Knee :: Anaesthetic For TKR - Epidural Nerve Block Or General?
Sep 2, 2014
I have my op coming up in two weeks on 17 September and my surgeon tells me that the would prefer me to have epidural and nerve block instead of a general as it will lessen the chance of DVT post-op.
i have always had a general for other ops and the thought of being awake during all that sawing, drilling and screwing going on is not comfortable, to say the least. Some of the people I know who have had it done this way say that the sedative they give puts you off the planet and you don't know much about it. I'll probably go with the idea anyway, just a bit cautious I suppose.
anybody else had this experience? Was it ok?
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Due to have op on hip next month and I'm not sure whether to have a general anaesthetic or epidural. Part of me would like to be knocked out for the whole procedure, but I want to be up and about as quickly as possible.
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My sister had Knee Surgery on her femur that came un-attached to the knee, she had surgery and they gave her a nerve block and now two days later she can't feel her ankle. It is numb and she can't move it, she can move her toes just not ankle. What do you think, she is in Rehab at hospital right now and they are giving her Physical Therapy but they are worried that she might not get any feeling back. They are going to do a CT SCAN with dye tomorrow. Will continue story but right now has anyone had this problem?
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I had my THR 6 days ago and just wondered if anybody had experienced similar problems with their spinal anaesthetic with sedation.
I was awake at the end of the surgery and could feel the stitching being done. More a sensation than pain but in the recovery area I could immediately move my unoperated leg and had excruciating pain in my operated leg. Was able to move this leg shortly after as well. Took a while for any pain relief to kick in and really shocked me, didn't expect to have any immediate pain until several hours after the op. Have to have my other hip done in 8 weeks time so praying the anaesthetic is stronger next time round.
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I am due to have a trapeziectomy shortly and think I will choose to have a regional block instead of a general anaesthetic. Has anyone else had this? I would be interested in hearing the experience of others.
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I am booked in for my first hip replacement surgery next Wednesday. I was really surprised to hear that my surgeon does this under spinal anaesthetic, I've been told I will be awake but oblivious to my surroundings. Just wondered if anyone else had surgery this way and can reassure me. I am 45yrs old with osteoarthritis, I require both hips to be replaced but surgeon only does one at a time with at least 6 months in between for recovery. Any advice or reassurance will be gratefully received!
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I have a knee operation on the 29th June & I have been trying to find out if a general anaesthetic is more dangerous for people with Bronchiectasis. I've had no luck so far so I thought I'd ask you lovely people as you always have the answers. I've had 11 operations in the past & this will be my 12th & I've always been ok after the GA but this time with my symptoms I'm not sure if I should be getting my self ready for any complications ?
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I'm having a partial nail avulsion next week sometime (still waiting for letter from hospital) would i be able to have general anaesthetic? i don't like the thought of being awake and i don't like the thought of having 3 injections in my toe! if you think i won't be able to have general anaesthetic what are the other things i can ask for?
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I have just found out I have low kidney function and am due to have a shoulder operation in June. Will low kidney function have any effect on GA risks?
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I'm due in for varicose vein treatment this week and I have been advised to have this done under a General Anaesthetic because all of my veins cannot be treated under a Local. I'm also super anxious that even under a local I'll need chilling out!
I'm absolutely petrified, I've called the hospital, spoken to my gp etc and all seem so unworried and matter of fact about it. I just want to talk to someone and not go into detail on their responses to help me get through this. I'm not sleeping, I'm so anxious that weight is falling off me, I am really really scared. It's not the procedure, I am at ease with that element, it is having the anaesthetic and I'm worried something will go wrong that is concerning me. What's worse is I know I'm ridiculous and that makes me worse. I've asked for sedation but I'm told this is dangerous. I've been told I'm more likely to have a real bad car accident etc but this doesn't help me because if there is a risk then it can happen.
I just feel like I'm not going to be able to go into the hospital on the day. I know that I need to get a grip but I just can't, I really cant.
For reference I'm a 40 yo male and have never had a General Anaesthetic before.
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Two years ago I broke my ankle and had pins and plates put in. On Monday I am having them taken out because they are irritating my tendon. I am also having a 'bone spur' basically shaved off and they are going to 'explore' the damage done to the tendon.
When I had them put in I had a general anaesthetic, but I wasn't asked what I'd prefer. This time, at a different hospital I have been.
I don't know what to do for the best. Obviously I can talk about this when I arrive on Monday I'd just like people opinions on which they prefer and why. Or even which they think would be suitable for my surgery.
I was fine after my anaesthetic last time, no side effects etc I just think I feel more comfortable not being 'put to sleep'... just in case. I'm a bit of a worrier!
I am leaning towards opting for the spinal anaesthetic combined with a bit of sedation as I do think I may get anxious. The only thing that is putting me off is what I will hear. Obviously they will be using screwdrivers etc and the thought of hearing them and knowing what they are doing makes me feel a little queasy!
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I recently had surgery on my ankle for a fractured fibula and torn ligament. Prior to surgery, my surgeon told me that he would have another doctor (pain doctor) administer a nerve block once I was under general anesthesia. The pain doctor met with me prior to the operation and advised that the nerve block would last anywhere from 15-24 hours. Unfortunately, the nerve block did not work correctly at all and I was in immense pain for a few hours post-op until I was given strong pain meds. I questioned my surgeon (because the pain doctor left after administering the nerve block) who said the nerve block must have worn off by the time the surgery ended (a couple hours tops), but from what I've researched it's not possible. Plus, I began to notice that the middle of my thigh was completely numb in the middle of the night. This numbness lasted approximately 24 hours.
My question is: Where should the pain doctor have administered the nerve block. I woke up with a bandaid in the area of my groin and was told this is where the nerve block was given (under ultrasound). However, I've read that for an ankle procedure, the block should have been given just above the knee to be effective. Does anyone have any knowledge on this subject?
