Numbness and burning after knee replacement

Posted by fancyfrancie @fancyfrancie, Jan 8, 2020

3 weeks after knee replacement I experience severe numbness and burning on the leg (not the knee) above and below the knee, mostly at night. Nothing relieves it and I have great difficulty sleeping at night. Is this normal? What should I do?

@cpo3

Posts have been helpful to me. I am a TKR patient and just one week into the recovery. Seeing my surgeon tomorrow for first followup. I'm hopeful he will answer and address numerous side effects I am experiencing.

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Good afternoon @cpo3. I hope your TKR surgery went well. I am just 6 weeks out of surgery on my 2nd TKR. My surgeon, his staff and the Physical therapy staff have been quite good to me and very helpful. Have you started doing stretches as directed by a PT? Are you still using your walker? How are you sleeping? Are you able to ice and elevate your knee above your heart several times a day?

I don't want to wear you out with questions……just want you to know that there are no bad questions. If it has been on your mind or just crossed it for the first time…….jot it down. I think that these times with the surgeon are infrequent and that we need to be prepared to maximize the opportunity.

Are your bandages off……do you or your PT assistant, if you have one…..have any worries about infection in the actual surgery area? How does your incision look? Is it closed and sealed completely?

You mention having side effects…..are they from the surgery anesthesia or are they somehow connected to current post-surgery medications for pain and infection protection? Are you using any topical medications at this time? Do you have your apetite back?

If your surgeon is accompanied by his/her PA or Nurse, perhaps you can spend time with him/her on making sure you have the surgeon's recommendations and follow-up visit schedule. If you would like to read about my experiences so far with TKR #2 you can find it here.
https://connect.mayoclinic.org/discussion/tkr-2-lessons-i-am-learning/
May you be free, safe, and protected from inner and outer harm.

Chris

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@artscaping

Good afternoon @cpo3. I hope your TKR surgery went well. I am just 6 weeks out of surgery on my 2nd TKR. My surgeon, his staff and the Physical therapy staff have been quite good to me and very helpful. Have you started doing stretches as directed by a PT? Are you still using your walker? How are you sleeping? Are you able to ice and elevate your knee above your heart several times a day?

I don't want to wear you out with questions……just want you to know that there are no bad questions. If it has been on your mind or just crossed it for the first time…….jot it down. I think that these times with the surgeon are infrequent and that we need to be prepared to maximize the opportunity.

Are your bandages off……do you or your PT assistant, if you have one…..have any worries about infection in the actual surgery area? How does your incision look? Is it closed and sealed completely?

You mention having side effects…..are they from the surgery anesthesia or are they somehow connected to current post-surgery medications for pain and infection protection? Are you using any topical medications at this time? Do you have your apetite back?

If your surgeon is accompanied by his/her PA or Nurse, perhaps you can spend time with him/her on making sure you have the surgeon's recommendations and follow-up visit schedule. If you would like to read about my experiences so far with TKR #2 you can find it here.
https://connect.mayoclinic.org/discussion/tkr-2-lessons-i-am-learning/
May you be free, safe, and protected from inner and outer harm.

Chris

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Chris thanks for the kind reply . Im sorry but its my right foot that the hard wear came out .My knee is going to be done on October 11th. I wil say more in a while , thank you

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(3) weeks after TKR surgery is really no time at all in the grand scheme of things. The femoral nerve block administered and the open knee surgery itself damages nerves and maybe the numbness is causing the burning in your leg (not your knee). Nerves are the LAST things to heal and you won't have a return to feeling in that area for some time – a few months. Sounds like not an unexpected problem. I've had both knees replaced with total knee replacements and I'm 75 years old. The first was July 2020 & the second was September 2020. Both my knees are still a tiny bit numb when I rub the skin.

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