Burning after total knee replacement

Posted by jetter @jetter, Feb 12, 2019

why does it burn after total replacement?

@lynnwade54

Hi Debbra I must said that I do have an awesome physical therapist, she pays very close attention to her patients. She notice that I wasn't performing as much as I had been which resulted in me losing ROM. I begun telling her what I was experiencing and she immediately text my surgeon and informed him that I need to be seen within the week. To answer your question I can't recall doing anything differently and definitely no falls. I really don't know what cause this problem. I did go to my doctor and he said that he is very puzzled he's not sure what is going on. He did an x-ray and said everything looks normal. He gave me a lab slip to have blood work to make sure there is no infection, he said that if the blood work comes back normal he is going to refer me to another orthopedic doctor for a second opinion.

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@lynnwade54 – I am impressed with the sound of your physical therapist AND your surgeon. It must be a real relief to have the OS himself seek out a 2nd opinion vs. trying to figure out own your own whether it is time. I am hoping it is not infection. I know you can't wait for the lab results. Is there anything that makes you feel like it might be inflammation – heat around the area, tenderness, etc?

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@ptbradshaw

I am also 10 months out from TKR and have the burning/stinging pain. Any idea what causes this? I have my one year checkup in about 7 weeks so I'll talk to her then. But meanwhile I'm wondering if this is scar tissue. I have good range of motion . . can straighten knee totally and bend 120+ degrees.

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I am 7 weeks out and just started have burning sensation especially around shin. When I had my other knee done I did not experience. I found if pain pills helped.

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I’m one week out of left TKR and I too am having horrible burning on my operative leg at the shin. Pain meds help.. but I’m trying to cut down on them. Is this normal? What causes it? It happened after PT today

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My burning started on my shin on week 4 on week 6. Feels like the worse sunburn! Light touch and oxy helps but trying to avoid medication. Knee is doing great I was able to flex pass 120 on week 3. Walking without assistance but burning an issue.

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@lk3xs

I am 7 weeks out and just started have burning sensation especially around shin. When I had my other knee done I did not experience. I found if pain pills helped.

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@lk3xs Were both TKRs the same brand/model of knee? I am thinking possible allergy.
JK

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@lk3xs

My burning started on my shin on week 4 on week 6. Feels like the worse sunburn! Light touch and oxy helps but trying to avoid medication. Knee is doing great I was able to flex pass 120 on week 3. Walking without assistance but burning an issue.

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I had the same sensation, same place. Doctor put me on Gapapentin, twice a day. Got better, went off of it, then had a MUA two weeks ago. Started again, back on gabapentin. It really helped

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@dmaug

I had the same sensation, same place. Doctor put me on Gapapentin, twice a day. Got better, went off of it, then had a MUA two weeks ago. Started again, back on gabapentin. It really helped

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Gabapentin a great drug. I was put on it for shingles. BUT!! What my dermatologist, internist and orthopedic doctor (because he said stay on them because it was helping my knee pain) didnt tell me you need to taper off. They cause SEVERE WITHDRAWAL symptoms. No one told me you had to taper off. I had just ran out and immediately went into migraines and shakes. Took me over 4 months to get off. Awful experience. Beware

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@debbraw

Hi @jetter – Welcome to Connect! I just had a TKR two weeks ago (thankfully w/o the burning sensation you describe). @connie1559 is right that there's a wealth of knowledge on TKR's in this forum. And @contentandwell is spot-on regarding the fact that every single TKR is different – not just every person but every surgery. I've been fortunate with my recovery, but my right knee was much slower than my left in almost every aspect of recuperation. Can I ask when you had your surgery? Also, aside from the burning sensation, how are you doing with range of motion and strength in your knee – and with pain management? I find that if I can control the pain and inflammation, I don't have as much swelling so I do better at my PT exercises.

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I had my first knee replacement September 12 and my second one November 7. I have been on narcotics since June , am anxious to get off of them. The last two or three days my second knee replacement the skin around the area sometimes feels like it’s on fire it, it will last 1 to 2 hours and then it goes away. It comes back it’s surprising moments out of the blue. Today I went to the store and halfway through I felt like my pants were rubbing on it but they weren’t. I had my hips replaced 16 years ago my shower to replace this past January 5 years ago my desk collapse in my back and I have a basket at three for level. But I’ve never had burning around the skin before. Another new experience.

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@contentandwell

@jetter Hi, and welcome to Connect.
I have had two TKRs and not had a burning sensation after either, but we all heal differently and have different experiences. I know of people who had both knees done at the same time, something that I realize most doctors will not do, and the knees recovered differently from each other!
I would definitely call my surgeon to check on this just to make sure that he feels it is within the realm of acceptable discomfort.

