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Suggest Ways To Manage Pain After Bilateral Patella Femoral Joint Replacement Surgery

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Posted on Wed, 22 Feb 2017
Question: 7 weeks ago I had bilateral patella femoral joint replacement. I am 74 otherwise fit and healthy my progress has been excellent and I have pretty good mobility. But I am in so much pain from the op and now my chronic back problem has kicked in. I had a steroid injection in th e back (L3/L4) before the op hoping this would forestall any problem which it did for a few weeks. Right now I can't tell you which area is worse. Despite trebling my dosage of diclofenac to 150 per day over the past 10 days there is only a small improvement in the knees and almost none in the back. Neither my GP nor I am happy about that dosage but neither naproxen nor ibuprofen help at at and my stomach object to co coda mol. Have you any suggestions how I get through this. Are there other drugs that will help with the pain and is Arcoxia the same as diclofenac? I do hope you might be able to offer some comfort
doctor
Answered by Dr. Aashish Raghu (14 minutes later)
Brief Answer:
Opioids

Detailed Answer:
Hi XXXXXXX

Thanks for the query

You can try opioids like Tablet Tramadol 300mg twice a day or Buprenorphine patches for much better and effective pain relief. They will need prescription from your Doctor.

I am sure you will find better pain relief with them.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Dr. Aashish Raghu
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Aashish Raghu (4 minutes later)
Are these as well as or instead of diclofenac? Many thanks for your fast response
doctor
Answered by Dr. Aashish Raghu (1 minute later)
Brief Answer:
Take with Diclofenac

Detailed Answer:
You can take them with Diclofenac. It's a better combination pain relief.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Aashish Raghu (12 minutes later)
Many thanks. Now I just need the energy to get an appt with my GP and then fight it out with her
doctor
Answered by Dr. Aashish Raghu (1 minute later)
Brief Answer:
Get well soon

Detailed Answer:
Hope to see you better soon. Get well. Good Luck !
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
Answered by
Dr.
Dr. Aashish Raghu

Orthopaedic Surgeon

Practicing since :2011

Answered : 5478 Questions

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Suggest Ways To Manage Pain After Bilateral Patella Femoral Joint Replacement Surgery

Brief Answer: Opioids Detailed Answer: Hi XXXXXXX Thanks for the query You can try opioids like Tablet Tramadol 300mg twice a day or Buprenorphine patches for much better and effective pain relief. They will need prescription from your Doctor. I am sure you will find better pain relief with them. I hope I have answered your query. I will be available to answer your follow up queries. Regards, Dr. Aashish Raghu