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  1. #26
    Join Date
    Sep 2001
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    The Cone of Uncertainty
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    49,306
    Yeah it'll be 2 weeks this Thursday.

  2. #27
    Join Date
    Sep 2009
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    PNW -> MSO
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    7,891
    Best of luck to both of you. Name:  20200128_115914.jpeg
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  3. #28
    Join Date
    Nov 2005
    Location
    Down In A Hole, Up in the Sky
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    35,363
    Where did you get my X-ray?
    Forum Cross Pollinator, gratuitously strident

  4. #29
    Join Date
    Sep 2009
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    PNW -> MSO
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    You posted it in the thread, "sildenafil citrate bad for boner healing"

  5. #30
    Join Date
    Jan 2008
    Location
    truckee
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    23,122
    The orthopedist and neurosurgeon who patched me up last February had me stay off NSAIDS for three months.
    The heart surgeon who wired my sternum back together in October said the same.
    The arm and hand specialist orthopedist who reconstructed my wife's forearm after a badly healed Colles fracture felt the evidence on NSAID's interfering with bone healing is weak and said she could take them. (It's been a week and she's taking nothing.)
    My son who's a trauma surgeon also feels the evidence is weak, as do these authors.
    https://www.ncbi.nlm.nih.gov/pubmed/27500434 although you pretty much have to be a statistician to read it.

    I've always felt that the best way to manage pain is with multiple different classes of drugs--take lower doses of multiple drugs rather than a high dose of one and you avoid the complications of max dosing.

  6. #31
    Join Date
    Nov 2016
    Location
    SEA>DEN>Spokanistan
    Posts
    2,965
    6 one way - 1/2 dozen another.
    While on rotations I asked just about every trauma / orthopod I rotated with. Some said don’t others mentioned the study above saying ehhhh weigh the pros and cons and if your kidneys are in good shape it’s fine.
    Now working in family medicine I haven’t personally seen any adverse outcomes related to NSAIDs and bone health — so my thought is least amount of medicine for as short of duration as possible and supplement with topical capsaicin/NSAIDs when possible.


    Sent from my iPhone using TGR Forums

  7. #32
    Join Date
    May 2009
    Location
    inpdx
    Posts
    20,200
    rideit & iceman, good luck on your recoveries!

  8. #33
    Join Date
    Sep 2001
    Location
    The Cone of Uncertainty
    Posts
    49,306
    Thanks AC. I go back to the Doc today for followup and to get the bandage off, it should be something to see.

  9. #34
    Join Date
    Sep 2009
    Location
    PNW -> MSO
    Posts
    7,891
    Pics of ass zipper scar, I dare you

  10. #35
    Join Date
    Sep 2001
    Location
    The Cone of Uncertainty
    Posts
    49,306
    Double-dog dare?

    Honestly it's kind of creeping me out thinking about it, we'll see.

  11. #36
    Join Date
    Nov 2007
    Location
    Eburg
    Posts
    13,243
    Yup. My OS nixed all NSAIDs and steroidal AIs after TKR surgery, said inflammation is essential to healing, specifically bone stitching into prosthesis. He also warned against tobacco, smoked, sucked or chawed.

    Quote Originally Posted by rideit View Post
    I got my knee replacement 12 days ago as well. Interested to hear how your healing is coming along, mine has been amazing. I am walking without crutches, on my stationary bike (just simple revolutions), and I am going out to do some snow blowing this afternoon.
    You're doing great. I was walking with a cane 5 days out, without a cane after 10 days, although avoiding slippery or uneven surfaces.

  12. #37
    Join Date
    Sep 2001
    Location
    The Cone of Uncertainty
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    Quote Originally Posted by Norseman View Post
    Pics of ass zipper scar, I dare you
    Click image for larger version. 

Name:	IMG_0912.JPG 
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Size:	240.5 KB 
ID:	312939

    Left hip. Scar's on the front of the thigh pretty much but off to the left side. A little Frankenstein-y but not too bad. No stitches, some sort of glue was used
    Last edited by iceman; 01-29-2020 at 06:16 PM.

  13. #38
    Join Date
    Sep 2009
    Location
    PNW -> MSO
    Posts
    7,891
    Word. Solid scar. Looks good, hope the rest goes well man.

