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Revision TKR Multiple knee replacements

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I'm confused about your schedule for the oxycodone. In one post you indicated you were taking it on a set schedule of 1 5mg tablet ever 3 or 4 hours all through the day and night (I'm assuming that's what you meant in post #105). But in the post above you say you're taking 1 5mg tablet 3 or 4 times a day.

I can help you with your pain management, but I need to know exactly what you're taking and when. You are just out of your surgery....less than a week. You need to be on a set schedule or you will not be able to properly manage your pain levels. You'll be playing catch up if you switch times and types of medication.

So, please let me know your schedule for meds for a 24 hour period. Exactly what do you take and when. Then I can can possibly make some recommendations that will keep you more comfortable in these early weeks of healing.
 
Instead of thinking of that show due to how many surgeries and cost ( before insurance ) I think of myself as a remake of the " 6 Million Dollar Man "
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The Six Million Dollar Man was fiction. Unfortunately, real life recovery from a joint replacement is a long, hard slog that tests every ounce of patience you can find.
 
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@Jamie Okay my schedule of meds at 6am + or - take one Oxy and two 500mg of Tylenol. Approx. 930am to 1030am one 0xy. 1230 to 130pm two 500 mg of Tylenol then approx. 2 pm one Oxy. Approx 6 pm or sooner depending on how knee feels will take 1 more Oxy and two 500 mg of Tylenol. Afther that dose I am usually in bed giving knee a well deserved break. As I wrote maybe not clearly enough depending on how I feel during the course of the day 3 to 4 Oxy in addition to the Tylenol 1000mg 3x a day. Well aware of the 4000 max for Tylenol so decided to try 3000 for a week if it does not help go up to 4000 give it another week if still no improvement stop it. I tried the Tylenol with the Dilaudid with the 6th revision did not work then but thought maybe since this was not as in depth as that surgery maybe this time?
 
@Celle For that matter Kung Fu was fiction as well. In reference to 6 Million Dollar Man if you were to add up total cost of the surgeries I have had which is before insurance covers their part it would be in the millions. In the show Steve Austin whole body was rebuilt hence the 6 million and look what he could do?? Now my reality approx same dollar amount probably less and what do I have a crummy knee constant pain and about a zero percent chance I will ever be pain free. The other if you remember everytime Steve went into action they always played that stupid tune when he used he bionic powers another thing I do not have besides the bionic powers is the stupid tune. No kidding on the last revision recovery took over a year for the pain to become tolerable. My best guess since this was not a total revision as the last one I am still looking at 6 months or more. As many surgeries as this knee has been thru nothing about the recovery is going to be quick
 
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I will never be pain-free either. I was told this over 25 years ago. But, I am better than I was before the tkr and I can do things I hadn't been able to do for years. I am happy about that! That's all any of us can ask for...to be better than we were before the surgery.
 
I'm not surprised you have daytime pain. The thing I see about your meds that is that you go from roughly 6pm to 6am with absolutely nothing for pain. This is not good at your early stage. It allows any inflammation and swelling to build overnight. You would be much better served to take something during the night, even if you have to set an alarm to wake you up. You're starting every morning behind the pain curve and playing catch up all day.

This is what I was afraid you were saying with your previous posts. It could be that you would be able to eventually spread out your daytime oxycodone doses more if you took something at night - at least 1 pill around midnight.
 
@Jamie You have a valid point bur this is reality, due to the problems with narcotics ( not those that need them but those that abuse ) I was only given a set amount. In my case 42 if I took as directed 1 every 4 hours that is 7 days worth. Yes I could be behind the 8 ball so to speak but I am able to spread out the meds a little longer. Not everyday is like yesterday some are better I think for me playing Superman when I saw the therapist did me in. This also confirms in part about overdoing it. I am going to continue to exercise but in moderation if it starts to remotely feel bad I will stop. Less reps and no straining. Its possible if I took as directed maybe I would feel somewhat normal but given how long it takes me to recover not likely.
 
