Severe Pain after 2nd TKR

Posted by ssbionicknee @ssbionicknee, Sep 8, 2019

I had a right TKR in May of 2018 and it was painful, but tolerable. Physical Therapy seemed to go fairly smoothly. In August of 2019, I had my left TKR and am having a horrible time controlling the pain and Physical therapy is not going near as smoothly. I went to PT last Friday and was in extreme pain afterward. I was up all night. I had sharp pains inside the wound, extreme sensitivity to touch on the inside of my knee, what felt like spasms in the back of the knee and the knee was very sensitive to anything touching it. I had to keep it still and iced all day Saturday in order to get the pain under control. I know I need to do my exercises, but am afraid of triggering the pain again. I have heard that no 2 knee replacements are the same, but this one seems to be really bad. Is this normal? I have to find a happy medium when doing physical therapy. Any thoughts or suggestions?

Sadly, I've been through it all,TKR, MUA ,hours of painful PT with only 68 degree bend( 2018) Now 2019 New ortho Dr , revision, hours of painful Pt, hip replacement, MUA,more screaming ,crying PT still only 68 degrees-finally went to pain management specialist-exploring the possibility that this is all emanating from L3 and L4 nerve damage- MRI and Emg next…omg

REPLY
@damewocane

Sadly, I've been through it all,TKR, MUA ,hours of painful PT with only 68 degree bend( 2018) Now 2019 New ortho Dr , revision, hours of painful Pt, hip replacement, MUA,more screaming ,crying PT still only 68 degrees-finally went to pain management specialist-exploring the possibility that this is all emanating from L3 and L4 nerve damage- MRI and Emg next…omg

Jump to this post

@damewocane – Wow… what you have been through…How are you holding up? When is your MRI?

REPLY
@contentandwell

@ssbionicknee oh no, I’m sorry to hear that you’ve lost range of motion. I actually did too. When I had the in-house PT my flex was just over 120 and he was confident that I would reach at least 125. Then I went to the outpatient PT and it went down to about 117. I know, that’s not bad but I really set my goal at 120.

Hopefully your flex has not decreased to the point of needing MUA. There is another procedure that is easier that can improve flex a bit. Has your surgeon mentioned that? I would to need to go back to my old notes to find what the name of it is but if you want to know I will be glad to. I think it’s something like lysis.
JK

Jump to this post

@contentandwell JK, my bend went halfway between straight and 90 degrees. Last week the IT band was extremely tight. I spent the weekend massaging it and doing my exercises to loosen it up. When I went to PT on Tuesday the bend was better, but not at 90. The tendon on the inside of my knee is extremely sore, I came home on Thursday and massaged it util it was bruised to try and loosen it up. I made it to 90 on Friday, but it takes evey ounce of my concentration to get it to bend. Today (Saturday) it is too sore to touch and it has hurt all day. It will bend to maybe 80 (I am just estimating) and then it is like it just can't move anymore. I am one of those people that is bound and determined to make ot work, but the knee just stops and then won't move. My PT said he did not like the way the knee was responding to therapy. I start PT once a week begining the second week of October. Last time I was much further along. I have not been able to ride the stationary bike, I am still walking with a cane, and there are a lot of things that I am not able to do at this point. It is extremely frustrating.

REPLY
@contentandwell

@ssbionicknee oh no, I’m sorry to hear that you’ve lost range of motion. I actually did too. When I had the in-house PT my flex was just over 120 and he was confident that I would reach at least 125. Then I went to the outpatient PT and it went down to about 117. I know, that’s not bad but I really set my goal at 120.

Hopefully your flex has not decreased to the point of needing MUA. There is another procedure that is easier that can improve flex a bit. Has your surgeon mentioned that? I would to need to go back to my old notes to find what the name of it is but if you want to know I will be glad to. I think it’s something like lysis.
JK

Jump to this post

@contentandwell JK, I would like to know the name of the procedure if it is not to hard to look up. I have also heard that dry needling can help. I am not sure about that though. I've heard it hurts and then I've heard it does not hurt. Thank you!!

REPLY
@damewocane

Sadly, I've been through it all,TKR, MUA ,hours of painful PT with only 68 degree bend( 2018) Now 2019 New ortho Dr , revision, hours of painful Pt, hip replacement, MUA,more screaming ,crying PT still only 68 degrees-finally went to pain management specialist-exploring the possibility that this is all emanating from L3 and L4 nerve damage- MRI and Emg next…omg

Jump to this post

Thanks for asking Debra, I'm quite sad and so frustrated -groundhog day over and over! This tuesday MRI-a piece of cake, however the 10 of October is the EMG- apparently , if I can stand it, a 4 hr ordeal- Any one experienced this?

REPLY
@damewocane

Thanks for asking Debra, I'm quite sad and so frustrated -groundhog day over and over! This tuesday MRI-a piece of cake, however the 10 of October is the EMG- apparently , if I can stand it, a 4 hr ordeal- Any one experienced this?

Jump to this post

Hi @damewocane – I haven't had an EMG but I'm going to share some information that @johnbishop posted. He may be able to add some information – and maybe others who have experienced this.
https://www.mayoclinic.org/tests-procedures/emg/about/pac-20393913?_ga=2.147873911.170155776.1569448063-1531702906.1512411564
I hope it goes well for you. Will you keep me posted?

REPLY
@ssbionicknee

@contentandwell JK, I would like to know the name of the procedure if it is not to hard to look up. I have also heard that dry needling can help. I am not sure about that though. I've heard it hurts and then I've heard it does not hurt. Thank you!!

Jump to this post

@ssbionicknee I just went back onto the portal to check what the message had called it. It was "lysis of adhesions". You can ask your doctor if that would be an option for your problem. I don't know much about all of this so perhaps it is not always an option. I decided to just stay with the flex I have, it's good enough even if it is not where I had hoped to be.

