Lora

Blacklick, OH

#1353 Nov 29, 2011
I had a left partial knee replacement 14 months ago, and my right knee needs replaced, too. When I stand more than 30-60 minutes, both of my legs ache for hours afterwards. It's muscular pain, not in the knees. Has anyone else heard of this?
Tammy E - Mesa Arizona

Mesa, AZ

#1354 Nov 29, 2011
Has anyone had a complication to their TKR due to a tooth/gum infection?
I had my TKR 2/15/11 and had the normal pain, but more swelling than average for a longer period than average. I did 4 months of physical therapy with a therapist and got my knee bending 148 degrees. Yeah! I still continue to do home physical therapy and am doing well for the most-part.
2 Weeks ago I had a major tooth ache and I knew it was a root canal issue. It was Friday and I knew I couldn't get in to see an Endodontist until Monday. This wasnít the right thing to do because I had an infection and the surgeon told me I should have called immediately so they could put me on antibiotics. Surgeon put me on high dose of antibiotics for 10 days and did the root canal. One week later my TKR knee swelled to twice the size of normal. The swelling went down after 2 days and the knee wasnít hot. One week after that (11/28/11) I had a melting fever with flu symptoms. This concerned me so today I went in to see my rehab doctor. He told me I need to keep an eagleís eye on my knee to watch for swelling, heat, and/or redness and my body temperature. If there are any changes in the next 2 weeks, then itís most likely serious and I need to get in to see my orthopedic surgeon.
Does anyone think I should go to my orthopedic surgeon right away, or am I overreacting? Has anyone had an infection in their TKR caused by an infection in another part of their body?
Mike

South Africa

#1355 Nov 29, 2011
Tammy E - Mesa Arizona wrote:
Has anyone had a complication to their TKR due to a tooth/gum infection?
I had my TKR 2/15/11 and had the normal pain, but more swelling than average for a longer period than average. I did 4 months of physical therapy with a therapist and got my knee bending 148 degrees. Yeah! I still continue to do home physical therapy and am doing well for the most-part.
2 Weeks ago I had a major tooth ache and I knew it was a root canal issue. It was Friday and I knew I couldn't get in to see an Endodontist until Monday. This wasnít the right thing to do because I had an infection and the surgeon told me I should have called immediately so they could put me on antibiotics. Surgeon put me on high dose of antibiotics for 10 days and did the root canal. One week later my TKR knee swelled to twice the size of normal. The swelling went down after 2 days and the knee wasnít hot. One week after that (11/28/11) I had a melting fever with flu symptoms. This concerned me so today I went in to see my rehab doctor. He told me I need to keep an eagleís eye on my knee to watch for swelling, heat, and/or redness and my body temperature. If there are any changes in the next 2 weeks, then itís most likely serious and I need to get in to see my orthopedic surgeon.
Does anyone think I should go to my orthopedic surgeon right away, or am I overreacting? Has anyone had an infection in their TKR caused by an infection in another part of their body?
Hi, every time i have root canal surgery the dentist has given me antibioits before the time as he cannot do it while infection is in the tooth. Apparently because any infection that is opened in the mouth goes straight to the leg and spreads.

After taking the anti bios about a week before doing the root canal he still checks for infection and if there is any sign of it he waits until its totally cleared up
Leo

Burchard, NE

#1356 Dec 2, 2011
I am 2 weeks into my post op recovery, however I am having a great deal of pain at the top of my shin bone (top 2 inches) and along the inside of my knee in an area about the size of a can of corn. X-rays all look ok but the pain is real and feels as if it were deep into the bone. Pain meds only give a few hours relief and I have not slept more than 3 or 4 hours since it was done. This pain is much worse then before the surgery, and it make me wonder why I even had it done in the first place. I am taking 200 mg of oxycontin and 6 to 8 10/325 percosets daily, and the only time I seem to get any relief is about an hour after taking the medication, then I am able to sleep for a few hours but the pain wakes me and it is back to the ice pack and more pills, what is in store for me net. .
Craig s

