Burning after total knee replacement

Posted by jetter @jetter, Feb 12, 2019

why does it burn after total replacement?

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@glokart1957

Anxious to hear what he says. I had a TKR one whole year ago, FEb 2020, and still have terrible burning pain in my knee quite often. . Still don’t have any answers as X-rays from 2 different orthopedic doctors show that “everything is fine.” Ice does not seem to help.

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Burning

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@womenfly

I had a TKR 2 weeks ago (2/9/2021) and am doing pretty well. The Oxycodone made me very nauseous so my doc gave me Tramadol which hasn’t been very effective. I do pretty well during the day, but at night I have burning on the inner side of my knee that only allows me to sleep a couple hours before it wakes me up. I guess it doesn’t bother me as much during the day because I am distracted by other things. It drives me crazy at night! I remove my elastic stockings at night to give my legs a break. The only thing that has brought me any relief is ice packs. Have others experienced this burning sensation and if so, what helped you? Also, what has helped with nausea after taking Oxycodone? I’d love to take a dose before bedtime if that helps but the nausea has stopped me. Thoughts?

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@womenfly Welcome to Mayo Clinic Connect.

It looks like you've already connected with members that are answering your questions and offering support.

May I ask if your provider offered you an anti-nausea patch? I'm not sure this is appropriate for you but they have patched you stick behind your ear sometimes when pain medications induce nausea.

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@womenfly

I had a TKR 2 weeks ago (2/9/2021) and am doing pretty well. The Oxycodone made me very nauseous so my doc gave me Tramadol which hasn’t been very effective. I do pretty well during the day, but at night I have burning on the inner side of my knee that only allows me to sleep a couple hours before it wakes me up. I guess it doesn’t bother me as much during the day because I am distracted by other things. It drives me crazy at night! I remove my elastic stockings at night to give my legs a break. The only thing that has brought me any relief is ice packs. Have others experienced this burning sensation and if so, what helped you? Also, what has helped with nausea after taking Oxycodone? I’d love to take a dose before bedtime if that helps but the nausea has stopped me. Thoughts?

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Have you tried ONDANSETRON for the nausea, I used it after surgery and had good luck. People who are going thru chimo use

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@erikas

@womenfly Welcome to Mayo Clinic Connect.

It looks like you've already connected with members that are answering your questions and offering support.

May I ask if your provider offered you an anti-nausea patch? I'm not sure this is appropriate for you but they have patched you stick behind your ear sometimes when pain medications induce nausea.

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I had a scopolamine patch in the hospital and it worked great. However, they removed it before I was discharged. I am now past the point of needing the Oxycodone so my stomach is fine. I go to see my doc on 3/3 and I think I’ll discuss this with him. The burning seems to be slowly subsiding but I will mention that too. No reason we can’t suggest things to our surgeons. I’m a big believer of self advocacy.

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@peggyp

I assume you always elevate and ice after exercise.

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Always.

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@janete718

Hi I had my TKR on 12/15/20. I’m just over 10 weeks. I’m have complications but as far as the oxy it made me sick also but about the only thing that helped the pain . After 2 weeks I got a script of Norco and Motrin to make it through therapy. The Oxy was also raising my blood pressure. That burning sensation is terrible . I suffered with it for a few weeks and used ice. It went away but recently came back for a couple of weeks. I’m not sure what it’s from but wondering if is from intense exercise . Having problems with my bend. I see the surgeon tomorrow. I have lots of questions so I’ll see what he says about that burn . Take care. I’ll update you on info .

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Hangin we all heal @ different times/length
I'm post opp 7mths now & have always struggled with burning pain.
More aware if l over do it burn heightens.
Lengthly walks is worst for escalating the burn. (Love being outdoors, but often have to say no)
Going to pool daily is my go too, happiness,
Woo reduces pain & freedom to bend!
I read your of those meds, well done!
All best with your healing, takecare.

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I had a tibial plateau fracture back in October of 2020. I had horrible pain on the outside of my knee. They did not find the break on X-rays but discovered on MRI. I had a total knee done on 03/08/2021. I still have the burning on the outside of my knee. Today will be the 6th week mark from surgery. I can get my flexion to 127. I can get my extension to zero but this is after a lot of massage and usually only in PT. I see my doctor tomorrow and will ask him about the outside knee pain. PT and the PA keep saying IT band syndrome. If I can't get full extension tomorrow, they are talking about surgical manipulation.

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@njpahl

I had a tibial plateau fracture back in October of 2020. I had horrible pain on the outside of my knee. They did not find the break on X-rays but discovered on MRI. I had a total knee done on 03/08/2021. I still have the burning on the outside of my knee. Today will be the 6th week mark from surgery. I can get my flexion to 127. I can get my extension to zero but this is after a lot of massage and usually only in PT. I see my doctor tomorrow and will ask him about the outside knee pain. PT and the PA keep saying IT band syndrome. If I can't get full extension tomorrow, they are talking about surgical manipulation.

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@njpahl Welcome to Mayo Clinic Connect, a place to give and get support.

It sounds like you have been put through the ringer.

Below I have linked another discussion you might find of interest where members @5rightkneesurgeries @joanna626 @autp17 @clvclv @mal492 @judybearden1 @jenniferhunter have previously discussed IT band syndrome after knee replacement. You may wish to scroll through the previous posts.
- IT band syndrome after knee replacement https://connect.mayoclinic.org/discussion/it-band-syndrome-after-knee-replacement/

May I ask what surgical manipulation would look like and what kind of recovery would be expected?

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@erikas

@njpahl Welcome to Mayo Clinic Connect, a place to give and get support.

It sounds like you have been put through the ringer.

Below I have linked another discussion you might find of interest where members @5rightkneesurgeries @joanna626 @autp17 @clvclv @mal492 @judybearden1 @jenniferhunter have previously discussed IT band syndrome after knee replacement. You may wish to scroll through the previous posts.
- IT band syndrome after knee replacement https://connect.mayoclinic.org/discussion/it-band-syndrome-after-knee-replacement/

May I ask what surgical manipulation would look like and what kind of recovery would be expected?

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I am not sure yet. I meet for my 6 week check up today. PT is confident I will meet zero so fingers crossed.

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Hello! I had my 6 week post op check up. My surgeon is happy with both my extension and flexion so no surgical manipulation. I did ask him about the pain on the outside of my knee. He explained that when they did my total knee, they straightened my bone and this is causing my muscles to have to adjust also (i saw the x-rays and boy did they straighten it). PT and the PA also said the same thing with the pain. I am still taking a pain pill at night as it starts to really burn after all day. He did suggest I try Voltaren and I started that last night. I would ecstatic if this pain also clears up.

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