Joint Repair Medication

By | March 14, 2018

Managing pain after hip or knee replacement

After joint replacement you will need painmedication to help with the pain from surgery. As a physiotherapist I see how important painmanagement is to how well you will recover. Patients who told us they struggled with painmanagement after surgery said they didn't know how to get the answers to their questions.This tutorial was designed to answer some of the most common questions patients have aboutpain management. Hi, my name is Martin van der Vyver andI am an anaesthesiologist on the Acute Pain Service.You will remember that before surgery a member of the anaesthesia team met with you to talkabout the type of anaesthetic you would have

during surgery.We also play an important role in terms of pain management while you are here in the. The goal of your health care team is to make sure you are as comfortable aspossible. Good pain control allows you to do your exercises and move around better,which is critical to your recovery. The Acute Pain Service will also help to determine whatpain medication will work best for you when you leave the . Hi, my name is ShirleyMusclow and I am a nurse practitioner on the Acute Pain Service. As a nurse practitionerI have advanced training and I specialize in pain management. A member of the AcutePain Service will usually come to your

room on the first and second day after surgeryand ask you questions about your pain. This is so we can determine what would be bestfor you. We will ask you to rate your pain using a pain rating scale from 010. The numberthat you choose on the pain rating scale and how you describe the pain helps us to determineif the pain medication is working or if it needs to be changed. Your nurse will alsoregularly ask you about your pain and we encourage you to let any member of the health care teamknow if your pain is not well managed. Every patient is different in how much painmedication you may need and how long after surgery you may need it. Your pain medicationwill work best if taken at least 30 minutes

before activities or exercises. Pain is oftenmore noticeable in the evening and should be well managed to allow you to sleep. When you leave the you will be givena prescription for pain medication from your surgeon. Your surgeon will likely prescribeseveral medications; these may include an opioid pain medication (such as Hydromorphoneor Oxycodone), acetaminophen (which is commonly known as Tylenol) and an antiinflammatory.These medications work together and can help make you more comfortable and able to do yourexercises. If you notice that your opioid pain medicationis running low and you feel you still need

it, please plan ahead and phone your surgeonsoffice 34 days before you run out. If you have already had your first followup visitwith the surgeon then call your family . These medications especially the opioid canhave adverse effects or undesired effects. Many people taking opioid pain medicationexperience constipation. If you are having difficulty with your bowel movements you shoulddrink more fluids, eat foods high in fibre and slowly increase your activity. In orderto help with this you may receive a laxative while you are in and if you continueto experience constipation while you are at home you may need to continue with a laxative.Speak with your pharmacist or family

about what would be best for you.Another possible side effect or adverse effect of this medication is stomach upset. If yourstomach is upset, try taking the medication with food. If this does not help, ask yourpharmacist or family to recommend something to settle your stomach or try taking a smalleramount of pain medication, for example take one tablet instead of two. If these suggestionsdon't help with your stomach upset, please call your surgeon. Your pain medication mayneed to be changed. If the pain medication makes you very sleepy,confused or quite dizzy, stop taking the medication and call your surgeon for further advice.If your medication makes you a little sleepy

How to Treat Osteoarthritis

My name is Troy Giles. I am a ofChiropractic and a Natural Internist. Today I want to talk to you a little bit about osteoarthritis,or degenerative arthritis. A picture of that on this slick is pretty cool. I am going toshow you this. This actually just sticks to the wall. See thaté That is really cool. Osteoarthritisis a degenerative arthritis, where the joint actually starts to decay, usually from trauma,or from overuse. Osteoarthritis is that of old age, if you will. However, it can startin the our younger ages as well. Trauma, in the form of football injuries, or slips andfalls, or car accidents, injure a usually healthy, normal cartilage. When that becomesinjured, then there are different inflammatory

states. Chemicals that are released withinour body that start to irritate and cause inflammation, trying to heal the area. Butgenerally speaking it creates weakness and overall degeneration, where this cartilagehere, starts to wear down and become like this, to where you have bone on bone and justwhere all that good cartilaginous tissue has been lost and irritated and degenerated. Soin the spine it looks similar to this. This is where the disc space is that holds thosevertebrae apart. It starts to degenerate. Over time the disc space diminishes and nowthe hole that used to be there, that used to be open, that would allow the nerve rootor part of the spine. Lets say this rod is

a spinal cord and it runs down the centerof the vertebrae. At various areas there are places where nerve roots actually exit thespine and go out and go to an organ. When this joint space here becomes diminished ordegenerated, the actual hole starts to diminish and now you are having inflammatory statesand inflamation and degeneration of the nerve root as well. So now you start to have organdisfunction. You start to have pain in the joints, down the legs and so forth. That isthe reason why people come in and see me generally. Chiropractically speaking it is because ofthe pain. Now on xray, of an actual person here, you can see that this space here, thisdark space, so this space here, this space

is diminished. You can see the front and youcan see the that there is a bone spur off the front, one here off the back as well.That is degeneration. More than likely, she was in a whiplash injury. In fact, she was.This area here became irritated. It became inflamed and started to degenerate. The veryexact same thing that has happened over her. Over time these will start to degenerate.The s and orthopedists around here in Bountiful have seen some amazing things aseither over use or traumatic. I would suggest always traumatic is what starts the inflammationand then the inflammation many times does not go away. Because of the amount of sugarsthat we eat, sugar is inflammatory and it

continues that process moving and degenerating.So the idea is to be able to stop that. We do that through chiropractic adjusting. Wedo that through the changing of the diet, taking specific nutrients that will help.I have just brought on a supplement here called Arthroben. Arthroben helps to give nutrientsand it is a powder that we give the patient, that they take every day that will actuallyhelp to repair and start to strengthen, shutting down the inflammation and giving specificnutrients to the joint capsule, to start to repair those joint surfaces, so they can becomestronger again. Same thing in the spine. We want to be able to do that. So we want toget a better position. Let me just take you

over here for a minute. I want to show youthis space. Each nerve root, I have explained this before, but each nerve root exits thevertebrae and runs down to an organ. So if we touch, for example, C7, you can see howthe energy passes down the arms. So many times patients come in and they say quot;Hey, I havegot numbness and tingling in my hands.quot; Well, we can do a nerve conduction velocity testto find out if these nerves are being affected anywhere down the vertebrae, or we can lookat it and see what is happening. Is there space between the vertebrae where these nerveroots are being irritated and shutting down the energyé What's more important to me isthe pain that the patient is having is not

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