Scared of pain in PT
I'm starting outpatient PT next week ... I'll be 5 weeks out from a R TKR. Until now I've had gentle PT at home and I'm concerned about more aggressive PT being painful. I'm also concerned about it creating more inflammation and, in my case, scar tissue. Reasonable fear? Words of wisdom/encouragement most welcome!
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ice 20 min. on, 20 min. off. leg raised above heart Ice really helped me.
Kidsincollege That procedure sounds great Im just now starting to have pain but i n my right knee so far putting a brace on it for a day helps yes let us know how your procedure comes out and if they ins.pays for it
My insurance is going to cover this procedure. I checked on that before ever agreeing to having it done. I did do stem cell replacement in St. Louis, at Bluetail Medical Group. It was not covered by insurance and was $2,000.00. However it worked and kept me out of pain for two years.
Kidsincollege thats great may I ask what kind of ins. do you have?
Hi @kidsincollege! I was reading your post. Can I ask how bad your knee is? I was completely bone on bone in my right knee and had a total knee replacement in May. Because of being the stabilizing leg during my recovery, my left knee which was moderate, has now become severe and I am pretty much bone on bone. After having surgery in May, I am not thrilled about the idea of having the other knee done so quickly. The problem with the shots is that they will no longer help. I don't know if the treatment you are getting is even an option. I have to also agree with you on the breathing. I did a lot of deep breathing during physical therapy on my right knee. I called them my labor breaths. 🙂
I had very little cartilage left in my knee and in one area it was bone on bone two years ago. I had stem cell replacement therapy and it worked to help my cartilage regenerate and grow. I had one booster of stem cell about 10 months after the original stem cell treatment. It worked for me and lasted for almost two years. Now my arthritis is growing faster than it ever has. The doctor didn't tell me a couple of weeks ago what degree my knee is just that he felt I had a shot with some other treatments before going the full knee replacement. I did injure it in May and it was really bad. It was swollen to 3 times the size of my regular knee, couldn't bend it and hurt worse than anything that I have had anything ever hurt. I'm sorry that the nerve blocks can't help you, they don't take all my pain away but they do greatly help with my pain. When it was hurt and "angry" so bad in May nothing was helping the inflammation or pain. A friend suggested I go to an acupuncturist that had been practicing for 35 years in the US. I did that out of the need to try anything to ease my pain. Since I had to travel from our small town to her about 100 miles, she had me have two treatments in one day9morning & afternoon) and then return for another the next day. I could tell a slight improvement after the first 2 days of treatment with my pain. After the 3rd week my knee was no longer inflamed, swelling was almost gone and the I was in discomfort not intense pain. I continued these treatments for 6 weeks. These were not covered by my insurance but it was worth every penny to get out of the intense pain and begin to be able to sleep and feel a little more normal. I am certainly not a trained medical person but I do a lot of research online and have several friends that are doctors and APRN's that I have questioned a lot. There are a lot of options to try before going straight into a complete knee replacement if you knee has some cartilage. I have other health issues and go to a Pain Interventional Center where my very favorite doctor ever, is with a Double Boarded in Diagnostic and Interventional Radiology. This doctor has been real and honest with me ever though he isn't the oertho doctor but he soes have advanced trained in Interventional Radiology. He reads all my tests! Good luck! Ask lots of question before doing anything!
It is nice that you are able to try the other options. I have good days and bad days, Most days Alieve and Tylenol along with ice and heat help. I don't like to take pain meds unless I am recovering from surgery. I have been reading about different options for helping with pain and my insurance with only cover my PT. They will not cover the other things you suggested, which I think is ridiculous, I feel like doctors tend to give you pain medication, instead of trying some of the other options. I would love to try some of your suggestions, however, I have been out of work since May and am not getting paid, so money is really tight. I am right there with you about asking questions. I want the facts before I make any decisions. I talk with as many people as I can, My PT is very good at answering questions as well. And then people, like yourself. who have been through the same thing. Thank you for sharing. No one has ever mentioned the plasma treatment before.. I will ask about that.
Ice has been a great help for me too. I'm with you about the narcotic pain meds. I do my very best to not take them except for extreme cases.It is crazy that your insurance will only cover your PT. You know you can call them and challenge their decision to not cover some of the procedures that you may need. I've found that insurance first answer for any type of procedure is "No, declines." Do your homework and know you history and why the doctor feels it is necessary for you to have a procedure they are denying. Ask you doctor's office to appeal their opinion. Take it as far as it will go. My experience is that the first person you talk to is the low person on the list of being able to change to cover procedures. Ask for a supervisor if you don't get any luck with the person you are talking to. Plead you case that you need to have this/these procedures covered to be able to keep you out of pain and from having to have another knee replacement surgery. Mention to them that wouldn't it be better for them to allow/approve an outpatient procedure than cover the cost of surgery and weeks and weeks of PT. You will be amazed at how you can get the insurance company to change and approve something that had denied earlier. It doesn't always work, but it is worth spending the time on the phone and talking to try! Have you thought about trying to get another opinion from another doctor about options for you? I have an Interventional Radiologist (Interventional radiologists perform a broad range of procedures.) that I go to for other health issues and he has been amazing to tell me about options. He now only does pain management, without pain meds, and is a wealth of knowledge. I'm so sorry that you have been out of work and without pay! That is really tough. May God watch over you on your journey!
Kidsincollege thanks for information For my inflammation I use Tumeric 400 mg everyday when bad I,ll also drink ginger Tumeric tea from Trader-Joe's it really helps I,ve told alot of people about this.My Left thumb lasted 5yrs after Dr.injected it My right one is still o.k just had it done last year,now that Dr refuses to inject my left thumb. Going to an orthopedic Dr Till then
I wear a brace on it .So far a brace helps my knee I only wear it when needed.The knee isnt in need now its my thu mbs but thanks for information on stem cells
@lioness While we are talking about supplements: after doing some research I started taking tart cherry extract. It's hard to know if it's helping because I take conventional anti-inflammatories as well. This is what I take: https://www.amazon.com/gp/product/B00TP54IFO/ref=oh_aui_detailpage_o07_s00?ie=UTF8&psc=1