What Causes Persistent Knee Pain After Total Knee Replacement?
the drs PA told me that this could be this painful for 12to 18 months--but the dr said he is a surgeon, not a pain manager!! I dont want to be stuck with this awful pain without pain medicine--Im wondering if I make a complaint to the hospital if they will make him be responsible for helping me get through this---its not like I can just go to any dr and say, excuse me, but Im in a ton of pain and the surgeon knows it, but he wants me to be someone elses responsibilty....How do I find a dr that can help me >
Needs second opinion to find cause.
Detailed Answer:
Hello,
Thanks for posting your query.
I can understand the acute pain and discomfort you are having after the surgery. Such an acute pain 6 months after the replacement surgery is not normal.
Persistent pain after total knee replacement can be due to neuropathic pain, internal scarring (arthrofibrosis), loosening of the prosthesis, patellofemoral instability, postoperative stiffness, etc.An inflammation in one of your muscles or ligaments also needs to be ruled out. A direct clinical examination and investigations like CT scan and arthroscopy are needed to identify the exact cause.
The treatment options like pain therapist, physiotherapy, occupational therapy, etc. will not help you much the cause of the pain id determined.
Wearing a compression stocking that goes above the knee can help temporarily.
Right now i will advise you to have a second opinion from another surgeon to find out the cause of acute pain. The treatment options can then be discussed depending on the cause.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Avoid all painful movements.
Detailed Answer:
Hello.
Thanks for writing again.
You are in a difficult situation. Stopping the pain medicines will not help you as that will hamper all your routine activities. If the physiotherapy sessions are painful then it is better to do a mild exercise at home and avoid all the painful activities. A CT scan to assess any soft tissue damage or an arthroscopy will help.
You can also try TENS therapy to decrease the pain in the knee.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Sincetely, XXXXXXX XXXXXXX
No online prescriptions.
Detailed Answer:
Hello.
I do not have a group practice. I am from India and online prescriptions are not allowed. The pain medicine can be prescribed either from a pain clinic or from your primary physician.
It is best to try alternative therapies hot fomentation rest elastic knee support for relief. This will decrease your need of hydrocodone.
Since the rules there are stringent it is difficult to get the pain medicine without a prescription. You will have to arrange for a second opinion to know the cause.
Regards.
I wish you were here in the US though... I feel like you understand why I am so scared and why I need answers?
Referrals not allowed.
Detailed Answer:
Hello.
Online referrals are also not allowed on this site. You can consult Dr. XXXXXXX XXXXXXX at Massachusetts General hospital. He is likely to understand your problem.
For arthroscopy if numbing shots are not feasible then it can be done under epidural anaesthesia or a short general anaesthesia. The anaesthetist will choose an anaesthesia best for you.
Regards.