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Ligament instability after TKR?

Posted by mpirruccel @mpirruccel, May 9, 2023

I had a TKR in august 2021 on left knee due to OA. First 3 months pain was what was expected however it has never gone away, particularly on lateral side of knee. Operating surgeon at 6 months said I was a “slow healer “ and referred me to pain specialist. Pain is worse with stairs, walking. Tolerable when swimming. Cycling is now limited, used to ride 30-50 miles a ride. Icing and massaging every day. Do ROM stretches every day but painful. Have had 2 genicular nerve ablations with no results. Also tried MFR, acupuncture. Taking 75 mg Lyrica at night for sleep. Been to 3 different doctors all with different opinions. Last doc said only solution was a revision as problem is ligament instability. Anyone else gone through this?

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oceanspruce | @oceanspruce | 3 days ago
In reply to @steveinarizona "@oceanspruce So you had what is called a cruciate retaining implant. The PCL being the retained..." + (show)
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@oceanspruce
So you had what is called a cruciate retaining implant. The PCL being the retained is the cruciate. Have you and your doctor considered an MRI to take a look at the tendon and the PCL?

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@steveinarizona I've not had a "cruciate retaining implant". I've had bilateral total knee replacement surgeries that involved removal of my ACLs and that also resulted in an impingement of the popliteal tendon behind one knee. I've subsequently had an MRI of both knees, but the MRI images are unreadable due to the blackening artifact caused by the metal prostheses.

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stp258 | @stp258 | 3 days ago
In reply to @mpirruccel "@stp258 Still have lateral knee pain 4+ years later☹️. Have appointment to see Dr. Joshua Hustedt..." + (show)
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@stp258
Still have lateral knee pain 4+ years later☹️. Have appointment to see Dr. Joshua Hustedt of Banner Orthpedics in Scottsdale Arizona to see if I am a good candidate for joint denervation which moves the nerve from where it’s causing pain to a muscle. Relatively new procedure. 1” incisions. Will not consider revision as pain source has not been identified. Google joint denervation and see what you think. Procedure is for people who cannot get tkr or the 20% of us with chronic pain.

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Thank you! I will check this out!

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