Soreness and stiffness 10 months post TKR

Posted by cindymattern @cindymattern, Jul 24, 2023

I am now 10 months out after a right TKR...At 3 months I had about 115 range of motion and felt pretty good and was dismissed from PT. I went back at about 8 months as I felt I was getting more stiff and sore and still had the tight band feeling and feel like things are pulling. I did have significant arthritis prior to my surgery and do have arthritis in several areas. Of course my surgeon says everything is fine and my X-ray looks good. He won't see me till September which is my one year appointment. Should I be concerned. I'm still in PT, doing some myofascial release and some strengthening again. I also suffer from lower back pain and some IT band issues since the replacement. Any suggestions would be greatly suggested. I know they say a year or more but I'm so over this...I recently walked 18,000 steps at Universal but was very sore in the evening and used my knee sleeve due to walking so much. I do most everything except getting up off the floor but by late afternoon am really sore. ROM is still 115 if I use a band but it hurts but I can pull it. Can't take nsaids...currently on 900mg Gabapentil and Tylenol.

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@heyjoe415

Thanks kadrash. I admire your persistence and courage. This is a great lesson for all. I think it's abhorrent that a Dr. would accuse you of faking pain to get painkillers.

Stick with it. Excellent work and advice.

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Thanks for the encouragement, I still have sone ways to go but for the first time in years I regained the most important thing I had lost, not my mobility but HOPE.

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@cindymattern

I did the exercises on the paper I was given for 8 weeks prior to my surgery as well as Aquafit at the gym. However I did have to cancel my membership because the stopped offering classes when I could go. I had PT for 3 months then off for 4. I did stretching at home, walked lots and used the band doing exercises given at PT. I had lots of arthritis prior to surgery and still have arthritis in several other areas of my body which does not help. Doctor told me some people still continue to have soreness/stiffness no matter what which was rather discouraging. Knee sleeve helps tremendously but can only wear that for 8 hours or so before I need to take it off.

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Sounds like you have inflammation throughout your body. You might want to consider eating an anti inflammatory diet. It has helped me.

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@nursefran68

Hi Everyone
I am nine months out from a TKR and basically doing pretty well. Just wondering if anyone has experienced creaking kind of noises (known as crepitation) when straightening the knee after it's been flexed for a while. It's intermittent. I do not have any pain and am able to walk very well. I am due for a visit with the surgeon in a couple of weeks but thought in the meantime I'd see if anyone can shed a little light on this.

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Noise coming from the knee is fairly common after TKR. Certainly check with your surgeon, but if it's minor and intermittent, likely it's nothing to be concerned about.

I have found that consistently working on my quads (squats, extensions, leg presses), and hamstrings keeps my knee capsule "tight" and so I don't hear any sounds. I think for most, though, some sound is common and not a cause for concern.

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@cindymattern

I did the exercises on the paper I was given for 8 weeks prior to my surgery as well as Aquafit at the gym. However I did have to cancel my membership because the stopped offering classes when I could go. I had PT for 3 months then off for 4. I did stretching at home, walked lots and used the band doing exercises given at PT. I had lots of arthritis prior to surgery and still have arthritis in several other areas of my body which does not help. Doctor told me some people still continue to have soreness/stiffness no matter what which was rather discouraging. Knee sleeve helps tremendously but can only wear that for 8 hours or so before I need to take it off.

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Yeah arthritis is a huge bummer. It wasn't the marathons I ran that did in my knees, it was the osteoarthritis. Arthritis forms little bone spurs in the joints, eating away at the cartilage that is supposed to facilitate movement in the joint.

I was bone on bone in both knees before TKR. Now my knees are fine but my left shoulder is a good candidate for replacement. I would really like to avoid that, so I got a cortisone shot and will soon get another. The shots help, but aren't magic.

Short story - arthritis is hell, and there's not much we can do about it short of replacement.

