Unexplained TKR pain

[Cagey115]

Left knee replaced  6/09.  Right knee replaced 10/09 . Recovery  Beyond expectations.  Motion on both 125. Pain free
left knee and almost on right knee after extensive PT.  
In November stiffness and soreness and some further swelling appeared around prosthesis.  Difficult now to get up and down on chairs.  Walking O.K..
Surgeon says no infection and nothing that he can see.  X-Rays normal.  
He tried cortisone in the bursa - no help.  
Dead end here.

[Cagey115]

Thank you for quick response.
Infection has been ruled out.
Also have arthritis of the spin and considering if this could be a cause since nothing else has been found.

[Dr Vinod]

Hello!

I would suggest you to continue physiotherapy, take pain killers intermittently.

I would also suggest you to go for post surgical scans to diagnose any complications and check for any infections.

There is some amount of pain till 6 months after TKR. C reactive protein values will suggest any acute infection. Rule out any deep vein thrombosis by Doppler scans.

In some situations, manipulation of the knee under anesthetic is used to improve post operative stiffness.

Take care!