pain relief.

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Hi all, quick question, I'm 10 days post tkr. My prescribed pain relief is;

Paracetamol 500g x 2 , 4 - 6 hrly

Codeine 60mg, 4 - 6 hrly.

I'm in a lot of pain in between, from about 2 hrs in. What do you suggest as additional pain relief or should this be enough to manage?

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10 Replies

  • Posted

    I feel your pain - that dosage certainly wasn't enough for me in the early days...I needed stronger opiates to help me through.....I agree with Jen - you need to speak with your GP.......suffering such pain wont help your recovery much.....sorry not to be much help but good luck.....x

  • Posted


    Same as I was taking, i had rtkr 8th May and the pain can be a struggle, especially at night and when doing excercises. also my whole leg was so swallon and weeping a lot  I had to have cold compress and antibiotics . I’m still on the codine but trying to ease off gently, as stopping completely is not beneficial , there is light at the end of tunnel I still get swollen ankle and knee but excercises are easier now and I’m starting to do longer walks with my dog, I have Not  got that consistent bone on bone pain as I had before the op 

    I would go and see your doctor to see if he can give you something stronger.

    Good luck xx

  • Posted

    My medication was Zamadol (Tramadol) 24h 200 mg (slow release) 1 day

    diclofenac 50 mg. 4 day

    Co-codamol 30mg / 500mg. 4 day 

  • Posted

    I agree that this might not be enough it certainly wasn’t for me and I was forewarned so when they proposed sending me home without opiates I said no I need something stronger. I am allergic to tramadol so they sent me home with oxycodone paracetamol and diclofenac - it made a huge difference! When I was finishing that supply I said same to GP, that I understood the dangers of dependency and I’d use the oxycodone as little as possible. They then gave me another two weeks. I did what I said and only used it as needed - often to help me do the exercises as required and at night. I think that regime and the frequent icing and elevating I am sure has been a large part of why I’ve had such a good recovery.  To quote my surgeon - ‘the biggest mistake you can make is reducing or stopping pain relief too soon.’ 

    I don’t know why some drs do this it’s aeems to fly in the face of recommendations.  Is it the GP who has issued this? If he/she continues to be reluctant to upgrade your meds then ask surgeon to speak to  or fax /email him/her. 

    I’d be straight back to dr -  it’s a bank holiday in uk of course if that’s where you are that doesn’t help - but if you are in agony and there’s a walk in clinic or you could phone 111 I would and tell them it’s unbearable. 

    Otherwise call GP and surgeons Secretary first thing Tuesday and explain you need an urgent appointment. 

    I would say even with the stronger meds nights were hard for 4 weeks gradually lessening but more being unable to be comfortable than being in pain. 

    The other thing I recommend is an Aircast cryocuff to make frequent effective icing soooo much easier including in bed without even having to leave your bed! Google it. It’s worth the money if you can manage it, I am still using it now 12 weeks in whey I get some swelling of pain after exercise 

    • Posted

      Yes I was on opium   based meds  for almost 8 weeks ,sent home from hospital with them and then  my GP gave me them, I couldn’t have coped without them, and even with the pain was bad . I had no trouble stopping them , 

      First replacement 7 years ago same thi g except I had to phone surgeons office and they sent script to chemist , again on them for about same time , found at 8 weeks pain levels suddenly decreased dramatically 

  • Posted

    I had surgery back in May. I recall taking pain meds just as the pain started, they say to keep ahead of the pain. Talk to your surgeon regarding pain meds. Keep icing and elevating for swelling and pain.

    The pain will decrease as you are still early post op.

  • Posted

    Absolutely talk to your doc.  There are many medications that can be used.  Docs will start with those that work best on most of their're not one of them.  So now the doc's gotta try some different meds or change the dosage and/or timing of your current ones.  It's actually a trial-and-error thing to find what works for you.  Just work with your doc until you find the right mix to keep you out of the worst of the pain.

  • Posted

    I was given a lot more than that! Endone 4 hourly , panadol , slow release twice a day , Targin or slow release oxycodon . Plus because I found nerve pain bad I took lyrica for a couple of weeks. I am surprised you can cope just on those , I found even with what I was taking pain levels high especially at night 
  • Posted

    Try Tramdol maximum 50 mg per day when the unbearable pain sets in.  After dinner before bedtime Gabapentin 300 mg and a pillow between the legs. Also a 

    a podcast or audio book will put you gently to sleep. It works for me. However, I  take  “GABA” only those nights I cant fall asleep! Bangkok-Johnnie. My TKR case. Chronic TKR infection. Now home with a “Spacer” waiting for a final revision (hopefully) and new implant. Pain? More than I ever imagined before the procedures. Now low back pain,  Are there any Hollywood movies about TKR? Here’s my screen play idea: A protagonist with dodgy (kaput) knee and TKR gone bad and of course a romance with the orthopedic surgeon. What do you think? 

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