My surgeons office Said that insomnia is their number one complaint after total knee replacement. Here are a few examples of low-impact activities you can do after recovering from. Well from my research, anxiety and depression are not uncommon after major surgery, as is insomnia. Be sure to talk to your healthcare provider if you're still struggling with insomnia beyond what might be considered a usual recovery time or if you dont return to your normal sleep patterns after a few weeks. Calling in sick to work. Talking with your doctor about any worries you have about your treatment early and regularly may help lessen the chance of sleep issues following the surgery. Manage your pain with medications or techniques that dont contribute to insomnia. You may have to mend bone. 2 Keep Items Nearby During the first week, make sure your walker is placed in easy reaching distance from the bed. After surgery, sleeping pills and other sleep aids may help to improve your sleep, but consult with your doctor before using them. If you experience anxiety after surgery, it can affect your progress toward recovery. Creating a calming, healing sleep environment is more important than ever when you're already dealing with these potential post-surgery sleep disruptors. We avoid using tertiary references. Location: US. Researchers say both ankle fusion and ankle replacement surgery can help people with osteoarthritis, although there are potential complications, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Another important way to set the stage for sleep is to keep a consistent bedtime. After vitrectomy surgery, patients are typically advised to sleep on their backs for a period of time. Here are some of the most common reasons for post-surgical insomniaand what medical experts say about them: Fortunately, there are things you can do to improve your sleep post-op. Naturally, when your daily pattern is interrupted, it throws everything out of balance and creates conditions that make it difficult to sleep. Like other major surgeries, however, it does carry certain risks. Last medically reviewed on April 13, 2020. This has lasted 2 weeks. I am experiencing a ton of anxiety this time as well. Havent had nausea but eating is difficult at times. Pain and inflammation can make it hard to fall asleep, and the side effects of pain medication and other medications to treat you can also give you insomnia. JK. Progressive muscle relaxation can also help with postoperative insomnia by putting your body in a more relaxed state. It's normal to have difficulty getting rest in the initial 1 to 2 weeks after having gallbladder surgery. Nickinson RS, et al. @amytro, I moved your discussion and combined it with @auntmarmar's discussion similarly titled, "Knee Replacement: Insomnia post-surgery." Over 50 percent of people who have had knee surgery wake up in the morning with pain, according to the American Association of Hip and Knee Surgeons (AAHKS). These can include dimming the lights, listening to music, taking a shower or bath, and sipping a cup of decaffeinated teawhatever you find works best to make you ready for sleep. You can learn more about how we ensure our content is accurate and current by reading our. Depression isnt uncommon after knee replacement. You may have lost muscle strength if you have not been able to go through your daily routine. Symptoms of an SSI after . It's almost like a panic attack. Furthermore, it will take some time for your body to adapt so that you can resume obtaining the sleep you require properly. Mayo Clinic Connect brings together 2 women with leukemia, 46 years apart. Find out what to expect in the 12 weeks after TKR and what you can do at each. To create that effect, she says, the drugs will typically alter yourcircadian rhythmandmelatoninproduction.. Wishing you the best. Some tips to help get over insomnia after surgery include: - Taking a warm bath before bedtime - Doing relaxation exercises before bedtime . This is to prevent any pressure on the eye and to allow the eye to heal properly. However, you can work with your doctor to find a solution. After knee replacement surgery, regular follow-up appointments are an important part of your recovery process. My doctor gives me a prescription for 10, once a year. Many find thatsleeping on their backhelps insomnia after surgery, says Durgin. Want all the latest clinical trial and HealthMatch news in your inbox? Other possible reasons for insomnia following surgery include: Major operations can occasionally set off a more widespread inflammatory reaction that affects the entire body. 1 Pain Management Following Surgery 4 Sources By Jennifer Whitlock, RN, MSN, FN Jennifer Whitlock, RN, MSN, FNP-C, is a board-certified family nurse practitioner. My best advice is to not worry about it. In my experience (as a patient and a surgeon), a lot of the sleep disturbance is from the strong narcotics taken for pain. According to one study, 48% of patients cited discomfort as the reason for their sleeplessness on the first day following surgery. Managing anxiety, insomnia, and depression may help you recover. My surgeons office Said that insomnia is their number one complaint after total knee replacement. 