I did have more pain after my second TKR than I did after my first. During that time my surgeon was seeing me frequently to check up on it. The pain suddenly lifted, almost overnight, and from that point on that knee recovered better than my first knee had.
JK

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I definitely have more pain in my second TKR, but because I’ve been on narcotics so long I think they’re not working very well. The doctors are trying to figure out how to help me because I’m usually at six to eat even on three different narcotics. Arrange a motion is good at I definitely have more pain in my second TKR, but because I’ve been on narcotics so long I think they’re not working very well. The doctors are trying to figure out how to help me because I’m usually at six to eat even on three different narcotics. Arrange motion is good at 120, Can walk without the cane around the house. I’m just so tired of being in so much pain. I guess this too shall pass, I just need to be patient but I’m not very good with that.

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@chigirl

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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I am only 1 month out from my Right TKR. My doctor and physical therapists acted like he had never heard of anyone experiencing burning with a TKR before. It's been keeping me awake at night, the burning runs the length of my incision from the bottom to just above the knee cap. I did have a burning pain on the inside of the right knee but the therapist said to massage it gently in an upwards motion. I am trying gentle massage on the incision. Some gentle pressure with the palm of my hand. But in a few minutes, it starts again, so I am awake at 4AM.

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@cami

I am only 1 month out from my Right TKR. My doctor and physical therapists acted like he had never heard of anyone experiencing burning with a TKR before. It's been keeping me awake at night, the burning runs the length of my incision from the bottom to just above the knee cap. I did have a burning pain on the inside of the right knee but the therapist said to massage it gently in an upwards motion. I am trying gentle massage on the incision. Some gentle pressure with the palm of my hand. But in a few minutes, it starts again, so I am awake at 4AM.

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Hi @cami, Welcome to Connect. I am 9 months out from my right TKR but did not experience the burning sensation. I did experience some pain at night due to not being able to position my leg in a comfortable position. My surgeon and care team kept emphasizing the importance to me of icing and elevating. I thought I was doing it enough but I really wasn't. I did find that putting a pillow under my mattress at the bottom of the bed to elevate the leg a little did make a difference for me.

Hoping some other members can share their experience with you. Did your doctor and therapist offer any suggestions to help with the burning?

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@cami

I am only 1 month out from my Right TKR. My doctor and physical therapists acted like he had never heard of anyone experiencing burning with a TKR before. It's been keeping me awake at night, the burning runs the length of my incision from the bottom to just above the knee cap. I did have a burning pain on the inside of the right knee but the therapist said to massage it gently in an upwards motion. I am trying gentle massage on the incision. Some gentle pressure with the palm of my hand. But in a few minutes, it starts again, so I am awake at 4AM.

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@cami I'm 12 months post-op of bilateral TKR. I remember the intense burning pain, when asked to describe it I said imagine a hot branding iron being pressed against your knee. It was excruciating! Especially at night. The things I did was to ice 20 min, off 20 min until it would ease up. I also continued with pain meds. Sometimes at night I would get up and walk around the room and that seemed to help. It does gradually get better so hang in there.

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Do you still have the burning pain? I see it’s also been 1 Year since your surgery.
I had a total knee replacement on 11/21/19
Right now I have the burning and stiffness, I’m concerned it’s not going to get better.

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I am 7 weeks out from left TKR. I have an awful lot of stiffness just above the knee joint and occasionally "zings" that feel like burning in different parts of my leg at different times. I also get numbness in different parts of my leg at different times. My surgeon says ROM is great " 0 and 115. He just lifted up my leg, bent it back, straightened it out and said "you're doing fine. Did not address any of my concerns etc. Not sure how I'm supposed to know what is normal and what is not.

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@lhruza

I am 7 weeks out from left TKR. I have an awful lot of stiffness just above the knee joint and occasionally "zings" that feel like burning in different parts of my leg at different times. I also get numbness in different parts of my leg at different times. My surgeon says ROM is great " 0 and 115. He just lifted up my leg, bent it back, straightened it out and said "you're doing fine. Did not address any of my concerns etc. Not sure how I'm supposed to know what is normal and what is not.

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@jvalart21 @lhruza you are both still pretty early in your recovery. I didn’t have a burning sensation but I did have intense pain for about 6 weeks which very suddenly lifted, almost overnight, so don’t despair.
My pain was so intense for a while that my surgeon was seeing me frequently. We were both relieved when it went away. Now that knee never bothers me. My flex is around 120, not as good as I would like, but livable. I know he can improve the flex with an outpatient procedure but I don’t think it’s important enough to go through recuperation again.
JK

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