Knee and muscle pain; also a 14 year old hip replacement...related?

Posted by mnpat @mnpat, Sep 16, 2016

Hello, I am a 73 yr. old woman. I am having pain on the inside and outside of the knee joints. I have had some physical therapy which does not seem to be helping. Now I am also having discomfort in the legs…..mostly calves and thighs. I had a hip replacement almost 14 years ago…. could that possibly be getting loose and needing attention? What would be the symptoms if the hip joint should need to be replaced again?

@grandmacheryl

As for how long it takes for the pain of a hip replacement to go away, I think it varies from person to person. On Friday it will be one month since I had my right hip replaced. I have almost no pain in the hip–just a little stiffness in the surrounding muscles, but that is getting better with time and with the exercises my physical therapist is giving me. I’m walking around the house unaided and use a cane when I go out. I was able to dispense with the walker almost 2 weeks ago. I am actually progressing more rapidly this time around than I did when I had my other hip done 6 years ago. Right now I’m more bothered by my right knee (hoping to avoid a knee replacement) and some peripheral neuropathy in my right leg. The therapist is trying to address those issues as well as helping me recover from the hip surgery. So, every recovery is different, even in the same patient. Physical therapy is key–if your insurance covers it, I would recommend spending a week in a rehab hospital after you are discharged from acute care. And when you get home, if at all possible, I would recommend doing outpatient PT rather than having someone come to your home, if you are able to arrange transportation. At an outpatient clinic, the therapist has more equipment available and can give you a wider range of exercises. But home therapy is better than nothing, and be sure to do all your recommended exercises on days when you don’t have PT.

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I agree that it all depends on the patient and we are different and respond differently.I had hip replacement in 2012.and was in the hospital with rehab for 10 days. I had home PT about 4 weeks. I learned how to get in and out of a car and to walk on uneven ground and around garden hoses, etc, I didn’t have that while I was in the hospital rehab. While age has a lot to do with recovery, as the younger you are the faster you heal. PT is very important even tho it will hurt, do it!

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@jomama80

Thank you for the GREAT advice.I start outside physical therapy this Friday!!!!!!! I will keep in touch…..JO

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Good luck!!!

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Update: I saw the physiatrist (MD in rehab). She did MRI and xrays of knee and hip. Says hip replacement looks good. Knee is BAD…..tears in meniscus and ACL, lots of arthritis. I was hoping someone would do arthroscopy, but surgeons consulted say no….TKR will be necessary. I haven’t scheduled it yet, as I am looking into anesthesia and possible cognitive decline after major surgery. The other various muscle pains seemed to be due to a statin allergy…..so I am off statins and wondering what will happen to my cholesterol!

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@mnpat

Update: I saw the physiatrist (MD in rehab). She did MRI and xrays of knee and hip. Says hip replacement looks good. Knee is BAD…..tears in meniscus and ACL, lots of arthritis. I was hoping someone would do arthroscopy, but surgeons consulted say no….TKR will be necessary. I haven’t scheduled it yet, as I am looking into anesthesia and possible cognitive decline after major surgery. The other various muscle pains seemed to be due to a statin allergy…..so I am off statins and wondering what will happen to my cholesterol!

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@mnpat I’m glad you got answers to the pain in your knees and the muscles. You seem to be concerned about anesthesia with the surgery which is understandable. Have you had prior problems with anesthesia?

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@mnpat

Update: I saw the physiatrist (MD in rehab). She did MRI and xrays of knee and hip. Says hip replacement looks good. Knee is BAD…..tears in meniscus and ACL, lots of arthritis. I was hoping someone would do arthroscopy, but surgeons consulted say no….TKR will be necessary. I haven’t scheduled it yet, as I am looking into anesthesia and possible cognitive decline after major surgery. The other various muscle pains seemed to be due to a statin allergy…..so I am off statins and wondering what will happen to my cholesterol!