1 to 2 Weeks After ACDF Surgery 3 Weeks to 3 Months After ACDF Surgery Learn more about proven and effective treatment options for insomnia. The good news is that sleep issues will start to level out after three months or so. The goal of progressive muscle relaxation is to gradually tense and then relax each area of the body. After surgery, medications like benzodiazepines (for example, lorazepam) may be used for sedation and/or muscle spasms. Hit the hay at the same time each night to train your body when to expect sleep. Depression causes persistent and intense feelings of sorrow that dont seem to go away. Your body's sleep-wake cycle is disrupted as a result of surgery. Insomnia is a sleep disorder that makes it difficult to go to sleep or to stay asleep. Connect with thousands of patients and caregivers for support and answers. Your reaction time may be slower and you could get into an accident.. Dermatologists never picked this up. Around 23 percent said they had symptoms of depression before surgery, but 12 months later, this figure was down to about 12 percent. Acute Insomnia is a short-term form of insomnia that lasts for a couple weeks at a time. Usually, post-op insomnia is only temporary. Along with the two varieties of insomnia, this condition can be either short- or long-term: Chronic insomnia can last anywhere from two weeks to six months or more. Insomnia can be classified into two types: Primary insomnia is insomnia that is not caused by another medical issue. Thanks for responding to my post. Your body still requires drugs before physical therapy, after physical therapy, and before bed, even if you feel well. I am 4 weeks out of surgery for my second TKR (first one was in February) and insomnia was horrible both times. Medication use and restricted leg movements during the night can also contribute to sleeping problems. Insomnia is one of surgerys most common side effects, affecting up to 30% of patients, says board-certified surgeon Jeffrey Durgin, MD, owner ofMedspa of Midlandin Midland, Texas. Those who have trouble falling asleep after surgery may be experiencing secondary insomnia. Of course sleeplessness is also a consequence of anxiety and depression! Benzodiazepines are also used to treat insomnia and can cause sleepiness. The type of procedure determines the duration of sleeplessness after surgery and if postoperative treatment includes an overnight stay in the hospital. Instead of sleeping flat on your back, it's good to sleep at an angle for less stress on the body. How long insomnia after surgery last depends on the procedure itself and whether or not it required you to stay in the hospital overnight. Box Spring vs. Foundation: Whats the Difference, and Which Is Best For You. This article will look at the most common causes of insomnia after surgery and what you can do to get your sleep back on trackbecause good sleep should be part of your recovery plan! Some experts disagree. The operative leg must be in a straight position to avoid hypertension on the knee and manage the proper blood flow to the surgery side. Here are the best things to do if you can't sleep. Recovery following surgery can sometimes be challenging. Go to the Joint Replacements Support Group. I will be interested in hearing what approach is taken to help you because I often have trouble sleeping if I am anxious about anything. Getting a good nights sleep after hip or knee replacement surgery. Reduce postoperative sleep disruption by removing as much ambient noise and light as feasible. While it can be a short-lived problem for some, others may struggle with insomnia for weeks or even months after their operation," notes Durgin. I know nothing about sleeping pills, I do use melatonin and sometimes Benedryl but have not used any prescription remedies in many years. How To Beat Insomnia. Chronic Insomnia is a long-term type of insomnia that affects people three or more times a week for months or longer. Most nights I get 0 to 2 hours of sleep. Anxiety can happen because you fear that your pain may not go away or that your mobility may not improve. Has anyone else had these issues? Post-operative depression often results in: Sharing your feelings with family and friends can help, as can taking care of yourself in the post-operative period. I wake up each more and dry heave and even vomit as soon as I get to the kitchen in the morning. How to sleep and overcome insomnia after surgery, The immune response to surgery and infection, A prospective analysis of sleep deprivation and disturbance in surgical patients, Isoflurane anesthesia causes a transient alteration in nocturnal sleep, Steroid-induced sleep disturbance and delirium: A focused review for critically ill patients, Sleep disturbances and fatigue in critically ill patients, The Truth About Why Insomnia And Nausea Occur Together, The Impact Of Insomnia On Your Eyes And Eyesight, Battling Insomnia: Diagnosis And Treatment, Do You Need A Good Night's Sleep? I think you need to figure out what", "Well from my research, anxiety and depression are not uncommon after major surgery, as is insomnia.", "@auntmarmar I have only had insomnia after surgery when I have been in pain. Dry. This helps keep your bodys rhythms in sync. This resulted in mood swings. I sure hope these two things will help along with your encouragement that it should start to get better soon. Nausea and vomiting. This is because it allows your head and neck to rest naturally and prevents pressure on the surgical site. