pt98n - did you let Dr. Snyder's office know the results of the Mass. General MRI? I'd be interested to hear what their response was.
Josephine - I have a question about medication. My revision was on April 23 so I am about 13 weeks post op. I had been taking 800 -1000 mg. a day of Naproxin and, along with that, was gradually weaning off 50 mg. a day of Tramadol (25 mg. in the morning and 25 mg. at night). I switched to Tylenol because of concerns over being on NSAID's for so long. I have been on them for almost 4 years, fortunately without any negative consequences, yet. But Tylenol does nothing for me at all I am finding.
I am still having some degree of pain on a daily basis, enough that I'm pretty uncomfortable and need to use a cane because I limp without it. The pain is much worse for a day or two after physical therapy. On a scale of 1-10, I'm still in the 1-3 range.
I have gone back to taking Tramadol (25 mg.) 2-3 times a day in the past couple of days. The pain is in the incision area, also where the surgeon excised tissue.
My problem is that I have read that by this time I should be off pain meds. But nothing else works. Naproxin alone wasn't enough. There may have been a day or two at times in the past couple weeks when it was ok to just take Naproxin during the day. Then I'd take Tramadol at night. But after physical therapy, Naproxin alone during the day isn't enough. I go to PT twice a week and am supposed to be doing exercises on my own in between but am too uncomfortable to do that. It takes me the rest of the week to recover.
Am I under medicating even though I'm past three months? Should I increase Tramadol until I feel no pain at all? That would be ideal, no pain at all. 25 mg. of Tramadol doesn't seem to be enough at one time right now. And should I go back on an NSAID for a while longer. They were more effective than Tylenol.
Is it normal for me to feel so much discomfort at this point (3 months post op), especially after physical therapy. It doesn't seem like I'm doing too much because I'm sitting more than I'd like, but my activity level has gradually increased over the past few weeks (walking, light housework, running errands, etc.). Maybe I'm still doing too much and expecting more than my body can deliver right now.
When I saw the doses of Tramadol you had taken I realized I had been way under medicating before this, but is it still too little now considering my current level of discomfort. It's uncomfortable enough that it makes me irritable and tired and interferes with sleep. My husband said he'd rather I take the medication if I need it, than have me be so grouchy!
Sorry this is so long. What do you think I should do?
United States
Yeah! I will start 50 mg. of Tramadol three times a day right away. I understand you are not a doctor or pharmacist. I thought after I should have rephrased it as "what would you do" so I didn't put you on the spot. Regardless, I appreciate and value your suggestions. 
Looking back on all this, I'm not sure why he would say that for a revision surgery. So I'll defer to your opinion, thank you very much!
