Re: Pain right after TKR

[Guest guest]

In a message dated 9/21/2006 12:33:04 A.M. Central Daylight Time, ruby2zdy@... writes:

I was wondering what causes the main pain after a TKR -- the cut bone? The cut muscle? The swelling? It seems to me a bone that's been reamed out or cut off would hurt a lot, since bones are full of nerves, and even a hairline fracture hurts like hell, but people here seem to be talking more about muscle pain.

Thanks.

Ann

Hi Ann, I think that it's the swelling, but I could feel where they had cut the bone off also. That bothered me for awhile, but I can't tell anymore. Therapy did hurt a lot, at least for me, but gets better every time.

[Guest guest]

Hi Ann, I think that pain comes from all the things you put in your e-mail I still feel pain after 6 years on my Hip replacememt and 4 years on the knee replacement both on my right side I need my left knee done won't do it don't want to go to a nurseing home . Well you have a nice day . SusieCritrkrazy@... wrote: In a message dated 9/21/2006 12:33:04 A.M. Central Daylight Time, ruby2zdyearthlink (DOT) net writes: I was wondering what causes the main pain after a TKR -- the cut bone? The cut muscle? The swelling? It seems to me a bone that's been reamed out or cut off would hurt a lot, since bones are full of nerves, and even a hairline fracture hurts like hell, but people here seem to be

talking more about muscle pain. Thanks. Ann Hi Ann, I think that it's the swelling, but I could feel where they had cut the bone off also. That bothered me for awhile, but I can't tell anymore. Therapy did hurt a lot, at least for me, but gets better every time.

[Guest guest]

Hi guys

I also think that it is a combination of bone and muscle pain and that is why a good anti inflammatory drug is also useful post op

I find in the morning it is a little stiff and at night it takes a while for it to all settle down

After bragging about getting good sleep for a week old habits have come back to haunt me and I am finding it hard to get to sleep again at night despite sleeping meds and pain relief

Is there such as a thing as too much pain relief that may keep you awake.......have had problems with morphine doing this to me in the past when I have been in hospital

Aussie

PS off to work for a few hours tomorrow yippee

-- Re: Pain right after TKR

In a message dated 9/21/2006 12:33:04 A.M. Central Daylight Time, ruby2zdyearthlink (DOT) net writes:

I was wondering what causes the main pain after a TKR -- the cut bone? The cut muscle? The swelling? It seems to me a bone that's been reamed out or cut off would hurt a lot, since bones are full of nerves, and even a hairline fracture hurts like hell, but people here seem to be talking more about muscle pain.

Thanks.

Ann

Hi Ann, I think that it's the swelling, but I could feel where they had cut the bone off also. That bothered me for awhile, but I can't tell anymore. Therapy did hurt a lot, at least for me, but gets better every time.

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[Guest guest]

You are correct about the pain. i think that the muscle pain is the worst in people who lived with bad joint for so long the ended up losing a lot of muscle or where the leg needed lengthening. the bone heals a lot faster than the muscles stretch so we/they end up with nagging pain. plus the nerves need stretching/realigning and that can take what seems like forever to heal. over time we learn bad habits walking and bending. then reteaching us good habits can affect muscles a long way from the replacement site

[Guest guest]

if you are taking any over the counter pain meds check the label for caffeine. some have quite a lot in them and that can hurt sleep.

[Guest guest]

For on thing the quad muscle is cut and with all the disrupting of

tissue nerves etc it hurts but you can keep it in control by pain meds.

My knee above the implant still hurts some but my doctor said it takes

a long time for those muscles to heal also.

On Sep 20, 2006, at 10:23 PM, Ann wrote:

> I was wondering what causes the main pain after a TKR -- the cut

> bone?  The cut muscle?  The swelling?<serv.gif> It seems to me a bone

> that's been reamed out or cut off would hurt a lot, since bones are

> full of nerves, and even a hairline fracture hurts like hell, but

> people here seem to be talking more about  muscle pain. 

>  

> Thanks.

>  

> Ann

>

>

>

>

" It is risky to go out on a limb but that is where the fruit is. "

[Guest guest]

I rake two Tynenol pm as well as my sleeping pill and it seems

to help.

