Total Knee Replacement Pain Levels

Posted by jtturner @jtturner, May 11 6:08am

I am a 56 year old man in the US, and I underwent a TKR surgery on 8 April 2025. At 33 days out I am still experiencing intense pain around my knee and in my thigh. My skin is also very sensitive so application of ice is often very painful (pulsing & throbbing pain). Sleep is almost impossible - I am lucky to get 2-3 hours a night. My range of motion is good (125 degrees). Straightening more difficult but normal. I am also able to do PT exercises and walk without an assistive device. But again, my pain is almost unbearable and people keep telling me such discomfort is abnormal. Should I be concerned yet?

Interested in more discussions like this? Go to the Joint Replacements Support Group.

@thisfatoldlady

Has your doctor considered particle disease? My sister had it in her hip (many years after the original replacement) - the prosthesis starts shedding particles and the body's immune system attacks them, causing inflammation, and deterioration of the bone and surrounding muscle. She had to have a revision surgery to go in clean it all out, remove and replace the problematic parts of the prosthesis. Her original surgeon kept telling her he couldn't find anything wrong.

Jump to this post

Oh no. A new worry. I will have to do some research, but my guess is I am in the normal range and everything is functioning properly. I’m just one of the unlucky few who have significant pain past four weeks

REPLY
@jtturner

Thank you. This gives me hope. Interestingly, I have a new development. My doctor put me on a new pain med (non-opiate). I took it last night and had very little pain. Slept through most of the night.

Jump to this post

wow - the new pain med you are on seems like a winner for you. We have to sleep.

REPLY
@jtturner

Thank you. This gives me hope. Interestingly, I have a new development. My doctor put me on a new pain med (non-opiate). I took it last night and had very little pain. Slept through most of the night.

Jump to this post

What is the new drug? Sleep and no pain!!!!

REPLY
@lynnn

So sorry you are going through this. I had my TNR in
Dec. and had a terrible time at night for four months.
Like you, I got hardly any sleep - some nights none. I
cannot take NSAIDS such as Aleve and Tylenol did no good at all. I couldn’t function. No pain during day.
So my surgeon said to get up and walk. When I did, the pain went away, but I couldn’t do that all night. Now since about the last three weeks I have no more pain and can sleep. I may need the other knee done but am very
hesitant to do it again. If you are having daytime pain something needs to be done about that.

Jump to this post

Look into Nano Knee or Jiffy knee....depending where you live. You will need to have PPO insurance. I had the Traditional TKR 10 yrs ago & said that I would never have it again. I live in CA. & had Nano Knee replacement. I only used my walker the first day...
It was not a piece of cake but so much better than the traditional.

REPLY
@jtturner

Thank you. This gives me hope. Interestingly, I have a new development. My doctor put me on a new pain med (non-opiate). I took it last night and had very little pain. Slept through most of the night.

Jump to this post

Wow...what is the drug? I cannot take opiates because they make me so sick! Tylenol , Ibuprofen , NSAIDs o nothing!

REPLY
@jtturner

Thank you. This gives me hope. Interestingly, I have a new development. My doctor put me on a new pain med (non-opiate). I took it last night and had very little pain. Slept through most of the night.

Jump to this post

Do you mind sharing what that drug was?

REPLY
@judycat

Look into Nano Knee or Jiffy knee....depending where you live. You will need to have PPO insurance. I had the Traditional TKR 10 yrs ago & said that I would never have it again. I live in CA. & had Nano Knee replacement. I only used my walker the first day...
It was not a piece of cake but so much better than the traditional.

Jump to this post

Can you tell me where in CA you had the Nano Knee done?

REPLY

There are several locations in So CA. My friend choose to have his in Burbank I wanted Dr. Thomas Ferro...the inventor of the Nano Knee. I went to his Downey office for a consultation & X-rays. He only does surgery in Arroyo Grande at his Nano Knee Surgical Center. I choose to make a mini vacation & we went in a couple days early & visited the area. Dr. Ferro gives an excellent discount at a local Best Western. Then on Tuesday, 4/8/2025, I had the Nano Knee replacement. I was walking that day. We drove home the next day. I only needed a walker 1 day. I was back to the gym, line dancing & Silver Sneakers after 5 weeks. It was not exactly a piece of cake like the advertisements show...at least not for me. However, the only really pain that I had was at night & it would get hot & ache. I bought an ice machine & then I was able to sleep at night. Some insurances will provide an ice machine. I have United Health Care & they are the worst & will not pay for any extras...I am a widow & had no one to take care of me...however, with the Nano Knee, you do not need a caretaker. With the traditional, I was in the hospital 3 days & Rehab 4 days.
I am traveling to Croatia less than 8weeks after my TKR. At 5-6 weeks, I had 128 flection & could get my leg completely straight.
I had the traditional TKR 10 1/2 yrs ago...It was very successful, but I remember crying & being in so much pain I was so weak & nauseated. I had to do a lot of PT . This is why I chose the Nano Knee There will be out of pocket for the 3-D Scan $8,500 ..But for me, It was worth it . I chose to have the Nano Knee rather than to take an extra trip or remodel! Big difference...after I hear so many horror stories!

REPLY
@jtturner

Thank you. This gives me hope. Interestingly, I have a new development. My doctor put me on a new pain med (non-opiate). I took it last night and had very little pain. Slept through most of the night.

Jump to this post

What is the medication?

REPLY
@lkw0311

What is the medication?

Jump to this post

Celebrex worked best for me...Tylonol & 800 Ibuprofen did not seem to help. I get too sick with
opiates.

REPLY
Please sign in or register to post a reply.