Interesting discussion with new knee doctor yesterday!

I have had problems with my first knee replacement (right knee) which was done two and a half years ago. I will say it is finally feeling better.
New knee doctor gave me some help with answers to my many questions without my asking them. He did new X-rays on both knees as the left is bone on bone. He told me that part of my long surgery was the fact that more bone was removed due to osteoporosis and more metal used on both top and bottom of knee replacement. E watched me walk and feels that my gait is not just my bad knee but something more going on. It may be just my peripheral neuropathy but feels there might have been a minor stroke because being hospitalized for three day after surgery is not normal. He is sending me to a neurologist to have some things checked out before we continue talks about additional surgery. In the meantime, we will continue with gel injections and I will get my first next week after insurance is cleared. I probably should share this in the peripheral neuropathy group as well. Although the trip is an hour each way and it was rush hour coming back, my new doctor is definitely worth the trip.

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@loriaakre

I woke up from TKR with a total numb leg from the knee down. Like it was a sleep. was told it can happen, it's normal by several knee surgeons. They put a leg stabilizer on so I could stand up. Well it wasn't normal! my TKR surgeon pinched off the popliteal artery behind my knee which supplies all the blood supply to your toes before it circulates back up.
It took my primary to say not normal and ordered an ABI test (blood pressure ultra sound of your legs) which showed very little pressure in that leg. Then had angiogram that showed the artery was blocked behind my knee. Had surgery to open up the artery and a large dead dried blood clot was removed. My foot went from numb, purple and cold all the time to pink and warm again. Since it was 2 months of no blood flow to my foot I did end up with some cell and tissue damage and still have some numbness in spots on the bottom of my foot and is a little sedative to almost everything. I have to wear socks and shoes all the time. But at least I have my leg. When I went back to my TKR surgeon he told me "Why did you wait so long to get it fixed...you could have lost your leg". I also found out since then he put in the wrong size plastic spacer and that is why my leg goes out on me sometimes. Plus my knee cap fractured from lack of blood flow as well, so I have a chip floating around in there.
Good Luck with your knee issues. I am now 3 1/2 years out and he was supposed to be the best in the business!
Lori Aakre

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I’m so happy that you were taken care of before any disaster happened. Yes. It is wonderful that we still have our legs. God bless you. The numbness of your foot may be a neuropathy as a result of the trauma.

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@cindiwass

I just had THR and what's bothering me a lot is my knee. It has been said that I need a knee replacement but I got the hip replacement first. The knee swelling after the hip replacement is painful and prohibits me from bending the knee much, more than a few inches and that with intense pain. I'm not sure how fast the recovery should go, and I am seeing the surgeon in a week or two (not sure of date), and wonder now is this a good time to ask for a CT scan? I told him I was having problems with my knee when he examined me, he encouraged me to have the hip replacement, but didn't offer a CT scan. Only a regular x-ray which I had, of course. I wonder just how good that is. He has a very good reputation on healthgrades, and the hospital he works out of, always got the best reviews from personnel, but--I wonder if I should have had a CT scan, and why the knee is so swollen after the hip surgery, yes, it was giving me trouble before the hip surgery but still -- I hope the swelling will go down, like I said it's been a little over a week from the hip replacement.

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I remember hearing that if you need both it’s best to get the hip done first. Everyone is different when it comes to recuperating and healing. But your knee has probably been exacerbated by the hip surgery. Doctors don’t seem to want to rush with CT scans. I’m not sure why. How about a visit to your primary care doctor while you’re waiting for your next appointment with the surgeon. Or call surgeon and request an earlier appointment due to knee pain. Best wishes.

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@bonniethompson1234

I remember hearing that if you need both it’s best to get the hip done first. Everyone is different when it comes to recuperating and healing. But your knee has probably been exacerbated by the hip surgery. Doctors don’t seem to want to rush with CT scans. I’m not sure why. How about a visit to your primary care doctor while you’re waiting for your next appointment with the surgeon. Or call surgeon and request an earlier appointment due to knee pain. Best wishes.

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Hi. Is a CT scan the same as an MRI? I will definitely call the surgeon's office for an earlier appointment. He is so ridiculously busy that he personally doesn't see the return patients he has an associate do that. However, I will call tomorrow. Thanks.

