postoperative pain in total knee replapement

[shashi469]

i had total knee replacement in may.2009.but still i get pain and feeling of heaviness in knees more in right knee in night during sleep .i can walk for about half KM or so comfortably.please advise.

[S. Kaul, MD]

Hi there!

In such a case other possibilities such as infections, inflammation, neurovascular damage, ligamental/ tendon injuries/ osteolysis, synovitis, muscular causes etc may need to be considered. A few of these may not be evident on the x-ray and a clinical evaluation and detailed imaging studies may be needed. It would be best to discuss this with your orthopedician.
Hope this helps.

Take care!

[shashi469]

my xrays of knees are normal and show prosthesis in good position.

[S. Kaul, MD]

Hi there!

Well, without an evaluation it would be difficult to point out the cause of your symptoms. Possibilities that may need to be considered are infections, inflammation, neurovascular damage, peri-prosthetic fracture, wearing of the bearings, loosening of the prosthesis, ligamental/ tendon injuries/ inflammation, osteolysis, synovitis etc. It would be best to get this evaluated by your orthopedician to rule out the possibilities and appropriate management.
Hope this was useful.

Take care!