After one year after the total knee replacement and chronic pain still there what's best medicine to take.
What's the best medicine for chronic pain even after one year after surgery?
- 11 Aug 2012 by Bevily Walton
- 16 August 2012
- pain, chronic pain, surgery, medicine, chronic
Added 11 Aug 2012:
This is a 3surgery on the same knee and have been taking hydrocodene and not working anymore what's next I need to take for the pain.
I had my right knee replaced about three years ago and I've never been pain free. You need to be sure and keep up the exercises that you learned in pt to build the muscles in your legs. That will help to a degree. If you don't improve any at all you may need to be referred to pain management as your surgeon probably won't continue your meds much longer. Dont look to be pain free, but to bring your pain to a manageable level. Best of luck to you.
Hello. Have you talked to your doctor about more PT for your knee? Unless there was a botched surgery, recovery is completely about exercise. One keeps at it until the knee has full bending and support and then continues with regular exercise after that. Weight control is also important as the closer to ideal weight a person is, the better the knee feels.
There is a point on recovery where one finally works through the pain and starts getting better results. Stopping too soon keeps one at the painful part. If you have done all needed exercise and continue to do so, it really is about talking to your orthopedic surgeon to see how well you healed and what more can be done. Let us know what your doctor says about the knees, please. Always many ideas on this site.
Like some of the other people said doctors do sometimes,not always act a little funny when you ask for a specific drug but what I get from your question is you don't know about pain meds(you spelled the one your on wrong) & would just like something to throw out to your doctor,I may be wrong but after Vicodin the next strongest would probably be oxycodone & the thing with that there are a lot more choices of mg pills compared to vicodin which there are only 5mg 7.5mg & 10mg where as with oxycodone in extended relief form you have the choice from 10 to 80mg that have no tylonol in the immediate release form there's 5 & 10mg tabs without any tylonol which I stay away from because if you have chronic pain your going to be taking them at least one time daily but prob more & all that tylonol just isn't good for your liver.
After that there's always extended relief morphine from 15mg to 200mg with tabs in 30mg 60mg 100mg & 200mg,the last three are for opiate tolerant people. You could mention a Fentenyl patch there for chronic pain & come in mg ranges from 25 micrograms to 100mcg. There's Hydromorphone or Dilaudid is the brand name & is what I take & is for morderate to severe pain & they come immediate release forms of 2mg 4mg & 8mg. They also come in an extended release form which right now you can only get the brand name Exalgo. If you wanted some medications to talk to your doctor about I'd just say your in a pain support group & asked what some medications for chronic pain are & these are some of the ones you were told about & from there ask him/her if any of the ones I mentioned they think would be best. The P.T is important too & I went as long as I could but my problem is with my c-1 c-2 vertebrae & there isn't many things besides a TENS machine & ultrasound & the insurance only covers about a month of it in my case so getting my pain to a manageable level with meds is all I can do. I hope this helps but all the meds I mentioned are habit forming & once your on them your on them until either your pain goes away & you don't need them or you just stop which is much easier said then done. Good luck.
Welcome to the site. I agree with what Buddy said. Yes... You need to ask your doctor (obviously) about what to take or not. Everyone's suggestion's were great, but to specifically answer you're question..I would agree with buddy. I would reccomend Oxycodone. However... You have to be leary of how you approach your dr. with it as to not sound like a drug seeker. Don't go in there and say..I want Oxycodone, someone said it worked better. Don't do it that way. Say you're pain is significantly worse and you need some more relief, that the pain is just too bad. Let the dr. reccomend something stronger. He probably will if you approach it the right way. I hope this helps you a little bit. Good luck to you and you're pain. Ruthie
Hi Bevily - I saw your other question on this topic now I understand how many surgeries you have had over a specific period of time. I don't know why you are in that kind of pain after so long. My friend who is 75 and my stepmother who was 69 when she had hers done both had double knee replacements and neither of them are on anything. Your doctor is going to be hard-pressed to prescribe anything stronger than oxycodone 15mg or 30mg. You didn't mention if you are having other health issues in either of your posts. But continuing with physical therapy and hot/cold compresses on your knee is important with or without pain. It sounds like you are not fully functioning but not sure why??? Can I ask how old you are and other health problems you are dealing with? Your doctor isn't going to ask you what you want and then just give it to you. I saw a suggestion of demerol that is rarely prescribed outside of the hospital.
I am not saying it is never prescribed but considering what you have taken already... I doubt you will get that. Too big a jump from where you were to that. You may always have pain like lots of us here. Some of it is just in how you deal with what you have and other methods you try on top of pain management that will help. For instance, have you tried aquatherapy? If not, it is an excellent therapy to relieve pain because there is no pressure on the joint. You can do water walking, too, plus just hanging to decompress. I have done lots of that and my stepmother does that as well. She doesn't take pain meds at all because she has an aversion to them. Every "body" is different and you need to try different methods to help heal you.
Many pain management doctors don't like to be asked about narcotics, and are now trying to switch patients off of them to a newer drug called Nucynta. It comes in IR and ER, 50mg, 75mg, and 100mg. You should feel pretty "safe" asking about this medication, because many doctors are favoring it. I asked my doc, and he had no problem with letting me try it. I started with 50mg, but wasn't quite enough. I asked to try the 75mg and it's helping me just fine. You will just have to work on the milligram and which type will work best for you with your doctor.
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