Burning after total knee replacement

Posted by jetter @jetter, Feb 12, 2019

why does it burn after total replacement?

@wesallbritton

I know everyone has different experiences with their individual TKRs, but my experience says the Dr should be involved if you are really in pain. Please remember, there is a difference between pain, uncomfortable and just being aware.

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Hello @wesallbritton, Welcome to Connect and thank you for your suggestion. Sometimes is seems like a no brainer to talk with the doctor if you are in pain but there are some of us including me that try to tough it out which sometimes makes things worse.

It sounds like your TKR went well. I'm a few months over a year from my right TKR and fortunately did not have much pain but did have a lot of swelling because I didn't do what the care team told me to do – ice and elevate frequently. My frequently was not the same as theirs and at my follow up appointment the surgeon explained what he meant in no uncertain terms 🙂

Did you have any burning or pain after your TKR?

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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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I had TKR in 2008. Have lot of pain the first month but lessened through out the year. Now I am experiencing burning sometimes after mowing the yard or other exercise. Not sure what the cause. X-rays show no problem or wear on the replacement.

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Good evening @@abmjr, I am quite concerned about a 12-year-old TKR that causes pain but doesn't reveal the reason for it. May I suggest that you review this youtube display of what is called Chronic Myofascial Pain Syndrome. The fascia forms on our body parts in layers…..and when they stick together, you can feel a burning pain.

The solution is MFR (myofascial release therapy) a form of hands-on therapy that releases the fascia and lets it move freely in the joint area. Once you have watched this film you may want to see a demonstration by John Barnes on the MFR site.
https://www.myofascialrelease.com/about/
Let me know if you have questions or concerns that I can help you with relative to your specific issues. By the way…..where do you live? We can try and find an MFR therapist near you who can sit down with you for a chat.

May you be free of suffering and the causes of suffering.
Chris

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@artscaping

Good evening @@abmjr, I am quite concerned about a 12-year-old TKR that causes pain but doesn't reveal the reason for it. May I suggest that you review this youtube display of what is called Chronic Myofascial Pain Syndrome. The fascia forms on our body parts in layers…..and when they stick together, you can feel a burning pain.

The solution is MFR (myofascial release therapy) a form of hands-on therapy that releases the fascia and lets it move freely in the joint area. Once you have watched this film you may want to see a demonstration by John Barnes on the MFR site.
https://www.myofascialrelease.com/about/
Let me know if you have questions or concerns that I can help you with relative to your specific issues. By the way…..where do you live? We can try and find an MFR therapist near you who can sit down with you for a chat.

May you be free of suffering and the causes of suffering.
Chris

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Chris thanks for your response. It was very informative. Before the pandemic I had regular visit to massage therapy. But have not had massage for several months now.
My therapist mentioned realignment of fascia, I more clearly understand after watching video you sent. Also I found an MFR about 90 miles from my home in KY. I my contact them in the future. Thank you, I appreciate your advice.😊

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@debbraw

Hi @pmac – Welcome to Connect! I'm wondering – have you had a TKR? It sounds as if you may be wondering about nerve ablation. Could you say more about what's going on?

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I am 10 weeks out of TKR and have had so much pain with it, especially at night, and today it started burning on the inside of my knee like fire. My issue is there is only a few pain medications that they can give me due to severe allergy’s to a lot of them and I am also on blood thinners that makes it hard to find other options for inflammation

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@dke7

I am 10 weeks out of TKR and have had so much pain with it, especially at night, and today it started burning on the inside of my knee like fire. My issue is there is only a few pain medications that they can give me due to severe allergy’s to a lot of them and I am also on blood thinners that makes it hard to find other options for inflammation

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Hello @dke7, Welcome to Connect. Most of the problems I had early on with my TKR was because I was not doing the rest, ice and elevate enough. I was doing it several times a day but my surgeon told me I wasn't doing it enough. The icing and elevating many times during the day instead of the 2 or 3 times a day really helped me. Also, I'm a side sleeper and had to sleep on the side with my good leg or my back. Using a small pillow in between my legs helped some as well as putting a pillow under the mattress at the bottom of the bed to raise it just a little when sleeping.

