe into my brain...uhuh. Much better now...I'm 3 weeks and the aliens are no longer hanging out in my back yard.

As for your meds...yes...you are asking too much of your body. Oxy's can be hard on the system and yes they are very addictive...perhaps if you took 1/2 pill instead of a full one if you are concerned. I"m not a pill pusher nor do I like being completely out of it but pain management is a very important aspect of recovery.

Don't be too hard on yourself and don't try to be too brave. It really doesn't get you anywhere but unnecessary pain.

Offline maile433

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Re: post op pain omg
« Reply #8 on: April 09, 2007, 04:14:29 AM »
Ahh, the aliens outside the window...I never experienced those but when my husband was in the hospital several years ago and on morphine I heard quite a tale one morning about the mice crawling all over his legs all night...
7/03 RK medial meniscus repair & partial lateral meniscectomy
2/04 RK partial medial meniscectomy & microfracture
1/05 RK medial & lateral partial meniscectomy & microfracture
8/06 RK OATS autograft LFC + LR

Offline kimmyxs

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Re: post op pain omg
« Reply #9 on: April 09, 2007, 05:40:42 AM »
I always filled all the prescriptions and used them as recommended. If you take them on time then you can manage the pian.  If you wait until the pain starts - then it becomes overwhelming.  I learned that after an ORIF to repair an broken patella.  I had a VMO advancement, LR, screw removal and debridement of the patella in January.  I only let the pain surprise me once.  Slowly but surely, I reduced the meds.  A OS prescriibed certain meds because they help.  I would be concerned if you still have major pain 2 weeks post surgery, but that first few days is sheer hell.
6/03/89 - First Knee Cap Disclocation
7/05/89 - Returned to work
6/17/06 - Tramatic Knee Cap Dislocation and Vertical Fractured Patella
6/28/06 - ORIF - Screws - no wires
8/24/06 - Ditched the brace - start PT
9/20/06 - First spinning
1/15/07 - screw removal, LR , VMO Advanc  & patella cleanupl

Offline bella287

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Re: post op pain omg
« Reply #10 on: April 09, 2007, 05:44:34 AM »
absolutly do not take half a oxy,,, all oxy really is is percocet that is slow released over 12 hours, the reason it has such a bad name is druggies smash it, bite it etc in order to release all 12 hours worth at 1 time. if you take as directed it will not even get you high, nor will it take all the pain away but will take it a 9 or 10 down to a 2 or 3. the vicoden is for the bad pain the oxy is just to make you comfortable. also oxy is safer for me because i have fibromyalgia which causes memory problem since oxy is every 12 hours i wont accidently take 2 much hope this helps if you are still worried about oxy talk to your dr    bella
11/06 meniscus repair, microfracture, 3/7/07 medial femoral chrondyle carticle implant. 8/27/07 arthroscope dedride overgrowth, 1/14/08 T.K.R., Current R.O.M. extension 9, flexion 90 5/5/08 M.u.a. 8/20/08 tkr revision, loose implant,patalla to large and heavy scar tissue removed

Offline L. Thomas.net

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Re: post op pain omg
« Reply #11 on: April 09, 2007, 01:02:09 PM »
I agree with taking it the way it is Rxed.  I know with TKA I was trying to keep from being "hooked" and my OS said DO NOT WORRY.  If I took them the way they were prescribed I would not have a problem.
Mulitple Knee surgeries/ TKA: 06  
Left Hip femoroplasty : 08   
Post Op- TKAinTN 06: http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=33906.

Offline lozzie

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Re: post op pain omg
« Reply #12 on: April 09, 2007, 02:56:00 PM »
I'm sorry, I don't know what's in the drugs you're talking about, but it sounds like some kind of opiate? Like morphine or codeine? Trainwreck, if you've had cartilage removed, you need something to control the inflammation, because that bit hurts. Mobic is an NSAID anti-inflammatory that is specifically for arthritis sufferers. I've got stomach problems, so Mobic gave me a bit of trouble with my gut, but it was very helpful while I had it.

