Foot neuropathy after total knee replacement

Posted by norby @norby, Nov 26, 2018

I had a right total knee replacement 10 weeks ago and came out of surgery with numbness and intermittent pain on the bottom of my right foot. However, I do have good motor function in that foot. The knee has been healing and with PT, movement is on track, but the foot is a major challenge. The foot pain at times is worse than any from the knee. I have been able to generally manage the foot pain with gabapentin. My surgeon believes this may resolve in time but may take from 6-12 months. However there is a possibility that it will never go away. Has anyone else experienced foot neuropathy following knee replacement? If so, what was your experience with it?

@gator1965

I am due to see my surgeon on Thursday evening, so I will discuss my pain issues, he will say that there is nothing wrong with the replacement ! The xrays look perfect..i agree they do. But something is not right.

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@gator1965 Something is definitely not right for you to be in so much pain for so long. If I recall correctly, the cause of the problem the woman I knew who had pain for two years was that it was from something in the extensions being too long. I really do not remember clearly but I know it was something like that. She did some research and found a top orthopedic surgeon and he was able to fix it. The new surgeon took the knee replacement out and put a whole new one in and she was fine.
JK

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@contentandwell

@gator1965 Something is definitely not right for you to be in so much pain for so long. If I recall correctly, the cause of the problem the woman I knew who had pain for two years was that it was from something in the extensions being too long. I really do not remember clearly but I know it was something like that. She did some research and found a top orthopedic surgeon and he was able to fix it. The new surgeon took the knee replacement out and put a whole new one in and she was fine.
JK

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Well the surgeon discharged me, he was happy with the flexion being between 96 to 100 degrees. My pain he says is neuropathic, and will take a while to resolve.

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@gator1965

Well the surgeon discharged me, he was happy with the flexion being between 96 to 100 degrees. My pain he says is neuropathic, and will take a while to resolve.

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@gator1965 I am glad that the surgeon is happy with your flexion, and hope he is right, that the pain will resolve in a time — hopefully not too much time. Did he mention how long that should take? That would give you an idea of when you should get in touch with him again if you are still in pain. Are there any exercises you can to help the pain?
JK

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@contentandwell

@gator1965 I am glad that the surgeon is happy with your flexion, and hope he is right, that the pain will resolve in a time — hopefully not too much time. Did he mention how long that should take? That would give you an idea of when you should get in touch with him again if you are still in pain. Are there any exercises you can to help the pain?
JK

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No time was mentioned. Just need to continue with the pain medication

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@gator1965

No time was mentioned. Just need to continue with the pain medication

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@gator1965 well, if it continues beyond about 6 months — or even less — I would call again to have them check things out. Or, you could call and speak to his nurse, or send a message on the portal if there is one, and ask how long it should take. I hate that you are in pain for so long.
JK

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@contentandwell

@gator1965 well, if it continues beyond about 6 months — or even less — I would call again to have them check things out. Or, you could call and speak to his nurse, or send a message on the portal if there is one, and ask how long it should take. I hate that you are in pain for so long.
JK

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Thanks. I am a nurse myself, I might just ask for a referral to the pain team at work to see whether they can offer any advice.

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Hello… Well I had a full knee replacement January 14 of this year and woke up and couldn't feel my left foot… And it still this way…. The numbness tingling…. I just don't know what to do anymore and driving me crazy…. I'm a right amputee and the way to my pelvis…. And it's a little more difficult for me….. Do anyone have any suggestions for me…. Greatly appreciate

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@mel61913

Hello… Well I had a full knee replacement January 14 of this year and woke up and couldn't feel my left foot… And it still this way…. The numbness tingling…. I just don't know what to do anymore and driving me crazy…. I'm a right amputee and the way to my pelvis…. And it's a little more difficult for me….. Do anyone have any suggestions for me…. Greatly appreciate

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Hi @mel61913 – First, welcome to Connect. I'm so glad you posted. It must be terribly scary to have that loss of feeling in your foot. I had a TKR on 1/29 of this year. I have some numbness around the knee, but nothing like what you are experiencing. At this point, I'm sure you have gone back for at least one follow up visit. What does your doctor say regarding the loss of sensation? Without feeling in your foot, can you bear weight on it? I'm really feeling for you and hoping maybe others in the group may have more insight than I do.

