Anyone dealing wih clicking , popping and pain after knee replacement?

Posted by nwemiz @nwemiz, Apr 23, 2024

Ive read through a ton of discussions and I haven't read any mention of it. I am going on my 2nd year after TKR and its never felt great, and ofcourse you kind of just get used to the discomfort-because the dr says "it all looks fine". They say give it a year to fully heal, but that is not happening for me.

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I am 16 months out and my Dr. says all looks well. I finally gave in and did a genicular nerve block to prove it is not a nerve issue, I went to vascular and my veins are all good so I went and saw another person in the same group for a second opinion and he sent me for a bone scan. It shows a photogenic defect from a right total knee replacement and a mild surrounding radio tracer uptake is an expected post-operative finding. It also showed moderate degenerative radioactive tracers around the left knee and it's not really bone on bone but doesn't give me the issues that this right one does. However I have a pulling from below my knee to the top of the knee and what feels like a baker's cyst behind. I also still have the clicking once in a while as well and it never really goes away. I'm waiting to see the Dr. next week to talk about the results. I can't take nsaids either and Tylenol doesn't really help. Heat does but I can't walk around with heat on my leg all day as I'm really active. I hope you are able to find some answers and can get a second opinion. A year didn't happen for me as well and I've done PT 4 times but others have amazing outcomes. Definitely get a second opinion.

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I’m 20 months post op LTKR. Clicking and clunking all the time. Occasional pain. Good ROM. Doc says it’s the appliance parts rubbing together as I move my knee. Says don’t worry. This is the result for some patients. Very annoying.

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Profile picture for tkr1 @tkr1

I’m 20 months post op LTKR. Clicking and clunking all the time. Occasional pain. Good ROM. Doc says it’s the appliance parts rubbing together as I move my knee. Says don’t worry. This is the result for some patients. Very annoying.

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Had both knees done in 2019 and I have some clicking and popping out of joint with the first surgery. However no pain so I can live with that.

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Profile picture for cindymattern @cindymattern

I am 16 months out and my Dr. says all looks well. I finally gave in and did a genicular nerve block to prove it is not a nerve issue, I went to vascular and my veins are all good so I went and saw another person in the same group for a second opinion and he sent me for a bone scan. It shows a photogenic defect from a right total knee replacement and a mild surrounding radio tracer uptake is an expected post-operative finding. It also showed moderate degenerative radioactive tracers around the left knee and it's not really bone on bone but doesn't give me the issues that this right one does. However I have a pulling from below my knee to the top of the knee and what feels like a baker's cyst behind. I also still have the clicking once in a while as well and it never really goes away. I'm waiting to see the Dr. next week to talk about the results. I can't take nsaids either and Tylenol doesn't really help. Heat does but I can't walk around with heat on my leg all day as I'm really active. I hope you are able to find some answers and can get a second opinion. A year didn't happen for me as well and I've done PT 4 times but others have amazing outcomes. Definitely get a second opinion.

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Thank you.. I am going to ask for that scan to be done.

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I am 16 months out of total left knee replacement but I’m having great discomfort ( not constant and fixed pain but shifting )with knee clicking, slight instability but good ROM dr says can change the polythelene insert for a thicker one but is not ready to do the revision surgery and says to accept it as it is. Got second opinion Dr says can immediately change the insert by one compartment revision and NO physical therapy will be needed. I’m confused what to do as I’m worried my knee will get damaged if this continues. Anyone has had similar experience please advice.

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9 months out, not great, clicking, affected ankle & leg, still some pain. I feel like it has affected my whole body.

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I'm 15 months out of TKR on my right knee. I've read that the clicking is normal, but it's something I rarely experience -- just a click now and then for no discernible reason. When it was really humid this summer, I seemed to have more stiffness and swelling. I gather that isn't unusual. Now my ROM is as good on the right as on the left. I'd describe the feeling in my knee at this point as tightness, rather than stiffness. I say that because it isn't a restriction or really even discomfort. The feeling is more like something new that hasn't been broken in yet. I keep reading it takes 6-12 months to recover, but I feel I'm still getting stronger and more comfortable with it at 15 months. I think using my recumbent stationary bike at home has helped, and I didn't have the ROM to do that on my home cycle until almost a year out.

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I had clicking in my Left knee replacememt; a physical therapist suggested doing the "short arc" exercise with a weight. At first I used one of my knee ice packs which was about a pound, after increasing to 1.5, the clicking went away. I couldn't post a PDF link of exercises from Kaiser Permanente, . I searched on short arc knee exercise then only found pictures on the Kaiser Permanente PDF (the short arc is the last one on the right). Note, I later modified this exercise to point my toes to the right and then left, which exercises the tendons on either side of the knee, which is what has bothered me even after the replacements.
2nd Note, I should have gotten my replacements earlier! Good luck.

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Profile picture for lindafl @lindafl

I had clicking in my Left knee replacememt; a physical therapist suggested doing the "short arc" exercise with a weight. At first I used one of my knee ice packs which was about a pound, after increasing to 1.5, the clicking went away. I couldn't post a PDF link of exercises from Kaiser Permanente, . I searched on short arc knee exercise then only found pictures on the Kaiser Permanente PDF (the short arc is the last one on the right). Note, I later modified this exercise to point my toes to the right and then left, which exercises the tendons on either side of the knee, which is what has bothered me even after the replacements.
2nd Note, I should have gotten my replacements earlier! Good luck.

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@lindafl, I think I found the PDF you wanted to post.
- Knee Arthritis – tips and exercises https://mydoctor.kaiserpermanente.org/ncal/Images/knee_arthritis_tips_exercises_tcm75-555863.pdf

How long ago did you have your knee replacement? How are you doing with your range of motion now?

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I had mine done in 2020, tore up my "good knee" getting up and twisting (normally)#, so much pain. I had limped along for a decade with my other knee for a decade, doing PT exercises, shots (which did help) etc., to postpone a knee replacement. I had one in July 2020 and the other in Nov same year. I have great range of motion and walk a lot, do weight training, etc. I know it's much harder to recover if you take blood thinners, anti-inflammatories were my best friend!

I cannot emphasize this enough - Do the exercises regularly, I was told 3 times a day and I rarely skipped even one set. I know someone who didn't do them~ and can't use that leg much. Had second done and she did the exercises, much better results. I still do them periodically now, especially for the one I waited so long to do, it needs the specific exercises. Oh, and do the exercises for both knees not just the operated one, you'll need the strength to help, and also if you get the other knee done.

Don't know how you got the link to post, I put it at the end, maybe putting in the middle works.

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