I contacted my ortho and he said the effusion (swelling) is common postop and demineralization would improve with increased weight bearing. Since I was having trouble sleeping, he did give me a prescription for Tramadol. I have used it for five nights now and have been getting great sleep. I plan to try 1/2 tablet tonight along with an Aleve and see if that works so I can cut back. I am doing my regular postop exercises along with walking 40-60 minutes per day and biking 30-40 minutes per day. I am doing pretty well and am sore, especially from standing, so I have to rest a lot. I take an Aleve once or twice per day and the Tramadol at night. Hopefully, I can get off of the Tramadol soon. Is this everyone else's experience? How long before I have no pain- I am 8 weeks postop now.