Don't worry about cutting back your pain medications yet - you obviously still need them. It's much too early to just be taking Acetaminophen (Tylenol). If your surgeon wants to get you off the heavy-duty narcotics, perhaps he will be willing to prescribe Tramadol for you. It's a useful step-down drug that you can take with Tylenol.
It's not exercising that gets you your ROM - it's time. Time to recover, time for swelling and pain to settle, and time to heal. Your ROM is there right from the start, just waiting for all that to happen, so it can show itself.
I'm afraid that problems with sleeping are part and parcel of this recovery -
Sleep deprivation is pretty much inevitable - but what causes it?
- but you can help yourself by keeping well medicated and not doing too much exercise.
If your knee hurts after PT, you are doing too much. PT should never hurt, at the time, or afterwards. Remember, "If it hurts, don't do it." Doing PT to the extent that hurts doesn't help with ROM. It just upsets and inflames your wounded tissues, making them more stiff and swollen - and causing even more pain.My knee kills me after PT and I have a hard time sleeping every night with Ambien.
It's not exercising that gets you your ROM - it's time. Time to recover, time for swelling and pain to settle, and time to heal. Your ROM is there right from the start, just waiting for all that to happen, so it can show itself.
I'm afraid that problems with sleeping are part and parcel of this recovery -
Sleep deprivation is pretty much inevitable - but what causes it?
- but you can help yourself by keeping well medicated and not doing too much exercise.
New Zealand