How well is pain controlled after total knee replacement?
I'm scheduled for a right TKR on 1/21/19.
I own my own small business, and I'm the only one who does the accounting and other functions for a busy retail store.
I will have the surgery on Monday, 1/21, and barring unforeseen problems, will be released from the hospital on either 1/23 or 1/24/19.
I have deadlines on several things for my small business, including getting out W-2s, 1099s, CDTFA payments,and customer store charge account statements, as well as the renewal of my business's liability and work comp insurance. In addition, I will have to do payroll for my employees. I will probably have to work in my office several days between 1/25 and 1/31. I will be having PT appointments as well during that time.
I currently have a pain contract with my GP. I live in a rural area, so my GP is familiar with my ortho and his pain control protocol. My ortho will be handling my pain control, rather than my GP, for a period of time during the TKR process. My GP told me that the ortho will send me home with a few days supply of pain meds and then will "drop the ball on refills". Also, it is my understanding that no refills will be given without an office visit. It is a 3 hour round trip for me to visit my ortho or GP.
I have seen discussions in this joint replacement group when some post TKR patients have said they have extreme pain, and others have said the pain was not as severe as might be expected.
Is it realistic of me to expect that my pain will be well controlled with just OTC products and icing and elevation? I know that most TKR people have said that it's a good idea to stay ahead of the pain before PT with proper use of pain meds to maximize the benefit of PT. I have also seen a lot of posts where people have said the pain impacts their ability to sleep. If I'm going to heal, go to work, and get the most benefit I can out of PT, I'm afraid my pain will be pretty bad if my ortho is lax about refills.
Has anyone had experience with having to carry on a busy schedule after TKR, including the necessary amount of PT, without benefit of prescription pain meds? Am I fretting over nothing? Thanks so much for any answers. Good luck to all of us!