← Return to Foot neuropathy (numbness and pain) after total knee replacement (TKR)

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@loriaakre

I had total right knee replacement 2.12.2019. Right after getting to my room I noticed my foot was numb yet tingly with a lot of pain in foot that shot through my whole body and had a lot of pain in my knee. I knew this was not normal as i had my left knee 5 years prior and did not have a numb tingly foot or the extreme pain in the knee. Never took anything more than Tylenol. Now i was taking nocor with no pain relief. So they added deloted in my iv. Still no pain relief. When the Surgeon visited the next day he just brushed it off. Hospital dr. said he had no clue and blamed it on diabetes ( i am recently diagnosed). At PT i could not do the exercises because flexing the foot now caused pain in the calf. They did ultrasound for blood clots, none found. When i tried to put weight on the foot/leg, my knee buckled. So they put a stabler on that leg which ment my leg was stiff so i could stand. 4th day after surgery i went home with numb tingly foot and pain killers which i had to refill and the get a different pain killer because nothing helped the pain and i wasn't sleeping. Went to PT and got a good bend 135% and 90% flat by my ck up. Went for followup 2 1/2 week checkup with surgeon and was just told foot numbness and tingly could be from nerve block after surgery for knee pain or tourniquet to the thigh during surgery.
Not satisfied with that i went to my endocrinologist to make sure it was not from diabetes. She confirmed that it would be both feet if from diabetes. She set me up with an appointment with a family practice dr. (primary not available, she was her associate). At that appointment she thought it could be a blood clot or damage to my circulation in my legs, since PT could feel lumps in calf. She did prescribe gabapentin to help with the pain , numbness, tingling in foot. It did help lessen the systems, but did not get rid of it totally., but can at least sleep better. Again ultrasound showed no blood clots, but she also ordered an ABI to check for circulation pressure. This showed the pressure on that right leg from the knee down is half what it should be. This news sent me to the cardiologist who didn't think it was circulation but numbers don't lie. I was then scheduled for an angiogram. This proved the main artery from my knee down was NOT receiving ANY blood flow. So sent to a surgeon who works with veins. He did not want to say it was diffently from my knee replacement, but more than likely was something that happened during knee surgery. So i am now set up for yet another surgery to fix the vein in the back of my knee. I have also been set up with a neurologist incase it was nerve damage. The surgeon thought it could be both. But my new knee has multiple clicks so hurts when it clicks when i walk. So when i get done with the vein surgery and see if there is nerve damage, i am going back to the doctor who did my knee.
I am still taking tramadol at bed time and IB/Tylenol or naproxen/Tylenol during the day for pain. The calf has lost most of its muscle so it tires after a few steps. My bend has gone backwards to hardly 90% flat is less as well. Was able to go up and down stairs normally. NOT any more.
Hope this info helps. We have to advocate for ourselves.

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Replies to "I had total right knee replacement 2.12.2019. Right after getting to my room I noticed my..."

Thsnk you for your long response. I hope the surgery goes well and I will wait and see how it resolves fir you. When I came out of TKR surgery, my foot and ankle were extremely painful, like a truck was sitting on it, and felt like soneone had twisted it all the way around. Noone would tell me what was going on, and rhe nurses pur ice packs on it and forgot about it until my leg got cold burned. So I worked hatd at PT at home, am on bike 15 minutes, high resistance, over 120 flexion, but my foot feels like someone tied a string around some othe toes and numb on bittom. It is iff and on but really bad at night and kerps me from sleeping because it gets really painful. I have an apptment with GP to see what she tecommends as a specialist. I was extremely active 6 months before my surgery and still in really good shape, muscle tone, etc., no medical problems. I had the KR so I can enjoy cycling again, but if I have a painful foot, I can't even wear a sneakwr for a half hour without extreme pain. The surgeon dismissed it and said it was probably a back problem. I have never had, and don't have a back problem, as far as I know. It just seems like doctors deny things instead of being curious to look into it.

Thank you for the advice on the ABI. My wife had a TKR 4 months ago and post surgery the foot pain came and soon was far more of a problem than the knee rehab. The knee is rehabbing great, but the foot pain is a significant complication for which she takes Lyrica and Tramadol. Her surgeon was of no use (he suggested seeing a podiatrist) so my wife has seen a neurologist and a pain specialist. So far, no diagnosis or remedy but we keep trying. I think having an ABI run makes sense ...