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My Chronic Knee Pain After Replacement caused by Wrong Size Implant
Joint Replacements | Last Active: Dec 21 11:15am | Replies (59)Comment receiving replies
I ended up getting an MUA (Manipulation under anesthesia) after 11 weeks post-op based on a second opinion. I feel like this has helped immensely but I still have to warm up the knee every day, and it still feels warm after a day of moving, always feels tight (going on 13 weeks since MUA).
I'm glad I did it as its added so much more mobility to my joint. I'm going on 6 months since my surgery. I hope that someday I can forget about it all. It can hike and bicycle... just that damn tight feeling all the time.
Every day I have to stretch, exercise, and get it moving, oiling the exterior up as well so it feels better.
I too agree that there is no consensus on the physical therapy/surgeon coordination of rehabilitation. Does it really benefit a patient to be hurt and pressed down by 2 PT's just to get a number that doesn't last? I am still concerned about developing further scar tissue, so I keep working always. Should I be resting? Ibuprofen still, 200mg every 6 hours, sometimes Tylenol still. Geez... never used to take hardly anything. I still use my ice machine at night sometimes.
Meanwhile, my other knee hurts badly... don't know if I can go forward. Not much follow-up from surgery team.
I love bannisters, I love railings in bathrooms and tall toilets. Different perspective for sure these days!
Replies to "I ended up getting an MUA (Manipulation under anesthesia) after 11 weeks post-op based on a..."
@cathymw Was the pain level following your MUA as high as the post TKR pain level? (I'll need to arrange at home help for after my possible upcoming MUA, as I needed for the ten days after TKR if pain level is high.)
@cathymw
Would you please tell me how much pain there was after waking up from your MUA? I might be having one after about 21 weeks post TKR, because plateauing at 90 degrees for several months. If post MUA pain is as brutal as my post TKR pain was, I'll need to know ahead of time, to arrange a family member to live with me for a while.
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@cathymw
I am so sorry about your situation. I would urge you to consider doing the other knee BUT with a different surgeon (assuming your health insurance situation permits).
I would think that all surgeons have a variety of sizes available in the operating theater, I know my surgeon did and from his post surgery report, he did fit me and test the size on me while doing the surgery.
You need a surgeon you can trust and you have lost trust in this one. Find one who does it minimally invasively with no routine use of a tourniquet and a modern alignment (kinematic, inverse kinematic or Functional) and, MOST IMPORTANTLY, A SURGEON WHO HAS SUCCESSFULLY DONE YOUR SURGERY AT LEAST A HUNDRED TIMES. When you find someone who does all of that, make sure that she has great hands and a great mind and your chances of a successful surgery are significantly improved.
Unfortunately, there is no absolute certainty of outcome with a total knee replacement. But doing what I have outlined should increase your chances. I did. I am 80 years old and I had no post surgical pain and I even got a bicruciate retaining implant (very rare...I got to keep my PCL and ACL). On day 21 post surgery my PT measured my ROM as 122. I give 90% of the credit to my surgeon.