Pain Management after Total Knee Replacement / Multi-modal and Non-opioid pain control

[@dradamrosen]

Pain is unavoidable after surgery. But narcotics should be the break-thru drug after a combination of multiple medications that help make post-op pain more manageable.

[@juliefeher8716]

Greetings from Australia! Love your work Dr Rosen! So informative and well explained. Glad I found your KZbin channel one week after TKR ! Thank you for your dedication and commitment.

[@dradamrosen]

Welcome! Glad you liked it.

[@sidrow11]

Dr., thanks very much for a most informative, comprehensive presentation.

[@dradamrosen]

You are very welcome

[@deejayreff]

Dr. Rosen - Thank you for your well-balanced, affirming suggestions.

[@dradamrosen]

You are very welcome

[@Mike-ys7rh]

Dr. Rosen, I wanted to thank you for your informative videos…I recently had both knees replaced 12 weeks apart and found all of your videos to be extremely helpful-they helped guide me thru the recovery period…thanks again for the time/effort producing these valuable reference tools!

[@dradamrosen]

Glad to help and thank you for the kind words.

[@tamianderson123]

Dr. Rosen, Thank you for your videos. They are so helpful. Have a great weekend.

[@dradamrosen]

Glad you like them!

[@sharonleong4185]

Dr Rosen, Thank you for taking the time to educate and inform! Watching your videos, all your podcasts and reading your book on "The Knee Book" have prompted me to seek help. Now working with a physio to help with pre op exercises before the total knee replacement in 3 months time. I am feeling confident and optimistic that I will get better after the TKR (which I have postponed for 2 years). Thank you again for all the valuable information from London, UK

[@dradamrosen]

You are very welcome

[@Bleebs57]

Thanks Adam so much. I'm a 74 y/o sports loving NP who worked in recovery as a nurse in the days of PCA's. I am having the 1st knee done in September and second knee likely next September. I have been doing the pre-hab for years knowing it was coming (not 3x's/day), as well as biking, swimming, tennis, and good ole pickleball. My BMI is 20.3. Your talk was interesting, insightful, and encouraging. I found the too thin just as interesting as the not to thin. Really appreciate the time you have taken to do your books, and the video's, and likely talks at conferences. Thank you again!!

[@dradamrosen]

Glad you enjoyed it. Thanks for watching

[@purplgrits7916]

Very informative and helpful. Thank you Dr. Rosen

[@dradamrosen]

You are welcome.

[@rosesablee]

Thanks very much from Malaysia Dr Rosen. Very helful and great informative..

[@dradamrosen]

Glad it was helpful!

[@annetimmurphy6511]

On day 10 post tkr - 60 yr old female former competitive and marathon runner moving well without Walker - using cane but can get around without it easily. Trying to get 4K steps a day and doing all my range of motion stretching. Doing chair workouts . I’m used to a high level of activity. Would like to do more lifting and strength work but did have a lot of pain after weight work out so doctor recommended not overdoing it. Still having a lot of pain but off the oxy and gaba as of day 8. Going to try cbd cream. Thank you for all the great advice. I understand this is a process and was mentally prepared. Still, very hard to hold back on moving more. I would like you to get back to 8-10k steps per day asap - wondering how many steps you recommend per day in 2nd week of recovery? This is for a person that was working out 6 days a week and getting 10k steps a day before surgery .

[@dradamrosen]

This video might help guide you -kzbin.info/www/bejne/gmindZiKaaejnKs I have some patients walking 2 blocks and others walking 2 miles at the same post-op point.

[@AKing99]

Thank you so much for this information, I am 2 months post tkr surgery and I have noticed the numbness area decreasing and was concerned that it might not all go away. One less thing to worry about. Thanks from Houston

[@antoniettabonfigliovetere1195]

What about red light therapy?

[@damodaranp7605]

Sir, what is the cause of consecutive muscle cramps even after ten months of tkr?

[@RoseBudFC]

Thx for this really well detailed plan you use for many TKR patients. As I commented on another video, I had two weeks of absolutely awful experience with all the medications was given from day 1 of surgery. This resulted in two trips to ER and a colon swollen like a balloon. At week 5 now, and after being removed from first night morphine, then switched to oxycodeine opiods due to massive throwing up, and then finally removed after ER trip about a week later, my stomach is back to normal and on right track to focus on my actualy knee recovery! Still some severe achy pain at night but covering as much pain as possible with 2x Tylenol Xtra strength, some nights only 1 pill now, and prescribed anti inflammatory during the day. (Also ice, elevation, self massage, wave type music etc.) Not great sleep nights yet but improving slowly and I like the idea on the next leg, to go more for early Acetaminophen load like you've done and will bring your video etc to my surgeon when ready. One question though, was the anesthesia "general" in conjunction with the nerve block? I had an epidural and the nerve block. My first time so very scary to allow a needle and numbing in my back, but it gave me a day with a slower progression toward the inevitable pain and get some meds to control pain as much as possible first, and not have pain hit instantly after the surgery. Just wondering if that is something more standard in USA TKR now? Seems to be the norm with Toronto Canada surgeons now.

[@cindywelch9592]

Thank you for this. How do you get a practice code to order from Corganics? I’d like to get away from the Meloxicam if I can still taking Tylenol at night. Traveling has been tougher than I expected

[@dradamrosen]

You can ask you doctor to reach out to Corganics. If your doctor is interested they can contact them. Once you doctor completes the educational platform they can provide you with a code.

[@aggressiveboomer88]

My tkr is in September and the thing I'm scared of the most is that narcotics and NSAIDS give me violent migraines, and I keep hearing thats what is needed for severe pain.

[@damodaranp7605]

Will dvt cause pain on knee after 6 months of tkr?

[@pattis2505]

A very informative presentation. After my knee replacement last June, I was lucky as I did not have a whole lot of pain. At my visit to get my staples out my ortho doc asked if I needed a refill on my pain meds and I said no. I think he was quite surprised at my response. I took the Tylenol and Ibuprofen as directed, and got thru it very well. I know we are all not alike, but being proactive with the anti-inflammatory and Ibuprofen does work!! Thank you for sharing your expertise, it is most appreciated! Take care!

[@dradamrosen]

You are very welcome