Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Recurrent Fluid Collection In The Knee?
Question: Hello,
I had knee replacement surgery 1 yr ago and have had ongoing problems. The muscle and front of the knee hurt and feel weak when trying to walk upstairs and getting up from a chair making nearly impossible to do. I have also had fluid building up in the knee and have had it aspirated.
X-rays have been taken and the hardware looks to be aligned well, a bone scan was done and 'lights-up' over the kneecap, saphenous nerve block was attempted but didn't work.
The Dr has injected my knee with cortisone 4 times...and each time all of the symptoms go away by 95% and the knee feels great! However the symptoms, pain, and fluid come back at precisely 4 weeks after the injection.
My Dr seems to be stumped by this. I myself am a Registered Nurse and it has become very frustrating that I have always been able to care for others...yet am unable to do the same for myself!
If I were to go to the Mayo Clinic in Minnesota what kind of Dr would be best?
Any thoughts/suggestions would be greatly appreciated.
p.s. I do have psoriatic arthritis but I feel it is being managed well with Remicade and
methotrexate.
XXXXXXX
I had knee replacement surgery 1 yr ago and have had ongoing problems. The muscle and front of the knee hurt and feel weak when trying to walk upstairs and getting up from a chair making nearly impossible to do. I have also had fluid building up in the knee and have had it aspirated.
X-rays have been taken and the hardware looks to be aligned well, a bone scan was done and 'lights-up' over the kneecap, saphenous nerve block was attempted but didn't work.
The Dr has injected my knee with cortisone 4 times...and each time all of the symptoms go away by 95% and the knee feels great! However the symptoms, pain, and fluid come back at precisely 4 weeks after the injection.
My Dr seems to be stumped by this. I myself am a Registered Nurse and it has become very frustrating that I have always been able to care for others...yet am unable to do the same for myself!
If I were to go to the Mayo Clinic in Minnesota what kind of Dr would be best?
Any thoughts/suggestions would be greatly appreciated.
p.s. I do have psoriatic arthritis but I feel it is being managed well with Remicade and
methotrexate.
XXXXXXX
Brief Answer:
Due to inflammation
Detailed Answer:
Hello,
Thanks for posting your query.
The recurrent fluid collection in the knee along with the other symptoms are due to inflammation in the bone and soft tissues surrounding the implant. This can be related to osteoarthritis or mild allergic reaction to the implant material coating. It can be due to neuropathic pain, internal scarring also.
You can consult a knee replacement surgeon at Mayo clinic. Since the alignment is correct taking anti inflammatory pain killers and steroids will help you. Artificial lubrication-injecting synthetic fluid similar to what natural knee makes will also help in reducing the inflammation.
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
Due to inflammation
Detailed Answer:
Hello,
Thanks for posting your query.
The recurrent fluid collection in the knee along with the other symptoms are due to inflammation in the bone and soft tissues surrounding the implant. This can be related to osteoarthritis or mild allergic reaction to the implant material coating. It can be due to neuropathic pain, internal scarring also.
You can consult a knee replacement surgeon at Mayo clinic. Since the alignment is correct taking anti inflammatory pain killers and steroids will help you. Artificial lubrication-injecting synthetic fluid similar to what natural knee makes will also help in reducing the inflammation.
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
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you Dr Tayal.
I will discuss these with my Surgeon when I see him next week.
I will discuss these with my Surgeon when I see him next week.
Brief Answer:
Do keep me posted regarding the progress.
Detailed Answer:
Hi,
Thank you.
I am glad I could help.
You can consult me again directly through my profile URL http://bit.ly/Dr-Praveen-Tayal
Please accept my answer in case there are no further queries and recommend our services to your friends too if you have found it helpful.
I wish you the very best in whatever you do.
Warm regards
Do keep me posted regarding the progress.
Detailed Answer:
Hi,
Thank you.
I am glad I could help.
You can consult me again directly through my profile URL http://bit.ly/Dr-Praveen-Tayal
Please accept my answer in case there are no further queries and recommend our services to your friends too if you have found it helpful.
I wish you the very best in whatever you do.
Warm 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
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
