← Return to Wondering about anesthesia and pain control post TKR

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Hi @lblazina, welcome to Connect. I am 9 days post op for total knee replacement for my right knee. I also was a little worried about the spinal tap and the nerve block since I have idiopathic small fiber peripheral neuropathy in both legs but I only have numbness and no pain. My doctor prescribed oxycodone 5 mg immediate release tablets (qty 15) for every 4 hours as needed for pain when the Tylenol 625 mg doesn't help enough. I've been taking Tylenol every 6 hours and it seems to be doing the job for me. I haven't had to take any of the oxycodone tablets. I would have a discussion with your doctor or surgeon about your concerns. My care team did a great job explaining all of the details and possible side effects with me to help alleviate some of the fears I had. I know there is always some risk in surgery but hopefully it's minimal.

I can tell you the second day was the hardest for me which I think is when the nerve block wears off. I still didn't have the piercing pain I was expecting but it was more an ache and soreness. Also the leg still looks like a watermelon so I'm hoping the swelling goes down this next week. I had surgery on the same knee back in the 70s to remove some torn cartilage and they gave me a spinal tap then too. The anesthesiologist really scared me when he came in and made me sign a release in case something went wrong with the spinal tap. I had second thoughts about the surgery but it was quite a treat for me to watch the surgery in the glass cabinets at the side of the room even though they had a sheet blocking my view of the surgeon and his team.

What is your biggest fear?

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Replies to "Hi @lblazina, welcome to Connect. I am 9 days post op for total knee replacement for..."

John, thanks for the welcome. Hope all goes well going forward for you. I'm glad to hear you haven't needed the oxycodone.

I think my fears are 1-the spinal will cause some awful damage…2-my pain will be dreadful….3-i may have complications such as nerve damage.
Full disclosure however, I am a professional worrier and have never had any serious illnesses or surgeries and I guess that makes me a novice. I am told my pain tolerance is high however, I hope that is true.
Also, I joined a closed Facebook knee replacement group several months ago and keep reading these horror stories about people being in unbearable pain, etc……which didn't help.
I'm confident however that I have found an excellent OS who is very well trained and only does replacement surgery. And I liked him when we did the initial consultation.

Johm – if I read you correctly, you had only the spinal block, and were awake/aware and viewing the surgery?

It’s my impression that I am having a spinal tap but will be under light anesthesia so I will not be aware during the surgery. I do NOT want to be awake.

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