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. People hospitalized in the critical care unit are more likely to have sleep difficulties. Try and stick to gentle activities and avoid anything too strenuous, says Durgin. There are several reasons why you may be experiencing difficulty sleeping in the days after your surgery. Symptoms of infection after surgery. After surgery, try to get 10 cups of water a day. After surgery, Nagalli says adequate pain control can help prevent insomnia. Your doctor can talk you through them and create a recovery plan that takes these factors into account. Posts: 168. Sparta, NJ-based Specialty Surgery Center offersthese suggestionsfor finding your best sleep position after surgery. What Causes Insomnia after Surgery There are a number of reasons why you may be having trouble falling asleep in the days after your surgery. Acute insomnia Acute insomnia can range in duration from days to months. And if you don't drift . I am completely beside myself and so frustrated. A good nights sleep is important for your health and wellbeing every day. Although insomnia can occur at any stage of recovery, you typically have difficulty sleeping immediately following surgery. They also said that most prescription drugs will not work. Caring for someone after a total knee replacement can help ensure a smooth recovery. Hold the breath for another four seconds, and then slowly exhale through your mouth on a count of six. All rights reserved. The Pillow Case Debate: Whats The Best Option For Curly Hair? This form of insomnia is more common in those who have difficulty sleeping after having surgery. I have been struggling with terrible insomnia10 weeks since knee replacementno meds work at allthis past week I finally got 5 hours of sleep 3 nightslast night none again. In general, it is essential to allow for adequate recuperation time so that your body and mind can heal and return to everyday life. There are many reasons why someone may not be able to sleep well after surgery. Get some tips here on precautions and treatment. "While it can be a short-lived problem for some, others may struggle with insomnia for weeks or even months after their operation," notes Durgin. Here are five suggestions from our medical experts: The best sleep position depends on the type of surgery and the location of the incision site. Those that have difficulty sleeping after surgery could be suffering from secondary insomnia. It can cause you to feel fearful about continuing therapy or moving your leg. To top it off, in week 4, I started experience post-surgery nausea and vomiting. Then, when sleep becomes more difficult, we often implement behaviors to try to improve our sleep or compensate for lost sleep. Repeat if necessary, and go slower if its not working. Have you talked to your orthopedic surgeon? I'm 6 weeks out from my second knee surgery and once again, I am having a terrible time with insomnia. Good luck to you! Turn off blue-lit screens a few hours before bedtime such as your computer or cell phone. People who have recently had an operation frequently express sleep difficulties. This insomnia is generally caused by various disorders such as depression, worry, stress, and pain. They will be able to work with you to find a solution. Staying in bed later. Good luck to us both. Outlook on knee replacement and state of mind, ncbi.nlm.nih.gov/pmc/articles/PMC2734518/, aahks.org/getting-a-good-nights-sleep-after-hip-or-knee-replacement-surgery/, nhoc.com/insomnia-after-joint-replacement/, orthoinfo.aaos.org/en/treatment/total-knee-replacement/, Your Daily Life After a Knee Replacement Surgery, Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, Total Knee Replacement Surgery Recovery Timeline, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, Following Up with Your Orthopedic Surgeon After Total Knee Replacement, 10 Tips for Caring for Someone After Knee Replacement Surgery, How to Manage Pain, Swelling, and Bruising After a Total Knee Replacement, Staying Active: Sports and Activities You Can Do After a Total Knee Replacement, Pain Relievers Such as Ibuprofen May Worsen Arthritis Inflammation, Ankle Replacement and Fusion Demonstrate Similar Effectiveness for Osteoarthritis, avoiding stimulants before bedtime, such as caffeine, heavy meals, and nicotine, doing something relaxing before bed, such as reading, writing in a journal, or listening to soft music, creating an environment that promotes sleep by dimming the lights, turning off any electronics, and keeping the room dark, be more dependent on others as you recover, interest in doing daily tasks and activities you usually enjoy, feelings of sadness about your state of health, participating in physical therapy exercises to help you grow stronger and recover, reaching out to a therapist or counselor if you need to talk to someone. Your doctor may also prescribe medications to help you cope with short-term feelings of anxiety. I also started sleeping back in my bed and out . This will help your body filter out toxins and stay hydrated post-surgery. @auntmarmar I have only had insomnia after surgery when I have been in pain. Docs are still fiddling around with the right balance, but boy, the meds side effects are strong. @auntmarmar Earlier on another thread, I think someone mentioned taking Trazadone. 