On Sep 21, 2006, at 1:50 AM, Vaux wrote:

>  

>  Hi guys

> I also think that it is a combination of bone and muscle pain and that

> is why a good anti inflammatory drug is also useful post op

> I find in the morning it is a little stiff and at night it takes a

> while for it to all settle down

> After bragging about getting good sleep for a week old habits have

> come back to haunt me and I am finding it hard to get to sleep again

> at night despite sleeping meds and pain relief

> Is there such as a thing as too much pain relief that may keep you

> awake.......have had problems with morphine doing this to me in the

> past when I have been in hospital

> Aussie

> PS off to work for a few hours tomorrow yippee

> -- Re: Pain right after TKR

>  

>

>

> In a message dated 9/21/2006 12:33:04 A.M. Central Daylight Time,

> ruby2zdy@... writes:

>

> I was wondering what causes the main pain after a TKR -- the cut

> bone?  The cut muscle?  The swelling?<serv.gif> It seems to me a bone

> that's been reamed out or cut off would hurt a lot, since bones are

> full of nerves, and even a hairline fracture hurts like hell, but

> people here seem to be talking more about  muscle pain. 

>  

> Thanks.

>  

> Ann

>    Hi Ann, I think that it's the swelling, but I could feel where they

> had cut the bone off also.  That bothered me for awhile, but I can't

> tell anymore.  Therapy did hurt a lot, at least for me, but gets

> better every time. 

>

>

>

>

> __________ NOD32 1.1765 (20060920) Information __________

>

> This message was checked by NOD32 antivirus system.

> http://www.eset.com

>

>

> __________ NOD32 1.1765 (20060920) Information __________

>

> This message was checked by NOD32 antivirus system.

> http://www.eset.com

>  

>

" It is risky to go out on a limb but that is where the fruit is. "

[Guest guest]

All I have is vicodin and soma. Motrin off and on. I had manipulation MUA one week ago and am still black and blue and swollen from that. I have not slept soundly for 7+ weeks since TKR. Pain in knee and near it wake me up constantly during the night.

Is there an extended release RX i should ask the doctor to prescribe that helps?

Just got spring loaded brace/splint this week to help with extension direction. I wear TED hose off and on to help with the swelling.

Al Welch

From: Joint Replacement [mailto:Joint Replacement ] On Behalf Of Elaine PoageSent: Thursday, September 21, 2006 8:54 AMJoint Replacement Subject: Re: Pain right after TKR

For on thing the quad muscle is cut and with all the disrupting of tissue nerves etc it hurts but you can keep it in control by pain meds. My knee above the implant still hurts some but my doctor said it takes a long time for those muscles to heal also.On Sep 20, 2006, at 10:23 PM, Ann wrote:

I was wondering what causes the main pain after a TKR -- the cut bone? The cut muscle? The swelling?<serv.gif> It seems to me a bone that's been reamed out or cut off would hurt a lot, since bones are full of nerves, and even a hairline fracture hurts like hell, but people here seem to be talking more about muscle pain. Thanks. Ann "It is risky to go out on a limb but that is where the fruit is."

[Guest guest]

I am one month post Op (TKR) and most of my pain right now is an achy feeling.....I'm still taking Vicodin prior to PT and one at night before bed.....the sharp pain I had after the surgery is gone and like I said it's now more of a bad ache....bending it seems to hurt more than trying to straighten it....although today in therapy she had me lie on my stomach on the table hanging my legs over the end of the table and just try to relax for 3 minutes.....wow....did that ever ache!....they are trying to straighten it more.....I am at # 6 straighten ( I was at #13 when i started therapy 2 weeks ago...) and my bend is at 108 right now....

[Guest guest]

All of the above Ann. All surgery no matter what it

is always hurts. TKR more since bones are drilled and

flesh is stretched way beyond what is normal. Lots of

swelling takes place. Putting weight on your legs makes

the pain worse but is necessary. Pain up to 15 months

is normal.

Sherry

Pain right after TKR

I was wondering what causes the main pain after a TKR -- the cut bone? The cut muscle? The swelling? It seems to me a bone that's been reamed out or cut off would hurt a lot, since bones are full of nerves, and even a hairline fracture hurts like hell, but people here seem to be talking more about muscle pain.

Thanks.

Ann

[Guest guest]

The pain from the therapy -- was that muscle-stretching pain? Thanks.

