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

Posted by norby @norby, Nov 26, 2018

I had a right total knee replacement 10 weeks ago and came out of surgery with numbness and intermittent pain on the bottom of my right foot. However, I do have good motor function in that foot. The knee has been healing and with PT, movement is on track, but the foot is a major challenge. The foot pain at times is worse than any from the knee. I have been able to generally manage the foot pain with gabapentin. My surgeon believes this may resolve in time but may take from 6-12 months. However there is a possibility that it will never go away. Has anyone else experienced foot neuropathy following knee replacement? If so, what was your experience with it?

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@navyqas

When I asked my surgeon what could be the downside as I was making my decision for the TKR, he stated, and I quote: always a chance for an infection AND there could be some clicking. So clicking is to be expected (I have very little clicking) BUT the SOB NEVER SAID that I may have a numb foot for the rest of my life, I may have decided to not have it done. There should be no grinding on the knee you had fixed, that is why you got the TKR in the first place. After all this I wonder how people managed before TKR, they did, just wondering how they did it.

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I’m with you, had I known this was gonna happen I would’ve lived with the pain and just taking the shots. However now I have all the stuff going on and I guess I just have to live with that. I do need the left knee done but that’s not gonna happen so it is what it is.

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@sandie2749

I’m with you, had I known this was gonna happen I would’ve lived with the pain and just taking the shots. However now I have all the stuff going on and I guess I just have to live with that. I do need the left knee done but that’s not gonna happen so it is what it is.

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My other knee (right) is not great and I will get the gel shots every 6 months to try and avoid TKR. The knee (left) I had replaced had been getting gel shots but it was to far gone I guess because they did not do crap. If the right gets real bad that shots don't help I would consider TKR again giving the surgeon a fair warning that if he did nerve damage there would be comeback on my part. I believe they can show due caution and prevent nerve damage with care, I believe sloppy workmanship causes the nerve damage. Why do I feel like this? because I spent 42 years as an inspector watching humans work for the fed government, I know why things go wrong.

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@navyqas

Today marks 3 months since TKR, surgeon said I would be playing golf in three months, yes the knee came along (with much pain) and is good enough to use as normal, BUT he never said anything about nerve damage, bottom of my foot is as numb as it was the night of the operation! Some people say it takes a year to go away? any input? Just hope some day it fades away.

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Bottom of my foot still numb 11months after TKR. I guess we can only keep hoping the feeling will someday return.

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@tjh708

Bottom of my foot still numb 11months after TKR. I guess we can only keep hoping the feeling will someday return.

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Was hoping that kind of time would correct the nerve, I still believe in time the body will repair it and I am pessimist when it comes to most things. I just know the healing process takes so long as we get older and a nerve has a reputation for slow repair anyway, combine them both (age & nerves) and we have the very slow results. when yours gets better I would like to know.

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This really isn't a reply, but it's in the subject area of numbness and tingling in my foot. I am coming up on one year since a total knee replacement on my left knee and for the first time and for the last few months oh, I've had tingling and numbness in that foot and ankle area. I'm wondering if nerve damage could have occurred during the operation. I am 78 years old and in otherwise reasonably good health. I do have type 2 diabetes but it has been under control. I wonder if others have had a long numbness and tingling in the foot on the leg where the total knee replacement was done.?

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@billjan1950

This really isn't a reply, but it's in the subject area of numbness and tingling in my foot. I am coming up on one year since a total knee replacement on my left knee and for the first time and for the last few months oh, I've had tingling and numbness in that foot and ankle area. I'm wondering if nerve damage could have occurred during the operation. I am 78 years old and in otherwise reasonably good health. I do have type 2 diabetes but it has been under control. I wonder if others have had a long numbness and tingling in the foot on the leg where the total knee replacement was done.?

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My foot numbness came 6 to 8 hours after the left knee was replaced and has been the same amount ever since (approx. 4 months now). Hard to think your numbness was from the operation, just to much time, I would look elsewhere.

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Halo: Yes, I have been having the same feeling in the foot, tingling and numbness after nearly nine months of TKR of the left knee. I have no idea what it is due to. If you come to know the reason please respond to me. Thank you! I am 2 months into the right TKR and occasionally I have started feeling the same sensation into my right foot too.

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@jnoronha

Halo: Yes, I have been having the same feeling in the foot, tingling and numbness after nearly nine months of TKR of the left knee. I have no idea what it is due to. If you come to know the reason please respond to me. Thank you! I am 2 months into the right TKR and occasionally I have started feeling the same sensation into my right foot too.

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I had a cold, numb and tingly foot and purple toes right after my right TKR and was told it was normal by several, but 1 Dr finally listened to me(50 days later). I had an ABI test done which showed low pressure in my leg from the knee down. Which sent me to a cardiologist and then had an angiogram that showed the popliteal artery that supplies the blood to the leg/toes was totally pinched closed. Then had artery surgery which opened the artery and turned my toes pink again, but did not totally get rid of ALL the numbness and tingling. Was told because of the lack of blood to my foot I could have cell and tissue damage. I had nerve tests done that showed nerve damage to the main nerve that goes down the leg. Been 18 months and was told it might not ever heal or could take 3 yrs. Good luck.

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@jnoronha

Halo: Yes, I have been having the same feeling in the foot, tingling and numbness after nearly nine months of TKR of the left knee. I have no idea what it is due to. If you come to know the reason please respond to me. Thank you! I am 2 months into the right TKR and occasionally I have started feeling the same sensation into my right foot too.

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I would like to know how many people who received a TKR and acquired foot numbness soon after ALSO drank alcohol over the suggested safe two drinks per day for some years. I myself drank four per day for approx. ten years (retired) and am thinking I damaged/weakened nerves so as to make them vulnerable to disturbance of a TKR operation. Just a thought after reading all about alcohol neuropathy. Note: Something I never heard of before!

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@billjan1950

This really isn't a reply, but it's in the subject area of numbness and tingling in my foot. I am coming up on one year since a total knee replacement on my left knee and for the first time and for the last few months oh, I've had tingling and numbness in that foot and ankle area. I'm wondering if nerve damage could have occurred during the operation. I am 78 years old and in otherwise reasonably good health. I do have type 2 diabetes but it has been under control. I wonder if others have had a long numbness and tingling in the foot on the leg where the total knee replacement was done.?

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Greetings @billjan1950. Welcome to Connect and a big hello from all of the folks who find information, comfort, and support for what appears to be neuropathy including the symptoms of pain, tingling, and numbness. I too am up there....78 years old. Unfortunately, there really is no way of avoiding damage to nerves in any surgery. They are everywhere in our bodies. Surgeons, at least those I have met want to keep the neuropathy symptoms under control as new nerves are grown to replace those damaged by surgery. Nerve growth is pretty slow by its nature and you and I have the added factor of age.

So, @billjan1950, I was also ready to think that there may have been some damage in the left foot due to the TKR. However, guess what....I also have those irascible symptoms in my other, non-surgical leg, foot, and ankle. As I read your post, you have not had symptoms in your right leg. So they are different.

Did you share your concerns about healing issues with your surgeon? Were other tests done? Has anyone mentioned scar tissue? Last question, I promise.......have you been working with a physical or occupational therapist? Have you had an introduction to MFR (myofascial release therapy)?

Oops....one more question. Have you had a skin biopsy at the ankle location?

O.K. that's enough for now. I feel sort of like a kindred spirit here. Please don't hesitate to come back with some add ons and extras that might help us at this point.

May you be safe and protected from inner and outer harm.
Chris

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