post knee replacement pain
Mack

Stratham, NH

#1374 Dec 15, 2011
How does one go about identifying a doctor for revision surgery?
Terri from New York

Highland, NY

#1375 Dec 15, 2011
Question for "booterup". I am 4 months post op and still have a lot of discomfort. Sleeping is sporadic and uncomfortable. Can you suggest exercises to do after pt is done. I don't have a bike at home - should I buy one? Join a gym? I do as much walking as possible and knee swells and pain increases when I over do. Will that go away? Weather effects the pain level also. Still get very stiff too.
Tammy E - Mesa Arizona

Mesa, AZ

#1376 Dec 15, 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?
Traci - I'm surprised your doctor didn't insist on a surgery to break up your scar tissue and get your knee bending. My doctor told me that if I couldn't bend my knee 110 degrees by week 2 post op, that he would have to operate and break up the scar tissue to get my knee bending. I worked exceptionally hard on bending and flexing my knee for 4 months straight. I had the Physical Therapist bend my knee and hold it to break up the scar tissue. We measured my knee bend angle everytime to record progress. Each time this exercise would break down scar tissue and my knee would swell. It was painful but I pushed myself until I got my knee bending 148 degrees. I recommend you talk to your doctor about your horrible range of motion. If you don't want surgery then you need to force your knee to bend by bending it everyday to the point you are tearing scar tissue. You have to tear the scar tissue to break it down. Put heat on your knee before you exercise it and it will be easier. You are definitely in a bad way and it sounds like you didn't do all the physical therapy you should have in the first couple of weeks. Good luck.
Tammy E - Mesa Arizona

Mesa, AZ

#1377 Dec 15, 2011
Terri from New York wrote:
Question for "booterup". I am 4 months post op and still have a lot of discomfort. Sleeping is sporadic and uncomfortable. Can you suggest exercises to do after pt is done. I don't have a bike at home - should I buy one? Join a gym? I do as much walking as possible and knee swells and pain increases when I over do. Will that go away? Weather effects the pain level also. Still get very stiff too.
Terri - Yes, buy a bike. You need to exercise your leg muscles at least every other day for success. Put heat on your knee before exercising it and ice it afterwords. I bought a Malibu Pilates chair that has springs on it which makes it ideal for strengthening leg muscles and bending the knee. You can use the chair as non-weight baring and get good results. As you get stronger you can then do weight baring exercises on the chair. Stretch your muscles before you go to bed and ice after you walk to reduce the swelling.
Gina

Halifax, PA

#1378 Dec 17, 2011
mike wrote:
i'm 48 and 4 wks post-op tkr with the depuy sigma fixed (as opposed to rotational joint)and am experiencing the same symptoms as dale. Can't sleep and pain is constant> Anyone else had the same problem who can advise if they have had a positive outcome from this? I know it is early days but i am a bit worried.
Mike,
Hi Mike, I am into 6 weeks post-op 51 yrs old with tkr and it is still terrible for me still take my meds every 4 hours faithfully still doing my exercises everyday and still can't sleep full night since go from bed to couch to recliner to computer all night long. The doctor gave me Ambien to sleep, but found that doesn't work due to pain. I am to worried, I hope this all changes soon I am not patient at all... Well take care and hope things get better for you.
GeneCrabman

Lyman, SC

#1379 Dec 17, 2011
Gina....I had a hard time sleeping too..I was lucky to get one hour t a time...My Dr. told me to take 2 Benadryl sp.......I could finally get 3-4 hours of sleep then...Hope this helps..
cbs

Leawood, KS

#1380 Dec 17, 2011
Sandy kcmo wrote:
i too am almost 2 years out from my tkr-have alot of pain outside of knee on left side that sometines goes all the way down to my foot and up all the way into my hip. would i do it all again? i dont think so if i had a choice-BUT when your kn ee is swelling and the pain is keeping you up at n ight then there really is no option. having said that-i am still in constant pain, cant sleep at night-if i bend ny knee during sleep the pain will wake me and i have to straighten my let to alleviate the pain to get back to sleep. i too am experiencing knee pain in the other leg due to arthritis and wear and tear. Am i considering another tkr-NO- but sometimes the option is not yours. just needed to vent because i am very frustrated as i too visited the doctor got xrays and he said i was doing fine.REALLY!!!! COME ON MAN!!!!
I am 7 and 2 years post op on knee replacements (waited 5 years before I had enough courage to do the second knee). With both knees, I required a hip to ankle brace to be able to sleep painfree at night. Eventually I was able to get out of the brace and now still use a pillow between legs (crotch to foot) when side sleeping and behind the knees when back sleeping. It really helped with the sleeping. The brace was a bit uncomfortable to get used to, but better than the pain. You might try asking for one (or two if needed). Keeps the knee from bending during sleep. Worked for me and insurance actually covered it!
cbs

