Pain Management after Total Knee Replacement / Multi-modal and Non-opioid pain control

Рет қаралды 1,090

Dr. Adam Rosen -Orthopedic & Arthritis Information

Күн бұрын

Total knee replacement surgery is painful.
Each patient has a different experience after knee replacement and everyone has a different threshold when it comes to pain.
In this video I will go over the approach to using multiple medications (as opposed to only narcotics) as a way to better control pain and limit the amount of narcotics needed after knee surgery.
00:00 Intro
00:47 Then vs Now
03:15 Multi-modal approach
04:50 Realistic expectations
05:49 Preemptive pain control
07:31 Day of surgery
09:30 Post-op pain control
12:20 CBD
14:16 Other medications
15:36 Even more options
18:38 Have a plan
📘 Be sure to check out my book - 'The Knee Book - A Guide to the Aging Knee'
In the US
Amazon (paperback and ebook)
www.amazon.com/Knee-Book-Guid...
Scientific Sounds (Binaural Beats) for pain - scientificsounds.com/product/...
there are also tracks for anxiety and sleep
Disclaimer: The information found in this media presentation represents my own views and opinions. This has been produced for educational and informational purposes only. This does not qualify as medical advice. This in no way should take the place of professional medical advice. You should always talk with your physician, doctor, surgeon, therapist or other health care provider regarding your specific questions, complaints, diagnosis, and treatment. Do not delay seeking care based on what you find in these informational videos. Use this information at your own risk. No doctor-patient relationship is formed through watching these videos.
#totalkneereplacementsurgery #health #pain

Пікірлер: 26

@Bleebs57 2 күн бұрын

Thanks Adam so much. I'm a 74 y/o sports loving NP who worked in recovery as a nurse in the days of PCA's. I am having the 1st knee done in September and second knee likely next September. I have been doing the pre-hab for years knowing it was coming (not 3x's/day), as well as biking, swimming, tennis, and good ole pickleball. My BMI is 20.3. Your talk was interesting, insightful, and encouraging. I found the too thin just as interesting as the not to thin. Really appreciate the time you have taken to do your books, and the video's, and likely talks at conferences. Thank you again!!

@dradamrosen Күн бұрын

Glad you enjoyed it. Thanks for watching

@RoseBudFC Ай бұрын

Thx for this really well detailed plan you use for many TKR patients. As I commented on another video, I had two weeks of absolutely awful experience with all the medications was given from day 1 of surgery. This resulted in two trips to ER and a colon swollen like a balloon. At week 5 now, and after being removed from first night morphine, then switched to oxycodeine opiods due to massive throwing up, and then finally removed after ER trip about a week later, my stomach is back to normal and on right track to focus on my actualy knee recovery! Still some severe achy pain at night but covering as much pain as possible with 2x Tylenol Xtra strength, some nights only 1 pill now, and prescribed anti inflammatory during the day. (Also ice, elevation, self massage, wave type music etc.) Not great sleep nights yet but improving slowly and I like the idea on the next leg, to go more for early Acetaminophen load like you've done and will bring your video etc to my surgeon when ready. One question though, was the anesthesia "general" in conjunction with the nerve block? I had an epidural and the nerve block. My first time so very scary to allow a needle and numbing in my back, but it gave me a day with a slower progression toward the inevitable pain and get some meds to control pain as much as possible first, and not have pain hit instantly after the surgery. Just wondering if that is something more standard in USA TKR now? Seems to be the norm with Toronto Canada surgeons now.

@AKing99 9 күн бұрын

Thank you so much for this information, I am 2 months post tkr surgery and I have noticed the numbness area decreasing and was concerned that it might not all go away. One less thing to worry about. Thanks from Houston

@juliefeher8716 19 күн бұрын

Greetings from Australia! Love your work Dr Rosen! So informative and well explained. Glad I found your KZfaq channel one week after TKR ! Thank you for your dedication and commitment.

@dradamrosen 18 күн бұрын

Welcome! Glad you liked it.

@deejayreff Ай бұрын

Dr. Rosen - Thank you for your well-balanced, affirming suggestions.

@dradamrosen Ай бұрын

You are very welcome

@Mike-ys7rh Ай бұрын

Dr. Rosen, I wanted to thank you for your informative videos…I recently had both knees replaced 12 weeks apart and found all of your videos to be extremely helpful-they helped guide me thru the recovery period…thanks again for the time/effort producing these valuable reference tools!

@dradamrosen Ай бұрын

Glad to help and thank you for the kind words.

@sidrow11 Ай бұрын

Dr., thanks very much for a most informative, comprehensive presentation.

@dradamrosen Ай бұрын

You are very welcome

@sharonleong4185 Ай бұрын

Dr Rosen, Thank you for taking the time to educate and inform! Watching your videos, all your podcasts and reading your book on "The Knee Book" have prompted me to seek help. Now working with a physio to help with pre op exercises before the total knee replacement in 3 months time. I am feeling confident and optimistic that I will get better after the TKR (which I have postponed for 2 years). Thank you again for all the valuable information from London, UK

@dradamrosen Ай бұрын

You are very welcome

@pattis2505 Ай бұрын

A very informative presentation. After my knee replacement last June, I was lucky as I did not have a whole lot of pain. At my visit to get my staples out my ortho doc asked if I needed a refill on my pain meds and I said no. I think he was quite surprised at my response. I took the Tylenol and Ibuprofen as directed, and got thru it very well. I know we are all not alike, but being proactive with the anti-inflammatory and Ibuprofen does work!! Thank you for sharing your expertise, it is most appreciated! Take care!

@dradamrosen Ай бұрын

You are very welcome

@tamianderson123 Ай бұрын

Dr. Rosen, Thank you for your videos. They are so helpful. Have a great weekend.

@dradamrosen Ай бұрын

Glad you like them!

@purplgrits7916 Ай бұрын

Very informative and helpful. Thank you Dr. Rosen

@dradamrosen Ай бұрын

You are welcome.

@user-sc3vl6lg7g Ай бұрын

Thanks very much from Malaysia Dr Rosen. Very helful and great informative..

@dradamrosen Ай бұрын

Glad it was helpful!

@antoniettabonfigliovetere1195 3 күн бұрын

What about red light therapy?

@christinaalexander6533 Ай бұрын

My tkr is in September and the thing I'm scared of the most is that narcotics and NSAIDS give me violent migraines, and I keep hearing thats what is needed for severe pain.

@cindywelch9592 Ай бұрын

Thank you for this. How do you get a practice code to order from Corganics? I’d like to get away from the Meloxicam if I can still taking Tylenol at night. Traveling has been tougher than I expected

@dradamrosen Ай бұрын

You can ask you doctor to reach out to Corganics. If your doctor is interested they can contact them. Once you doctor completes the educational platform they can provide you with a code.