Burning after total knee replacement

Posted by jetter @jetter, Feb 12, 2019

why does it burn after total replacement?

Yes did acupuncture for sciatica off and on for years! Stopped as with 2-3 visits a week it was expensive, it did help and I really like the woman I saw!

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@katclub

Yes did acupuncture for sciatica off and on for years! Stopped as with 2-3 visits a week it was expensive, it did help and I really like the woman I saw!

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I hear you, @katclub – the expense is a big factor for me too. My insurance doesn't cover it even though I believe they should. it definitely helped me get off oxycodone faster. You would think that they would want to pay for that!

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@debbraw

Hi @grammygolfs – I have had two TKRs and I did acupuncture with both. It was very helpful will pain relief and getting off the strong meds. Full disclosure: I did not have the burning pain or the IT band tightness. Still, it could not hurt. I would try it and see if it gives you any relief. Have you used acupuncture before for any other conditions?

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I had reflexology and acupuncture shortly after my 1st knee replacement because it wasn't rehabbing well…poor flexibility and MUCH pain. I don't know that it helped, as I had pain requiring analgesics for about 4-5 months post op. Both knees bother in certain positions and need a pillow between at nigh, which isn't so uncommon, had tight band feeling for quite a while with my 1st knee; Burning was always somewhat there, but has gotten worse the past 8-9 months. (almost 2 and 3 years post op…I'm now 2 1/2 and 3 1/2 years out). I see a neurologies in a few weeks. I sure wish insurance would cover acupuncture and reflexology.

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@calahulabuddy

Hi @grammygolfs, you are having just the opposite reaction to the burning, I have to keep moving or the burning increases until I can't bare it, once I move it is like a release, but then starts to increase when I stop. It sounds to me like maybe you do have a cyst, which I have been told sometimes happens, mostly behind the knee, which is where the nerves are. So as you apply pressure to the joint, fluid causes more pressure on the cyst and then applies pressure to the nerves. I hope your visit is successful and you find some answers.

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No…I have the same experience as you. I can walk distances but cannot stand still or they burn. They're ok when I sit with feet up. I doubt it's a cyst as it's really not in the knee, but just below to just above and kind of the whole area in general; it doesn't hurt/burn behind the knee. I fear it's nerve issues. I don't want neuropathy!

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@debbraw

I hear you, @katclub – the expense is a big factor for me too. My insurance doesn't cover it even though I believe they should. it definitely helped me get off oxycodone faster. You would think that they would want to pay for that!

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Meds are big business! Seems anything homeopathic etc is not covered!

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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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I am 12 weeks out have 133 flex and 1degee extension and was doing great. I played gold st week 11 and developed patellar tendinitis I was worried it was infected or dislocated as the pain was worse than after surgery. Saw the surgeon had exray and bloodwork all normal. Said it works take 4 weeks to improve got a brace and had to “ lay-off “ certain exercises. The burning is intense when I try to put weight on the leg and when I extend to do quad sets. If no improvement in 4 weeks will explore if it is a nerve problem under the kneecap. Very depressed as the recovery was so good. I am 69 and was hoping to be back in my horses…

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Hi @equus111 – I am so sorry about your setback. By the way, welcome to Connect. You have found a great group here. I know it must be discouraging to have been doing great for 3 months and then get plunged back into pain. I'm hoping you get some relief soon. But I'm not sure I totally understand what you mean by "I played gold st week 11" . Can you elaborate? Also, wondering how you found out you had patellar tendonitis?

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@debbraw

Hi @equus111 – I am so sorry about your setback. By the way, welcome to Connect. You have found a great group here. I know it must be discouraging to have been doing great for 3 months and then get plunged back into pain. I'm hoping you get some relief soon. But I'm not sure I totally understand what you mean by "I played gold st week 11" . Can you elaborate? Also, wondering how you found out you had patellar tendonitis?

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Meant to write golf ! 18 holes walked most of course. My surgeon saw me after negative blood work and X-ray. He told me it was Patellar tendinitis and would take about a month to heal

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@kapkalkac

TKR 2/26/19 & am experiencing this burning sensation on the inside of the knee and under patella like a smile. PT doesn’t seem concerned. I have swelling in the knee. 3-1/2 weeks out I am at 115 degrees unassisted and 5 degree for straight.
After reading I am feeling like burning is natural snd not problematic?

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I am 5 weeks out and the intense burning is terrible. I am going to see my doc tomorrow. I had my other knee done twice and do not remember this type of pain. Feel better

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@equus111

Meant to write golf ! 18 holes walked most of course. My surgeon saw me after negative blood work and X-ray. He told me it was Patellar tendinitis and would take about a month to heal

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I am 5 weeks out with terrible burning. I am going to ask my doc about patellar tendinitis. I am a home care nurse and have managed many tkr surgeries. Never had the burning. Thanks for the tip

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@equus111

I am 12 weeks out have 133 flex and 1degee extension and was doing great. I played gold st week 11 and developed patellar tendinitis I was worried it was infected or dislocated as the pain was worse than after surgery. Saw the surgeon had exray and bloodwork all normal. Said it works take 4 weeks to improve got a brace and had to “ lay-off “ certain exercises. The burning is intense when I try to put weight on the leg and when I extend to do quad sets. If no improvement in 4 weeks will explore if it is a nerve problem under the kneecap. Very depressed as the recovery was so good. I am 69 and was hoping to be back in my horses…

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@equus111 Setbacks can be so discouraging, but it sounds as if yours won’t last too long. Don’t be depressed, if you were doing well before, this is more than likely just a blip in your recovery.

@nancyrita13 As I have mentioned in prior posts I had really intense pain until about 6 or 7 weeks post-surgery. It was so severe that it brought tears to my eyes, but it suddenly went away, almost miraculously, and it was smooth sailing from that point on. I don’t recall if it was burning pain or not, just that it was intense, so hopefully yours too will get better almost overnight as mine did. During that time my surgeon was seeing me almost weekly and he did X-rays but nothing showed. We still have no idea what the cause of the pain was!
JK

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@equus111

Meant to write golf ! 18 holes walked most of course. My surgeon saw me after negative blood work and X-ray. He told me it was Patellar tendinitis and would take about a month to heal

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@equus111 – LOL… I should have known it was golf! It sounds as if you are doing great. Sometimes we just have to have patience. Dang it! Will you let us know how things progress as you wait out the month?

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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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I am 12 weeks out and same issue. I had no burning until week 10 and doc thinks it is patellar tendinitis from over use. I think it has something to do with the saphenous nerve. The burning is intense and spreads throughout the patella, it has now affected my gait. I have full extension since week 4 and 133 flexion since same . Was able to walk 2 miles each day until this suddenly happened. Blood work and xrays normal . Anyone else have this ???

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Nerves cut when you had TKR. I too had same issue. So nerve is issue. One year later still burning so I finally had a nerve ablation and have felt 100% better.

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How does moving a nerve happen? With more surgery?

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