Post general anesthetic pain

PILTDOWN MAN · Jun 7, 2016

Had cartilage removed today from my knee. Third op on said knee over 25 years but had many other operations over the years on various other things.

Apart from obvious discomfort to my knee I always feel after 6 hours or so like I've been hit by train, do others get this joint pain?

By the way fortunate to have Bupa via the company and had my op in the new One hospital in Ashford, wow what a great hospital.

Harry Wilson's tackle · Jun 7, 2016

PILTDOWN MAN said:
Had cartilage removed today from my knee. Third op on said knee over 25 years but had many other operations over the years on various other things.

Apart from obvious discomfort to my knee I always feel after 6 hours or so like I've been hit by train, do others get this joint pain?

By the way fortunate to have Bupa via the company and had my op in the new One hospital in Ashford, wow what a great hospital.

I had my meniscus done in Ashford. Not great . . . . take as much ibuprofen as your gut can tolerate for as long as it takes (in my case its 4 years). Good luck.

PILTDOWN MAN · Jun 7, 2016

Harry Wilson's tackle said:
I had my meniscus done in Ashford. Not great . . . . take as much ibuprofen as your gut can tolerate for as long as it takes (in my case its 4 years). Good luck.

This hospital is brand new only been open 2 months. Can't take ibuprofen so on paracetamol and codeine. Been dosed with morphine and feeling great. I had a scan prior to the op the specialist couldn't see a tear but only cysts. He said small tears don't always show up .Post op he comes into my room and says it didn't show as it had actually torn right through so it made it difficult to see (

?). Also said was luckily it only seized up the once.

Harry Wilson's tackle · Jun 7, 2016

PILTDOWN MAN said:
This hospital is brand new only been open 2 months. Can't take ibuprofen so on paracetamol and codeine. Been dosed with morphine and feeling great.

Good news on the hospital (my butcher was at William Harvey, the ginger pillock). But . . . take the anti inflammatories regularly and it will help.

And your age? I had a similar chop age 27 and went cross country skiing a week later. When I had the second aged 50 something, the 'fun' started.

ps: Morphine is rather 'more-ish' isn't it? :lolol:

The Rivet · Jun 7, 2016

PILTDOWN MAN said:
Had cartilage removed today from my knee. Third op on said knee over 25 years but had many other operations over the years on various other things.

Apart from obvious discomfort to my knee I always feel after 6 hours or so like I've been hit by train, do others get this joint pain?

By the way fortunate to have Bupa via the company and had my op in the new One hospital in Ashford, wow what a great hospital.

Yep, you do get it but not always. I had a very bad heart attack and was fortunate to go to the renown Papworth. Before I got there I was in agony, as soon as the stent went in I was pain free. However others suffered bad angina pains. I hope you avoid pain but it's weird how the human body works don't you think.

Codner pharmaceuticals · Jun 8, 2016

At the risk of being a sensitive (former) anaesthetist the pain is not down to the General Anaesthetic but due to the lad with the knife cutting into your knee.

It always used to shock me that after major major surgery, people would take weeks to recover and blame the anaesthetic.

The pain is due to all your painkillers / local anaesthetic they would have injected wearing off - can you really not take any ibuprofen or similar? If not make sure you take your cocodamol every 6hrs - don't wait for the pain to come back.

PILTDOWN MAN · Jun 8, 2016

Harry Wilson's tackle said:
Good news on the hospital (my butcher was at William Harvey, the ginger pillock). But . . . take the anti inflammatories regularly and it will help.

And your age? I had a similar chop age 27 and went cross country skiing a week later. When I had the second aged 50 something, the 'fun' started.

ps: Morphine is rather 'more-ish' isn't it?

48.

PILTDOWN MAN · Jun 8, 2016

Codner pharmaceuticals said:
At the risk of being a sensitive (former) anaesthetist the pain is not down to the General Anaesthetic but due to the lad with the knife cutting into your knee.

It always used to shock me that after major major surgery, people would take weeks to recover and blame the anaesthetic.

The pain is due to all your painkillers / local anaesthetic they would have injected wearing off - can you really not take any ibuprofen or similar? If not make sure you take your cocodamol every 6hrs - don't wait for the pain to come back.

That's interesting , I was informed it was the body's reaction to the drugs. Why would you get it in all your joints? I used think it was due to being shoved about whilst under.

Harry Wilson's tackle · Jun 8, 2016

PILTDOWN MAN said:
48.

Expect swelling for months . . . . good luck!

thedonkeycentrehalf · Jun 8, 2016

Unfortunately these things do take longer to wear off with age. The thing to remember is that the op causes trauma and swelling to the knee. As Ibuprofen is both a pain reliever and something that reduces swelling, your recovery is likely to take longer. Have you tried the old fashioned elevation and ice to help reduce the swelling?

Just be thankful that you are still at the 'repair' stage. I managed to put a hole in my cartilage which could not be repaired so am know breaking in a partial knee replacement at a similar age to you. As most replacements are on older patients, mu surgeon was reluctant to do the op but there were not any real options. Being fairly fit (albeit overweight due to not being able to exercise properly due to the knee) having a good muscle base is great because it adds strength to the knee that the older patients don't have. The downside is that during the recovery, those muscles can get tight which makes the recovery a little sore at times.

I have just been through the part of my recovery where the fibres in the knee are repairing themselves and you have to work through breaking down the scar tissue.

