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Re: help! morphine injection into knee- tomorrow

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Dear Margaret,

Wishing you the very best with your treatment. Hope you will let us know

know how it goes, and glad you are not thinking of driving. OUCH bigtime to

say the very very least. I haven't had your extensive surgeries for knee

pain, you are a resident expert as well as nice person to post. Again, do

well, you will.

Best wishes, Misek-Falkoff.

Margaret wrote:

> He wants to do morphine injections into my knee tomorrow.

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I wonder what he's trying to accomplish with that injection. I had Lidocaine

injected into my knee once to determine whether the pain was coming from inside

my knee or the IT band. Morphine seems like a step way beyond Lidocaine.

Ann

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Thanks, everyone for all of your posts. I've had lots of cortisone shots

and they break the pain cycle for a little while. My pain management dr is

doing the morphine injections and he's one of the best in the country-I'm very

lucky. Morphine is a powerful anti-inflammatory suprisingly and some of the

morphine also goes systemically. This therapy is used a lot after knee

arthroscopy- the surgeon will inject the knee with morphine usually combined

with

lidocaine. If you look up morphine intraarticular injections on the internet,

there are a couple of journal articles about it. There are opioid receptors

in our tissues as well as in our brain and the hope is that the morphine

binds in the tissue of the knee to these receptors (like a lock and key) and

blocks pain signals going up the spinal cord to the brain while providing

anti-inflammatory effects. I'll let everyone know how it goes! Margaret NC

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Wow, Margaret. That is a lot of surgeries. I as well have had

lidocaine shots into my knee joint. The first one was by my second

knee doctor. He made a big deal out of it with the betadine and

numbing shot. The numbing shot hurt like crazy, but that was nothing

compared to what was to follow. When I went for my first visit to my

present doctor, he told me that he was going to give me a shot of

lidocaine and cortizone. I had very strong reservations. He told me

that it wasn't a big deal as he gives them to himself. I experience

no more pain than a mosquito bite. In the mean time he has given my

many injections and none have hurt. I am not trying to scare you. If

you have a doctor that is good at the injections, then there should

be nothing to it. I would really like to know how it goes as well.

Steve

Margaret wrote:

> I went to my pain doc today and I've been in terrible pain with my

knees lately (13 surgeries age 27 due to chrondromalacia patella).

he wants to do morphine injections into my knee tomorrow.

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Margaret>>> This therapy is used a lot after knee

arthroscopy- the surgeon will inject the knee with morphine usually

combined with

lidocaine.>>>

Hi Margaret,

I had arthroscopy surgery on my knee and they did exactly that...morphine

and lidocaine after the surgery. It was great and my knee felt

wonderful...I thought wow this is so much better than the last one (I had

knee surgery the year before on the other knee). I went home and walked all

around and felt great.....until the next day and then ouch ouch ouch...it

wore off that quickly and I was in such pain. I wish they had told me not

to do so much and that it would hurt the next day. Maybe it is better and

last longer if you are not having it after surgery. Good luck.

Ann in Pa

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