I do hope your knees are noticeably better after the replacement. There should be less, or no sharp pain. Soreness and stiffness are more likely. I do believe exercise can help with that, but it also depends on the individual. We're all different.

All the best to you.

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@kadrash35

Thanks for the encouragement, I still have sone ways to go but for the first time in years I regained the most important thing I had lost, not my mobility but HOPE.

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Well there's nothing like having HOPE kadrash so good for you. Hope will take you farther than your legs ever will.

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I am almost 7 months out now. Still have knee pain, stiffness on & off & most of the time the whole leg hurts. Had a ct scan & blood work (to rule out infection) no issues. Dr says pain can last up to a year. ☹️. Wakes me up at night too. I see small improvement. I am using dynasplint for better ROM. I was told by sales person who brought me the dynasplint the best exercise is while in a sitting position & knee bent extend leg straight out with toes straight up - bring leg back bent in sitting position pushing leg back as far as I could each time. Do 30 of those 3/4 times a day (or more if you can). That seems to be helping some both with pain & ROM. Hope this helps you guys. (I also have arthritis & osteoporosis) I use heat more than ice. It seems to be better for joint pain. Ice only if there is swelling.

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@heyjoe415

Thanks for the kind words ezas. And you're right, and I apologize to the people who do have complications that may make my suggestions hard, if not impossible. I am pulling for everyone, and don't mean to knock anyone's program.

I have been beyond amazed by my TKRs. Before I had these, I could barely walk. I did find a very competent surgeon and personal trainer, and by following their instructions, well my life has turned around. I do realize how fortunate I am.

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Yes you are one of the fortunate few. I had bilateral knee surgery in late Feb this year. I had so much swelling and bruising that it made it difficult to do my exercise. I persevered, but even with daily exercises, going to physio, both my knees were stuck.
My left was 75° and my right was 55°. The physio therapist was baffled that the joints just stopped at that. I had an MUA on July 5. It has improved ... my right is now pushing 77° with a -9° extension, and my left finally reached over 90° the other day, it was 98° and extension was -2°.
The cement feeling in my knees and the gridlock was due to scar tissue. I have osteoarthritis in both knees, and a bit in my wrists. Scar tissue is not pleasant, and some has returned, but I'm determined to kick its arse to the curb. I will say though, that what this 5 month journey has done for me, is that I don't want to go through knee surgery ever again, nor an MUA for that matter. I really feel for other patients who have scar tissue . It's debilitating. It makes us feel that there is no hope. I had the surgery because I was bone on bone, but at least I had a 118° left knee bend, and 123° right knee bend before my surgery in Feb. Hindsight is 50/50.
We don't all have that success story to tell. My surgeon kept pushing more and more pain meds , I said NO more after 4 mths of hell. They are very quick to prescribe the opiates, but it's not for me. I'm back to extra strength Tylenol 500 mg, only when i need it, especially at night. I take cbd oil occasionally to get me through the day. I'm getting my life back and it's not going to be on opiates, because they're not for me. Doctors need to quit thinking that every patient is cookie cut exactly the same way and that they should all recover the same. That's been my beef over this. Kudos to you and all others who have a happiest of success stories. My journey isn't over .. but I'll get there. Good luck to all other patients who are struggling with crappy ROM, I know how you feel. Praying 🙏 for all partial knee replacement and total knee replacement patients. I'm in your court. Cheers.

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@heyjoe415

Noise coming from the knee is fairly common after TKR. Certainly check with your surgeon, but if it's minor and intermittent, likely it's nothing to be concerned about.

I have found that consistently working on my quads (squats, extensions, leg presses), and hamstrings keeps my knee capsule "tight" and so I don't hear any sounds. I think for most, though, some sound is common and not a cause for concern.

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Thanks for the response. I will discuss with PA and surgeon om my upcoming visit.

