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Sep 4, 2018 · Scared of pain in PT in Joint Replacements

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!

Sep 4, 2018 · Scared of pain in PT in Joint Replacements

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!

Sep 3, 2018 · Scared of pain in PT in Joint Replacements

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.

Sep 3, 2018 · Scared of pain in PT in Joint Replacements

I went to my new ortho doctor last Tuesday totally convinced he was going to tell me I was going to have to have a total knew replacement as soon as he could schedule the surgery. To my surprise and delight he said he had several different procedure he wanted to preform on my knee before we get even close to the TKR. We discussed the various procedure he does and he is going to do a Platelet-rich Plasma (PRP) Treatment.You take a person’s (mine) blood, you spin it down, you concentrate the platelets, and you inject that in my knee with my own platelets in a concentrated form, his then activates growth factors and stem cells to help repair the tissue, if possible, calm osteoarthritic symptoms and decrease inflammation. I am excited and anxious to have this procedure and pray for the very best results.
@babette My doctor did go over some of the other methods he could try if this might not work and what he would do when I do get to the point when I will have to have a TKR. He said that once he gets the whole surgery done he does a Knee Nerve block on the knee he has done the TKR on, while the patient is still under Anesthesia..He does this to cut down on the discomfort and fear that his patient's have about their rehab. They are very worried about what they are to do for pain treatment and management and the nerve block in the knee will drastically cut down on the discomfort and fear that his patient's have about their rehab. He said that these blocks typically contain an anesthetic with a known duration of relief. He just calmly said, why have your patient hurt when there is a simple resolve that will help them to recover easier and with less pain. He did stress that the rehab was the most important part of this surgery. If you don't do all of your rehab the way your PT tells you, you will end up walking with a limp, develop back pain and a plethora of other symptoms your don't want. You want to have this surgery to get better and get it over with and gone, no to create another issue. He is a younger doctor and says that is the way he was taught in med school to do this surgery. I like this idea! Perhaps you should ask him about the Nerve Block? If he won't do it you might could find a Pain Specialist that will do it for you after your surgery. I have them in my neck and they do work wonders. Sorry, if this is way to much info but I do hope that all will go as smoothly as possible for you. More than 600,000 knee replacements are performed each year in the United States. If all those people can make it through everything, I have no doubt that you will do great. I will put you on my prayer list and pray for things to go as well as possible for you, dear. Try to remember when you feel overwhelmed-stop-inhale a lone breath though your nose and slowly release it by slowly blowing out your mouth. Goggle some "self relaxation" practice what they suggest. God Bless YOu. (Keep us updates, please.)

Aug 31, 2018 · Has anybody had an implantable neurostimulator for chronic pain? in Spine Health

You mentioned St. Jude rep. is that the hospital in Memphis, TN or from the company that made you stimulator. What area of the country did you have your surgery? In reading these posts, your post is the only one that seems to be favorable. My pain specialist has suggested that I go to a neuro-surgeon to discuss having the stimulator surgery. Reading comments here is scary for me!

Aug 29, 2018 · Spinal Cord Stimulator Eases Pain Without Limitations for Paul Hesson

@paul Hesson @Dr. Ronald Reimer, Thank you for this informative article about the spinal cord stimulator. I am interested in knowing how Paul is doing now and if he has had any complications since his surgery. My Intervention Radiologist who practices Pain Management has been done spinal blocks in my shoulder regions and the in my middle to low back. He makes me alternate the injections at least 3-4 months apart and only treats one area at a time. He says it is best for me to not have that much medicine injected all at one time. It has gotten to where the injections are becoming less effective in controlling my pain. I do take an occasional hydrocodone when my pain feels unbearable. I do not want to take high level narcotics. He has now suggested that I go to a neurosurgeon to talk about having the SCS surgery to control my pain. I have had 20 total surgeries in my 66 years of life. That is a lot of surgery and I don't like to think of having to go into another surgery but I don't want to have chronic pain daily either. I am emotionally hesitant to even think about going into having another surgery. I am needing to find people who have had this surgery to read/talk with them to hear their pro's and con's on the SCS. The only way that I will be able to face trying this surgery is if I can find enough people to tell me that it does work with a minimum number of downside issues. If you can direct me to anyone or anywhere I can correspond with people who have had the surgery and experience and even doctors that would be willing to help me with my fears. I just need information from real people that have experience with this procedure. Thank you, if you can help me in any way.