TKR :: Pain Relief? Paracetamol And Codeine Not Working


May 31, 2016

I am new to this, but at the moment I'm wishing I had never had this done. I had a TKR done on Friday, the epidural and sedation didn't work so had to have a general. The pain relief I got whilst in hospital was good, came home yesterday and all I've got is paracetamol and codeine, which has no effect at all, slept in 20 minute intervals all night. Our dog had her crucial element ligament done about 17 months ago and she was on better pain relief. I am honestly regretting what I have done, sorry for sounding so negative.

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Frozen Shoulder :: Pain Management - Morphine, Naproxen And Paracetamol

In 2007 I had true frozen shoulder in my left (non-dominant shoulder). After freezing and while waiting for arthroscopic release I spent five months on dihydrocodeine and tramadol and didn't sleep. Nosleep. None. I don't really remember much about 2007, I was 42. I continued working, but like a zombie.

I had the arthroscopic release and was off all pain meds within 2 days – was magic.

Surgery performed by Mr Cameron Hatrick in Sussex on the NHS.

However I had severe muscle wastage and was very unfit, so months and months of physio followed before I regained full movement and fitness.

Exercises I found particularly useful was being able to windmill my arm – simulating swimming movements in addition to the other recommended exercises.

In October 2014 I suspected the onset of frozen shoulder in my right arm. I completed as many of the exercises I did post op last time, as possible and went to gp and physiotherapist.

I maintained mobility much longer but had pain when sleeping and lying down, so disrupted sleep.

In late January I lost all mobility within 2 weeks, much more rapidly than last time, but I assumed it was because I had been keeping the strength and mobility exercises up. Up till this point I was coping with just paracetamol.

I was referred to Mr Hatrick again. In the meantime, while waiting, I was back on the dihydrocodeine, then back on the tramadol too. I also used heat patches – the kind that last 12 hours and you wear on clothing, not skin. Still managing sleep in 2 and 3 hour spells to add up to 6-8 hours a night.

However I felt my whole health was deteriorating with the use of the dihydrocodeine and tramadol, as they made me an idiot and I was in a new job and trying to impress. (Well at least look professional).

When they recruited me in February I explained about my condition and that I was waiting for keyhole surgery and would expect to be back at work in a few days. The new job was great because I could go by train as I had given up driving as could open and close the driver's door or use reverse gear.

Before seeing the consultant, I returned to my GP and he wrote a letter to point out how this was adversely affecting my mental health, recommending the procedure be done quickly. I saw Mr Hatrick on March 30th and had the op on April 1st in Brighton.

However, this time the discharge included notes and graphic images and explained the complications encountered. I did not only have arthroscopic release and manipulation under anaesthetic. As I had inflammation ++, impingement ++ and a thickened bursa, I was given a nerve block and had bone shaved.

I went home, tried the dihydrocodeine and tramadol and suffered. Went to the gp twice, spoke to the gp twice, saw the nurse to have my stitches removed and returned to the hospital for examination by a duty registrar. I saw the physiotherapist for an assessment who looked at my discharge notes and said I had had two real extremes of experiences of easy and complicated. I then had a follow up with Mr Hatrick on day 17, who said in 14 years he had never recommended a steroid injection any sooner than 4-6 months post op as there was a risk of infection. However, he recommended it as urgent and on day 20 I had a steroid injection under x-ray.

Now it is day 22 and I am still suffering and am still off work.

Since day 5 I have been on Morphine, Naproxen and Paracetamol. Since day 17 I have also been on Gabapentin. This cocktail will sometimes mean I get 3 or 4 hours sleep. I certainly have better mobility since the release, but pain is still awful, despite the meds and plenty of ice.

Given up taking one day at a time, I now take every 4-6 hours at a time.

No idea when I will be able to return to work.

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While I was on Nucynta, I would take it, and eventually feel the effects, i.e. the lightheadedness, the "high" feeling, and also the pain relief. The reason I was switched was that Nucynta gave me migraines. Bad enough where I got ill and had to run to bed with all lights off.

Onced I was switched to Opana 5mg, things were different. I took 3 last night, my very first dosage, and took the first. No effects, no pain relief, no "high" feeling, nothing. So, about a hour and fifteen minutes later, I took another one. Still nothing. So I wait again, same amount of time, took a third pill...... Nothing.

So, when I saw the doctor originally and was switched, I was told that Opana was an equivalent to the nucynta. So, if it's an equivalent, why did I go from 50mg to 5mg? I'm just curious. I know they are different drugs and probably manufacturers. Can anyone shed some light on this bizarre issue?

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I have suffered with painful piles for many many years, I had them injected which eased them for a while the doctor at the hospital told me it was necessary for me to have surgery.

I prepared myself as best as I could by getting healthy. I ate a healthy diet and walked for an hour a day as well as working a 40 hour week.

But nothing prepares you for this. I have been in terrible pain all night, I passed my first motion in the early hours and the pain was so severe I was sick everywhere at the same time, which put a further strain on my bum. The pain since has been so intense that I don't know what to do with myself. I laid in the bath for half an hour which gave some relief but once out the pain was back.

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I've been on Naproxen 500 mg for a week to treat arthritis pain in my hand.  I'm also using a brace.  Almost seems to hurt more than it did before I went on the meds.  Is this normal?

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Pleurisy :: Paracetamol And Ibuprofen

I Had been feeling a bit tried for a week and had to go home from work last thursday as had really bad headache,(something i don't really get)

last friday i was out of breath going up the stairs so went to the doctors (i've had pneumonia before so was worried it was back)i had a temp of 38 and was told it wa a viral infection,i was told to take paracetamol and ibuprofen and if not better to go back on Monday.Come monday the breathing was better but i was getting a stabbing pain in my chest which was shooting up my left shoulder and down my arm. i thought something was wrong with my heart.I saw the doctor in the morning he asked what i was doing when i left the doctors and i said i wa going to work, he just started laughing and said you're not you have pleurisy,you have to rest for at least a week.He gave me a prescription for codeine for the pain and said if it got worse go back asap.

Monday night i though i was having a heart attack and tues wasnt any better.wednesday i started to feel very sick aswell so called the docs, they told me to go there asap so i did and was sent for blood tests and also told the sickness was due to the codeine.I was given Naprosyn for the pain and told to go back again on friday if i wasnt better.today is Thursday and im no better so looks like im going back tomo.

I tried to fold a small amount of washing this morning and had to stop as it hurt too much,i'm so fed up now as want to go back to work and get better. i feel that i can't take anymore time off work as i don't feel they give much sympathy. but i can hardly move without feeling like i'm having a heart attack.I'm only 25 and fit and healthy normally i can't understand why i get all the illnesses that older people are meant to get.

I'm so glad there are other people feeling the same and to know that this pain is normal for pleurisy.

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On Friday I went out for a few drinks (lager & vodka). Since Saturday I have been feeling incredibly anxious (not a normal character trait) and on Sunday had what I can only describe as my first ever panic attack. Since then I have been feeling anxious, sometimes light-headed and heart racing.

Sunday was the lowpoint and it was starting to improve and by Thursday I felt back to normal…so I went to the gym. 30 mins into what was not an overly strenuous routine, I was back to feeling light headed, anxious etc – just sometimes coming over me in waves.

Could this be linked to the over-use of paracetamol combined with the booze or have I maybe something more serious to worry about?

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