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I was taking oxycodone 7mg every 4 hours until I began forgetting doses around week 4. Then I had a second surgery so back on the oxy for a little bit, but becsause I wasn't bending the surgical pain didn't last longer than a week or two. My OS prescribed tramadol, however it did nothing for me so I just took nothing until I started bending the knee again. Then I took 5 mg of oxycodone as needed.
 
Sheepdogn said:
PA says i can do tramadol during the day and oxycodon at night. That should help some with my energy problems. Oxycodon really knocks me out.
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For me, the Tramadol knocked me out but I saw that as a positive effect - it makes sure the patient rests plenty!
Sheepdogn said:
That looks like a lot of tylenol.
Looks like a lot of tramadol too.
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Not really. The Tylenol is the safe max dose per 25hrs. However, the FDA did reduce that recommendation to 3,000 a couple of years ago for fear that people wouldn't take into account any other medications they were taking - such as cold remedies or Percoct, etc., - that also contained acetaminophen. But the safe level remains at 4,000mg.

As for the Tramadol, it can be taken up to 600mg per 24hrs on occasions but not as a regular thing. Basically the recommended safe limit is 400mg.
 
I had the same experience at three weeks, a shower absolutely sent me to bed to rest!

I find the tramadol to be a waste of time, Advil does more for me .
 
@ks1960 i found tramadol useless also, but afterward I learned it should be taken with Tylenol for the best results.
 
I was taking Tramadol pre-surgery along with meloxicam and found it worked pretty well, and didn't knock me out like the oxycodone has been doing. I switched today to Tramadol (one AM, one 6 hours later) and there was a marked difference in how I felt in terms of sluggishness, so I guess it'll work for me. The PA for my OS said i could do Tramadol daytime and oxycodone at night if I want, and I probably will. The oxycodone does work a little better for pain and it'll sure make me sleep. I may drop the oxycodone altogether and just add the meloxicam back in but I think I'll wait until I finish out the 30 days of gabapentin. So many drugs, yikes. Glad we have them though because my pain has been pretty well managed through this whole thing.

Went to PT today and my ROM is now at 97 degrees, which is 10 degrees better than last week, and 3 degrees better than it was pre-surgery. Happy me! The knee feels better and better.
 
Does anyone have suggestions for a very sensitive scar? I'm about to hit 4 weeks out and it's uncomfortable to wear jeans because my scar is very sensitive, even with flannel lined jeans. I've been hanging out at home in sweats but it's cold outside and sweats won't do. Any thoughts?
 
I couldn't wear jeans for about 4 months. I wore very soft pj pants during the Polar Vortex winter! I had quite a few pairs in dark colors that even wore to teach in with sweaters on top. I really tried not to be outside in the elements often due to the ice and snow, I was afraid of falling. I guess you could try putting something between your jeans and incision, but I'd look for a thicker pair of sweats to wear out if you're trying to stay warm. I wonder if the heaviness of the jeans/flannel is bothering your scar.
 
Maybe. I'm sure it'll get better with time but even sweats rubbing it are a little irritating.
 
I know that this might sound weird but I found having something directly on it helped. Sheets on the bed used to irritate my knee scar. One of the compression stockings used to help a lot, or one of the stocking liners for my knee brace. It seemed having something directly on it didn't bother it as much as something rubbing on it. Hope this helps.
 
I find anything with nylon feels horrible on my scar as does denim - i have a few pair of trackies and PJ'S made from cotton that feel okay

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It just took a little big longer until my jeans didn't bother mh knee because it was swollen a bit when I wore them out so it rubbed even more. I used black yoga pants with long tops when I had to look at least a little more presentable than sweats or pajamas.
 
I would like to hear some opinions from those who have had hyaluronic acid injections in a natural (not replaced) knee. My non-surgical knee is really slowing down my recovery and isn't scheduled for replacement until March. Cortisone didn't do much and can't get another pre-surgery anyway.
 
I found that if the cortisone shot didn't help the Visco shots didn't help either. I don't have any experience with hydraulic acid injections.
 
Sheepdogn said:
What is considered a normal or "goal" ROM post-surgery?
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Doubt one exists.. My OS said he wanted the knee to be functional so I could get off the ground.. my personal goal is to match my good knee bend so I can kneel in a canoe.. Its quite close now. I know I cannot kneel on my heels anymore.. I am going to get what I am going to get. I cannot overcome fat leg muscles or mechanical obstructions.
I didn't have hyaluronic acid either. Cortisone worked for two months a shot. The series of three synvisc worked a month. There is individual variability ( per an OS) so there is again no "normal"
 
My OS never measured, never asked or said what my ROM was. He asked what I was doing, how was I living my life. I have no idea what my numbers were when I was done with PT or now. Don't get hung up on a number. Every knee is different, so what's a good ROM for one person may not be for the next.
 
My surgeon also never measured mine. He had me stretch it out straight and told me I was there, and had me swing it back and forth and that was it. I think I was at about 105 flex when I finished with PT, and it has improved since then, but I don't know what it is. I do know it is better than before surgery.
 
My surgeon never measured my ROM. He looked at my knee and said "Show me what you can do with it."
Function is more important than the numbers.

The information below is from this article: ROM (range of motion) information
These degrees of flexion are required for the following activities:
- 65° to walk,
- 70° to lift an object from the floor,
- 85° for stair climbing,
- 95° for comfortable sitting and standing
- 105° for tying shoelaces.


Anything above that is a bonus.
 
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