Total Knee Replacement: Swelling

Posted by mamndink @mamndink, Aug 11, 2019

7 weeks post tkr right knee. 0/120. Intermittent pain at top and bottom front knee when walking. Seems like the swelling never goes away. Icing 4x daily and resting in elevation. Out patient PT 2x week, gym for cycling and few stretching exercises 5x week. Shouldn’t the swelling go down?

In reply to @mamndink "Thank you!" + (show)
@mamndink

Thank you!

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FYI: I decided this morning to actually measure my knees; had not done that in forever, since they look exactly the same size now. BUT: (11 months after TKR, and before doing any exercise today), the original knee is 14 1/4”, the TKR knee 15”, measured while sitting on the floor, legs straight out and relaxed. So I either still have some latent swelling, or there is a minor amount of extra (internal scar?) tissue there. No symptoms though that I can tell. Anyway, just wanted to mention this.

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Should I have constant calf swelling 4 months after knee replacement?

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4 months ago I had full knee replacement surgery, when I start to walk my calf swells.

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@donelpaso

4 months ago I had full knee replacement surgery, when I start to walk my calf swells.

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Hello @donelpaso, Welcome to Mayo Clinic Connect. I'm a little over a year out from having my right knee replaced. I had a lot of swelling for a few months after my TKR. Mostly I think because I was lax on doing what my surgeon told me to do — ice and elevate the leg and knee often. I had a different view of what often meant. At my followup with him a few months after the surgery he told me again that I should be doing it any chance I got during the day. I also have lymphedema and I normally wear compression socks over the calves. The swelling got better for me once I started elevating my leg and using ice on the knee after I did any exercises or walking during the day. I'm pretty sure I had some swelling past the six month mark.

Have you mentioned the swelling to your surgeon or care team?

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@cobweb

5 years later and knee is still swollen, therefore ice at night is only choice.

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I'm 10 months into a TKR and still have swelling that stays constant. I'm active and don't have pain to speak of. My range of motion is good. But the swelling is always there. I saw my surgeon and he didn't have anything to say about it.

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@rickraleigh

I'm 10 months into a TKR and still have swelling that stays constant. I'm active and don't have pain to speak of. My range of motion is good. But the swelling is always there. I saw my surgeon and he didn't have anything to say about it.

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You mention that you are active and you don't have pain. Maybe it's the activity that is causing swelling? Are you able to ice and/or elevate your leg during the day to see if it helps?

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@johnbishop

You mention that you are active and you don't have pain. Maybe it's the activity that is causing swelling? Are you able to ice and/or elevate your leg during the day to see if it helps?

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Thank you for your reply. I haven't iced it or raised it because I don't want to spend the rest of my life doing this all the time. The swelling is annoying, but since I don't have pain I don't want to mess with the hassle of icing all the time.

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@rickraleigh

Thank you for your reply. I haven't iced it or raised it because I don't want to spend the rest of my life doing this all the time. The swelling is annoying, but since I don't have pain I don't want to mess with the hassle of icing all the time.

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I wouldn't think you would have to ice and elevate for an extended time. I was just thinking you might want to try it for a period of time to see if the swelling goes down. It might be something else causing the swelling also so I guess if it were me, I would give my surgeon or care team a call to see what they suggest.

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@johnbishop

I wouldn't think you would have to ice and elevate for an extended time. I was just thinking you might want to try it for a period of time to see if the swelling goes down. It might be something else causing the swelling also so I guess if it were me, I would give my surgeon or care team a call to see what they suggest.

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Thanks for the reply. My surgeon has nothing to say about it. He implied that it's just the way it is. He did prescribe me some Prednisone which I haven't taken yet. I think I'll try the Prednisone combined with ice for ba week and see if it improves.

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I have consistent swelling after 10 months. No pain and range of motion is good. I'm very active. My doc just says that's the way it is. He offered me a Prednisone prescription to see if that helped. I don't ice because I don't want to be doing this the rest of my life. Doc said they don't aspirate (drain fluid) because they don't like to put a needle in where there is metal. Anybody have thoughts?

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@rickraleigh

I have consistent swelling after 10 months. No pain and range of motion is good. I'm very active. My doc just says that's the way it is. He offered me a Prednisone prescription to see if that helped. I don't ice because I don't want to be doing this the rest of my life. Doc said they don't aspirate (drain fluid) because they don't like to put a needle in where there is metal. Anybody have thoughts?

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I still have swelling from a LTKR done in December 2019. No pain, just swelling. It has gone down a little bit and I've learned to live with it. My thoughts on the Prednisone… I thought that drug was used to calm down inflammation plus it's a steroid. Is there inflammation somewhere causing the swelling? Did the doc take x-rays to determine the cause of the swelling? I would opt out of the Prednisone. If the swelling isn't causing any pain that's good! Recovery from TKR can take up to a full year, more for some folks. Hang in there.

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@johnbishop

You mention that you are active and you don't have pain. Maybe it's the activity that is causing swelling? Are you able to ice and/or elevate your leg during the day to see if it helps?

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This is spot on John. Especially at 10 months, any over activity could definitely contribute to the swelling. Ice and elevate for 20 minutes could be the cure!

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