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Foot neuropathy (numbness and pain) after total knee replacement (TKR)
Joint Replacements | Last Active: Apr 7 5:40pm | Replies (725)Comment receiving replies
I did reach out but got the on call doctor so I am waiting until tomorrow after holiday to call their office because I definitely need something better at night to control the pain. The pain in my foot feels like my toes are on fire at times which could be due to nerve regeneration as I have read. The numbness is still very present and feels like I am walking on large chunks of pebbles. Weirdest and worse pain ever. Not to much pain in leg some achy around knee. Swelling is still present as ever and my leg feels like a ballon. The calf is better but still very tight as well as quad.
Replies to "I did reach out but got the on call doctor so I am waiting until tomorrow..."
I had a numb leg from knee down and totally numb foot. like you said rubber when you stand up and feels like walking on gravel. Foot was cold and toes turned purple. Surgeon said it was normal - nerve damage. long story short...the surgeon pinched the popliteal artery behind my knee during surgery which cut off all blood supply to my lower leg and foot. 6 weeks later my primary said NOT NORMAL. did an ABI test (blood pressure test of legs) and then angiogram that found the pinched artery. Had to have yet another surgery where that surgeon took out a dead dried blood clot and opened the artery so I now have blood flow again, but since it was almost 2 months no blood to foot I have permanent tissue and cell damage and numbness to toes and other parts of foot. My knee dr.,when I told him what he did just said..."Why did you wait so long to get it fixed...you could have lost your leg" REALLY
Don't give up keep looking for answers! I did have a spinal injection to see if that would help and it did for about a year, but never go rid of all the issues. That Dr. just told me your knee dr. damaged more that the popliteal artery. It has been 3 1/2 years now. no change.
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I know for both my RTS and TKR one of my routine meds was high dose anti inflammatory and aspirin. I’m just not sure that pain meds will work. Also used cryotherapy (ice machine), a special bolster for my leg, and therapist did dry needling before surgery which helps relax tight muscles but it’s too soon for that post op for you. I know it was close to 4 months before I was able to get some sleep. My pt also had me at his clinic the day I got home from hospital. Also 2 months in I started water aerobics.
Nerve pain as you describe is no fun. Hope between your surgeon and your therapist can help.
My heart goes out to you!
On Sep 5, 2022, at 10:15 AM, Mayo Clinic Connect wrote: