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Cortisone shot after TKR
So I had a cortisone shot today at 11 months out from my right TKR...of course Dr. suggested Nsaids that I must be careful with, Voltaren gel which doesn't work, Lidocaine patches that don't work etc... I told him I do lots of Ben Gay. He decided to try a cortisone shot for what feels like a baker's cyst but he saw no fluid on my knee on the x-ray. X-ray looks good, knee functioning well and no hardware issues and he's hoping the cortisone help with any inflammation and soreness I am still experiencing. He also said maybe it may take me longer than the normal person. We'll see
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Ugh constipation!! I have IBS too. Found out take 1.5 dose of miralax, ( been on it 2 years, yuk) I added 1/2 senna and a goli gummy,,sleep one, purple bottle. It’s has 12% magnesium citrate. Ohh boy. It cleaned me out.
This is interesting. The extra bone is found in 39% of people, if what I read is correct.
I think any good surgeon would know this and not misdiagnose as a baker's cyst or loose body in the knee capsule. These likely would only be seen on a lateral X-ray. I don't know if the TKR would cause the labella bone to cause pain or aggravation. It certainly won't be helped by pain killers, NSAIDs, patches and gels.
If I were in this situation I'd ask if removing the small bone would help. Should be able to be removed with a scope, I think.
Well I'm a 68 y/o male - not overweight - used to run a lot but what did my knees in was osteoarthritis. In 2022 I had both knees replaced.
Suggest you find a pt or trainer and get your leg in shape BEFORE the surgery, to the extent possible. After surgery, do the rehab exercises immediately and thoroughly.
As for post op pain, well it's a big surgery so there will be a lot of swelling and pain. The surgeon may give you a nerve block pump to partially ease the pain, and oxy for a few days followed by Tylenol. Ice and elevation of course, and wear a compression stocking on your foot and calf for a few weeks. After a few days, your inner thigh may turn black and blue from the tourniquet used during surgery.
Bet then, each day gets better. Range of motion improves. Most unhappy TKR patients don't do the required rehab/rehab and get scar tissue. Don't let that happen to you.
I already had the surgery and am 11 months out....still lots of swelling and if I don't wear the sleeve it gets really sore and stiff. I am in PT right now and I can't take nsaids. I was doing really well at 12 weeks when they released me. Now I"m back...I do the exercises and surgeons says all is well take nsaids for swelling. It may be more than a year and I had tons of arthritis which is why I had it done.
heyjo,
I am proof that a TKR can cause a fabella bone to cause horrible pain.
Fabella syndrome is a rare but relevant cause of pain post-total knee arthroplasty (TKA) due to mechanical irritation of the posterolateral tissues of the knee1234. The symptoms of fabella syndrome are posterolateral pain and a catching sensation (or clicking sound) with knee flexion14. The fabella can also get in the way of knee replacement surgery and cause pain and discomfort on its own5.
Fascinating thank you. It seems the bone would be visible on a lateral X-ray. It should be removed pre TKR I would think.
And in most TKRs, the ACL and PCL are removed. I wonder if that affects the labella, especially the PCL. During a TKR, I don't think it would even be possible to see the fabella bone or a baker's cyst.
Thank you so much I too will seek advise at another practice
I would definitely get a second opinion and based on my own experience sample of one see how they prepare you for the surgery . First time round , I have had both knees replaced one 6 years ago at 56 due to osteoarthritis, everyone stayed in overnight in case of blood clots and it allowed for PT to instruct you how to do exercises , equip you with walker etc. and to ensure you could navigate stairs in relation to the number in your home. Also ask how long the surgery takes? Second has been horrible . That being said even with the pain I still have in the right new knee I am more mobile than when it was bone on bone. For now I ice elevate massage swim and hope time will heal.
I am 8 month post TKR surgery and still have a lot of pain on the inside or my knee. The last 4 months my surgeon did not have any answers. I had a CT scan and MRI and the surgeon claimed they were non-conclusive. I went to a University Medical Clinic for a second opinion. The PA told me more in 20 minutes that I learning in the last 4 months. He said the problem is with the bursa sack. He sent me back to physical therapy for a few weeks. If the new PT does not relieve the pain he said they would do an injection directly into the bursa sack. I thought the shot would be the relieve I was looking for. However, my wife doing research online said this shot has a very high risk of infection. Has anyone out there had this type of shot?
@medicaltalkline,
I'd like to invite @cindymattern, @laughlin1947 and @loulou13 who all mentioned having bursa injections from a joint replacement to share their experiences with how it worked for them and whether or not they were instructed on the risk of infection from the shot itself.
@medicaltalkline, it is good to hear that you met with someone who addressed your concerns and offered a potential solution. Did they think PT would be successful? Does your PT now involve doing exercises you weren't previously doing?