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I will be having PTT surgery(calcaneal osteotomy, lateral lengthening, gastroc recession, tendon transfer) next week and am wondering about your experience with the nerve blocks, in my case a popliteal nerve block. The research from my OS's office shows 13% have residual nerve pain following the block. Most of the posts here show that patients are very happy they had a nerve block for their surgery. Has anyone had residual pain from one?
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Can a nerve root block eliminate musculoskeletal pain?
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I had double bunion surgery 7 months ago. With my right foot the pain is making it vert hard for me to get my foot flat onto the ground. I have had xrays and a scan and that show everything seems to have healed ok however due to the pain I am walking on sides of my feet this is causing other issues with alignment etc... So I am off to have a nerve block put into my back to help with this and hopefully get me walking. Sometimes talking to the surgeon is difficult as he does not really know what is going on. Has anyone had a nerve block put into their back for the same sort of reason and if so how was it done and did it help?
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I've finally joined up to ask for some advice after lurking for the past year (injured my spine weightlifting in February 2013).
I have a prolapsed disc, confirmed by MRI, which is causing constant pain in my entire left leg. I appear to be a lot luckier than many on here, in that I can walk but running is out of the question most days as it sends huge pain down my leg when I 'bounce' while in motion.
My surgeon seems to think surgery isn't a great idea in my case as he's seen many people get worse or show no improvement. Can anyone share their recent experiences with me that might help in me deciding what my next actions are. I've been doing physio and so far it's only served to move the pain into my lower back - however the leg pain remains the same.
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I'm a 38 year old with ankle and foot problems all my life. I was born with flat feet and I was always spraining my ankles. I acquired PTTD/Flat Foot on my left about a year ago and finally was diagnosed by an orthopedic foot and ankle expert. He recommended surgery and after a second opinion I decided I might as well get this taken care of so that I can go back to a normal life of walking through the streets of Europe.
I had my surgery about 2.5 weeks ago and I wanted to lend advice to those about to take on this crazy surgery. Firstly, the morning of surgery when the anesthesiologist was performing the nerve block it hurt like hell and made me even more panicked about the surgery. The relaxing medication they gave me did nothing to settle my nerves. I woke up from surgery a few hours later and I could feel all sorts of shocking pains coming from my foot. I asked if I should be feeling all the pain and they said that the nerve block failed. The anesthesiologist was busy for another hour and so I writhed in pain (crying hysterically) for the hour and vomited multiple times due to the extra anesthetic they gave me due to the failed nerve block.
Once the new anesthesiologist came she figured out that my nerve split into two and the other guy had not seen this split. After she was finished it was completely numb and I was worn out. I was sent home. Over the next day I vomited profusely, found out that I cannot breath when I take Oxycontin, I lost balance and fell on my foot and I was taking anything I could get my hands on for constipation. I finally found the foul tasting milk of magnesia and I can now go to the bathroom every few days.
My pain was managed by a morphine twice a day while in the splint, but now that I am in the cast my heel is killing me especially at night and the dr gave me hydrocodone which didn't touch the pain last night. Is it normal to have more pain at this point?
When will I be fairly pain free and when will I be able to leave the house? I live in Santa Barbara and i have an ocean view so I should not be complaining but i am feeling pretty horrid and ready to get out. When I think about leaving I worry about falling again and having my throbbing leg down.
Am I alone in all of this? Many experiences I have been reading say that after 5 days everything was hunky dory.
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I'm 12 weeks post TKR and saw my surgeon today. He has suggested (recommended) that I undergo MUA asap as my knee bend isn't what it ought to be. I understand this involves the manual procedure then being put on a machine overnight in hospital then intensive physio. My concern is that of course my surgeon cannot guarantee if it will improve things or to what extent it will if it does. He has also said it will cause pain but can't say how much and how long for. I've done well over the last 12 weeks in other ways. The wound has healed well, I can fully straighten the new knee, I have been driving for six weeks and I can walk for at least an hour with virtually no pain in my new knee. I just wondered if anyone has undergone this MUA procedure and if so, what was it like? I'm in two minds whether I should do it or persevere a little longer with more physio.
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I have just commenced on the exercise bike at post op 11 weeks and had nerve Odin across the top of my knee
Has anybody else experienced this please ?
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So I dislocated my knee in January of this year. I was given a device that isolates my knee cap and hold it in place. I wore the device off and on over the year whenever my knee would feel sort of irregular. I worked out routinely to help strengthen my knee, it helped the pain somewhat, but mostly just made me feel better about the way I looked, and kept me healthy. I haven't worked out since some time before Thanksgiving. Starting this week i've started to feel this new akward feeling behind my kneecap, sort of like the ligament behind my knee cap is tightening, sort of similar to how it felt when I dislocated my knee, but not exactly the same. I get the pain after fully bending my knee, for example when I am on my knees doing my job stocking shelves at work, when I stand to my feet I can usually feel the pain. I try doing a couple of different stretches when to make the feeling go away a bit, but it comes back, and then it eventually goes away again.
My knee "pops" (makes a loud popping noise and pressure) pretty regularly now but when I get off of work and off of my knees I experience the discomfort much less. I want to start exercising again on Monday, but I am scared I might dislocate again. I will try using the knee cap device again tomorrow, but I feel as though whenever I use the device, it makes my knee feel like jello the next day, and make me want to use the device again, even though I was advised by my doctor that I should not need to use it regularly. ....
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I wanted to know if anyone had facet joint spine injections or Epidural injections for pain management, whilst taking Remicade?
I would really like to hear from you if it went fine and if you had any negative reactions, such as an infection, or any other adverse reaction after the injections?
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