Very active, been 2 years . Still pain

It's been 2 years since my tkr. I am on my feet 8 - 12 hrs a day,5 -6 days a week. After 5 hrs @ work stiffness & pain gets worse as time passess. Although I have no pain on my day(s) off. I am now 50 yrs . perscribed hydrocodone 5/500. Need to take 2 @ 1 time to get through my shift,Tried Tramadol makes me nauses.I test myself for addiction to 5/500, going 7 days with no problems.Get the feeling this script will be cut off. Your thoughts .. PLEASE !!

[S. Kaul, MD]

Hi there!

Well, without an evaluation it would be difficult to comment on the cause of discomfort in your case. Being on your feet 12 hours may have an additional effect in causing the discomfort and I would suggest taking breaks in between. Other possibilities that may need to be considered are infections, inflammation, neurovascular damage, peri-prosthetic fracture, wearing of the bearings, loosening of the prosthesis, ligamental/ tendon injuries/ inflammation, osteolysis, synovitis, muscular causes etc. It would be best to get this evaluated by your orthopedician to rule these out and for appropriate management.
Hope this was useful.

Take care!