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

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@sueinmn

I am sorry to hear you are having the pain, and it is definitely something to ask your doc about. Please don't be surprised or upset if he examines you and says that it is "normal" for your stage of recovery and will go away. What is most frustrating, of course, is that most pain meds don't touch nerve pain, so it quickly becomes a focal point of our day or night!

During joint surgery, many nerves are assaulted - irritated, bruised, repositioned, maybe even cut as part of the operation. Each of these must heal, and they do so at their own VERY slow pace. Some of the symptoms of nerves healing are numbness, tingling, burning, feeling cold or hot, even stabbing. The pain changes depending on the nerve involved and the stage of healing.

When I had my hip replaced, the numbness started at the incision and went all the way to my little toe. There were many changing sensations over time, and after about 6 months I was left with one permanently numb area (about 6") along my femur. I also experienced long term numbness, pain & tingling in my shin & foot for almost a year after a traumatic knee injury & ACL/MCL surgery, but it eventually resolved.

After my experiences, and a lengthy explanation by my excellent PT team of the nerve healing process, I realize many people will have nerve issues after major surgery. My PT explained that if I could change the pain with position change, massage, ice or heat it probably wasn't too concerning - just a sign of healing. If it didn't change, not matter what I did, and it persisted for a day or more, or there was new swelling, or it was discolored or hot or cold, it was time to call the doc.

2 weeks is early days yet - be gentle with yourself as you heal, do your PT even when it hurts (and it will!) and come back with your questions. There are a lot of experienced survivors here who can share with you.
Sue

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Replies to "I am sorry to hear you are having the pain, and it is definitely something to..."

Y’all have truly been very informational and informative. I love this forum post as many people will blow you off and say it is normal. I pray this is just a part of healing and that the issues I am having will resolve once I have completely healed. Fingers crossed. Will definitely be back to give updates.

Hi,

I am glad you mentioned all the symptoms you had after your THR. I am seven weeks out from THR, and I am getting burning, tingling, stabbing and even electrical type shocks down my thigh from the surgical site. I think I was just not prepared for this by the doctor. It would have been good for surgeons to have a discussion of the types of "normal pain" to expect versus pain indicating that you should contact the doctor. When these symptoms flare up, it is hard to not think there is something very wrong with the hip replacement surgery itself. Thank you for the reminder that joint replacement is major surgery and the damage and irritation to the nerves and muscle will take time.