United States

#1357 Dec 3, 2011
Leo wrote:
I am 2 weeks into my post op recovery, however I am having a great deal of pain at the top of my shin bone (top 2 inches) and along the inside of my knee in an area about the size of a can of corn. X-rays all look ok but the pain is real and feels as if it were deep into the bone. Pain meds only give a few hours relief and I have not slept more than 3 or 4 hours since it was done. This pain is much worse then before the surgery, and it make me wonder why I even had it done in the first place. I am taking 200 mg of oxycontin and 6 to 8 10/325 percosets daily, and the only time I seem to get any relief is about an hour after taking the medication, then I am able to sleep for a few hours but the pain wakes me and it is back to the ice pack and more pills, what is in store for me net..
You do not say whether you had total or partial replacemnt. I had a partial repalcement on the inside of my knee and had the same type of pain. In my case the pain in the shin bone area subsideed after about 3-4 weeks. Unfortuntely the pain on the inside of the knee has not. The Dr. tells me that i have tendonititis in the patella tendon causing the pain, in addition in my case I have fluid on the knee which the DR is reluctant to drain because he does not want to risk infection. Yhnag in there you should start to feel better in about 6 more weeks!
Tom

New York, NY

#1358 Dec 6, 2011
Had TKR three weeks ago. Have been doing all the PT, home excercises, etc. I took myself off the pain meds because they did nothing. I am so tired that when I go to bed intense pain settles in and the entire night is spent staring into darkness. Instead of the pain steadally decreasing it is actually increasing. I am 57 and in excellent physical condition. Is the pain suppose to increase before it gets better?
Tammy E - Mesa Arizona

Mesa, AZ

#1359 Dec 6, 2011
Tom wrote:
Had TKR three weeks ago. Have been doing all the PT, home excercises, etc. I took myself off the pain meds because they did nothing. I am so tired that when I go to bed intense pain settles in and the entire night is spent staring into darkness. Instead of the pain steadally decreasing it is actually increasing. I am 57 and in excellent physical condition. Is the pain suppose to increase before it gets better?
Tom,
I don't know why the pain meds aren't working. You should ask your doctor for a stronger dose. I had pain for 6 weeks after my TKR that was strong enough for me to need (and take) pain meds. I don't know that I could have handled the pain at 3 weeks post surgery, let alone 5 weeks post surgery. The pain is real and the reason it feels like it's increasing is because your pain meds were helping to take the edge off. Some people are off the pain meds 2-3 weeks after surgery, but many are not.
I'm 48 and in good physical condition and had my TKR Feb 15, 2011. I had an abnormal amount of swelling and that's why I had pain for so long. It took 3 months before the swelling went down to what the doctor considered normal swelling. And it took 5 months before I was glad I had the TKR because the pain was still bad. The reason I had pain for so long is because I continually did physical therapy with a therapist who would break down the scar tissue by bending my knee and holding it. I was persistent about getting 100% of the bend back in my knee. But every other day when the therapist would bend my knee a little further so scar tissue would tear, it made me have pain the next day and I felt like I was on a rollar coaster ride. I got my knee bending 148 degrees (156 degrees is full bend on non surgical leg) and decided I just couldn't deal with the constant roller coaster of breaking down scar tissue every other day just to get my knee to bend all the way.
It's been almost 10 months since my replacement and I'm still bending 148 degrees and am satisified with it. Only now I may have an infection from not getting on antibiotics fast enough after a tooth infection. bummer
But hang in there and get some stronger pain meds or get back on the ones you were taking. You need them so you can get good rest. You need good rest so you can maximize your physical therapy. Hang in there.
Tammy
Tammy E - Mesa Arizona

Mesa, AZ

#1360 Dec 6, 2011
Mike wrote:
<quoted text>
Hi, every time i have root canal surgery the dentist has given me antibioits before the time as he cannot do it while infection is in the tooth. Apparently because any infection that is opened in the mouth goes straight to the leg and spreads.
After taking the anti bios about a week before doing the root canal he still checks for infection and if there is any sign of it he waits until its totally cleared up
Thanks for the information, Mike. Unfortunately my Endodontist only gave me the antibiotics 3 days before my root canal, which was 5 days after I started having the tooth ache.
I went into Surgeon Thursday and he aspirated 4 big vials of fluids off my knee and said the color and viscosity looked good, but he can't see bacteria. Tomorrow the results will be in from the lab and I will know if I have an infection.
My surgeon said taking antibiotics 1 hour prior to teeth cleaning and 3 days prior to a root canal is sufficient. But I can't help but wonder why your Dentist waits a much longer time. Makes me wonder if the Endodontist might have caused an infection by doing the root canal before the infection was cleared up. Yikes!
Tammy
Rasmussen

Great Falls, VA

#1361 Dec 8, 2011
Kathy - Iowa wrote:
My total knee replacement was done 7/06, I had a manipulation 10/06. I am still on crutches, going to physical therapy, now swimming the pain is severe most of the time. Aspirations, one showed crystals others they did not get much fluid but said it didn't grow anything!!!! At my wits end.
I had a total knee replacement (Right Knee) in April 2011.

It is eight months now. I am unable to walk, unable to sleep.
The surgeon who did the replacement surgery told me the x-rays look fine and told me not to come back!

The surgery was done at the Reston Hospital in Virginia.

I am thinking of finding a lawyer and suing the hospital and the surgeon.

They won't even give me pain medicine.

I am contemplating suicide.
Val

Council, ID

#1363 Dec 8, 2011
Rasmussen wrote:
<quoted text>
I had a total knee replacement (Right Knee) in April 2011.
It is eight months now. I am unable to walk, unable to sleep.
The surgeon who did the replacement surgery told me the x-rays look fine and told me not to come back!
The surgery was done at the Reston Hospital in Virginia.
I am thinking of finding a lawyer and suing the hospital and the surgeon.
They won't even give me pain medicine.
I am contemplating suicide.
Get a second opinion right away. I had a TKR on my right knee 5 years ago. I faced similar problems, ever increasing pain for the 5 years. The surgeon told me "everything is OK" every year. I went to another surgeon and he found several problems; loose cement floating around (cement really hurts!); knee cap tilted 30 degrees (this REALLY hurts), torn ligaments, and a few other things. I am scheduled for a "revision" on 1/10/12. Don't give up hope. Your first doctor does not want to admit to making a mistake.
cbs

Kearney, MO

#1364 Dec 9, 2011
In 1997 I was only 43 - far too young for a knee replacement according to my orthopedic surgeon, but my knee was bone on bone, absolutely no cartilage left. As part of an expiramental group, I received 5 synvisc injections over 5 weeks that gave me my life back. I had NO knee pain for the next 7 years. I am an RN working in a hospital so was on my feet 12 hours/day on hard concrete hospital floors, lots of walking and standing. When the pain came back, I limped around for a few months on NASAIDS until they no longer worked, then went in for a knee replacement. By this time, I had sustained significant damage to my left knee by favoring my right knee. With the first knee replacement it took about 6 months before I was pain free and a year before I felt I could really "trust" my knee. The first four months of recovery were so excruciatingly painful that I limped, used a cane, and crutches for 5 years before I worked up enough courage to go back for my left knee replacement. I had tried synvisc in the left knee, but they must have changed the formula from the 1997 injections because it did not work for me at all - not even a tiny bit! The second knee replacement was just as painful to recover from, I told my orthopod that I was glad I wasn't an elephant with two more knees because I didn't think I could stand another knee surgery. I am 57 now, two years out from my second and 7 years out from my first knee replacement. The second did not have as good an outcome - still have some stiffness/loss of range of motion, but at least the pain is gone. I did find out that a good massage therapist with experience in sports medicine helped tremendously with the continual persistant muscle knot that developed from the horrible muscle contractions I had after both surgeries (my leg muscles would snap my heel up to my buttoch - would literally make me scream in agony.) Finally figured out the cause was the pain pills I was on and changing types made no difference - so 8 days postop I was off ALL pain medication - thus my horrible recovery. I survived :) and am able to walk. I don't know what lies ahead as I know knee replacements don't last forever. I am extremely glad I did the knee replacements but hope to never have to go thru that again (I have since had open heart surgery and needed no pain medication after the second day and major abdominal surgery and never took the first pain pill after that surgery because the knee replacements have totally skewed my pain tolerance off the charts.) It is real hard work to do all of the exercises and PT that is required, and you MUST do ALL to have a good outcome. My recovery took longer because I was not able to take pain pills and thus had to work at the PT slower, but still got thru it.
Tammy E - Mesa Arizona wrote:
Has anyone had a complication to their
TKR due to a tooth/gum infection? Has
anyone had an infection in their TKR
caused by an infection in another part
of their body?
Tammy - My orthopedic surgeon told me that he only has ever had one infection complication and that was due to a dental infection - he had to totally remove the artificial knee and leave the wound open for 6 months to try to combat the septic wound - that is 6 months in the hospital with your knee removed and open - the patient did not survive -- so watch that knee! And ALL knee replacement patients should be oral antibiotics 1 hour prior to routine dental proceedures and any dental infections need to be treated immediately and cleared before any oral surgery is done.
Gail

