Today, as such, is the 4th full-day, post surgery.
There is, touch wood, very little pain — as yet.
I hope it continues to be the case. It sure would be nice and a welcome relief.
The whole surgery experience, so far, has really been near miraculous. I am in total awe.
Yes, no question, the knee hurts, like billy-o if it bends (or moves). But, I am NOT supposed to bend it.
When I keep it straight and immobile, I have had little pain. I truly lucked out. Just hoping that pain does not suddenly engulf me and I am doing everything I can to make sure that I don’t end up with ‘Central Pain Syndrome‘ (CPS) six-months down the road. Right now I am hopeful. That I haven’t had major pain to drive my central nervous system (CNS) nuts will definitely stand me in good stead. IF I end up with CPS — I will rue the day.
I just cannot tell you how effective that ice therapy with the ‘ice pump’ is. I am convinced that it is what has helped me so much. I have it on about 16-hours a day. It is on now, set to 42°F, as I write.
All I have taken for medication so far is 325mg Tylenol and Aleve.
I have, so far, not needed any narcotics. I have two bottles, 60 pills, of opioids, one from ER and the other from the surgeon, unused. I hope this continues to be the case.
The nerve block was also amazing. It ran out Saturday night — right on schedule. They said 48-hours and it probably lasted about 54. Definitely felt some pain when it was gone. That is when I started taking Aleve.
Day 1 (Friday) — I took 7 Tylenols, much of it because I felt feverish.
Day 2 (Saturday) — 6 Tylenols during the day + 2 Aleves, late at night, after the nerve block was removed.
Day 3 (Sunday) — 6 Tylenols during the day + 2 Aleves at night.
Day 4 (Monday) — 1 Aleve so far and it is 5:30pm.
As far as I am concerned that is pretty amazing. Right now I feel no knee! It is pretty frozen — but don’t worry, I am not going to get frostbite.
Appears I am the lucky beneficiary of all of the concerted effort going into preventing the prescription of opioids.
Both the nerve block & ice machine blurbs tell doctors how they can be used instead of opioids. I am all in favor.
Seeing the surgeon tomorrow. Keeping fingers crossed.
So, just wanted to share with you in case, alas, knee surgery is to figure in your future. Based on my experience it might not be as painful as you might dread.
Well, I am still keeping fingers crossed. Pain is a funny ol’ thing. Don’t trust it — as far as I can throw it.
In concept it appear to be somewhat similar to a wireless TENS unit such as the Aleve. A big difference is that it is a SMART unit in that you control with a smartphone APP and the APP will keep track of how you used the device, your sleep patterns etc. Like with most TENS units a typical session is 60-minutes long.
It works by trying to interfere with and block peripheral nerve pain signals before they get processed by the Central Nervous System (CNS). Since it is the CNS that, in the end, is responsible for generating all pain that you feel, IF you can stop the CNS getting pain signals from the peripheral nerves, you can, in theory, minimize the amount of pain generated by the CNS. By and large TENS units work — though they only alleviate pain for some periods of time. It is not a cure. At best a temporary respite from pain.
The Quell, like other TENS units, should work — at least to an extent. It is, however, about five times the cost of the Aleve and the crucial electrodes that you have to replace on a regular basis are expensive.
What I have not been able to determine as yet is whether a Quell really is more effective than say a Aleve — or whether it is all hype. Yes, the APP is unique for now — but the APP does not play any part in reducing chronic pain.
It is so easy to think and believe that ‘ringing in the ear‘ is all in the ear.
Alas, it is NOT so.
So, please check the above if you suffer from tinnitus.
Knowing that it is brain/CNS related may help you.
All the best.
If YOUR Fibromyalgia diagnosis is more than a couple of years old the chances are that your diagnosis may need to be RE-EVALUATED.
For a start, doctors in the know, no longer put much stock in the famous 18-tender pressure-spot diagnosis — for so long the BASIS for diagnosing fibromyalgia.
Fibromyalgia used to be thought of as a condition related to rheumatism (or arthritis). The name itself indicates that it has to do with pain in muscles and fibrous tissues. NOT SO, any more.
The latest thinking is that fibromyalgia is a central nervous system related disorder. As such it is very similar to ‘Central Pain Syndrome‘ (CPS).
