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Sciatica Flare-up Post TKR

rrober23rrober23 Posts: 8
Hello,

I've had sciatica in my left leg for a few years (see signature). My med "cocktail" since my 2nd back surgery had been 2 Gabapentin, 1 Hydrocodone, 1 Cyclobenzeprene 3 times daily with a 3rd Gabapentin with the evening dose. This made things manageable most of the time. The pain, cramping, etc. would flare after certain exercises or longer drives in the car.

My meds changed with a Right total knee replacement in May 2013, stronger meds and no significant flare-ups on the left side. Now I'm 4 weeks post-op with a Left TKR and the sciatic pain, numbness, cramping has been very much aggravated and not well controlled by medications. It's disrupting my sleep and making it difficult to find comfort during the day. Of course standing gives a bit of relief, but a lot of standing/walking is too much for my recovering knee tissues.

Frustrating. Any advice, similar experiences, etc.? Thank You,

Ruthanne
Ruthannie
26/11/2013 TKR Left Knee
14/05/2013 TKR Right Knee
20/07/2010 Arthroscopy Right Knee
07/10/2008 REDO Lumbar Laminectomy L5-S1(ongoing pain Left Leg: cramps hamstring & thigh, numb toes)
14/12/2007 Lumbar Discectomy L5-S1
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Comments

  • Thanks Sandi. Convienently some of the exercises for TKR are the same as for sciatica. I've always been a stretcher. Now I can head for the pool which will help a lot.

    I have figured out that if I keep nerve pain and especially peripheral neuropathy in check, the bone and muscle aches are easier to manage w/RICE and Norco. I've had several days where I was out of the Norco due to poor planning around the weekend (Dr. office needs 48 hrs for prescription renewals). I managed w/Aleve, Tylenol, lots of ice and distractions to have pain in the 5-6 levels. (It was a relief to add the Norco back in.) In a way this was good. It allowed me to verify that the hydrocodone still is important for my recovery. I also found that when I did get the new prescription, they'd reduced the quantity and frequency of the pills. I thought I couldn't manage w/those changes, but the three days off let me see that I was going to be fine w/the new regimen. I can get myself so worked up at the thought of having a lot of pain and insufficient medication, that my perception of pain gets distorted.

    I asked my GP to add Lyrica (100mg 2x day) to the 120mg of Cymbalta I was already taking. When the inflammation from TKR reduces, I may be able to drop the Lyrica again. Controlling the nerve pain has turned out to be key for me.
    Ruthannie
    26/11/2013 TKR Left Knee
    14/05/2013 TKR Right Knee
    20/07/2010 Arthroscopy Right Knee
    07/10/2008 REDO Lumbar Laminectomy L5-S1(ongoing pain Left Leg: cramps hamstring & thigh, numb toes)
    14/12/2007 Lumbar Discectomy L5-S1
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