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

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: 23

  • @AKing99
    @AKing993 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

  • @RoseBudFC
    @RoseBudFCАй 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.

  • @juliefeher8716
    @juliefeher871613 күн бұрын

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

  • @dradamrosen

    @dradamrosen

    12 күн бұрын

    Welcome! Glad you liked it.

  • @tamianderson123
    @tamianderson123Ай бұрын

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

  • @dradamrosen

    @dradamrosen

    Ай бұрын

    Glad you like them!

  • @user-sc3vl6lg7g
    @user-sc3vl6lg7gАй бұрын

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

  • @dradamrosen

    @dradamrosen

    Ай бұрын

    Glad it was helpful!

  • @deejayreff
    @deejayreffАй бұрын

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

  • @dradamrosen

    @dradamrosen

    Ай бұрын

    You are very welcome

  • @purplgrits7916
    @purplgrits7916Ай бұрын

    Very informative and helpful. Thank you Dr. Rosen

  • @dradamrosen

    @dradamrosen

    Ай бұрын

    You are welcome.

  • @pattis2505
    @pattis2505Ай 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

    @dradamrosen

    Ай бұрын

    You are very welcome

  • @sharonleong4185
    @sharonleong4185Ай 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

    @dradamrosen

    Ай бұрын

    You are very welcome

  • @sidrow11
    @sidrow11Ай бұрын

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

  • @dradamrosen

    @dradamrosen

    Ай бұрын

    You are very welcome

  • @Mike-ys7rh
    @Mike-ys7rhАй 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

    @dradamrosen

    Ай бұрын

    Glad to help and thank you for the kind words.

  • @christinaalexander6533
    @christinaalexander6533Ай 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
    @cindywelch9592Ай 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

    @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.