Foot neuropathy (numbness and pain) after total knee replacement (TKR)

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?

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I've become a believer in Pulsed Electro Magnetic Therapy (PEMF) to deal with my post-surgery pain from TKR (11/14/22). I bought an OMI Ring device from Amazon a month ago and use it around my foot, calf, knee (below, across and above the joint) and around my thigh. It really helps and one can read a book or watch tv while using it. I wish it would dissolve scar tissue too!

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I had TKR in 2019, June, and I still have foot numbness, tingling, intermittent pain, calf numbness. I had lots of issues in this surgery. DVT behind the knee joint, 14 cm hematoma, and massive swelling in the whole leg which damaged the nerves significantly. I did PT faithfully to restore movement and sensation, but even so I still have most of my problems on that side yet now in 2023. I have accepted that what I have now will be the best it can be.
I achieved my goal, though, of still being able to shift gears manually in my Mustang, although I don’t drive it on account of my pain med Tramadol, a Schedule 4 in Wisconsin, DUI if caught. I am hoping to be off of it at some point. Wisconsin is terrible in many areas of their governance on medical issues, don’t get me started.

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@bluebrass

I had TKR in 2019, June, and I still have foot numbness, tingling, intermittent pain, calf numbness. I had lots of issues in this surgery. DVT behind the knee joint, 14 cm hematoma, and massive swelling in the whole leg which damaged the nerves significantly. I did PT faithfully to restore movement and sensation, but even so I still have most of my problems on that side yet now in 2023. I have accepted that what I have now will be the best it can be.
I achieved my goal, though, of still being able to shift gears manually in my Mustang, although I don’t drive it on account of my pain med Tramadol, a Schedule 4 in Wisconsin, DUI if caught. I am hoping to be off of it at some point. Wisconsin is terrible in many areas of their governance on medical issues, don’t get me started.

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Is the pain in your foot in a specific area? I'm afraid that I may have to deal with a accepting this also. My ankle and foot were very swollen from tkr. After having tried everything short of surgery, I keep hoping to wake up to a change in sensation. It's hard to believe how much pain you can be in from sensation when waking on it. Thanks for responding.

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@bluebrass

I had TKR in 2019, June, and I still have foot numbness, tingling, intermittent pain, calf numbness. I had lots of issues in this surgery. DVT behind the knee joint, 14 cm hematoma, and massive swelling in the whole leg which damaged the nerves significantly. I did PT faithfully to restore movement and sensation, but even so I still have most of my problems on that side yet now in 2023. I have accepted that what I have now will be the best it can be.
I achieved my goal, though, of still being able to shift gears manually in my Mustang, although I don’t drive it on account of my pain med Tramadol, a Schedule 4 in Wisconsin, DUI if caught. I am hoping to be off of it at some point. Wisconsin is terrible in many areas of their governance on medical issues, don’t get me started.

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I have had numb burning tingling feet since my 2 tkr’s in 2016/2017. Seems my flat feet didn’t like position of knees so here I stand 5-6 years later. VERY DEBILITATING.

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@fourj

Is the pain in your foot in a specific area? I'm afraid that I may have to deal with a accepting this also. My ankle and foot were very swollen from tkr. After having tried everything short of surgery, I keep hoping to wake up to a change in sensation. It's hard to believe how much pain you can be in from sensation when waking on it. Thanks for responding.

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Did I say I had pain? Sometimes there are electric flashes, but not often anymore. My foot is numb, though, definitely numb. Some sensation has come back over time, but I still get swelling, numbness, and tightness from the ankle down through my toes. I can move my toes , but not as well as before TKR. I am supposed to have this from my spinal stenosis as well but I don’t know what percentage I can attribute to this problem.

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@kp6350

I have had numb burning tingling feet since my 2 tkr’s in 2016/2017. Seems my flat feet didn’t like position of knees so here I stand 5-6 years later. VERY DEBILITATING.

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It’s very discouraging for me and to hear from so many people about problems stemming from TKR’s. I heard from a friend that Mayo is a popular place for people to go for revisions from messed up TKR’s done in other hospitals. Some people, including a good friend of mine get away with very few serious problems. I don’t know what the trick is. Mine was such a disaster; although maybe not as bad as what others have experienced. Now because of my infection and blood clot, and a PE that I was not advised about, I am a poor risk for any surgery, not that I’m chomping at the bit to have another TKR. I’m holding off as long as I can with steroid shots whenever I can have them. I just tried a Synvisc injection, 3 parts. We’ll see if that does any good.I have minimal cartilage left there.

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This is exactly what I have going on.

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This sounds like I could have written it for my own situation. Foot pain from heel to my outside toes. My foot feels like dried leather. Like you, the pain from my foot hurts worse than my knee pain. It is swollen around the heel and my toes from the center one to the pinky feel like they are warring with each other. There is a lot of tension in the tarsal area between the heel and the ball of the foot, which also feels like dried up leather. Massage is only a temporary relief, alternating hot and cold packs is only temporary relief.
My surgery was on May 17th, 5 weeks ago.

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@josgen

I've become a believer in Pulsed Electro Magnetic Therapy (PEMF) to deal with my post-surgery pain from TKR (11/14/22). I bought an OMI Ring device from Amazon a month ago and use it around my foot, calf, knee (below, across and above the joint) and around my thigh. It really helps and one can read a book or watch tv while using it. I wish it would dissolve scar tissue too!

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I have found that manual manipulation around the scar area, without lotion or oil, and warm compresses help break up scar tissue. It just takes time and patience. It may burn as you work it loose but keep it up and it will break it up.

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@nanatlowe

This sounds like I could have written it for my own situation. Foot pain from heel to my outside toes. My foot feels like dried leather. Like you, the pain from my foot hurts worse than my knee pain. It is swollen around the heel and my toes from the center one to the pinky feel like they are warring with each other. There is a lot of tension in the tarsal area between the heel and the ball of the foot, which also feels like dried up leather. Massage is only a temporary relief, alternating hot and cold packs is only temporary relief.
My surgery was on May 17th, 5 weeks ago.

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I also have flat feet. I have been reading up on tarsal tunnel syndrome, which is just like carpal tunnel, except it's in the feet. Flat-feet is a contributing factor.

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