Knee cap pain after knee replacement surgery

Posted by angelacol @angelacol, Dec 6, 2021

Just wondering if anyone has had issues with the top portion of the knee cap having shooting pain after knee replacement surgery? I’m seven weeks since my surgery and trying to do rehab but the pain in my knee is very bothersome and feels like my knee cap is going to crack In half.
I saw my surgeon today who came into my room spoke to me for about five seconds and ran back out before I even could ask him any questions Which I have many unanswered, not happy about that and looking into finding another doctor that knows about my process that will actually answer my questions.

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Your early on in your replacement. Did your surgeon do X-rays before he saw you? If hardware is okay, and you have a good physical therapist they can help. I use my therapist always for help and been so fortunate. Both surgeon and therapist did my reverse total shoulder and my TKR. I had nagging pain for 3 months with TKR but am great now. It takes a lot of work on our parts to follow a regimen given by our therapists. Give yourself time to heal. Your therapist should be able to help if all your hardware is good. Keep the faith, it does get better. After 8 weeks post op I started deep water aerobics it is great. Had TKR IN May and am working on endurance now

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Sorry to hear but I think I know your pain. After my TKR I was in such pain mostly just below my knee but for some reason every couple of days the pain straight across my knee cap would bring me to tears and I would find myself crawling across the floor to get to another room. Now this would last for a couple of days then go back to total pain below the knee. So in an attempt to get rid of all this I was told to cut the saphenous nerve which I did , well the terrible pain below my knee remains but I never had pain in the knee cap again. Of course not sure if it's the same but it's worth asking a doctor about 1st a nerve block shot into the saphenous nerve, to me that's were to start cutting a nerve should be the final thing to try. BEST OF LUCK AND TRY TO KEEP MOVING HOW EVER YOU CAN

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2 years after TKR
Having burning pain over knee cap more on the outer side. Pain mostly when sitting or bending at knee.

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@vbfriz

2 years after TKR
Having burning pain over knee cap more on the outer side. Pain mostly when sitting or bending at knee.

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Any ideas would be helpful. Thank you!

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@vbfriz

2 years after TKR
Having burning pain over knee cap more on the outer side. Pain mostly when sitting or bending at knee.

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@vbfriz, I moved your question about burning over your knee cap to this existing discussion that @angelacol started. @sprinrosa64 @dmk offered helpful tips.
– Knee cap pain after knee replacement surgery https://connect.mayoclinic.org/discussion/knee-cap-pain-after-knee-replacement-surgery-7-week-post-op/

You said it's been 2 years since your replacement. Is this a new sensation?

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@colleenyoung

@vbfriz, I moved your question about burning over your knee cap to this existing discussion that @angelacol started. @sprinrosa64 @dmk offered helpful tips.
– Knee cap pain after knee replacement surgery https://connect.mayoclinic.org/discussion/knee-cap-pain-after-knee-replacement-surgery-7-week-post-op/

You said it's been 2 years since your replacement. Is this a new sensation?

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Yes it is new. My orthopedic did X-rays and said everything was where it should be. I work for a PT who has had me doing quad strengthening. I keep wondering if there is more going on.

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vbfriz of course our pains are all different, so my experience with this is could be different but for me 5yrs ago I TKR and have been stuck in terrible pain since but at the 1yr mark I was in such pain in the knee cap , and lower area that I could not walk across a room Through some outside the box thinking the saphenous nerve was thought to be blamed for the pain since every xray showed the knee cap to be fine. Well I went for the extreme and they cut the saphenous nerve on the side of knee, this did totally take the pain out of the knee cap area. Unfortunately it had no effect on the lower area. Today I am able to walk across a room with no pain in the knee cap, Again we are all different and I went for the extreme but maybe you can start slow and have them look into saphenous nreve stimullation some how . BEST OF LUCK KEEP MOVING

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@vbfriz

Yes it is new. My orthopedic did X-rays and said everything was where it should be. I work for a PT who has had me doing quad strengthening. I keep wondering if there is more going on.

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Strengthening the quad is great. Avoid exercises that put strain on the kneecap, specifically seated quad curls. Or see how they feel. And don't forget to balance quad exercises with exercises for the hamstring. Sounds like you're doing great!

Joe

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I have the same symptoms. My surgeon is going to scope it. Says it was gritty under kneecap. Like sand.

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My knee replacement recovery started well. No pain after a couple of months then on the 3rd one I got a pain ouside of the patella when I was just floating in the water. It's been one month now. It was like week 3 of my recovery and I'm still in pain

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