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Author Topic: PAIN RELIEF  (Read 1251 times)

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Offline seantomtom

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PAIN RELIEF
« on: August 31, 2012, 09:22:23 AM »
HELLO ALL

I have recently had a HTO which has not worked and have been left in quite a bit of pain,so i went to my GP to find out what medication is available to keep the pain to a reasonable level so i can delay the need for the TKR,but he was less than helpful,i asked for and have got tramadol but 56 a month is pointless.i ice pack morning and night and am in constant  pain and the knee is around 3 times the size of the good one even with the ice  ,i dont know what to do or who to ask for help.has anyone got any ideas
cheers

Offline Lottiefox

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Re: PAIN RELIEF
« Reply #1 on: August 31, 2012, 09:36:50 AM »
Can you see your surgeon again and ask about any suggestions for pain relief/treatment to delay the TKR? I am guessing the HTO was to try and off load one of the compartments due to arthritis? Has it not worked because the OA is too advanced or you don't have good healing after the bonework? If the arthritis really is bone on bone then it can be hard to truly alleviate pain but dishing out tramadol probably isn't going to do much. Could you ask for a pain management referral? Does anything topical anti-inflam help like Voltarol gel onto the knee? (over the counter in the UK). Have they checked for anything that might need draining in the knee?

Lottie
Bilateral patella OA since 2009, no surgeries.
Euflexxa working well x3 to current
Right forefoot CRPS post fusion surgery 2011
Refusing to let the ailing parts stop me....

Offline seantomtom

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Re: PAIN RELIEF
« Reply #2 on: August 31, 2012, 10:03:19 AM »
Hi Lottie
Yes the pain is coming from bone on bone,i do not see my  surgeon until october,but as i have just had 6 months off work following the HTO,i need this to last until next july at least so i can get paid whilst recovering from TKR,last time i saw him he just said try to put up with the pain as long as possible.Bummer.will try to get some more advice next time i see him.

Offline Lottiefox

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Re: PAIN RELIEF
« Reply #3 on: August 31, 2012, 10:15:25 AM »
I am guessing they've tried bracing to mimic the offloading the HTO might have done? Visco injections?
Bilateral patella OA since 2009, no surgeries.
Euflexxa working well x3 to current
Right forefoot CRPS post fusion surgery 2011
Refusing to let the ailing parts stop me....

Offline seantomtom

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Re: PAIN RELIEF
« Reply #4 on: August 31, 2012, 10:30:58 AM »
Hi
i do have a donjoy 4titude brace which helps,but it is not an OA offloader  brace,its something i could possibly try but they are so expensive,i could only afford the 4titude because i got it off ebay and wearing it will not cause any extra problems,but if i got an OA off ebay i would be worried i might be causing harm.might see if i can get one on perscription,but probablly cant.
Sean

Offline kaelyn

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Re: PAIN RELIEF
« Reply #5 on: August 31, 2012, 07:37:52 PM »
Maybe you could ask to go see the pain management specialist at the hospital and get some painkiller patches or at least some advice on how to handle the pain.

My doctor is very sympathetic fortunately and I'm lucky enough to be on 8 tramadol a day indefinitely until they can figure out how to sort my knee out, I have also recently taken up swimming and I've found the pain eases slightly whilst i am in the water, anything to get through the day right? :)

I'm going back to see the musculoskeletal team in about 10days, hoping to get some more answers or help myself, I would rather not be on painkillers forever, stopping most of the pain is great but the side effects are awful, I'm one of the unlucky ones that suffer from myoclonic jerks due to the tramadol, its worst at night :(

Offline silverghost

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Re: PAIN RELIEF
« Reply #6 on: August 31, 2012, 09:05:18 PM »
Hi Sean

Sorry to hear you are in so much pain...

Just interested to hear why or how the HTO failed? or what you have been told.  I have heard of them failing but not sure the reasons for this.  Obviously i am concerned as I was bone on bone before mine.  Did it fail soon after the op or how did you know?

I can't really comment on tramadol as it never worked for me just kept me awake at night and was a bit woozy headied all the time, didnt really kill the pain. The only medicine i had post op was oramorph the liquid form although this is a short term medicine it depends on the timescales for anything further you are looking at.  You could look maybe at acupuncture as a long term pain remedy?

'96 ACL reconstruction
'09 Arthroscopy/cartilage repair
Diagnosed with Grade 4 OA no medial cartilage and significant varus alignment
'11 fitted with off loading knee brace
'12 HTO, meniscus transplant, acl reconstruction & microfracture all in 1 go!

Offline seantomtom

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Re: PAIN RELIEF
« Reply #7 on: August 31, 2012, 09:51:20 PM »
Hello again
How i found out it failed was, the 3 month x ray was fine not the best gap but ok.Then i went for the 6 month x ray the gap had closed back to how it was before.But to be honest the surgeon did say before the op that i was boarded line for the HTO but i thought it was worth trying.

Offline silverghost

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Re: PAIN RELIEF
« Reply #8 on: September 01, 2012, 09:25:40 AM »
From what i have gathered the gap left by the HTO should fill in with bone rather than OA, if it fills in with OA then the HTO fails and the joint closes, i think thats right?

How long have you got to wait to get some follow up on this? I'm dreading having to have a knee replacement in the future based on the fact that my OS said you'll probably need one every 7-8 years if you still want to play golf.. thats a lot of ops in 1 lifetime!

As for the replacements i think they are brilliant in design and some of the guys i know are up walking on them the same day and playing golf in 3 months!

Hope they come up with some new fangled thing for you!!
'96 ACL reconstruction
'09 Arthroscopy/cartilage repair
Diagnosed with Grade 4 OA no medial cartilage and significant varus alignment
'11 fitted with off loading knee brace
'12 HTO, meniscus transplant, acl reconstruction & microfracture all in 1 go!