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Had Total Knee Replacement, Have Swollen Muscle Near Knee, Taking Pain Killers. Advice?

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Posted on Sat, 25 Aug 2012
Question: I am 65 and had a total left knee replacement and a lateral release on 3 March 2012 and still have a swollen muscle on the left side of my knee which causes a lot of pain, especially at night. I've tried exercises, ice, heat and am having to take pain killers (Dioflenac and paracetomol). I have run out of options and am really being dragged down by the pain and bad nights. Do you have any advice? Many thanks. XXXXXX.
doctor
Answered by Dr. Ketan Vagholkar (2 hours later)
Hi,
Thanks for writing in.
Since conservative treatment has failed to give you relief, your symptoms merit further investigation. An imaging study is required to assess if there is any problem.
There can be various issues. IMportant amongst them are,
1. The status of the prosthesis.
2. Any muscular instability.
3. Delayed Infection.
Therefore certain blood and radiological investigations are now necessary.
I hope this answers your querry.
With regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ketan Vagholkar (1 hour later)
Hi XXXXXXX

I had a follow up xray and a blood test in late May and both were fine. Do you think I should get an MRI scan?

Best wishes

XXXXXX
doctor
Answered by Dr. Ketan Vagholkar (1 hour later)
Dear Mr. XXXXXXX
If xray of the affected or operated knee was normal it suggests that there were no technical issues with the prosthesis. The cause of the swollen knee could then either be just an effusion or a fluid collection or a soft tissue swelling usually from the muscle. Both can be specifically picked up by an MRI. I would suggest that you go in for an MRI which as I had mentioned earlier would reveal the status of all the three elements in the replaced knee joint.
I hope this answers your querry.
With regards
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ketan Vagholkar

Gastroenterologist, Surgical

Practicing since :1989

Answered : 883 Questions

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Had Total Knee Replacement, Have Swollen Muscle Near Knee, Taking Pain Killers. Advice?

Hi,
Thanks for writing in.
Since conservative treatment has failed to give you relief, your symptoms merit further investigation. An imaging study is required to assess if there is any problem.
There can be various issues. IMportant amongst them are,
1. The status of the prosthesis.
2. Any muscular instability.
3. Delayed Infection.
Therefore certain blood and radiological investigations are now necessary.
I hope this answers your querry.
With regards