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Thanks for responding. No previous anesthesia issues, but older people (me!) sometimes have cognitive decline after major surgery.  I am trying to minimize that possibility.

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@mnpat

Update: I saw the physiatrist (MD in rehab). She did MRI and xrays of knee and hip. Says hip replacement looks good. Knee is BAD…..tears in meniscus and ACL, lots of arthritis. I was hoping someone would do arthroscopy, but surgeons consulted say no….TKR will be necessary. I haven’t scheduled it yet, as I am looking into anesthesia and possible cognitive decline after major surgery. The other various muscle pains seemed to be due to a statin allergy…..so I am off statins and wondering what will happen to my cholesterol!

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@mnpat, Thank you for coming back to update us on what was going on with your knee. I had a TKR in 2006 and then two manipulations after that, then in 2014 I had my left ankle fused. All of these procedures required anesthesia. From my own experience, not as a moderator or medical professional, I was under the impression the risks of anesthesia-related issues increase throughout life if you have been exposed to it more.

Have you discussed this concern with your physicians, and have you had a lot of major surgeries in the past?

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@mnpat

Update: I saw the physiatrist (MD in rehab). She did MRI and xrays of knee and hip. Says hip replacement looks good. Knee is BAD…..tears in meniscus and ACL, lots of arthritis. I was hoping someone would do arthroscopy, but surgeons consulted say no….TKR will be necessary. I haven’t scheduled it yet, as I am looking into anesthesia and possible cognitive decline after major surgery. The other various muscle pains seemed to be due to a statin allergy…..so I am off statins and wondering what will happen to my cholesterol!

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I had a hip replacement in 2003 at age 59. No problems. Anesthesia might have been spinal, but don’t remember with certainty.
I had open heart surgery in 2010 to repair mitral valve and replace aortic valve. This required general anesthesia. Some confusion and slow thinking right after, but no long term cognitive effect.

I plan to make appt. with surgeon for knee replacement sometime in February. By then I will be 74 and have been feeling some signs of decreased functioning, so am even more concerned with cognitive issues. In prior appt. surgeon agreed to set up appt. with anesthesiologist prior to surgery (NOT on the gurney on the way to the OR!!!)

I appreciate this forum!

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I don’t really have a reply, I have a question regarding hip replacement. I had a replacement in 2009 and have had pain every since. How can I find out what kind of replacement was used. I really don’t want to talk to the surgeon that did it and the other surgeons are together. I know they won’t say anything against another one. But I hurt. I would like to know if it was a recall. A friend had the same surgeon just two weeks after mine and went to another city, found out his was a recall and had to have it replaced.

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@mnpat

Update: I saw the physiatrist (MD in rehab). She did MRI and xrays of knee and hip. Says hip replacement looks good. Knee is BAD…..tears in meniscus and ACL, lots of arthritis. I was hoping someone would do arthroscopy, but surgeons consulted say no….TKR will be necessary. I haven’t scheduled it yet, as I am looking into anesthesia and possible cognitive decline after major surgery. The other various muscle pains seemed to be due to a statin allergy…..so I am off statins and wondering what will happen to my cholesterol!

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Hi mnpat, gailfaith here. You didn’t say where you are planning on having the surgery in Feb, but if at Mayo you will get to talk with the surgeon before the actual surgery. I had surgery in Minnesota back in June of 2016, and I also needed to talk with the surgeon. I arrived at Mayo on a Tuesday, got to talk with the surgeon on the next day (Wednesday) and was on my way home after many tests and surgery on the following Wednesday. Surgery was done on the day before I left. I had 3 flights to get home.

Interesting thing I learned after this surgery: I noticed my hair on the top of my head was thinning, But I had a pacemaker implanted in April……just 3 months prior. I asked my dermatologist about the hair loss and he said after general anesthesia, it takes 4 months (or was if 6 months?) after anesthesia for the hair cycle to get back on schedule. And then in July I had another surgery (all unrelated !) so it is taking a while. I can’t speak as to any other side effects of anesthesia, but hopefully this one will not affect you. Oh yes, I am 80!