On May 16, 2015, the ‘American Pain Society’ issued a press release titled ‘Fibromyalgia Has Central Nervous System Origins’. Its opening sentence was: ‘Fibromyalgia is the second most common rheumatic disorder behind osteoarthritis and, though still widely misunderstood, is now considered to be a lifelong central nervous system disorder, which is responsible for amplified pain that shoots through the body in those who suffer from it’.
WOW. WOW. WOW.
To cap it all, the ‘National Fibromyalgia & Chronic Pain Association’ (NfmCPA) has an article with the title: ‘Fibromyalgia: A Perfect Example of Centralized Pain’.
One thing, however, has NOT changed. More than 75% of those said to have fibromyalgia are women.
If you constantly struggle with confounding pain you may have Central Pain Syndrome (CPS) and not know about it.
Doctors are often reluctant to tell you that your pain may be due to Central Pain – since it is a condition that is difficult to explain and rationalize.
Intense chronic pain, widespread and varied, that appears to be treatment-resistant, and often accompanied by burning, numbness, stiffness, itching, or pins-and-needles, may very well be CPS.
What you may have believed was Fibromyalgia might actually be CPS – though this is not of major consequence since the treatment options for both are essentially the same.
CPS, however, is not due to inflammation or injury to a muscle, tendon, bone or joint. Central Pain Syndrome is a disorder of the Central Nervous System (i.e., the brain, brainstem and spinal cord) due to a prior violation; e.g., spinal surgery, brain injury, herniated disc, pinched nerve, stroke, etc.
If you have been suffering from intense pain for a longtime, with weird sensations and discomfort, from different parts of the body, that comes and goes – accompanied by growing emotional distress – you need to find out about CPS: especially if all of this started a few months after you had a neck injury, spinal surgery, concussion, a tumor or infection. There are many who actually suffer from CPS without realizing it is CPS that is responsible for their confusing and confounding misery.
CPS, though deemed not life-threatening, is, unquestionably, life altering, and not so for the better. CPS can be so crushing that it affects not only those suffering from it, but all of those around them.
CPS is infuriating. CPS has been associated with pain so off the scale that it has been referred to as ‘indescribable’ – way beyond that of a dentist accidentally hitting an unnumbed nerve. The pain and discomfort of CPS, so real though it maybe, is not due to any treatable injury, inflammation or infection! That is very hard to come to terms with. But, it is real pain.
CPS is an after-effect of some trauma that happened previously to the brain, neck or spinal column. This trauma, probably due to the intensity, duration and volume of the initial pain, causes the central nervous system to malfunction. That is what CPS, currently said to be incurable, is all about.
CPS, like its twin, fibromyalgia, is, not as yet well studied or understood. CPS tends to be a taboo condition – often overlooked and unspoken by doctors, though it is known that there are millions who suffer from CPS. This book will help you become an expert on CPS – and seek treatment that best helps you, given that the symptoms of CPS will always be specific to you.
++++ Check Categories ‘Brain’ & ‘Health Care’ >>>>
Much has changed about the UNDERSTANDING of Fibromyalgia over the last few years.
It is safe to say that Fibromyalgia today is NOT your mother’s Fibromyalgia (75% of those diagnosed with Fibromyalgia being women).
The actual name ‘Fibromyalgia’ is no longer accurate. Fibromyalgia, where ‘algia‘ is Latin for pain means pain to do with fibrous tissue (Fibro) and muscles (myo).
It used to be considered a condition related to rheumatism (or arthritis).
NOT SO ANYMORE.
The ‘American College of Rheumatology’ when talking about the causes of fibromyalgia states: “… it is as though the “volume control” is turned up too high in the brain’s pain processing centers”.
The ‘National Institute of Arthritis and Musculoskeletal and Skin Diseases’ (a member of the U.S. ‘National Institutes of Health’) now says, in the section on ‘causes’: ‘Many researchers are examining other causes, including problems with how the central nervous system (the brain and spinal cord) processes pain’.
The Lyrica commercial NOW acknowledges this. At the 15 second mark, shown above in the image, it says: “… thought to be the result of overactive nerves”.
Lyrica, the leading medication used to treat Fibromyalgia finally admitting that Fibromyalgia is a nervous system disorder.
That should help.
The commercial also goes onto say, with more emphasis than ever before, that Lyrica INCREASES DEPRESSION.
Well depression is known to make Fibromyalgia WORSE and that is not anecdotal.
So, if you have Fibromyalgia watch this commercial a FEW times ……
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