Question: After 3 years I experience severe burning pain over knee cap and radiating in both legs in identical manner. Is this common. What can be done to eliminate or diminish significantly this burning particulSrly centered over both knee caps with radiating burning pain in both legs seemingly beginning around knee caps. Thanks, XXXXXXX XXXX.

I'm not a smoker or diabetic. No difference cross legged or squatting. When starts stays with me sitting, laying down, and moreso walking after a while. In general not perfectly predictable. Seems to have mind of it's own. Take allopurinol, simvistatin, bisoprolol and all in control. Off oxycodone 20 to 30 mg daily prn for lower back pain for some time but no longer on any narcitics for 1 month and live with back stiffness and arthritic pain. I hated the fact I was taking it. My knees and radiating pain the biggest problem now and equal on both sides. Hope this helps.

How ridiculous not mentioning TKR on both knees almost 3 years ago. The burning pain has occurred for about 4 months and waxes and wanes. I need to lose 30 lbs also. I'm seeing orthopedic surgeon in 2 days.
Also, I have had an mri of the spine seeing 2 orthopedic and 1 neurosurgeon back specualist. They all said I had retrolithesis and moderate to severe spinal stenosis on both sides of lower back. I had been on 10 mg OxyContin bid and 5mg Percocet for some time and recently quit all rx narcotics a month ago. The back is stiff, of course, and there is always moderate pain.
The tingling burning around knees however didn't seem like radiculopathy because the back pain hadn't been intolerable as in the past. I'm just hoping I don't have defective TNR's in both and now developing nerve compression syndrome 3 years later as you mentioned. This complication occurred even while on the prescribed narcotics. My physiatrist prescribed the narcs along with lyrica, and I could not tolerate cymbalta well but maybe I'll try it again. My knees were pretty much bone on bone before surgery. Bending and kneeling possible and although I know my knees ache if I overdue it, it's the burning and tingling increasing that adds to the overall age related arthritic complications. But it's never predictable and I guess it's a return to narcs against my better judgement. I thought about staying off forever since I hate their side effects and withdrawal and hate to go back now that it's over with.
I appreciate your input and if you have any further suggestions please tell me. I've been to the right places apparently and surgery is a poor risk according to the doctors I'm seeing. They said if you are functional leave it alone since I'm a poor risk. I'm going to try losing weight and getting on an increased muscle training program along with extra walking. Please add if you have anything else to suggest. I was just wondering if my own endorphins will kick in again after being on the low dose barcitics for a long time and now discontinued. XXXXXXX XXXX.