Knee replacement surgery/pain at night

你好, I had a total knee replacement 8 days ago and I’m finding it really difficult to sleep for more than a couple of hours because of the pain. I’ve been prescribed paracetamol and gabapentin. I was also given tramadol which I’m reluctant to take as I’m allergic to opioids. I’m finding I can’t get comfortable and although I’m dropping off to sleep, it’s broken sleep, and I’m checking the time to see when I can take the next dose of painkillers. Can anyone offer any advice please, is this normal and will it improve as time goes on? Thank you.

Comments

  • 彼得J
    彼得J 行政人员文章:616

    Hello@Millie1967很抱歉得知您的手术疼痛,但希望一旦疼痛消失,膝盖置换术会帮助您的活动能力,对您来说会更好。

    Have a look at our website and also one called escape pain, I've added a couple of links below that hopefully might help

    希望您的痛苦早日康复

    Best wishes

    彼得

  • 谢谢你彼得。我看过你的一些链接’ve included and it’s reassured me.

  • sunnyside2
    sunnyside2 Member文章:131

    请致电您的医生并询问缓解疼痛 - 您无需遭受痛苦。可能还有其他选项可以添加到计划中,这将有所作为

  • frogmorton
    frogmorton Member文章:27,878

    你好@Millie1967

    我认为大多数人都在睡觉时遇到很多麻烦。

    它将每天都会改善它,然后一周逐日恢复某种正常状态。

    8 days is nothing you have done very very well and should be proud of yourself.

    (((()))

    take care

  • 你好Millie, I had a knee replacement a couple of years ago, the first few weeks were really difficult & I got through them by sleeping whenever I could & not putting myself under any pressure to do anything other than focus on getting the knee moving. I found ice packs & meditation to be the most helpful thing for me.it is a massive operation & takes some time to recover from, give yourself a break, be very nice to yourself & take it easy. Good luck...do the exercises!

  • Chris
    Chris Member文章:37
    edited 25. Apr 2021, 19:12

    嗨,米莉,我在2021年4月19日星期一进行了部分膝盖置换。我在星期二早上没事,但是一旦麻醉剂膝盖疲惫不堪,疼痛就变得疯狂了。它仍然很糟糕,但是只要服用止痛药来帮助您进行生理和冰,对我有很大帮助。我发现很奇怪,现在我的膝盖真的很笨拙,但我想这与尺寸的尺寸是正常和充满液体的两倍有关。我希望这有帮助。一切顺利。

  • VLDK
    VLDK Member文章:2

    你好I’m new here .

    I gad partial knee end of jan 2021. I found the pain very bad at first and sleeping was difficult as I’m a side sleeper. So I was relying on pain killers which I had to ask my GP for after leaving the hospital. They sent me home with Pregabalin(similar to Gabapentin) and morphine! I was already taking Remedine (paracetamol +dihydrocodeine) as I have a trapped nerve in my back. This wasn’t good for my recovery physio as it affected my ability to move my leg. I’ve since had a steroid injection in my back which had proved to be a bad move as it was excruciatingly painful and has done nothing to improve things .. I am due to be signed off on Friday but my knee is downright refusing to straighten out properly and I am beginning to think that I’ll have to accept how it is . I struggle first thing in the morning to get moving properly. So it’s a rush to get to the loo before I have an accident ! On the subject of this has anyone been told by their GP that taking gabapentin or pregabalin a bit dodgy regarding urinary continence etc ?? I find this a bit worrying. If anyone has had any experience te this please reply . But regarding lack of sleep .. it gets better just ice and rest and try and do the exercises. I’ve read it can take over a year to get feeling right. Im hoping for that . I hope everyone out there gets better soon x

  • shell_h
    shell_h Member文章:548

    你好@vldk- Welcome to the online community!

    我看到您大约在6个月前进行了部分膝盖置换,并且由于您的膝盖和背部的某些止痛药的影响而难以进行生理运动。可悲的是,进一步的类固醇注射没有帮助,尽管您将很快签约,但您的膝盖并不能很好地合作。

    我已经看过您谈论过的药物,在这里的NHS网站上(Pregabalin: medicine to treat epilepsy and anxiety - NHS (www.nhs.uk))“在厕所上遇到问题,包括尿尿中的血液,需要更频繁地撒尿”作为您应该向医生海峡提及的严重副作用,因此我很大程度上建议您与GP谈谈这一点。我还提到,您的止痛药正在使您的膝盖更加努力地运动,因为进行后练习对于能够使您的长期流动性非常重要。也许要求转介给个性化的生理学,可以帮助您解决这一方面是个好主意。这些疼痛杀手似乎通常用于神经损伤,所以也许您主要是为了给您的背部?无论如何,您需要尽快与医生交谈,好像您无法拉直膝盖并在早上努力去洗手间,这是非常认真的。

    查看下面链接中的信息 - 恢复的整个部分可能会有所帮助:

    Do have a look around the community. There's been quite a lot of talk about different surgeries, a lot of which may well overlap for your experience.

    Lovely to meet you!

    Shell

  • Suelema
    Suelema Member文章:14

    我将在接下来的几个月内进行膝盖替换,并震惊地听到其他人说他们被置于较重的opiod柱上,而不是放松的肌肉,这将干扰腿部肌肉支撑膝盖恢复的能力。我想知道为什么他们没有得到强有力的cocodamol?这种药物会处理极端疼痛而不会影响其他事情,并且与加巴喷丁不同,类似情况也不会上瘾。幸运的是,我被开处方的椰子摩尔被撕裂了,并确保一旦将膝盖手术列出来,我就会有良好的供应。如果我被处方opiod,我将拒绝它们。

  • YvonneH
    YvonneH Member文章:1,116

    你好@Suelema

    Welcome to the Online Community it's great to meet you. I see you are due to have a knee replacement soon, I wish you all the best for that.

    在过去的四年左右的时间里,我有一个TKR,对我来说效果很好。我的疼痛缓解很大,原因是您需要克服疼痛,以使您的膝盖弯曲并拉直疼痛,如果疼痛太大,就不可能做到这一点。我有药物 - 不必担心成瘾,因为您不到一周就将它们服用。其他人则没有,而且他们也表现良好,护士和生理学很棒。我们独自一人在病房里,我们被告知我们还没有生病,我们一直受到鼓励。这可能是一个提示,也许只是我?我的膝盖忘了聆听我大​​脑弯曲的信息。无论我做什么消息都没有通过,然后在床上的一位女士说,先用你的好腿做这件事,然后奏效!不知道那里发生了什么,但我会记得膝盖2!

    Have a read of the link given above it is really helpful, as is doing all the exercises before you go into hospital to tone up your knee (as far as you can) and do them with both legs to help the other knee last a bit longer

    Take care

    Yvonne X

  • Suelema
    Suelema Member文章:14

    你好Yvonne, thanks for your comment. I'm glad your op went well, and yes the exercises to bend the knee seem to be the most important thing for a good recovery and going through the pain will be worth it -I had to do that with the torn meniscus which is much better as a result. Only meds for a few days! My specialist said the first six weeks I may need heavy painkillers... no chance of my cocodamol running out then. It will be good to have support during those early weeks, just waiting now to hear, should be 3-4 months from mid-Jan.

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