... I read the horror stories of those who had surgery and the pain they were in because the morphine didn't work. I'm having a knee replacement... Please someone give me some input
I have surgery coming soon and I'm afraid because I'm on been suboxone for 5 months 24 mgs a day and
- 23 Apr 2012 by rl5659
- 8 Jun 2014
- suboxone, pain, morphine, knee joint replacement, surgery, knee
Added 25 Apr 2012:
Surgery date is 5-16-12; I think I have enough time to cut way back which I'm doing now.
I must say because of your fear of not being well managed (pain wise) then you need to tell your surgeon and you need to tell the nurses whom you speak with at the hospital on "intake" day. You also need to reiterate your concerns with the anesthesiologist when they come speak with you. The more people you tell... the more people who become responsible for your care and well being while you are in the hospital.
My best friend (in her 70s) had a knee replacement and did just fine. My stepmother had a double knee and was well covered with her pain management.
I am recovering from a hip replacement and I am already on 100mcg Fent patch plus 30mg every 4 hours of Oxycodone. And, like I said, I told everybody that I have issues with pain management because I have been on pain meds for so long... I didn't have any issues in the hospital at all.
I am not going to sugar coat this for you either. Having a double knee instead of one at a time is going to be rough. There is no getting around it. It isn't going to be a walk in the park. Even having the best pain management possible, you are still going to feel pain... how much of it you feel depends a lot on how well you vocalize your concerns and how many people you tell.
The only problem I had was when I was discharged to the rehab center and spent 17 days there. They didn't particularly care how many times I told them that my pain meds weren't working and it took them 6 days to contact my pain management doctor to get my meds adjusted so that I could tolerate physical therapy. I am passing this information along to you so that you can also plan for the rehab part and any concerns you might have about that. You will be uncomfortable when the therapy starts but you should be well managed and you ARE your own best advocate for your care.
Don't be afraid to speak up and the sooner you start talking with your doctors, the better off you will be, okay???
Good luck with your surgery and many blessings for a speedy and smooth recovery that is uneventful.
Dear Rl, yes, tell subs dr, surgeon, and anesthesiologist now, about the suboxone. Some drs are able to get the patient to taper off, not sure if you have time to do that, not knowing when the surgery date is. You subs dr might stop the suboxone, place you back on short acting opiates pre surgery. It will take a few days for the suboxone to wear off the brain sites, so the opiates will work. You will have to finish your pain meds, and go back into withdrawal to restart subs later. Hope this helps. Patti
I would tell your DR/ Surgeon ASAP, I think if you have enough time either they will reduce your Suboxone to nothing, or put you back on a narcotic. If you fear about addiction to Pain Killers is strong, Believe me the Pain Is 100 Times Stronger, I have had several back surgery's and my father has had both of his knee's done, and to be honest w/o the Morphine drip they gave me, I think I would have either died or just contionously passed out from the pain, It was the worst Pain, I have ever felt, and i have been shot, so I would'nt worry about a relapse just tell the surgeon about your Suboxone issue NOW, even if that means calling him on the phone. I am not trying to scare you, but someone needs to tell you this, and just curious, what do you plan to do for the pain after the Surgery, because it can take months, evebn if you are in great shape to recover.
Best of Luck to You
hi ri5659,the week of your surgery cut yourself down.how long before the day you go in? start cutting a half a day till you get to 8mg its just for a week.and if the doctors know,all the doctors must know your on sub.but the drug they put you to sleep with will not effect the sub your on.but if you wanna be put on something diffrent for post op you need to lower the amount of sub before hand... subzero58... pete
hey there, subzero and patti are right listen to them and dont be scared, just make sure and start now and dont stop telling all of your dr what you are on and the amounts you are on, I had just some minor knee surgery done in the beginning of december, all the dr knew that I was on subs, my sub dr had me stop the subs for 24 hours and start back on hydrogodone. had no problem at all stayed on the hydro for 1 week stopped for 24 hours again and went back on my normal dose of subs, again I had no problem, so just make sure all the dr, and nurses and who ever takes you to surgery keeps telling them what you are on, they will know how to handle you and your pain, plus get you back on your subs asap.
You can always call now and ask all your questions, do not wait until the last minute, and you can always count on patti and subzero, they have been great to alot of us good luck and things will be ok please make sure who ever takes you for your surgery stays with you and tells every one every time they come in your whole medical condition and that means all meds, because you may be nervous and forget something, have your person write it all down and do a check list the day of surgery
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