Burning after total knee replacement

Posted by jetter @jetter, Feb 12, 2019

why does it burn after total replacement?

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@chigirl

I'm three and 1/2 weeks out and my burning is now gone. Granted it was only a silver dollar size on the inside of my knee but it burned like hell. PT and Dr both said it's from a nerve they sometimes have to move or cut.

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Chi girl, So glad you’re doing better now. It appears we just have to wait it out sometimes and let our bodies do their mending. I’m 13 days post surgery with bilateral TKR. By all measurements available from my PT I’ve got great ROM for 2 weeks post op. I’ve still got a lot to go to get at ‘0’ or ‘120’. But, I’m sleeping better at night but still wake up multiple times during the night. Sometimes my husband will get me up and we’ll walk around the house to loosen up the tight muscles. I’m trying to do everything my PT tells me to do.
I know I have a lot of work ahead, but it will be so much better after the healing.

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Jetter, Hi and anyone with burning. I am 9 weeks out and trying to get my quads strong enough to lift my foot off the bed when I contract them and straighten the leg, pressing the knee down to the bed by contracting the quads. When I do that, and when I do a straight leg raise while contracting really hard to keep the leg straight at zero degrees, I get intense burning on the inside of my knee towards the top. The PT's don't know what to say but want me to continue because Ineed to wake up my quads more and get them stronger. Does anyone know anything more about if the burning sensation is a bad sign for damaging the knee or what?

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@irol

Jetter, Hi and anyone with burning. I am 9 weeks out and trying to get my quads strong enough to lift my foot off the bed when I contract them and straighten the leg, pressing the knee down to the bed by contracting the quads. When I do that, and when I do a straight leg raise while contracting really hard to keep the leg straight at zero degrees, I get intense burning on the inside of my knee towards the top. The PT's don't know what to say but want me to continue because Ineed to wake up my quads more and get them stronger. Does anyone know anything more about if the burning sensation is a bad sign for damaging the knee or what?

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Hi Irol, I had a spot of burning on the inside of the knee. Both the PT and Dr. Said it was a nerve they sometimes have to move or cut and it would subside, and it has 😁 Maybe your is the same and just nee dd's s a little more time. Wish you the best.

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@nellieo

I am 8 1/2 mos post tkr and I am having a lot of burning and stinging.

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Hi @nellieo – Welcome to Connect! I think you will find a lot of kindred souls here. I had a TKR in 2017 and another one in January 2019. Thankfully, I didn't have that burning and stinging sensation but I've read of many people who did. I'm so sorry that you are still having it after nearly 9 months. That must be really frustrating. Here is a thread that might interest you:
https://connect.mayoclinic.org/discussion/unable-to-sleep-after-tkr/
Can you share more about how often you have the burning and what triggers it? Also, have you found anything that helps alleviate the sensation?
Wishing you the best!

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I am 8 1/2 mos post tkr and I am having a lot of burning and stinging.

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@nellieo

I am 8 1/2 mos post tkr and I am having a lot of burning and stinging.

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Hello @nellieo, I'd like to add my welcome to @debbraw's. You may notice I moved your discussion and combined it with discussion already titled "burning after total knee replacement." I did this so you could meet some of the other members already discussing the topic you are asking about. If you are replying by email, you can find the new location of your discussion and other posts on this topic by clicking on VIEW & REPLY.

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@nellieo

I am 8 1/2 mos post tkr and I am having a lot of burning and stinging.

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I had a tkr one year ago May 2018. Around month 6 I started developing stinging, achy, burning feeling on knee area. I had been referred to PT where therapist attempted to deal with pain to no avail. Surgeon referred me to a Physiatrist. Saw Physiatrist and diagnosed with CRPS (Complex regional pain syndrome) a nerve condition. Had two treatments where they inject the knee with numbing agent. It has definitely made a difference as I don’t feel the degree of pain I had prior to shots. Knee not 100% but pretty close as I still have a small amount of discomfort. Seek another opinion other then surgeon as his work is done with knee replacement. Hope this helps

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I had my first knee replacement November 2016; Rehab was a trip to hell. It didn't help that I live alone. The other knee was done 10 months later (October 2017 and had a much easier rehab. However, both knees have a burning sensation from 2-3 inches below the knee to just above the knee. It's not in the knee cap area but more to the sides. It wasn't bad until this past fall, so almost 2 years after 2nd replacement. I can walk better than I can stand in one place, so if I'm standing in one place or barely moving around, I have to sit down every 10-15 minutes at best. I fear neuropathy, but don't understand why it wold start that long after surgery. I still have pinching pain especially in the latest knee…certain positions make it feel like a vice grip is around the knee cap. Anyone have any answer to this?

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I had similar symptoms after tkr and was diagnosed with CRPS by Physiatrist. CRPS is a nerve condition. Maybe seek second opinion.

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I have had burning in my knee now for 9 years, been to 11 doctors, they all scratch their heads and say there is nothing they can do. I average 2-3 hours of sleep a night due to the constant pain. Just for kicks and giggles I placed electrodes on my knee, one on the inside and one on the outside and using my volt meter, it showed 2.85 volts. I thought that couldn't be right, so I placed them on the good knee, .05 volts. I now have to research the idea of chemical reactions with the metal components of the knee, I will start with salt and go from there. I have found only antibiotics to relieve the pain, but my doctor said that he could not prescribe antibiotics for no reason, I guess he is a smart man, but that is quite questionable. I hope you can find relief, I am still searching.

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Hi @calahulabuddy – Welcome to Connect! That must be terribly frustrating to have pain like that for years and years. I've had two knee replacements and thankfully have not had anything like that kind of pain. Here is a link that may be of interest to you:
https://connect.mayoclinic.org/discussion/has-anyone-had-a-tight-band-feeling-after-total-knee-replacement/
Meantime, I'm wondering: did you have a TKR 9 years ago? If so, have any of the doctors talked about doing a revision?

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@calahulabuddy

I have had burning in my knee now for 9 years, been to 11 doctors, they all scratch their heads and say there is nothing they can do. I average 2-3 hours of sleep a night due to the constant pain. Just for kicks and giggles I placed electrodes on my knee, one on the inside and one on the outside and using my volt meter, it showed 2.85 volts. I thought that couldn't be right, so I placed them on the good knee, .05 volts. I now have to research the idea of chemical reactions with the metal components of the knee, I will start with salt and go from there. I have found only antibiotics to relieve the pain, but my doctor said that he could not prescribe antibiotics for no reason, I guess he is a smart man, but that is quite questionable. I hope you can find relief, I am still searching.

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WOW…that's an interesting find-using the volt meter. I've wondered about doing acupuncture or reflexology to relieve the burning. Wondering if anyone has tried that with any success. My left knee is 3 1/2 years post op and my right knee is 2 years 8 months. Both burn …I feel it all the time except when in a recliner or laying down (I always have a small pillow between my knees because they don't like each other at night). Standing still or just moving around the kitchen is the worst. They are better if I walk distances but I feel every step. I also have tightness/a band feeling if I sit any length of time and start walking. I have an appointment with a neurologist in a 3 1/2 weeks.

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