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Suggest Treatment For Pain After Knee Surgery

Posted on Wed, 29 Jan 2014

Question: why is it so hard for ligit chronic pain patients?

Answered by Dr. Praveen (4 hours later)

Brief Answer: Can you please brief aout your pain Detailed Answer: Hello.Thanks.for writing on XXXXXXX I would like to know more about the nature of pain. Where do you have pain? How frequently do you have it? Is it constantly present? What is the duration of pain? When does it increase/decrease? What is the nature of work you have been doing? Do you have any other ailments? Are you on any medications? Please feel free to share so that I can help you better. Thanks.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Praveen (55 minutes later)

Hi Dr. XXXXXXX thank you for responding to my question. if you have a little time, I need a little bit of time to put the answers together to the questions that you ask me. You asked some really good questions and I have some answers for you. Please be patient with me while I get the answers together. thank

Answered by Dr. Praveen (9 hours later)

Brief Answer: Sure Detailed Answer: Hello. No worries.Take your time. Keep me posted.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Praveen (5 hours later)

The pain is in my back, head, neck (c5-7,) both shoulders/left arm, hands;left hip/leg/ankle/and foot. Both my hands and feet are also in pain. Back L4, 5 s1 with an annular tear with injured generative disc disease, oh and let's not forget my left knee. I've had a surgery done on my left knee which had a meniscus tear and I have a meniscus tear in my left hip. Both shoulders have rotator cuff tears pretty bad. I've had surgery on my left shoulder pending my right shoulder surgery. I've had surgery on my left knee. I've had surgery on my left foot; removing a bone from one of my toes and serious problems with my big toe where it hurts constantly. I've had blood work done for immune disease which came back with joint issues. So as youthful see or read I'm pretty messed up and I'm constantly on pain 24 seven. Any response will be accepted . Thank you so much for reading it. Oh I forgot say that my pain gets worse when it rain and when it's cold. So right now in Ohio it very cold and I've been suffering daily. Thank you

Answered by Dr. Praveen (8 hours later)

Brief Answer: Can you please explain a bit Detailed Answer: Hi, Thanks for giving these details but I shall be able to help you if you can explain about the nature and duration of your pain. Do you have any other medical ailments or history? A detailed description of your symptoms and current treatment will help me address your concerns better. Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Praveen (1 hour later)

Dr. I pretty much explained everything that's wrong with me.I've had epidural steroid shots in my back and pretty much surgery, and some therapy. pretty much it for the past few years. I've just had medication and therapy off and on. I have not been to a rheumatologist yet for my joint issues but I also am having a hard time having the doctor except me being a pain patient. I've seen chiropractor and therapy for different areas of my body and injections. I have a phobia of needles, I have a really hard time with needles, so I can't do anything awake when they try to do the trigger point injections like my hip and shoulder I couldn't do it because they want me to stay awake. the phobia of needles is really really bad. Thank you back

Answered by Dr. Praveen (2 hours later)

Brief Answer: Please share the information on your pain Detailed Answer: I have thoroughly read your query and deeply understand your concern. I am not sure if you are active (moving) because of multiple joint involvement.This is the reason why your joint pain have become vicious and intolerable to bear.I would advise you to move your joints slowly so that they would not become stiff and painful.You need to be active as far as possible. Since you are having multiple joint involvement(which have been operated) I were to treat with non- surgical therapy like: Oral medication(NSAID’s) for the relief of inflammation. Physical therapy such as mild to moderate joint massage and easy stretches which will give not only adequate relief but also keep the pain under check constant and hasten the recovery. Local heat and cold (thermotherapy) Assistive devices (eg walking sticks, tap turners), Supports and braces (for neck and back) to relieve biomechanical joint pain. Shock-absorbing shoes or insoles protect your joints Keep yourself or your room warm and try to keep away from cold temperature which will trigger your pain Hope these few precautions will give you adequate pain relief. Thanks.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Praveen (11 hours later)

Yes Dr. your recommendations are great and I will use them. The only problem is I'm allergic to NSAIDs. I found out about that back in 2007 when I was hospitalized for seven days for taking ibuprofen and things like that. I started passing blood really bad and this was after my knee surgery. doctors found out that my knee surgeon had me on hydrocodone and ibuprofen and I got really sick and ended up in the hospita. I had no idea what was causing the passing of the blood and vomiting was really bloody until the doctors found out that I was taking hydrocodone and ibuprofen after my knee surgery so they told me I could never take NSAIDs again. but all your other recommendations I will look into doing. I used to be a very active woman until the pain progressed and it progresses year-by-year and it gets worse so I guess I'll just try to take it easy and do do what you recommended. Although, the pain medication does help and it helps to get on the move with many of therapies and things that I need to do. I appreciate your response to my questions and the help that you've given me. I'll take every bit of your information under consideration and use it. thank you so much Dr.

Answered by Dr. Praveen (8 hours later)

Brief Answer: It's very important to stay active Detailed Answer: Hi, Welcome.Thanks for writing me back. You may use the pain medicine of your choice and those allergic ones. But take all precautions to stay healthy, active and fit.Also try meditation, yoga and breathing exercises.I am sure you will overcome your pain and lead a stress free life with these few tips. Thanks

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Above answer was peer-reviewed by : Dr. Raju A.T