From the Research
Naproxen can be safely used one month after bilateral total knee replacement, but it is crucial to consult with your orthopedic surgeon before starting it. At this stage in recovery, NSAIDs like naproxen (typically 220-500 mg twice daily) can help manage pain and reduce inflammation as you progress with physical therapy 1. However, there are important considerations, such as the potential increased risk of bleeding if you're still on blood thinners like aspirin or warfarin, combining them with naproxen could be problematic. NSAIDs can also affect kidney function and may cause stomach irritation or ulcers, especially with prolonged use.
Some key points to consider when using naproxen after knee replacement surgery include:
- Taking the medication with food to minimize stomach irritation
- Staying well-hydrated
- Reporting any unusual bleeding, stomach pain, or swelling to your doctor immediately
- Considering acetaminophen (Tylenol) as a safer alternative for pain management, particularly if you have kidney problems, a history of stomach ulcers, or are taking blood thinners 2, 3.
It's also worth noting that while naproxen has been shown to be effective in preventing heterotopic ossification after hip arthroplasty 4, 5, the primary concern in the context of knee replacement surgery is managing pain and inflammation while minimizing potential risks. Therefore, it is essential to follow your surgeon's guidance and monitor your condition closely when using naproxen after bilateral total knee replacement.