Discussions that mention morphine

Knee & Hip Problems board


Hi,

I am 35 years old and have been diagnosed with severe osteoarthritis in most of my joints.
I just had a TKR on my left knee on July 18th of this year. I also had bi-lateral hip replacements (4 months apart) back in 1997. I was somewhat prepared for this since I went through two hip replacements.

I was in the hospital for a week which included inpatient physical rehab. After surgery, you will probably be put on morphine pump unless you're allergic to it. I got sick from the morphine, it made me quite naseau and they told me this was normal. About two days later, they put me on Vicoden.

I had 30 staples in my knee which was removed two weeks later by a visiting nurse. I also had at home PT for four weeks which included light bending and stretching knee exercises. Last week, I saw my doctor for my 6 week post-op follow up visit and he said my knee x-rays looked good. He then gave me a referral script for outpatient PT. I've only gone twice so far.

I also still follow my at home PT regimen. I have been instructed to bend my knee as much as I can tolerate and am now at about 90 degrees. I do have pain but it usually subsides by taking Vicodin or extra strength tylenol (usually take it a half hour before doing exercise). I alternate between the two depending on the amount of pain I have. Usually I take one vicodin and in 4-6 hours take two tylenols, this seems to work for me. I am also able to drive but not walk long distances.

One concern I have now is that the long incision area on my knee has not all closed up yet. I have one spot where the knee joint bends where the scab fell off and some puss oozed out. The rest of the incision is now a nice long scar which I am putting Mederma on to smooth it out. My doctor saw this at my post-op visit and told me to keep it covered with a bandaid. However, every time I shower, it gets wet and when I remove the bandaid to put another one on, the new scab pulls off and then it bleeds a little and puss comes out of it again. I hope this is normal and am thinking that it's harder for this area to heal since it's right where the knee joint moves. For this reason, I am not doing a lot of heavy exercises at the PT office. They want to make sure that the entire incision is healed first. So, for now I am getting Electric Stim and Ultra Sound followed by light exrcises. Has anyone had a problem with part of the incision not healing as quick as the rest?

I have been out of work since the surgery. My job requires field work so I have been on medical leave during this time. I plan to return to work in October as this is when my medical leave runs out.

Anyway, I hope this answers some of your questions and if you have any more, please feel free to ask! When are you having it done? Good luck with your upcoming TKR.
[COLOR="Purple"]Painfree4me,

Thanks again for responding. I just can't believe what you have been throught at the tender age of 35! No, I'm not allergic to morphine. Is at home PT the norm after surgery? How often do they want you to go to outpatient rehab?

I've had arthritis for 15 yrs. I hyper-extended my knee back in April & it wouldn't heal, so I had to have a scope done. That is what showed what was so wrong with my knee. In may my Rheumie said I had Rheumatoid, lupus & diabetes (she said all were mid range). My knee grew worse & worse & I was off work for 3 1/2 mo. I have been back to work a month now & am worse shape that you can image. I'm worried cause I have such a high amount of pain 24/7. As of today the pain pills just don't work anymore. I alternate every 4 hrs between 2ultral & 3 tylenol then 2 darvocet then in middle if the night I take 1 vicoden. Today the meds just stopped working. I'm wearing a knee brace nearly around the clock to take the pressure off the compartments of the knee.

I just had my last hyalgen injection over a week ago. It hasn't changed anything either. The aspiration she did at the time of the injection was a lot of bloody fluid. I've never had blood in it before even though it has been aspirated every week the last 6 wks. I'm concerned about infection setting in too.
It has been nearly 6 wks post op, what does your Dr say? Is sit normal?

I will be holding off as long as possible. It looks like it will be sooner than I would like though, within the next 2 mo I think or before. I am beside myself with how much it hurts & I'm no wimp...lol. The Dr's asked me how in the world did I work all last yr? The answer is I'm young & I just kept going while popping Tylenol like candy. Now this all has stopped me dead in my tracks....They said the lupus has done a great deal of damage. There is no cartlidge at all in my left knee & the right is on it's way too.

was the surgery as bad as you thought it would be? I'm hoping I can get them both done at once. My job I can go back & fight for because of my seniority at the hospital, but 60 % pay isn't much.

How soon did you get up & walk with a walker? With wanting them both done I want to be able to walk around a little bit at least enough for stretching & potty breaks. Did you have that brace at home that moves your knee while you sleep?

Thanks so much for all your information.
Take Care & recooperate!
Roses