Leawood, KS

#1381 Dec 17, 2011
brenda wrote:
<quoted text>
6 months as well ( June )-- cramps / muscle / tendons ( ie. like charlie horse )
feels like very poor circulation in leg ...not enough blood for muscles to work
I had similar pain after my TKR. I STRONGLY suggest seeing a sports massage therapist (interview to be sure they are experienced with post TKR pain.) After just a few massages, my pain was entirely gone! By the way, I got my recommendation from my chiropractor whom I had gone to for help with the pain. My orthopedist (whom I love, but) of course just looked at xrays and offered more pt.
cbs

Leawood, KS

#1382 Dec 17, 2011
mukara meredih wrote:
had TKR on 11/16. pain has been incredible. was totally unprepared. l regret my choice
Take your pain pills, work really hard thru the pain in PT and give yourself time. I regretted each of my TKR for at least 4 months post op. But I sure don't regret them now. Totally pain free and almost complete movement - will never be comfortable kneeling, but I can live without that. Time and movement will get you through this. I don't think there is anyway anyone could be "totally" prepared for the pain until they have gone thru it. Good luck and keep at it. This forum is scary to read, just know there are thousands of TKR "survivors" that are pain free and have gone thru what you are going thru. They just are not reading forums because they are out playing tennis, riding bikes, hiking, etc. You can do this.
cbs

Leawood, KS

#1383 Dec 17, 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..
Ice packs are the "best" post op - I used them for months. See my previous post about sleep and pain. You can get thru this and come out painfree at the other side. Lots of pain and work to get there tho.
cbs

Leawood, KS

#1384 Dec 17, 2011
Terri from New York wrote:
Question for "booterup". I am 4 months post op and still have a lot of discomfort. Sleeping is sporadic and uncomfortable. Can you suggest exercises to do after pt is done. I don't have a bike at home - should I buy one? Join a gym? I do as much walking as possible and knee swells and pain increases when I over do. Will that go away? Weather effects the pain level also. Still get very stiff too.
I'm not "booterup" but my suggestion is to continue the exercises at home that you were doing in PT. Also stair climbing. Bicycle is good, but would actually wait until 8-12 months post-op. I was about 12 mos. post-op after 1st TKR before I started back on my bike, took just minimal time before I was riding without pain. Started at about 8 mos. pos-op after 2nd TNR, took quite a bit longer to become painfree but got there. Push a LITTLE past the start of pain, then ice and rest. If you overdo, it will just set you back and may cause real and permanent damage. Stretching the muscles and tendons out slowly is the goal, too much too fast will tear them.
Eleanor Ebner

Waukegan, IL

#1385 Dec 18, 2011
I had right knee replaced in 2007. It hurt constantly and then, like an idiot, I had the left knee replaced. What did I expect? They both hurt and I have given up on p.t. I exercise at home as best as I can and I can't stand the way I walk. I use a cane but am not good at walking. I guess I will have to live with it. I have a bad back but will not have any more surgery.
positive thinking

Princeton, NJ

#1386 Dec 20, 2011
I had pain for 18 months and now went for a revision with a lateral release. I am not a baby but this pain has changed my whole personality. I am now 10 days post op and feel better than I did before the surgery. I would find someone who specializes in problem knees. I agree massage really helps but no one really understand the pain of a bad TKA. My surgeon found cement and bone fragments floating around in my knee. I cannot tell you how frustrated that I am that I endured the kind of pain I had for the past 18 months.

Do not just go to a good place. Find a good surgeon--one who is a good at the surgery. Don't hold my hand but do a good job!
Judy O

Cleveland, TN

#1387 Dec 21, 2011
GeneCrabman wrote:
Gina....I had a hard time sleeping too..I was lucky to get one hour t a time...My Dr. told me to take 2 Benadryl sp.......I could finally get 3-4 hours of sleep then...Hope this helps..
Hi
I am 4 months post surgery for both knee's. I have pain and swelling everyday. Sleep is almost non existent. Four weeks after my surgery I had to have a manipulation on both knee's. This resulted in a herniated disc that caused extreme nerve pain. I was readmitted to the hospital for a week of treatments. During this time I was unable to do therapy for the knee's; in fact my therapy was for my back for
3 additional weeks. Gradually I was able to start back therapy. My range of motion in about 90- 95. I have to take steps one at a time...I hate it! My pain is mostly on the left knee and leg. The pain runs down the outside of the leg almost to the ankle. I have worked up to 2 hours of standing at one time. But when I sit for even a brief period of time,I have to use my arms to life myself up and then I have to stand up in one spot for several minutes. I just wish I could sleep!!! I go from the bed to the recliner to the couch, on to the computer and to the tv....wish I could just get 2 hours straight of sleep.....sigh...
Ron

