Can I Take Ibuprofen After Knee Replacement Surgery

Joint replacement surgery, such as knee and hip replacement, is frequently done to reduce the pain caused by arthritis. However, in the days following surgery, some patients' pain is merely equally bad or even worse than their original arthritic pain. While we sympathize that surgery without whatever pain is the exception and non the rule, we take pain very seriously and accept a multidisciplinary approach to limiting pain to maximize recovery.

What is Pain?

Pain is complex interaction between specialized nerves, your spinal cord and your brain. It is a complicated traffic system, with on-ramps, different speeds, traffic lights, varying weather and road conditions, a traffic control center, an emergency response system, and more. And the vehicle yous're in also makes a difference, because the experience of pain varies from one person to another.

Pain is both physical and emotional. It involves learning and memory. It is contradistinct by mood and concrete and emotional stress. How you feel and react to pain depends on what's causing it, and its expression varies from patient-to-patient.

Benefits of Effective Pain Control

• Increased patient comfort. Every joint replacement patient has some degree of mail-operative pain, and effectively managing that hurting can significantly affect patient comfort.
• Earlier rehabilitation. A patient whose pain is under control is more likely to become out of bed and perform rehabilitation exercises. When done nether the guidance and supervision of a surgeon and physical therapist, postal service-surgical exercise can help reduce the development of scar tissue, increase range of motion, and increase the likelihood a successful recovery.
• Decreased risk of deep vein thrombosis (DVT). Patients who accept undergone a joint replacement are at greater chance for developing a claret clot in a deep vein. When a patient's hurting is under command, he or she can motion about and perform rehabilitation exercises, which ameliorate blood menstruum and therefore decrease the risk of DVT.
• Earlier hospital discharge. The sooner a patient's pain is under control, the sooner he or she tin render home.
• Increased patient satisfaction. Patients who are able to be self-sufficient and return to their normal routine on schedule or alee of schedule tend to exist more than satisfied with their articulation replacement surgery.

Multimodal Analgesia – Less is More than

Nosotros utilise combination of pain relief methods that complement each other and minimize side effects, an approach that is called multimodal analgesia. The goal is to target diverse parts of the Pain Pathway, so that you experience less pain and medication side-effects are minimized.

These techniques involve limiting narcotic medications during surgery to decrease postoperative complications with breathing, thinking, and using the bath. During surgery, we adopt spinal and regional anesthesia, which numbs the surgical expanse and allows you to exist completely comfortable for the surgery with light sedation. Don't worry, y'all volition not exist awake to hear the surgery!

Medications that are commonly used include:

Tylenol

NSAIDs (Celebrex/Naprosyn)

Toradol

Tramadol

Gabapentin

Opioids (oxycodone/dilaudid/morphine)

Medications at Home

Once you lot leave the hospital, you volition still have some discomfort, especially with activeness. Information technology is not uncommon to take difficulty sleeping for 6-viii weeks after surgery. Your articulation often feels uncomfortable when you effort to fully relax to sleep. This feeling improves more than chop-chop in patients who accept improve motion and and earlier return of musculus tone.

Your surgeon will prescribe a combination of medications when y'all go home. The ultimate goal is to progressively subtract medication usage, and we generally recommend discontinuing narcotic hurting medications offset. Most patients are off their narcotics within 4 weeks of surgery.

Medications you may receive at home include:

Tylenol – in higher doses (>650mg), Tylenol is a very good pain reliever and works well with other medications to increase their effect. Patients with liver problems should consult their physician for dose recommendations. Patients should take no more than that 3000mg of Tylenol daily.

Celecoxib (Celebrex) – selective anti-inflammatory medication which has fewer stomach and bone side furnishings when compared with more than classic anti-inflammatories such as ibuprofen and naproxen. Nosotros often use Aspirin subsequently surgery to limit claret clots, and Celebrex is safer in these patients for the tummy than ibuprofen (Motrin). It should be limited in patients with a sulfa allergy, renal insufficiency, or severe centre disease.

Tramadol (Ultram) – strong pain reliever that is not a narcotic and is thought to have less addictive properties and fewer GI side effects than opioids. ane/3 patients practise feel some nausea.

Oxycodone or Hydromorphone – narcotic medications that are very powerful pain relievers. The do take addictive backdrop, both physically and mentally. They piece of work very well for post-surgical pain, but the goal is to wean these medications to limit their side effects. They are strongly associated with constipation, urinary retention, and macerated reaction time.

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Source: https://www.bostonorthoandspine.com/services/joint-replacement/pain-control-after-joint-replacement/