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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Knee Pain Post A Knee Replacement Surgery?

I had knee replacements first 2 years ago and the other one year ago and the pain is really bad, worse than it was before I had them done. They tell me everything is lined up the way it should be and they don t know why I m in so much pain. what can I do for the pain?
Fri, 19 Jan 2018
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Orthopaedic Surgeon,  's  Response
Hello, 

I have studied your case. 

Pain around knee joint post TKR can be due to many reasons.
I would like to ask some detail history like do you have pain in knee? Does she have redness around swelling? Is there local rise of temperature?
There is possibility of metallosis or infection around knee joint.
As pre your history infection needs to ruled out by tests

You may need to investigate like CRP, CBC, ESR .
PCR culture from knee aspirate is very useful to find culprit organism if infection is suspected.

Leg swelling can be due to cardiac origin or related to hypertension.
Physiotherapy will help in reducing knee and ankle swelling.


For associated age related osteoporosis take calcium and vit D supplement.
Avoid cortisone injection as long term effects are not good.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. 

Wishing you good health.

Take care.

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What Causes Severe Knee Pain Post A Knee Replacement Surgery?

Hello,  I have studied your case.  Pain around knee joint post TKR can be due to many reasons. I would like to ask some detail history like do you have pain in knee? Does she have redness around swelling? Is there local rise of temperature? There is possibility of metallosis or infection around knee joint. As pre your history infection needs to ruled out by tests You may need to investigate like CRP, CBC, ESR . PCR culture from knee aspirate is very useful to find culprit organism if infection is suspected. Leg swelling can be due to cardiac origin or related to hypertension. Physiotherapy will help in reducing knee and ankle swelling. For associated age related osteoporosis take calcium and vit D supplement. Avoid cortisone injection as long term effects are not good. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.  Wishing you good health. Take care.