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Suggest Treatment For Swelling And Radiating Pain In The Knee
I had a total knee replacement on 12/5 and a manipulation of the knee on 2/20. I am still very swollen, sore to the touch, I have a pain that shoots from the inside of the knee up the inside of the thigh moving up towards the groin. I m not sure where to go from here, I limp and any gains I make in PT which I ve been in since 12/6 seem to fade over night or over a weekend. It Embarrassing as I am 55 and elderly people are having surgery after me and moving better than mw with less pain. I work for corporate America and travel for a living. I m going back on the road next week movement no movement, pain or not. Where do I go from there, it s depressing!
Tue, 23 Oct 2018
Hi,
My advice in here is that you proceed with the following steps:
1) Do these lab tests: CBC, ESR, CRP to rule out any possibility of infection in the metal that you have.
2) Do an X-ray for your knee (to make sure that the metal inside is well properly aligned.)
3) Hip X-ray is needed (some patients can present with a knee pain even though they have a pathology primarily located at the hip.)
We can help you in reading the results or you can show it to you orthopedic doctor which I highly advise.
After we make sure that you don't have abnormalities in the things that I have mentioned above we proceed with the examination of the back to rule out any pathologies that can be primarily there
I want you to know that we need a stepwise approach to your problem so we can help you, especially that you mentioned you have a complicated course with your total knee (stiffness post surgery) which in some instances means that there is a lack in physiotherapy post operation.
So proceed with the steps that I have mentioned above and in the meantime to lessen your pain while investigating the problem try to take some over the counter simple analgesics if you don't have contraindications for them and apply some ice packs over the knee for 10 minutes 2-3 times a day and avoid ascending and descending the stairs.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Ala' Hawa,
Orthopedic Surgeon
My advice in here is that you proceed with the following steps:
1) Do these lab tests: CBC, ESR, CRP to rule out any possibility of infection in the metal that you have.
2) Do an X-ray for your knee (to make sure that the metal inside is well properly aligned.)
3) Hip X-ray is needed (some patients can present with a knee pain even though they have a pathology primarily located at the hip.)
We can help you in reading the results or you can show it to you orthopedic doctor which I highly advise.
After we make sure that you don't have abnormalities in the things that I have mentioned above we proceed with the examination of the back to rule out any pathologies that can be primarily there
I want you to know that we need a stepwise approach to your problem so we can help you, especially that you mentioned you have a complicated course with your total knee (stiffness post surgery) which in some instances means that there is a lack in physiotherapy post operation.
So proceed with the steps that I have mentioned above and in the meantime to lessen your pain while investigating the problem try to take some over the counter simple analgesics if you don't have contraindications for them and apply some ice packs over the knee for 10 minutes 2-3 times a day and avoid ascending and descending the stairs.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Ala' Hawa,
Orthopedic Surgeon
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