Knee and muscle pain; also a 14 year old hip replacement...related?

Posted by mnpat @mnpat, Sep 16, 2016

Hello, I am a 73 yr. old woman. I am having pain on the inside and outside of the knee joints. I have had some physical therapy which does not seem to be helping. Now I am also having discomfort in the legs.....mostly calves and thighs. I had a hip replacement almost 14 years ago.... could that possibly be getting loose and needing attention? What would be the symptoms if the hip joint should need to be replaced again?

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Ortho Surgeon visit & x-rays are good way to answer both knee & hip issues. 

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how long after hip replacement does the pain go away?

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Hi @jomama80, and welcome to Connect. I merged your message over to this discussion on hip replacements. I'd like you to meet @dawn_giacabazi, @mnpat, @tallteri and @grandmacheryl, as well as other members in this discussion. @jomama80, can you tell us a bit more about yourself and your procedure?

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As for how long it takes for the pain of a hip replacement to go away, I think it varies from person to person. On Friday it will be one month since I had my right hip replaced. I have almost no pain in the hip--just a little stiffness in the surrounding muscles, but that is getting better with time and with the exercises my physical therapist is giving me. I'm walking around the house unaided and use a cane when I go out. I was able to dispense with the walker almost 2 weeks ago. I am actually progressing more rapidly this time around than I did when I had my other hip done 6 years ago. Right now I'm more bothered by my right knee (hoping to avoid a knee replacement) and some peripheral neuropathy in my right leg. The therapist is trying to address those issues as well as helping me recover from the hip surgery. So, every recovery is different, even in the same patient. Physical therapy is key--if your insurance covers it, I would recommend spending a week in a rehab hospital after you are discharged from acute care. And when you get home, if at all possible, I would recommend doing outpatient PT rather than having someone come to your home, if you are able to arrange transportation. At an outpatient clinic, the therapist has more equipment available and can give you a wider range of exercises. But home therapy is better than nothing, and be sure to do all your recommended exercises on days when you don't have PT.

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Thank you for the GREAT advice.I start outside physical therapy this Friday!!!!!!! I will keep in touch.....JO

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@grandmacheryl

As for how long it takes for the pain of a hip replacement to go away, I think it varies from person to person. On Friday it will be one month since I had my right hip replaced. I have almost no pain in the hip--just a little stiffness in the surrounding muscles, but that is getting better with time and with the exercises my physical therapist is giving me. I'm walking around the house unaided and use a cane when I go out. I was able to dispense with the walker almost 2 weeks ago. I am actually progressing more rapidly this time around than I did when I had my other hip done 6 years ago. Right now I'm more bothered by my right knee (hoping to avoid a knee replacement) and some peripheral neuropathy in my right leg. The therapist is trying to address those issues as well as helping me recover from the hip surgery. So, every recovery is different, even in the same patient. Physical therapy is key--if your insurance covers it, I would recommend spending a week in a rehab hospital after you are discharged from acute care. And when you get home, if at all possible, I would recommend doing outpatient PT rather than having someone come to your home, if you are able to arrange transportation. At an outpatient clinic, the therapist has more equipment available and can give you a wider range of exercises. But home therapy is better than nothing, and be sure to do all your recommended exercises on days when you don't have PT.

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I agree that it all depends on the patient and we are different and respond differently.I had hip replacement in 2012.and was in the hospital with rehab for 10 days. I had home PT about 4 weeks. I learned how to get in and out of a car and to walk on uneven ground and around garden hoses, etc, I didn't have that while I was in the hospital rehab. While age has a lot to do with recovery, as the younger you are the faster you heal. PT is very important even tho it will hurt, do it!

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@jomama80

Thank you for the GREAT advice.I start outside physical therapy this Friday!!!!!!! I will keep in touch.....JO

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Good luck!!!

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Update: I saw the physiatrist (MD in rehab). She did MRI and xrays of knee and hip. Says hip replacement looks good. Knee is BAD.....tears in meniscus and ACL, lots of arthritis. I was hoping someone would do arthroscopy, but surgeons consulted say no....TKR will be necessary. I haven't scheduled it yet, as I am looking into anesthesia and possible cognitive decline after major surgery. The other various muscle pains seemed to be due to a statin allergy.....so I am off statins and wondering what will happen to my cholesterol!

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@mnpat

Update: I saw the physiatrist (MD in rehab). She did MRI and xrays of knee and hip. Says hip replacement looks good. Knee is BAD.....tears in meniscus and ACL, lots of arthritis. I was hoping someone would do arthroscopy, but surgeons consulted say no....TKR will be necessary. I haven't scheduled it yet, as I am looking into anesthesia and possible cognitive decline after major surgery. The other various muscle pains seemed to be due to a statin allergy.....so I am off statins and wondering what will happen to my cholesterol!

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@mnpat I'm glad you got answers to the pain in your knees and the muscles. You seem to be concerned about anesthesia with the surgery which is understandable. Have you had prior problems with anesthesia?

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@mnpat

Update: I saw the physiatrist (MD in rehab). She did MRI and xrays of knee and hip. Says hip replacement looks good. Knee is BAD.....tears in meniscus and ACL, lots of arthritis. I was hoping someone would do arthroscopy, but surgeons consulted say no....TKR will be necessary. I haven't scheduled it yet, as I am looking into anesthesia and possible cognitive decline after major surgery. The other various muscle pains seemed to be due to a statin allergy.....so I am off statins and wondering what will happen to my cholesterol!

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<br><br><br><br><br><br><br><br><br>Thanks for responding. No previous anesthesia issues, but older people (me!) sometimes have cognitive decline after major surgery.  I am trying to minimize that possibility.<br><br><br><br>

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