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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Post Operative Pain After A Total Knee Replacement Be Treated?

I m 67 years old and 3 months post op from a TKRI m having nighttime pain and I m hesitant to take dilaudid at bedtime. It helped me sleep before but I m feelig like I shouldn t need it this far out. I m needing a manipulation done in 10 days. Please advise.
Wed, 31 May 2017
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Orthopaedic Surgeon,  's  Response
Hello,
I am Dr. Selmani and I read your question carefully.
My opinion is that you should not use for such a long time a narcotic pain killer like Dilaudid. Your pain after 3 months from total knee replacement should be diminished and range of motion gained. I hope you are still doing some physical therapy and rehabilitation with will help you ease up the knee pain.
If your knee is swollen I suggest you to use cold therapy ( ice packs) after the exercises and physical therapy and elevation of the leg above the heart level.Also using compression socks may help to diminish the swelling.
If your pain persists , i would suggest to switch to lighter pain killers such as Ibuprofen or acetaminophen.
After the manipulation use more cold therapy for the first few days.
I hope this advise will help.
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How Can Post Operative Pain After A Total Knee Replacement Be Treated?

Hello, I am Dr. Selmani and I read your question carefully. My opinion is that you should not use for such a long time a narcotic pain killer like Dilaudid. Your pain after 3 months from total knee replacement should be diminished and range of motion gained. I hope you are still doing some physical therapy and rehabilitation with will help you ease up the knee pain. If your knee is swollen I suggest you to use cold therapy ( ice packs) after the exercises and physical therapy and elevation of the leg above the heart level.Also using compression socks may help to diminish the swelling. If your pain persists , i would suggest to switch to lighter pain killers such as Ibuprofen or acetaminophen. After the manipulation use more cold therapy for the first few days. I hope this advise will help.