Gilbert, AZ

#1388 Dec 22, 2011
BWW, I had my left medial resurfaced with MakoPlasty in April. I am worse than before the surgery. I am curious if you have a pain that feels like a tight band around your knee. I do anytime i am on my feet and it causes me to limp. I too am younger for a knee replacement patient, although I do have osteoarthritis. My knee went due to many years of many marathons and ultra races. The reason I had this done was to improve quality of life, not go the other way. Wondering if you have had any luck getting any answers. I have been told it may be scar tissue that needs to be broken up but the surgeon is at a loss.
Good luck and keep me posted.
BWW Houston wrote:
1 min ago
 
Had both medials resurfaced with MakoPlasty in 2011. 6 and 7 months out am seeing pain management doctor to control the pain and getting second opinions. Osteoarthritis does not run in my family. Mine is old football related. Had cat scans, bone scans to check for micro fracturing------nothing explains the pain and it is right in the joint where the replacements are. I'm 47 and very healthy. Even on pain management I limp with pain. Doc shruges and cannot explain it-----maybe it will work itself out but so far MakoPlasty partial knee replacements on both knees have not worked or improved my quality if life. Left knee hurts worse than before surgery and right knee is about the same. I'm pretty tough fella so the pain is real and what I am describing is pain while on pain meds. So for me----no. To date Mako has not work for me.
My leg hurts

Houston, TX

#1389 Dec 23, 2011
Ron wrote:
BWW, I had my left medial resurfaced with MakoPlasty in April. I am worse than before the surgery. I am curious if you have a pain that feels like a tight band around your knee. I do anytime i am on my feet and it causes me to limp. I too am younger for a knee replacement patient, although I do have osteoarthritis. My knee went due to many years of many marathons and ultra races. The reason I had this done was to improve quality of life, not go the other way. Wondering if you have had any luck getting any answers. I have been told it may be scar tissue that needs to be broken up but the surgeon is at a loss.
Good luck and keep me posted.
<quoted text>
Whatever you do be careful who you use for your doctor-I used B. Parsley and have had horrible problems, he didn't come to see me till 3 days after the surgery and wouldn't give me enough medicine (while in the hospital) until I strated screaming from the pain. The doctor on call got in trouble for giving it to me. My tkr was over 5 years ago and I still hurt. Choose very carefully and make sure about how you'll be treated while in the hospital. I wouldn't do it again, but I was bone on bone and felt I had no choice. I thought I'd be just fine-DIDN'T HAPPEN. My 85 year old mom has had R knee replaced 3 times L knee once and she is in less pain than me. Good luck and happy holidays.
Brenda

AOL

#1390 Dec 23, 2011
Jean wrote:
It is 16 months since my knee replacement and I still have soreness and pain around the patella when I walk. does not hurt when I am immobile or sleeping. Have had different opinions from physio, OS and massage therapists. Anyone else have this problem?
Its going on 18 months for me. Mine still hurts even when I sleep. If I am sitting mine doesn't hurt so bad. The OS doctor doesn't care. He has his money. When you get past 62 most doctor doesn't care about you. My family dr. has tried to do more for me that the OS doctor. After Christmas, I am going for a third opinion.
julia

UK

#1391 Dec 28, 2011
I had my tkr in oct 2010 and then in jan 2011 i had a mua. the movement in my knee was gud, then came the pain and now i only got little movement and a lot of pain.they will not do a mua,as it could break the bones.any one got any ideas.thanks
Robinance

United States

#1392 Dec 28, 2011
I had MIS TKR 8 weeks ago. I went back to work after 3 weeks and drove after 2. The pain is minimum except when I have been on it all day. I take percocet when I get home at night. I've been doing physical therapy since the 1st day after surgery. Now I'm riding a stationary bike and just added the weights. My knee feels really good and my only complaint is when the swelling gets bad at the end of the day, it presses on my sciatic nerve which causes pain all the way down my leg to my ankle, MIS (minimally invasive surgery) is a fairly new procedure and recovery is quicker.
emerald jewel

United States

#1393 Dec 30, 2011
Total bilateral knee replacements in October 2011. Although the Rehab center did not condone, I was able to walk short distances (around my room)without assistance (walker or crutches)within 5 days. The staff freaked out when I walked in the hall on day 7. My recovery has been miraculous. At 2 1/2 months I can do virtually everything I need and almost everything I want. I do have some pain behind my need when bend past 125 degrees, especially when bearing weight but continued physical therapy is improving it noticeably. The real problem is with my head. I am frustrated with the minor limitation because of discomfort.
My doctor is fabulous and on the cutting edge (pun intended)on the latest and greatest advances. My physical therapist is the best I have ever had. He is very interactive, explains everything and watches when I do exercises so he knows exactly how I am reacting and progressing.

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