Total knee replacement problems

Posted by daynaj @daynaj, Aug 6 4:12pm

I am really hoping someone can help. I had a total knee replacement 3 years ago (age 48) due to a motorcycle accident in my teens. I am in more pain than I was before. My knee constantly feels like there is an ace bandage wrapped around it. It is very tight, stiff, and painful. I did all of the PT and still can't straighten my knee any further than I could before. I have been back to my doctor twice about this problem and have gone to see a different doctor, and they both tell me some patients just don't do so well with knee replacements. This can't be the only answer! I am 51 years old and struggle to accept the fact that I will have to deal with this for the rest of my life. I have very tiny bones. I had a disc replaced in my neck and had to go back in 2 weeks later to have it replaced with a specially ordered disc because the smallest one this particular manufacturer makes was too big for me. It makes me think this might be the issue with my knee as well. Any advice?

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@spinner2

Good news! Were you able to begin PT exercises soon after revision? May I ask what your knee flexion after the surgery was/is? Is PT helping it improve?

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Yes it is encouraged I had to go every day for a week ….unfortunately in my situation I made it two days than my pt told me stay home ice and elevate…. I had mua at 4 weeks when I had wrong size knee , so definitely why it hurt me more than helped ..,, the only thing that helped me was having a revision at one year mark ….

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I will need TKR, but my leg is a full inch shorter than the other. Does anybody know how this will affect my TKR and my recovery?

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@ezas123

Yes it is encouraged I had to go every day for a week ….unfortunately in my situation I made it two days than my pt told me stay home ice and elevate…. I had mua at 4 weeks when I had wrong size knee , so definitely why it hurt me more than helped ..,, the only thing that helped me was having a revision at one year mark ….

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How is your ROM?

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@healthtalk

wish you all the best in your recovery.
Pl keep me posted about you dr visits and revision surgery.
I my case I had two surgeries already. I first surgery dr put nickel in my knee - that I was allergic to. somehow revision surgery - dr thinks my X-ray does not show any problem. Surgeons are not listening to my concerns - only looking at X-rays .

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Ask for an MRI!

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@wishful2

I will need TKR, but my leg is a full inch shorter than the other. Does anybody know how this will affect my TKR and my recovery?

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Talk to your surgeons about what the options are. Is the TKR being done on the shorter leg? And how do you accommodate the difference now?

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good luck--and God Bless your outcome

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@sueinmn

Talk to your surgeons about what the options are. Is the TKR being done on the shorter leg? And how do you accommodate the difference now?

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The surgery will be on the shorter leg. I lived with a shorter leg for 70 years. We just discovered this fact 3 years ago. I suppose it explains the huge issues I had with back pain all my life. I tried ant-inflammatory pills, then I went to natural products glucosamine, collagen etc... then I added exercises, physiotherapy , essentrics. My shorter leg is now also crooked due to the degenerative arthritis ....I'm a mess...I only saw my doctor once for 10 minutes and I have been on the waiting list for the surgery for 1 year (Canada health system) ...I will try to insist in seeing him again before the surgery to answer my questions. Does the surgery fix a crooked leg?

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@spinner2

How is your ROM?

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Since my revision I am at 100 before as at 65-70

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@lj1952

I am never *not* aware of the new knee. I'm aways aware of it as something I need to take care with. It's limiting in many ways--I used to do yoga, but there are poses that I can no longer do. I have morning stiffness every day and often when I've held the knee in the same position for an extended time, say, an hour or 45 minutes. When I think back on it, I can't remember the pain that caused me to give the go-ahead for the TKR. I had a recent fall (fractured my left humeral head; I fractured the right shoulder much worse last September), and I worry that the fall might've hurt my new knee. My physical therapist (for my shoulder and back) tells me, though, that if my new knee had anything wrong with it, I'd certainly know about it. I'm just always aware of the knee as a not-natural joint. It just feels artificial--I'm conscious of it in a way that I'm not conscious of my other, natural knee.

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Replying to lj1952.
First to say I am so sorry for your fall.
I might go on a bit but I am at month 4 TKR. It has been a miserable recovery experience. My PO X-rays and doctor plus PT say surgery went well.
The thing is recovery. I am acutely aware of this knee. My functionality is poor bc I do not trust it. One hypothesis is that I am treating the surgery as tho I had amputation and mourning the loss of my real knee. It has been a struggle. I continue to improve with range of motion etc. but just can’t get past how stiff and unnatural the knee is.
PT is guessing I will need a year to feel more at ease.
And yes I am also mourning my old days with yoga. Child’s pose is gone forever.
I DO NOT want my second knee done!
Sending empathy.

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@ezas123

Since my revision I am at 100 before as at 65-70

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That’s great- hopefully you’ll gain a little more over time. I’m at where you were (65-70) and have upcoming scar tissue removal + partial revision. Praying that I will have a favorable outcome. Good luck….. and carry on!

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