31 January 2022 - Writtern by . Also, make sure you can reach a lamp from your sleeping position. The knee seems to be doing pretty well, however I have been suffering from horrendous insomnia ever since. In another study, researchers looked at the symptoms of depression before and after knee replacement surgery in 133 people. You can usedeep breathing exercisesto help your mind and body relax. Remember that surgery itself, particularly if it involves general anesthesia, disrupts your bodys normal rhythms, including its sleep-wake cycle. Spending a night or two in the hospital for a . You might also consider using asleep maskandearplugsif needed to block out light or noise, says Durgin. But if you're having trouble sleeping beyond that, there may be something else at . Anxiety involves feelings of worry, panic, and fear. There are various ways of relieving insomnia, including medical treatments and home remedies. Here are some suggestions for enhancing sleep after surgery and combating insomnia at all recovery phases. I think you're normal. Keep A Regular Sleep Schedule Insomnia is not simply about the number of hours you sleep. Join Date: Sep 2012. In most cases, symptoms last a few days to a few weeks. (2009). If you find it's not working, try going slower. You sure are brave to have the second knee done so soon! One of the ways you can reduce the pain is by sleeping in the correct position. It is very common for those who have had a total hip replacement surgery to experience pain that makes sleeping difficult. Napping during the day. Sleeping on your back is one of the best positions to adapt after knee replacement surgery. This can include things like: Canceling plans with friends. Females were more likely than men to report depression. Sleep issues often plague the days and weeks following surgery. Hang in there- it'll pass. Furthermore, extensive surgeries are more likely to produce serious sleep problems than less invasive treatments. Some people have sleeplessness due to pharmaceutical side effects, pain or discomfort, or the stress and worry of having an operation. JK. I feel like a zombie and have also been suffering from anxiety and depression. Prepare yourself for sleep by creating a relaxing setting that gently eases you out of whatever the day has been and into a comfortable wind-down to sleep. After the procedure, some people experience changes to their state of mind, such as anxiety, depression, and insomnia. This can lead to a lack of energy and fatigue. With your doctors permission, you may be able to take over-the-counter sleep aids, such as melatonin or diphenhydramine (Benadryl). This insomnia is usually brought on by other conditions like depression, anxiety, stress, and pain. A year after surgery, around 15 percent had symptoms of anxiety. Only getting about two hours sleep a night. While most people experience significant improvements in pain and energy levels during the second week, others may recover more slowly. These days I do not feel anxious but if I get six hours of sleep I consider it to be a good night. (2015). I hope you manage to get some sleep soon, it's awful to go around feeling exhausted all of the time. Prescription medications for sleep, such as zolpidem (Ambien), are also available. Insomnia after joint replacement. @amytro, are you aware of any issues you may have with opioids? If you have anxiety, you may feel apprehensive about your recovery. Whatever position you choose, says Durgin, avoid sleeping on your stomach as this can put added pressure on your back and neck and make insomnia worse.. How To Clean A Futon Pillow: An In-Depth Guide. I went from getting an average for 2-3 hours of sleep at night to a period of doing nothing but sleeping. Can a Good Nights Sleep Cure Your Hangover? Earplugs and an eye mask might help you sleep better. Sleepers may find it most comfortable to rest at an incline using a reclining chair, an adjustable bed, or even a simple wedge pillow. Typically, symptoms last a few days to a few weeks. Answer (1 of 8): Your body needs time to get back to normal function especially if you have not been able to eat well and drink well, or if you have had significant blood loss. Why does depression happen after surgery, and what can you do about it? Take your pain relievers! If you notice changes in your state of mind after knee replacement surgery, you arent alone. You can reduce the incidence of insomnia after surgery by following a few simple suggestions. The more surgeries that result in a major operation, the more sleep disruption they cause. @auntmarmar Is your anxiety due to your TKR? If youve had anesthesia, Mitchell recommends simply lying in the dark to help your body re-adjust to its external environment and reset its circadian rhythm.. Other steps you can take to get better sleep after surgery include: Talk to your doctor if you have trouble sleeping at night. For shoulder surgery, it's recommended you sleep on your back and avoid sleeping on your sides or stomach. Insomnia weeks after surgery. Repeat as often as necessary. Learn How To Sew A Rectangle Envelope Pillowcase For A Stylish Home Decor! A study that looked at anxiety levels in people before and after knee replacement found that around 20 percent of people experienced anxiety before surgery. Still struggling to get shuteye? Over 50 percent of people who have. In fact, many thousands of people have