Foot pain post arthroscopic knee surgery

Posted by cmartz @cmartz, Feb 18, 2020

I had arthroscopic knee surgery 11 weeks ago. Cleaned out a lot of arthritis behind knee cap, snipped torn meniscus on the inside of the knee, and also had stem cells inserted in two areas to regrow cartilage. About a month post surgery I started having foot pain, roving at first, then settled in the area of the inner side upper part of the foot (not the arch, although sometimes that bone hurts). The foot actually hurt more than the knee.

Have been doing some PT and stretching of the foot and the pain isn't as intense, but it's gone back to roving and I limp more because of the foot than the knee.

What could be the cause of this foot pain after arthroscopic knee surgery? Thank you for any insight you can provide.

Welcome to Connect, @cmartz.
According to this study, one of the major causes of pain after arthroscopic knee surgery is nerve entrapment or nerve compression. Some typical examples are: pain in the ball of the foot after neuroma surgery or pain radiating down the leg to the foot after knee surgery, or persistent heel pain even after plantar fascia surgery. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5672866/

I’d like to bring @ellerbracke @anniebrook @grandmar @lynnwade54 @santi into this discussion, as they might be able to offer their thoughts about the foot pain.You may also be interested in reading this discussion:
– knee scope https://connect.mayoclinic.org/discussion/knee-scope/
– When to start PT https://connect.mayoclinic.org/discussion/when-to-start-pt/

Although this discussion is titled, "scar tissue after knee replacement” https://connect.mayoclinic.org/discussion/scar-tissue-after-knee-replacement/ there are many fellow members – @rayreich3 @dickiedo @amywood20 and many others – whose experiences might also provide some insight into the pain you are experiencing.

What does your doctor say, @cmartz? How are you managing the pain at present?

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@kanaazpereira

Welcome to Connect, @cmartz.
According to this study, one of the major causes of pain after arthroscopic knee surgery is nerve entrapment or nerve compression. Some typical examples are: pain in the ball of the foot after neuroma surgery or pain radiating down the leg to the foot after knee surgery, or persistent heel pain even after plantar fascia surgery. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5672866/

I’d like to bring @ellerbracke @anniebrook @grandmar @lynnwade54 @santi into this discussion, as they might be able to offer their thoughts about the foot pain.You may also be interested in reading this discussion:
– knee scope https://connect.mayoclinic.org/discussion/knee-scope/
– When to start PT https://connect.mayoclinic.org/discussion/when-to-start-pt/

Although this discussion is titled, "scar tissue after knee replacement” https://connect.mayoclinic.org/discussion/scar-tissue-after-knee-replacement/ there are many fellow members – @rayreich3 @dickiedo @amywood20 and many others – whose experiences might also provide some insight into the pain you are experiencing.

What does your doctor say, @cmartz? How are you managing the pain at present?

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It was diagnosed as extensor hallucis tendonitis. I'm doing some foot stretching and it's getting better.

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Post right knee arthroscopy

I’m day 11 after a knee arthroscopy for a torn meniscus and arthritis scraping. No improvement, still using crutches, and painful. Anyone else who has had this experience?

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@sloops

Post right knee arthroscopy

I’m day 11 after a knee arthroscopy for a torn meniscus and arthritis scraping. No improvement, still using crutches, and painful. Anyone else who has had this experience?

Jump to this post

Hi @sloops and welcome. It can be disappointing to not notice improvement almost 2 weeks post arthroscopy. You'll notice that I moved your question to this existing discussion about knee arthroscopy. I did this so you can connect with other members like @cmartz. You may also be interested in reading this discussion:
– knee scope https://connect.mayoclinic.org/discussion/knee-scope/
– When to start PT https://connect.mayoclinic.org/discussion/when-to-start-pt/

Did your surgeon give you a timeline for when you should start to see improvement in the pain level and be able to ditch the crutches?

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I recently had an out-patient arthroscopic surgery on my knee to repair a fracture of the knee. Was given a nerve block for the surgery.

Recovery was longer than expected and when I regained consciousness I had almost unbearable pain in my foot. It felt like someone had taken a sledgehammer to it.

As I was the last patient scheduled for the day, the anesthesiologist and orthopedic surgeon had left before I woke. The recovery nurse was at a loss for what she could do for me and her shift was ending. I was given two Tylenol 3 orally, dressed and brought out to be taken home.

The pain medication helped some but it was a very long night. I called the surgeon office the next day explaining my foot pain. Was told that fluids from the surgery may have leaked into the foot.

I was called by medical assistant for the 24hr checkup and was given post op instructions for a total knee replacement. Halfway through the phone call she realized I did not have a total knee replacement and pretty much ended the conversation. I asked again about the foot pain and was told it could be from the leg stabilizer that was used to hold my leg in place.

I am 8 days post op and haven’t heard anything further from surgeon office. I have follow up appointment in 4 days. I’m still experiencing some pain in foot but am still confused about why.

Anyone else ever experience this? I can deal with pain much better if I understand it.

REPLY
@christeb

I recently had an out-patient arthroscopic surgery on my knee to repair a fracture of the knee. Was given a nerve block for the surgery.

Recovery was longer than expected and when I regained consciousness I had almost unbearable pain in my foot. It felt like someone had taken a sledgehammer to it.

As I was the last patient scheduled for the day, the anesthesiologist and orthopedic surgeon had left before I woke. The recovery nurse was at a loss for what she could do for me and her shift was ending. I was given two Tylenol 3 orally, dressed and brought out to be taken home.

The pain medication helped some but it was a very long night. I called the surgeon office the next day explaining my foot pain. Was told that fluids from the surgery may have leaked into the foot.

I was called by medical assistant for the 24hr checkup and was given post op instructions for a total knee replacement. Halfway through the phone call she realized I did not have a total knee replacement and pretty much ended the conversation. I asked again about the foot pain and was told it could be from the leg stabilizer that was used to hold my leg in place.

I am 8 days post op and haven’t heard anything further from surgeon office. I have follow up appointment in 4 days. I’m still experiencing some pain in foot but am still confused about why.

Anyone else ever experience this? I can deal with pain much better if I understand it.

Jump to this post

Hello @christeb and welcome to Mayo Clinic Connect. I completely understand being able to deal with pain better if you can understand it.

For that reason, I have moved your post into an existing discussion on foot pain after arthroscopic knee surgery so to better allow you to connect with other members such as @cmartz and @grandmar who may be able to offer their thoughts on your foot pain.

As @kanaazpereira mentioned previously in this discussion, you may look into nerve entrapment or nerve compression. She had posted this study if interested:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5672866/
What are you currently doing for the foot pain?

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Thank you for responding. Currently I am taking ibuprofen.

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