Burning after total knee replacement

Posted by jetter @jetter, Feb 12, 2019
@maxy

At 11 months after tkr and if sit more than 30 minutes, it starts to pain when and continuously pop very loud when walking. My knee hurts 24/7. I ice all day long. My yearly followup is 4/16/2020 but I have seen my doctor or his PA about 5 times and texted. They keep saying I am doing great, no infection. But I am wondering if piece has loosen.

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@maxy That's a long time for your knee to be bothering you still. Has your doctor had any Xrays done? In the early days of being post-TKR I had a lot of pain and my doctor was seeing me frequently and had Xrays done. They showed nothing, but for me the pain resolved at about six weeks TKR so we have no idea what caused it. If he has not had an Xray done perhaps you should suggest it. If you still do not get any resolution from that doctor you may want to consider changing to a different doctor, someone who is definitely highly regarded. From what I have heard on here if you want to see a different doctor most will not see you if you are within a year of the TKR but you are almost there. You should not have to live in pain.
JK

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@gator1965

I still have burning pain 10 months after total knee replacement. I think this is quite common

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It’s been almost six months since my TKR and I have terrible burning on the right side of my knee. My doctor prescribed Voltairen gel but it doesn’t really help much. Dr. wants to prescribe Gabapentin, but I am afraid of the side effects. Has anyone been prescribed Gabapentin. Does it work?

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I had similar issues but 6 months seems a little early (to me) as total recovery is thought to be 9-12 months out. I tried the gel and gabapentine but this was at the 1 1/2 – 2 years out. I also tried Lyracia. For me nothing worked which was disappointing as many co workers got some relief. And I was taking 600 mg 3x day. It takes a period of time to get to the max dose (About 2 weeks) but then you need to taper back down to discontinue. This is important to not stop cold turkey. The biggest issue with these two meds is the drowsiness- which is how they work to calm the pain down. I would wait to take one dose when I got to work as to not be drowsy with driving.
Have you tried other options or any Techniques to desensitize that area, TENS? Massage or other manual techniques? Weight/pressure on your knee- This is one way to desensitize. Acupuncture?
I hope you can get some relief. I plan to follow to see what others suggest. It’s very frustrating to say the least.

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Thank you. Tried massage. It seems to be worse after exercise. I guess I need to be more patient. I had a problem with the ligaments in my knee; they were stretched out, so I also had to have intramedullary rods in my femur and tibia when I had TKR. Icing helps somewhat. I am trying to avoid taking Tramadol.

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@angviv

Thank you. Tried massage. It seems to be worse after exercise. I guess I need to be more patient. I had a problem with the ligaments in my knee; they were stretched out, so I also had to have intramedullary rods in my femur and tibia when I had TKR. Icing helps somewhat. I am trying to avoid taking Tramadol.

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May God Bless all of you that think your burning painful knees will ever go away. I had both knees replaced eight years ago and have been living with the burning and aching ever since. I have been on everything from Gabapentin to Oxycontin. Nothing helps. Doctors dont know why. I finally decided this is the way it is so live with it. Oh ya. I am very depressed but when its over. Its over. May God Bless. Charlie

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@coaltrain

May God Bless all of you that think your burning painful knees will ever go away. I had both knees replaced eight years ago and have been living with the burning and aching ever since. I have been on everything from Gabapentin to Oxycontin. Nothing helps. Doctors dont know why. I finally decided this is the way it is so live with it. Oh ya. I am very depressed but when its over. Its over. May God Bless. Charlie

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So sorry you are experiencing such pain. I am praying mine will go away in the next six months. Doctors don’t tell you this could happen when you have your consultation. I know 5 people who have had TKR and they tell me the burning went away after one year, so I hope this happens in my case too. This was not the outcome I expected and would not ever do my other knee, no matter how painful it is to walk. Six months in and I am back to how I was before the operation in terms of stiffness and pain. I would not ever recommend this operation.
God Bless you too Charlie.

