That is a high pain score for 12 weeks out.
2. Oxycodone 10mg 1x at bedtime
Tylenol 1,000mg 4 times a day (doesn't help)
Gabapentin 300 at night instead of oxycodone but was only making me feel hungover until noon the next day so Dr switched me back to oxycodone
Well my first comment is about the Gabapentin vs the oxycodone.
Gabapentin is not a pain killer so would not be a good swap with oxycodone.
Gabapentin is an anti-epileptic drug, also called an anticonvulsant. It affects chemicals and nerves in the body that are involved in the cause of seizures and
some types of pain. It is used in adults to treat neuropathic pain (nerve pain). So if you need pain meds - which you clearly do, I suggest you have a talk with your GP and see if s/he can't give you an alternative to the oxycodone. I would suggest Tramadol which goes very well with Tylenol in the level of 50mg Tramadol with 1,000mg Tylenol. But whatever you do, you need something to get this pain under control.
Yes, I would imagine so.
4. Flexion 125. Extension 0? Perfectly straight
Well that is pretty darned good!
5. icing 3-4 times per day about 20 minutes
You accomplish little or nothing in 20 minutes. Ice for at least 40-60mins and more than 4 times a day.
That's very good
7. activity level: Minimal housework (had to hire someone). Can't bend or scrub tub.... Shopping in small batches since I live alone, don't cook often eat a lot of junk and stuff easy to grab.
I sympathise. Been there, done that myself!
8. Not as much as I should but find to the gym now since insurance cut off PT.
Well the fact is, it's done you a favour because you don't need it!
3-4 times or week
Straight leg raise, was doing with weights but since stopped the weights because of pain
x30 reps
Outer and inner thigh machines 55lbs x4 reps x12 (I am accustomed to doing 85pounds but cut back for the purpose of rehab)
Seated leg press 20lbs x4 reps since 12
Heel raises x30 reps
Kick back leg x30 reps
Bicycle 5 to 10 minutes
elliptical 5 to 10 min
NOW I understand why you have so much pain! Whoever told you that you needed to carry on with all these exercises. Not at all!
But I sense from some of them that you have always been a gym rat, is that correct?
Well I would seriously advise you to stop it for at least 3 months if not longer because you are clearly moving into the realm of
Chronic pain issues which I seriously recommend you avoid at all costs.
If you doubt my earnest warning, please read this story of a patient I met whilst working as an occupational health nurse. It's not pleasant reading but you should read it anyway
PT: the seriously grave consequences of doing too much of it
United States
We are having similar issues in the UK though not yet as stringent. However, when you see your surgeon, ask him if he will switched you on to Tramadol because that is a synthetic opioid and therefore not as sedative.
Seriously, I did very little exercising on my brand new knees for the first 4 to 5 months. My early recovery was spent doing some walking, short distances at first and building to longer distances. No machines or strength exercises beyond walking and necessary stairs. Later, around 7 months or so, I joined a gym and started pool exercising (leading up to swimming) and some mild strength building. I'm not a gym rat, not even aspirationally, but I did want stronger legs. Mission accomplished, and all without any unusual swelling or pain. I had quite a pain-free recovery, to be honest, and I credit that to waiting before engaging in heavy exercise.
