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Debilitating pain 6 months after knee replacement

Joint Replacements | Last Active: Feb 22, 2023 | Replies (117)

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@lindalockie

Hi I am a public patient in Australia Dont see my orthopaedic surgeon until May 23rd Not a lot of support Rehab to be done at home by yourself!! Had Spinal block for surgery and a tourniquet was used around the thigh apparently for blood free surgery I had lots of bruising around thigh
Can only take Paracetemol as allergic to all opioid medications but am trying very hard to bend knee and not doing too badly My biggest problem is relentless burning pain down my thigh calf and foot Pregabalin (prescibed by my GP DR) helps a little bit but make me very groggy I get results of a CT tomorrow so pain could be also due to Spinal block or I think the pain may be attributed to past spinal problems so goodness knows what happens to you during surgery
Been told it may take months to resolve but I need to be able to drive very soon as my husband is having a hip replacement on 8th May so will have to stop the pregabalin or will not be able to drive Just wondered if others had experienced this type of pain after TKR Thank you

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Replies to "Hi I am a public patient in Australia Dont see my orthopaedic surgeon until May 23rd..."

Hi @lindalockie, sorry to hear about the pain. I wasn't aware of the use of a tourniquet for knee surgery. I found an article that may shed some light on the why the pain...

Effects of Tourniquet Use on Quadriceps Function and Pain in Total Knee Arthroplasty
-- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4258487/

Why I stopped using a tourniquet for total knee replacement
-- https://www.yourorthomd.com/orthopedic-knowledge/why-i-stopped-using-a-tourniquet-for-total-knee-replacement

Have you thought about alternative methods for helping with the pain? There is a great discussion on Connect that may provide some help for your pain here:

> Groups > Neuropathy > Myofascial Release Therapy (MFR) for treating compression and pain
-- https://connect.mayoclinic.org/discussion/myofascial-release-therapy-mfr-for-treating-compression-and-pain/

Hi @lindalockie - I've heard others talk about that burning sensation of pain post-op from TKR. Sometimes I think it relates to scar tissue. Here are a couple of conversations that may be helpful:
https://connect.mayoclinic.org/discussion/burning-after-total-knee-replacement/
https://connect.mayoclinic.org/discussion/unable-to-sleep-after-tkr/
https://connect.mayoclinic.org/discussion/scar-tissue-after-knee-replacement/?orderby=DESC#chv4-comment-stream-header

I totally understand your desire/need to be back able to drive. Is your pain fairly constant or does it come and go?