Ann

Re: Pain right after TKR

In a message dated 9/21/2006 12:33:04 A.M. Central Daylight Time, ruby2zdyearthlink (DOT) net writes:

I was wondering what causes the main pain after a TKR -- the cut bone? The cut muscle? The swelling? It seems to me a bone that's been reamed out or cut off would hurt a lot, since bones are full of nerves, and even a hairline fracture hurts like hell, but people here seem to be talking more about muscle pain.

Thanks.

Ann

Hi Ann, I think that it's the swelling, but I could feel where they had cut the bone off also. That bothered me for awhile, but I can't tell anymore. Therapy did hurt a lot, at least for me, but gets better every time.

[Guest guest]

I hate to be a pest but I'm curious how long you'd estimate it takes the bones to stop hurting. Since I'm 64, it'll probably take somewhat longer than for people in their 50's. I've never had a broken bone, so have no idea how bad they're going to feel.

I don't actually have arthritis, just chondromalacia and crumbling menisci, and am able to do everything I need to do around home w/o pain, but not get enough exercise. I'm ignoring the pain & trying to build up my leg muscles (started 2 months before the scheduled operation) & also stretch them so I hopefully don't have as much of a problem as people who've had arthritis for a long time. What do you think?

The doc's nurse told me most people have the hardest time getting the leg to totally straighten out. It seems to me that, if the bones were good going in, that would be less of a problem than getting it to bend because of the swelling. Do you think that's right?

Thank you.

Ann

Re: Pain right after TKR

You are correct about the pain. i think that the muscle pain is the worst in people who lived with bad joint for so long the ended up losing a lot of muscle or where the leg needed lengthening. the bone heals a lot faster than the muscles stretch so we/they end up with nagging pain. plus the nerves need stretching/realigning and that can take what seems like forever to heal. over time we learn bad habits walking and bending. then reteaching us good habits can affect muscles a long way from the replacement site

[Guest guest]

Ann,

I doubt age has much to do with the pain from what I can tell from others who have had it done.

My therapist has a lady in her 80s who did well with her first tkr and then just had the other one done. PT was waiting to see how the patient did with the second one.

Since I am having a bad time and lots of pain with mine and others do not have that same bad time you need to know that you may or may not. It is a risk. I also had chondromalacia, calcified minisci, eburnation, etc. I could not take long walks with out pain. I expect to eventually get past this phase of pain and suffering and begin to walk long walks again.

Al Welch

From: Joint Replacement [mailto:Joint Replacement ] On Behalf Of Ann Sent: Thursday, September 21, 2006 1:55 PMJoint Replacement Subject: Re: Pain right after TKR

I hate to be a pest but I'm curious how long you'd estimate it takes the bones to stop hurting. Since I'm 64, it'll probably take somewhat longer than for people in their 50's. I've never had a broken bone, so have no idea how bad they're going to feel.

I don't actually have arthritis, just chondromalacia and crumbling menisci, and am able to do everything I need to do around home w/o pain, but not get enough exercise. I'm ignoring the pain & trying to build up my leg muscles (started 2 months before the scheduled operation) & also stretch them so I hopefully don't have as much of a problem as people who've had arthritis for a long time. What do you think?

The doc's nurse told me most people have the hardest time getting the leg to totally straighten out. It seems to me that, if the bones were good going in, that would be less of a problem than getting it to bend because of the swelling. Do you think that's right?

Thank you.

Ann

Re: Pain right after TKR

You are correct about the pain. i think that the muscle pain is the worst in people who lived with bad joint for so long the ended up losing a lot of muscle or where the leg needed lengthening. the bone heals a lot faster than the muscles stretch so we/they end up with nagging pain. plus the nerves need stretching/realigning and that can take what seems like forever to heal. over time we learn bad habits walking and bending. then reteaching us good habits can affect muscles a long way from the replacement site

[Guest guest]

So you didn't have arthritis either? What is eburnation? By age, I meant things heal slower.

Thanks.

Ann

Re: Pain right after TKR

You are correct about the pain. i think that the muscle pain is the worst in people who lived with bad joint for so long the ended up losing a lot of muscle or where the leg needed lengthening. the bone heals a lot faster than the muscles stretch so we/they end up with nagging pain. plus the nerves need stretching/realigning and that can take what seems like forever to heal. over time we learn bad habits walking and bending. then reteaching us good habits can affect muscles a long way from the replacement site

[Guest guest]

I was referring to the stretching of the skin/flesh just to

get in there. Especially if you had minimally invasive

surgery where the incision is much smaller and use much

smaller instruments to operate which is what I had done

and hopefully will have again this time around. Geez,

I forgot to ask today. I hope this doctor can make the

cut on top of the first one.