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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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You are at 115° flexion after 3 1/2 weeks surgery?….i am 7 1/2 weeks from surgery and assisted flexion can get at 107° and 0° extension. I have another 4 weeks PT
My age is 78. I don't know what flexion I can get on my own, but I am hoping for more. My lower leg and knee get so hard it feels like a wedge at the lower part if the petellar tendon but after it gets warmed up I can walk pretty well. Good for you

About the burning in another post…I had the horroble burning stinging sensation around my knee which was worse during the time my leg was at rest. After 4 weeks, it tapered off. My other knee kneeds to be replaced but I'm going to have a solid case of amnesia before that happens.sounds like you had the best of outcomes as you could have. Best to you

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It probably is nerve irritation. I had the same thing.

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I have had 5 major knee surgeries. 1st TKR Dec 2013, developed arthrofibrosis. Surgeries 2014 and 2015 to clean out scar tissue. Revision October 2018 for arthrofibrosis. Then major change. Had revision surgery 12/10/2019 by Henry Finn, Director of Orthopedic Surgery at Chicago Weiss Memorial Hospital and University of Chicago Hospital. Dr. Finn's process was to apply low dose radiation to the bone and scar tissue a couple of hours before surgery followed by a complete revision with a hinged implant. I am now 3+ months out from surgery and have been experiencing burning pain around the patella and radiating up a few inches an down the length of my leg. I had my other knee replaced in 2004 without issue but I am feeling a similar burning pain in that leg also, although not as intense. Does anyone have a suggestion as to what it might be?

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@jmacvol

I have had 5 major knee surgeries. 1st TKR Dec 2013, developed arthrofibrosis. Surgeries 2014 and 2015 to clean out scar tissue. Revision October 2018 for arthrofibrosis. Then major change. Had revision surgery 12/10/2019 by Henry Finn, Director of Orthopedic Surgery at Chicago Weiss Memorial Hospital and University of Chicago Hospital. Dr. Finn's process was to apply low dose radiation to the bone and scar tissue a couple of hours before surgery followed by a complete revision with a hinged implant. I am now 3+ months out from surgery and have been experiencing burning pain around the patella and radiating up a few inches an down the length of my leg. I had my other knee replaced in 2004 without issue but I am feeling a similar burning pain in that leg also, although not as intense. Does anyone have a suggestion as to what it might be?

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Hi @jmacvol, I moved your discussion and combined it with anongoing and active discussion of a similar title, "burning after total knee replacement." I did this so you could read through some of the previous posts made by Connect members with similar experiences as yours and so those members would see your post and experience as well.

@jmacvol, I have not heard of applying low-dose radiation to a knee prior to surgery. Was this an attempt to clear out some of the scar tissue and other stuff prior to surgery? Is there any redness or swelling with your burning pain, especially in your other knee?

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TKR on November of 2018: same burning pain around knee cap & up the inside of knee. Was toldl the pain would subside but can take up to a year. At the one year mark still hurts, same pain then was told it could take 18 mos to 2 yrs. Now after 16 months still the same pain. I have scheduled to get a second opinion on 4/26. Worried about the visit because of the virus but want the pain to stop. Ice helps numb it but only for a short time less than 1 hr. Can't walk around with an ice pack on my knee. Please any suggestions or advice is very welcome. Thx

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@barrett727

TKR on November of 2018: same burning pain around knee cap & up the inside of knee. Was toldl the pain would subside but can take up to a year. At the one year mark still hurts, same pain then was told it could take 18 mos to 2 yrs. Now after 16 months still the same pain. I have scheduled to get a second opinion on 4/26. Worried about the visit because of the virus but want the pain to stop. Ice helps numb it but only for a short time less than 1 hr. Can't walk around with an ice pack on my knee. Please any suggestions or advice is very welcome. Thx

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Hi, @barrett727 Welcome to Connect.
I have had two TKRs but have not experienced the pain you are referring to so I cannot advise, yet many others here have. Have you read back through some of the posts?
We are patients also, sharing our experiences and often what has helped us. You do need to get a second opinion, I hope the appointment you have scheduled now will stay on schedule, and the new doctor will be able to help you. When the time comes I hope you will let us know how it goes.
JK

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