The guidance from the Federal government has always been just that....guidance....not rules and certainly nothing has ever been issued by the Federal government that said pain meds cannot be issued after 6 weeks. Based on the FDA guidance, most states have formulated their own guidance for their physicians. Washington State's guidance is published here. As you can see, doctors may continue to prescribe pain medications in cases where the patient has a medical need for them. The situation just needs to be documented. It sounds as though your surgeon is not willing to go through that for you.He said it was a regulation by the government all across the country that no surgeon can administer pain meds after six weeks.
Surface infections can be the result of a stitch that doesn't dissolve. It is possible this was the case.The PA had dug into the areas opening them to find a stitch that had not dissolved and said it was the cause of my infection. I do not buy that.
Pumpkln is correct that you can most likely do your own therapy at home. But if you want to have someone helping you, your GP can prescribe home health physical therapy for you. Ask and see if that could be arranged.I also ask about going back to therapy with home health care since the therapy clinic was so crowded and I was afraid to get sick when our county just got hit harder with COVID. He again said NO.
It is a good idea to have someone checking you at about 6 months and 1 year out from surgery just to be sure things are going well.Do we need to have further watching at my stage of 7 weeks by the surgeon or can could I go to Internal med guy?
If the swelling comes down, that seems entirely possible, based on my experience. I gained about 15 degrees after the first six weeks as the swelling came down.. His newest "I expect" comment was I expect it to reach 125 in the next six weeks. From 84 to 125 in 6 weeks. I do not respect or believe in him anymore.
Make the appointment work for you. Ask the therapist to give you printouts of some of the more gentle exercises along with some you could do later as you get stronger and the swelling is less. With the printed material, you can definitely do things for yourself at home. You could also request that the therapist do a lymphatic massage during your session. That helps with swelling.I cannot cancel Thursday PT because I formally agreed to a one week notice if cancelling unless for illnesses, and responsible for the charges if not.
Once you get the source of the irritation and inflammation out of there, things can begin to settle. This procedure was needed to remove the stitch. The Active Antimicrobial Hydrogel is perfect to help this healing process along, so I'm glad you're using it. I works along with your antibiotics to ensure that your body has all the tools it needs to fight the bacterial infection. You're fighting it both systemically and with a surface antimicrobial product. Double whammy.The area they re-opened, though not too deep, was angrier. But it has calmed down and using the scar solution (sponsor) that you guys recommenced is working so well.
Your gut feeling is right on. Your body is going to heal at its own pace and it appears to take extra time. Being patient and not trying to hurry things up is exactly the right path.the swelling is getting better but come right back after exercises. I suspect it just needs time.
That's the spirit!!I will beat this and know whatever ROM I get, I have already gone past 60 degrees which I lived with for 14 years.
Did she say why she did this? I don't remember ever hearing this done before.Explaining about the re-opening, the PA wiped the area with an alcohol wipe and pulled off the scab trying to close the area. Then cut it open slightly until she saw the stitch. It was not deep but it did bleed and set me back until it closes yet again.
@Mamie Thanks for thinking of me. I am doing well finally! The burning pain finally stopped just about two weeks ago and what a relief!! Went for my 3 month check to OS yesterday and all is well.Hello All,
Before sharing, I would like to inquire how you are doing Dizzy. You were at wits end the last time I heard and that was 2 to 3 weeks ago. I hope you slayed that pain.
Yesterday after therapy I discovered they had forgotten to schedule further appointments and have no availability for three weeks. That's fine, as I had wanted to quit anyway. I reached 90 degrees and will keep at it daily but not be afraid to rest when I do not feel great. My fluid retention is bad again at the 17 pounds. My everyday doctor is concerned due to the pressure on my kidneys but told me this type of swelling won't go away easily. and will take maybe months.
I received a return call from the people about compression wear and my leg has reached such a swelling point, that the ones I want do not come in the size my knee is at now while so swollen. One of the two companies I reached recommended I see an occupational therapist about 90 minutes from here, who specializes in this type of swelling and who could recommend the proper compression wear.
Thank you Stiff Knee for helping me reach CEP. I also spoke with another company when CEP could not help me until some of this swelling went down. How are you feeling?
I think about so many who are here and wonder how you are all doing. Revision Lefty you are still in my prayers, as I have everyone here in hopes we all reach our goals.
I am also thinking seriously about quitting my surgeon as their idea of help stinks. Never calls back, slams the PT's and doctors that help me, criticize me for my ROM improvements so I ask myself, why do I want or need them? I'm in a position of no appointments available at PT yet they are final about home health care to watch over and help me.
PamsKnees, how are you? My thoughts are with you all, knowing we are all in the same or similar boat. Does anyone else here, have swelling so bad at 9 weeks? If so, please share what you are doing to help it.