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Author Topic: Pain Management  (Read 1196 times)

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Offline Penny W

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Pain Management
« on: December 12, 2008, 02:30:05 AM »
 ???Pros and Cons of having an Epidural or Femoral Block.I don't respond to the local .
June 2003 L knee scope with the holes for tissue regeneration
Sept 2003 R knee scope
March 2005 L foot cyst removed
June 2006 Broke L ankle 2 plates 18 screws
Feb 2007 L ankle scar tissue removal
Nov 2007 Plate broke in ankle removed and replaced with bone putty
Dec 2008 R knee TKR w/lat rel.

Offline ATsoccergirl

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Re: Pain Management
« Reply #1 on: December 12, 2008, 04:27:16 PM »
Penny, Could you elaborate further on your situation? 
1999 LR, 2002 ACL/PLC recon, reversal of LR, 2004 ACL revision, 2006 Car accident torn PCL and small fractures resulting in bone chips in my knee.  Torn MCL 3 times.  Wicked screws under IT band and Pes Anserine.  June 2008-Hip Arthroscopy.

Offline Penny W

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Re: Pain Management
« Reply #2 on: December 13, 2008, 01:12:13 AM »
I'm sorry it made perfect sense to me but I am blond.I am having a TKR and the local doesn't seem to work for me the doctor said we will use epidural or femoral block I just wondered if anyone had input on which is better for the first few days.
June 2003 L knee scope with the holes for tissue regeneration
Sept 2003 R knee scope
March 2005 L foot cyst removed
June 2006 Broke L ankle 2 plates 18 screws
Feb 2007 L ankle scar tissue removal
Nov 2007 Plate broke in ankle removed and replaced with bone putty
Dec 2008 R knee TKR w/lat rel.

Offline MoLu

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Re: Pain Management
« Reply #3 on: December 13, 2008, 05:05:09 AM »
Hi Penny-
I had a TKR about 7 weeks ago and had the femoral block with general anesthia.  It worked well lasting about a day and a half if I recall.  Most of the problems with pain I had was with the narcotics afterwards.  Just could not tolerate them.  The first 3 weeks were very hard because of this.  When I could start on the anti-inflammatories I did just fine.  Good luck to you.
Martha
Synovial Chondromatosis
9/16/05 Frontal synovectomy and tumor removal
10/26/05 Posterior open knee surgery and synovectomy with tumor removal
3/8/06 Disease is back
4/26/06 Frontal arthoscopic synovectomy and posterior open knee synovectomy
6/23/06 Disease is back
7/24/07 Synvisc
10/23/08 TKR

Offline bavage

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Re: Pain Management
« Reply #4 on: December 13, 2008, 12:29:51 PM »
Either one should be sufficient although they used an Epidural on me. As for post-op pain,everyone has it and it will be reminiscent of the pain that brought you to a TKR. About a month out the pain will change to the healing sort of discomfort.
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Offline Plumb

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Re: Pain Management
« Reply #5 on: December 13, 2008, 03:54:57 PM »
I would go with the spinal block and than use it for PCA afterwards.  Also if you have pain the anethesia guy can give you a blast of lidocaine  Which numbs you up pretty well.

Offline eaglemom

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Re: Pain Management
« Reply #6 on: December 13, 2008, 11:24:54 PM »
This really doesn't totally apply here but my os will occasiionally simply shoot me up with lidocaine.  Certainly does take the edge off - that and lots of ice and I'm feeling good.

Offline digginit

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Re: Pain Management
« Reply #7 on: December 13, 2008, 11:55:09 PM »
I had epidural with my TKA, and it worked great, but I was kinda nauseated.  My PT in the hospital said she heard that complaint a lot from people with epidural pain control.  It was bad enough that my nausea would keep me from being able to walk during PT more than knee pain.  On the flip side, I've seen quite a few people in my own clinic who have nerve damage after the femoral block.  They've mostly been treated by the same doc, so the same person may be placing the catheter and doing it in a way that's causing problems.  But after seeing way too many of these, I'd be a little hesitant, myself.  Other than those folks, though, I have no experience with that block, so gotta take my input with a grain of salt.

~dig

Offline Penny W

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Re: Pain Management
« Reply #8 on: December 14, 2008, 05:35:00 AM »
I would like to thank everyone for there replies I had the epidural for childbirth without any problems that might be the best thing for me.I have had the injections I think it was a local for some reason that doesn't work on me the OS is the one who suggested doing either the femoral or the epidural.It is great to get these suggestions from people who have already went thru this.I will post after I get home to let you all know how it went surgery on December 17th.

                                                                      ;) ;) ;)
June 2003 L knee scope with the holes for tissue regeneration
Sept 2003 R knee scope
March 2005 L foot cyst removed
June 2006 Broke L ankle 2 plates 18 screws
Feb 2007 L ankle scar tissue removal
Nov 2007 Plate broke in ankle removed and replaced with bone putty
Dec 2008 R knee TKR w/lat rel.















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