Thanks Jamie, I left hospital on 27 jan after op on 23rd taking 8 paracetamol and 8 tramadol plus 2 aspirin to thin blood and was doing ok . When I left nurse said not to try and reduce these. At 2 weeks, hospital phoned to ask after me. Told me not to take tramadol as routine, just to take paracetamol and only take a tramadol if after an hour I still had pain. Now routine had fallen in to - take paracetamol first thing, wait in bed half an hour do exercises. Wash and go for a 30/40 walk on 2 sticks. weather permitting. Come back and ice. Then more paracetamol, lunch, exercises,, sometimes another walk, sometimes I fall asleep! Then same meds and dinner, walk around house ,ice, meds ,exercises and bed. Usually take 1 tramadol early evening and again at bedtime. Often take one in the early hours too. By the way that book also says not to sleep during day which is not realistic if you've only slept 3 /4 hours in the night!