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Had Total Knee Replacement, Warmth In Knee, Burning Sensation Behind Knee, Using Stretchout Strap And Ice Pack, Taking Tramadol

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Posted on Thu, 6 Sep 2012
Question: I had total knee replacement surgery in July 2011 on my right knee at age 74. I had earlier been a runner and had a ski injury 30 years earlier with this knee with a partial ACL tear treated with PT. One year later I still have a knee that gets hotter as the day wears on ...... from near normal in the AM. I often have a buning sensation behind my knee, some of this I had before the surgery. I can use a stretchout strap to get some temporary relief, and most nights I have to use an ice pack to get to sleep. I am taking 50MG Tramadol at night which helps with RLS and sleep, but some evenings I am completely miserable at bed time. My one year follow up found no infection, and my surgeon thought everything looked fine on the x-rays but this is really annoying.
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Answered by Dr. Dr. Praveen Tayal (3 hours later)
Hello,
Thanks for posting your query.
Persistent burning sensation in the knee even one year after the surgery is likely to be due to a neural ( nerve compression or nerve irritation related) cause. Even if the X-rays of knee are normal, still the nerve involvement symptoms may be there due to soft tissue swelling or due to inflammation in the nerve itself.
These neural pains are a challenging thing to treat as careful examination is needed to ascertain the level of nerve involvement. Going for a site of nerve involvement.
You can take some anti-inflammatory pain killer like acetaminophen and methylcobalamin supplements till you consult a neurophysician for specific treatment.

I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12314 Questions

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Had Total Knee Replacement, Warmth In Knee, Burning Sensation Behind Knee, Using Stretchout Strap And Ice Pack, Taking Tramadol

Hello,
Thanks for posting your query.
Persistent burning sensation in the knee even one year after the surgery is likely to be due to a neural ( nerve compression or nerve irritation related) cause. Even if the X-rays of knee are normal, still the nerve involvement symptoms may be there due to soft tissue swelling or due to inflammation in the nerve itself.
These neural pains are a challenging thing to treat as careful examination is needed to ascertain the level of nerve involvement. Going for a site of nerve involvement.
You can take some anti-inflammatory pain killer like acetaminophen and methylcobalamin supplements till you consult a neurophysician for specific treatment.

I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Regards.
Dr. Praveen Tayal.