Pain Medicine After Knee Replacement - Top Tips
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- เผยแพร่เมื่อ 6 ก.พ. 2025
- Knee to Know Ep. 181
Pain Medicine After Knee Replacement - Top Tips
Here are some top tips for effective use and to get the most benefit from pain medicine after knee replacement surgery
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Thanks Luke
You're very welcome!
100% spot on.
I've been thru multiple ACLs, 1 TKR, submicromial decompression with OA and bone spurs. Lt and Rt.
I've seen too many people in PT who are scared of opiate meds due to all the media hype and will not take them properly as a tool to push hard enough in PT. They come into PT and just can't/won't do the work. Often they quit PT too early. This leads to sub-optimal (or worse) outcomes in the months and years after surgery.
Also, quit alcohol consumption at least a week or more before surgery and definitely do not consume that toxin when on meds. There are more and more peer-reviewed papers on how bad alcohol is on the entire body as the initial toxin is converted in the liver and pancreas into even more toxic substances. Esp. don't use it if you are taking acetaminophen either by itself or in Norco (Vicodin) as it will tax the liver and can lead to all kinds of physical and psychological issues.
If you search for Andrew Huberman Alcohol on YT, he does a great job of explaining the chemical processes in terms that are clear and concise.
Quitting alcohol is pretty easy when one understands what it does in and to all the cells in your body.
If you are overweight or eat a lot of foods with 'sugar' added, cutting that toxin out will solve many issues in the body.
I recommend looking up Dr. Robert Lustig on this subject. Sadly, it is added to so many processed foods and the body can become dependent/addicted to it. Hard to quit the stuff, but if you start cutting it out of your diet, your tastebuds will adapt/adjust within 2-8 weeks.
Getting those 2 substances out of your system will be the best thing you've ever done for yourself and overall health and wellbeing. No need to dive into some strict 'diet' regimine. Just start with those 2 things and I guarantee you will heal/recover faster with good solid PT for your given surgery.
HTH.
Thank you again for sharing this information. I am familiar with Dr. Huberman, enjoy is podcast and a great resource. Following these couple of tips can have a big impact on your overall health and healing after surgeries!
@Knee Replacement Therapists I listen to many of them multiple times.
So much to absorb in one go. Plus I tend to have them on with my earbuds when doing stuff around the house, etc.
Re. the other stuff, I want others to have the best outcome possible in the immediate postoperative phase and in the long run. Having seen countless people struggle thru, or worse, quit, PT is a bummer. Especially with legs as compensating (in limp, etc.) will lead to other physical and mental/emotional issues. My first serious injury was a crushed ankle when I was 17 (pushing 60 now). There was no PT (or very minimal) then. This led to meniscus tears, ACL replacements, etc. Definite negative impact on quality of life and psychological state.
I'm grateful to have had Dr. John Hefferon (episode 2 of Netflix Bulls doc) to work with for my tkr, ankle work, and bone spurs/impingement (OA). He taught me a great deal. Above all, he is a gentle, kind, and caring person.
It sounds like you and your team are that way. Sadly, I've met many over the years who are not.
@@stringlarson1247 I appreciate your insights and many people can learn a lot from your personal experiences and what you've learned along the way.
@@KneeReplacementTherapists Tnank you. Yes, I've been able to help a few friends and FOAFs who have had knee, shoulder, or
hip problems. Fortunately, they had never been thru an ortho surgery. I always as if their surgeon discussed PT as a pre-op option. If not, to inquire about it. Some don't for various reasons. Even if PT won't solve the issue, getting into some strength/excercise program pre-op will help even if the effected part is left out. Obiously, one doesn't want to make matters worse. Some people have many questions and concerns. I can relate my experiences as well as what I've seen other struggle with in PT. Quite a few times, my PT schedule will over lap with others over the course of treatment. When I'm in PT, I'll often start a conversation with someone who is struggling and unhappy to lighten the mood and get them to laugh or out of their funk.
What about 7 weeks in- 800 ibuprofen, tramadol, Tylenol, Tylenol or ibuprofen PM, gaba not cutting it- can’t sleep
The right mix will be different for every person. This question is best for your personal doctor and healthcare team.
Ibuprofen probably isn't the best NSAID for more serious pain conditions like yours. I recommend you to ask your doctor about Ketorolac (Toradol) as it is definitely the most potent NSAID and officially approved for moderate to severe pain including post-surgical.
Very helpful. I am POD # 17.
Glad it was helpful! Thanks for watching!
Absolutely terrified, because I am unable to take narcotics and my surgeon said "are you sure you even want to have this surgery?" As if I had a choice.
Nerves are normal. There are multiple ways you can manage pain. It’s important to have a pain management plan going in to surgery and do your best to stay on top of it. Best wishes to you.
😳 the instructions given to me for postoperative surgery is to not take anti inflammatory Meds at all.
I would follow the specific advice from your doctor and healthcare team. The information presented in this video is a general overview and specific instructions for you may be different.
Can you take NAC to detox the overuse of nsaids and antiinflammat ???
NAC can sometimes be used for this but of course recommend consulting with your healthcare provider
Well after mine I got CRPS. And a nerve block didn't work.
Sorry to hear that, unfortunately pain meds vary in their effectiveness for people.
@@KneeReplacementTherapists plus I am worse after a nerve block.the nerve block made things worse. I can barely walk on my knee it is because of the nerve block cause it.
The pain does not matter to dr. Im inmy second week and cant get any.
I’m really sorry to hear that you’re struggling to get the pain relief you need. It’s tough when it feels like your concerns aren’t being addressed. If you haven’t already, it might be worth reaching out to your doctor or a pain specialist to discuss your options and find a solution that works for you. You shouldn’t have to go through this alone-getting the right support is crucial. Hang in there, and I hope you find some relief soon.