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CT and MRI are definitely different but I don’t know the actual differences. I’ve had MRIs for the knees and CT scans for kidney stones. I think the CT scan can see more maybe through dense tissue.
I think seeing the doctor’s assistant is becoming the norm all over unless you book an appointment with the doctor weeks ahead. I’ve experienced the same where I am. Good luck with everything.

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@cindiwass

I just had THR and what's bothering me a lot is my knee. It has been said that I need a knee replacement but I got the hip replacement first. The knee swelling after the hip replacement is painful and prohibits me from bending the knee much, more than a few inches and that with intense pain. I'm not sure how fast the recovery should go, and I am seeing the surgeon in a week or two (not sure of date), and wonder now is this a good time to ask for a CT scan? I told him I was having problems with my knee when he examined me, he encouraged me to have the hip replacement, but didn't offer a CT scan. Only a regular x-ray which I had, of course. I wonder just how good that is. He has a very good reputation on healthgrades, and the hospital he works out of, always got the best reviews from personnel, but--I wonder if I should have had a CT scan, and why the knee is so swollen after the hip surgery, yes, it was giving me trouble before the hip surgery but still -- I hope the swelling will go down, like I said it's been a little over a week from the hip replacement.

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Cindi,

I think it will take another week or two for the hip to settle down.

As for the knee, women tend to have more trouble with their knees than men. The reason is that men's hips align with their knees, while a woman's hips are slightly wider and not directly over the knee. I'm not a Dr. - it's possible the knew knee now has the femur properly aligned and it is aggravating the knee because of the angle of the femur coming into the knee joint. That's a guess but I'd ask the Dr.

X-rays can usually tell if a knee replacement is needed. It shows if the bones are rubbing together, and the degree of degradation of the cartilage. Ask him about your x-rays.

Even if a TKR is warranted, I'm sure he'll ask you to wait until the hip is completely healed. And you should.

I have had osteoarthritis in my feet (two bunioneictomies) and my knees (two TKRs) and now find out my shoulder is arthritic and someday will probably need to be replaced. I'm an orthopedic surgeon's dream. You might have inherited the arthritis gene as I did,

All the best to you Cindi! Joe

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Thanks, Joe. I've been told that I need a new knee but should start first with the hip. When I asked why, the surgeon said, "We always work from the top down." OK, I thought, I'll accept that as an answer. But insofar as healing goes, I can hardly walk yet, the knee is what's causing me so much trouble. I intend to see the doctor earlier than scheduled if possible, i'll call tomorrow. I don't think I inherited a disturbed gene, I think what's happened is that I twisted my knee in high school during a basketball game when some lovely player (all girls) threw me down. Nice. Since then I have been against contact sports as much as possible. I should have sued the school, but back in those days we didn't do those things. The doctor took out part of the torn cartilage and I've had trouble increasing since then. That's a long time ago. Thanks for your reply.

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Since this earlier post, I’ve seen a neurologist who did extensive bloodwork, and MRI’s on my brain, neck, and upper back. No findings. But she asked that ii do one more thing and see a vascular surgeon. So I did. He found that my blood is pooling at the bottom of my legs causing some of the pain and discomfort I’ve been having. So I’ve started a procedure that will kill off bad veins and the blood will then go to stronger veins stopping the pooling and the many spider veins I have. The procedure concludes in early October. I’m hoping.

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@cindiwass

Hi. Is a CT scan the same as an MRI? I will definitely call the surgeon's office for an earlier appointment. He is so ridiculously busy that he personally doesn't see the return patients he has an associate do that. However, I will call tomorrow. Thanks.

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CT scan uses xrays, & MRI uses magnetic resonance imaging. CT scans are generally best for visualizing bone, MRI for soft tissue, (ligaments, tendons, etc.)

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I was in the hospital for actually 2.5 days because of pain and I had issues walking. I also had tons of arthritis which makes me wonder the same now if they had to remove extra bone. I may ask that questions when I go in for my one year in a few weeks. Thank you for sharing that. Of coarse my surgeon says everything looks good and it's functioning normally.

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