It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Pain Management Message Board

  • Pain management options following knee replacement surgery?

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 10-10-2009, 09:55 AM   #1
    ahabt
    Junior Member
    (female)
     
    ahabt's Avatar
     
    Join Date: Dec 2008
    Location: Albany, California, USA
    Posts: 26
    ahabt HB User
    Pain management options following knee replacement surgery?

    I had a total hip replacement in February that went well except for pain management afterward. I apparently can't take any opiate-family medications, at least not orally. I have a along history of convulsive vomiting that goes on for hours if I take codeine, vicadin, any of the meds in that family. Immediately following the hip surgery I was on a pain pump with an alternative to morphine for about 24 hours, and that worked well. Then they took me off that and started giving me oral percocet, which I had never had before so they thought might be OK, but I had a miserable day or so of vomiting and, of course, no pain control either. Then they gave me medication to control the vomiting, which did only that, did not control the feeling of nausea. Finally after the third day I stopped taking both meds because the continual nausea was worse than the pain, and didn't take anything but aspirin after that.

    I'm now due for a total knee replacement, and have been putting it off because I'm apprehensive about pain control. I have heard that pain is more of an issue with a knee replacement than with a hip. My sister, who is an RN, says that probably what I need is demerol, but it's such a frequently abused drug that they don't like to prescribe it for anybody who knows enough to ask for it. Is there anybody who has been through this kind of situation, and has advice to offer?

    (I'm 62, reasonably healthy except for the severe osteoarthritis that is leading to all this surgery.)

     
    Sponsors Lightbulb
       
    Old 10-10-2009, 01:04 PM   #2
    Boxerluver
    Inactive
    (female)
     
    Join Date: Jan 2007
    Location: Florida, USA
    Posts: 504
    Boxerluver HB UserBoxerluver HB UserBoxerluver HB UserBoxerluver HB UserBoxerluver HB UserBoxerluver HB UserBoxerluver HB UserBoxerluver HB User
    Re: Pain management options following knee replacement surgery?

    Hi, many people have that reaction to narcotics, my husband is one of them. Although we have figured out if he just has one is is usually OK. He is having some dental work done soon and I am worried that he will not have pain control.

    As far as asking for demerol, since you have had previous surgeries and had problems with vomiting on them, I can't see why it would be a problem to ask for something that will not make you vomit. If you could get your hospital records from that other surgery and find out what they gave you in the pump, and that it didn't make you sick, they should just give you the same med. Fentenyl is another option, I've heard it is a close derivative of demerol so it may work for you as well. There is nothing wrong with asking for a med that worked when others make you that sick. Your records should also show you were throwing up with the meds so that may help you also.

    Good luck!
    Melissa

     
    Old 10-11-2009, 07:57 AM   #3
    Executor
    Inactive
    (male)
     
    Join Date: Jan 2008
    Posts: 3,998
    Executor HB UserExecutor HB UserExecutor HB UserExecutor HB UserExecutor HB UserExecutor HB User
    Re: Pain management options following knee replacement surgery?

    Quote:
    Originally Posted by ahabt View Post

    My sister, who is an RN, says that probably what I need is demerol, but it's such a frequently abused drug that they don't like to prescribe it for anybody who knows enough to ask for it. Is there anybody who has been through this kind of situation, and has advice to offer?
    Your sister is right...To a certain point. Yes, if someone comes into the ER and says "Hey, I hurt my back and only Demerol works", then yes, that's a red flag. But in your case, not even close. With all due respect, she's comparing apples to oranges.

    If it were me, I would make an appointment with the surgeon and tell them about what happened with the prior surgery. Tell him everything in detail and about how you're scared to death. Any good surgeon would be compassionate because having surgery without pain control is like torture.

    If the morphine drip in the hospital worked, I wonder if they could try oral morphine pills...MsContin, Kadian, or Avinza? Or the Demerol as your sister suggested? Given what happened to you, there is absolutely nothing to worry about re: mentioning these meds by name. I would tell the Doc straight up that you are concerned and you went to the internet for help, talked to your sister, and others.....And this is what you've come up with. You're asking for adequate pain control following surgery, not for long term maintenance. Two different animals altogether.

    Quite frankly, it's up the surgeon, and the anthesiologist to figure this out. No one can be expected to go through knee replacement without adequate pain control. From what I know about it, you'll need reasonable pain relief for several weeks following the procedure. Sounds like anything dosed with Oxycodone, hydrocodone, or codeine is out of the picture. That leaves oral morphine, demerol, or fentanyl. I would ask about the fent patch, altough it's not recommended for acute pain. But in your case, your options are severely limited. This is where the expertise of your Docs come in. You may need a special consult with the anthesiologist. I would....Because he will be the one controlling your pain immediately after the surgery, and then your Doc takes over from there.

    Best of luck with this.

    Regards,

    Ex

     
    Closed Thread

    Related Topics
    Thread Thread Starter Board Replies Last Post
    Constant knee joint pain logger Knee & Hip Problems 2 11-14-2012 05:06 PM
    OCD Repair Options SkatersDad Foot & Ankle Problems 52 04-15-2008 03:53 AM
    I can't take anymore pain sarsha99 Hysterectomy 5 05-24-2007 10:33 AM
    Chronic Pain and Surgery: Please Advise jhmitch Pain Management 6 10-07-2005 12:32 PM
    Tolerance question from chronic back pain sufferer blueswimmer Pain Management 10 01-30-2005 03:37 PM
    surgery denied because of pain meds it never ends Pain Management 5 01-14-2005 02:38 PM
    Can't control the pain anymore...very depressed, need dosage advice dawn1234 Pain Management 15 01-02-2005 12:09 PM




    Thread Tools Search this Thread
    Search this Thread:

    Advanced Search

    Posting Rules
    You may not post new threads
    You may not post replies
    You may not post attachments
    You may not edit your posts

    BB code is On
    Smilies are On
    [IMG] code is Off
    HTML code is Off
    Trackbacks are Off
    Pingbacks are Off
    Refbacks are Off




    Sign Up Today!

    Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

    I want my free account

    All times are GMT -7. The time now is 03:26 PM.





    © 2022 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!