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@scorpiocan61

Yes you are one of the fortunate few. I had bilateral knee surgery in late Feb this year. I had so much swelling and bruising that it made it difficult to do my exercise. I persevered, but even with daily exercises, going to physio, both my knees were stuck.
My left was 75° and my right was 55°. The physio therapist was baffled that the joints just stopped at that. I had an MUA on July 5. It has improved ... my right is now pushing 77° with a -9° extension, and my left finally reached over 90° the other day, it was 98° and extension was -2°.
The cement feeling in my knees and the gridlock was due to scar tissue. I have osteoarthritis in both knees, and a bit in my wrists. Scar tissue is not pleasant, and some has returned, but I'm determined to kick its arse to the curb. I will say though, that what this 5 month journey has done for me, is that I don't want to go through knee surgery ever again, nor an MUA for that matter. I really feel for other patients who have scar tissue . It's debilitating. It makes us feel that there is no hope. I had the surgery because I was bone on bone, but at least I had a 118° left knee bend, and 123° right knee bend before my surgery in Feb. Hindsight is 50/50.
We don't all have that success story to tell. My surgeon kept pushing more and more pain meds , I said NO more after 4 mths of hell. They are very quick to prescribe the opiates, but it's not for me. I'm back to extra strength Tylenol 500 mg, only when i need it, especially at night. I take cbd oil occasionally to get me through the day. I'm getting my life back and it's not going to be on opiates, because they're not for me. Doctors need to quit thinking that every patient is cookie cut exactly the same way and that they should all recover the same. That's been my beef over this. Kudos to you and all others who have a happiest of success stories. My journey isn't over .. but I'll get there. Good luck to all other patients who are struggling with crappy ROM, I know how you feel. Praying 🙏 for all partial knee replacement and total knee replacement patients. I'm in your court. Cheers.

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Good Luck, I hope you continue to improve!

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@scorpiocan61

Yes you are one of the fortunate few. I had bilateral knee surgery in late Feb this year. I had so much swelling and bruising that it made it difficult to do my exercise. I persevered, but even with daily exercises, going to physio, both my knees were stuck.
My left was 75° and my right was 55°. The physio therapist was baffled that the joints just stopped at that. I had an MUA on July 5. It has improved ... my right is now pushing 77° with a -9° extension, and my left finally reached over 90° the other day, it was 98° and extension was -2°.
The cement feeling in my knees and the gridlock was due to scar tissue. I have osteoarthritis in both knees, and a bit in my wrists. Scar tissue is not pleasant, and some has returned, but I'm determined to kick its arse to the curb. I will say though, that what this 5 month journey has done for me, is that I don't want to go through knee surgery ever again, nor an MUA for that matter. I really feel for other patients who have scar tissue . It's debilitating. It makes us feel that there is no hope. I had the surgery because I was bone on bone, but at least I had a 118° left knee bend, and 123° right knee bend before my surgery in Feb. Hindsight is 50/50.
We don't all have that success story to tell. My surgeon kept pushing more and more pain meds , I said NO more after 4 mths of hell. They are very quick to prescribe the opiates, but it's not for me. I'm back to extra strength Tylenol 500 mg, only when i need it, especially at night. I take cbd oil occasionally to get me through the day. I'm getting my life back and it's not going to be on opiates, because they're not for me. Doctors need to quit thinking that every patient is cookie cut exactly the same way and that they should all recover the same. That's been my beef over this. Kudos to you and all others who have a happiest of success stories. My journey isn't over .. but I'll get there. Good luck to all other patients who are struggling with crappy ROM, I know how you feel. Praying 🙏 for all partial knee replacement and total knee replacement patients. I'm in your court. Cheers.

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Thanks Scorpio. I admire your persistence. There is no reason that your ROM was better, much better, before surgery. Other than pushing opiates, which is concerning all by itself, how does your surgeon account for these results?

I admit I don't know much about how scar tissue forms. I strongly suspected it was activity based, that is, more activity, less scar tissue.

I'd try and get some answers from your surgeon. And then look into finding a new surgeon. All the best to you.

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