Sherry

Re: Pain right after TKR

In a message dated 9/21/2006 12:33:04 A.M. Central Daylight Time, ruby2zdyearthlink (DOT) net writes:

I was wondering what causes the main pain after a TKR -- the cut bone? The cut muscle? The swelling? It seems to me a bone that's been reamed out or cut off would hurt a lot, since bones are full of nerves, and even a hairline fracture hurts like hell, but people here seem to be talking more about muscle pain.

Thanks.

Ann

Hi Ann, I think that it's the swelling, but I could feel where they had cut the bone off also. That bothered me for awhile, but I can't tell anymore. Therapy did hurt a lot, at least for me, but gets better every time.

[Guest guest]

I think you can always tell when it's going to rain Ann.

Some days you just hurt but at least you can walk which

is what counts.

I had no problem with straightening the leg (extension)

but bending was a bear. Now I can do it all over again.

Sherry

Re: Pain right after TKR

You are correct about the pain. i think that the muscle pain is the worst in people who lived with bad joint for so long the ended up losing a lot of muscle or where the leg needed lengthening. the bone heals a lot faster than the muscles stretch so we/they end up with nagging pain. plus the nerves need stretching/realigning and that can take what seems like forever to heal. over time we learn bad habits walking and bending. then reteaching us good habits can affect muscles a long way from the replacement site

[Guest guest]

Ann

Osteoarthritis is what they call it. Chondrocalcinosis. Eburnation is when the cartilge has worn off at some point and you have signs of bone on bone rubbing on x-rays.

The issue of getting the leg to extened straight to zero degrees is probably everything but bone health. It is tendons and muscles that are cut and sewn up that need to streach and scar tissue that adhears to things it shouldnot.

Al

From: Joint Replacement [mailto:Joint Replacement ] On Behalf Of Ann Sent: Thursday, September 21, 2006 2:31 PMJoint Replacement Subject: Re: Pain right after TKR

So you didn't have arthritis either? What is eburnation? By age, I meant things heal slower.

Thanks.

Ann

Re: Pain right after TKR

You are correct about the pain. i think that the muscle pain is the worst in people who lived with bad joint for so long the ended up losing a lot of muscle or where the leg needed lengthening. the bone heals a lot faster than the muscles stretch so we/they end up with nagging pain. plus the nerves need stretching/realigning and that can take what seems like forever to heal. over time we learn bad habits walking and bending. then reteaching us good habits can affect muscles a long way from the replacement site

[Guest guest]

That is what is nice about minimally invasive surgery.

They don not cut any muscles at all so you heal faster.

Sherry

Re: Pain right after TKR

You are correct about the pain. i think that the muscle pain is the worst in people who lived with bad joint for so long the ended up losing a lot of muscle or where the leg needed lengthening. the bone heals a lot faster than the muscles stretch so we/they end up with nagging pain. plus the nerves need stretching/realigning and that can take what seems like forever to heal. over time we learn bad habits walking and bending. then reteaching us good habits can affect muscles a long way from the replacement site

[Guest guest]

,

You are doing well in the ROM. I too hand the leg over with a weight they attach and then wait 10 minutes in pain. I wish the vicodin worked for me but it does not seem to help. When I take them at night, I wake evey two hours anyway. I even had a bad dream last night that had something to do with a TKR!

Al Welch

From: Joint Replacement [mailto:Joint Replacement ] On Behalf Of Pets007@...Sent: Thursday, September 21, 2006 2:51 PMJoint Replacement Subject: Re: Pain right after TKR

I am one month post Op (TKR) and most of my pain right now is an achy feeling.....I'm still taking Vicodin prior to PT and one at night before bed.....the sharp pain I had after the surgery is gone and like I said it's now more of a bad ache....bending it seems to hurt more than trying to straighten it....although today in therapy she had me lie on my stomach on the table hanging my legs over the end of the table and just try to relax for 3 minutes.....wow....did that ever ache!....they are trying to straighten it more.....I am at # 6 straighten ( I was at #13 when i started therapy 2 weeks ago...) and my bend is at 108 right now....

