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Undiagnosed Symptoms  (Expert Forum)
 | 
After Knee replacement aches, pains
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Undiagnosed Symptoms forum are answered by Dr. Kevin Pho. Topics covered include , breathing difficulties, feeling cold, cough, diarrhea, dizziness, fainting, fever, indigestion, itching, nausea, numbness, pain (chronic), paralysis, rash, sweating, swelling, urination problems, and vomiting.

After Knee replacement aches, pains

by rmg38, Oct 08, 2009 12:01PM
Tags: knee, Pain, aches
In April 2008 I had a full knee replacement.  The knee itself is fine, but I have tendon and bursa pain all around the knee.  We have tried a cortizone shot, ice, heat, chondroitin, creams, aleve, celebrex and nothing relieves the aches and pains.  I'm not a very active person so resting the joint is not the issue, in fact, when I sit for any length of time my knee hurts when I get up, if I keep it stretched out the same result.  I can't cross my legs without pains.  When I walk the pain goes away somewhat.  When I press on the inside of my knee I feel pain as well as in the back of my knee.  I had an ultrasound looking for a bakers cyst and none was there at the time.  The weight of my other leg on my knee causes pain.  I am constantly shifting to find a comfortable position.  I've also had extensive physical therapy with no change.  What else could be my problem that we aren't addressing?  I'm desperate, please come up with something we haven't tried already.  Thank you.

by Kevin Pho, MD, Oct 21, 2009 06:52AM
Sometimes it takes several weeks to months to rehab after knee surgery, as your body has to adjust to the replacement.

Normally, intense physical therapy is needed to strengthen the joint.

If the pain continues, I would discuss this with your orthopedic surgeon, to see if a revision is indicated.  Re-imaging the knee with an MRI can be discussed.

Otherwise, I would consider another surgical opinion if the symptoms continue, preferably at a major academic medical center.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin Pho, M.D.

KevinMD.com
Twitter.com/kevinmd
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