Thank you sir. I'm not sure why my doctor does not do a block. But I trust him. He's great at what he does. I'm sure he has his reasons. You probably get tired of reading about my surgeries. If so I apologize. I counsel folks that have had or are going to have surgeries like mine. So if just one person reads this and it helps them in some way I feel like it's worth it. Folks can certainly learn from your experience with your knee. I found that with mid and lower back multiple level fusions or work the pain would be excruciating for about 4 days. Then when you were able to get up and get moving gradually things smoothed out. Oddly, with my neck fusion, I never felt any pain, only relief. One of my vocal cords was temporarily paralyzed for six weeks. I could only speak in whispers. My wife said she wished they had paralyzed both sides..When I got flesh eating bacteria in a wound in my elbow, the bacteria actually ate halfway through my tricep tendon and liquified the bone. Very scary time. I had a hole in my elbow that looked like I got shot with a 45 a the bone was visible. They had to grind down until they found good healthy bone then stitch and reattach the tendon to bone. That operation likely has some similarities with knee surgery. Being that it's a large, continually used flexing joint. It was certainly painful but at least that's not a weight bearing joint like the knee. I appreciate your response. I wanted to tell you also. My wife had both of her knees replaced in October, 23. No block. She's a tough gal with a high tolerance for pain. She had residual pain for about a year while they healed and would use ice. She told me the other day she has been virtually pain free for 3 months now.