@artscaping, @contentandwell and other members may also have some suggestions or thoughts for you.

Have you discussed the burning pain with your surgeon or care team?

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@dke7

I am 10 weeks out of TKR and have had so much pain with it, especially at night, and today it started burning on the inside of my knee like fire. My issue is there is only a few pain medications that they can give me due to severe allergy’s to a lot of them and I am also on blood thinners that makes it hard to find other options for inflammation

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Hello @dke7: Sorry to hear about your pain after TKR. I also used to have similar pain and I was allergic to almost all pain medications and the side effects were terrible. Finally, my surgeon prescribed Acetaminophen COD #3 tablets (Tylenol with Codeine) and that is the only pain med that did not give me any side effects and was effective and I could sleep well. You should ask your surgeon about this med. I am not on blood thinners though. Good luck.

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7 weeks ago I had my right knee replaced robotically. I have a burning sensation similar to a rug burn. Are there any remedies for this and I'm wondering what causes this.

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@jes

7 weeks ago I had my right knee replaced robotically. I have a burning sensation similar to a rug burn. Are there any remedies for this and I'm wondering what causes this.

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Hello @jes, Welcome to Mayo Clinic Connect. You will notice that we merged your post with an existing discussion on burning knee after replacement. If you click the VIEW & REPLY button at the bottom of the email you will be taken to the discussion.

@abmjr @dke7 @jetter @jmacvol and other members may have some suggestions for you.

Have you been doing any rehab exercises and icing and elevating the leg?

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I had my right knee replaced and have that burning feeling as well. One day I put Lidocaine and I think it got into the staples. Wow that hurt. I forgot I used it before when I had my leg broken. I love icing best of all! Will C in Saint Charles

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@wildebjef

I had my right knee replaced and have that burning feeling as well. One day I put Lidocaine and I think it got into the staples. Wow that hurt. I forgot I used it before when I had my leg broken. I love icing best of all! Will C in Saint Charles

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Thank you.. I'll be more diligent with that.

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@jes

Thank you.. I'll be more diligent with that.

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Can’t wait to get back in Therapy

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@helaineyancey

What does it mean when I have burning in my knee replaced 3 years ago??? What can I do for it??? Is this normal???

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Good morning @helaineyancey, Welcome to Connect. As mentors, we have information and experience to share with you. We also hope to connect you with others who have burning discomfort sometime after the TKR and recuperation. We are not medical clinicians or providers.

Now let's find out about you. You had a first TKR 3 years ago. Was it robotic? Was a certain brand of replacement used? What was your physical therapy routine post-surgery?

I, too have had a challenging recovery for my knee. At the time, I was a member of an Inn to Inn walking group. We did try to get in 3-6 miles a training day …..we also were frequently satisfied with 3 miles and breakfast, especially when my knee was acting up. My walking colleagues locked me in the car one day and had an intervention. "Get your knee fixed Chris. Your obvious pain is wearing on us." That's my knee story.

What is your day like? Do you do any exercises at this point? Are you taking any medications for the burning pain? I had the same surgeon who did my reverse shoulder replacement so I trusted him. He warned me….."if you want this knee to last a lifetime…you will not climb up because you will have to come down and that is very rough on any knee. and if you fall…..I can't fix you."

Please let me suggest that you do a search for chronic myofascial pain. The connective tissue all over our bodies is called the fascia. Sometimes it gets very restricted around a previous injury or scar tissue from surgery. While I am looking for some other members with the same issue, please respond to a few questions.

What activities do you participate in? What is your working life like? Have you had any other structural issues, any falls or breaks elsewhere?

May you be free of suffering and the causes of suffering.
Chris

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What does it mean when I have burning in my knee replaced 3 years ago??? What can I do for it??? Is this normal???

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Hello @helaineyancey, Welcome to Mayo Clinic Connect. You will notice that I moved your question to this existing discussion on burning knee after replacement. I did this so you can connect with other members like @abmjr @dke7 @jetter @jmacvol who have had a similar experience with a burning sensation after knee replacement. If you click the VIEW & REPLY button at the bottom of the email you will be taken to the discussion and you can scroll through past posts.

Helaine, Have you found anything that relieves the burning? What does your doctor suggest might be the cause?

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