HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Is The Cause And Treatment For Knee Pain After Surgery?

default
Posted on Thu, 6 Mar 2014
Question: I am 76 yrs old and have AF . I am alergic to morphine....cardiac arrest. I am taking the new blood thinner, Pradaxa 110mg., Metoprolol Tart 50mg(1/2 night and am), Lanoxin-PG 62.5 1pm/1am, Frusemide 20mg per day, Micardis Plus 80/12.5, Panadol Osteo 665mg 6 per day plus Caltrate, Glucosmine Have Osteo Arthritis, serious low back (*but can't operate). Had Knee surgery 8 weeks ago. GP now finds my Liver has been failing over the last 12 months. Had a bad fall on my cocktis. Took Pannadol as well. Following knee surgery bled internally and very painfull. (wrong advise given about when I should have stopped taking this drug before op. Suffering pain for the last 12 months I took Panadol when needed as well as Panadol Osteo. More after surgery. Standfs to reason that this could have damaged my liver, but I am worried about Pradaxa or other drugs I am taking. Thinking of going back onto the Warfaran. Please advise. XXXX
doctor
Answered by Dr. Benard Shehu (2 hours later)
Brief Answer: Discuss about changing to Warfarin... Detailed Answer: Hi XXXX I read your medical history and understood your concerns. The bleeding you experienced was because you did not stop the blood-thinning drug (Pradaxa) during/after operation time. As Pradaxa is a blood thinning drug, it increases the risk for bleeding especially during operation. I suggest to keep following up with orthopedist (to check for knee bleeding/other problems). The pain you are experiencing might be related to internal bleeding. You can discuss with your doctor to run test to rule it out. I too think that you should go back to Warfarin; but first should advise to discuss with your cardiologist about it. You should lower the Pradaxa dose first, then, shift to Warfarin. Hope it was of help! Dr.Benard
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Benard Shehu

Cardiologist

Practicing since :2004

Answered : 2257 Questions

Ask me a question
premium_optimized

The User accepted the expert's answer

Ask a Cardiologist
Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2
What Is The Cause And Treatment For Knee Pain After Surgery?

Brief Answer: Discuss about changing to Warfarin... Detailed Answer: Hi XXXX I read your medical history and understood your concerns. The bleeding you experienced was because you did not stop the blood-thinning drug (Pradaxa) during/after operation time. As Pradaxa is a blood thinning drug, it increases the risk for bleeding especially during operation. I suggest to keep following up with orthopedist (to check for knee bleeding/other problems). The pain you are experiencing might be related to internal bleeding. You can discuss with your doctor to run test to rule it out. I too think that you should go back to Warfarin; but first should advise to discuss with your cardiologist about it. You should lower the Pradaxa dose first, then, shift to Warfarin. Hope it was of help! Dr.Benard