this issue which causes them to miss out on getting a good night's sleep and then finding themselves feeling tired and drowsy in the days and weeks afterwards. The immune response to surgery and infection (2014), A prospective analysis of sleep deprivation and disturbance in surgical patients (2016), Isoflurane anesthesia causes a transient alteration in nocturnal sleep (1988), Steroid-induced sleep disturbance and delirium: A focused review for critically ill patients (2020), Sleep disturbances and fatigue in critically ill patients (2011). It might be due to factors in your medical environment, such as noise levels, constant interruptions, or unpleasant monitoring gadgets. Healthline Media does not provide medical advice, diagnosis, or treatment. If your doctor tells you not to get behind the wheel -- whether it's for 2 weeks or 2 months -- it's for a good reason. It's good that you are seeing a counselor, hopefully that will help you to sort things out. I started to feel better about 5/6 weeks after the surgery; since then I have felt better than in some years. Start by inhaling deeply through your nose to a count of four, then holding it for another four counts. It becomes more important than ever when your body is trying to heal after you've had a surgical procedure. Have you discussed with your surgeon or provider about the possibility of trying different medications to see if there is something that may help, or help stop the frequent nausea? Keep your sleep environment quiet and dark, and try to keep electronic gadgets away from the sleeping place to avoid any distractions resulting from them, says Nagalli. Insomnia may occur if you have difficulty sleeping or staying asleep following surgery. Various factors could cause you to feel this way after surgery. Constipation is a common problem after surgery, but there are ways to manage or prevent it. I tried once a long time ago but didn't like how I felt the next day. Anti-nausea medicines can help. Research showsgeneral anesthesia tends to affect sleep more than regional anesthesia in which only the area to be operated on is anesthetized. For those who have trouble sleeping, treating a pre-existing sleep issue can assist improve sleep following surgery. I think", "I'm 6 weeks out from my second knee surgery and once again, I am having a". However, after a certain period of time, usually a week or two, patients can typically return to sleeping on their sides. This article gives 10 tips you can use to help them recover. There are several causes for this, and identifying the root of your disturbed sleep aids in dealing with insomnia after surgery. At this point, I think the main cause of my anxiety and depression is the sleeplessness. Sign up below. Aim to drink most of your water in the morning or in the early afternoon. It helps me on anxious nights and I do fall asleep when I take it. In one small study, around half of the people who underwent knee replacement surgery said they had feelings of depression before leaving the hospital. I did this so you could meet @auntmarmar and a few of the other members who discussed experiencing sleep issues after their surgery. For 90 percent of people, knee replacement surgery improves their pain levels, mobility, and quality of life. If you experience significant effects that dont go away within two weeks, speak to your doctor. It is vital that you begin moving quickly and trying to exercise. How can you sleep better and cope with your insomnia after surgery? Stitches are usually removed after 10 to 14 days. Trying to conserve energy. It can vary from a few days to a few weeks. In knee replacement surgery, also known as total knee arthroplasty, a surgeon will replace damaged cartilage and bone with an artificial implant. Some nights I'm still up at 3 am, trying to get comfortable. How to get over insomnia after surgery. How long does insomnia usually last after surgery? 2005-2022 Healthline Media a Red Ventures Company. They also said that most prescription drugs will not work. This is an 8 week update on my recovery from rotator cuff surgery. Although I don't believe mine was insomnia, my nights did become my days and my days became my nights. In many individuals, antibiotics are started during or right after the surgical procedure. Ugh! Sleep is important for both mental wellbeing and physical healing. How long insomnia after surgery last depends on the procedure itself and whether or not it required you to stay in the hospital overnight. If you have trouble with insomnia, it is a good idea to try to find a solution. They can go through your medicines with you and change your pain management strategy to help you sleep better. Tell your doctor if you have had a diagnosis of insomnia, depression, or anxiety before knee replacement surgery. Here is what to do, and what not to do when you sleep following surgery. Those who had symptoms of depression were less satisfied with their surgical outcomes than those who did not have depression. Dulvenvoorden T, et al. Interested in more discussions like this? For starters, take things easy in the first few days after your operation. I regained all my energy from before, and it seems that the days are longer now - I can do so much more than before. Make sure your sleep environment supports your sleep by keeping it dim and cool. Incisions should be gently patted