As for the aliens, the only time I had them was an extreme case of Bali belly a few years ago! It seemed that if I stocked the space ship in my front garden properly, I'd stop having to run to the bathroom!  :D

After this op, my dreams were awful, and not having a restful sleep either because of the pain or the dreams really got to me after a while. Of course, now, I have no recollection of what they were about!
Aug '06 Right knee LR and chondroplasty
Feb '07 Left knee LR and chondroplasty

Offline Teresa_S

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Re: post op pain omg
« Reply #13 on: April 09, 2007, 03:56:45 PM »
When I had a lateral release and chrondoplasty, etc, I had such a poor OS>I was told to go home and do whatever I could. NO RESTRICTIONS< a few meds, every 4-6 hours probably vicodin. 10/500. NOTHING ELSE

Had TKR,and same OS was on Duragesic, (for over 8 years at that point) again, ALL he added was the vicodin every 4-6 hours.  Revison, same thing.

Had TKR revison, told it was "10 tmes bigger than any previous surgery" and was sent home with onl 5 days worth or percocet. When I called and asked for more  was told :"Didn't I give you 50 of them?" Eventually after 4-5 days of no meds, as it took that long for it to arrive in mail, got 40 more percocet. After that was told vicodin and could take 2 every four hours, but was given only 40 pills, and was expected for them to last at least 3 weeks, do the math, that meant two a day. I could use them before PT or I could use them before bed. IT has been a very painful recovery for me. I can't imagine having the oxycontin and the vicodin for a LR.IF you are in pain, you can use them, but NEVER NEVER cut an oxycontin, as the are tme released and are not meant to be cut. YOU may find that with the oxy on board for a couple of days, the need for the vicodin will dminish. THAT is the purpose. The vidodin are for breakthrough pain. IF you can get by with the vicodn that is fine too. Also you might try some Motrin 800mg every 8 hours, and they will greatly help diminish some of the inflammatory pain. for most people. 

Pain meds are different for differnt people. Try the Oxycontin at night the first time, and see if it helps you sleep longer and wake more refreshed. I wake every 45-60 minutes all night long. I think this time has been pure torture for me. but have yet to be able to figure it out. The GP feels the OS should be responsible for the surgery and post op pain, the OS says he is a joint reconstruction specialist only and does not do pain management. AT 8 weeks I felt I was post op but I guess he really believes that tkr revision patients need only a couple of weeks of meds. WHEN I asked for Vicodin, I was told that he was a "reasonable man, " and then the crap abou 2 4 times a day, but 40 pills for three weeks.  I looked at many TKR post op management plans, and found everything from returning to work full time at one month from tkr surgery to one year to regain,  normal daily activities for tkr revision. LOTS of room for personal interpretation  by the OS. Mine is thrilled with flexion of 80 at 3 weeks, and 90 at 6 weeks, have now pushed to 117last Friday. BUT leg is swollen groin to foot, and won't bear weight without lots and lots of neverending pain.

I have been a nurse since the 1970s, and it is safe to control your pain with meds, as long as you take them for pain only. OXY did get a bad rep because so many abuse it , just like anyother drug.  I have a friend who got her best pain relief on Oxycontin, but every dr is getting afraid to prescribe themlong term. She is now on methadone instead, and barely existing through chronic pain. BUT that is the new protocol for long term pain relief as opposed to Ms Contin and OXycontin.  Sad.

Good luck, hope the pain diminishes and wish you a speedy recovery. Teresa RN
« Last Edit: April 09, 2007, 06:07:06 PM by Teresa_S »
On going instrumentation failure, chronic infection,
Arthroscopes Left 11 Right 2, MRSA, L TKR  ,  Revision, LR x5, Medial and lateral meniscus repair, Broken prosthesis
Osteochondral Fracture,untreated 6 mths. Revision new tkr 01-07 awaiting new hip and right knee
R TKR pending

Offline lozzie

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Re: post op pain omg
« Reply #14 on: April 09, 2007, 04:56:52 PM »
Hi Teresa,

I've said here before about what a champion my OS is, but my heart really goes out for you. It really angers me to hear about how badly people have been treated by medical professionals. Makes me wonder why these people became doctors in the first place. Gr!

I feel really bad for you and hope you don't experience doctors like that in the future.

Take care,
Lozzie.
Aug '06 Right knee LR and chondroplasty
Feb '07 Left knee LR and chondroplasty