United States

#1365 Dec 9, 2011
Just want to add some info about the antibiotics before dental appointments. I was told to take four (4) 500mg amoxicillin before I get my teeth cleaned, or any dental work done. My PCP or my dentist gives me a script for them.

Also, this is for Rasmussen in VA--go to a pain clinic or get your PCP to give you some pain meds. These surgeons(who think they're so awesome) need to have THEIR knee replaced, so they'll know we're not kidding when we say it hurts. Mine was a pompous ass too, who refused to refill my meds. So, I went to my PCP and thank goodness he's very understanding--so go to a new dr. Good luck Ras-things do get better mine was in 05 and I'm still in pain. I just rest when it starts killing me. FUN-lol
Tammy E - Mesa Arizona

Mesa, AZ

#1366 Dec 9, 2011
Rasmussen wrote:
<quoted text>
I had a total knee replacement (Right Knee) in April 2011.
It is eight months now. I am unable to walk, unable to sleep.
The surgeon who did the replacement surgery told me the x-rays look fine and told me not to come back!
The surgery was done at the Reston Hospital in Virginia.
I am thinking of finding a lawyer and suing the hospital and the surgeon.
They won't even give me pain medicine.
I am contemplating suicide.
Rasmussen,
Absolutely find another surgeon in a different hospital. Don't tell him about lawyer either. Just say you don't believe your being diagnosed correctly and you need help.
Also, find a pain clinic and get some pain meds. That's easy enough to do. A good pain doctor will give you better advice than any of us and will have a good surgeon for you to see.
Best of luck to you. Stop suffering and be proactive.
Tammy E - Mesa Arizona

Mesa, AZ

#1367 Dec 9, 2011
cbs wrote:
Tammy - My orthopedic surgeon told me that he only has ever had one infection complication and that was due to a dental infection - he had to totally remove the artificial knee and leave the wound open for 6 months to try to combat the septic wound - that is 6 months in the hospital with your knee removed and open - the patient did not survive -- so watch that knee! And ALL knee replacement patients should be oral antibiotics 1 hour prior to routine dental proceedures and any dental infections need to be treated immediately and cleared before any oral surgery is done.
Gail & CBS,
Gail and CBS - thank you for your responses. I ended up going to my orthopedic surgeon a week ago and he was very concerned. He aspirated 4 large vials of fluids from my TKR knee and sent them in for lab work. The major concern of bacteria growing came back negative (thank goodness). The lab will continue to test the samples for another 6 weeks to see if an infection shows up. Apparently an infection can be masked by the antibiotics. Crazy. But at least I know I donít need the entire joint removed and replaced. My surgeon has had a few patients who got knee infections from gum/tooth infections. He says he remembers everyone because the surgery to remove the joint takes 4 hours to perform. He even fixed another doctors patient who broke her tooth and got an infection 4 years after her TKR. She had to have the joint removed and replaced.
The good news is my doctor has a procedure for removing the joint, capping the bones, and inserting a spacer. This allows for weight baring in the 1-3 months it takes for the infection to completely clear up so a patient doesnít remain hospitalized waiting for the new joint to be installed. Very serious stuff!
Iím thankful you told me the tooth infection needs to clear up before oral surgery can be performed. My Endodontist waited 3 days to do the root canal but I donít know if that was long enough on antibiotics to prevent the infection from spreading. Iíll know more in the next 6 weeks.
Susanne

