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DiscussionFoot neuropathy (numbness and pain) after total knee replacement (TKR)
Joint Replacements | Last Active: Dec 2 6:39pm | Replies (746)Comment receiving replies
Replies to "12 weeks ago I had a MAKO Total knee replacement that corrected 9 degrees of a..."
Hello @bowleg2pain and welcome to Mayo Clinic Connect. I see that @sueinmn has joined you and given you some really helpful and practical advice so will let you go ahead and respond to her to allow she and I to learn a bit more.
Three years ago I had a right TKR and have had pain in the replacement knee, hip, back, foot pain ever since. It has changed my gait and I now have problems walking with my feet leaning in on my arch, and instability. Now the doctors are classifying me as knock knee. I never had knock knees previously. I am delaying having the right knee replaced due to all the problems I have had since the right replacement and am getting those gel injections for my left knee, which have reduced the pain. I too am concerned about all the additional pain problems I have had and agree with the comment about changes it makes to your alignment and after a lot of therapists and no one resolving anything I am not agreeing to adding to the problem with another knee on the left side. In fact it appears that the therapist don't have a clue and don't seem to have any interest in solving this and am getting no where with visiting different orthopedic sugeons trying to find answers. I am angry and a bit frustrated that they do the knee replacement and have no answers to all the pain I experience since. Seems to me they should be more responsible in results than just doing the surgery. Maybe the next step is a rehab specialist, don't know.
Correction: I am delaying having the left knee replaced due to all the problems.
When a drastic correction to the limb has been made, retraining of the muscles and ligaments is part of the solution. Your body has spent many years compensating for misalignment, length difference and everything else. Suddenly, BOOM - a huge change to your body. This requires total reassessment of the way the legs, hips, feet & back all work together by a skilled PT. "Typical" post TKR PT will not do the trick! This is a role for a rehab specialist - the person who treats people after limb loss and similar drastic changes.
If the second surgery is coming very soon, you may want to wait for help, but if you are miserable, maybe get the initial evaluation now? Have you had an evaluation of gait and posture after surgery? You may also need new shoes (the old ones all have your pre-surgery wear patterns) and possibly orthotics.
Sue