[Guest guest]

My OS said he does a modified minimally invasive cut. He starts on the medial side of the knee close to the patella, then near the top of the patella he veers off medially but diagonally so he cuts between the fibers of the VMO. He makes just enough of an incision to get in there & make sure everything fits right.

Ann

Re: Pain right after TKR

You are correct about the pain. i think that the muscle pain is the worst in people who lived with bad joint for so long the ended up losing a lot of muscle or where the leg needed lengthening. the bone heals a lot faster than the muscles stretch so we/they end up with nagging pain. plus the nerves need stretching/realigning and that can take what seems like forever to heal. over time we learn bad habits walking and bending. then reteaching us good habits can affect muscles a long way from the replacement site

[Guest guest]

In a message dated 9/21/2006 1:19:48 P.M. Central Daylight Time, blueopal@... writes:

All of the above Ann. All surgery no matter what it

is always hurts. TKR more since bones are drilled and

flesh is stretched way beyond what is normal. Lots of

swelling takes place. Putting weight on your legs makes

the pain worse but is necessary. Pain up to 15 months

is normal.

Sherry

I'm glad you said the 15 month thing. I'm 10 months out of my first one and it still hurts. It's so much better, but I can't wait until it feels normal, whatever that is. It's been so long I can't remember.

[Guest guest]

In a message dated 9/21/2006 3:53:25 P.M. Central Daylight Time, ruby2zdy@... writes:

The pain from the therapy -- was that muscle-stretching pain? Thanks.

Ann

Oh yeah, it really hurts to get those muscles stretched out again. Mine still aren't where I would like them, but without all of that joint pain I can manage.

[Guest guest]

In a message dated 9/21/2006 3:57:40 P.M. Central Daylight Time, ruby2zdy@... writes:

The doc's nurse told me most people have the hardest time getting the leg to totally straighten out. It seems to me that, if the bones were good going in, that would be less of a problem than getting it to bend because of the swelling. Do you think that's right?

Thank you.

Ann

I had lots of problems with them saying my leg wasn't straight enough, but I don't think that I ever had it as straight as they wanted it to be. I'm very happy with it.

[Guest guest]

wait till they put 3lbs of weight and make it 6 min laying on your stomach. that where i'm at.ShirleyPets007@... wrote: I am one month post Op (TKR) and most of my pain right now is an achy feeling.....I'm still taking Vicodin prior to PT and one at night before bed.....the sharp pain I had after the surgery is gone and like I said it's now more of a bad ache....bending it seems to hurt more than trying to straighten it....although today in therapy

she had me lie on my stomach on the table hanging my legs over the end of the table and just try to relax for 3 minutes.....wow....did that ever ache!....they are trying to straighten it more.....I am at # 6 straighten ( I was at #13 when i started therapy 2 weeks ago...) and my bend is at 108 right now....

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[Guest guest]

Ann,

I have to agree with the nurse, but I've been saying the same thing

for months now...It's the laying down with the weights that really

hurts...With the bending excercises, you can push it as much as you

can stand it & make progress that's easy to see, but with the

straightening, man, just laying there for 10 minutes trying to relax,

yeah, right!...I'm not sure wha my straight angle is now, I think

it's about 3, which is perfectly functional & allows me to walk

without a limp,,,and although I don't go to a PT anymore, I ride a

bike, either stationary or Lucy several times a week, & do the

bending & straightening excercises during television

commercials..I'll be seeing my surgeon next week & am curious about

the angles,,,,and the stiffness, and the ocassional 'clicking

noise'...On the other hand, I helped some friends move a coupla weeks

ago(up & down at least 200 flights of stair carrying boxes) &

although my knee stiffened up by the end of 2 days, it didn't hurt!

Bob

>

> In a message dated 9/21/2006 3:57:40 P.M. Central Daylight Time,

> ruby2zdy@... writes:

>

>

> The doc's nurse told me most people have the hardest time getting

the leg to

> totally straighten out. It seems to me that, if the bones were

good going

> in, that would be less of a problem than getting it to bend

because of the

> swelling. Do you think that's right?

>

> Thank you.

>

> Ann

>

>

>

> I had lots of problems with them saying my leg wasn't straight

enough,

> but I don't think that I ever had it as straight as they wanted it

to be. I'm

> very happy with it.

>