Day of knee surgery: IV insertion went ok despite my concerns and was not aware of any PFS-specific ill effects. Refused the nerve block based on the PA’s recommendation. Anesthesia worked fast and woke up post-op (not overjoyed but whatever) in a pretty good deal of pain so they gave me the nerve block at that time. Neither the block nor opioids alleviated my pain. I was discharged once alert. I was able to get around on crutches and a hinged brace.
Night 1: Took two doses of two norcos (5/325) four hours apart which had no effect and also naproxen. Also began a 2x/day baby aspirin regimen to prevent blood clot. Went to bed around midnight and could not sleep at all for a while, any time I started to doze I’d jolt awake from the pain…it was a lot like PFS insomnia. I finally got some off and on sleep between 5 and 7am.
Day 2: Worst pain subsided, lower leg still numb. Had a followup and PT where the therapist gave me exercises to get my knee moving. He also talked about preventing atrophy. I was tempted to tell him that ship has sailed but I let it go.
Day 3: As I do my PT stretches to regain knee extension I’m finding it just as challenging sitting on my deflated butt to do these exercises. PFS wastage has left zero firm tissue there so it’s just bone on floor.
Day 4: A lot more bruising than my pre-PFS surgery and this day it had gotten pretty ugly so I went to the clinic to make sure it wasn’t a blood clot. Was kind of torn about this, having a mental DNR/no 911 policy but I was actually more concerned about gangrene or something that would leave me with PFS and an amputated leg. Doc examined it and said it was normal.
Day 5: Naproxen is starting to take its toll on my stomach so cutting down the dosage. Found that an OTC I had was worse in this regard than the high dose prescription one. Kind of lame how formulas can diverge so much for the same medication.
Night 5: Woke up around 5am with a lot of pain so took one and a half of the norcos. It knocked me out pretty good. Seemed to not so much kill the pain as just make me not care about it.
Day 13: Had my two week followup with the PA, she took out my stitches and cleared me for full weight on the leg along with continued brace usage. I’d stopped taking the NSAIDs about a week ago to see if it might help the bruising subside. The bruising did clear up but yesterday I had an increase in pain so I took naproxen this morning and it felt better.
The PA seemed pleased with my progress though the visit notes still indicate poor quad tone…apparently quad rehab is a big factor in knee surgeries. I wonder if at some point they’ll comment on the muscle tone not returning. I may mention that I developed a sudden-onset muscle wasting condition in 2021 and see if they take an interest, I doubt it.