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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain The Knees After A Knee Replacement Surgery?

I had a total knee replacement in august of 2015. I went into surgery with a sore knee and upon coming out of recovery I noticed a horrible CRUSHING pain in the back of my knee, and a numb cold foot. I insisted after not being heard as to how terribly painful it was, that I have a EMG and see a Neurologist. It has been 20 months later, and many many MRI s, angiogram, accupuncture, 3 nerve blocks, meds, and it continues to get worse and more painful, now running down my calf and shin. Horrible pain. I have been told I have tibial neuropathy, CRPS, and another neuropathy that has slipped my mind at the time. I strongly believe that the knee replacement is crushing the back of my knee but all the reports will not support this. I am out of options with the exception of a risky nerve exploratory or spinal implant. Is it at all possible that it is truly the actual knee mechanism that is crushing the back of my knee??? Horrible pain, no one should live this way and it is getting worse and worse.
Tue, 16 Oct 2018
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General & Family Physician,  's  Response
Hi,

Pain following knee replacement surgery has a wide spectrum of aetiologies. The cause can be the knee prosthesis, a nerve or it could be vascular too. In a recent study, 15% out of every 100 who underwent knee replacement has severe and persistent pain. Let's see what are the possible causes for your pain and what we can do to alleviate it.
1) Pain swelling and bruising is a part of the natural recovery process following knee replacement.
2) A stronger painkiller like opioids can help to relieve your pain.
3) Elevate your legs, try placing pillows higher than your hip level it will help you out.
4) Take adequate rest if you are doing any strenuous activity.
5) Tibial neuropathy mostly resolves on its own, but it will take its own course of time for it.
6) If nothing works surgical options will be the last resort for it, don't worry about going to the operating room again as most pain relieving surgeries works like a charm for pain.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Moses John Wesley,
General & Family Physician
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What Causes Severe Pain The Knees After A Knee Replacement Surgery?

Hi, Pain following knee replacement surgery has a wide spectrum of aetiologies. The cause can be the knee prosthesis, a nerve or it could be vascular too. In a recent study, 15% out of every 100 who underwent knee replacement has severe and persistent pain. Let s see what are the possible causes for your pain and what we can do to alleviate it. 1) Pain swelling and bruising is a part of the natural recovery process following knee replacement. 2) A stronger painkiller like opioids can help to relieve your pain. 3) Elevate your legs, try placing pillows higher than your hip level it will help you out. 4) Take adequate rest if you are doing any strenuous activity. 5) Tibial neuropathy mostly resolves on its own, but it will take its own course of time for it. 6) If nothing works surgical options will be the last resort for it, don t worry about going to the operating room again as most pain relieving surgeries works like a charm for pain. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Moses John Wesley, General & Family Physician