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@debbraw

Hi @mel61913 – First, welcome to Connect. I'm so glad you posted. It must be terribly scary to have that loss of feeling in your foot. I had a TKR on 1/29 of this year. I have some numbness around the knee, but nothing like what you are experiencing. At this point, I'm sure you have gone back for at least one follow up visit. What does your doctor say regarding the loss of sensation? Without feeling in your foot, can you bear weight on it? I'm really feeling for you and hoping maybe others in the group may have more insight than I do.

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Hello and thank you…. I've seen my doctor and his trying to tell me I have neuropathy…. But the strangest thing is I never had anything wrong with my foot…. I've been standing a little with PT but it's so hard cause I can't feel my foot… I'm going to a foot specialist next week… But I knee doctor act like he doesn't care and it hurts cause I have loss all my independent I had before with one leg… Now I need hurt with everything… And it's very stressful… On a another note I'm glad I have someone to talk to…. Thanks again for the relpy

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Foot neuropathy after my knee replacement, oh yes! Upon examination
The next morning after surgery; I had NO feeling in my foot. I’ve unfortunately experienced nerve damage caused from knee my replacement! Unfortunately four years later I’m still dealing with foot neuropathy; located beginning at the middle of my ankle downward on the top of my foot into my middle toes. I’ve been unlucky locating a doctor to correct this issue. I want Relief-HELP!
Over these past four years, I’ve taken gabapentin- 900 mg three times a day, Lyrica & Meloxicam. So far these medication did not stop the nerve pain and numbness I experience each day- all day. I’m feeling depressed; this award feeling is very annoying! I do find some relief by propping my Leg and Foot however does not lend to a good way of daily life, I cannot just sit 24/7.
Lately I did receive slight relief with a steroid injection in the top of my ankle/foot area, however this lasted apx 10 days, then the same feeling became a daily way of life again. I plan to try a second shot soon and hope this shot will last longer, but, we all know steroid shots cannot become A permanent way of life; As steroid shots will eventually cause tissue damage in this area.
I had my other knee replaced a year later and did not experience any nerve damage, it was a perfect surgery scenario, No issues!
So my first knee replacement was an unfortunate situation, I just want the nerve damage addressed and fixed properly! Is this too much to ask for? Living a good way of life, walking, sitting & living without foot and ankle nerve pain. Getting approved to see a Nerve Specislist takes months… & There is no guarantee the specialist will approve and except me as a patient. Once they read the story they run the opposite direction, are they afraid to get into the mess I see myself in? Again I just want this nerve damage corrected! It’s awful, painful, annoying, frustrating, aggravating, etc. etc. hopeful to find a surgeon to agree to and correct this issue I deal with daily.

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My replacement was almost a year ago in March 2018. I have battled and apparently beaten back arthrofibrosis after a second surgery. My surgeon is now saying the remaining pain is neuropathy. Problem is the remaining pain is localized to the only the inside of my knee and primarily weight bearing. I have trouble standing for more than 10 mins or walking more than 30. Does this make sense to anyone with more experience with nerve damage than me?

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@mel61913

Hello and thank you…. I've seen my doctor and his trying to tell me I have neuropathy…. But the strangest thing is I never had anything wrong with my foot…. I've been standing a little with PT but it's so hard cause I can't feel my foot… I'm going to a foot specialist next week… But I knee doctor act like he doesn't care and it hurts cause I have loss all my independent I had before with one leg… Now I need hurt with everything… And it's very stressful… On a another note I'm glad I have someone to talk to…. Thanks again for the relpy

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@mel61913 Hi Mel, and let me offer my welcome to Connect along with the others.
I think you are taking the best next step in seeing another doctor. You may need a consultation with a different knee doctor, but you are getting the ball rolling with the foot doctor appointment. I will be interested in hearing how he advises you to proceed, or what he recommends to correct the problem. I have had two TKRs and not had a problem like that at all, but I know every TKR is different. I have been reasonably happy with mine and I hope you can get this corrected so you will be happy with your also.
Please keep us posted. Your experience can possibly help other people too.

@shalasa It sounds as if your problem is similar to Mel's, and I think you are taking an excellent next step too in seeing a doctor for nerve pain. I'm sorry to hear you have had to deal with this for four years, that's a long time. I am amazed too that dealing with it you had the other knee done. That's great that the second TKR worked out so well. I hope you get back to tell us what the nerve doctor has to say also.

@melcpa86 Your situation sounds a bit different because of the location of the pain. The problem you mention sounds like problems that are common in the immediate time following a TKR but should be better by now. What does your surgeon say about it? Does he/she think this will resolve eventually? That of course would be the best possible outcome.
JK

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