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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
Knee Replacement Patients May Prefer New Pain Relief Option
Some patients have their knees replaced torelieve pain, but how do they stop the pain from the surgeryé A newer pain control optionmay reduce the pain and improve recovery. I'm Miranda Savioli with your latest healthnews. Traditionally, patients receive pain controlthrough a nerve block â€” an anesthetic injected into nerves near the knee. However, this methodcan cause knee weakness, which may make patients hesitant to start walking again. In a newstudy, patients who received a numbing medicine called liposomal bupivacaine reported betterknee function and pain relief for two days after knee replacement surgery and also hadshorter stays.
Be sure to discuss potential side effectsof a procedure with your .