@damewocane That's interesting that your problem may be from spinal nerve damage. How did the nerves there get damaged, from a fall? I hope you are able to get relief with the pain management specialist and that with that relief you will be able to improve your flex. Good luck with the EMG, I have never even heard of that before so I just checked out the lin that @debbraw sent. I hope you don't have to stay as still as you do for an MRI. I didn't see any mention of that. I will be looking forward to hearing how it all goes.
JK

REPLY
@damewocane

Thanks for asking Debra, I'm quite sad and so frustrated -groundhog day over and over! This tuesday MRI-a piece of cake, however the 10 of October is the EMG- apparently , if I can stand it, a 4 hr ordeal- Any one experienced this?

Jump to this post

@damewocane
Here is another video from @john bishop.

I think you will handle this well. Breathe deeply. Consciously relax your body. There were only a couple of the probes that rocked my cradle. Have a lovely sleep.

REPLY
@contentandwell

@ssbionicknee I just went back onto the portal to check what the message had called it. It was "lysis of adhesions". You can ask your doctor if that would be an option for your problem. I don't know much about all of this so perhaps it is not always an option. I decided to just stay with the flex I have, it's good enough even if it is not where I had hoped to be.

@damewocane That's interesting that your problem may be from spinal nerve damage. How did the nerves there get damaged, from a fall? I hope you are able to get relief with the pain management specialist and that with that relief you will be able to improve your flex. Good luck with the EMG, I have never even heard of that before so I just checked out the lin that @debbraw sent. I hope you don't have to stay as still as you do for an MRI. I didn't see any mention of that. I will be looking forward to hearing how it all goes.
JK

Jump to this post

This is the wildest thing ever. No idea what is next… all I've known for the past two years 2 years is PAIN- I was mugged and beaten unconcoious with broken and cracked lower spine vertebrae when in my late 20s- -I was young and strong and healed quickly. Never had any further problems… Now 25 some years …Maybe an answer and a horrible repercussion.

REPLY
@debbraw

Hi @damewocane – I haven't had an EMG but I'm going to share some information that @johnbishop posted. He may be able to add some information – and maybe others who have experienced this.
https://www.mayoclinic.org/tests-procedures/emg/about/pac-20393913?_ga=2.147873911.170155776.1569448063-1531702906.1512411564
I hope it goes well for you. Will you keep me posted?

Jump to this post

Yes- thank You all for your input-This Is my head therapy!

REPLY
@damewocane

This is the wildest thing ever. No idea what is next… all I've known for the past two years 2 years is PAIN- I was mugged and beaten unconcoious with broken and cracked lower spine vertebrae when in my late 20s- -I was young and strong and healed quickly. Never had any further problems… Now 25 some years …Maybe an answer and a horrible repercussion.

Jump to this post

@damewocane oh my goodness, how horrifying. It must have left you very paranoid when you were out alone, and given you nightmares too I would think. It’s amazing how things that happened years prior can come back and give us problems as we age. I am so sorry that you have had to deal with this.
JK

REPLY
@lynnwade54

Sorry I wasn't finished. I then had a MUA on Feb.27,2019 to get the knee to bend, I went back to PT the therapist said it was still hard to bend but we were going to work on it. I went to PT 3 X week as well as did home exercise that didn't seem to work I stayed in constant pain from day one. I was then schedule to have a 2nd surgery on the same knee on May 21, 2019. I had to start the process all over again home PT as well as out PT once again I was inconstant pain everyday. My knee is still very swollen it has never gone down from the 1st surgery in Jan. Last month my PT text my surgeon and told him that something didn't seem right and that he needs to sch. an appointment for me to come in before the week is out. I went in they did an x-ray which he said looked good he also wanted me to have some blood work done. When my blood work came back he called me in telling me that my blood work was abnormal. I'm thinking now what. My surgeon said he wanted to draw some fluid out of my knee to have it tested for infection, Lupus (he did say something else he was looking for but I can't remember right now). I will get the results in two weeks (from this past Wed). I have been in so much pain when I stand it feels as though my leg is breaking, I can't move until it comes together, sometimes it feels as though it is going to give out on me. My right knee is just as bad as the left was and it gives out too, I have have almost lost my balance several times and different individuals have had to catch me. I am terrified of the thought of having to have more surgery on this knee or and especially on my right (partially good knee) I walk with a cane daily for stability. I'm sorry for babbling on, but this sometimes can be depressing. Have anyone ever experienced anything like this.

Jump to this post

I was diagnosed with Osteonecrosis 2015. Cortisone injections only lasted about 4 weeks. January 2016 I had my first TKR. I Exercised regularly with a PT and at home. Pain got so bad I had MUA July 2016. That did not help and my bend was practically non-existent. I was referred to a different Consultant. August 2018 I had a revision. My bend was slightly better but not 100%. I still had pain on weight bearing but I kept up my regular exercises. My balance was not good and I had a few falls. One 3months after my op and because I was on blood thinners my leg was purple. I had a fall August 2019 and fell on my TKR and landed on my face luckily on grass but I ended up with slight concussion and whiplash and a headache for two weeks. I phoned my GP who said that my knee was obviously suffering from trauma and to wait and see if the pain improved after a couple of months. A year has now passed and with COVID it is difficult to get an appointment with my GP. My pain is getting worse and leg gives way now and again which is frightening. I can’t go out without my husband’s support. I am at the end of my tether. Only appointment I can get from my local surgery is a telephone consultation. Can I request a scan to find if there is any damage done to the implant. I am 78 and can’t go on like this much longer. I need answers soon. Can anyone give me advice.

REPLY
Please sign in or register to post a reply.