dry and a new dressing applied daily for the first 5 days. "@auntmarmar Is your anxiety due to your TKR? Practice deep breathing. It's essential to stay active after a total knee replacement. An SSI is classified as an infection that begins at the site of a surgical wound fewer than 30 days after the incision is made. I'm about 3 weeks post op from my 3rd pretty major foot surgery since October. They would split like paper cuts; painful and annoying as hell - completely healed in two weeks. Butinsomniaafter surgery, especially major surgery, isextremely common, and there are a number of reasons why it can be hard to sleep well post-op. I was thinking my body needs this for recovery. Would your doctor give you a small prescription of lorazepam (generic Ativan)? Well from my research, anxiety and depression are not uncommon after major surgery, as is insomnia. Researchers say pain relievers such as ibuprofen may not offer long-term benefits for arthritis inflammation. I admit throwing down ZZ-Quil, Benedryl, and even medical cannabis gummies just to try to sleep! People can often remain in bed for days or even weeks after surgery. Typically, your REM sleep tends to get back to normal about a week after surgery. Get access to our latest sales, product news, and sleep tips. Discuss with your care team the possible adjustments you might make to your sleep setting. Design: A descriptive repeated measures study assessed sleep and fatigue using questionnaires and objective wrist actigraphy monitoring for sleep. I hope you get some relief soon. However, doctors dont usually prescribe them as a first-line treatment. (2013). Make an effort to go to bed and wake up consistently. It may take a few days to a few weeks to get better after surgery for insomnia to return. However, these feelings of anxiety shouldnt overwhelm you. Am I alone? I've been sleeping 11 or 12 hours a night, no problem and no problem going back to sleep for another 11-12 hours. The best thing you can do is to keep a regular sleep schedule. The only time I seemed to be more pain free was in the evening and through the night, so I tended to stay up at that point because it was when I felt the best, but then I would sleep during the day. Learn what to expect from your new knee. Discomfort and pain may affect your sleep after a knee replacement. Whatever you are feeling now, know that you can and will feel better with time. Hogan KA. Explore clinical trials for insomnia and see those actively looking for patients near you. Even before your procedure, Hawkes recommends discussing pain management options with your doctor, as well as the anticipated recovery time. Tips To Improve Insomnia After Surgery There are several things you can do to help yourself get a good night's sleep after surgery: 1. Discomfort and pain may affect your sleep after a knee replacement. All Rights Reserved. Its vital to remember that getting a decent nights sleep will be difficult in the days following your operation. After hip surgery, using pillows between your knees can be helpful. I have charted my sleep patterns through my Fitbit. It will take time and determination to reset your internal body clock, but the work will be worthwhile. Some causes are preventable, such as extreme pain or discomfort related to your surgery. Sleep when your body wants to and know it won't last forever. If I think back to my own knee replacement in 2006, I also experienced sleep issues. Try progressive muscle relaxation. The main thing, says Nagalli, is to find a sleep position that's comfortable for you. It took many months to correct, but once I started getting further from the surgery and more in to my PT, I slowly gained the ability to "do" more activities which helped keep me more active during the days. Repeat the practice until you start to feel yourself letting go and relaxing. 2. In addition to the two types of insomnia, this condition can be either long-term or short-term: Chronic Insomnia is a long-term type of insomnia that affects people three or more times a week for months or longer. More energy, sleeping well, it's all good. Any use of this site constitutes your agreement to the Terms of Use and Privacy Policy and Conditions of Use linked below. Have tried several different over the counter remedies which did not work, has anyone found . The symptoms seemed to be most pronounced about 3 days after the operation. The total time a person experiences insomnia symptoms after a surgery can vary. I think you need to figure out what is causing the anxiety and depression before you can tackle it. How long insomnia after surgery lasts depends on the nature of the procedure and whether postoperative care involves an overnight stay at the hospital, but sleep disturbances following surgery are usually temporary 17. At this point, I think the main cause of my anxiety and depression is the sleeplessness. A lack of sleep can often hurt recovery, creating increased pain sensitivity, a greater risk of delirium, or more cardiovascular events. Keep the pillow under the calf and knee as it will prevent the knee from unnecessary pressure and keep it straight. Just as when you're preparing for sleep, its useful to practiceactivities that will calm and relax youto help ensure your best chances of a good nights rest. Edwards RR, et al. 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