One of the articles on BoneSmart talks about how poorly controlled pain impedes healing. It doesn’t just make you feel bad; it makes you heal bad. (Oh! I’m so clever! Or cheesy. Your choice.) You can find the article in the early post that I think @Roy Gardiner did for you.

So, maybe you use that information to talk with your doctor or your insurance company about giving you sufficient pain relief.

I truly believe that the opioid crisis could have been avoided with a more judicious prescription rubric for pain meds in the past, but this one-size-fits-all approach is absurd.
 
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Pain meds are like a double edged sword there is both good and bad. If someone is truly in pain then it can be a life saver, same holds true after surgery. The bad part ( its happened to me ) if you take pain meds for an extended period of time your body build up a tolerance to the medication. What may have worked great before is now barely doing anything. The way I understand it your pain may not have changed but your body likes the high or great feeling it gets from the meds so in turn while the pain itself is the same your body makes it seem you need more to get the same effect. What gets me a good surgeon will understand no one heals the same no one feels pain the exact same way but some residents are of the belief they are " Gods Gift " do not go along with it. If what they are taught that after a TKR you should be pain free after a week then no matter what you say your wrong. This was my experience last Saturday in the hospital. My surgeon called me couple days ago and he agreed with me and will look into the matter. Monday I will get a refill for more meds.
I will agree and disagree on poorly controlled meds. Yes you need to take them as written but who wants to get up when you finally able to get some sleep. As I found out sometimes its not the meds fault if your feeling bad it could be you did way too much. It was my stupidity for doing more then I should have and I paid the price. Today is a better day did some of my extension exercises nothing drastic and while I still hurt its not as bad.
 
I'm glad your pain level has come down. I think it all boils down to listening to your knee and obeying it. Doing so will make you and your knee much happier!
 
You might also talk with your surgeon about switching to Tramadol as it's not as tightly controlled as Oxycodone. Tramadol plus Tylenol works very well for many people.
 
@Jamie Great minds think alike only problem I had a weightloss surgery and I can no longer take Nsaids. I thought about that while I was in the hospital. My problem it seems while some people swear by Tylenol for pain or Brand " X " for a cold etc none of this really helps. At one point this summer Gabapentin 300mg 3x daily brought pain level down to a 4 ( this was awesome!!! ) couple months later went back up again. Tried 600mg 3x daily still no change. While the 5mg of Oxy is not perfect it does help. I have also found Diclofenac ( the cream ) along with my ice wrap helps better then either by itself. I still feel that ice is a great substitute for pain meds.
 
I don't recommend NSAIDs for pain either. Tylenol isn't an NSAID. Neither is Tramadol, but it does require a prescription. Sometimes the two work well together on a schedule both day and night so it might be worth a try. You don't actually have to "get up" to take a nighttime dose of medication. Just set an alarm, have the pill in a little bowl, a cracker and some water by your bed and take the dose without even touching feet to the floor. You should go right back to sleep doing it that way.
 
I knew Tylenol wasn't but Tramadol Was under the impression it was based on what the resident at hospital told me?
 
Some excitement today the dressing comes off!! The nurse will be here later and is going to remove it my hope no active drainage since if there is will have to prevent site from getting wet when taking shower. Last night I can tell the staples are getting loose which also means swelling is going down. My therpaist will be here soon and I already informed him that I did way too much last week.
 
Good and Bad!! First the good extension is better last week -9 today -7. Now the bad now it feels like garbage. Getting ready for ice and took a pain pill. Gut feeling it is going to hurt for awhile.
 
I knew Tylenol wasn't but Tramadol Was under the impression it was based on what the resident at hospital told me?
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No, Tramadol is not an NSAID. It's a synthetic opioid, but milder than the heavy-duty opioids.

It does work well in combination with Tylenol. We have a couple of charts that suggest how to combine the two drugs to best effect. Let us know if you decide to use Tramadol, and we'll give you those charts.
 
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