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Mine is 2 years in June and I have pain every day,wish it would get a little better but nothing but painkillers and creams help even a little.

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So sorry about your continuing pain. I understand your concern about contacting the surgeon BUT the records of what was done actually should be open to you. If this is a clinic, can you just contact the records department and ask for the information? Or perhaps the hospital would also have it. I had a complete record of what was implanted in my hip, although I’m not sure I could put my hands on it now. I do remember my implant is a Zimmer, so not one of the ones recalled. I would think that if there was a recall the manufacturer would have to inform you.

In the meantime, have you gone back to the surgeon about the pain? Have you seen anyone else? I do think that over the years doctors have become more open to giving patients information as well as discussing options. I am pretty proactive in my medical decisions. Good luck.

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@mnpat

Update: I saw the physiatrist (MD in rehab). She did MRI and xrays of knee and hip. Says hip replacement looks good. Knee is BAD…..tears in meniscus and ACL, lots of arthritis. I was hoping someone would do arthroscopy, but surgeons consulted say no….TKR will be necessary. I haven’t scheduled it yet, as I am looking into anesthesia and possible cognitive decline after major surgery. The other various muscle pains seemed to be due to a statin allergy…..so I am off statins and wondering what will happen to my cholesterol!

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Interesting reply. Thanks! You must have done really well to be able to undertake a complicated plane trip one week after surgery! My surgery will be done in the Minneapolis area.

About the hair…..I had a hip replacement in 2003…..and lo and behold, my leg hair mostly disappeared (underarm too)! Now it is coming back…..I rather liked not having it. No noticeable effect on arms or head, and I have never read another reference to this effect! Thanks for sharing.

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@mnpat

Update: I saw the physiatrist (MD in rehab). She did MRI and xrays of knee and hip. Says hip replacement looks good. Knee is BAD…..tears in meniscus and ACL, lots of arthritis. I was hoping someone would do arthroscopy, but surgeons consulted say no….TKR will be necessary. I haven’t scheduled it yet, as I am looking into anesthesia and possible cognitive decline after major surgery. The other various muscle pains seemed to be due to a statin allergy…..so I am off statins and wondering what will happen to my cholesterol!

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gailfaith again, I left Mayo after the June surgery the day AFTER surgery!! And with age you will again lose all your leg and underarm hair again. But in place of that you may start to get facial hair! Aging is not for sissies as they say. All a result of hormones!

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I did see the surgeon several times. He gave me injections in the hip and then told me that it was my back. I saw another doctor in the same practice. He took x-rays and a bone scan and talked with the surgeon that did the implant and said altho he didn’t use the same type of implant he didn’t see anything, Then gave me an injection and said come back in about 3 months for another. Since a friend had the same surgeon about 2 weeks after I did, then went to Indianapolis and was told the implant was on recall. He had to have another surgery. Makes me wonder.????

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@hosta

I did see the surgeon several times. He gave me injections in the hip and then told me that it was my back. I saw another doctor in the same practice. He took x-rays and a bone scan and talked with the surgeon that did the implant and said altho he didn’t use the same type of implant he didn’t see anything, Then gave me an injection and said come back in about 3 months for another. Since a friend had the same surgeon about 2 weeks after I did, then went to Indianapolis and was told the implant was on recall. He had to have another surgery. Makes me wonder.????

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Before I was told I needed a knee replacement I considered that at least part of the pain might be from my hip implant wearing out. I went to see a physiatrist (MD level for physical therapy, etc) She did xray and said that the implant looked fine; then added that only rarely did an implant “go bad”. However this was 14 yrs. after the surgery and I had not had any problems with it. I think I was just hoping to find something other than the need for a hip replacement. I would get the records. Good luck.

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