Hi Mike, and welcome,
I'm sorry you're dealing with so many issues so young. (I'm 27 - been dealing with chronic pain since I was 14). And with a wee baby too. If you're thinking of getting psych help, it's probably no bad idea - and there are both psychiatrists and psychologists who specialise in helping deal with chronic pain issues.
I'd second Tina's question about whether you have a Pain Management doctor - or even a full pain management team (which comprises usually at the very least a doctor, physio, psych).
Has anyone done any further work-up of your knee to try to figure out why you still have pain? Was your ACL repair sound? Have you had any scans on your knee since your meniscus surgery to see whether there is still any pathology within your knee to account for your pain? Have you got any ongoing inflammatory changes in your knee - any swelling, redness, or heat. I know you've only given us the most brief of overviews here but you're very young for total knee replacement - and it concerns me about what would happen with TKR if you've got unexplained (I think??) ongoing pain from two procedures that are pretty minor compared with replacement surgery. Have you also sought a second orthopaedic opinion?
Tina - I had to Google Trevix because I wasn't familiar with it by that name either. It's Phenytoin - another anti-seizure med. I've heard of other CRPS patients using it, so guessing it's just another used for neuropathic pain.
Moderator - Chronic Pain Forum
Full body CRPS with spasms, dystonia & contractures, gastroparesis, orthostatic hypotension,bradycardia/tachycardia, bursitis, CTS, osteoporosis, multiple compression fx, disc bulges.
Oxycodone ER/IR, Topamax, Mobic, Somac, Cipramil, Midodrine, Vit D & C, SCS, baclofen/bupivacaine pump