Manlius, NY

#1368 Dec 9, 2011
I am 6 months since total knee replacement. I experience horrific stabbing pain in the lower part of the calf of my leg. The doctor finds nothing wrong and suggests shin splints. I have had them before I ever had the surgery and was hoping the surgery would help. It makes sleeping very difficult.
Anyone have similar experience or suggestions?
cbs

Kearney, MO

#1369 Dec 9, 2011
Susanne wrote:
I am 6 months since total knee replacement. I experience horrific stabbing pain in the lower part of the calf of my leg. The doctor finds nothing wrong and suggests shin splints. I have had them before I ever had the surgery and was hoping the surgery would help. It makes sleeping very difficult.
Anyone have similar experience or suggestions?
Susanne, I had similar pains after my second knee replacement, my ortho could not find anything either. Finally he sent me back to PT for ultrasound treatments only on that area of my leg. I and the PT really didn't expect it to have any effect, but after 3 treatments/wk for 3 weeks, the pain disappeared and has never come back. After the first couple of treatments, I noticed the pain was better, would even stop for a few hours, but would return, so I really didn't think I would get any permanent relief - but I did. Ask your doctor for a referral for some US PT - it can't hurt and might really help. It's been 2.5 years since my second knee replacement - no pain. Massage by a sports massage therapist might also help.
GeneCrabman

Kill Devil Hills, NC

#1370 Dec 10, 2011
Just found this forum..I had a TKR on left leg jan/2011, I thought i was one of the few to have problems.The pain for the first few weeks was crazy.I kicked the pain pill thing after 5 weeks,and only take advil a few times a week.I'm a commercial crabber,and the Dr. told me i would probably have to fine a new line of work..Not going to Happen!I'm 50 years old and that's the only life/job I've ever known..I was back to work in about 8 weeks,standing and working makes the knee swell and very stiff,making it hard to step up to get off the boat.I also have a tuff time setting and getting up out of a chair when theirs nothing to pull or push myself up..My Dr. says it might take 1-2 years before it gets better..BTW the clicking and Popping when walking is something I have got use too.
Traci

Philadelphia, PA

#1371 Dec 13, 2011
I am 4 months post op from TKR on left knee, that's after 4 unsuccessful surgeries and a partial knee replacement. I am in constant pain and my range of motion is 90 on bending and 12 on extension, needless to say I walk with a bent knee which hurts alot. I don't sleep well at night and often wind up in recliner. The surgeon said I have alot of scar tissue in that knee. Any advice out here?
Gail

United States

#1372 Dec 13, 2011
Traci wrote:
I am 4 months post op from TKR on left knee, that's after 4 unsuccessful surgeries and a partial knee replacement. I am in constant pain and my range of motion is 90 on bending and 12 on extension, needless to say I walk with a bent knee which hurts alot. I don't sleep well at night and often wind up in recliner. The surgeon said I have alot of scar tissue in that knee. Any advice out here?
Hi, I had tkr in november of 05. Scar tissure removal sometime the next summer June or July. It did NOT HELP me at all, I had 2 ortroscopics (sp)then the tkr then the scar removal. I've been to 7 different orthopedic surgeons. My current ortho thought I might have an infection-ran some very expensive tests- where the mixed my blood with something and I had to lie on a machine for over an hour--not infected. Still in pain, on fentanyl 50mg patches, they worked great at first, now it's been almost 2 years, so they don't work as well, but I don't want to up the dose. GOOD LUCK!!!
Mack

Hampton, NH

#1373 Dec 15, 2011
Just found this site. Been wondering for 19 months if there was a forum for us.
My TKR was in May of 2010, still not happy with my results and searching for a revision specialist.
One note on pain meds; are you experiencing pain or contractions? It took me 4 months and a trashed relationship before my PCP finally listened. He proscribed Flexeril for cramps and Tramadol for pain in lieu of Oxycotin and Oxycodone. The muscle cramps and pain became manangeable within 24 hrs. Yet I'm still have some pain, and swelling after even short walks 19 months post op.
When I noticed a TKR friend experiencing the same symptoms as mine I recommended the same medication change with the addition of massage therapy for her IT Band. Her results have been stellar. At 3 months post op she went back to work (a desk job) and is pain free with -2 to 140 for range of motion.
So, there are good out comes.

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