  14. #39
    Join Date
    Sep 2009
    Location
    in the trench
    Posts
    15,691
    I thought there was a class action against celebrex. Some iasue i cant remember.. I might be mistaken. I remember it screwed up my guts.
    Happy healing Ice. Have a few friends now with replacements. One with a double. He said the 2nd was much quicker healing. Less atrophy. He said he got on tge bike straight away. I guess he knew the level of pain was natural and it wasnt his biking making it worse.
    Another local friend had his done in the summer. Ski touring after a few months of spinning the pedals has them over the moon they got the bionic treatment

    Sent from my SM-G950W using TGR Forums mobile app

  15. #40
    Join Date
    Sep 2009
    Location
    in the trench
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    15,691
    Missed it. Nice work rideit. All about the bike. The tool for knees and hips for sure. Friend w the recent hip talked about a ski guide back working after a knee replacement. Same surgeon. Surgeons like active people and ghe higher rate of success. I figure they put a bit more care into it along with prescrips for the best drugs

    Sent from my SM-G950W using TGR Forums mobile app

  16. #41
    Join Date
    Nov 2005
    Location
    Down In A Hole, Up in the Sky
    Posts
    35,363
    Quote Originally Posted by GeezerSteve View Post
    Yup. My OS nixed all NSAIDs and steroidal AIs after TKR surgery, said inflammation is essential to healing, specifically bone stitching into prosthesis. He also warned against tobacco, smoked, sucked or chawed.

    You're doing great. I was walking with a cane 5 days out, without a cane after 10 days, although avoiding slippery or uneven surfaces.
    Yes, I just graduated to no cane, except outside where it is all snow and ice. Was able to do 20 minutes on the stationary.
    Forum Cross Pollinator, gratuitously strident

  17. #42
    Join Date
    Nov 2005
    Location
    Down In A Hole, Up in the Sky
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    35,363
    An hour on the stationary today, yay! First time I have worked up a sweat without looking at Viva’s pictures.
    Forum Cross Pollinator, gratuitously strident

  18. #43
    Join Date
    Nov 2007
    Location
    Eburg
    Posts
    13,243
    Great! Onward and upward

  19. #44
    Join Date
    Jul 2016
    Location
    Mostly the Elks, mostly.
    Posts
    1,280
    Just finding this thread.
    My limb preservation doc said no ibuprofen after trying to repair broken tibia (multiple surgeries and bone wouldn't heal). Said evidence wasn't conclusive, but cutting out IB was worth trying - couldn't make it worse.
    In armchair discussions, there was talk about the body's inflammatory response - and how it naturally heals injuries based on that - so ibuprofen might interfere with inflammation and subsequent healing.

    I was talking a lot of ibuprofen for years. A decade probably. Every day before my run. or Ride. Or ski. Or bed.
    I've been off it for about a year and honestly, I think it's helping. Doc said bone is 'clinically healed' now, so who knows?
    north bound horse.

  20. #45
    Join Date
    Mar 2008
    Location
    northern BC
    Posts
    30,896
    Post ACL surgery I took all the hydro morphine and started on the tramadol but i couldn't handle it and made do with IBU, i try to stay off that stuff
    Lee Lau - xxx-er is the laziest Asian canuck I know

  21. #46
    Join Date
    May 2002
    Posts
    33,440
    Quote Originally Posted by old goat View Post
    I've always felt that the best way to manage pain is with multiple different classes of drugs--take lower doses of multiple drugs rather than a high dose of one and you avoid the complications of max dosing.
    Why have all my docs given me that look when I've asked for cocaine, demerol, and a side of mdma???

    Quote Originally Posted by rideit View Post
    An hour on the stationary today, yay! First time I have worked up a sweat without looking at Viva’s pictures.
    I told you looking at nude shots of Viva would upset your wife.

  22. #47
    Join Date
    Jan 2008
    Location
    truckee
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    23,122
    Quote Originally Posted by splat View Post
    Why have all my docs given me that look when I've asked for cocaine, demerol, and a side of mdma???


    Because you asked for Demerol. Causes seizures. Ask for morphine or dilaudid next time and they'll fix you right up.

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