| When I tore the meniscus in my left knee (which | | | | 4. Try to stay ahead of the pain. For example, if I |
| seems to be the event that started the tumbling | | | | know I'm going to be in the car for any length of |
| down of the house of cards known as my knees), I | | | | time, like an hour or more, I take Tylenol before |
| had difficulty getting medical treatment. I was in an | | | | leaving for the trip. Sitting with my legs at a 90 |
| HMO and had to be transferred from one | | | | degree angle for extended periods guarantee that I |
| department to another, each doctor wanted | | | | will be stiff as a board when I arrive. |
| different tests (MRIs, x-rays), everything had to be | | | | 5. Sleep. This one was not so obvious to me. |
| approved by the insurance company and often | | | | However, it has proved to be the most effective of |
| communication was less than good. A few times | | | | all. I didn't realize the importance of sleeping restfully |
| authorization for treatment expired before I was | | | | and the impact it has on overall health. I was waking |
| notified to make an appointment or the appointment | | | | up throughout the night, in pain and sometimes in |
| had been made but no one gave me the information. | | | | tears. I would wake up in the morning feeling like I'd |
| The delay in getting treatment not only caused my | | | | been hit by a truck. Icing my knees and taking pain |
| knee pain to become excruciating, but my shoulders | | | | medication before going to bed has done more for |
| became injured (from using my arms to lift myself up | | | | alleviating the pain than just about anything else. |
| from a seated position and I developed depression. I | | | | 6. Avoid walking on uneven surfaces (cobblestone, |
| learned that chronic pain often sets off depression. | | | | fields, mixed terrain like rock, gravel and broken |
| Depression is caused by a chemical reaction that I | | | | concrete, sand). These conditions should be avoided |
| can't explain in medical terms, but it was real. I was | | | | at all times. Noticeable uphill and downhill slopes are |
| angry, short-tempered, sleepy and medication alone | | | | difficult; walking downhill is especially painful. Stairs are |
| wasn't relieving the pain. | | | | no longer optional for me. I think it's best to avoid |
| Over the next six months not one of the doctors | | | | stairs if you have knee problems even if you can |
| who saw me for this condition, gave any suggestions | | | | walk them without too much pain. Walking stairs puts |
| for pain management. The doctors gave me plenty | | | | a lot of pressure on the knee and the surrounding |
| of vicodin, but no one gave recommendations on | | | | supporting ligaments. |
| how I could work and drive while taking enough to | | | | 7. If it hurts, don't do it, or do less or it. Any activity |
| relieve the pain. | | | | that is painful is causing damage. |
| And then I met a woman who'd had several knee | | | | I want to be clear... I take pain medication. I think pain |
| surgeries. She gave me some tips that were simple | | | | meds have a rightful place in treatment. I could not |
| and they worked. Here are a few of her tips and | | | | live as full a life as I do without pain medication. My |
| some I have developed: | | | | experience has been that since learning to pay |
| 1. Sleep on your back with a pillow or bolster under | | | | attention to the situations where I'm likely to cause |
| your knees. | | | | myself more pain, and practicing ways to avoid |
| 2. Whenever possible, elevate your legs when sitting. | | | | creating more pain, I've been happier and healthier. |
| A recliner with a foot rest is perfect for this. I have | | | | Pain medication combined with pain management has |
| a lift chair and love it. | | | | allowed me to live a full life. |
| 3. Ice, ice, ice. Especially before going to bed. That's | | | | To prevent further damage, and pain, slow down, |
| the most important time. When I remember to do | | | | watch where you're stepping and be proactive in |
| this, I always feel better in the morning than when I | | | | your pain management program. You can once again |
| don't. | | | | love your life. |