Post TKR pain

Have you heard of Transcutaneous Electrical Nerve Stimulation (TENS)? A year ago I was involved in an accident that left me with a crushed C4 disk and a left wrist/hand very compromised along with nerve/muscle pain from my neck left shoulder and left arm. After corrective surgery and some home PT I was signed up for Outpatient OT. The therapist had determined that the brain connections to the fingers were all intact so we moved on to the many muscles in the upper forearm that do the work and found many of them had after a couple of weeks in a cast had atrophied. This isn't your condition but the journey back to health might help. The machine the therapist used was a TENS/NMES nerve/muscle stimulator. We used the NMES small muscle setup (Asymmetrical Wave Form) to locate and stimulate specific muscles back to mostly normal functionality, I think you should look into the TENS setup. The TENS setup focuses in on the nerve pain and how stimulating the nerve could relieve pain, like I focused in on the muscle stimulation. I would do some research on the term TENS and ask your doctor if there is any possibility that the nerve stimulation would help. I purchased a NMES specific stimulator for around $150 on Amazon and I used it everyday for many months. Along with all of the above I was prescribed Gabapentin (24/7 4@100mg/day) for months until I weened myself off because of reported major side effects. I still had some nerve spikes and numbness along the left shoulder all the way thru the left hand. That's when I started looking for alternative pain relief solutions. My daughter led me to Charlotte's Web CBD cream. (https://www.charlottesweb.com/collections/topicals/products/cbd-cream) I was able to take the edge off to sleep by applying the cream just before bed. I hope this post has been helpfull...have a better day...

@steve161 I had about 25 PT sessions before my insurer timed me out on my right TKR. At each one, at the end, the therapist massaged my quads and then gave me ten minutes on a electrical stimulation machine.

@steveinarizona , looks like you have some questions to find answers to: 1. Was the therapist stimulating for nerves or muscles 2. What setup did they use. I was surprised to find out that for NMES the 2 different setups actually had different waveforms. The large muscle setup was the symmetrical wave for was a simple sine wave and the small muscle setup had a very unique Asymmetrical wave form, and the placement of the negative lead had to be place nearest the heart.

@steve161 I assume for nerves but I have no idea. While I have done tons of research on knee replacements, I never looked into this.

Have you heard of Transcutaneous Electrical Nerve Stimulation (TENS)? A year ago I was involved in an accident that left me with a crushed C4 disk and a left wrist/hand very compromised along with nerve/muscle pain from my neck left shoulder and left arm. After corrective surgery and some home PT I was signed up for Outpatient OT. The therapist had determined that the brain connections to the fingers were all intact so we moved on to the many muscles in the upper forearm that do the work and found many of them had after a couple of weeks in a cast had atrophied. This isn't your condition but the journey back to health might help. The machine the therapist used was a TENS/NMES nerve/muscle stimulator. We used the NMES small muscle setup (Asymmetrical Wave Form) to locate and stimulate specific muscles back to mostly normal functionality, I think you should look into the TENS setup. The TENS setup focuses in on the nerve pain and how stimulating the nerve could relieve pain, like I focused in on the muscle stimulation. I would do some research on the term TENS and ask your doctor if there is any possibility that the nerve stimulation would help. I purchased a NMES specific stimulator for around $150 on Amazon and I used it everyday for many months. Along with all of the above I was prescribed Gabapentin (24/7 4@100mg/day) for months until I weened myself off because of reported major side effects. I still had some nerve spikes and numbness along the left shoulder all the way thru the left hand. That's when I started looking for alternative pain relief solutions. My daughter led me to Charlotte's Web CBD cream. (https://www.charlottesweb.com/collections/topicals/products/cbd-cream) I was able to take the edge off to sleep by applying the cream just before bed. I hope this post has been helpfull...have a better day...