Good luck with your recovery

skipper734 · Jun 8, 2016

How bad does it have to be before you need to campaign for a knee replacement? I have pain in one knee, it is swollen and aches when I walk, going up and down stairs ( off the P and R bus and up to ES upper) it doesn't lock just hurts all the time.
Sounds like the cure is worse than the disease. Albeit twenty years ago when my mum had her hips done, most of the other patience in the wards appeared to be having their knee replacements, replaced.

Two Professors · Jun 8, 2016

Havn't got personal experience,but have been told acupuncture works a miracle for some people-worth looking at.

PILTDOWN MAN · Jun 8, 2016

Harry Wilson's tackle said:
Expect swelling for months . . . . good luck!

That's a bonus.

thedonkeycentrehalf · Jun 8, 2016

skipper734 said:
How bad does it have to be before you need to campaign for a knee replacement? I have pain in one knee, it is swollen and aches when I walk, going up and down stairs ( off the P and R bus and up to ES upper) it doesn't lock just hurts all the time.
Sounds like the cure is worse than the disease. Albeit twenty years ago when my mum had her hips done, most of the other patience in the wards appeared to be having their knee replacements, replaced.

Private or NHS? I have private healthcare through work with AXA. I ended up at a specialist in Kent who is leading the research into cartilage regeneration. However, as this is not proven my insurance company would not pay for the surgery as there was too much risk that it would not work and they would then have to pay out more money.

My surgeon was concerned due to my young age. I could have had knee realignment to take pressure off of the (damaged) load bearing joint and buy a couple of years. However, the Kent specialist had carried out alignment checks and my knee was perfectly aligned with my hips and ankle so I didn't want to screw up the alignment and probably knacker my back etc in the process.

As it was, when my joint was removed, the surgeon said it was the cleanest knee he had removed - no osteoporosis or arthritis - it was just injured with a 2cm hole in the cartilage right at the main load bearing point which was why I was in such discomfort.

The Legend that IS Lawro · Jun 8, 2016

Had the entire meniscus removed after a somewhat over zealous squash match in 1990 (all in Muscat) which in hindsight was probably a tad OTT. Swedish crunch Doc said bone on bone would lead to Arthur Ritis in about 20 years....give him his due pretty accurate call.

Had a unicompartmental jobby at Goring Hall, 3D scan sent to USA to build a titanium hood over the mouldy bits they scrape off. Worked a treat.

Still get the odd ache, but fun setting the alarms off at the airport.

Key is good post-procedure physio and build the quad to support it.....CYCLING.

skipper734 · Jun 8, 2016

thedonkeycentrehalf said:
Private or NHS? I have private healthcare through work with AXA. I ended up at a specialist in Kent who is leading the research into cartilage regeneration. However, as this is not proven my insurance company would not pay for the surgery as there was too much risk that it would not work and they would then have to pay out more money.

My surgeon was concerned due to my young age. I could have had knee realignment to take pressure off of the (damaged) load bearing joint and buy a couple of years. However, the Kent specialist had carried out alignment checks and my knee was perfectly aligned with my hips and ankle so I didn't want to screw up the alignment and probably knacker my back etc in the process.

As it was, when my joint was removed, the surgeon said it was the cleanest knee he had removed - no osteoporosis or arthritis - it was just injured with a 2cm hole in the cartilage right at the main load bearing point which was why I was in such discomfort.

NHS. I guess I'm at the bone on bone arthritic stage.

PILTDOWN MAN · Jun 8, 2016

skipper734 said:
NHS. I guess I'm at the bone on bone arthritic stage.

Have you had your scanned or any previous operations on it.

I had 2 prior first one 20 odd years ago the second 15 or so. Been relatively good until 3months ago when it locked up running the line at my son's football match.

I had an X-Ray then mri scan.
Specialist found 2 cysts and a possible tear. He offered cortisone injections but having had those before with no success I asked if he would go inside. Being in Bupa helped and both he and I were happy he did. Not showing on the scan was a complete tear to the medial, he had to remove it.

I'm sure down the line I will need further operations to counter the bone on bone issue but for now I'm happy.

Good luck with yours.

Baldseagull · Jun 8, 2016

skipper734 said:
How bad does it have to be before you need to campaign for a knee replacement? I have pain in one knee, it is swollen and aches when I walk, going up and down stairs ( off the P and R bus and up to ES upper) it doesn't lock just hurts all the time.
Sounds like the cure is worse than the disease. Albeit twenty years ago when my mum had her hips done, most of the other patience in the wards appeared to be having their knee replacements, replaced.

See this https://en.wikipedia.org/wiki/Apostherapy , might help, without surgery.

catfish · Jun 8, 2016

Harry Wilson's tackle said:
Good news on the hospital (my butcher was at William Harvey, the ginger pillock). But . . . take the anti inflammatories regularly and it will help.

And your age? I had a similar chop age 27 and went cross country skiing a week later. When I had the second aged 50 something, the 'fun' started.

ps: Morphine is rather 'more-ish' isn't it?

Morphine is wonderful - but blimey did I have some weird hallucinations or what?!!

Codner pharmaceuticals · Jun 9, 2016

PILTDOWN MAN said:
That's interesting , I was informed it was the body's reaction to the drugs. Why would you get it in all your joints? I used think it was due to being shoved about whilst under.

Bloody surgeons.

Possibly the pushing and pulling - also lying down without moving for an hour or so. There is 1 drug that can give you muscle aches but only tends to be used in emergency operations.

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